Research on resilience demonstrates effects of factors at all of these levels, and the broader levels have their impact on children, particularly in early childhood, through their effects on the relationships in children’s lives. For example, research shows that living in a context of low income or in neighborhoods with high crime or low resources can have an adverse impact on families, increasing family conflict, chaos, and parental mental health or substance use problems. Those in turn can make it harder for parents to be as effective as they want to be or to have the kind of relationship with their children that we know promotes child well-being and resilience. … [Read more...] about A Bioecological Model of Resilience
Example of medical model
When we think about resilience, we tend to think about characteristics about a person that helps them weather difficult times. When I asked at a recent presentation what resilience is, people said things like "grit," "determination," "positive attitudes," "fortitude," all characteristics within a person. We don’t usually think of the support and resources it takes to have those characteristics. Sometimes they are “built-in” to the person through their temperament. But usually, those characteristics develop when a person experiences having basic needs met, being free from the threat of violence, and having safe, stable, nurturing relationships in our lives – even just one. Research on resilience points to a variety of “intrapersonal” factors – things within the person, and “interpersonal” and contextual factors that support resilience in contexts of stress or adversity. … [Read more...] about A Bioecological Model of Children’s Resilience
Three Atrophy Patterns and Brain Areas Associated with Alzheimer's Disease Cortical: Indicating atrophy throughout the cerebral cortex (Brain areas in the cerebrum, Latin for "brain"). Subcortical: Indicating atrophy in the cerebellum, striatum, and thalamus. (Brain areas at the base of the brain). Temporal: Indicating atrophy of the medial temporal cortex, hippocampus, and amygdala (Brain areas in the cortical lobe behind the ears). All three brain areas were associated with executive function and memory decline across the entire clinical spectrum. The cortical factor was most strongly associated with executive function decline. The temporal factor showed the strongest association with memory. The subcortical factor was associated with the slowest decline of both executive function and memory. These findings suggest that distinct patterns of brain atrophy can be linked to various cognitive domains. … [Read more...] about Alzheimer’s Study Links Triad of Brain Areas with Cognition
Their argument still builds on the “standard model” that amyloid proteins create Alzheimer’s disease. No matter that in the Okinawa Study, many women with “clear” neuropathological Alzheimer’s disease did not clinically show the disease. No matter that the “hallmarks” of Alzheimer’s disease, Alzheimer’s plaques and neurofibrillary tangles, appear at completely different proportions of patients with age. No matter that proteins like RISC may be important in the creation of Alzheimer’s, but are neglected because they disappear as we get older. For better and often worse, seeing is believing. Amyloid aggregates are there, we can observe them in cases over and over. The human mind appreciates clear narratives. As we witness today in politics and social policy, simple answers are to be preferred to complex ones, even when they’re wrong. … [Read more...] about What Causes Alzheimer’s?
Many people come to therapy seeking help with relationships that are giving them trouble. Therapists work with people seeking stronger marriages, more harmonious parenting, and deeper friendships. If you live with chronic illness, you also may come to therapy seeking help for the relationship you have with your doctor. A therapist can help you sort out and understand the feelings you have toward your physician. How does she meet your needs, and how does she leave you disappointed? What can you reasonably expect from her, and why might you actually be expecting more (or less)? Does your relationship with your doctor echo other relationships in your life? Too many chronically ill people underestimate the importance of the physician/patient relationship. Chronic illness is hard enough. If you do not feel supported and cared for by your physician, it’s time to reflect on why that might be and what you can do about it. … [Read more...] about Chronic Illness and the Doctor/Patient Relationship