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Research on post-traumatic growth (PTG) has burgeoned in recent years. Nearly all of the research on PTG, however, has relied on retrospective assessments of  perceived  growth. These reports are minimally related to prospectively assessed positive change after trauma, and what they may reflect remains unknown. In this paper, we: (1) examine the evidence regarding the disjunction between real and perceived growth, (2) conduct a systematic review to determine whether researchers distinguish between veridical and perceived growth, and (3) present four possible constructs that perceived growths may reflect: a) adherence to a cultural script, b) reappraisal coping through secondary control or self-enhancement; c) changes in narrative identity; and d) violation of post-recovery expectations. We provide suggestions for testing each of these constructs. We recommend that researchers be more explicit when  perception  of growth is their focus, determine optimal methods for assessing these perceptions, and conduct research on their meaning and implications.

Advantages of distinguishing perceived and veridical growth: recommendations for future research on both constructs