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Strengthening Family Resilience (Walsh, 2006)

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Resilience in Man and Machine

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2 of 2 people found the following review helpful:
5.0 out of 5 stars Highly recommended., January 6, 2007
By  Midwest Book Review (Oregon, WI USA)
 
Now in an updated second edition, Strengthening Family Resilience is a guide for both families and therapists by Froma Walsh, who has received awards for her leadership in the field of family therapy from the Division of Family Psychology of the American Psychological Association, the American Association for Marriage and Family Therapy, and AFTA. Strengthening Family Resilience especially focuses upon the quality of being able to withstand and rebound from a crisis or persistent challenges, the key difference between families shattered by tragedy and trauma while other families survive and even grow stronger in the wake of adversity. A scholarly text of especial value to professionals and students in the field of counseling and therapy, Strengthening Family Resilience covers the key processes in resilience such as belief systems, organizational patterns, and communication processes, as well as means to facilitate the cultivation of resilience in times of greatest need, forming connections in times of dire conflict, and much more. Highly recommended.
 
JLJ - The resilience needed for successful families parallels the resilience needed by a machine playing a game. The unexpected always disrupts plans, and an adaptive capacity and ability to "bounce forward" in response to stressors both form effective strategies. This work is a gold mine for ideas for game theory.

p.13 A developmental perspective is also essential in understanding resilience. Rather than a set of fixed traits, coping and adaptation involve multiple processes that may vary over time. Most forms of stress are not simply a short-term, single stimulus, but a complex set of changing conditions with a past history and a future course (Rutter, 1987). Given this complexity over time, no single coping response is invariably most successful. It is more important to have a variety of coping strategies to meet different challenges as they emerge. The ability to choose viable options is crucial in resilience.
 
p.20 A holistic assessment includes all contexts the family inhabits, aiming to understand the challenges, constraints, and resources in its position.
 
p.21 An understanding of family resilience must also incorporate a developmental perspective, since varied processes are needed to meet emerging psychosocial challenges over time. We can usefully draw upon the models of vulnerability and protective mechanisms proposed by Garmezy and Rutter to understand individual resilience, as well as a growing body of research on family stress, coping, and adaptation... In the immunity model, protective factors are thought to serve as reserves against a decline in functioning under stress... In the compensatory model, personal attributes and environmental resources are thought to counteract the negative effects of stressors... In the challenge model, stressors can become potential enhancers of competence and resilience, provided that the level of stress is not too high... these three mechanisms may operate simultaneously or successively in the adaptive repertoire for resilience, depending on varied coping styles and phases or development (Werner, 1993).
 
p.23 Family resilience cannot be captured in a snapshot at a single moment in time... resilience involves many interactive processes over time
 
p.70 For resilience, we need to take stock of our situation - our challenges, constraints, and resources - and then focus on making the most of our options. Both active mastery and acceptance are required, akin to the Serenity Prayer at the heart of recovery movements.
 
p.84-85 change is an inevitable part of the human condition. Families must be able to adapt to changing developmental and environmental demands - both normative (expectable, predictable) and nonnormative (uncommon, untimely, or unexpected). A dynamic balance between stability ("homeostasis") and change ("morphogenesis") enables a stable family structure while also allowing for change in response to life challenges...
Bouncing Forward: Capacity for Adaptive Change
Leading family therapists and researchers have found that the capacity to change is essential for high functioning in couples and families, especially under stress... studies find that the capacity for adaptability, flexibility, and change predict the long-term success of a couple relationship... Partners must be able to evolve together and cope with the multitude of internal challenges and external forces in their lives... couples and families do best when they construct relationships with a flexible structure that they can mold and reshape to fit their needs and challenges over time.
 
p.85 Resilience is commonly thought of as "bouncing back," like a spring, to our precrisis shape or norm. A more apt metaphor for resilience might be "bouncing forward," rebounding and reorganizing adaptively to fit new challenges or changed conditions. For instance, with a major loss... we must forge a new pathway... In rebuilding our lives, we must construct new patterns and recalibrate "normal" settings to meet unanticipated challenges.
 
p.108 Collaborative problem solving: Identifying problems, stressors, constraints, options... Focusing on goals, taking concrete steps
 
p.116 The McMaster group... has outlined several steps in effective problem solving process. Family members first need to recognize a problem... Collaborative brainstorming enables them to weigh and consider possible options, resources, and constraints, and to decide on a plan. They then need to initiate and carry out action, monitor efforts, and evaluate their success.
 
p.118 By understanding impasses to problem solving, we can find ways to overcome them.
 
p.133 Mastering the art of the possible is a vital key for resilience. Clinicians can help families take stock of their situation - the challenges, constraints, and resources - and then focus energies on making the best of their options.
 
p.134 Flexibility, a core process in resilience, involves adaptive change. The ability to rebound is thought of as "bouncing back" like a spring, to a preexisting shape or norm. However, after most major transitions and crisis events, families can't simply return to "normal" life as they knew it. Rather, their challenge involves "bouncing forward," constructing a new sense of normality and adapting to meet new challenges.
 
p.260 In resilience-based practice, it's important to be explicit that our intentions in gathering information are to understand family stresses and their impact for families, as well as family objectives and pathways for moving forward. We assess families within a positive framework, searching for resources and potential as well as vulnerabilities and constraints, all in relation to their challenges and their aims.
 
p.261 Rather than waiting for things to calm down, it's better to make some time in early sessions to understand major stresses and identify patterns and constraints connected with members' distress.
 
p.262 Diagnostic assessment can be essential in identifying serious mental illness and substance abuse, determining the risk for destructive behavior

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