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Brigid Daniel
The term resilience is of course not new and people have been using it in many ways
for many years, but there does recently appear to have been a massive surge of
interest in specifically whether the ideas can be exploited to enhance child care and
protection practice. This has been paralleled, and complemented, by the similar surge
of interest in strength-based approaches: a core theme that runs through this
conference. Child care and protection practice has been characterised by its sharp
focus on the assessment of, and reduction of risk. Whilst this is important many
practitioners would welcome a framework for intervention that provides a balancing
positive focus. A resilience-led perspective to practice is, as Gilligan (Gilligan, 2000)
states both optimistic and pragmatic. So, there is obviously a sense that it could
potentially offer an exciting avenue for practice development. Does it represent blue
skies thinking? Well, perhaps, but I also think it is important that we keep our feet on
the ground.
Therefore, in this presentation I am first going to look at what is actually meant by
resilience, and then when we emerge from that definitional swamp I shall present a
pragmatic model for understanding resilience that was developed along with my
colleague Sally Wassell.
I shall then spend some time looking at the potential pitfalls of the uncritical use of
resilience. This is because I have noticed that, while the idea is being taken up by
practitioners, there has been a bit of a backlash against the concept in the academic
arena. This has happened with other concepts and I think it is due to a tendency in
pressured practice situations to avoid the complexities of a concept in case they
muddy the water. Ideas can be reduced to simple ideologies. Consider, for example,
the way that 'permanency' became a mantra for practice that tended to override
consideration of individual need and difference. So, we must not simply grasp at a
concept and reduce it to beguiling simplicity. The children we encounter in practice
do not have simple lives!
Finally I shall present a more detailed framework for the assessment of, and
intervention with, children who have experienced abuse and neglect. Sally and I owe
a huge intellectual debt to Robbie Gilligan, (Trinity College, Dublin) who has
contributed greatly to the development of resilience as a concept for practitioners
(Gilligan, 1997; Gilligan, 1999). I would also like to acknowledge the previous and
current funding from the Scottish Executive that has helped us to develop these ideas.
Many of you will find many of these ideas familiar and many of you will already be
using them in your practice. What I suggest here is that the concept can provide us
with a theoretical basis to underpin practice with children.
DefinitionsofResilience
Resilienceiscertainlynotaconceptthatischaracterisedbythesparklingclaritygiven
byblueskies.Indeed,Ithinkthattryingtodefineresilienceislikelookingforsmoke
signalsonafoggyday.Insomewaystheconceptisverysimpleandis highlighted by
the main theme of this conference:
'Many voices, many choices'
This theme absolutely captures the importance of recognising that each child is an
individual and that therefore we should never make assumptions about how any child
will react to any specific circumstances. And put in very simple terms a resilient child
is one who turns out to be emotionally healthy despite having experienced the kind of
adversity and trauma more normally associated with developmental problems.
ThissimpleconceptiscapturedintheoftquoteddefinitionbyFonagyet.al(Fonagy,
Steele,Steele,Higgitt,&Target,1994):
Normal development under difficult conditions.
However, this definition begs a number of questions, not least what is normal? The
literature variesintheextenttowhichitfocuses(likeFonagy)on:
goodoutcomesinthefaceofadversityand
themechanismsorprocessesthatleadtotheoutcome.
Gilligan's(Gilligan,1997)definitionbeginstodescribetheprocessesinvolvedin
resilience:
.qualities which cushion a vulnerable child from the worst effects of
adversity in whatever form it takes and which may help a child or young
person to cope, survive and even thrive in the face of great hurt and
disadvantage.
For me it is the word 'thrive' that is key here. Masten et. al 1990 (Masten, Best, &
Garmezy, 1990) also focus on the process that enables good outcomes:
Resilience refers to the process of, capacity for, or outcome of successful
adaptation despite challenging or threatening circumstances.
ForarecentreviewcarriedoutonthebehalfoftheScottishExecutivebyBarnardos
NewmanandBlackburn(Newman&Blackburn,2002)summarisedsomeofthe
processissues:
Resilientchildrenarebetterequippedtoresiststressandadversity,copewith
changeanduncertainty,andtorecoverfasterandmorecompletelyfrom
traumaticeventsorepisodes.
Sagy and Dotan (Sagy & Dotan, 2001), point out that although resilience may be
defined as having the ability to adjust successfully, to function positively, or to feel
competent even though one is at serious risk, it is often measured by the absence of
psychopathology. In other words, rather than trying to capture the positive capacity of
adjustment, we often merely measure the absence of problems. From their study of
children who had been maltreated they concluded that it was important to measure a
child's perceived competence. Gillian Schofield (Schofield, 2001) describes this
adaptability very well in an article about attachment and resilience. She explains that
resilience refers to the capacity to adapt internally, and externally. For example if a
resilient child has a setback at school by failing an essay he or she is able to reflect on
it and see it as a temporary setback (internal) and also seek help with the next essay
(external). In summary, therefore:
As an outcome resilience refers to relative mental well-being in the face of
adversity and risk of poor mental well-being.
As a process it refers to the adaptive processes that enable a person to make
use of internal and external resources to adjust to, and cope with, adversity.
These definitions provide us with a starting point, but I would certainly not
advocate that we abandon our attention to the problems that children face and
the risks that they encounter. To be helpful for practitioners in child care and
protection resilience needs to be built into a framework for assessment that
incorporates the traditional focus on problems and risk.
Model for Understanding
So I will now present a very simple model that we know that practitioners find useful.
In building up a model we can first look extrinsic factors that impact on a child, and
these can be located on a dimension as shown.
sufficient for there to be an adult who declares love for the child, resilience is
associated with feeling loved. This sense of security is built up on the basis of the
child's experience of the significant people in their lives and whether they are
dependable and accessible.
Self-esteem
You will all be familiar with self-esteem, it has become the touchstone for so many
programmes for work with children. It is associated with achievement in the things
that matter to you and what you think other people think of you. I want to introduce a
note of caution here as I think that self-esteem is a more complex concept than is
often recognised. Crucially it is essential that we recognise the interpersonal aspects
of self-esteem. True self-esteem is not an 'I'm alright Jack' mentality. Feeling good
about oneself has to be complemented by appreciating the worth of others (and I shall
return to this theme later).
Self-efficacy
Self-efficacy (a concept from attribution theory) is concerned with the extent that we
have an accurate knowledge of our own limits and strengths, an accurate
understanding of what things we can influence and what we cant and how to have
some control over events. So, you can have two children who fail a maths test, one
may say well the test was hard, but perhaps I didnt revise enough, next time Ill try
harder. The other may say, everyone else did all right, I am useless at maths, there is
nothing I can do about it. There are times when it is healthy to recognise that you
cannot change the events that have occurred, but you can change the way you allow
them to impact on you. On the other hand, there are many ways in which children
with good self-efficacy can make choices that change the direction of their lives, and
some of the most important can be choices about making the most of educational
opportunities.
The International Resilience Project has neatly translated these concepts into three
statements that resilient people can say (Grotberg, 1997):
I HAVE.people I trust and love (security)
I AM..a loveable person (self-esteem)
I CANfind ways to solve problems (self-efficacy)
Putting the dimensions together
These dimensions can be put together to give us a grid to help make sense of a child's
current circumstances.
Adversity
carefully define what we mean by resilience and examine cultural assumptions and
emphasise pro-social and inter-dependent elements.
Another pitfall comes from making assumptions such as the common view that
children bounce back from difficulties. Some children do, but it is too trite to assume
it will always be the case and we must be very careful not to negate children's
experiences of hurt and distress. This is related to another assumption that can be
made about children who appear to be coping well. It is dangerous to make the
assumption that just because a child appears to be coping well they are not in fact
suffering internal distress and developing unhelpful coping strategies and defences.
Luthar carried out some important research in this area that showed that some
adolescents who appeared to be coping well showed, when carefully assessed, some
signs of depression and anxiety (Luthar, 1991). So, the important message is that we
must not make assumptions that a child is coping and we certainly should not assume
that children are, or indeed, should be resilient.
Another set of pitfalls relate to the role of research and research of interpretation.
Gore and Eckenrode (Gore & Eckenrode, 1994) point out that it is researchers who
define events as stressful. They suggest that it is also important to listen to people's
own accounts as one person's adversity may be another's challenge. Masten and
Coatsworth (Masten & Coatsworth, 1998) also point to the difficulties of using
research to guide intervention. The example they give is the finding that there is an
association between self-esteem and competence. If it is assumed that self-esteem
therefore causes competence and intervention is based only on boosting esteem then it
is possible to end up with children 'who misbehave but think highly of themselves'.
Instead it may be more effective to boost competence which will then positively affect
self-esteem.
The final issue takes us back to the definitional swamp. Is 'resilience' merely a
complicated way of describing ordinary child development? As Mastenand
Coatsworthpointout:
Resilient children do not appear to possess mysterious or unique qualities;
rather, they have retained or secured important resources representing
basic protective systems in human development (Masten & Coatsworth,
1998, p.212).
If it is no more that normal development, why has it taken off now as a concept for
practice? I suggest that it is because it enhances our understanding of child
development. Studies of child development have traditionally been preoccupied with
setting out norms and stages of development under optimal conditions, with
descriptions of what can go wrong if these optimal conditions are not met. But
practitioners have often struggled to apply much of that developmental literature to
children in difficulties because, as I said, these children have complicated lives.
Studies of resilience, though, help us to capture the essence of what intervention is
for, that is to equip children with what they need to thrive despite the problems they
have had. If we can capitalise on that knowledge then we have a clear basis for
intervention.
Well designed, accurately targeted and efficiently delivered social care
services can make a real difference to children born into adverse
conditions. By attempting to replicate the factors that enable some
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children are born with a natural curiosity about the social and material world.
Nurturing resilience is therefore about nurturing children's cognitive development,
helping them to retain the enquiring mind and eagerness to make sense of things that
all children are born with, but that is blunted in many who experience abuse or
neglect. For some children it is the demands of natural curiosity that have lead to them
being assaulted by parents. To promote educational experiences we can think about:
school as a place that can offer security
teachers as people who can be important sources of support to children and
education as a process that can help children develop self-esteem and self-efficacy.
Friendships
Resilience is associated with having generally positive peer relationships, and,
specifically, good friendships. Having friends can help buffer the effects of stress,
prevent stress, mediate stress and provide information to deal with stress. Friends also
offer fun and companionship: children enjoy activities much more if they are carried
out with friends rather than non-friends. It is important to be able to distinguish
associates from friends. For some children , especially adolescents, friendships can be
unhelpful if they lead them into trouble.
It is important to take account of a child's level of maturity. Younger children tend to
make friends with whoever is near, as they get older children become more choosy
and develop friendships on the basis of mutual interests. But some adolescents who
have experienced abuse and neglect may have immature friendship skills.
Practitioners need to find ways of placing children in proximity with children without
difficulties, in local mainstream clubs and activities.
Some children may not understand the etiquette of shared confidences, they may have
difficult joining games and so on. But these are skills that can be taught. For example
role play, cartoons, drawings and so on can be used to encourage a child to rehearse
and practice skills such as joining a group, managing teasing, playing cooperatively
and so on. Some children's friendships may be limited because they cannot take their
friends home, but perhaps a grandparent or other relative would be happy to provide a
base for friends to visit.
Talents and Interests
As shown earlier, self-esteem is one of the fundamental building blocks of resilience.
It tends to be based in the balance between what children would like to be and what
they think they actually are. Talents and interests are not exactly the same, of course,
some children have a talent in something that does not greatly interest them. But if
children have the opportunity to take part in activities they enjoy, and if their talents
are recognised and celebrated, outcomes for them are likely to be improved. Some
abused and neglected children have such low self-esteem and self-efficacy that they
are unwilling to try anything and practitioners have to find imaginative ways to
introduce them to a range of activities. Foster carers are often very good at this, the
only drawback that I have observed is that often when children move from placement
to placement they are unable to sustain activities that interest them. Activities are
more likely to be effective if they are part of the child's natural environment. Rather
than using resources to set up special activities for troubled children it may be more
measuring and how we can measure it. At one point I felt that I was being sucked into
a vortex of ever-receding circles of definition. I was pulled from the swamp by the
psychologist on the team who reminded me of the marvellous phrase 'face validity'.
Face validity simply means that something is valid if it makes sense to people this
echoed a comment from a foster carer who, on hearing about the concept remarked,
'It's just common sense isn't it?' (Daniel, Wassell, & Gilligan, 1999). And of course in
many ways it is, it is what good foster carers, youth workers, social workers, teachers
and community workers have been doing for years. But the concept offers a
theoretical basis for much of that 'common sense' work. Resilience brings together
aspects of developmental theory and existing practice wisdom and provides a
coherent framework for practice that is purposeful and positive.
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Masten, A. S., Best, K. M., & Garmezy, N. (1990). Resilience and development:
Contributions from the study of children who overcome adversity.
Development and Psychopathology, 2, 425-444.
Masten, A. S., & Coatsworth, J. D. (1998). The development of competence in
favorable and unfavorable environments. American Psychologist, 53(2), 205220.
Newman, T., & Blackburn, S. (2002). Transitions in the Lives of Children and Young
People: Resilience Factors. Edinburgh: Scottish Executive Education
Department.
Rigsby, L. C. (1994). The Americanization of resilience: deconstructing research
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Inner-City America: Challenges and Prospects. Hillsdale, New Jersey:
Lawrence Erlbaum.
Rutter, M. (1985). Resilience in the face of adversity: Protective factors and resistance
to psychiatric disorder. British Journal of Psychiatry, 147, 598-611.
Sagy, S., & Dotan, N. (2001). Coping resources of maltreated children in the family: a
salutogenic approach. Child Abuse and Neglect, 25, 1463-1480.
Schofield, G. (2001). Resilience and family placement: A lifespan perspective.
Adoption and Fostering, 25(3), 6-19.
Werner, E. E., & Smith, R. S. (1992). Overcoming the Odds: High Risk Children from
Birth to Adulthood. Ithaca and London: Cornell University Press.
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