Abstract
A syndemic occurs when two or more afflictions create a greater burden than either would produce alone. The interaction of COVID-19 with the highly publicized acts of racism this past year have produced a syndemic that will require a fresh, multi-faceted form of resiliency if society is to recover and become stronger. This editorial interviews two Olympians, Wendy Bruce-Martin and Justin Spring, who are exemplars of the kind of discipline and creativity needed to bounce back from both personal and professional set-backs. Coaction research findings are discussed and the components recommended by the American Psychological Association for building resilience are reviewed.
A syndemic is a “set of linked health problems involving two or more afflictions, interacting synergistically, and contributing to excess burden of disease in a population.” 1 With the syndemic definition in mind, it may be a misnomer, even misleading, to cast COVID-19 as a pandemic. 2 That is because the excess burden of the Coronavirus has fallen squarely on people of color and those with lower socio-economic status. This syndemic is not merely a comorbidity between a virus and poverty, but rather a plague exacerbated by insidious social and political interaction affects, 3 I have come to consider COVID-19 alongside this past year’s racist atrocities as the most vexing syndemic of our time. Just as most other infectious diseases have historic ties to economic and social disparities, the intractability of COVID-19 should be forever bound to the murder of George Floyd and the litany of other highly publicized killings of Blacks in 2020 and 2021.
The syndemic of COVID-19 and racism has supercharged the damage that each can cause separately. Confronting one without battling the other is like treating a symptom and ignoring the disease’s cause. When a certain model plane falls from the sky, it behooves us to find and fix the root causes of the failure before we fly any of those models again. When two or more root causes are responsible for a calamity, a prudent response is more about improving the overall system design rather than merely about fixing a system flaw.
Resiliency and Coaction
Many organizations are reviewing principles of resiliency as they consider whether recovering from this syndemic must include rethinking work culture and service delivery models. How can the health promotion profession provide leadership such that organizations or communities don’t just return to normal but rather leverage the post syndemic period as a time for redesigning approaches to improving well-being. The terrorist attacks of September 11th, 2001 spawned a rebuilding of America’s security infrastructure. How should a syndemic of viral racism and viral infections inform new and better ways to build well-being for all?
One approach that seems responsive to a syndemic is to consider recovery as a multi-faceted and coordinated re-design challenge rather than the usual way that resiliency interventions are directed at a single behavior intended to solve for one problem at a time. One of the more interesting research discoveries this past decade relates to coaction, the finding that successful actions to improve one behavior increases the odds of successful actions that improve another behavior. This may seem counter intuitive if you have been trained to intervene on habits one at a time or a little at a time. Nevertheless, when interventions are designed to encourage gradual stages of change across multiple habits, research suggests people are one to five times more likely to be successful. 4
How would a resiliency campaign be designed that simultaneously helps us bounce back from the set-backs we experienced from COVID-19 as well as the social upheaval that affirmed the need for the Black Lives Matter movement? Are vaccine hesitancy and skepticism about the merits of critical race theory related? And if so, how will resilient organizations and individuals bounce back from these challenges and come out stronger together?
I don’t know.
But, as a career educator, I’ve come to appreciate that concept formation is abetted by best examples, that metaphors spark ideation and that stories can offer powerful grist for the systems redesign mill. Some of the most compelling examples of individual and organizational resiliency can be found in sports. Athletes in general, and elite performers in particular, regularly face set-backs and manage not only to recover, but to get better at their game in the process. It’s not coincidental that the concept of resiliency is often likened to the physiology of strengthening muscles. Building stronger muscles is a function of recovering from repeated stresses and associated mini muscle tears.
The following interview explores both personal and professional resiliency challenges occurring in the world of gymnastics. I am a former college gymnast and coach so I was delighted that gymnastics Olympians Justin Spring and Wendy Bruce-Martin agreed to share their stories about how they bounced back from tough set-backs. I sought out renowned leaders from the gymnastics community because their beloved profession is faced with dire resiliency co-action challenges. Gymnastics is a risky sport and serious gymnasts are routinely recovering from intense mental and physical challenges. Related to this, in a sports syndemic of sorts, the gymnastics industry and profession itself has also been facing existential risks. For women’s gymnastics, their sport’s leaders are facing the most fundamental of challenges; that of rebuilding trust after exposing young athletes to horrendous sexual and emotional abuse cases. For men’s gymnastics, the business model clearly needs thoughtful retooling after decades of waning financial support from universities.
“Athletes need to be able to separate who they are from what they do”
Wendy Bruce
As you will learn in this interview, Bruce and Spring, both All-Around event performers, are eminently qualified to take on more than one daunting challenge at a time. You can readily find extensive, and incredible, profiles and biographies of Bruce and Spring via online searches.5-8 By way of a brief summary, both Wendy Bruce-Martin and Justin Spring are Olympic team bronze medal winners and both have sagging shelves full of trophies from USA and World Championship podiums. Bruce was inducted into the USA Gymnastics Hall of Fame in 2010 and Spring won the 2006 Nissen-Emery Award, an honor (like the Heisman Trophy) that goes to the top male gymnast in the nation.
Currently Justin Spring is head coach for University of Illinois Men’s Gymnastics and, at the time if this interview, he was in Tokyo, Japan supporting team USA and one of his Illini gymnasts who qualified for the Australian Olympic team.
Wendy Bruce-Martin is a mental toughness trainer and coach and regularly writes about “getting psyched” on her web page. 9
As a lifelong gymnastics fan, I never imagined I’d find myself comparing the challenges facing a sport that produces our nation’s sweethearts to the kinds of legal problems faced by oil or drug companies. You will see both Bruce and Spring share a comfort with accountability and role model the creative problem-solving skills that will be needed for a coaction approach to resiliency.
In an interview with Dr. Amy Edmondson in these pages we discussed how leading organizations foster psychological safety at work. 10 Leaders who inculcate safety understand deeply that fear is not a motivator. Rather, acceptance of individual differences, dissenting voices and continuous learning, including learning from mistakes, is the norm. Can you reflect on a mentor or role model who you would credit as creating a safe environment? Were they the norm or the exception in your experience of leaders in the gymnastics community?
Wendy, I expect you’d agree that it’s not only psychological safety that has been missing in many gymnastics gyms, some young athletes have stepped forward with stories of abusive cultures where fear of not making the team has been an intentional motivational strategy. This has reportedly occurred alongside body shaming, minimizing injuries and closed work outs to hide verbal abuse. In contrast, UCLA college gymnast Katelyn Ohoshi was a viral sensation who spoke out about body acceptance. 11 Her coach, Valorie Kondos Field, now retired, stressed integrity and a philosophy of balance and love. 12 As a mental coach, are there specific theories and philosophies you advocate that would shift coaches toward kinder, gentler approaches?
In an interview with Olympian Jesse Diggins in these pages, she candidly shared the depth of stigma she felt dealing with her eating disorder. She described how the stigma related to having an illness fueled her denial of a problem that was quite literally putting her life at risk. 13 Building the combination of lightness and strength needed to excel at gymnastics while discouraging eating disorders is a big challenge. Wendy, can you point to programs or systems that the sport should emulate that are striking the right balance? A system for disciplined training that doesn’t evoke extreme behaviors?
Justin, men’s gymnastics faces a different existential threat than stories of abuse. The survival of the sport has teetered for years on NCAA accommodations to host a national meet and a shrinking number of Division One Universities are budgeting for men’s gymnastics. If resilience is partly about adapting to difficult change, what adaptations are you advocating that are needed to keep men’s gymnastics competitive on the world stage?
Leading a profession toward changing its business model is every bit as daunting as coaching young athletes toward greatness. Justin, what examples are you seeing of your professional community coalescing and transforming itself? What are the key barriers to the profession’s adaptations needed to thrive, not just survive, under your current stresses?
Coaction Resiliency Lessons From Olympians
Spring and Bruce have compelling visions for meeting the syndemic challenges of the gymnastics industry, a crisis of trust and a faltering business model. What can their insights teach us about confronting the racism and Covid-19 syndemic? Though neither Spring or Bruce are formally trained in psychology, experience is the best teach so I was not surprised that their insights closely reflected those of resiliency experts. The American Psychological Association (APA) writes that “4 core components—connection, wellness, healthy thinking and meaning” are needed if we are to recover, learn and grow after traumatic experiences. 14
Like most successful behavior change, success at resiliency is a team sport that celebrates connection. Bruce and Spring are quick to name trustworthy people who they could turn to who provided their teams with empathy and support. Bruce reminds his guys “we have 25 coaches in the gym.” When racism and polarity are fueling a syndemic, who will we team with to help us break through isolation and build trust?
“Creating a safe space to respectfully have differing opinions can make people feel vulnerable, but that feeling is critical to strengthening our team support system.”
Justin Spring
The APA’s wellness component needed to build resilience relates to the toll stress takes on both our physical and emotional health. Accordingly, self-care practices will be all the more vital after a syndemic. Bruce noted that USA Gymnastics has added a wellness program for athletes. This is a fitting acknowledgment of how important self-care steps such as sleep and nutrition and stress management can be in emotionally charged situations. At the recent Tokyo Olympics, the best gymnast of all time, Simone Biles, decided to withdraw from the team competition in order to cope with psychological pressures. Only months prior to that, top rated tennis star Naomi Osaka withdrew from the French Open due to her bouts with depression and before that, the best swimmer of all time, Michael Phelps, spoke out about his struggles with depression. It is just such role modeling from respected leaders that is needed to validate the importance of self-care and to overcome the stigma associated with mental health.
Healthy thinking and finding purpose will also assuredly factor into designing syndemic antidotes. Bruce spoke of unconditional love and how young athletes “need to be able to separate who they are from what they do.” Spring emulates a mentor who “demanded we have respect for him and each other” and notes such an environment enables everyone to “feel comfortable being who they are.” Given the political polarities reflected in vaccine hesitancy and the ideological fissures attendant to “Black Lives Matter” advocacy or resistance, what contribution can health promotion professionals make in modeling respect and enabling people to find healthier alignments between what they believe and what they do?
Spring became astute at writing “comeback kid” stories in his mind’s eye as he recovered from each serious physical set-back. As above, I don’t presume to have easy answers for how resilient organizations and individuals can bounce back from today’s syndemic challenges and come out stronger together. I do, however, think Spring and Bruce offer a compelling place to start. We need to “put ourselves out there” and “rewrite the story” about how this syndemic will be brought to bay. Like the great athletes featured in this editorial, health promotion professionals have the opportunity to role model anti-racist approaches to beating a syndemic. If we can bounce back stronger from these seemingly insurmountable social, political and viral set-backs then, for sure Justin, “what a crazy story this will be.”
