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The Public Health Network Cymru Conference Adverse Childhood Experiences: What it means for you Dr Aneta D. Tunariu Head of Psychological Interventions University of East London [email protected] twitter: @a_tunariu

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Page 1: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

The Public Health Network Cymru Conference

Adverse Childhood Experiences:

What it means for you

Dr Aneta D. TunariuHead of Psychological InterventionsUniversity of East London [email protected] twitter: @a_tunariu

Page 2: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

ACEs: contributions from Positive Psychology principles & research

• Asset based or positive approach to theory and practice

• The term positive used to denote an appreciative- vs. a deficit-centred model of psychological and organisational query

• Commitment to identifying and promoting the conditions and processes that contribute to flourishing and optimal functioning of people, communities and institutions (Gable & Haidt, 2005).

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

Applications of Positive Psychology e.g.,

• children’s development: greater use of intrinsic motivation, positive affect, creativity, personal strengths & resilience in schools.

• children’s counselling: emphasize hope, meaning, and self-healing.

• job satisfaction: optimised work environment, optimised performance including - authentic rewards at work (flow; impact; wellbeing)

• improvement of organizations: empowering, trust, belonging, shared goals & inclusive social ethics

Page 3: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

I can

I am

I enjoy

I share

My choices

Positive Relationships

Emotional Regulation

Skills

Relational Skills

Self awareness &

Self valueSense of justice

Hope Purpose

Growth through adversity. Resilience & Self Actualisation

Community Belonging

Positive Emotions

Page 4: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

Topics for discussion:

• Positive Psychology• Asking different questions: What works well in spite of? • Skills for change, skills for growth: working with positive & negative

emotions

• How can I develop my resilience and wellness so that I can improve my professional impact on others? [Small group discussions]

WORKSHOP 2: Positive Psychology in my practice

Page 5: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

ACEs: contributions from Positive Psychology principles & research

• Both the “why” & the “how” questions

• Appreciative Enquiry Approach: asking different questions

• The “what is working well in spite of ….” (e.g., Boniwell, 2017)•Appreciate what works well•Capitalise on positive emotions•Overcome circular thinking

•Re-craft using strengths•Nurture creativity

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

Page 6: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

Appreciative Enquiry Approach: asking different questions

• The “why” questions (Grant, 2006)

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

• The “how” questions

“What are your thoughts about this problem?” • “How do you react when you have those thoughts?” • “What impact is thinking about this issue having on you?”

“What are your thoughts about this possible solution?” • “How do you react when you have those thoughts?” • “What impact is thinking about this issue having on you?”

Page 7: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

The impact of asking why or how questions – findings

Solution-focused (SF) is more optimal than Problem-focused (PF)

More Positive Affect & Greater understanding of goal/needs

Positive Affect has big impact on mood and on action planning

Combined effects of PA+SF are best conditions for:

self-efficacy

goal progression

action planning

… feeling good is beneficial

… feeling good + clear goals = most optimal (Grant, 2006)

Dr Aneta D. Tunariu7

Page 8: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

Positive emotions – a domino effect

Positive : Negative Ratio > 2.9 : 1

Positive emotions signal health and well-being.

Positive emotions: generate well-being, sustain health, and promote psychological conditions for success.

Page 9: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

Appreciative Enquiry Approach: asking different questions

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

“It is a joy to be hidden, but a disaster not to be found” (Winnicott, 1958)

Strengths questionsWhat is the best thing about you?When are you at your best?What brings out your best?What is your most significant achievement?

World Economic Forum

Page 10: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

Appreciative Enquiry Approach: asking different questions

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

The Reflective self• Ability to think about ourselves: who we are, choices we make, what

we want ‘to become’• Process for self enhancement including ethical accountability

Maintaining a positive attitude towards the self is fundamental for wellbeing and self – care

Page 11: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

Appreciative Enquiry Approach: concluding thoughts

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

“Why does man not see things?

He is himself standing in the way: he conceals things”

(Nietzsche, Daybreak, 1881: 438)

Challenge = Opportunity Optimise strengths

Page 12: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

We first develop habits, then habits develop us.

Dr Aneta D. TunariuHead of Subject for Psychological InterventionsUniversity of East London [email protected] twitter: @a_tunariu

Thank you

Page 13: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

Boniwell, I. & Tunariu, A.D. (in press). 2nd Edition. Positive psychology: Theory, research and applications. Oxford: McGraw-Hill.

Grant, A. M., & Hartley, M. (2013). Developing the Leader as Coach: Insights, strategies and tips for embedding coaching skills in the workplace. Coaching: An International Journal of Theory, Research and Practice, 6(2), 102–115

Grant, A. M., Curtayne, L., & Burton, G. (2009). Executive coaching enhances goal attainment, resilience and workplace well-being: A randomised controlled study. Journal of Positive Psychology, 4(5), 396–407

Lindley, P. A., Joseph, S., Harrington, S. & Wood, A. M. (2006). Positive psychology: Past, present, and (possible) future, The Journal of Positive Psychology, Vol.1 (1): 3-16.

Joseph, S. & Linley, P.A. (2006). Growth following adversity: Theoretical perspectives and implications for clinical practice, Clinical Psychology Review Vol. 26: 1041–1053.

Bibliography

Page 14: Adverse Childhood Experiences: What it means for you...3 March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive

March, 15th 2017 Adverse Childhood Experiences: What it means for you . ACEs in Conversation. Positive Psychology. Positive Psychology in my practice. Dr Aneta Tunariu UEL [email protected]

Tedeschi, R.G. (1999). Violence transformed: posttraumatic growth in survivors and their societies. Aggression and Violent Behavior, Vol. 4 (3): 319–341.

Tribe, R. & Tunariu, A.D. (2017, in press). Psychological Interventions in the context of Cultural Psychiatry. In D. Bhugra and K. Bhui (Eds). Textbook of Cultural Psychiatry. Cambridge: Cambridge University Press.

Tunariu, A.D., Tribe, R., Frings, D. & Albery, I.P. (2017, under review). The iNEAR programme: an existential positive psychology intervention for resilience and emotional wellbeing. International Review of Psychiatry. Special Edition.

Tunariu, A.D. (2017, in press). Coaching for resilience within an Islamic context. A Case study. C. van Nieuwerburgh and R. Al-Laho. The Principles and Practice of Coaching in Islamic Culture. London: Karnac.

Van den Bos, K. (2009). Making Sense of Life: The Existential Self trying to deal with personal uncertainty, Psychological Inquiry, Vol. 20 (4): 197-217

Van Nieuwerburgh, C. (2017). 2nd Edition. Introduction to coaching skills: A practical guide. London: Sage.

Wong, P. T. P. (2010). What is existential positive psychology? International Journal of Existential Psychology and Psychotherapy, Vol. 3: 1–10.