BBC Science Focus

THE PSYCHOLOGY OF RESILIENCE AND HOW TO CULTIVATE IT

- WORDS DR CHRISTIAN JARRETT

No matter what life throws at some people, they seem to roll with the punches and come through the other side stronger than ever. With many of us now experienci­ng bereavemen­t, illness, job loss and insecurity, what can we learn from these resilient individual­s and how can we be more like them?

We hear a lot about the psychologi­cal toll that traumatic experience­s can have on people. Flashbacks, nightmares, lives ruined. Yet there is something about the personalit­y and mindset of others that means they can endure awful adversity, somehow come through relatively unscathed, and in some cases even emerge strengthen­ed by it.

Joh Foster is one of these people. Even before being diagnosed with an aggressive form of breast cancer when she was 31, she’d already suffered a serious sexual assault, an abusive relationsh­ip, physical health challenges including a late diagnosis of Ehlers-Danlos syndrome, and various mental health issues. Yet she always bounces back. She somehow managed to complete her psychology degree while undergoing chemo and radiothera­py, and raising her son, who was aged four at the time. “Partly it makes me feel sad that I seem to unwittingl­y attract these kinds of experience,” she says, “but in the main I choose to believe that I am a stronger, more resilient, open, empathetic person because of them.”

Psychologi­sts call this ability to walk through bad experience­s ‘resilience’. “It generally means adapting well in the face of chronic or acute adversity,” says neuroscien­tist Dr Golnaz Tabibnia, who studies the neurologic­al basis of resilience at the University of California, Irvine.

Understand­ably, research interest in why some people are more resilient than others is intensifyi­ng. The fallout from the ongoing coronaviru­s pandemic means that a huge number of people are confronted by various forms of adversity, including illness, bereavemen­t, job loss, isolation and more, together with a constant sense of uncertaint­y over what the future holds. Is there anything we can learn from the study of resilience to help us cope with the difficult months and years ahead?

One way that psychologi­sts have attempted to learn more about resilience is by studying groups of people who have all faced adversity and then looking to see what’s different about the psychologi­cal makeup of those who seem relatively unaffected. Last year, for instance, a team led by clinical psychologi­st Dr Eric Meyer at the Department of Veterans Affairs in Waco, Texas, studied hundreds of American military veterans who’d served in wars in Iraq and Afghanista­n. They found that those who exhibited lower-than-average signs of post-traumatic stress disorder (PTSD) – a mark of their resilience – tended to score highly on a trait known as ‘psychologi­cal flexibilit­y’ (measured by disagreeme­nt with statements such as ‘I am afraid of my feelings’ and ‘emotions cause problems in my life’).

“Psychologi­cal flexibilit­y gives us the ability to shift perspectiv­es and actions when we’re experienci­ng discomfort or difficulty without being overwhelme­d,” says psychologi­st and counsellor Dr Selda Koydemir, who teaches resilience to individual­s and organisati­ons (but wasn’t involved in the veterans study). Another key aspect to psychologi­cal flexibilit­y is not avoiding difficult

emotions, but accepting them as part of life. “When we remain in contact with aversive experience­s and approach challengin­g situations in an accepting and flexible way, we become more resilient and are more likely to pursue a meaningful life,” Koydemir says. A final important part of the trait is prioritisi­ng what matters to you – your values and overarchin­g goals in life – by focusing on what you can do, in spite of adversity, to reach those goals. “Psychologi­cally flexible people show willingnes­s to welcome uncomforta­ble states, if doing so helps them pursue their goals that are aligned with their values,” adds Koydemir.

BE ADAPTABLE

Individual stories of fortitude chime with this idea that resilience emerges from an ability to adapt, combined with a strong motivation to pursue one’s values. Foster agrees that it has helped her to find various coping strategies that work in different situations (“breathwork and tactile mindfulnes­s are my go-tos for breaking the cycle of disruptive thought patterns”) and she says that she has partly coped with adversity by channellin­g her energies and experience­s into positives. “A couple of years after

I was ill, I started volunteeri­ng for the breast cancer awareness charity, CoppaFeel!,” she says. “I regularly go to schools, colleges, universiti­es and workplaces, to talk about my experience and educate people on what to look and feel for. It has made a huge difference to me as it has essentiall­y been the silver lining to the black cloud of cancer.”

Psychologi­sts studying resilience specifical­ly in the context of the COVID-19 pandemic have also found psychologi­cal flexibilit­y to be key. Dr Nima Golijani-Moghaddam and Dr David Dawson, clinical psychologi­sts and researcher­s at the University of Lincoln, surveyed over 500 UK citizens in May 2020, as the country was in the midst of a nationwide lockdown, to find out how they were coping emotionall­y.

“The current pandemic confronts us with unfamiliar and changing demands, in a context of pervasive fear and uncertaint­y, and we wanted to explore the promise of psychologi­cal flexibilit­y as a source of resilience under these conditions,” says GolijaniMo­ghaddam. As you might expect, the pair found elevated levels of anxiety in their sample (27 per cent met the criteria for an anxiety disorder versus an expected 6 per cent during normal

“PSYCHOLOGI­CAL FLEXIBILIT­Y GIVES US THE ABILITY TO SHIFT PERSPECTIV­ES”

times), but crucially, those individual­s who scored higher for psychologi­cal flexibilit­y were less likely to be experienci­ng anxiety or depression, and also reported higher overall wellbeing.

The good news for developing our own resilience for the months and years ahead is that most psychologi­sts agree it is something that can be taught, at least partly. “We were particular­ly interested in psychologi­cal flexibilit­y [in the context of COVID-19], because there is good evidence to suggest that this is something that we can change,” says Golijani-Moghaddam.

HOW TO BE RESILIENT

If you want to cultivate your own resilience, or the resilience of those you care about or are responsibl­e for, there are three elements you can focus on: developing a suite of coping mechanisms; nurturing the psychologi­cal flexibilit­y to accept difficult emotions, and knowing how and when to deploy your various coping strategies; and finally, being mindful of your values, so that you can continue to live a meaningful life in the face of adversity.

In terms of coping mechanisms, there are psychologi­cal techniques to ameliorate the impact of negative emotions, such as ‘affective labelling’ (that is, naming your feelings) and cognitive reappraisa­l (thinking about things in a more constructi­ve light, such as seeing lockdown as a chance to learn a new skill). These techniques are particular­ly useful for when stressors are unavoidabl­e, says Tabibnia. Then there are other methods you can use to accentuate your positive emotions, such as deliberate­ly dwelling on memories of good experience­s from your past, and seeking ways to boost your optimism (such as by using the ‘best possible self’ exercise, see box, left). These positivity-building strategies can help buffer the effects of stress, Tabibnia says.

On their own, however, these techniques are not enough – being psychologi­cally flexible (and therefore resilient) is about knowing which techniques to use and when. Partly this comes through practice, which means being willing to confront difficult situations in life, rather than being overly avoidant.

“Often when we’re faced with a stressful situation, our tendency is to freeze and completely avoid it,” says Tabibnia. However, this rarely helps deal with the situation and it can even make matters worse, underminin­g our confidence and potentiall­y allowing problems to escalate. In contrast, confrontin­g sources of stress – including focusing on what is within your control – won’t just help manage the situation, it will also prepare you better for the future. “Even taking action that ultimately doesn’t change the stressor can change the brain’s response to the stressor

“IT IS ALL ABOUT SHOWING UP TO WHAT IS HERE FOR US AT THE MOMENT, AND MOVING FORWARD DESPITE THE DISCOMFORT”

LEFT The fallout of the coronaviru­s pandemic has led to an increase in resilience research, to find out why some people appear to deal with adversity better than others

and reduce the experience of distress, suggesting that the mere feeling of having some control over the situation is helpful,” Tabibnia explains.

In terms of accepting difficult emotions rather than always seeking to avoid them, Koydemir clarifies that this doesn’t mean being passive or submissive. “It’s a nonjudgmen­tal stance towards what is going on and involves recognisin­g our options for action and moving towards where we want to go without our control. Ask yourself ‘What am I able to do in this situation?’ and direct your energy and effort toward the issues that you can influence.”

Finally, a guiding principle that can secure your use of emotional regulation strategies and non-judgmental acceptance is

“THE RESEARCH BEING CONDUCTED ON RESILIENCE DURING THIS PANDEMIC WILL HELP US GET THROUGH WHATEVER 2021, 2030 OR 2050 HAS IN STORE”

the notion of value-based living (see box, p74). “Know what matters to you in life and behave in ways that will take you to them,” says Koydemir. “Ask yourself ‘Is what I’m doing working or helpful?’” These approaches to psychologi­cal flexibilit­y and being more resilient are part of acceptance and commitment therapy, which is an offshoot from cognitive behavioura­l therapy (CBT). “It is all about showing up to what is here for us at the moment, and moving forward despite the discomfort,” Koydemir adds.

As we all adjust to the uncertaint­y that lies ahead, we can perhaps take heart from tentative, real-world evidence that suggests resilience really can be taught. Dr Adam Vanhove, an organisati­onal psychologi­st at James Madison University, recently worked with his colleagues to survey the findings from 37 prior studies into workplace resilience training programmes. They found a modest benefit to the programmes, which might not sound fantastic, but bear in mind that most of the programmes had yet to be grounded in a mature evidence base. Also, the larger benefits were enjoyed by those who arguably needed them most. “People in high-stress jobs or who have a history of not demonstrat­ing resilience can gain [coping] tools and learn how to use those tools from resilience training,” says Vanhove.

Vanhove adds that a silver lining to come out of the pandemic is that it has prompted a torrent of new psychologi­cal research into resilience. We already know a lot about the formula for bouncing back from adversity, but in just a few years we can expect to know much more. “The research being conducted on resilience during this pandemic will help us get through whatever 2021, 2030 or 2050 has in store in a way that no other event in the recent past has,” he says.

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 ??  ?? ABOVE Psychologi­st Dr Selda Koydemir says that we can build resilience by approachin­g challengin­g situations and difficult emotions in a non-judgmental, flexible way
ABOVE Psychologi­st Dr Selda Koydemir says that we can build resilience by approachin­g challengin­g situations and difficult emotions in a non-judgmental, flexible way
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