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Resilience

The Psychology of Resilience: Coping Challenges and How Psychotherapy Bolsters Adaptability

Sep 27, 2024 | Articles

The Psychology of Resilience: Coping Challenges and How Psychotherapy Bolsters Adaptability

Resilience is an acquired capacity encompassing an array of emotional, attitudinal, and behavioral (coping) skills which can be supported and advanced by psychotherapy.

KEY POINTS:  

  • Resilience is a universal capacity and learned skill.
  • The major determinants of resilience include adaptive coping skills, optimism, a positive attributional style, humor, self-compassion, emotional regulation, and the capacity to find meaning in adversity and traumatic experience.
  • Coping strategies are categorized into four unique domains, each of which contributes to resilience: appraisal/meaning-making; pragmatic problem-solving; regulating emotions; and seeking social support.
  • Significant life changes (both positive and negative) as well as acute and chronic stress challenge a person’s inherent vulnerabilities and maladaptive coping patterns.
  • Psychotherapy bolsters resilience by identifying resilience deficits, developing psychological flexibility, enhancing social connections, and attending to mind-body experience/mindfulness awareness.

Part I. Introduction

Life’s challenges can be taxing if not overwhelming, presenting seemingly insurmountable obstacles that test one’s stamina, tolerance, and psychological strength. Resilience, the capacity to adapt to life’s stress and misfortunes and bounce back from adversity, has become a subject of significant scientific research and is often a key issue when individuals present for psychotherapeutic treatment.  This complex psychological construct plays a pivotal role in determining how individuals navigate traumatic events, chronic stressors, and everyday setbacks, ultimately influencing their mental health and overall well-being.

While the ability to adaptive positively to adversity is challenging indeed, one expert suggests that “it is useful to recognize from the start that stress to a certain extent is good.  It motivates you to meet your goals, gives you energy, acts as a warning system, and smaller amounts prepare you for future challenges.”

This article will explore the multifaceted nature of psychological resilience, examining its various types and the strategies employed to build and maintain it.  We will examine common challenges to resilience and consider how coping efforts attempt to address these challenges.  Next, our discussion will address the process of cultivating a resilient mindset.  Finally, how psychotherapy can equip clients with the tools necessary to face life’s stress and unpredictable nature with greater confidence and adaptability will be considered.

Part II. Understanding Psychological Resilience

Defining Resilience

Resilience has been conceptualized in various ways by researchers. Some define it as the ability (i.e., psychological strength) to adapt and bounce back from adversity, while others view it as a stable trajectory of healthy functioning after a highly adverse event. One author observes that “resilient people are not immune to stress, but they possess adaptive defenses that allow them to persevere.”

The American Psychological Association (APA) describes resilience as the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress. This definition captures the essence of resilience as a multifaceted phenomenon that goes beyond mere recovery to include personal growth.

Other experts emphasize that resilience is not a fixed trait but a dynamic process that can be developed and strengthened over time.  In other words, resilience is a universal capacity that exists within each of us and, therefore, can be enhanced and supported.

For individuals who are especially resilient, they possess and utilize a range of coping strategies that help them manage adversity and deal effectively with difficult situations.  As a fundamental element of resilience, coping itself is a complex construct that has been defined in numerous ways, i.e., strategies of conflict resolution and problem-solving; ways to master new and complex situations; and skills that are applied to stressors to promote adaptivity.  For our purposes, we will approach coping as the cognitive and emotional skills associated with resilience.

Key Components of Resilience

Several key components contribute to psychological resilience. These include self-awareness, problem-solving skills, emotional regulation, and social support.

Resilient individuals tend to have an internal locus of control, believing that their thoughts and actions can affect outcomes above and beyond the impact of external circumstances. They also exhibit a survivor mindset, avoiding victim thinking and actively seeking solutions to problems. Additionally, the ability to regulate emotions effectively and maintain self-compassion are crucial aspects of resilience.

Finally, optimism has been emphasized as a significant component of resilience.  Research suggests that optimism entails a balanced approach to difficult and even traumatic situations rather than avoiding or denying the reality of these challenges.

Resilience as a Learned Skill

While some people may be naturally more resilient, research suggests that resilience can be developed and enhanced through practice and experience.

Learning to change attributional styles (how we explain the causes of events) from internal (I was the cause of something that went wrong) to external (circumstances did not allow me the opportunity to do my best), global (everything I try fails) to specific (this job did not work out for me, but I can find a better match for my skills), and stable (I will never lose weight) to impermanent (I will be able to exercise more once my knee injury heals) can increase psychological resilience and reduce vulnerability to depression. Mindfulness practices, expressive writing, and cultivating an optimistic worldview are additional strategies that can help build resilience.

Interestingly, the APA has offered a set of recommendations for building skills in this area in their “10 Ways to Build Resilience”:

  1. Make connections with people and build strong relationships with family and friends.
  2. Avoid seeing crises as insurmountable problems.
  3. Accept that change is a part of living, and there are circumstances you cannot alter.
  4. Move toward your goals but make them realistic.
  5. Take decisive actions, and act on adverse situations as much as you can rather than being passive.
  6. Look for opportunities to discover more about yourself and gain an increased sense of self-worth.
  7. Nurture a confident, positive view of yourself.
  8. Keep events in perspective, and do not blow them out of proportion.
  9. Maintain a hopeful outlook and visualize what you want.
  10. Take care of yourself by paying attention to your emotional and physical needs.

Part III. Common Challenges to Resilience

Resilience is put to the test when individuals face significant life challenges. These challenges can manifest in various forms, each presenting unique obstacles to psychological strength and adaptability.

Major Life Changes

Life transitions, both “negative” (e.g., divorce, job loss) and “positive” (e.g., graduating from college, getting married), can significantly impact an individual’s resilience. These events often require substantial adjustments and can lead to feelings of uncertainty and stress. Research indicates that major life changes can be associated with reduced adjustment and increased distress. However, resilient individuals tend to view these changes as opportunities for growth rather than insurmountable obstacles.

Trauma and Adversity

Traumatic experiences, including physical violence, natural disasters, or the loss of a loved one, can profoundly affect an individual’s mental status and general well-being. Childhood adversity, in particular, has been linked to increased vulnerability and reduced resilience in adulthood. Despite these challenges, studies have shown that many individuals demonstrate remarkable resilience in the face of trauma, adapting and thriving despite adverse circumstances.

Chronic Stressors

Ongoing stressors, such as financial strain, chronic illness, or persistent discrimination, can gradually erode an individual’s resilience over time. These enduring challenges often lack a clear endpoint, making them particularly taxing on mental, emotional, and physical resources. Chronic stress has been associated with various health issues, including cardiovascular problems and immunosuppression.  Developing effective coping strategies is crucial for maintaining resilience in the face of persistent stressors.

Part IV. Effective Coping Strategies for Building Resilience

Developing psychological resilience involves the use of effective coping strategies to adapt to life’s misfortunes and bounce back from adversity.

Coping skills are frequently categorized as “adaptive” or “maladaptive.” Adaptive coping involves navigating stressors with productive solutions, flexibility, efficacy, and a positive mental attitude (consisting of optimism, hope, and the ability to grow).  Maladaptive coping corresponds to strategies that involve denial, avoidance, short-term superficial attempts to resolve tension (which usually promote greater long-term difficulty) and a negative mental attitude (featuring hopelessness, helplessness, and a negative attributional style).

Coping strategies can be broadly categorized into four domains: appraisal-focused; problem-focused; emotion-focused; and social (seeking social support).

  • Appraisal-focused coping involves attempting to understand and find a pattern of meaning in a crisis; this coping style employs cognitive strategies to derive meaning from the stressful situation.
  • Problem-focused coping involves tackling the issue directly to reduce or eliminate the stressor; this strategy attempts to confront the pragmatic reality of a situation and address its tangible consequences.
  • Emotion-focused coping involves managing the emotional response to the stressor through relaxation, meditation, or seeking social support; this strategy aims to return to emotional equilibrium and homeostasis while avoiding addressing the problem directly; this approach can be beneficial for reducing the impact of stressors that individuals do not have the power to change.

Part V. Developing a Resilient Mindset

Developing a resilient mindset is crucial for adapting to life’s misfortunes and building psychological strength. This process involves cultivating optimism, practicing self-compassion, and finding meaning in adversity. These strategies can help individuals enhance their inner strength and emotional resilience, enabling them to navigate challenges more effectively.  The capacity to reflect on past challenges and acknowledge how one overcame them can also promote a sense of confidence when facing challenges in the future.

Cultivating Optimism

As indicated previously, optimism (i.e., “the personality trait exhibited by people who tend to expect that good things will happen in the future; the opposite of optimism is pessimism”) plays a vital role in fostering resilience.

Research indicates that optimistic individuals view setbacks as temporary and specific rather than permanent and pervasive, which helps them maintain motivation and perseverance during tough times. By adopting an optimistic outlook, one can expect positive outcomes and approach challenges with a more constructive mindset. This perspective empowers individuals to face the future with confidence and hope, even in the face of adversity.

Practicing Self-Compassion

Self-compassion (“the ongoing practice of relating to yourself kindly and fairly”) is a powerful tool for developing resilience. It involves treating oneself with kindness and understanding, especially during difficult times.

Researchers have identified three components of self-compassion: mindfulness, self-kindness, and common humanity.  Moreover, research indicates that self-compassion is at the root of health resilience. By practicing self-compassion, individuals can reduce stress, improve overall well-being, and develop a more stable self-esteem. This approach helps people bounce back from setbacks more quickly and effectively.

Finding Meaning in Adversity

Finding meaning in challenging experiences is a key aspect of developing resilience. When faced with adversity, individuals often search for ways to make sense of their experiences. This process can lead to personal growth and a deeper understanding of oneself and the world. By reframing difficult situations and looking for potential benefits or lessons learned, people can transform adversity into opportunities for growth and development.  This ability to find meaning in challenging circumstances contributes significantly to building psychological resilience and adapting to life’s misfortunes.

Humor

Humor is associated with greater wellbeing and resilience.  A significant body of research and psychological theory suggests that humor is an important coping mechanism, a sophistical psychological defense, and an important character strength. Utilizing humor is a form of cognitive reappraisal; is used by people of all ages (children as well as adults and the elderly); and supports coping strategies to address a range of difficult situations including daily and chronic stressors.  Humor seems to work primarily by relieving pent-up pressure, with laugher providing an outlet for mental distress.  In many studies, those individuals who were found to use humor more than others generally scored higher on a range of health status factors including immune functioning.

Part VI. How Psychotherapy Supports Resilience and Coping

Psychotherapy has the potential to enhance resilience and coping skills, equipping individuals with the capacity to navigate life’s challenges with greater confidence.

Many clients enter treatment with an expressed interest in developing their coping skills but, unfortunately, resilience and coping are often not a direct goal of psychotherapy.  This gap at the outset of treatment is interesting to note given that nearly a century ago, Anna Freud, in her pioneering work on developing ego psychology and its corresponding model of therapeutic intervention, emphasized the need for therapy to bolster psychological strategies and defenses mechanisms to promote emotional equilibrium.  It has been suggested by clinical experts that “building personal strengths” associated with resilience “should be more integrated into models of psychological treatment.”

Psychotherapy does indeed offer a safe space that allows for the close examination of patterned ways in which clients emotionally react to stress and attempt to respond to it, perhaps not effectively as possible.  Recognizing and altering unhelpful coping strategies mobilizes the treatment process and sets the stage for additional gains the client may be able to make.

To advance the client’s resilience, four interrelated goals in psychotherapy are typically pursued:

  • Identifying resilience deficits
  • Building psychological flexibility
  • Strengthening social connections
  • Cultivating mind-body resilience

Identifying Resilience Deficits

Recognizing Maladaptive Coping Strategies.  Psychotherapy plays a crucial role in identifying resilience deficits by recognizing maladaptive coping strategies. These unhealthy strategies, such as substance abuse, self-sabotage, avoidance, and negative self-talk, may provide some temporary relief but usually lead to more significant negative long-term consequences.  Patients who resort to maladaptive coping often engage in risky behaviors like excessive alcohol use, which can exacerbate physical and mental health problems. In addition, emotional eating, overworking, and attempts to regulate one’s emotions through primitive psychological defenses such as denial and suppression are common maladaptive strategies that contribute to poor mental health outcomes including anxiety, depression, and chaotic interpersonal relationships.

Assessing Stress Vulnerability.  Assessing clients’ stress vulnerability profile can have a profound impact on developing their resilience. The Stress-Vulnerability Model conceptualizes one’s likelihood for developing a psychiatric disorder as being related to the interaction of three factors:

  • biological vulnerability (one’s genetic predisposition for psychiatric disorder)
  • stress (life stressors such as death of a loved one, loss of a job, etc.)
  • protective/resilience factors (factors that reduce the impact of biological vulnerability and stress such as a good social support system)

In this model, prolonged exposure to moderate stressors or to one dramatic stressor may “turn on” or “activate” one’s underlying vulnerability (often referred to as the “diathesis”).  This activation is then regulated by the resilience factors present.  If, for example, the existing resilience factors are overwhelmed by the threshold of activation, emotional, behavioral, and cognitive maladjustment may result.  As you can see, this model clarifies how individuals with higher levels of biological vulnerability and stress may require numerous (and/or more potent) resilience factors to help them overcome adversities.  With this model as a tool, psychotherapy aims to reduce the stress present in the client’s life and to increase the range and intensity of available resilience factors.

Understanding Personal Trauma History.  Clients’ understanding and cognitive/emotional construction or “narrative” (meaning-making comprehension) of their trauma history has a significant influence on their resilience. Research supports the notion that one’s trauma history contributes to the risk of developing PTSD as well as a range of other psychiatric and psychosocial/relationship problems. Individuals who have experienced chronic stress or trauma, particularly during childhood, tend to rely on cognitive and behavioral avoidance as a coping mechanism. Avoidance, while potentially adaptive in the short term for chronic stress, does not equip individuals to cope effectively with various life circumstances and may place them at risk for mental health problems as well as unstable and unfulfilling relationships. Psychotherapy helps in exploring and processing these past experiences to build more adaptive coping strategies and enhance resilience.

Building Psychological Flexibility

Accepting Difficult Emotions.  Psychological flexibility (“the capacity for being in contact with the present and acting on long-term goals rather than short-term urges”) plays a crucial role in enhancing resilience and coping skills and is a core concept of Acceptance and Commitment Therapy (ACT) developed by Steven C. Hayes.  A key aspect of building psychological flexibility involves accepting difficult emotions. This requires individuals to turn toward their emotions with acceptance, acknowledging and embracing them rather than pushing them away. By practicing mindfulness, people can calm themselves and soothe their inner turmoil.  Many approaches and techniques aimed at developing mindfulness emphasize the key fact that emotions are impermanent, i.e., arising and dissipating, and, therefore, not warranting “attachment” to them.  This premise allows individuals to witness and observe their emotions with kind attention and patience, allowing for emotions to evolve, change, and, in many cases, evaporate.

Clarifying Personal Values.  Another vital component of building psychological flexibility is clarifying personal values. This process involves identifying core beliefs that guide the client’s decision-making and behavior. By exploring and defining their values, clients can develop a clearer sense of direction, resolve difficult decision-making conundrums, experience greater vitality and motivation, and increase their probability of goal attainment. The recognition of personal values that psychotherapy offers solidifies clients’ deeply personal moral and ethical framework that can then be referred to again and again in times of stress, even without the presence of obvious reinforcers.

Committing to Meaningful Action. The final step in building psychological flexibility involves committing to meaningful action. This entails engaging in behaviors that align with one’s values and long-term goals, even in the presence of fear, anxiety, and uncertainty.  Developing a clear sense of one’s own values provides a self-directed purpose and offers a “why” to fuel the “how” and the “what” of goal pursuit. This commitment to value-oriented behaviors can lead to increased resilience and improved quality of life.

Strengthening Social Connections

Psychotherapy plays a crucial role in enhancing resilience by strengthening social connections. This process involves improving communication skills, developing empathy and trust, and creating and maintaining support systems.

Many clients benefit from exploring these capacities in treatment under the broader umbrella of emotional intelligence (EQ).  EQ emphasizes four skill domains: self-management (regulating emotions and behaviors), self-awareness (recognizing the interaction of one’s thoughts, feelings and behaviors), social awareness (developing empathy and attunement skills and recognizing power/hierarchical group dynamics) and relationship management (forming and maintaining good relationships).

Overall, psychotherapy helps clients understand their own feelings, and the feelings of others, each being crucial for the development of strong, supportive relationships.  Clients also learn how to approach relationships more authentically and with appropriate boundaries, as prior failed romantic relationships and dysfunctional family relationships early in development may have led to narcissistic or co-dependent tendencies.  Increasing the quality of clients’ social connections contributes to improved mental health, better stress management, and increased emotional regulation, all of which are crucial components of resilience.

Cultivating Mind-Body Resilience

Integrating Relaxation Techniques. Relaxation techniques play a crucial role in cultivating mind-body resilience. These practices help individuals manage stress, enhance emotional regulation, and build inner strength. By incorporating relaxation methods into daily routines, clients can develop effective coping skills to adapt to life’s misfortunes. Techniques such as progressive muscle relaxation and autogenic relaxation focus on reducing muscle tension and promoting a sense of calm. These approaches enable clients to become more awareness of physical sensations, fostering a stronger connection between mind and body.

Promoting Physical Wellness. Physical wellness has a profound impact on psychological resilience. Regular exercise and maintaining overall fitness contribute to stress resilience and improved mental health.  Studies have shown that muscular and self-perceived fitness are positively associated with stress resilience. Moreover, the relationship between muscular fitness and resilience is partly mediated by self-efficacy (i.e., believing in oneself) expectations. These findings highlight the importance of physical activity in building psychological resilience and enhancing problem-solving skills.

Practicing Mindfulness Meditation. Mindfulness meditation has emerged as a powerful tool for cultivating resilience and managing stress, with a significant body of scientific research supporting the many positive consequences of mindfulness.  Although there are now a range of approaches to cultivating mindfulness, at its core mindfulness focuses on engaging with the present moment, accepting difficult thoughts and feelings, and reducing ruminations. Mindfulness fosters self-regulation, resilience, and well-being through increased awareness and improved stress management. Neuroimaging studies suggest that mindfulness meditation is associated with structural and functional changes in neural networks involved in self- and emotion-regulation, attentional control, and self-awareness. By incorporating mindfulness practices into their lives, clients can develop a stronger internal locus of control (a sense that what occurs is mainly due to one’s own abilities, actions and characteristics vs. external factors or random events) and a sense of self-efficacy that, in the end, enhance their ability to cope with adversity.

Part VII. Conclusion

Building psychological resilience can have a profound impact on one’s ability to face life’s challenges.  Ultimately, resilience is not about avoiding hardships but having the capacity, when faced with stress and adversity, to draw from a range of adaptive coping skills to navigate the situation and prevent negative impacts on one’s mental and physical health.  The ongoing process of building resilience (and cultivating a resilient mindset) not only helps overcome immediate obstacles and setbacks but also contributes to long-term well-being and personal growth.

Psychotherapy offers clients an opportunity to enhance their resilience and coping skills in a variety of ways, centering primarily on the acceptance of difficult emotions and recognizing/avoiding maladaptive coping patterns.  Additionally, by helping to build psychological flexibility, strengthen social connections, and cultivate mind-body resilience, therapy provides a comprehensive approach for advancing one’s capacity to adapt more effectively to all forms of stress and challenge.

 

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