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Resilience
Lessons from the 10th Mountain
Division of WWII
Stories from the
10th Mountain
Division
Why resilience?
• 75% of residents met criteria for
burnout
• Burnout lead to increase in
errors by residents.
Fahrenkopf Amy M, Sectish Theodore C, Barger Laura K, Sharek Paul J, Lewin Daniel, Chiang Vincent W et al.BMJ 2008
What is
resilience
What is
resilience
• Who is resilient? Describe them
in a sentence.
• When is resilience necessary?
• What helps you build resilience?
Resilience Defined
• The ability to bounce back from emotional
trauma and steer through every day adversity.
• Resilience is renewable resource we can
develop.
• A metaphor: the Bucket
From Reivich and Shatte, 2003
Today
• What is your baseline?
• Your trigger and responses
• How to refill and cultivate your bucket
Your Baseline
Baseline Understanding
• Combination of genetic disposition, external
events and personal choices and experience.
• Positive Psychology
• Flourishing – growth, generativity
Baseline Anchors
• Purpose and meaning
Triggers and
Response
10th Mountain Division
• Small issues and moral
Your Triggers
• The last thing that made you
curse.
• Your biggest pet peeve at work.
• What was the topic of your last
argument.
Responses
• Loose your calm – busy
• Loose your head - angry
• Loose your focus - distracted
Negative physical
responses
• Breathing shallow and quick
• Tension in shoulders – forward and
down
• Fidgit – unfocused energy
Negative Mental
responses
• Me/Always/Everything
• Obsessing
Positive physical responses
• Conscious Breathing
• Posture management
Positive Mental Responses
• Perspective taking
• Adversity
• Belief
• Consequence
• Realistic Optimism
Refilling the
bucket
How to refill
• Flow/focus
• 3 Good Things
• Connect with people
• Sempre Avanti
Flow and Focus
• Power of shutting off your phone
• 30-90 minutes a day focusing on One Thing
• Recharges
3 Good Things
• Developed by Martin Seligmen
• Within 2 hours of going to bed, write 3 good
things that happened in the day and how you
contributed to them
• 2 weeks of this has effect not significantly
different than Prozac
Connect
• Strong relationships build resilience
• Existence
• Support relationships reduced PTSD
• Network size and Emotional closeness increase well
being
• Revisiting
• Humor and play
• Trust and Support
Sempre Avanti

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Resilience and the 10th Mountain Division

Editor's Notes

  1. Vai. Centre – Making the Mountain part of the faculty Originally all volunteer unit First member reported for duty the day after Pearl Harbor Started as a regiment in mt Rainier from 1941-1943
  2. Burout OPDEF – Menteal Exhaustion and personal detachment due to stress
  3. 3 questions to approach resilience from different angles Intellectually – what is resilience? Personal – who is resilient? Contextually – when do you need resilience? What happens that makes you feel you are resilient? Or not? Behavioral – what behaviors and experiences helps you build resilience?
  4. Draw this on easel.
  5. Draw this on easel.
  6. Draw this on easel.
  7. Draw this on easel.
  8. Draw this on easel.
  9. Talk briefly about your baseline and what composes it. Examine your personal triggers – the things that drain your day to day resilience – and responses. We’ll talk about negative responses and some tools for alternatives that are more resilient. Finally we look at techniques to refill your bucket – tecchniques to cultivate a baseline that is higher up in that metaphorical bucket
  10. 50 10 40 – Genetics 50, Environment 10, Experience 40
  11. Reivich and Shatte
  12. 1944 June – shiiped off to Texas to do standard infantry maneuvers and drill marching Elevation 300ft, terrain flat, temp 95-100
  13. ME – personal Always – permanent Everything – universal
  14. From Upstate NY Gained the nickname ‘Rugged Winter’ on Trooper Traverse
  15. Rebuild
  16. Close relationships reduced correlation with PTSD in Vietnam Vets Network size and emotional closeness in network increase well being