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Additionally, this work could serve as introductory material to Balint groups. This is the first paper that presents a psychodynamic framework applicable in clinical practice and accessible to lay clinicians for understanding and managing the physician-patient relationship. Additionally, this work could serve as introductory material to Balint groups. How do people receive unexpected positive health risk information? While common motivational accounts predict acceptance, consistency accounts such as the cue-adaptive reasoning account (CARA) predict a 'lack of reassurance'. We therefore tested (1) whether people prefer striving for positivity or retaining a sense of self-consistency ('lack of reassurance'), and (2) if there are systematic differences in short- and long-term reception, which would indicate temporal dynamics in processing. As part of a longitudinal cohort study, participants of a community health screening ( = 1,055) received their actual cholesterol readings. Feedback reception was assessed immediately, at one month and six months. Processing trajectories for unexpected positive feedback showed a significant 'lack of reassurance' effect over time compared with expected positive feedback, while unexpected negative feedback was less threatening than expected negative feedback. The perseverance of this 'lack of reassurance' over time indicates that striving for consistency in self-views is a robust phenomenon, even if it means forfeiting a better view of one's own health. The perseverance of this 'lack of reassurance' over time indicates that striving for consistency in self-views is a robust phenomenon, even if it means forfeiting a better view of one's own health. Extant literature highlights how many individuals display resilient trajectories following spinal cord injury (SCI), exhibiting positive psychological adjustment. In the absence of a universal definition, it is agreed that resilience is demonstrated when individuals have better-than-projected outcomes when considering the level of adversity experienced. Previous research has focused on traits connected to vulnerability and maladaptive trajectories following SCI rather than the psychosocial factors that contribute to resilience, which can be cultivated over the lifetime. Individuals living with SCI are now aging and have lifespans paralleling that of the broader older adult population. Aging with SCI can result in a sequela of concomitant pathophysiologic conditions and social challenges, which can undermine resiliency. The purpose of the current commentary is to explore some of the psychosocial factors contributing to resilience within the context of aging with SCI. Commentary. Psychosocial factors contributing to resilience within the SCI population include self-efficacy, social supports, and spirituality. However, these factors are complex and their interconnectedness is not well-understood at the intersection of SCI and aging. Understanding the complexities of the contributing psychosocial factors can allow for the development of targeted and innovative multi-pronged rehabilitative strategies that can support resilient trajectories across the lifetime. Future research should move towards the inclusion of additional psychosocial factors, adopting longitudinal research designs, and prudently selecting methods. Understanding the complexities of the contributing psychosocial factors can allow for the development of targeted and innovative multi-pronged rehabilitative strategies that can support resilient trajectories across the lifetime. Future research should move towards the inclusion of additional psychosocial factors, adopting longitudinal research designs, and prudently selecting methods.Background Hepatitis B Virus (HBV) infection is an important occupational health risk among primary healthcare providers (PHCPs). Howev