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First Do No Self HarmUnderstanding and Promoting Physician Stress Resilience$
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Charles Figley, Peter Huggard, and Charlotte Rees

Print publication date: 2013

Print ISBN-13: 9780195383263

Published to Oxford Scholarship Online: January 2014

DOI: 10.1093/acprof:oso/9780195383263.001.0001

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Promoting Resilience and Posttraumatic Growth in Physicians

Promoting Resilience and Posttraumatic Growth in Physicians

Chapter:
(p.265) 15 Promoting Resilience and Posttraumatic Growth in Physicians
Source:
First Do No Self Harm
Author(s):

Jane Shakespeare-Finch

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195383263.003.0015

Across the lifespan traumatic experiences are common; more people experience such events than not. For a medical professional, trauma may result from a direct experience (e.g., in a person’s personal life) or vicariously. Although there can be long-term negative affects for trauma survivors (e.g., PTSD, depression), the majority of people who experience trauma, vicariously or otherwise, are resilient to long-term effects, and some people grow or develop beyond their pre-event level of functioning. In addition to interest in antecedents and correlates of pathology, research examining the predictors and correlates of resilience and growth has gained attention. In this chapter fundamental assumptions of salutogenic theory are discussed. Salutogenesis, or study of the origins of health, seeks to determine factors involved in promoting and maintaining health. The chapter then goes on to describe posttraumatic growth, i.e. positive posttrauma changes, as well as resilience, including discussion of the similarities and differences between these two constructs. Ways of promoting growth and resilience in medical professionals are then identified, concluding with discussion of how individuals can enhance their potential for growth and how the organization they work for can best facilitate and promote resilience and growth in its employees.

Keywords:   physician traumatization, salutogenic theory, resilience, posttraumatic growth, physician support, organizational support

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