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Adaptive responses to illness and disability. Healthy denial
1Department of Psychiatry, Columbia University College of Physicians, and Surgeons, New York, New York.
General Hospital Psychiatry
|May 1, 1988
Summary
This study explores resilience in individuals facing extreme adversity. It identifies key traits like hardiness and ego strength, suggesting origins and treatment implications for enhanced coping mechanisms.
Area of Science:
- Psychology
- Psychiatry
Background:
- Understanding resilience is crucial for mental health.
- Previous research often focuses on specific coping mechanisms.
Observation:
- Three individuals with extraordinary courage facing severe life challenges (death, illness, disability) were studied.
- Adaptive traits enabling effective functioning and optimism were identified.
Findings:
- Healthy denial alone does not fully explain sustained optimism.
- Resilience is proposed to encompass psychological hardiness and ego strength.
- Potential sources and origins of resilience were explored.
Implications:
- Findings offer insights into the psychological underpinnings of resilience.
- Suggests avenues for therapeutic interventions to foster resilience in patients.
- Highlights the importance of cognitive styles and ego strength in overcoming adversity.
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Overview
Concepts of Health and Illness
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
Classification of Illness
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
Models of Health Promotion and Illness Prevention II
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
The agent-host-environment model states that disease results from...
Special Features of Adaptive Immunity
The adaptive immune system, a crucial component of the overall immune response, offers a highly specialized defense against pathogens. It involves specific cell types and features, enabling it to combat infections effectively and efficiently.
The primary cell types involved in adaptive immunity are T cells and B cells. Each type has a unique role in defending the body against pathogens. T cells are responsible for cell-mediated immunity. They identify and eliminate infected cells directly,...
The primary cell types involved in adaptive immunity are T cells and B cells. Each type has a unique role in defending the body against pathogens. T cells are responsible for cell-mediated immunity. They identify and eliminate infected cells directly,...
Stress Response System
The stress response system, also known as the fight-or-flight response, is the body's automatic physiological reaction to perceived threats. Hans Selye introduced the concept of General Adaptation Syndrome (GAS) to describe the predictable pattern of changes that occur in response to stress. GAS consists of three sequential stages: alarm, resistance, and exhaustion. This model helps explain how chronic stress can contribute to health problems.
Alarm stage
In the alarm stage, the body's initial...
Alarm stage
In the alarm stage, the body's initial...

