Self-acceptance Research Articles

Prior Knowledge, Acceptance, Adaptation, and Challenges Following Stoma Formation among Colorectal Cancer Patients in Northern Peninsular of Malaysia: A Qualitative Study

INTRODUCTION: Stoma formation affects an individual in various ways, including physical, emotional, social, and cognitive functions. Diverse studies report ways of an individual lives with new stoma formation. However, the comprehensive understanding of the entire process by the patient, which includes knowledge before the surgical procedure, as well as the subsequent acceptance, adaptation, and challenges to living with a stoma is lacking. MATERIALS AND METHODS: In-depth interview session were conducted with 12 colorectal cancer patients who have undergone surgical procedures for intestinal stoma formation. The patterns and themes within the data were identified by thematic analysis, involving data familiarisation and coding followed by themes’ generation and refinement of the themes. RESULTS: Four themes and 9 subthemes were identified, which revealed the sufficiency of stoma-related information and understanding prior to surgery as well as positive acceptance of self and family members reflected through their reactions and support. Nonetheless, the challenges were anticipated which highlights the complications of the stoma itself, obstacles surrounding social life, and financial burdens. CONCLUSION: This study provided valuable insights into the experiences of individuals living with a stoma following colorectal cancer surgery. The themes and subthemes highlight the need to address social stigma as well as financial issues to alleviate the burden of stoma-related expenses. Increasing public awareness and improving financial assistance could be a way to enhance the overall quality of life for patients living with stoma

One or many labels? a longitudinal qualitative study of patients' journey to diagnosis at a specialist NHS Postural Tachycardia Syndrome (PoTS) clinic.

Postural Tachycardia Syndrome (PoTS) is a poorly understood syndrome of multiple disabling symptoms. This study explored the process of seeking a diagnosis of PoTS. Analysis focused on changes before and after participants' first appointment with a national PoTS clinic, and explored whether a diagnosis is beneficial in the context of multiple co-occurring conditions and an absence of licenced treatments. A longitudinal, qualitative study. Participants (n = 15) in this nested qualitative study were recruited from a larger study of people who had been newly referred to a National specialist NHS Cardiology PoTS service. Semi-structured interviews were conducted remotely before, and 6 months after their first appointment with the clinic. Data was analysed longitudinally and inductively using Reflexive Thematic Analysis. Three overarching themes were identified: "Slowly moving forward and finding positive gains", "Needing more pieces of the puzzle to see the bigger picture", and "The value and impact of investigations". Findings suggested that not much had changed in the 6 months between interviews. Participants were moving forward in terms of diagnoses, treatment and adjustment following their appointment, but many were still seeking further clarity and possible diagnoses. Investigations, appointments, and new-found problems, continued to have a substantial impact over time. The journey to diagnosis for patients with suspected PoTS appeared to promote acceptance of self, and of limitations posed by symptoms. However, many participants continued their search for an explanation for every symptom experience, and this may become increasingly complex, the more labels that have been acquired. Lack of clarity contributed to ongoing difficulties for this patient group alongside fraught relations with health care professionals (HCPs). A more coherent, integrated approach which is communicated clearly to patients is recommended.

Evaluation of the Cultural, Social and Emotional Wellbeing Program with Aboriginal women in the Boronia Pre-Release Centre for Women: a mixed methods study.

To assess the effectiveness of the Cultural, Social and Emotional Wellbeing Program for reducing psychological distress and enhancing the social and emotional wellbeing of Aboriginal women preparing for release from prison. Mixed methods; qualitative study (adapted reflexive thematic analysis of stories of most significant change) and assessment of psychological distress. Aboriginal and Torres Strait Islander women at the Boronia Pre-release Centre for Women, Perth, Western Australia, May and July 2021. Cultural, Social and Emotional Wellbeing Program (two days per week for six weeks). The Program involves presentations, workshops, activities, group discussions, and self-reflections designed to enhance social and emotional wellbeing. Themes and subthemes identified from reflexive thematic analysis of participants' stories of most significant change; change in mean psychological distress, as assessed with the 5-item Kessler Scale (K-5) before and after the Program. Fourteen of 16 invited women completed the Program; ten participated in its evaluation. They reported improved social and emotional wellbeing, reflected as enhanced connections to culture, family, and community. Mean psychological distress was lower after the Program (mean K-5 score, 11.3; 95% confidence interval [CI], 9.0-13.6) than before the Program (9.0; 95% CI, 6.5-11.5; P=0.047). The women who participated in the Program reported personal growth, including acceptance of self and acceptance and pride in culture, reflecting enhanced social and emotional wellbeing through connections to culture and kinship. Our preliminary findings suggest that the Program could improve the resilience of Aboriginal and Torres Strait Islander in contact with the justice system.

Trauma-Informed Undergraduate Medical Education: A Pathway to Flourishing with Adversity by Enhancing Psychological Safety.

We describe the Life Experiences Curriculum (LEC), which attempts to integrate medical student well-being with trauma-informed medical education. The long-term goal of LEC is to help medical students flourish with adversity and trauma, where flourishing refers to having a sense of purpose that arises from awareness of one's strengths and limitations, shaped by life experiences. The short-term goal of LEC is to develop students' relational capacities, such as acceptance and awareness of self and others, while building and maintaining students' psychological safety. We describe the conceptual rationale for these goals and the curriculum's development, implementation, evaluation, and limitations. The curriculum extends over four years and involves a preclinical seminar and students' individual and group reflection sessions with LEC faculty. The seminar addresses the coexistence of trauma and flourishing across life experiences, as well as how safety in relationships is impaired by traumatic experiences and must be restored for healing and growth. The physician faculty have no role in student evaluation and co-lead all LEC activities. LEC is intended to provide students with new language for understanding the process of trauma and flourishing in both individuals and systems and to build and sustain students' relational capacities. There are ongoing efforts to re-imagine self-care as communal-care in which care and support are given and received in a community of students and faculty. Such a model may help build the relational capacities needed to deliver trauma-informed care and also promote flourishing with adversity in healers and in those seeking to be healed.

Impact of communication and relationships on student satisfaction and acceptance of self- and peer-assessment

Impact of communication and relationships on student satisfaction and acceptance of self- and peer-assessment

Resilient, social and psychological adaptation of students to the educational environment of the university

Introduction. Social tension in society has led to an increase in the number of students with mental health disorders. An urgent need to create psychological assistance services in the system of higher education has arisen. However, the directions and priorities of its functioning remain unclear. The psychological service in the system of higher education is actively developing. Psychological science should look for conditions for successful psychological support of the learning and development of students, their social and psychological adaptation. Materials and methods. 80 girls and 75 first-year boys studying in pedagogical specialties were included in the sample were included in the sample. The empirical study took place in March after 6 months of adaptation. Research methods: The methodology "Motivation for learning at a university" was proposed by T. I. Ilyina, the Method for diagnosing sociopsychological adaptation of Rogers - Diamond (adaptation by A. K. Osnitsky, 2004), the Method "Adaptation of students at a university" (T. D. Dubovitskaya, 2010), Questionnaire "The resilient of an adult" (A. V. Makhnach, 2013). Research results. Qualitative and quantitative analysis helped to distribute students into three groups with different levels of adaptation to the educational environment of the university. So, 20% of students are adapted at a high level; 65.16% - at the average level; 14.84% - at a low level. Every fourth student is resilient (25.81%). They have the potential to deal with difficult life situations, as well as for self-development and personal growth. Every sixth (18.06%) has low hardiness, and slightly more than half (56.13%) has moderate hardiness. A correlation study showed that the higher the resilience of students, the higher their adaptability, acceptance of themselves and others, emotional comfort, internality, motivation "acquisition of knowledge" (r = .363; p < 0.05; r = .358; p < 0 .05; r = .670; p < 0.01; r = .630; p < 0.01; r = .521; p < 0.01; r = .683; p < 0.01). Conclusion. The resilient of students is associated with the successful adaptation of students. Viable students are highly satisfied with the social position in the student group, the effectiveness of their educational activities; emotional comfort; acceptance of self and others; infernality and activity; the motive of obtaining knowledge. Purposeful psychological work to improve the resilient of students will contribute to their successful social and psychological adaptation

Differential Magnitude of Resilience between Emotional Intelligence and Life Satisfaction in Mountain Sports Athletes.

The field of mountain sports has its own characteristics, different from other sports modalities. Emotional intelligence and resilience not only refer to the adaptive capacity that can be developed after an adverse experience, but can also be factors that positively affect sporting performance in extreme conditions. In this study, 4818 athletes from the Spanish Federation of Mountain Sports and Climbing participated; 2696 were men (67.1%) and 1322 were women (32.9%), with a mean age of 49.42 years (±11.9). The Resilience Scale (RS-14), Wong Law Emotional Intelligence Scale (WLEIS-S) and Satisfaction with Life Scale (SWLS) were used. The aim was to provide evidence for the potential for resilience (personal competence and acceptance of self and life) among EI and life satisfaction in mountain and climbing athletes. The results showed that the coefficients of determination of personal competence [(Q2 = 0.286); (R2 = 0.578)], acceptance of self [(Q2 = 0.310); (R2 = 0.554)] and life satisfaction [(Q2 = 0.299); (R2 = 0.421)] for the estimation of the measurement model indicated a good model fit. In the future, it would be necessary to carry out specific studies discriminating by sport modality and methods for this area, with a large number of athletes and disciplines, as well as evaluating its possible applications for the improvement of emotional factors.

Exploring the Psychometric Properties of the Resilience Scale

AbstractThe aim of this paper was to critically evaluate the Resilience Scale (RS). The RS is a standardized 25-item self-report assessment tool that measures the degree of individual resilience focusing on positive psychological characteristics instead of deficits. Participants are required to rate, using a 7-point Likert item, how much they agree or disagree with the statements and how much they identify with them; higher scores reflect higher levels of resilience. The test authors suggest that five dimensions underpin the RS: equanimity, perseverance, meaningfulness, self-reliance, and existential aloneness, and the scale loads onto two factors described as personal competence and acceptance of self and life. However, there is little empirical support for the conceptual framework. The tool has been translated and validated in several languages as well as administered to over 3 million people around the world in 150 countries, making it the most widely used resilience measure. Nevertheless, there are questions with regards to the underlying construct and content validity, since the proposed theoretical constructs underpinning the scale are open to debate. Despite its popularity and apparent reliability, there are potential difficulties with the measure which are presented here. Finally, it is suggested that the scale would benefit from further examination of the underlying constructs which contribute to resilience.

Correlations Between Stuttering Severity and Satisfaction With Life, Self-Acceptance, Self-Compassion, and Avoidance in People Who Stutter: Variability by Sources of Support

Purpose: The primary purpose of this study was to evaluate correlations between stuttering severity and satisfaction with life (SWL), self-acceptance (SA), self-compassion (SC), and avoidance among people who stutter (PWS) and did seek support or did not seek support from family, friends, and the National Stuttering Association (NSA). Method: This study surveyed 47 self-identified PWS from a larger study in order to obtain information on background, avoidance, SA, SWL, and SC. Correlation analyses were used to examine concurrent associations. Results: Stuttering severity was significantly correlated with lower SA and higher avoidance among PWS who did not seek support from friends. Stuttering severity was not significantly correlated with lower SA, lower SC, or higher avoidance among PWS who sought support from friends or family. However, correlations between stuttering severity and lower SWL were similarly strong and significant among PWS who did and did not seek support from friends and from family. Stuttering severity was significantly correlated with lower SA and lower SWL among PWS who sought support from the NSA, but not correlated with these variables among PWS who did not seek support from the NSA. Conclusions: Correlations between greater stuttering severity and lowered SWL, SA, SC, and increased avoidance were not reduced with presence of formal support (i.e., NSA) but were nonsignificant with support from friends in some cases. Additional research is needed to address why a person is more or less likely to seek support and the impact support has on the life of the person. The clinical implications involve determining help-seeking behavior and the potential barriers to help-seeking.

Psychometric Properties of the Persian Version of Resilience Scale in Iranian Adolescents

Background: According to the Wagnild model, resilience as an initial trait is critical in overcoming challenges and protecting wellbeing. Objectives: This study aimed to investigate the psychometric properties and cultural adaptation of the Persian version of the Resilience Scale (RS), including validity, reliability, and factor analysis in the adolescent population. Methods: The scale was translated and adapted using a standard method and a pilot study after receiving permission from the original author. This cross-sectional study investigated the face, content, criterion validity, construct validity, and reliability of RS. A sample of 419 adolescents aged 12 - 18 was selected by convenient sampling in Tehran, Iran. The subjects completed the RS, Beck depression inventory-II, and Mental Health Continuum Questionnaire. Results: The quantitative and qualitative analyses of scale items and modifying them based on the feedback of participants and experts showed that face and content validity was acceptable. Factor analysis confirmed the two-factor structure described by Wagnild and Young, including personal competence and acceptance of self and life. Moreover, Cronbach’s alpha exceeded 0.84, showing the scale has strong internal consistency. There was also a significant negative correlation between RS and the total score of the depression inventory. At the same time, there was a positive correlation between RS and the score of the mental health questionnaire, indicating acceptable criterion validity. Conclusions: Persian version of the RS can be considered a valid and reliable instrument to measure resilience in adolescent populations. Therefore, researchers and mental health professionals can use it for therapeutic, preventive, and research purposes.

Psychometric Properties of the Persian Version of Resilience Scale in Iranian Adolescents

Background: According to the Wagnild model, resilience as an initial trait is critical in overcoming challenges and protecting wellbeing. Objectives: This study aimed to investigate the psychometric properties and cultural adaptation of the Persian version of the Resilience Scale (RS), including validity, reliability, and factor analysis in the adolescent population. Methods: The scale was translated and adapted using a standard method and a pilot study after receiving permission from the original author. This cross-sectional study investigated the face, content, criterion validity, construct validity, and reliability of RS. A sample of 419 adolescents aged 12 - 18 was selected by convenient sampling in Tehran, Iran. The subjects completed the RS, Beck depression inventory-II, and Mental Health Continuum Questionnaire. Results: The quantitative and qualitative analyses of scale items and modifying them based on the feedback of participants and experts showed that face and content validity was acceptable. Factor analysis confirmed the two-factor structure described by Wagnild and Young, including personal competence and acceptance of self and life. Moreover, Cronbach’s alpha exceeded 0.84, showing the scale has strong internal consistency. There was also a significant negative correlation between RS and the total score of the depression inventory. At the same time, there was a positive correlation between RS and the score of the mental health questionnaire, indicating acceptable criterion validity. Conclusions: Persian version of the RS can be considered a valid and reliable instrument to measure resilience in adolescent populations. Therefore, researchers and mental health professionals can use it for therapeutic, preventive, and research purposes.

The Thirdspace Movement Model for Inclusion and Social Justice in Physical Education

This article introduces the concept of a new curricular model that addresses these issues through the body. The Thirdspace Movement Model can be integrated in K-12 Physical Education in coordination with other models. The Thirdspace Movement Model creates an environment where students practice movements and engage in critical discourse that address embodied identity. Through movements, the model fosters; 1) self-awareness which can lead to self-identity and self-acceptance, 2) embodied movement experiences that can lead to inner peace, 3) humanization, 4) acceptance of self and others, 5) reconciliation, 6) growth in connection with others, and 7) justice. The Thirdspace Movement Model can be integrated with existing PE units or introduced as a stand-alone unit. Self-awareness and listening to the messages the body sends begins the learning experience. Students then explore and express through developmental progression and movement patterns with self and others. The experience culminates with critical dialogue activities aimed at reflecting how bodily knowing and embedded memories influence one’s movements and actions.

Validity and acceptance of self vs conventional sampling for the analysis of human papillomavirus and Pap smear

The newest high-risk human papillomavirus (HPV) detection techniques were included for cervical cancer primary screening under the Spanish National Health System in 2019. These analyses allow changing population approaches to foster adherence to screening. Therefore, the validity of self versus conventional sampling for HPV and cytology analyses was appraised. Women's preferences concerning samples and devices were also evaluated. This is a diagnostic accuracy cross-sectional study among 120 women recruited from a colposcopy clinic at a general hospital in Illes Balears, Spain. Participants were given written information and asked for a self-sample. One of two sets containing two devices each were handed. One set was transported dry and the second in liquid medium. Next, clinicians collected vaginal samples that were our gold standards. The agreement between both techniques was examined with the Kappa coefficient (κ). Self-sampling evaluation and preferences for different vaginal devices were also surveyed. The agreement between self and conventional samples concerning HPV positivity was very good (κ 0.86 for Mía by XytoTest® and 0.83 for Viba-Brush®) or reasonable (κ 0.73 for Iune and 0.68 for viscose swab). Pap smears from self-samples exhibited moderate agreement (κ 0.41 for Mía® and 0.51 for Viba-Brush® respectively) for negative versus ASC-US and worse results. Most of the participants considered self-sampling as beneficial (110 or 91.7%) and the advantages were, in decreasing order, scheduling, comfort, intimacy and less fear for pain or disturbance. The priority of choice for the devices was Mía® and viscose swab (chosen in first or second place) in opposition to Iune and Viba-Brush® (chosen in third or fourth place). If Viba-Brush® was to collect the best quality samples, 108 women (94.7%) switched their decisions. Our agreement between self and conventional samples was very good or reasonable for HPV, with the best values for devices in a liquid medium, and moderate for cytology. Even so, reflex cytology on self-samples is a valuable tool in promoting adherence. Self-sampling was widely accepted for smooth and thin devices. However, there is no resistance to change to others if a higher quality of the sample is obtained.

The role of emotional quotients and adversity quotients in career success.

Career success has been considered equally important for both personal and organizational development. The purpose of the current study was to examine how trait emotional quotient (EQ) and adversity quotient (AQ) contribute to individuals' objective career success (job position) and subjective career success (organizational commitment). Participants included 256 Chinese adults who completed four measurements-the Self-Reported Emotional Intelligence Test, Resilience Scale, Grit Scale, and the Affective, Continuance, and Normative Commitment Scale-and provided demographic information. After validating the four scales used in this study, multiple regression analysis revealed that only one aspect of trait EQ (regulation of emotion) positively predicted one component of organizational commitment (affective commitment). Adversity quotient was measured on two dimensions: resilience and grit. Only consistency of interest (grit) positively predicted affective commitment. Perseverance of effort (grit) and acceptance of self and life (resilience) positively predicted normative commitment. Personal competence (resilience) positively predicted continuance commitment but negatively predicted normative commitment. Only acceptance of self and life (resilience) positively predicted job position. Overall, these findings demonstrate the specific influence of trait EQ and AQ on career success for organizational professionals who want to improve organizational productivity as well as individuals who want to achieve success at work.

Posttraumatic stress disorder in demobilized ex-combatants from illegal armed groups in Colombia: Cross-sectional study.

The objective of this study was to describe the psychological and quality of life outcomes in demobilized Colombian ex-combatants. A cross-sectional study was conducted on 58 ex-combatants from the Colombian government's reintegration program. Posttraumatic stress disorder (PTSD) was measured by the Mini-International Neuropsychiatric Interview. We applied the Beck-II Depression Inventory, Resilience Scale, Everyday Discrimination Scale, and World Health Organization Quality of Life-Short Version (WHOQOL-BREF) for measuring symptoms of depression, resilience, discrimination, and quality of life, respectively. The prevalence of PTSD was 63,8%, principally on ex-combatants with ≤10 years in the reinstatement program. Females with primary/elementary school, extremely low social status, unipersonal family type, family income <1 minimal wage, and symptoms of depression showed a higher prevalence ratio (>1.30). The mean scores of depression symptoms, resilience, and quality of life were systematically poorer in the group with PTSD. Significant differences were found Resilience scale domains Personal Competence (p = .043) and Acceptance of Self and Life (p = .012), WHOQOL-BREF Psychological (p = .029) and Environment domains (p = .015). Colombian ex-combatants with PTSD attending a reinstatement program presented a higher frequency of depression symptoms, lower quality of life, and lower resilience than those without PTSD. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Adjustment Tendencies Among Transiting Students: A Mediation Analysis Using Psychological Wellbeing Indices

Most students have difficulties in getting use to the new environment that they find themselves especially when the settings of their previous school is different from where they are admitted newly. The study sought to carry out a mediation analysis of the link between psychological wellbeing and adjustment of transiting students. The study adopted a quantitative approach with a total of 1560 students used for the study. The instrument used for the study was a question that was validated appropriately. Data collected were analysed using the partial least squares structural equation modelling (PLS-SEM) to examine the direct and indirect effect of the psychological wellbeing on adjustment tendencies as well and variance explained by the variables. The results showed that there exist a direct effect of environmental mastery and self-acceptance on academic, emotional, and social adjustment. Personal relations have a direct effect on emotional adjustment and social adjustment but not for academic adjustment. Self-acceptance has a negative direct effect on environmental mastery. A significant direct effect exists between environmental mastery and positive relations (PR), self-acceptance has a direct effect on environmental mastery and self-acceptance (SEA) on positive relations. A partial mediation effect exists between self-acceptance and academic adjustment as mediated by environmental mastery but not with self-acceptance and academic adjustment as mediated by positive relations among others. Psychological wellbeing when combined, contribute to the variances in adjustment tendencies. Conclusions and further implication of the findings were discussed.

Being seen: The lived experience of psychodynamic practitioners disclosing or not disclosing sight impairment

ABSTRACT The taboo of therapist self-disclosure and literature addressing disclosure and disability issues from a psychodynamic perspective is explored. Research on disclosure decisions among physically impaired practitioners is limited. Interpretative Phenomenological Analysis qualitative research methodology was employed to understand the lived experience of psychodynamic practitioners with sight impairment to understand disclosure decision-making processes in a therapeutic setting. Six participants self-identified as sight impaired psychodynamic practitioners and were interviewed using a semi-structured questionnaire. Findings showed that the experience of working as a practitioner with sight impairment is a tenacious endeavour, requiring high levels of self-awareness and determination in navigating the minefield of self-disclosure, daring to be seen by others, holding the patient’s need to be seen and journeying through loss and acceptance of the changing self. Results showed that there is an inverse relationship between likelihood to self-disclose sight impairment and the extent to which practitioners work with unconscious process and transference. Ultimately, the capacity to reclaim disavowed parts of the self, defined therapists’ ability to make therapeutic disclosure decisions. Suggestions for future research, clinical and ethical implications are provided plus recommendations for impaired practitioners and those who work with difference.

'A blessing and a burden': Exploring posttraumatic growth in doctors with acquired invisible disability-An interpretative phenomenological analysis.

Qualitative studies of the relationship between acquired invisible disability (AcqID) and posttraumatic growth (PTG) are scant, especially in the context of healthcare professionals. This study aimed to explore in-depth accounts of the lived experience of PTG in doctors with AcqID arising from physical illness with cognitive dysfunction. Five doctors who had been diagnosed in the last decade with a physical illness with cognitive dysfunction resulting in an AcqID, and who self-reported at least one feature of PTG participated in this qualitative research study. Semi-structured interviews were used to collect data, which were analysed using interpretative phenomenological analysis. This study recognizedthat AcqID supported a process of PTG for participants. Three superordinate themes were apparent across the sample: identity (The human left behind), self (Acceptance of the disabled self), and rebirth (The phoenix rises from the ashes). Human connection, service as a value, and the role of the body were found to be key facilitators of PTG in these participants. This study offers new perspectives on cognitive-embodied appreciation in facilitating PTG in doctors with AcqID. While the participants perceived AcqID with cognitive dysfunction to be a trauma, they also experienced PTG, Corporeal PTG and a new considered domain, Cognitive-Embodied PTG. The unrealised potential of PTG can be harnessed if doctors with disability are viewed as assets to the medical profession, and diversity is promoted through the provision of appropriate support. Thus, there is potential to cultivate a flourishing, inclusive, and compassionate culture within medicine.

Emotional Intelligence, Resilience, and Self-Esteem as Predictors of Satisfaction with Life in University Students.

The present study examined if Emotional Intelligence (EI), resilience, and self-esteem predicted life satisfaction in university students. We computed correlations between the study variables, then, we compared the differences between men and women. Finally, a simultaneous multiple regression was performed. The sample was composed of 2574 university students (715 were men and 1859 were women), whose age ranged from 18 to 30 years with a mean (M) of 20.83 and a standard deviation (SD) of 2.45. The instruments used were the Wong and Law Emotional Intelligence Scale (WLEIS), the Wagnild and Young Resilience Scale (ER-25), the Rosenberg Self-Esteem Scale (RSES), and the Diener Satisfaction with Life Scale (SWLS). The results indicated that EI, self-esteem, and resilience correlated significantly and directly with satisfaction with life. Regarding sex differences, it was found that men had greater resilience, appraisal and recognition of emotion in others, and self-regulation of emotion. Women had greater appraisal and expression of emotion in self and self-esteem. The results showed that self-esteem, self-regulation of emotion, the use of emotion to facilitate performance, and acceptance of self and life as resilience factors predicted satisfaction with life. accounting for 48% of the variance. The variable that best predicted satisfaction with life was self-esteem.

Relational Health as a Pathway from Trauma to Flourishing in School Communities.

Because traumatic life experiences are common, teaching and learning can be difficult without recognizing how trauma can make people feel psychologically unsafe. Safety can be restored through healthy relationships. We present a framework for how relational health-the capacity to develop and maintain safe, stable, and nurturing relationships with others-may allow flourishing in school communities, even amidst past and ongoing adversity. We propose four key assets for relational health-awareness of self, acceptance of self, awareness of others, and acceptance of others. To support this framework, we developed a relational asset score using data from a survey of 214 early childhood education professionals and examined its association with meaningful work, purpose in life, work satisfaction, and intention to stay in one's program. School health requires relational health. Research should evaluate the associations between relational assets and the perceptions of safety and connection in school communities. Leadership can prioritize relational health by supporting staff in building and using their relational assets. School communities may be more likely to flourish, even amidst adversity, if all adults in the community prioritize relational health, which provides the psychological safety required for teaching and learning.