WHAT DOESN'T KILL ME MAKES ME STRONGER ARE THE ADVERSE LIFE EVENTS THE PREREQUISITE FOR MATURATION AND GROWTH?
Abstract
The relationship between adversity and growth iswell documented.1 Religion, philosophy and
literature is full of the examples that showed that
some level of adversity is necessary for maturation
and growth. This is also the central theme of the
humanistic and existential movements of psychology
that a confrontation with tragedy is often precursors
to self-actualisation. Viktor Frankl wrote about the
will to meaning following his experiences in
Theresienstadt and Auschwitz are common examples
of this idea.2 Nietzsche's famous dictum, What
doesn't kill me makes me stronger is the same
expression of this idea. It is not the event itself but
the subjective cognitive appraisal and struggle to the
adversity is related to growth.1 Researchers have used
a number of different terms to describe individuals'
reports of positive outcomes in the face of adversity,
including posttraumatic growth, adversarial growth,
benefit-finding, stress-related growth, perceived
benefits and thriving etc.3 Each term refers to a
slightly different phenomenon. Several models have
been proposed regarding the occurrence of
Posttraumatic Growth. These include the Functional
Descriptive Model4, Organismic Valuing Theory5 and
Biopsychosocial-Evolutionary Theory. Although
with some variation, these models hypothesise that
the experience of a highly stressful or traumatic event
shatters an individual's basic beliefs about the self
and the world. In terms of that the persons perceives
the changes in relationship with others, personal life
philosophy and spiritual changes.4
Growth or positive outcomes have been
reported following a variety of traumatic experiences,
including motor vehicle accidents6, terrorist attacks7,
leukaemia8, and cardiac disease9, etc. Findings
showed that growth is not equal in all sorts of
adversities. It depends upon the nature and intensity
of the adversity. Moreover, the patterns are growth is
different across gender and age. For example studies
showed that female exhibit more posttraumatic
growth as compare to male,3 and age is positively
associated with stress symptoms and negatively with
Posttraumatic Growth (PTG)10. Question arises how
much adversity is sufficient for growth. Studies
showed that very low level of trauma or high level of
trauma may is not associated with growth. However,
a moderate level of trauma is associated with the
growth. Mostly a curvilinear relation has been found
between PTG and adversity, i.e., a moderate level of
adversity is associated with positive growth.11,12 The
focus of the most of the past researches was to
uncover the adverse consequences of the traumatic
accidents. Hence, the association of psychopathology
and adversity is well studied. There is scarcity of
research on this aspect of relationship between the
adversity and growth. This editorial is aimed to raise
interest to conduct the studies that find the predictive
role of daily life stressor to positive changes and
maturity.
Adversities are the integral part of life and
cannot be avoided. Despite constant avoidance, we
have to face adversities. These cannot be eliminated
but can be managed with proper adversity
management trainings. Adversities are the best
mentors. Although we strive to avoid adversities and
protect the children from bad events. Over protective
parenting may hinder the growth and maturity of the
offspring's by buffering and providing shields them
from the real life challenges and problems of life.
Parents should give the children space to resolve
daily life difficulties and challenges. It will help to
lead them to the deliberate ruminations, increase their
confidence, self efficacy, problem solving abilities
and decision making skills. On this children might
develop the sense that they have to '˜live with
problems' and '˜problem-free life' does not exist.
Instead of dwelling on the problems they have to deal
it. As a result they come out of adversity with new
strengths and with better coping skills. As most of the
current social scientists suggest that some shocking
experience is necessary for a child to be a realistic
person.
References
Calhoun LG, Tedeschi RG. The foundations of posttraumatic
growth: An expanded framework. In: Calhoun LG, Tedeschi
RG. (Eds.), Handbook of posttraumatic growth: Research and
practice. Mahwah, NJ: Erlbaum; 2006. p. 3-23.
Meyerson AD, Grant EK, Carter SM, Kilmer PR.
Posttraumatic growth among children and adolescents: A
systematic review. Clin Psychol Rev 2011;31:949-64.
Helgeson, Reynolds, Tomich PL. A meta-analytic review of
benefit finding and growth. J Consult Clin Psychol
;74(5):797-816.
Tedeschi RG, Calhoun LG. Posttraumatic growth:
Conceptual foundations and empirical evidence. Psychol
Inquir 2004;15(1):1-18.
J Ayub Med Coll Abbottabad 2012;24(2)
http://www.ayubmed.edu.pk/JAMC/24-2/Editorial.pdf
Joseph S, Linley PA. Growth following adversity:
Theoretical perspectives and implications for clinical
practice. Clin Psychol Rev 2006;26:1041-53.
Wang Y, Wang H, Wang J, Wu J, Liu, X. Prevalence and
predictors of posttraumatic growth in accidentally injured
patients. J Clin Psychol Med Settings 2013;20(1):3-12.
Park CL, Aldwin CM, Fenster JR, Snyder LB. Pathways to
posttraumatic growth versus posttraumatic stress: Coping and
emotional reactions following the September 11, 2001,
terrorist attacks. Am J Orthopsychiatry 2008;78:300-12.
Danhauer SC, Russell GB, Tedeschi RG, Jesse MT,
Vishnevsky T, Daley K, et al. A longitudinal investigation of
posttraumatic growth in adult patients undergoing treatment
for acute leukemia. J Clin Psychol Med Settings
;20(1):13-24.
Ai AL, Hall D, Pargament K, Tice TN. Posttraumatic growth
in patients who survived cardiac surgery: the predictive and
mediating roles of faith-based factors. J Behav Med
;36(2):186-98.
Kimhi S, Eshel Y, Zysberg L, Hantman S. Postwar winners
and losers in the long run: determinants of war related stress
symptoms and posttraumatic growth. Community Ment
Health J 2010;46(1):10-9.
Laufer A, Solomon Z. Posttraumatic symptoms and
posttraumatic growth among Israeli youth exposed to terror
incidents. J Soc Clin Psychol 2006;25:429-47.
Levine SZ, Laufer A, Hamama-Raz Y, Stein E. Solomon Z.
Posttraumatic growth in adolescence: Examining its
components and relationship with PTSD. J Trauma Stress
;21:492-6.
Khan W. Bachoun Ki Tarbiyat. [Urdu] Al-Risala
;433:20-21.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.