Liese Groot-Alberts, ANSPM Conference,

September 19th 2020

Resilience in Times of Uncertainty

Uncertainty

“Uncertainty is the only certainty there is,

and knowing how to live with insecurity

is the only security.”

~John Allen Paulos.

Liminal space (Arnold van Gennep, “Les Rites de Passage, 1909)”

• The liminal space is the time between the ‘what was’ and the ‘next.’ It is a place of mystery.

•Liminal space is where all transformation takes place, if we dare to be present, wait and listen.

“Make the best use of what is in your power and take the rest as it happens.” Epictetus.

Wrestle with uncertainty

• A fighting stance

• Hyper-vigilance

• Resistance

• Out of balance

• Winner and loser

• Toughness

Dance with uncertainty

• Integrity

• Trust

• Surrender

• Being flexible

• Partnership

• Strength

Covid-19 restrictions

More uncertainty

Omke Fokke

Jan. 3rd 1924-Oct. 28th 2004

Family dynamics

Team dynamics

Moral injury

• Moral injury occurs when we perpetrate, bear witness to, or fail to prevent an act that transgresses our deeply held moral beliefs. In the health care context, that deeply held moral belief is the oath each of us took when embarking on our paths as health care providers: “alleviate suffering and do no harm”.

Resilience

“A universal capacity which allows a person….to prevent, minimiseor overcome damaging effects of adversity.

It is not just about reforming but about the possibility of growth.”

Monroe and Oliviere, in Resilience in palliative care, 2016.

Factors that foster Resilience.

Relationships and Community

Self-worth/Self-esteem

Competence, Strengths

Maintaining Perspective

Self care and Self awareness

Generating Positive Feelings

Connecting to Purpose/Meaning

The Foundation of Resilience

If love has not been smothered under fear, resentment, grievances and

hatred, but has been firmly established in the mind,

trust in other people and belief in one's own goodness are like a rock

which withstands the blows of circumstances.

Melanie Klein:

“Love, Guilt and Reparation”. 1937. Iesha Evans, Baton Rouge protests, July 2016. Photo: Jonathan Bachman

I come to the fear of love

As I have often come,

To what must be desired

And to what must be done.

Only love can quiet the fear

Of love, and only love can save

From diminishment the love

That we must lose to have.

We stand as in an open field,

blossom, leaf and stem,

Rooted and shaken in our day,

Heads nodding in the wind.

Poet: Wendell Berry

Whakataukī

tū pakari tonu mai

e te Whare Tapa Whā

Let the house of health and wellbeing stand strong!

www.liesegrootalberts.com

liese@liesegrootalberts.com

Tige Tank, Noho ora mai rā, Thank you

Salamat po, Terima kasih

Faafetai lava, Dhanyavaad

धन्यवाद

谢谢 , Xièxiè