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In defining resilience, dictionaries describe the tendency to bounce back or recover from setbacks, buoyancy, and elasticity. Resilience researchers such as Emmy Werner and Michael Rutter have related resilience to personal strengths, such as the ability to adapt well to stressful circumstances, coping and functioning well in life, maintaining emotional equilibrium, overcoming adversity, preventing mental illness amid hardship, flexibility, and growing. Combining these, we can define resilience comprehensively as

the strengths of an individual, both innate and developed, that enable one to adapt well to adversity, including the capacities to: maintain and improve mental health; function optimally (calmly, competently, flexibly); prevent the development of stress-related psychological problems (such as posttraumatic stress disorder, depression, anxiety, substance use disorders, suicide, and domestic violence); and overcome the damaging effects of adversity, should they occur, by minimizing the number and severity of symptoms, speeding recovery, and protecting against relapse. In short, resilience is the ability to bounce back and thrive. (Glenn R. Schiraldi, 2011a, p. 13)

This definition encompasses the concepts of resistance to, recovery from, and resourceful responding to adversity—or extremely difficult life stressors, including trauma. Resistance refers to the preventative dimension of resilience. Recovery refers to the elasticity dimension (some people never seem to seriously stumble psychologically, others stumble but later recover). Resourceful responding implies adapting flexibly to changing circumstances, applying coping skills and judgment, and drawing upon needed mental, spiritual, emotional, physical, financial, social, and environmental supports. To survive is to simply get through adversity. To thrive is to come out the other side of adversity having coped well and even having discovered and/or grown inner strengths.

Resilience is a relative concept. No one is invulnerable, but each is capable of functioning at one's best possible level in any given situation. Resilience can vary within an individual depending on factors such as experience, training, sleep, nourishment, physical conditioning, or the nature of the adversity.

Why is Resilience Important?

Nearly half of all U.S. adults will experience a stress-related mental disorder at some point in their lives. Prevalence rates are especially high in the United States and are increasing globally. Among high-risk populations (e.g., firefighters, military, police, and other emergency responders) are seen higher than expected rates of posttraumatic stress disorder (PTSD), depression, substance use disorders, anxiety, sleep disorders, suicide, domestic violence, and divorce. Furthermore, the demand for mental health professionals to treat these problems far outstrips the supply. Many who need treatment will fail to obtain it because of stigma, inability to pay for treatment, ignorance of treatment options, and so forth. Thus, the need for preventive efforts is apparent, and resilience training is a promising approach to prevention. Second, growing evidence suggests that traumatized populations experience a wide range of medical symptoms. Resilience training conceivably might mitigate medical consequences of traumatic exposure, while complementing trauma treatment efforts. Third, growing resilience will likely enhance mental health and performance, and possibly increase career retention in stressful occupations. Theoretically, resilience enhancement could benefit all individuals, from combatants to athletes, students, parents, teachers, employees, leaders, and trainers.

The Special Relationship between Resilience and PTSD

PTSD is sometimes defined as the exhaustion of resilience, and resilience is sometimes defined as the failure to develop PTSD following exposure to a traumatic event. The treatment of PTSD can increase resilience through the acquisition of coping skills and the enhancement of personal strengths. PTSD is highly comorbid. That is, it tends to occur along with any of a large number of mental and medical disorders. Resilience likely affects a mechanism common to these disorders and might lessen the disproportionate use of medical services by PTSD sufferers.

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