Why is it “Health” Care?

I have always been confused by the term “Health” care. We get care when we are sick, not when we are healthy. It is “sick” care.

I am also confused because it suggests we have health if we eliminate a disease or problem. The absence of illness is not the presence of health. Health is the presence of physical, mental, and social well-being. It is not just the absence of problems. The presence of well-being, not the absence of disease and infirmity, is precisely how the World Health Organization defines health:

Of course, they may also learn ways to decrease incidents of the same problem, but they have not learned how to be better.

As I write this, I realize this idea bleeds into so much else. On May 19, 2021, in the NYT’s Daily Podcast, “Nine Days in Gaza,” the host Michael Barbaro asked Rahf Hallaq about how it was to live in Gaza. He said, “It seems absolutely horrible due to terror and the unknown about the destruction that may come at any moment.” Despite these terrible circumstances, Michael Barbaro asked her about her dreams. Her dreams?

Is this approach wrong? Could we be backward, upside down, and confused about how we attempt to help? Could this be the best way to help? Without question, we need to help people in crisis. The crisis, however, must, by its nature, be short-term and acute. Evidence suggests dreaming about a better future beyond just not bad motivates solutions. Visualizing an inspiring future may be necessary to get beyond the emotional pain and anger of the situation.

What do you think? What are your dreams? How will you generate comprehensive improvements? What motivates you to want to create a better tomorrow? What will inspire you to develop net-positive, pervasive reciprocal, selfish, selfless, synergistic interactions so everyone and everything benefits? 

For me, an “Idealized Outcome,” something better than is possible now, would motivate me to generate all good – something that we can all work together toward achieving. I look forward to hearing how you are working to generate all good through the practice of paneugenesis.

BeWell’r,

Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.
Contact me: BeWellr@gmail.com

Need More Good Progress(DD#1)

I am reading Austin Kleon’s short book, “Show Your Work.” His book recommends a daily dispatch that shows your work and documents progress. For years, I have been developing techniques, strategies, and practices to generate more good, not just less bad. I need to do more, so I am adopting his strategy of posting regular work dispatches. Here is an overview of my progress to date.

More Good Progress…so far

I have been working on this task for over 30 years. My mission is to emphasize more good focus for the long term. Less bad is essential in short-term, acute situations. I have yet to hear that people disagree with this effort, but the idea has not diffused or circulated as needed. The focus on less bad or less pathology dominates our world. Therefore, I will use Austin Kleon’s advice and post my work to hold myself accountable.

During my efforts to date, I have been working as a professor since 2001 and have a Ph.D. from Arizona State University. I have about 100 national and international publications and presentations about how to create or cause good health, which, as research has also demonstrated, effectively prevents or ends bad health…as a by-product. This work is summarized in the linked publication about the paneugenesis model, “Going on Offense to Promote Health Promotion Gains.” Additionally, the linked 2019 article by colleague Dr. Michael Stellefson discusses this idea by categorizing these efforts as a promotion of “Chronic Wellness.” For more, see the article, Planting a Tree Model for Public Health: Shifting the Paradigm Toward Chronic Wellness

If you are interested and have time, below are some links to presentations, papers, and online resources to my work. The best way to learn about my work is the 17-minute linked presentation, Create More Good, Not Just Less Bad. I gave this talk to the sustainability committee at East Carolina University (ECU).  

A short linked paper, “Creating Positive Health: It is More than Risk Reduction,” describes my approach to generating positive outcomes and not just avoiding bad results. Another published linked paper, “Salutogenesis 30 Years Later: Where do we go from here?”,  is about salutogenesis and describes how using this health-causing or creating framework/theory could help. A comparison of the traditional pathogenesis approach and salutogenesis is available in the often viewed (over 35k views) YouTube video: Pathogenesis & Salutogenesis with this 2021 update. I have also posted this video, Exceeding Expectations, about how to do better than not bad.

My work has resulted in developing the Salutogenic Wellness Promotion Scale for Young Adults, Adults, Older Adults, and Arabic populations. I have also worked on a childhood version for schools to improve health and education. If you are interested, see this article, Pilot Assessment of the Scholar Checklist: A Tool for Early Childhood Health & Education.

If you are interested in learning more about these scales, I linked an article validating my positive health scale, “Validity Evidence for the Salutogenic Wellness Promotion Scale (SWPS).” I have also linked an article about how focusing on generating more good helped us understand what helps students thrive. The study used the SWPS to measure the process, and what we learned about the student’s lifestyle process and it relates to doing well is described in the”What Helps Students Thrive” article.

Other videos about my work are available on my YouTube channel. In addition, this is a link to this blog on Positive Health Leadership, where I explore many related topics in over 400 posts. This blog also can be reached at www.bewellr.com. Please contact me if you have any ideas, thoughts, concerns, complaints, suggestions, or questions or are interested in learning more. 

Now What??

Unfortunately, I have not made desired progress in transforming society toward more good, not just less bad. However, I will forge ahead, and I hope you will help. My current efforts focus on disseminating these positive health ideas and practices and assisting people in adopting these practices. I will use the Diffusion of Innovations Theory to guide my future work. I hope to publish a related article soon.

Please share any advice and contact me if you want to help at bewellr@gmail.com, beckerc@ecu.edu, 252-328-5312, or on this blog. I look forward to hearing from you about how we can work together to generate comprehensive improvements by creating net-positive, pervasive, reciprocal, selfish, selfless, synergistic interactions so everyone and everything benefits.

BeWell’r,

Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.
Contact me: BeWellr@gmail.com

Architecture Creating All Good

On Halloween, October 31, 2021 60 minutes shared an amazing story about MASS, Model of Architecture Serving Society, a non-profit architecture firm. Using the best designs, they developed hospitals that were amazing. Please watch the 60 minutes story below to learn more. However the most amazing part of this story is how they built on their initial success.

Building on Fantastic

After creating hospitals for Rwanda that better serve their communities by using locals sources for labor and material, they have now created a regenerative university in Rwanda. The story is linked to the headline below

MASS Design Group Establishes a Model for Regenerative Construction in Rwanda

The development is expected to be the world’s first carbon-positive university

More about MASS

On 60 Minutes Overtime it shared this story about why they use a film maker to share their story.

You can see the full 60 minutes session here.

Below is also a TED talk by Michael Murphy, “Architecture that’s Built to Heal”, shares more about how this amazing story started. He says we are designing hospitals to make people healthier as it reduces its environmental footprint.

Most important to me is how MASS demonstrated how their architecture techniques can generate comprehensive improvements by creating net-positive, pervasive, reciprocal, selfish, selfless synergistic interactions so everyone and everything benefits. I am sure many more are doing this, please learn from these fantastic people at MASS and share how we can build on their successes!

BeWell’r,

Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.
Contact me: BeWellr@gmail.com

Amazing People, 2nd edition

In 2014 I wrote this post, Dad Our House is on Fire!…People are Amazing! I wrote this because I was in awe of the amazing generosity we experienced after our house burned down and we lost most of our belongings. As I noted in that post, despite the awful news we hear 24/7, I believe most people are good. I also believe people want to help others. Scientifically this makes sense because it makes us feel good.

To my delight, I once again was in awe of amazing generosity of others. As I noted in 2014,

“… my belief that people are amazing has been confirmed.” Again!

My belief that people are good has been confirmed again – people are amazing! This time it was confirmed when my wife and I went Lowes to pick up some lattice for our yard.

Lattice punchased at Lowes

I have a Prius which has a hatchback and almost everything fits. This time however we were about 2 inches shy of being able to get the lattice into the hatch. As we picked up the lattice to return it to the store. a gentleman, with broken English gets our attention and says, “do you need help?” We explained we did and he then offered to carry the lattice pieces in his truck to our house. People are amazing!

We loaded the lattice in the back of his truck and asked him to follow us. Of course, if you believe the news, he would have driven away with the material. He did not. He kindly brought the material to our house, helped us unload it and said he was glad to help. We offered to pay him, but he refused. People are amazing!

Overall, it was a nice, net-positive pervasive, reciprocal, selfish, selfless, synergistic interaction. This is a way to practice paneugenesis because it helped generate more good, not just less bad. That act encouraged me and my wife to pay it forward, thus causing a positive pervasive ripple, as it also reinforced our belief that most people are good and kind. People are amazing!

Make it a great week by being the amazing person you know you can be. Also please share your stories of yourself or others paying it forward!

BeWell’r,

Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.
Contact me: BeWellr@gmail.com

Article Published – Short SWPS

With the help of my talented colleagues, our article about the 7-item Salutogenic Wellness Promotion Scale (SWPS-SF) was published in Global Health Promotion.

Title: Development and field test of the Salutogenic Wellness Promotion Scale – short form (SWPS-SF) in U.S. college students, (PMID: 35897155 DOI: 10.1177/17579759221102193) by Craig M. Becker1 , Hui Bian1, Ryan J. Martin1, Kerry Sewell1, Michael Stellefson2 and Beth Chaney2

Abstract: Survey research is important for understanding health and improving practice among health professions. However, survey research can have drawbacks, such as overuse and excessively lengthy questionnaires that burden respondents. These issues lead to poor response rates and incomplete questionnaires. Low and incomplete response rates result in missing data and reduced sample size, damaging the value, usability and generalizability of the information collected. To address issues related to response rates and improve health research, shorter surveys are recommended because they impose less of a burden on respondents and are useful with larger populations. Health- related surveys also often focus on the factors leading to ill health without dedicating equal attention to factors supporting positive health. This study developed and tested a short form (SF) of the validated Salutogenic Wellness Promotion Scale (SWPS), which measures causes of health (rather than causes of disease), using responses from 2052 college students. The participants answered questions about their demographics and completed the SWPS and a perceived health assessment. Statistical tests demonstrated the SWPS-SF had significant relationships with the full SWPS, health status, and Grade Point Average (GPA). Statistical tests were also used to establish cutoff scores that had a high true positive and low false negative rate. These cutoff scores demonstrated a relationship of higher performance and better health. These promising results suggest this short test can provide valid information without burdening the respondents. Authors recommend additional tests be completed to validate the SWPS-SF.

This scale provides a helpful screen tool that can accurately assess health, that is well-being not just the absence of disease. While more testing is needed, the article noted, “This study developed a short form of the SWPS, and initial evidence suggests it can provide valuable data for participants, health professionals, and health researchers. This short, complementary tool will provide data about health-causing actions, address the pathogenic bias, and improve response rates due to its short format.” The full article can be accessed on PubMed here.

The SWPS-SF provides a quick way to screen for peoples behaviors that indicate health improvement from beneficial, physical, social, emotional, spiritual, intellectual, vocational, and environmental actions. Feedback, as can be provided to professionals and individuals, has been shown to help people improve behaviors and it provides professionals with information about how to nudge them toward better actions. The data can also be used to help design a health promoting environment.

The SWPS-SF is a tool that when used should help generate comprehensive improvements by creating net-positive, pervasive, reciprocal, selfish, selfless, synergistic interactions so everyone and everything benefits. Please contact me if you have any questions. I look forward to talking with you.

BeWellr,

Craig M. Becker, PhD

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.

Contact me: BeWellr@bewellr

Multiple Green$ Benefits

More green is usually good.

  • Greens in the form of vegetables are good for our health
  • Green behavior is regenerative or at least better and can help everyone and everything
  • Green in form of money can be good and helpful

This post is about how all 3 of these benefits will accrue from this simple action.

Many of us eat greens as spinach, lettuce, kale, mustard greens etc. While these greens are good for us, taste good and are delicious, they do not stay fresh long. Composting old greens is better because in time they turn into useful soil, but it still wastes money.

A Better Idea

We found a more useful solution. When our greens start to go bad, we put them into the blender and then freeze them. As frozen small pieces of greens, they are easy to add to a smoothy.

My bag of chopped greens and a scooper to add to a smoothie

We keep freezing old greens simple. When ours greens start to go bad we put the old greens in the blender with a little bit of water, if necessary, and mix. After the leaves are chopped, we place those leaves in a bag and put them in the freezer. I also put a scooper in that bag so I can easily scoop out a helping for my smoothie.

I really like doing this in the summer because I find Smoothies to be great summer snacks They are refreshing, cool and also provide a healthy serving of vegetables. If you are interested in more techniques, this page, How to Freeze Spinach, shares more options.

Multiple Benefits

This simple technique provides multiple benefits:

  • We eat more greens by including them in our now tastier and more filling smoothies
  • Environmental benefits are less trips to the store and less food waste
  • We save money by not having to buy greens or other ingredients for smoothies

Overall, chopping and freezing greens is a great, all good way to generate comprehensive improvements. Freezing older greens creates a net-positive, pervasive, reciprocal, selfish, selfless, synergistic benefits from which everyone and everything benefits.

Please share how you generate comprehensive improvements so everyone and everything can benefit.

Be Well’r,
Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.
Contact me: BeWellr@gmail.com

Accelerating Forward Faster

COVID has changed us forever. Never did we believe a virus could change our society as dramatically as it has. COVID has caused us to quickly move even faster than we thought possible. Unfortunately, in some ways we could be accelerating forward faster.

Our justified fear of the spread of the virus and problems associated with COVID has overly emphasized prevention by crowding out the promotion and improvement of health BEYOND the absence of disease. We can be and do better. Improved well-being amplifies the power of prevention. Prevention has been wonderful, but as I noted earlier, Prevention Can’t Work and Problems are Irrelevant! or at least it is insufficient when health improvement is our objective. Positive health amplifies prevention so we can accelerate forward faster.

Health is the PRESENCE Of WELL-BEING, it is not the absence of problems. Think about it, you feel good and have joy when you do things that make you feel good and or do good. Avoidance can only lead to temporary relief, not well-being.

Well being is caused by interactively developing physically, mentally and socially through conscious actions. Prevention efforts keep us from doing things. The BEST WAY TO PREVENT PROBLEMS is to be as healthy as possible. Prevention is a by-product of improved well-being. Study after study shows those engaged in health causing behaviors and thoughts in multiple dimensions, which my studies have labeled as social, emotional, intellectual, spiritual, physical, vocational and environmental, benefit with improved well-being and higher life satisfaction due to the cumulative effect of these multiple well-being enhancing actions. There is no magic bullet.

To be able to prevent bad things, we must be strong mentally, physically and socially resulting from the development of those assets. Prevention, if taken alone, encourages us to isolate and become stagnant. Only when we take action can we get healthier and stronger. If you are interested and have time, I detail this in this Creating Better presentation.

Exponential growth

Another factor related to our difficulty, as Michael Lewis describes in The Premonition: A Pandemic Story, is from our problem understanding exponential growth which explains the rate a virus can spread. After all, isn’t it hard to believe a penny doubled every day for just 30 days would amount to over $5 million dollars? Even crazier, folding a typical piece of paper 50 times would end up being over 7 million miles long???? HUH?

Of course this is hard to believe, see the videos below that attempt to help us grasp the concept of exponential growth:

Exponential Growth:

Overall, we should be taking actions to enhance our well-being which will amplify our ability to prevent problems as a by-product of improved well-being. In other words, we can accelerate forward faster and experience better well-being with a side of prevention. This future will happen when we work to generate comprehensive improvements by creating net-positive, pervasive, reciprocal, selfish, selfless, synergistic interactions from which everyone and everything benefits. Please share how you make your life better do everyone and everything benefits!

Be Well’r,
Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.
Contact me: BeWellr@gmail.com

Why bother?

Prevention is trying to do things so something that doesn’t exist now may not exist in the future. Why bother? How do we know it might happen in the first place? This happens when people attempt to prevent diseases such as diabetes. Why bother to only prevent? If we bother to cause more good by generating more physical, social, and mental well-being, we get more good while also simultaneously making it more likely we prevent the bad outcome.

In a similar way, my smart neighbor has a great perspective. He is confused about why people bother to spend energy fighting things that don’t exist, such as fighting to outlaw Critical Race Theory from the curriculum when it is not being taught. Why bother?

I thought about this idea and why people bother to use unneeded effort when I watched John Stewart‘s good Climate Change The Problem episode on Apple TV .

The issue that caught my attention in this episode was when they said recycling was created by fossil fuel companies to put the blame on us. They also said that we cannot fix the problem of climate change by recycling more. Why bother? to bring this up.

Of course, recycling cannot fix problems created, but doing so means we do not cause more bad and add to the issue. Recycling is also the minimum of what we should be doing. We are nature, and nature produces no waste. Why should we? (see: Standing on Natures Shoulders and Did we give up? Hospice for Earth? We Need Better! and many more)

Recycling, actually upcycling, as developed by McDonough and Braungart for their book Upcycle is what we should do (see: Concept: Create More Good, Not Just Less Bad).

That is, we should not use things once and leave them worse but leave them better after getting good use. This way, we generate more good, not just less bad. Ideas for upcycling are provided at Upcycling: 20 of The Best Examples We’ve Seen, Top 10 Upcycling Ideas, and many more internet sites, including in the video below, 35 Ways to Upcycle Everything Around You.

Why bother? Bother because doing things this way means we can feel good for doing good as we help generate comprehensive improvements by creating net-positive, pervasive, reciprocal, selfish, selfless, synergistic interactions that benefit everyone and everything. Nature does this. See Oceans Generate More Good, Deserts to Garden – Helping Nature Generate All Good,What goes down, must go up? and more.

I look forward to hearing why & how you bother.

BeWell’r,

Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.
Contact me: BeWellr@gmail.com

National Parks: Great Tax$ Use!

As the Family Circus comic explains, National Parks are a hard act to follow. I had the good fortune of visiting many national and state parks this summer. My wife is Swedish and now that she is a citizen and living in America – she wants to see it all. I am glad she has pushed us to make these trips, on the way to a family wedding. I am better for it. We visited these state and national parks (I added a few pictures):

  • White Sands, the gypsum is interesting
  • Zion – the Narrows were an amazing hike
  • Coral reef
  • Arches,wow
  • Grand Canyon – North Ridge
  • Canyon lands 
  • Yellowstone 
  • Grand Tetons
  • Glacier 
  • Red canyon
  • Golden Gate Bridge 
  • Redwoods 
  • Pacific Coast Highway
  • and so much more…

What a wonderful benefit provided by our tax dollars for all to enjoy. The parks were and are awesome. They were clean, well run, educational, and overall better than I had anticipated. The staff was friendly, helpful and very knowledgeable. I strongly encourage all to enjoy any state and or national park you can.

I believe I am using awesome as it was meant to be used. I was awed by the grandeur and wonders of nature at the parks. It was amazing how the earth is able to adapt to what happens and the beauty created in the process. It could an earthquake, volcano or even change in temperature, everything else then adapts. The results are interesting and often beautiful. We usually miss amazing changes in nature because nature works on slower time frame than humans. Of course the earth will always be fine, however it may not be as hospitable to humans as is predicted from our burning of ancient sunlight. We must keep this in mind and listen to the experts with regard to climate change (see Stop the Death of Expertise)

Technology, however, made our visit to these parks even better, MUCH BETTER than expected:

The amazing technology that enhanced out trip was the Gypsyguide App. A person we met one of the camp sites we stayed it recommended it. The GyPSy Guide app was beneficial and educational. There are many downloadable programs for must part and they cost between $8-$20. If you are interested, you can learn more about it here at the GyPSy Guide website.

As we toured the parks, the GyPSy Guide app would provide interesting information about the site. Even though we did not have wifi all the time, it knew where we were and it provided a guided tour at Yellowstone, Glacier National Park, and as we drove the Pacific Coast Highway along the pacific ocean.

We learned so much. It made the sites more interesting. As we were driving it told us about the history many interesting facts I would not have known otherwise. For instance, we learned that most of these national parks were run by volunteer directors when they were created at the end of the 19th century and beginning of the 20th century.

The app was helpful because it would tell us to stop at MUST SEE sites and explain about each of those sites. It would mention all sites but only said some were MUST SEE. I am sure we would not have stopped at many of those sites and been asamazed as we were if we did not have the GyPSy Guide.

Although technology is sometimes frustrating, on the whole it can be quite helpful and it can be wonderful. The GyPSy App is an example of how technology has enhanced our lives. Interestingly, Dan Brown addressed the intersection of humans with technology in his book, “Origin“ (see post: The Multiple Perspectives of Dan Brown’s “Origin”).

I would say our visits to these parks created interactions that made our lives better and helped me appreciate nature. It motivated me to want to generate comprehensive benefits by creating regenerative, pervasive, reciprocal, selfish, selfless, synergistic interactions so everyone and everything benefits. I encourage all of you to go and enjoy a state and or national park when you can. Plan for it now, don’t just put it on a list to do someday, go as soon as you can to enjoy our wonderful parks!

Seth Godin, on Seth’s Blog, offers some interesting thoughts about technological change here, Cyber Realists.

BeWell’r,

Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.
Contact me: BeWellr@gmail.com

Salutogenesis & Pathogenesis in ’21

After participating and presenting the 2021  6th International Conference on Salutogenesis: Advancing Salutogenesis for thriving societies in June, I had another realization about how salutogenesis can be differentiated from pathogenesis. My understanding is that salutogenesis methods can cause better, not just less bad, outcomes. Pathogenesis was developed for less bad outcomes. It works great and effectively treats disease and its precursors. From my understanding, that means salutogenesis must produce something different, not just another way to do the same thing, such as treat problems more effectively.

I realized that salutogenesis is primarily what you use daily – over the long term. I had this realization as I listened to many good presentations and had invigorating discussions about salutogenesis with colleagues. While salutogenesis produces immediate benefits related to feeling good for doing good, salutogenesis is about how to play the long and short game. Salutogenesis therefore is for chronic care, while pathogenesis, or traditional “health” care, must play the short game for emergency care. Pathogenesis then should primarily be used for the short-term or acute care.

To explain this I have updated my often viewed video, Pathogenesis & Salutogenesis. The previous video has almost 30,000 views as of June, 2021. Please let me know how you like the update and if it has helped you better understand how to effectively use salutogenesis to generate comprehensive improvements.

Here is the updated video which is also posted here and on my YouTube Channel.

For me salutogenesis is a way to practice paneugenesis because it can generate comprehensive improvements and create all good for health. Life is all about probabilities, not guarantees. Salutogenesis improves the probability of better outcomes.

We can increase the probability of generating comprehensive improvements if we work at creating pervasive, reciprocal, selfish, selfless, synergistic interactions so everyone and everything benefits. As W. Edwards Deming always asked, “By what method?”. Using the method of salutogenesis for health will help just as it will help to use quality management methods for business and manufacturing and Nudge techniques for policy.

I hope this inspires you to generate comprehensive improvements. Please share effective methods you have used that can generate comprehensive improvements so everyone and everything benefits.

Be Well’r,

Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.

Advancing Salutogenesis Ideas

From my perspective, research, and general common sense, salutogenesis must be the idea we use to advance society to a better place. I also believe it should be understood, while it will be less bad, creating more good is the major attribute. A better reality, not possible now must be created. Salutogenesis is the origins of health. It is the idea, concept, theory, and approach to health that from my view is about the creation of good health beyond the absence of problems. It is not a better way to treat disease or discomfort, rather it is a way to create better outcomes not possible otherwise.

Last week, June 17-18, 2021, I participated and presented (virtually) in the 6th International Conference on Salutogenesis: Advancing Salutogenesis for thriving societies (see schedule here). It had been delayed due to COVID from April, 2020. The salutogenesis conference was included with the 11th IUHPE European Conference on Health Promotion.

I was also fortunate enough to participate in the 2nd Research Seminar on Salutogenesis in Finland in 2009. I presented, “What Makes People Thrive? The Salutogenesis Wellness Promotion Scale (SWPS)“. (unsure how those linked slides got online – however they are accurate. Please contact me if you want to discuss). I am happy to see the idea of thriving continues.

Upon returning from the conference in Finland in 2009, I was concerned the idea of salutogenesis was being used pathogenically. By that I mean the salutogenic techniques discussed were more focused on treatment and helping people recover than on creating a new and better reality. Which also, by definition, must mean bad things get better or become less problematic. To voice this idea, my response was to publish the linked article, “Salutogenesis 30 Years Later: Where do we go from here?“. Nine years later, in 2019, those in Europe who chose not to participate in the article I published wrote a related linked article, “Future directions for the concept of salutogenesis: a position article“.

My Presentations

Fortunately, since this virtual conference started at 3am for me, it was in Girona, Spain, I was able to send videos of my scheduled presentations (below). Each 10 minute presentation was supposed to be a conversation starter to generate a discussion about how to advance salutogenesis.

My first presentation, for the Advancing the Measurement of SOC (Sense of Coherence) section was, “Measurement of Sense of Coherence Model Constructs using the Salutogenic Wellness Promotion Scale (SWPS)“. This 10 minute presentation suggested doing studies using both the SOC and SWPS measurement tools to learn about more effective methods to direct health improvement interventions. If you choose to watch, please share your thoughts.

My second presentation in the Multilevel salutogenic intervention section was, “Health Promotion Policy Implications of Salutogenesis: Evidence from the Literature“. This 10 minute presentation was about how to advance the idea of salutogenesis beyond health. If you choose to watch, please share your thoughts.

If you watch these presentations and it generates ideas or thoughts, please share. Of course each of these ideas are an attempt to help generate comprehensive improvements by creating pervasive, reciprocal, selfish, selfless, synergistic interactions so everyone and everything benefits. As I have noted previously, salutogenesis is an effective way to practice paneugenesis or create all good. I look forward to hearing from you about how we can advance the ideas of salutogenesis.

Be Well’r,

Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

#SelfishSelflessSynergy

Please share your thoughts and questions below.

Evolution of Positive Health

I just uploaded a video to my YouTube page (below) that reviews how I see the evolution of positive health. Within this video I describe how the concepts of wellness and salutogenesis are related. After you watch this short 11 minute video, please share your thoughts. Thank you.

Be Well’r,
Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

 

 

Wellness is the “Opposite of Loneliness”

I was moved by Marina Keegan’s amazing final essay at Yale. Tragically she was killed in a car crash a week after graduating, she was 22. She created the essay below for a special edition of the Yale Daily News edition that was distributed at the class of 2012’s commencement.

I inspired because I realized this is what our world should be and what we all want. It is like how I feel when I attend the National Wellness Conference every year. This means making the world a place where we become the best versions of ourselves.

As she shares, it is not about just being comfortable but about progress, as shared in a previous essay, Is Wellness Progress?  My push is that we all need to enlarge our circle include all living things in creating progress so we generate improvements by creating interactions so everyone and everything benefits. Enjoy…

Marina’s essay

Screen-Shot-2014-04-07-at-2.48.26-AM

We don’t have a word for the opposite of loneliness, but if we did, I could say that’s what I want in life. What I’m grateful and thankful to have found at Yale, and what I’m scared of losing when we wake up tomorrow and leave this place.

It’s not quite love and it’s not quite community; it’s just this feeling that there are people, an abundance of people, who are in this together. Who are on your team. When the check is paid and you stay at the table. When it’s four a.m. and no one goes to bed. That night with the guitar. That night we can’t remember. That time we did, we went, we saw, we laughed, we felt. The hats.

Yale is full of tiny circles we pull around ourselves. A cappella groups, sports teams, houses, societies, clubs. These tiny groups that make us feel loved and safe and part of something even on our loneliest nights when we stumble home to our computers — partner-less, tired, awake. We won’t have those next year. We won’t live on the same block as all our friends. We won’t have a bunch of group-texts.

This scares me. More than finding the right job or city or spouse — I’m scared of losing this web we’re in. This elusive, indefinable, opposite of loneliness. This feeling I feel right now.

But let us get one thing straight: the best years of our lives are not behind us. They’re part of us and they are set for repetition as we grow up and move to New York and away from New York and wish we did or didn’t live in New York. I plan on having parties when I’m 30. I plan on having fun when I’m old. Any notion of THE BEST years comes from clichéd “should haves…” “if I’d…” “wish I’d…”

Of course, there are things we wished we did: our readings, that boy across the hall. We’re our own hardest critics and it’s easy to let ourselves down. Sleeping too late. Procrastinating. Cutting corners. More than once I’ve looked back on my High School self and thought: how did I do that? How did I work so hard? Our private insecurities follow us and will always follow us.

But the thing is, we’re all like that. Nobody wakes up when they want to. Nobody did all of their reading (except maybe the crazy people who win the prizes…) We have these impossibly high standards and we’ll probably never live up to our perfect fantasies of our future selves. But I feel like that’s okay.

We’re so young. We’re so young. We’re twenty-two years old. We have so much time. There’s this sentiment I sometimes sense, creeping in our collective conscious as we lay alone after a party, or pack up our books when we give in and go out – that it is somehow too late. That others are somehow ahead. More accomplished, more specialized. More on the path to somehow saving the world, somehow creating or inventing or improving. That it’s too late now to BEGIN a beginning and we must settle for continuance, for commencement.

When we came to Yale, there was this sense of possibility. This immense and indefinable potential energy – and it’s easy to feel like that’s slipped away. We never had to choose and suddenly we’ve had to. Some of us have focused ourselves. Some of us know exactly what we want and are on the path to get it; already going to med school, working at the perfect NGO, doing research. To you I say both congratulations and you suck.

For most of us, however, we’re somewhat lost in this sea of liberal arts. Not quite sure what road we’re on and whether we should have taken it. If only I had majored in biology…if only I’d gotten involved in journalism as a freshman…if only I’d thought to apply for this or for that…

What we have to remember is that we can still do anything. We can change our minds. We can start over. Get a post-bac or try writing for the first time. The notion that it’s too late to do anything is comical. It’s hilarious. We’re graduating college. We’re so young. We can’t, we MUST not lose this sense of possibility because in the end, it’s all we have.

In the heart of a winter Friday night my freshman year, I was dazed and confused when I got a call from my friends to meet them at EST EST EST. Dazedly and confusedly, I began trudging to SSS, probably the point on campus farthest away. Remarkably, it wasn’t until I arrived at the door that I questioned how and why exactly my friends were partying in Yale’s administrative building. Of course, they weren’t. But it was cold and my ID somehow worked so I went inside SSS to pull out my phone. It was quiet, the old wood creaking and the snow barely visible outside the stained glass. And I sat down. And I looked up. At this giant room I was in. At this place where thousands of people had sat before me. And alone, at night, in the middle of a New Haven storm, I felt so remarkably, unbelievably safe.

We don’t have a word for the opposite of loneliness, but if we did, I’d say that’s how I feel at Yale. How I feel right now. Here. With all of you. In love, impressed, humbled, scared. And we don’t have to lose that.

We’re in this together. Let’s make something happen to this world.

Hard to say it better than that. Lets work together for progress by generating comprehensive improvements by creating interactions so everyone and everything benefits.

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New Publication – Action Sports Improves Health

Using the good work of Masters student Ryan Moynahan, with colleagues, we published a new paper in the Journal of Sport Behavior. Using the Salutogenic Wellness Promotion Scale for young adults and The H.E.A.L.T.H Model (see below the Holistic Ecological Assessment of Lifestyles for Total Health) for a guide, it was found that regular engagement in action sports improves health. Actions sports are non-traditional and possess risk, danger, rules and techniques atypical of traditional sports. Action sports include surfing, skateboarding, snowboarding, eco-challenge, and rock climbing and the number of participants in these sports is growing faster than any other sport activity.

While this findings seems obvious, the study was done because generally we only hear about the dangers or injuries from  actions sports and not the benefits. As this study suggests, with proper precautions and training, similar health benefits as with participation in other sport activities is the result. Of course Risk Homeostasis Theory would suggest that only those who properly train would be involved in actions sports. If Dr. Wilde were initially looking at actions sports, it would seem the benefits of the risky behavior outweigh the benefits of safe behavior. Yet the assessment must go deeper. Engaging in actions sports without injury means they engaged in the cautious behavior of proper equipment, training, etc. so they could engage in action sports. This then is a case where the benefits of cautious behavior, being properly trained, drove them to take appropriate action.

As I say throughout my work, all of us desire to create pleasure so to help make this happen we need to highlight the benefits of actions that improve quality of life that encourages  actions from which everyone and everything benefit. Any way you look at, this interesting paper documents that health benefits and more accrue from involvement in actions sports. If you are interested you can access the article at:

Shores, K., Becker, C. M., Moynahan, R., Williams, R., & Cooper, N. (2015). The Relationship of Youth Adults’ Health and Their Sports Participation. Journal of Sport Behavior, 38 (3), 306-320. (see JSB-Relationshp of Hlth & Sport part)

Color H.E.A.L.T.H. Model

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Proactive & Presenteeism are Orwellian

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In George Orwell’s famous book, 1984, he described actions of Big Brother in a dystopian future. In the future, he showed how words were used in different and misleading ways. In the book it was referred to as Newspeak and now is often referred to as Orwellian. Newspeak was used to mislead people. Examples of Newspeak included having Ministry of Love to oversee torture and brainwashing, a Ministry of Plenty to oversee shortage and famine, a Ministry of Peace to oversee war and atrocity, and a Ministry of Truth to oversee propaganda and historical revisionism. To further confuse people, sayings such as “War is Peace”, “Ignorance is Strength”, and “Freedom is Slavery” were used throughout the text.

The Newspeak used by Orwell in 1984 is now  referred to as Doublespeak and is defined as a way to deliberately disguise, distort, or reverse the meaning of words. Current uses of Doublespeak include euphemisms, or expressions used when something is unpleasant such as using “downsizing” for layoffs. Doublespeak is used to disguise the truth.

To me this has been happening with health and has hurt attempts at improving health. Halbert Dunn in the late 1950’s and 1960’s attempted to rectify the meaning of health which he saw as being understood by most to be the absence of disease with concept of Wellness or positive health. He described the idea of wellness in this linked article “High Level Wellness for Man and Society” and related writings.

Dunn coined the idea of wellness or positive health because health became negative and to be seen then, just as it often is now, as the absence of problems. True health is the PRESENCE OF PHYSICAL, MENTAL AND SOCIAL WELL-BEING as defined in the World Health Organization’s Constitution. Not only is health the presence of physical, mental, and social well-being it is defined to be “NOT MERELY THE ABSENCE OF DISEASE AND INFIRMITY.”
WHO

definition_of_health

WHO REF

To achieve health our focus needs to be on taking actions to create physical, mental and social well-being. Similarly, Tal Ben-ShaHar explained in Happier, happiness must be pursued to be attained. If we do nothing, unhappiness will follow. Just like happiness, if we want health, it must be caused to happen if nothing is done, disease and infirmity are likely. Currently words such as Presenteeism and Proactive and others are used in an Orwellian fashion to suggest a more positive a approach to health. However upon examination it can be seen that these words can be thought of as Orwellian Newspeak or Doublespeak.

Presenteeism has been suggested to be a more positive way to address productivity rather than absenteeism. Of course absenteeism hurts productivity because work cannot be completed when they are not there. According to the October 2004 Harvard Business Review: “Researchers say that presenteeism—the problem of workers’ being on the job but, because of illness or other medical conditions, not fully functioning—can cut individual productivity by one-third or more. In fact, presenteeism appears to be a much costlier problem than its productivity-reducing counterpart, absenteeism. And, unlike absenteeism, presenteeism isn’t always apparent: You know when someone doesn’t show up for work, but you often can’t tell when—or how much—illness or a medical condition is hindering someone’s performance. “Outwardly you look fine,” says Farler, who over the years tried numerous prescription and nonprescription medications for her allergies, with little success. “People don’t see how you feel.” My concern is that while being present should better, presenteeism does not represent something positive or even potential, it is more about what is missing instead of what is present. If we want to create gains to improve health and productivity, our efforts must focus on what we need to do to create what we desire, rather than what should not be done or avoided to prevent what is unwanted.

Being proactive is also Orwellian. Proactive is about doing something before so something bad won’t happen. Isn’t that “prevention”? A more effective suggestions would be to take action to cause something good to happen rather than just avoid something bad. If prevention works, as explained earlier, nothing happens – no problem but neither has desired outcome been achieved. Nothing, or prevention of problems, if done well, is achieved by being proactive – isn’t that Doublespeak?

Lets focus on what we can do to create desired outcomes and worry less about what we must do to eliminate possible problems. I make this suggestion because if we can create desired outcomes, this means we have  overcome or made irrelevant any possible circumstances that would keep it from happening.

I look forward to hearing about how you are working to generate comprehensive benefits by creating interactions so everyone and everything benefits.

Be Well’r,

Craig Becker, PhD

Be selfish, selfless, & synergistic so everyone and everything benefits!