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Welcoming Nova Scholars Christina Bethell and Diana Fishbein

October 17, 2024

The Nova Institute is pleased to announce our newest Nova Scholars, Christina Bethell, PhD, MBA, MPH and Diana H. Fishbein, PhD. Together, Dr. Bethell’s and Dr. Fishbein’s projects highlight the importance of integrating science, policy, and public engagement to drive change and promote child well-being.

Christina Bethell is a professor at Johns Hopkins University in the Bloomberg School of Public Health and School of Medicine. Her work advances a new science of thriving to promote the early and lifelong health of children and families by translating science into tools to inform and drive positive systems change. Dr. Bethell’s extensive research has led to the development and local-, state-, and national-level implementation of child and family health measures on aspects such as developmental screening, adverse childhood experiences, family resilience and connection, the Whole Child Risk Index, and more. 

Dr. Bethell’s work as a Nova Scholar aims to establish sustainable partnerships, policies, and practices that promote the well-being of children and families, with a focus on early relational health and positive childhood experiences. Her project will leverage advancements in science, technology, and public awareness to scale evidence-based models and innovations. Dr. Bethell will build on her leadership in national initiatives such as the recent National Academies of Sciences, Engineering, and Medicine’s Launching Lifelong Health report, the national Engagement in Action Framework (EnAct!), and the Prioritizing Possibilities national agenda. Collaborating with other Nova Scholars and stakeholders, the project seeks to accelerate progress, create integrated systems that support child and family flourishing, and transform public health and health care by ensuring children thrive in environments that nurture their development.

Diana (“Denni”) Fishbein is a senior scientist at the FPG Child Development Institute at the University of North Carolina, Chapel Hill. She is also founder and co-director of the National Prevention Science Coalition to Improve Lives, a large professional organization dedicated to the transfer of knowledge from science to public health policies. Her career includes deep expertise in the fields of prevention science, neuroscience, and behavioral science, with a focus on the impact of social determinants of health on brain development and behavioral and mental health in children and adolescents. 

Dr. Fishbein is also a policy advocate and has worked extensively with state and national legislators, agencies, and other organizations to promote well-tested strategies shown to support behavioral and mental health.

Dr. Fishbein’s Scholar project declares the next ten years the “Decade of the Child, ” envisioning a future of health and well-being for all children in the United States. To improve conditions under which child are born, live, learn, and grow, research must focus on developing and implementing evidence-based programs and policies that ameliorate adverse social determinants like poverty and inequities and foster nurturing environments and relationships. This project will work to garner support from the National Institutes of Health, the incoming administration, Congress, and the public by signaling a shift to a much-needed national strategy that prioritizes our children and future generations. Numerous organizations, societies, foundations, and individuals are endorsing this effort and will collaborate at all levels to create the political and public will to elevate whole child health and well-being in our discourse, practices, systems, and policies. 

We’re excited to support these dedicated advocates for child well-being and flourishing. Read more about Nova Scholars Christina Bethell and Diana H. Fishbein. 

Healing is facilitated through safety, persistence, and trust.

  • Persistence: “People did not simply progress through this sequence and experience healing. The healing journey was a recursive, back and forth process. They found helpers, used the skills/resources that those helpers provided, found other helpers that provided more resources and used those skills and resources. As this process continued, people experienced a gradual amelioration of their suffering. Although many despaired at times, all demonstrated the quality of persistence—they refused to give up.”
  • Safety & Trust: “To connect to helpers, it was essential for people to feel safe in those relationships and able to trust that the person would be a helper and not a barrier to healing. Persons whose wounds included a violation of trust were especially careful about testing the safety of new relationships.”

Resources support us as we heal. They include reframing, responsibility, and positivity. “Making connections enabled participants to acquire and refine resources and skills that were essential in their healing journey. People also brought their own personal strengths to the journey.”

  • Reframing: “A particularly important skill was the ability to reframe—that is to look at suffering through a different lens.” This does NOT mean minimizing trauma or pain, but rather it often means the opposite: understanding what happened was wrong, unfair, or uncontrollable and that we are not to blame for it.
  • Responsibility: While we don’t have control over what happened to us, we are the only ones who can help ourselves heal. “A third essential resource that people acquired or refined was the ability to take an appropriate amount of responsibility for their healing journeys. They participated actively in the process of healing. Once again, some participants already had developed this skill, and some acquired or refined it from their helpers.”
  • Positivity: “Another resource that people acquired or refined during their healing journey was choose to be positive—that is to have some optimism about their situation.” People have varying predispositions to positivity. In the study, positivity was important in helping people heal. This doesn’t mean a toxic positivity, but rather simply finding some good in life and feeling hopeful about our situations.

“Connection to others was an essential part of all the healing journeys.” Humans are social creatures, and even the most introverted of us need close relationships. Friends and family add meaning and value to life and help support us, in good times and bad. 

When we experience relational trauma, relationships can feel scary, but reestablishing safety and trust in relationships is where the healing happens. (To be clear, we do not mean reestablishing safety and trust with abusers, but rather finding other healing relationships.) 

“When safety and trust had been established, people were able to connect with helpers. The nature of the behaviours of helpers that fostered healing ranged from small acts of kindness to unconditional love.”

  • “Moving from being wounded, through suffering to healing, is possible. It is facilitated by developing safe, trusting relationships and by positive reframing that moves through the weight of responsibility to the ability to respond.”
  • “Relationships with health professionals were among these but were not necessarily any more important to the healing journey than other kinds of helpers, which included family members, friends, spirituality and their God, pets, support groups, administrators, case workers and supervisors.”

Healing probably means different things to different people, but one definition that emerged from the study is: “The re-establishment of a sense of integrity and wholeness.” 

Healing was an emergent property that resulted from each individuals’ complex healing journey, a result of bridged connections between resources and relationships. “…they gradually found relief from suffering and began to exhibit emergent characteristics: a sense of hope, self-acceptance, and a desire to help others—the immediate precursors to healing.”

 In varying degrees, “they were able to transcend their suffering and in some sense to flourish.” 

  • Helping Others: We find meaning in helping others. “Understanding that suffering gives the strength and experience to help others in similar situations.”
  • Hope: We begin to have hope that we will not always feel this bad. A Crohn’s patient said, “I think gradually I realized that I was going to feel better. I did have days when I actually didn’t vomit, when I did feel better. And I think gradually I came to believe that maybe I could have a normal life again.”
  • Self-Acceptance: We see our inherent value and understand that we are not to blame for our suffering. A participant living with HIV said, “I’m really proud of myself. I think that now I still want to live. I don’t want to die, and I really love myself a lot. I have a lot of comfort in myself.”

Suffering is the ongoing pain from wounding. 

There is some debate about whether people always experience suffering on the path to healing.

Wounding happens when we experience physical or emotional harm. It can stem from chronic illness or by physical or psychological trauma for which we do not have the tools to cope, or a combination of those factors. 

“The degree and quality of suffering experienced by each individual is framed by contextual factors that include personal characteristics, timing of their initial or ongoing wounding in the developmental life cycle and prior and current relationships.”

Characteristics: How predisposed someone may be to wounding/how many tools and resources someone may have to deal with trauma/illness.

Lifestages: Developmental timing plays an important role in the impact of trauma — young children often do not have the same resources as older adults.

Relationships: Relationships can provide solace and support for those suffering, while lack of healthy relationships can prolong suffering.