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Resilience is conceptualized as a dynamic developmental process encompassing the attainment of positive adaptation despite the exposure to or the experience of significant threat, severe adversity, or trauma that typically constitute major assaults on the processes underlying biological and psychological development (Luthar, Cicchetti & Becker, 2000; Masten & Cicchetti, 2016). The notion of an average expectable environment for promoting normal development connotes that there is a species-specific range of environmental conditions that elicit normal development in humans. Concerns about how childhood adversity impacts developmental processes and mechanisms have captured deep concerns in researchers in the fields of developmental and clinical psychology, developmental psychopathology, evolutionary psychology, molecular genetics, and neuroscience. Child maltreatment exemplifies a pathogenic relational environment that is far beyond the range of what is normally encountered and engenders substantial risk for maladaptation across domains of biological and psychological development. Child maltreatment is implicated in the disruption of multiple biological systems, including neuroendocrine and immunological functioning, neurobiology, and physical and mental health outcomes. Nonetheless, even though there is strong scientific evidence for maladaptation associated with maltreatment, the absence of an average expectable environment does not condemn maltreated children to negative developmental outcomes later in life. Resilience is possible across the life course.
This overview opens with the story of the great fire in Glarus, Switzerland, in 1861. Like those in other cities, the fire brought into clear view key elements of the insurance systems that modern societies needed to foster resilience. In its aftermath, the role of public authorities changed, reliance on new techniques for mobilizing private capital rose significantly, and the interaction of markets and states across established borders became deeper and more complex.
1. What can social work educators do to help students with mental health issues? 2. What kinds of resources are needed to help social workers recover from childhood adversity? 3. What are the human rights issues in this story?
1. Reflect on the power of personal stories. How can telling your own story of becoming a social worker help others engage in the profession? 2. In this story, the author writes about burnout and the need for a self- reflective practice. Think about how a self-reflective practice can be carried out. 3. In what way can an active relationship with your own social work story be helpful in your everyday practice?
Despite growing recognition of the interdependencies of resilience across systems, sectors, and levels (SSLs), translating this understanding into coordinated action remains a challenge. This study identifies seven systemic gaps that reinforce a persistent know–do gap, creating an unhealthy milieu intérieur that reinforces fragmentation across SSLs. In response, seven prerequisites for synergizing resilience are proposed, along with a working definition of Synergistic Resilience.
To operationalize this concept, the Synergistic Resilience Compass (SRC) is introduced—a structured, adaptable, and practitioner-focused framework. A Seven-Step Rollout is proposed to guide implementation across diverse contexts, while illustrating SRC’s utility through case vignettes.
Benefits, along with practice and research implications of SRC, are discussed through potential use case examples, balancing constructivism and pragmatism. Limitations and future directions, including iterative refinement, toolkit development, and creating a community of practice, are highlighted. The SRC provides a framework for synergizing resilience across SSLs where 1+1 becomes 3.
The Climate Vulnerable Forum (CVF) and the V20 group of finance ministers address climate change impacts on vulnerable countries. This chapter introduces the interconnectedness of climate justice, economic resilience, and sustainable development. It highlights personal stories, such as Victor Yalanda from Colombia and Jevanic Henry from Saint Lucia, who share their experiences of climate change’s impacts on their communities — covering both the economic loss and the emotional devastation caused to communities. We introduce the CVF’s Climate Vulnerability Monitor — a unique study of the impacts of climate change, including fresh modelling, covering biophysical, economics and health projections up to 2100. The global community via COP27 and COP28 have agreed on the urgency of both adaptation and mitigation strategies. Yet the speed of change is not sufficient. The fate of today’s most vulnerable will soon be the fate of the world.
National genebanks offer diverse collections of locally adapted crops which can support farmers’ climate resilience, nutritional security and economic innovations, yet are often overlooked in climate adaptation strategies. Across much of the world, national genebanks are unknown to farmers, or poorly connected for varietal exchange. This paper examines the impacts of establishing ‘Germplasm User Groups’ (GUGs) across five African countries to connect farmers with genebanks as rapid responders to local agricultural challenges. GUGs conducted farmer participatory research to evaluate genebank materials and establish pathways for the exchange of knowledge and crop diversity in farming communities. Drawing on surveys and interviews from over 1,600 smallholders, we found GUGs increase farmer understanding of genebanks, improve access to crop diversity and increase farmer exchanges with national genebanks. As well as material exchange, smallholders welcome the learning opportunities from GUGs to address local farming challenges. On average, GUG members share genebank seed with four other farmers, demonstrating the potential spillover effects of this model for sharing crop diversity. We close with recommendations to improve the working of GUGs and offer guidance for other countries looking to adopt the system as a rapid approach strategy to build local resilience in the face of climate change.
The growth and impact of urban environmental problems can manifest as significant stress and eventual crises for cities and their residents. The focus of this chapter is on how and why these stressors and crises are addressed in cities and the conditions under which the crises can eventually result in significant environmental policy transitions and follow-on transformations. Several different types of documented urban crises (including ecological-resource, urban spatial development, socio-economic, and extreme events) are discussed and analyzed in the chapter. Social, environmental/ecological, and infrastructural/technological drivers influence the connection between urban environmental stress, crisis, transition, and transformation. The actual mechanisms that set up and orchestrate the transition process reflect the resilience of the existing environmental and policy management regime and the magnitude of the stress and crisis. The chapter focuses on describing each of the steps in the transition and the mechanisms that connect each step, as well as the key terms and concepts associated with the process. The importance of policy system tipping points or regime shifts is illustrated.
To fully understand resilience and to inform resilience-promoting interventions, it is important to explore how resilience develops and the factors that influence it. Using a multidimensional approach that considers both well-being resilience (higher than expected wellbeing after adversity) and depression resilience (lower than expected depression after adversity), this study examined resilience trajectories among Chinese 0adolescents and the associations of gratitude and perceived stress with resilience trajectories. Data from a four-wave longitudinal study were analyzed from 563 Chinese adolescents (mean age at Time 1 = 12.83 years, 51.87% boys). Parallel-process latent class growth modeling identified four distinct trajectories of resilience development: flourishing resilience (increasing resilience; 21.67%), increasing wellbeing resilience but decreasing depression resilience (28.24%), declining resilience (29.48%), and increasing depression resilience but decreasing wellbeing resilience (20.61%). Gratitude was associated with greater odds of being in the flourishing resilience group. Furthermore, perceived stress was associated with lower odds of being in the flourishing resilience group and higher odds of being in the declining resilience group. The findings suggest that resilience is a dynamic and multidimensional construct with highly heterogeneous developmental trajectories. Gratitude and perceived stress may be effective targets for interventions to enhance adolescent resilience.
Chronic pain activates the HPA axis stress response resulting in the release of cortisol, although empirical associations are often contradictory. Quantile regression models of hair cortisol may help us measure HPA-axis dysregulation more accurately and establish more robust associations with chronic pain. We also examined whether people with chronic pain characterised by HPA-axis dysregulation are at risk of future mental ill-health.
Methods
This study examined data from the English Longitudinal Study of Ageing (ELSA, n = 4,560) and the UK Household Longitudinal Survey-Innovation Panel (UKHLS-IP, n = 473) to assess whether quantile regression methods enable us to assess more robust associations between hair cortisol and chronic pain, and whether older adults with chronic pain characterised by HPA-axis dysregulation are at risk of future mental ill-health.
Results
In ELSA, chronic pain was associated with a 15% (CI: 6%–23%) increase in cortisol at the 10th percentile of the hair cortisol distribution among older adults and a 19% (CI: 2%–37%) increase at the 80th percentile, but no association was found at the 30th or 40th percentiles. Having a low cortisol response to chronic pain protected against the recurrence of depression. These patterns of association were replicated in the UKHLS-IP sample.
Conclusions
The associations demonstrated across two longitudinal population surveys from the UK indicate that quantile regression analysis of hair cortisol may be useful in identifying individuals resilient to chronic pain. Hair cortisol is a promising biomarker that can be measured in population studies to quantify the stress response and resilience to future mental ill-health.
This chapter invites readers to consider how an engagement with hip-hop music and culture can contribute to a better understanding of mental health, psychiatry, psychology, public health, and neuroscience. It provides an introduction to hip-hop therapy, highlighting the use of rap by psychologists and counsellors to promote mental well-being. The chapter goes on to examine the work that the Hip-Hop Psych initiative has undertaken in advancing the role of hip-hop in primary care. With hip-hop’s pre-eminence as a global musical force, greater attention to how mental health is represented in hip-hop can provide healthcare professionals with tools to aid discussions with patients about potential trends related to hip-hop icons, such as contagion effects of suicide, self-harm, and self-medication. Hip-hop offers a platform for artists and those who embrace the culture to address their emotional experiences through rap. By exploring lyrical content, the chapter uncovers how performers express their mental health challenges and fashion resilience within challenging circumstances. It argues that attention to this material could also help identify language disturbances associated with mental health conditions, and indicates the potential gains from the use of technology and neuroscientific research to support hip-hop music interventions.
Chapter 10 questions whether law should widen its lens to address general appearance discrimination too. Would a protected characteristic of appearance offer viable legal rights to the many millions of us who do not have a disfigurement but are less-than-beautiful in some way? For example, is appearance objective enough to be adjudicated in law? Is a clear distinction between mutable and immutable aspects of appearance important – or even possible given increasing medico-cosmetic opportunities to change the way our bodies look? Do we have an unobjectionable nomenclature to describe appearance and attractiveness in legal terms? And could we swallow well-meaning employers’ attempts to measure the attractiveness of their staff for the purposes of diversity monitoring? The discussion draws on examples of comparative laws in France and America. Both countries have adopted wider conceptions of appearance equality, and America’s laws have seen a recent period of growth, with Binghampton, New York, the latest to vote such a law onto its statute books in 2023. However, both sets of laws remain little used so far, despite evidence showing that appearance discrimination remains prevalent. How could we ensure that a protected characteristic of appearance in the UK avoided a similar fate?
Achieving Zero Hunger by 2030, a United Nations Sustainable Development Goal, requires resilient food systems capable of securely feeding billions. This article introduces the Food Systems Resilience Score (FSRS), a novel framework that adapts a proven resilience measurement approach to the context of food systems. The FSRS builds on the success of the Community Flood Resilience Measurement Tool, which has been used in over 110 communities, by applying its five capitals (natural, human, social, financial, and manufactured) and four qualities (robustness, redundancy, resourcefulness, and rapidity) framework to food systems. We define food system resilience as the capacity to ensure adequate, appropriate, and accessible food supply to all, despite various disturbances and unforeseen disruptions. The FSRS measures resilience across multiple dimensions using carefully selected existing indicators, ensuring broad applicability and comparability. Our methodology includes rigorous technical validation to ensure reliability, including optimal coverage analysis, stability checks, and sensitivity testing. By providing standardized metrics and a comprehensive assessment of food system resilience, this framework not only advances research but also equips policymakers with valuable tools for effective interventions. The FSRS enables comparative analysis between countries and temporal tracking of resilience changes, facilitating targeted strategies to build and maintain resilient national food systems. This work contributes to the global effort toward long-term food security and sustainability.
Refugee mothers represent a significant proportion of the migrant population worldwide. Their resilience has important implications for their health and the positive adjustment of their family units. However, refugee mothers have received little attention in research.
Aims
This review provides an overview of factors that may promote or hinder resilience among refugee mothers and a foundation for identifying potential targets for clinical and policy interventions.
Method
A scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) reporting guidelines, using pre-defined criteria and a relevant search strategy on four databases: Web of Science Core Collection, APA PsycINFO, Ovid Medline, and Ovid Embase Classic+Embase. Study characteristics and data on resilience promotion and hindrance factors were extracted, and results were narratively synthesised.
Results
Five articles met our inclusion criteria. Four studies described resilience promotion factors, and two studies described resilience hindrance factors. External (social or instrumental, community or professional, economic, and cultural) and internal (individual or psychological, and spiritual or religious) resilience resources were perceived as important for building resilience among refugee mothers.
Conclusions
The most recurrent resilience promotion factors related to possessing strong social networks and instrumental support, while the most recurrent resilience hindrance factors related to community and professional stressors, such as accessing healthcare. These findings serve as a first step towards identifying potential clinical and policy intervention targets to strengthen resilience in refugee mothers – a vulnerable and currently under-studied population. This review can provide a guide for policymakers, health professionals, refugee charities and local communities in prioritising the efforts to address refugee mothers’ needs.
Increasing recognition of the diverse benefits of human-animal interactions (HAIs) has propelled related studies. Although most of the benefits have been illustrated by academic literature (e.g. journal articles, academic theses, and project reports), the grey literature contributes to a comprehensive understanding of HAIs and offers new perspectives, informing prospective research, practices, and policies. Adapting the Systematic Reviews and Meta-Analyses (PRISMA) approach, this rapid review examined 151 articles covering HAIs from 2016–2022. The univariate analysis results revealed that the sources covered various animal species (e.g. dogs, cats, birds), types of animals (e.g. companion animals, therapy animals, zoo animals), and vulnerable populations (e.g. older adults, people with disabilities). HAIs could be found across different settings, such as households, schools, healthcare facilities, and more. The thematic analysis identified three primary categories associated with HAIs’ benefits in public education: (1) HAIs benefit the well-being of individuals, families, and animals; (2) HAIs promote prosocial behaviours and community development; and (3) HAIs improve disaster preparedness and response. The results highlight the multifaceted positive influences of HAIs on human well-being, animal welfare, and building healthy and resilient communities. Grey literature plays an essential role in knowledge mobilisation through public education, promoting the interconnectedness between human well-being and animal welfare.
Sustainability in Aotearoa New Zealand’s food system is essential for environmental health (taiao ora) and human well-being (tangata ora). However, achieving resilience in our food system faces significant cross-sector challenges, requiring a national food strategy that addresses environmental, economic, and social pressures(1). This work aims to develop the first national computational model of Aotearoa New Zealand’s food system, integrating key factors into a decision support tool. The model aims to support food system resilience by offering an accessible platform that could help inform decisions to strengthen preparedness for shocks, while also providing insights to enhance everyday food security. The Kai Anamata mō Aotearoa (KAMA) model leverages new data and indigenous crop trials to combine work across agriculture, environment, and human wellbeing, forming a comprehensive tool to examine food system resilience. This model will capture the resources required, outputs produced, and wellbeing outcomes of our food system. The KAMA model was built using a flow-state modelling approach, which allows for flexible configuration of land uses and ensures that the model can adapt to future technologies and climate change scenarios. The preliminary development the KAMA model was used to demonstrate the current production system and applied to a regional case study from Te Tauihu, integrating region-specific food production data, including apples, kiwifruit, mussels, wine, and hops production. Outputs included labour, carbon dioxide emissions and mass of production. Beyond food production, this model will enable users to explore the impacts of land use for commodity production, the effects of trade, nutrient supply, and the broader implications for well-being. model will be made publicly accessible online to allow any interested individual to explore the future of the national food system.
This chapter focuses on the fact that a major difference between a change in an international order and a change of international order is that the scope and depth of the former are not as great as those of the latter—in other words, change unfolding in an international system is somewhat circumscribed. To reflect on a change in the international order and what this means for its legitimacy, this chapter focuses on three points. First, it examines some of the characteristics that facilitate change in an international system and what this implies for the sense of legitimacy. Second, it mentions the reforms that an international order and its legitimacy can adopt to respond to evolving pressures, alluding to the stress faced by the current international system in the last few years. Third, this chapter ends with an overview of the systemic risk to which the present international system is exposed.
Adverse childhood experiences (ACEs) are widely associated with mental health disorders, such as depression, post-traumatic stress disorder (PTSD), and suicidality. Resilience plays a role in mediation and moderation of these associations, yet there is limited data from Kenya on this. This cross-sectional study examined the role of resilience in the relationship between ACEs and mental health outcomes among 1,972 participants aged 14–25 years in the Nairobi Metropolitan area. Participants completed the Trauma and Distress Scale (ACEs), Patient Health Questionnaire-9 (depression), Columbia-Suicide Severity Rating Scale (suicidality), Harvard Trauma Questionnaire (PTSD), and Adult Resilience Measure-Revised (resilience). Analyses of moderation and mediation using Hayes Process Macro indicated that resilience moderated the association between ACEs with PTSD and depression, with minimal effect on suicidality. It also moderated specific associations, including emotional/physical neglect on ideation, physical abuse on lifetime behavior (p = 0.0479), and total ACEs on recent behavior (p = 0.0514). Resilience also partially mediated the effects of ACEs on PTSD and depression, and fully mediated suicidality for specific ACE domains (emotional neglect, physical neglect, and physical abuse on suicidal ideation and all ACEs on recent suicidal behaviors). Building resilience mitigates the effects of ACEs on depression, PTSD, and suicidality among Kenyan youth.
This chapter focuses on systemic factors in healthcare systems and how these can promote qualities such as mindfulness, awareness, resilience, and compassion. Too often, health systems do not promote these values at the organisational level despite the best efforts of individual healthcare workers. With attention and awareness, however, this can be remedied. This chapter examines the themes of compassionate leadership in healthcare organisations, resilience in these settings, and specific approaches that healthcare professionals can take to increase compassion across the healthcare systems in which we work. These steps include: (a) leading by example to promote compassionate behaviour for better care; (b) supporting the well-being of colleagues and staff we manage; (c) fostering open communication across clinical and managerial teams; (d) including patients and families in decision-making and valuing their perspectives; (e) promoting teamwork and collaboration that are inclusive, adaptive, and resilient; (f) recognising and rewarding compassionate care, both formally and informally; and (g) making self-compassion a key organisational value: health care is challenging, we are all human, and self-compassion is the basis of compassion for others.
This chapter focuses on resilience and compassion, starting by examining the relevance of resilience in healthcare, especially during the Covid-19 pandemic. The chapter notes that while a certain amount of resilience is helpful and even essential, resilience depends on not only the personal characteristics of each healthcare worker, but also the conditions in which they work. Relevant factors include the structure and function of teams, models of organisation, quality of leadership, and resources. These matters have an enormous influence on individual experiences, attitudes, and behaviour, and on the levels of resilience that are required and accessible in the workplace, as well as compassion. This chapter considers the concepts of ‘compassion fatigue’ and ‘burnout’, and outlines barriers to, and facilitators of, compassionate care. Systemic challenges include competing system demands, time constraints, inadequate resources, communication issues, poor emotional connections with the broader healthcare system, and the perception and/or reality of staff not being valued for the care they provide. These are themes that resonate with many people who work in large healthcare systems where organisational challenges loom large, often distracting focus from day-to-day patient care. This chapter also examines the roles of mindfulness and meditation in navigating these challenges.