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Achieving Resilience in Later Life: Testing a Two Component Model of Resilience Among Older Widowers. Kate M Bennett. Resilience. A working definition of resilience:
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Achieving Resilience in Later Life: Testing a Two Component Model of Resilience Among Older Widowers Kate M Bennett GSA 2008
Resilience • A working definition of resilience: • A resilient widower is considered to be particularly well adjusted to life following their loss. He would have the following characteristics: • Good adjustment; • Positive view of life; • No mention of current distress; • Participating in life; • Returned to life with meaning and satisfaction. GSA 2008
Models of Resilience • Deprivation Models • Resilience as a response to abnormal stress (Rutter, 1999) • Resilience as a steady state • Without fluctuating levels of distress following bereavement (and other traumatic events) (Bonanno, 2004) • His data focused on 6 and 18 months post loss, and 46% identified as resilient, sample of approx 203, mainly women) • Resilience as a long-term outcome • Initial painful awareness of loss; integrated belief and value system; optimistic and positive personality (Moore & Stratton, 2003) GSA 2008
Models of Resilience cont. • Achievement of Resilience • Gradual or turning point (Bennett, 2007; submitted) • It is possible that Bonnanno’s conceptualisation of resilience fits into Moore & Stratton’s and Bennett’s: Bereavement Event Achieving Resilience (Bennett) Low Bonanno Already Resilient (Bonanno) Bennett Distress High GSA 2008 Time
Older Widowers • Participants (From 2 independent studies): • 45 from NW England (M); • 18 from East Midlands, England (Mr.). • 9 new interviews NW England (I) • Two Qualitative Questions: • What did you do? • How did you feel? • In new study specific discussion about resilience • Time heals • Gradual or turning point • Self –evaluation of resilience GSA 2008
Resilience • 29 demonstrated resilience • That is not to say that the remaining widowers were not resilient, merely that it was identifiable. • In addition, in new interviews, 2 identified themselves as resilient, but we thought they were not GSA 2008
Components of Resilience • Time: • Resilience as a process: • Facing widowhood with resilience throughout. • Resilience as a turning point: • An event, person, experience which changed the widower’s life. • Agency • Widowers as active agents • Doing something to change their situation • Others as agents, widowers as passive • Decisions taken for widowers, or being forced by others to change GSA 2008
Two Component Model of Resilience GSA 2008
Two Component Model of Resilience Mr H, Man 14 6 September 2014 GSA 2008 GSA 2008 9
Bonanno’s Resilience: Always Resilient • 3 men met these criteria – I8, Man 14 and Mr. H • I8 • Had a car crash in which his wife died and he was seriously injured. His wife and daughter had, 10 years earlier, had another serious car crash • He had to contend with losing his wife and learning to walk again. • Throughout his interview he seemed so strong and so matter of fact. GSA 2008
But it’s a case of mind over matter I think. [Do you think it’s a gradual thing or were you able to adapt immediately?] Em, yes I would say that I did adapt immediately, I had to. Um I knew I wasn’t going to sit on behind all day and do nothing, it was a case of gradually doing a bit more each day…. (I8) Grief comes out and all that, that didn't happen for 6 weeks…all of a sudden I just cried. And then it just stopped (his emphasis). (Mr H) You've got to get cracking and live your life. (Man 14) GSA 2008
Resilience: Gradual and Active • I got to, to, the fact that, that I got to get on with life and that was it, the best I could. (Mr. D) • It’s remarkable how it does heal ….. But part of my character is to adjust to circumstances. I realise it was a blessing for her and indirectly a blessing for me. (I5) • That’s how you get through it, having friends …. I can go out and talk to anybody … Being happy, is that a characteristic? Funny, I have a sense of humour. (I3) GSA 2008
Resilience: Gradual and Passive • That's been the story ever since really, that… each day has been made a bit easier by something unseen. (Mr. I) • It was just the two lads that kept me going you know. (M3) • Children I had to look after them so I hadn't time to sort of mope about really. (M11) –Is this passive or active? GSA 2008
Resilience: Turning Point and Active • And eventually you go well this won’t do. It’s like in a sense you’ve got a big job to. (M41) • I'll get over it in me own way … I started to go out.(Mr. G). • I mean to say I was very backwards doing anything, I’m not now…. That happened two year after she died. I joined the Labour Party … this Tuesday night, feeling a bit down, so I thought well I’ll just go (M27) GSA 2008
Resilience: Turning Point and Passive • With being a diabetic I shouldn’t do what I did. I had this heartache over it and I just thought, fuck it. I went straight round to the pub…Erh, got around and, they said leave Brown Road, and erh, I don’t know what strings were … And within an hour she sent me down here the same… to look at this place…that was the first time I’d gone home sober. (Mr. E) • Well, the person there who was knowledgeable said. “there’s a young chappie who’s quite brilliant”…...He was absolutely brilliant. (M1) GSA 2008
Resilience: Turning Point and Passive; Gradual and Active (M26) • I did go into a bit of depression about a year later… And the old chap says there’s only one way of getting rid of it. (…) Do some hard work. So I said I do eight hours. Oh he said but what do you do in the rest of your sixteen …. He said in about a month’s time you’ll feel it going out of your hair and your fingernails which it did. • I've come to the conclusion rightly or wrongly that um whatever life's - whatever you think life's dealt you unfairly you've only got to look sideways and there's someone a damn sight worse off than you are. GSA 2008
Resilience: Active and Gradual and Turning Point (M19) • Before I was forty you'd think by the time you were forty you'd be dead… But when I was forty I thought oh I'm not dead. The rest of your life is now a bonus. Enjoy it. • One night I thought if you don't get out you're going to climb up these walls, so I went down and joined the club. GSA 2008
Resilience: Active and Turning Point – M10/I3 – The challenges of retrospection • [Can we just move now to a year or so later.] Well that is the time I realised that I’d got to – it’s a terrible phrase and people use it at funerals – life goes on. So as I mentioned earlier I’m a great music lover - the Philharmonic came back into my life and I realised that that was good therapy for me. (M10) • Gradually I started going out …. So I joined the Philharmonic (I2) • You’ve got to take the bull by the horns and you’ve really got to work at it (I2) • [Was there an actual turning point?] No, not a turning point (I3) GSA 2008
Consistency in significant influences • The Phil • His character • Gradual versus turning point • In the first interview there is a sense of a turning point • In the second there is more sense of gradual change, and he himself says there was no turning point • We would argue these are not necessarily incompatible, and may be what counts is his current experience • In the first interview we were not asking them to reflect on turning points GSA 2008
Discussion • We’ve not found many men who meet Bonanno’s criteria (3) • There are more who become resilient (38% by 2.5 years – so similar to Bonanno’s 43%) • Following a time course that is gradual or has a turning point • They can be passive or active • Outstanding question: • Is the resilience inherent? • is it more common than we think? • Does it need unlocking by some external agent? • If so, that has implications for intervention GSA 2008
Discussion: Limitations • The new schedule looks specifically at resilience but could be better crafted • How do we deal with the data from those men who see themselves as resilient but we don’t think we are • In a comparison interview with women, one woman starts of by saying she is, but on reflection on realises she isn’t. • There are definitional and operational debates to be had and to be resolved • The data is not longitudinal GSA 2008
Selected References • Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59, 20-28. • Ferraro, K.F. Mutran, E. & Barresi, C.M. (1984). Widowhood, health and friendship in later life. Journal of Health & Social Behavior, 25, 245-259. • Moore, A. J. & Stratton, D. C. (2003). Resilient Widowers: Older Men Adjusting to a New Life. NY: Prometheus. • Rubinstein, R. L. (1986). Singular Paths: Old Men Living Alone. NY: Columbia University Press. GSA 2008
Bereavement versus Resilience • Bonanno and Moore & Stratton and myself may be talking about resilience in relationship to different things: • Bonanno is talking about bereavement • Operationalized as the objective situation or state of having experienced the death of someone significant in one’s life; it is considered to be a relatively short-term state, and has primarily personal consequences and meanings. • Moore and Stratton and myself are talking about widowhood • refers to an ongoing, and frequently long-term state, which has both social and personal consequences and meanings • So the findings are not necessarily contracdictory GSA 2008 9/6/2014
Thank You Contact me: kmb@liv.ac.uk GSA 2008