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Resilience and Mental Health: Challenges Across the Lifespan Resilience and Mental Health Challenges Across the Lifespan Edited by Steven M. Southwick Yale University School of Medicine, New Haven Brett T. Litz Boston University School of Medicine, Boston Dennis Charney The Mount Sinai School of Medicine, New York Matthew J. Friedman Dartmouth University School of Medicine, White River Junction cambridge university press Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo, Delhi, Tokyo, Mexico City Cambridge University Press h e Edinburgh Building, Cambridge CB2 8RU, UK Published in the United States of America by Cambridge University Press, New York www.cambridge.org Information on this title: www.cambridge.org/9780521898393 © Cambridge University Press 2011 h is publication is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published 2011 Printed in the United Kingdom at the University Press, Cambridge A catalog record for this publication is available from the British Library Library of Congress Cataloging in Publication data Resilience and mental health: challenges across the lifespan / [edited by] Steven M. Southwick ... [et al.]. p. ; cm. Includes bibliographical references and index. ISBN 978-0-521-89839-3 (hardback) 1. Mental health. 2. Stress (Psychology) 3. Adaptability (Psychology) I. Southwick, Steven M. II. Title. [DNLM: 1. Mental Health. 2. Resilience, Psychological. 3. Adaptation, Psychological. 4. Stress Disorders, Traumatic–prevention & control. 5. Stress, Psychological–psychology. WM 105] RA790.R447 2011 616.89–dc23 2011016713 ISBN 978-0-521-89839-3 Hardback Cambridge University Press has no responsibility for the persistence or accuracy of URLs for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Every ef ort has been made in preparing this book to provide accurate and up-to-date information which is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every ef ort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors, and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. h e authors, editors, and publishers therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book. Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use. Contents List of contributors page vii Preface xi Section 1 Pathways to resilience 1 Section 3 Resilience in families, Section editor: Brett T. Litz communities, and societies 149 1 Neurobiology of resilience 1 Section editor: Fran H. Norris Adriana Feder, Dennis Charney, and Kate Collins 10 Family resilience: a collaborative approach in 2 Resilience in the face of stress: emotion response to stressful life challenges 149 regulation as a protective factor 30 Froma Walsh Allison S. Troy and Iris B. Mauss 11 Community resilience: concepts, assessment, 3 Cognitive factors and resilience: how and implications for intervention 162 self-effi cacy contributes to coping with Fran H. Norris, Kathleen Sherrieb, and adversities 4 5 Betty Pfef erbaum Charles C. Benight and Roman Cieslak 12 Trauma, culture, and resiliency 176 4 Personality factors in resilience to Carl C. Bell traumatic stress 56 Mark W. Miller and Kelly M. Harrington Section 4 Specifi c challenges 189 5 Social ties and resilience in chronic Section editor: Matthew J. Friedman disease 76 Denise Janicki-Deverts and Sheldon Cohen 13 Loss and grief: the role of individual diff erences 189 6 Religious and spiritual factors in Anthony D. Mancini and George A. Bonanno resilience 9 0 David W. Foy, Kent D. Drescher, and Patricia 14 Reorienting resilience: adapting resilience for J. Watson post-disaster research 200 Jennifer Johnson and Sandro Galea 15 Rape and other sexual assault 218 Section 2 Resilience across the Heidi S. Resnick, Constance Guille, lifespan 103 Jenna L. McCauley, and Dean G. Kilpatrick Section editor: Dennis Charney 16 The stress continuum model: a military 7 Resilience in children and adolescents 103 organizational approach to resilience and Ann S. Masten, Amy R. Monn, and recovery 238 Laura M. Supkof William P. Nash, Maria Steenkamp, 8 Toward a lifespan approach to resilience and Lauren Conoscenti, and Brett T. Litz potential trauma 120 17 Resilience in the face of terrorism: linking George A. Bonanno and Anthony D. Mancini resource investment with engagement 253 9 Resilience in older adults 135 Stevan E. Hobfoll, Brian Hall, Katie J. Horsey, and Diane L. Elmore, Lisa M. Brown, and Joan M. Cook Brittain E. Lamoureux v Contents 18 Resilience in the context of poverty 264 21 Childhood resilience: adaptation, mastery, John C. Buckner and Jessica S. Waters and attachment 307 Angie Torres, Steven M. Southwick, and 19 Resiliency in individuals with serious mental Linda C. Mayes illness 276 Piper S. Meyer and Kim T. Mueser 22 Military mental health training: building resilience 323 Carl Andrew Castro and Amy B. Adler Section 5 Training for resilience 289 23 Public health practice and disaster resilience: Section editor: Steven M. Southwick a framework integrating resilience as a worker 20 Interventions to enhance resilience and protection strategy 340 resilience-related constructs in adults 289 Dori B. Reissman, Kathleen M. Kowalski-Trakol er, Steven M. Southwick, Robert H. Pietrzak, and and Craig L. Katz Gerald White Index 3 59 vi Contributors Amy B. Adler Sheldon Cohen Clinical Research Psychologist and Chief of Science, Director of the Laboratory for the Study of Stress, US Army Medical Research Unit, Europe, Walter Immunity and Disease, Carnegie Mellon University, Reed Army Institute of Research, Heidelberg, Pittsburgh, PA, USA Germany Kate Collins Carl C. Bell Graduate Assistant, Mount Sinai School of Medicine, President/CEO, Community Mental Health Council, New York, USA Inc. and Clinical Professor of Psychiatry and Public Health, University of Illinois, Chicago, IL, USA Lauren Conoscenti National Center for PTSD, VA Boston Healthcare Charles C. B enight System and Boston University, Boston, MA Department of Psychology and Trauma, Health, and Hazards Center, University of Colorado, Colorado Joan M. Cook Springs, CO, USA Assistant Professor, Psychiatry, Yale School of Medicine and National Center for PTSD, West Haven, George A. Bonanno CT, USA Professor of Education and Psychology, Teachers Kent D. Drescher College, Columbia University, New York, USA Health Science Specialist, Palo Alto VA Healthcare Lisa M. Brown System and National Center for PTSD, Menlo Park, Associate Professor, Department of Aging and Mental CA, USA Health, University of South Florida, Tampa, FL, USA Diane L. Elmore John C. Buckner Associate Executive Director, Public Interest Staf Scientist, Department of Psychiatry, Children’s Government Relations Oi ce, American Hospital Boston, Boston, MA, USA Psychological Association, Washington, DC, USA Carl Andrew Castro Adriana Feder Director, Military Operational Medicine Research Assistant Professor, Psychiatry, Mount Sinai School of Program, US Army Medical Research and Material Medicine, New York, USA Command, Fort Detrick, MD, USA David W. Foy Dennis Charney Professor, Department of Psychology, GSEP- Dean and Professor of Psychiatry, Neuroscience and Pepperdine University, Encino, CA, USA Pharmacology and Systems h erapeutics, Mount Sinai School of Medicine, New York, USA Matthew J. Friedman Professor of Psychiatry and of Pharmacology and Roman Cieslak Toxicology and Executive Director of the National Department of Psychology, Warsaw School of Social Center for Posttraumatic Stress Disorder, US Psychology and Trauma, Health, and Hazards Center, Department of Veterans Af airs, Dartmouth Medical University of Colorado, Colorado Springs, CO, USA School, White River Junction, VT, USA vii List of contributors Sandro Galea Brittain E. Lamoureux Gelman Professor, Department of Epidemiology, Kent State University, Kent, OH, USA Mailman School of Public Health, Columbia Brett T. Litz University, New York, USA Massachusetts Veterans Epidemiological Research Constance Guille and Information Center, National Center for PTSD, Clinical Instructor of Psychiatry, National Crime VA Boston Healthcare System and Boston University, Victims Research and Treatment Center, Medical Boston, MA, USA University of South Carolina, Charleston, SC, USA Anthony D. Mancini Brian Hall Teachers College, Columbia University, New York, Research Study Coordinator, Rush Medical College USA and Kent State University, Kent, OH, USA Ann S. Masten Kelly M. Harrington Distinguished McKnight University Professor, VA Boston Healthcare System, National Center for University of Minnesota, Minneapolis, MN, USA PTSD and Division of Psychiatry, Boston University Iris B. Mauss School of Medicine, Boston, MA, USA Assistant Professor, Department of Psychology, Stevan E. Hobfoll University of Denver, Denver, CO, USA Professor and Chairperson, Department of Behavioral Linda C. Mayes Sciences, Rush Medical College, Chicago, IL, USA Chair of the Directorial Team at the Anna Freud Katie J. Horsey Centre, London and Arnold Gesell Professor of Child Kent State University, Kent, OH, USA Psychiatry and Psychology, Yale Child Study Center, New Haven, CT, USA Denise Janicki-Deverts Jenna L. McCauley Research Fellow, Carnegie Mellon University, Pittsburgh, PA, USA Instructor, Psychiatry and Behavioral Sciences, National Crime Victims Research and Treatment Jennifer Johnson Center, Medical University of South Carolina, Research Assistant, Center for Global Health, Charleston, SC, USA University of Michigan, Ann Arbor, MI, USA Piper S. Meyer Craig L. Katz Department of Psychology, University of North Disaster Psychiatry Outreach and Department Carolina at Chapel Hill, Chapel Hill, NC, USA of Psychiatry, Mount Sinai School of Medicine, New York, USA Mark W. Miller VA Boston Healthcare System, National Center for Dean G. Kilpatrick PTSD and Division of Psychiatry, Boston University D irector, National Crime Victims Research and School of Medicine, Boston, MA, USA Treatment Center and Vice Chair for Education, Psychiatry, Medical University of South Carolina, Amy R. Monn Charleston, SC, USA Researcher, University of Minnesota, Minneapolis, MN, USA Kathleen M. Kowalski-Trakofl er Pittsburgh Research Laboratory, Oi ce of Mining Kim T. Mueser Safety and Health Research, National Institute for Departments of Psychiatry and of Community and Occupational Safety and Health, US Centers for Family Medicine, Dartmouth Psychiatric Research Disease Control and Prevention, Pittsburgh, PA, USA Center, Concord, NH, USA vviiiiii List of contributors William P. Nash Steven M. Southwick Captain, Medical Corps, US Navy (Retired), VA Professor, Yale University School of Medicine San Diego Healthcare System, and University of National Center for Posttraumatic Stress Disorder, California, San Diego, CA, USA and VA Connecticut Healthcare System, New Haven, CT, USA Fran H. Norris Research Professor of Psychiatry and of Community Maria Steenkamp and Family Medicine, Department of Veterans Af airs Clinical Psychology, Boston University, Boston, MA, National Center for PTSD and National Consortium USA for the Study of Terrorism and Responses to Laura M. Supkoff Terrorism, Dartmouth Medical School, White River Junction, VT, USA Researcher, University of Minnesota, Minneapolis, MN, USA Betty Pfeff erbaum Angie Torres National Consortium for the Study of Terrorism and Responses to Terrorism, National Child Traumatic Postdoctoral Fellow, Yale Child Study Center, New Stress Network of the Terrorism and Disaster Center, Haven, CT, USA University of Oklahoma Health Sciences Center, Allison S. Troy Oklahoma City, OK, USA Department of Psychology, University of Denver, Robert H. Pietrzak Denver, CO, USA Assistant Professor of Psychiatry, Yale University Froma Walsh School of Medicine, New Haven, CT, USA Firestone Professor Emerita and Co-Director of the Dori B. Reissman Chicago Center for Family Health, University of Oi ce of the Director, National Institute for Chicago, Chicago, IL, USA Occupational Safety and Health, US Centers for Jessica S. Waters Disease Control and Prevention and Commissioned Research Assistant, Department of Psychiatry, Medical Corps of the US Public Health Service, Children’s Hospital Boston, Boston, MA, USA Washington DC, USA Patricia J. Watson Heidi S. Resnick National Center for PTSD and VA Medical and Professor, National Crime Victims Research and Regional Oi ce Center, White River Junction, VT, Treatment Center, Charleston, SC, USA USA Kathleen Sherrieb Gerald White Department of Veterans Af airs National Center for Co-founder, Survivor Corps, Washington, DC, USA PTSD and National Consortium for the Study of Terrorism and Responses to Terrorism, Dartmouth Medical School, White River Junction, VT, USA ix

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