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Health Education
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The Resiliency Model


a b
Glenn E. Richardson , Brad L. Neiger , Susan Jensen & Karol L. Kumpfer
a
Department of Health Education , University of Utah , Salt Lake City , UT , 84112 , USA
b
Department of Health Education , University of Utah , USA
Published online: 08 Mar 2013.

To cite this article: Glenn E. Richardson , Brad L. Neiger , Susan Jensen & Karol L. Kumpfer (1990) The Resiliency Model,
Health Education, 21:6, 33-39

To link to this article: http://dx.doi.org/10.1080/00970050.1990.10614589

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The Resiliency Model
Glenn E. Richardson, Brad L. Neiger, Susan Jensen
and Karol L. Kumpfer

Abstract
The health education and preven- new skills from the disruptive expe- Vaillant (1987), as well as a 32-year
tion professions are in the midst of a rience and put life’s perspective back longitudinal study of high-risk and
philosophical revolution attempting in a way that will increase abilities to resilient children by Werner (1989).
to build upon negative directioned negotiate life events. The model also The qualities that define individual
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risk reduction programs, which are identiJiesfour points during the dis- resilience have been demonstrated in
driven by the medical model, to com- ruptive process, where health educa- individuals from different ethnic
petency models. Noted psycholo- torslprevention specialists can inter- groups, different socioeconomic stra-
gists and psychiatrists have suggest- vene to protect, enhance, support, ta, different cultural settings, and at
ed that competency and resiliency and facilitate reintegration. different life stages (Werner, 1989).
characteristics are strengths that are Theoretically, however, resiliency is
more protective than risk reduction In the past, health professionals in its infancy. As to its applicability
efforts. Many suggested traits have have focused their research largely to prevention programs that are de-
been proposed for the resilient indi- on maladaptation and illness and the signed to enhance health behavior, it
vidual. This article reviews those char- associated predisposing risk factors is embryonic. Although some expla-
acteristics but more importantly, de- of these states. This risk factor focus nations have been presented, very
scribes the traits within the resiliency is partially due to the medical model little is really known about the total
model as a process applicable to approach and influence on federal, nature of resiliency (Cohler, 1987).
health education. This expanded view state, and foundation funding. In con- The prospects that resiliency hold,
of prevention includes perspectives trast, the wellness movement has however, are encouraging, if not com-
on the value of personal disruption produced a positive perspective on pelling. Anthony (1987) suggested that
and adversity as avenues to promote health which focuses on high levels an increased study of the forces of
growth and increased protective fac- of health rather than risks and prob- resiliency may provide far more sig-
tors. The process of psychological lems. The recent paradigm shift from nificant long-range benefits to our
reintegration is the ability to learn looking at problems to looking at society than the current application
positive health has produced compe- of prevention models designed to
Glenn E. Richardson is Director of tency models in psychology and psy- curtail the incidence of vulnerability.
the Health Behavior Laboratory in chiatry. The psychological concepts The purpose of this paper is to
the Department of Health Education
of empowerment (Rappaport, 1987), present a resiliency model which, for
at the University of Utah, Salt Lake psychological hardiness (Kobasa, the informed reader, provides insight
City, UT 841 12. Brad L. Neiger is a Maddi, & Kahn, 1982), and self effi- in two areas. First it will provide a
doctoral candidate in the Depart- cacy (Bandura, 1977) embody prin- framework for prevention and create
ment of Health Education at the ciples that focus on positive factors the structure for piecemeal studies
University of Utah and Director of in competent individuals. Moreover, and articles that currently exist in the
Risk Reduction with the Bureau of the concept of resilience has emerged prevention literature. Secondly, it ex-
Health Promotion and Risk Reduc- from the field of psychopathology pands the scope and challenge of
and child development to explain prevention and health education pro-
tion, Utah Department of Health.
how some individuals maintain healthy grams.
Susan Jensen is a doctoral candi-
date in the Department of Health lifestyles and become even more ca-
pable in spite of facing similar adver- Resiliency Defined
Education at the University of Utah
and a health education teacher at sities, stressors, or life changes that In this paper, we are striving to
Bryant Junior High School in Salt result in maladaptation to the life understand resiliency as a process of
Lake City, UT. Karol L . Kumpfer is event among non-resilient people. the interaction between individuals
Assistant Director of the Health Be- Resiliency as a research interest is and environmental circumstances that
havior Laboratory in the Depart- not completely new. This is docu- promote resiliency in youth. This
ment of Health Education at the mented by a 40-year study of resilient process perspective is contrary to the
University of Utah. children as adults by Felsman and perspective that resiliency is a state-

HEALTH EDUCATION, VOLUME 21. NO. 6 (ISSN 0097-0050) HEALTH EDUCATION-NOVEMBEWDECEMBER 1990 33
trait or characteristic within the in- Bandura speaks of self-efficacy as availability and utilization of external
dividual. The authors define resilien- requiring experience in mastering dif- support resources (Garmezy, 1987).
cy from a preventive perspective ficulties by a persevering effort. Another perspective is that resil-
although the application also has ther- Bandura (1989) states: ience is the ability to solve problems
apeutic implications. If people experience only easy success-
and alter approaches using any and
Resiliency is the process of coping es, they come to expect quick results and all external or internal resources as
with disruptive, stressful, or challeng- their sense of efficacy is easily undermined determinants of resilience (Anthony,
ing life events in a way that provides by failure. Some setbacks and difficulties in 1987). Anthony stated that the devel-
human pursuits serve a useful purpose in opment of a creative capacity can be
the individual with additional protec- teaching that success usually requires sus-
tive and coping skills than prior to the tained effort. After people become con- regarded as a superior level of com-
disruption that results from the event. vinced they have what it takes to succeed, petence in reintegrating one’s life
When a person is faced with a chal- they persevere in the face of adversity and following disruptions.
lenge, a new experience, a major quickly rebound from setbacks. By stick- Werner (1982, 1985, 1986, 1989)
ing it out through tough times, they emerge identifies resilient traits specific to
stressor or life event, the resilient from adversity with a stronger sense of
person may .temporarily experience efficacy. particular life stages. Her longitudinal
change, sense some personal doubt, data in fact, revealed that resiliency
The willingness even to attempt to changes at each developmental stage
and experience some disorganization
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tackle challenges or stressors in life in the life cycle. Her resilient subjects
of hidher world view. In time how- requires some degree of resilient self-
ever, he/she will use reintegrative were achievement oriented, indepen-
efficacy. Youth who do not believe dent, and experienced life satisfac-
and coping skills that allow the indi- they can succeed when an opportu-
vidual to learn, develop new skills, tion. These resilient individuals invest-
nity or a challenge arises, do not ever ed considerable time and energy in
and effectively deal with the life events. attempt to tackle the task according
Upon subsequent encounters with caring for others and consistently de-
to Bandura (1989). scribed personal competence and de-
similar life events, the individual is Rutter (1985, 1987, 1989) views
better able to negotiate with the ex- termination as their most effective
resilience and vulnerability as oppo- resources in coping with stressful
periences. This process perspective site poles of a continuum. Rutter has
is contrary to the perspective that events. This notion of determination
cautioned that resilience cannot be fits well with Bandura’s recent theo-
resiliency is a state-trait or charac- viewed as a fixed attribute of the
teristic within the individual. retical conception of resilient self-
individual. Those people who suc- efficacy described earlier.
Perspectives on Resiliency cessfully deal with problems at one Resiliency, in summary, implies
point in time may react adversely that the processes of coping with
Resilience has been defined by Flach when circumstances change. Rutter
(1989) as the psychological and bio- mild to severe disruptions are oppor-
suggests that effective planning, pos- tunities for growth, development, and
logical strengths required to success- itive self esteem, self efficacy and
fully master change. The change de- skill building. The products of the
response to key turning points in life resiliency enhancing process are in-
scribed in this definition refers to a are essential components of resil-
range of experiences from small stres- creased protective skills as well as
ience. skills that facilitate the coping pro-
sors in life to major bifurcations-a Investigation of children who dem-
term that Flach borrows from the cess. After repeated mild to severe
onstrate competence and effective disruptive experiences, the resilient
field of physics to characterize mo- functioning within varied environ-
ments of extreme change. Flach’s individual does not fall as far follow-
ments has resulted in several conclu- ing disruption and recovers in a short-
“Law of Disruption and Reintegra- sions made by Garmezy (1985,1987).
tion” is a central theme in the resil- er time.
First that “street smart” (Garmezy The facilitation of client acquisi-
iency model. He proposes that “fall- 1986, p. 513) children or in other
ing apart” is a necessary prelude to tion of resilient traits by health edu-
words, those that can function in and cators and prevention specialists has
personal renewal following signifi- deal with changing circumstances and
cantly stressful events. He suggests not been addressed in the literature.
environments, are closely aligned with The resiliency model briefly de-
that the temporary state of confusion the concept of competence. Garmezy’s
and anguish is a singular opportunity scribed below clarifies four points of
perspective of competence can be intervention for support persons. Each
to resolve old wounds, discover new equated to the concept of resilience
ways to deal with life, and effectively point of intervention requires slightly
as identified in this paper. One of the different purposes and facilitation
reorganize perspectives. Traits nec- most noteworthy of Garmezy’s con-
essary to successfully accomplish re- skills.
clusions has been his classification of
integration include creativity, the abil- potential protective factors into one The Resiliency Model: Individual
ity to tolerate pain, personal insight, of three categories: (1) dispositional Experiences
independence of spirit, the ability to attributes of the individual (i.e. tem-
restore self esteem, and freedom to perament and personality); (2) family The resiliency model depicts a sin-
depend on others within limits. cohesion and warmth; and (3) the gle point in time in the life of an
individual (see Figure I ) . This point

34 HEALTH EDUCATION-NOVEMBEWDECEMBER 1990


Spiritual homeostasis is a state best
~~

Figurc I . ‘The Resiliency Model Without Facilitating


capsulated as value and behavioral
1 congruence.Spiritual homeostasis ex-
Stressom, Life
Events, Challenges ists when a person chooses or adopts
a value or belief system that provides
guidelines for living and then abides
Resilient
Reintegration behaviorally by that system. Spiritu-
al disruption occurs when there is
Interaction incongruence between a value sys-
tem and a behavior. The resulting
spiritual disorganization is likely to
be guilt and associated feelings that
revert back to normal when values
and behaviors are again harmonious
and self-forgiveness occurs.
In essence, the individual in ho-
meostasis is most comfortable with
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an intact world view much like a


W puzzle. When the pieces fit and are in
\ place, then there is a tendency to
fight to maintain that world view and
the addition or subtraction of any
additional pieces is resisted because
Disruption 7 -
/ / \ Reintegration that necessitates change.
Life Events
The term “life events” is used to
[ Disorganization ) +I Reintegration ) include life experiences, stressors,
challenges, bifurcations (Flach, 1989),
and risks (Rutter, 1987). The term life
events will include those normal bio-
psychosocial developmentalcrises as
identified by Erickson (l963), cogni-
tive development stages identified by
Piaget (19521, and moral develop-
ment experiences noted by Kohlberg
in time may be a matter of a few ple. When body temperature or other (1976).
minutes of disruption or it may rep- physiological mechanisms vary from In addition to normal developmen-
resent years of struggle. The premise a normally functioningstate, the body tal periods of life, life events also
of the model is that in order to be- activates homeostatic mechanisms to include the barrage of positive and
come more resilient, an individual return to the normal state. For ex- negative influences in a person’s life
must pass through challenges, stres- ample, when body temperature is that may cause disruption or changes.
sors, and risks, become disorga- elevated, perspiration is initiated to Such influences are envirosocial in
nized, reorganize his or her life, learn promote cooling. nature and include community, fam-
from the experiences, and surface In the same light, psychological ily, churches, peers, gangs, living
stronger with more coping skills and homeostasis is a desirable condition conditions, and media. Positively,
protective factors. Key components for most individuals. For example, challenges and opportunities not ex-
of the model include biopsychospir- when an individual’s emotions are perienced before are part of the life
itual homeostasis, life events, biopsy- out of balance (e.g. uncontrolled an- events. Other influencesor life events
chospiritual protective factors, inter- ger), the person initiates mechanisms may result in pressures to engage in
action, disruption, disorganization, to return the emotion (anger) into a addictive behaviors (television, drugs,
reintegration, and, for facilitators, controlled state. The homeostatic sex, food) or situations that result in
envirosocial protective, enhancing, mechanism may be socially appropri- threats to personal safety.
supportive, and reintegrative pro- ate (vigorous exercise) or inappropri- Biopsychospiritual Protective
cesses. ate (violence, property destruction), Factors
but over time, the individual reverts
Biopsychospiritual Homeostasis to the normal (unangered)homeostat- Prevention programs have focused
Biological homeostasis is a con- ic state. on enhancing biopsychospiritual pro-
cept that is understood by most peo- tective processes to help the individ-

HEALTH EDUCATION-NOVEMBEWDECEMBER 1990 35


Table 1. Psychospirituel Protective Roeffs and Skills
responds in 36 to 48 hours to be just
a little stronger than before the exer-
1. Pursuit of a cause or purpose in life (giving of self) cise experience through a rebuilding
2. Good self esteem process. Weight lifters, even though
3. Good decision making skills they are exhausted after a workout,
feel good in knowing that they have
4. Belief in a higher force
worked hard enough to achieve the
5. Internal locus of control “tear down” and are anxious to feel
6. Self confidence better over time. The psychospiritual
7. Good sense of humor “tear down” can also be welcomed
8. Personal strengths and skills
because of the expected recovery
and enhancement. Even though there
9. Valuebehavioral congruence (behaving in accordance with one’s beliefs) is pain and agony, there is a hope and
10. Self mastery anticipation of the enhancing experi-
I 1. Independence of spirit ence. The psychospiritual enhancing
12. Psychological hardiness (control, commitment, and challenge) period is not as predictable as muscle
development from a time perspec-
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14. Empowerment tive, but recovery and growth are


15. Ability to be a friend inevitable for the resilient person.
16. Positive futuristic vision Many people take on challenges or
17. Independence of spirigautonomous stressors because they know of the
growth opportunities. The disruption
may not be of a depressing nature but
ual successfully negotiate life events. with life events, challenges, or stres- rather an excitement to master or
Biological coping factors involved in son. Coping strategies might include accomplish. The disruption still oc-
protective processes include medical avoiding, ignoring, defending, suc- curs in that the experience is new and
condition, tolerance for pain, rejuve- cumbing, imposing, or other defense pieces of previous experiences must
nation (healing) capabilities, fitness mechanisms. Which negotiatingmech- be taken to form a new perspective to
levels, and states of fatigue. Many anism is best for the individual de- face the challenge at hand. Resultant
coping traits are genetic and come pends on the nature of the life event disorganization must occur to face
naturally to some individuals. Fit- and its disruptive effect. The individ- the challenge effectively.
ness levels, medical condition, toler- ual will either negotiate easily or
ance for pain, and state of fatigue/ have some difficulty which will lead Disorganization
rest, however, appear to be himher into the next vital stage of the
controllable and protective. Those resiliency enhancing process, disrup Disorganizationis a temporary state
biological coping conditions that are tion. wherein the biopsychospiritual “piec-
controllable should be enhanced es” of an individual’s life become
through exercise, proper rest, good Disruption disrupted, such as with a new chal-
nutrition, and avoidance of harmful lenge and the person has to imple-
Flach (1989) and Anthony (1987) ment a plan to attack the challenge
substances. A regular medical phys- suggest that experiencing disruption
ical for early diagnosis of medical without having previous related ex-
can be beneficial. Although the pain periences. A careful analysis of indi-
problems and the practice of preven- of being out of biopsychospiritual
tive behaviors is desirable. Learning vidual experiences, strengths, and
homeostasis is unpleasant and even pieces of an individual world view
pain control through meditation, im- agonizing, the disruption is beneficial
agery, or self hypnosis may also be should occur to develop an effective
to the resilient individual. Surviving attack.
desirable to enhance protective pro- an experience leaves the person bet-
cesses. In a serious sense, there may be a
ter skilled and stronger. The unpleas- complete falling apart of an individ-
There are several psychospiritual antness of the disruptive state cre-
protective processes that might pro- ual’s world view, such as with the
ates a situation that essentially forces loss of a significant other which ne-
tect a person from disruption. They the resilient individual to look inward-
are listed in Table 1. It is not likely cessitates grieving, then reintegra-
ly and adapt competently to life events tion must occur by building a new
that all the listed skills are necessary and develop new negotiating skills.
to protect oneself effectively from support system and establishing a
Disruption can be considered an new social life. The pieces of life’s
life events, but some of them must be opportunity to grow and learn. An
functional to provide minimal or op- puzzle that are most directly affected
analogy can be drawn in the process by the new life event need to become
erable protection. of muscle building. After straining disorganized in order to create a
and stressing the muscles in an exer- place in the world perspective for the
Interaction cise session, the muscles are fatigued new piece or deleted piece of life’s
The key to protection from disrup- and “tom down.” The individual is puzzle. In order to add a new dimen-
tion is how the individual negotiates weaker and exhausted. The body

36 HEALTH EDUCATION-NOVEMBER/DECEMBER 1990


from the life event. These individuals
~~

Table 2. Skills and Characteristics Associated With Resilient Reintegration


often reencounter the same or similar
1. Build upon protective skills listed in Table 1 but reflecting reintegrating functions problems and continue to mishandle
2. Good social problem solving skills them.
3. Ability to delay gratification Maladaptive Reintegration repre-
4. Resilient self efficacy
sents a situation where the impact of
the life event was so significant that
5. Creative problem solving skills the individual reintegrates hisher
6. Task oriented world view at a lower level of ho-
7. Flexibility meostasis. The individual has fewer
8. Good reintegrating capacity (ability to bounce back from adversity) protective skills than before the expe-
rience. Before the life event these
9. Ability to do personal introspection and determine personal resources for coping
people may have had good self es-
10. Self motivation teem, a sense of adventure and chal-
1 I. Strong capacity for learning lenge, high expectations, and an in-
ternal locus of control, but in the face
of failure, they lose these traits and
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sion to one’s individual world per- tion, homeostatic reintegration, mal-


spective, a place for the new piece adaptive reintegration, or dysfunc- become resigned to a lower state of
must be provided. tional reintegration. functioning. There is generally a min-
People do not stay in a state of Resilient Reintegration reflects the imal attempt at homeostatic reinte-
disorganization for long. People feel optimal level of adaptation. By going gration but ultimately the individual
a need to reestablish a new state of through the reintegrative process, the resigns himherself to a lower state.
homeostasis in order to function. The individual learns new skills, has more Dysfunctional Reintegration reflects
solution to their disruption may be self understanding, and a better com- the need for some form of psycho-
resilient or dysfunctional (such as prehension of personal envirosocial therapy. The individual reintegrates
committing suicide or using psycho- influences. The key to resilient adap- by using psychoactive substances,
active substances) but it does come tation is to benefit from all that a life withdrawing into psychopathic syn-
to some resolution. event has to offer. Through the expe- dromes, committing suicide, or by
rience, a resilient individual is able to other dysfunctional means. The in-
Reintegration put hisher life back together in a way tervention by a psychotherapist be-
that leaves himher with more pro- comes necessary.
Reintegration is the process of re-
forming a world view. The process is tective factors and skills to effec- The Resiliency Model: Facilitating
one of reorganizing affected biopsy- tively reintegrate in the face of future
chospiritual pieces into a new world life events. The traits necessary for It should be clear that the role of
perspective. With stressors, people resilient adaptation may include some the health educator should be to help
try to recover by creatively putting of the listed protective mechanisms facilitate, with parents and signifi-
the pieces back together or by sys- listed in Table 1 but also those listed cant others, the acquisition of pro-
tematically problem solving and re- in Table 2. Resiliency skills build tective and resilient reintegrativeskills.
building. The process of reintegra- upon the foundation of protective Understanding the disruption and re-
tion may take a few minutes or several factors. The learning that occurs from integration process described above
years depending on the severity of the life experience generally draws clarifies the points where enviroso-
the life event, the depth and degree of upon the individual’s creative or sys- cia1 influences are shown in Figure 2.
envirosocialreintegrating forces, and tematic problem solving abilities. The Family, friends, prevention special-
the reintegrating capacity of the in- life event, which forces an addition ists, health educators, other support
dividual. Why some people reinte- or deletion of a component of the persons as well as positive environ-
grate effectively and others do not is world view, stimulates coping and ments act as envirosocial resiliency
largely a function of individual skills reintegrating responses, and leaves a enhancing facilitators.
and traits as will be described. Ob- person more skilled. The learned skills
may be used for subsequent life events Envirosocial Protective Processes
viously, those that take on a chal-
lenge or stressor to enhance their of a similar nature. Individuals and living conditions
skills or position will likely respond Homeostatic Reintegration is the potentially provide conditions where-
better than those that are taken by fight by the individual to return to the by the impact of life events is buff-
surprise by a life event. Individuals same level of functioning that was ered to some degree. A private room
who have experienced a disruptive evident prior to the life event. The in a home where some security and
life event that demands biopsychos- individual that returns to the same familiar comforting things are locat-
piritual adaptation will adjust and level of homeostasis did not really ed often help to deal with life events.
reestablish a level of homeostasis in learn from the experience and will Parents or guardians that influence
one of four ways: resilient reintegra- likely have recurring problems of a what type of friends and acquaintan-
similar nature until he/she does learn ces their children associate with po-

HEALTH EDUCATION-NOVEMBERiDECEMBER 1990 37


Envirosocial Enhancing Processes
Support people can provide oppor-
tunities to promote development of
appropriate protective mechanisms.
Rather than attempting to buffer the
impact of life events, the focus is to
help the individual develop skills to
Stressors, Life negotiate effectively with the life

( )
Events, Challenges events without experiencing major
Envirosoeial disruption. Teachers using self es-
Protective Resilient
Pracesscs teem enhancing strategies, giving stu-
Hcinlqralion
dents an opportunity to be responsi-
ble for something (empowering),
teaching communication skills, and
providing instruction and experienc-
es in decision making are enviroso-
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cial enhancers. Parents who provide


opportunities at home to be a respon-
sible, contributing, family member
are also envirosocial enhancers. Most
prevention programs currently focus
on providing enhancing opportuni-
ties for students.
Envirosocial Supportive Processes
When the individual negotiates a
life event unsuccessfully, the world
view is disrupted. The process of
falling part, as indicated earlier, is
healthy if the fall is not too far or too
dangerous. Envirosocial support pro-
cesses are the efforts of support peo-
ple to make sure the fall is not too
extreme. Police incarcerate people
before they hurt someone when driv-
supportive Reintcgratlng ing under the influence of alcohol and
proccJJes drugs. Principals expel students or
send them to juvenile detection if
behavior is extreme. Parents should
also provide support in the case of
serious depression and falling apart.
Expression of love, understanding,
and empathy or sympathy are critical
tentially reduce the negative impact and accuse a teacher rather than in the supporting role. The attempt is
of life events. Delaying or preventing allowing the student to be reprimand- to allow the fall to occur but to keep
the onset of exposure and use of ed. it from being life threatening or per-
some substances and negative stim- Enabling, in the case of substance manently damaging. It is enviroso-
uli may be helpful as well. use and abuse, is a function of envi- cial support that helps to catch and
The extreme to which this scenario rosocial protective factors. When a hold the person long enough for him/
might be carried is, if the parents, for physician can be persuaded to pre- her to enter the reintegration stage.
example, are overprotective. If a per- scribe a drug, when a fellow student
son makes a poor decision and is not covers up, and when parents turn Envirosocial Reintegrating
able to face the consequences of the their heads and make excuses, they Processes
poor decision, the overprotectivepar- enable the individual to continue the When the individual has reached
ents deprive the person from becom- unhealthy behaviors. the point that he/she wants to put the
ing resilient by assuming the conse- pieces of hisher life back together
quences themselves. For example, and start over, the envirosocial rein-
some parents, upon hearing that a tegration process is again enhanced
child is misbehaving will confront by support people who help the per-

38 HEALTH EDUCATION-NOVEMBERDECEMBER 1990


son to solve problems, identify cre- The model provides envirosocialroles & B. Cohler (Eds.), The invulnerable
ative solutions to problems, or act as for law enforcement, parents, educa- child(pp. 298-314). New York: The Guil-
a “sounding board” for resolutions. tional institutions,administrators,psy-
ford Press.
The facilitator should have the same Erikson, E. (1%3). Childhood and society
chotherapists, and community pro- (2nd ed.). New York: Norton.
kinds of skills and characteristics as grams. The resiliency model should Felsman, J. K., & Vaillant, G. E. (1987). Re-
those described in Table 2 to be be part of parent training programs to silient children as adults: A40-year study.
effective in their role. Envirosocial avoid overprotection,to develop plan- In E. J. Anthony & B. Cohler (Eds.), The
support people should encourage re- invulnerable child (pp. 298-314). New
ning and problem solving skills in York: The Guilford Press.
silient reintegration as opposed to their children, teach them how to Flach, F. F. (1988). Resilience: Discovering
maladaptive or homeostatic reinte- manage “falling apart,” and to facil- new strength at times of stress. New
gration. Encouragement to use the itate resilient adaptation. York: Ballantine Books.
life event as a stepping stone, a chal- No longer should a health educator Garmezy, N. (1987). Stress, competence, and
lenge, and an attempt to become development: Continuities in the study of
view a client’s disruption as failure schizophrenic adults, children vulnerable
better is appropriate. but rather as an opportunity for the to psychopathology and the search for
individual to become more resilient stress-resistant children. American Jour-
Discussion nal of Orthopsychiatry, 57(2), 159-174.
for future life events. Careful moni- Garmezy, N. (1985). Stressors of childhood.
The model can be applied to very
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