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Salutogenesis. Subodh S Gupta. Why use salutogenesis ?. We have done well, but. We can do better with more information!. If not bad, are you good? If not poor, are you rich? If not hopeless, are you hopeful? If not dissatisfied, are you satisfied? If not ill, do you have health/wellness?
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Salutogenesis Subodh S Gupta
Why use salutogenesis? We have done well, but..... We can do better with more information! If not bad, are you good? If not poor, are you rich? If not hopeless, are you hopeful? If not dissatisfied, are you satisfied? If not ill, do you have health/wellness? If you don’t flunk out, are you a good student?
Salutogenesis vs. Pathogenesis • Existing Model - Pathogenesis studies origins of disease • Salutogenesis studies the origins of Health • Pathogenesis Basics • What causes diseases? • About Avoiding Problems • Disease/Illness an anomaly • Reactive - Absence Disease • Optimistic - Treat Disease • Against pain or Loss • Prepares one to live • Salutogenesis Basics • What causes Health? • About Approaching Potential • Inherently flawed, entropy • Proactive - Presence Health • Pessimistic - Go Get Health • For Gain or Growth • Discover how to live fully AND Like Mother Theresa’s Empowering Philosophy
Pathology Objectives Diseases Bacteria Dirt Toxins Risks Pollution Injury Accidents
SalutogenicObjectives Happiness Enthusiasm Fun Joy Hope Excitement Laughter Endorphins
Father of Salutogenesis • Aaron Antonovsky (1923 – 1994) • Medical Sociologist • Coined term in 1968 to capture an emerging concept • Why did some manage to avoid illness and do well even when subjected to extreme stressors?
Salutogenesis • Derivation of Greek and Latin • Latin: salus = health • Greek: genesis = source • In combination = Sources of health
Salutogenesis • Salutogenesis is an alternative medicine concept that focuses on factors that support human health and well-being rather than on factors that cause disease.
Salutogenesis • Aaron Antonovsky was able to show that relatively unstressed people had much more resistance to illness than those who were more stressed. • Antonovsky argued that the experience of well-being constitutes a Sense of Coherence. • Though modern medicine has increasingly come to ask about the origin of illness, Antonovsky suggested that an equally important question to pose is: "what is the origin of health?"
Sense of Coherence (SOC) The heart of Salutogenesis “Global construct that expresses the extent to which one has a pervasive (all-encompassing), enduring (long-lasting) though dynamic feeling of confidence that one’s internal and external environments are predictable and that there is a high probability that things will work out as well as can be expected” (Antonovsky, 1979)
Sense of Coherence • SOC is the result the collective effect of resources and processes conducive to health. • Within the Salutogenic orientation, there is a direct relationship between the strength of the SOC and the person's ability to employ cognitive, affective (emotional) and instrumental strategies likely to improve coping, and thereby well-being.
SOC increases through the life span and it has strong positive correlations to perceived health, mental health, and quality of life.
Sense of Coherence (SOC) Cognitive and Emotional Appraisal • Your world is understandable (Comprehensible) • Your world is manageable (Manageability) • Your world has meaning (Meaningfulness)
Comprehensibility • The conceptual perception of the world being understandable, meaningful, orderly and consistent rather than chaotic, random and unpredictable. • This means that whatever happens to a person, he/she is able to make sense of it and understand it. • The person believes that he or she is able to influence the course of events.
Manageability • The recognition of the resources required to meet the demands and a willingness to search them out. • This means that either the resources are available to you to meet the demands presented by the challenges or you have the way to find them. • Based on the individual's expectation that it is normal and beneficial for life to change
Meaningfulness • The profound emotive experience of life as making sense and thus coping being desirable. • This involves having a sense of meaning in the important areas of one’s life or recognizing “these demands are challenges, worthy of investment and engagement.” • Embracing a curiosity and sense of meaningfulness for life.
Purpose Goals Future fulfillment Values Justify course of action Moral decision making Efficacy You can make a difference Self worth Skills Belonging to groups you value Components of Meaning
Stressors May be Either Positive or Negative • Eustress: positive experiences that promote well-being • Distress: those experiences that cause some type of harm • Stressors are always present; salutogenesis is concerned with the type, amount, and coping resources of the individual
Why do some manage to avoid illness and do well even when subjected to extreme stressors?
Outcomes of a Salutogenic Focus? • Positive family and community experiences • Individual commitment to growth and effort
. Graphic courtesy of: David Gobble, PhD, CHES, Director and Professor, Fisher Institute for Wellness and Gerontology, Ball State University, Muncie, IN 47306
Graphic courtesy of: David Gobble, PhD, CHES, Director and Professor, Fisher Institute for Wellness and Gerontology, Ball State University, Muncie, IN 47306
Health is inextricably linked to educational achievements, quality of life, and economic productivity. By acquiring health related knowledge, values, skills and practices; children can be empowered to pursue a healthy life and to work as agents of change for the health of their community. Dr. Hiroshi Nakajima Ex Director General WHO
Indicators of Movement toward Salutogenesis • Persistent presence of a support network • Chronic positive expectations; tendency to frame events in a constructive light • Tendency to adapt to changing conditions • Rapid response/recovery due to repeated challenges
Indicators of Movement toward Salutogenesis • Increased appetite for physical activity • Episodic peak experiences • Sense of spiritual involvement • Increased sensitivity
Indicators of Movement toward Salutogenesis • Tendency to identify and communicate feelings • Repeated episodes of gratitude, generosity and related emotions • Compulsion to contribute to society • Persistent sense of humor
Can you think of relationship? • Ayurveda & Health ….. Health promotion • Traditional methods …Traditional spa & Health…..Health Promotion • What are the principles….
