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Growth following adversity Theoretical perspectives and implications for clinical practice精品
Clinical Psychology Review 26 (2006) 1041 – 1053
Growth following adversity: Theoretical perspectives and
implications for clinical practice
Stephen Joseph a,⁎, P. Alex Linley b
a Department of Psychology, University of Warwick, Coventry, CV4 7AL, United Kingdom
b School of Psychology, Henry Wellcome Building, University of Leicester, Lancaster Road, Leicester, LE1 9HN, United Kingdom
Received 28 June 2004; received in revised form 19 September 2005; accepted 31 October 2005
Abstract
A number of literatures and philosophies throughout human history have conveyed the idea that there is personal gain to be
found in suffering, and it is an idea central to the existential-humanistic tradition of psychology. However, it is only relatively
recently that the topic of growth following adversity has become the focus for empirical and theoretical work. In this paper, we
review theoretical models of growth, and discuss the implications of growth for clinical practice. Three main theoretical
perspectives are reviewed, the functional-descriptive model, the meta-theoretical person-centered perspective, and the
biopsychosocial-evolutionary view. It is proposed that these three approaches to theory offer different but complementary levels
of analysis, and that theoretical integration between them is possible. We then go on to explore the implications of this theoretical
integration for clinical practice, and conclude with a consideration of the role of therapy in facilitating growth following adversity.
© 2006 Elsevier Ltd. All rights reserved.
Keywords: Adversarial growth; Posttraumatic growth; Stress-related growth; Perceived benefits; Thriving
1. Introduction
A number of literatures and philosophies throughout h
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