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After Things Fall Apart
                What Science Says About
            Resilience, Recovery, and Growth


                            Ann Marie Roepke
                            University of Pennsylvania
                                       aroepke@sas.upenn.edu




June 2012              Games for Health Conference             www.gamesforhealth.org
June 2012   www.gamesforhealth.org
June 2012   www.gamesforhealth.org
June 2012   www.gamesforhealth.org
June 2012   www.gamesforhealth.org
June 2012   www.gamesforhealth.org
No pain,
            no gain




June 2012              www.gamesforhealth.org
Stress-Related Growth


                      Post-Traumatic Growth

                                       Benefit-Finding
                  Adversarial Growth




June 2012                                          www.gamesforhealth.org
June 2012   Games for Health Conference   www.gamesforhealth.org
Why do people…

                                       …get stuck?

            …bounce back?

                …grow stronger?


June 2012         Games for Health Conference    www.gamesforhealth.org
Dr. Martin Seligman




June 2012         Games for Health Conference   www.gamesforhealth.org
Positive Psychology




June 2012        Games for Health Conference   www.gamesforhealth.org
Positive      Clinical
            Psychology   Psychology




                          You are here
June 2012                        www.gamesforhealth.org
Key Concepts
                                                                 Growth



                                                                 Resilience
                                                                 Recovery
            functioning




                          time




June 2012                          Games for Health Conference    www.gamesforhealth.org
Post-traumatic growth (PTG) =
            positive psychological changes that
              can result from struggling with
                         adversity.

    PTG ≠ the opposite of distress. Growth
          and distress can co-exist.

June 2012                Games for Health Conference   www.gamesforhealth.org
Resilience = a set of processes that
            enables good outcomes in spite of
                      serious threats
                            (Masten, 2001)




June 2012                Games for Health Conference   www.gamesforhealth.org
Invulnerable Children
                 (Resilience 1.0)




June 2012          Games for Health Conference   www.gamesforhealth.org
“Ordinary Magic”
• Everyone has the potential to experience
  greater resilience.
• Most people are pretty resilient already.




June 2012          Games for Health Conference   www.gamesforhealth.org
What Predicts Resilience?
•    Emotional regulation
•    Causal analysis
•    Self-efficacy
•    Realistic optimism
•    Interpersonal skills
•    Flexibility
•    Sense of meaning
•    Social support
•    Active coping & problem-solving
                                                     (Reivich, Seligman, & McBride, 2011)
June 2012              Games for Health Conference                  www.gamesforhealth.org
What Predicts Growth?
                          acceptance (.20)
                   positive reappraisal (.38)
            religious coping (.38)
                         optimism (.27)
              social support (.26)
                         religiosity (.17)
                 spirituality (.23)
                                    denial (.16)
                            perceived threat (.14)
                                                          (Helgeson et al., 2010)
                                                          (Prati & Pietrantoni, 2009)
                                                          (effect sizes, r, in parentheses)

June 2012                   Games for Health Conference               www.gamesforhealth.org
What Do Games Have to Do With It?

  •         Building
  •         Connecting
  •         Engaging
  •         …and doing so on a massive scale




June 2012                  Games for Health Conference   www.gamesforhealth.org
Where do we go from here?

  • Test games (to what standard?)
  • Team up (how?)




June 2012            Games for Health Conference   www.gamesforhealth.org
Empirically Supported Treatments
                         (in clinical psychology)


  •         Tested in two (independent) randomized
            controlled trials
  •         The intervention works better than the control
            (or works as well as the established practice)
  •         Trials include (a) a manual/protocol; (b) an
            appropriate population; (c) reliable, valid
            outcome measures; (d) the right stats



                             More details available in Chambless & Hollon, 1998
June 2012                    Games for Health Conference         www.gamesforhealth.org
Teaming up

            Awesome
             design

                                            Big-impact
                                              GAMES
                                               FOR
                                             HEALTH
            Awesome
             science




June 2012              Games for Health Conference       www.gamesforhealth.org
Thank You!
                              Ann Marie Roepke
                              University of Pennsylvania
                                      aroepke@sas.upenn.edu

                                   www.annmarieroepke.com
                                   Coming soon:
                                   www.growthinitiative.com




            June 12-1, 2013                                        November 5-6, 2012
               Boston, MA                                          www.gamesforhealtheurope.org



June 2012                            Games for Health Conference             www.gamesforhealth.org
Our Panel

                                Jane McGonigal
                                Layton McCurdy
                                  Ben Sawyer
                            Ann Marie (Annie) Roepke



            June 12-1, 2013                                      November 5-6, 2012
               Boston, MA                                        www.gamesforhealtheurope.org



June 2012                          Games for Health Conference             www.gamesforhealth.org

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Roepke resilience panel presentation at g4 h

  • 1. After Things Fall Apart What Science Says About Resilience, Recovery, and Growth Ann Marie Roepke University of Pennsylvania aroepke@sas.upenn.edu June 2012 Games for Health Conference www.gamesforhealth.org
  • 2. June 2012 www.gamesforhealth.org
  • 3. June 2012 www.gamesforhealth.org
  • 4. June 2012 www.gamesforhealth.org
  • 5. June 2012 www.gamesforhealth.org
  • 6. June 2012 www.gamesforhealth.org
  • 7. No pain, no gain June 2012 www.gamesforhealth.org
  • 8. Stress-Related Growth Post-Traumatic Growth Benefit-Finding Adversarial Growth June 2012 www.gamesforhealth.org
  • 9. June 2012 Games for Health Conference www.gamesforhealth.org
  • 10. Why do people… …get stuck? …bounce back? …grow stronger? June 2012 Games for Health Conference www.gamesforhealth.org
  • 11. Dr. Martin Seligman June 2012 Games for Health Conference www.gamesforhealth.org
  • 12. Positive Psychology June 2012 Games for Health Conference www.gamesforhealth.org
  • 13. Positive Clinical Psychology Psychology You are here June 2012 www.gamesforhealth.org
  • 14. Key Concepts Growth Resilience Recovery functioning time June 2012 Games for Health Conference www.gamesforhealth.org
  • 15. Post-traumatic growth (PTG) = positive psychological changes that can result from struggling with adversity. PTG ≠ the opposite of distress. Growth and distress can co-exist. June 2012 Games for Health Conference www.gamesforhealth.org
  • 16. Resilience = a set of processes that enables good outcomes in spite of serious threats (Masten, 2001) June 2012 Games for Health Conference www.gamesforhealth.org
  • 17. Invulnerable Children (Resilience 1.0) June 2012 Games for Health Conference www.gamesforhealth.org
  • 18. “Ordinary Magic” • Everyone has the potential to experience greater resilience. • Most people are pretty resilient already. June 2012 Games for Health Conference www.gamesforhealth.org
  • 19. What Predicts Resilience? • Emotional regulation • Causal analysis • Self-efficacy • Realistic optimism • Interpersonal skills • Flexibility • Sense of meaning • Social support • Active coping & problem-solving (Reivich, Seligman, & McBride, 2011) June 2012 Games for Health Conference www.gamesforhealth.org
  • 20. What Predicts Growth? acceptance (.20) positive reappraisal (.38) religious coping (.38) optimism (.27) social support (.26) religiosity (.17) spirituality (.23) denial (.16) perceived threat (.14) (Helgeson et al., 2010) (Prati & Pietrantoni, 2009) (effect sizes, r, in parentheses) June 2012 Games for Health Conference www.gamesforhealth.org
  • 21. What Do Games Have to Do With It? • Building • Connecting • Engaging • …and doing so on a massive scale June 2012 Games for Health Conference www.gamesforhealth.org
  • 22. Where do we go from here? • Test games (to what standard?) • Team up (how?) June 2012 Games for Health Conference www.gamesforhealth.org
  • 23. Empirically Supported Treatments (in clinical psychology) • Tested in two (independent) randomized controlled trials • The intervention works better than the control (or works as well as the established practice) • Trials include (a) a manual/protocol; (b) an appropriate population; (c) reliable, valid outcome measures; (d) the right stats More details available in Chambless & Hollon, 1998 June 2012 Games for Health Conference www.gamesforhealth.org
  • 24. Teaming up Awesome design Big-impact GAMES FOR HEALTH Awesome science June 2012 Games for Health Conference www.gamesforhealth.org
  • 25. Thank You! Ann Marie Roepke University of Pennsylvania aroepke@sas.upenn.edu www.annmarieroepke.com Coming soon: www.growthinitiative.com June 12-1, 2013 November 5-6, 2012 Boston, MA www.gamesforhealtheurope.org June 2012 Games for Health Conference www.gamesforhealth.org
  • 26. Our Panel Jane McGonigal Layton McCurdy Ben Sawyer Ann Marie (Annie) Roepke June 12-1, 2013 November 5-6, 2012 Boston, MA www.gamesforhealtheurope.org June 2012 Games for Health Conference www.gamesforhealth.org

Notes de l'éditeur

  1. I’ve spent more time in prison than most of you in this room have. Luckily, the guards always let me out at the end of the day.  I wasn’t doing time, but rather I was spending time in prison trying to help people prepare for turning life around once they got out. Most of my work was actually done in halfway houses, where I tried to help people achieve their goals and keep from going back behind bars. I like to think that at least a few of my clients learned something from me. I can say with confidence that I learned from them. Your first reaction might be to think that if someone has landed themselves in prison, they probably don’t have life all figured out, and they’re probably not someone who you would want to emulate. In fact, most people probably think that the most we can learn from someone in prison is a cautionary tale about what NOT to do in life. But truly, some of the people I met I halfway houses were among the most strong, determined, thoughtful, and inspiring people I know. Most people who end up in prison have faced most obstacles before the age of 12 than I’ll ever face in my lifetime. And while some of these people were seemingly crushed by these experiences, others rebounded after prison and were able to support and inspire others in a similar journey.
  2. Playing games in more fun than going to therapy.
  3. Playing games in more fun than going to therapy.
  4. Playing games in more fun than going to therapy.