yoga for holistic wellness (salutogenesis) by prof kr sethuraman
TRANSCRIPT
Yoga for Holistic Wellness &
Optimal Healing
by Prof KR Sethuraman. MD,PGDHEVice-chancellor,
Sri Balaji Vidyapeeth, Pondicherry
Part -1 From Pathogenesis
to Salutogenesis
Part 2 – Salutogenesis,
Optimal Healing &Yoga Therapy
Peace versus anti-War
“- I will never participate in anti-war demonstrations. “But if you have a pro-peace rally, I'll be there.”
• Mother TheresaIf not at war, are you at peace?
If not ill, are you well; if no disease, is it health?
And Not merely the absence of disease
Salutogenesis
• Derivation of Greek + Latin• Latin: salus = health• Greek: genesis = source
• In combination = Sources of health
‘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 under extreme stress? (Nazi Holocaust survivors)
Salutogenesis vs. Pathogenesis
SALUTOGENESIS versus PATHOGENESIS…
Pathogenesis • What causes diseases?• About Avoiding Problems• Disease/Illness an anomaly• Reactive - Absence Disease• Against pain or Loss• Prepares one to live
Salutogenesis• What causes Health?• About reaching Potential• We are inherently flawed, • Proactive - Presence Health• For Gain or Growth• Discover how to live fully
AND
Salutogenesis• Medicine is increasingly focused on the origin of
illness• an equally important question to ask: "what is the
origin of health & wellness?" • Aaron Antonovsky showed that relatively
unstressed people were more resistant to illness than those who were more stressed. • He proposed: “the experience of well-being is
based on Sense of Coherence.”
Sense of Coherence (SOC)
The heart of Salutogenesis
“a pervasive, long-lasting and 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)
SOC has strong positive correlations to perceived health, mental health, and quality of life.
3 components of Sense of Coherence (SOC)
Comprehensible - Cognition- “My world is understandable”
Manageable - Coping Skill- “My world is manageable”
Meaningful - Motivation- “My world has meaning”
Those who break bad news experience the client’s intense “sense of incoherence”
Components of Meaning
• 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
Lastly, Do you want your grandson to remember you as ‘smoking grandpa’?
Making one’s Life Meaningful…
SOC helps the ‘diseased’ to manage it ‘be well’
• Comprehension, Meaningfulness & Manageability (SOC approach) in chronic diseases keeps them ‘well’ despite any limitations
• Similar to ‘physically disabled’ becoming ‘differently abled’• A case of ‘early bronchiectasis’ – SOC approach kept
him doing the bronchial clearance twice a day – • A 14-year boy with Becker’s myopathy lying in bed
‘waiting to die’ was counselled in 1995; he resumed Studies and works in a Bank
From: “what did I do today to treat disease / illness?”
To: “what did I do today to create health/wellness?”
Part 2 – Salutogenesis,
Optimal Healing &Yoga Therapy
• Healing: “the processes of recovery, repair, renewal, and reintegration that contribute to a person’s physical, mental, social, and spiritual health and well-being.”• Healing and Cure are mutually complementary, and
both are essential.• Adopt Healing-oriented practices and environments to
create an optimal healing environment (OHE)
4 domains of Optimal Healing Environment
(OHE)
*OHE: 1-Internal Domain
• How Yoga attends to the internal factors
• Mindfulness = Focus
• Wholeness
* optimal healing environment
PERSONAL
OHE: 2-Interpersonal Domain
• How Yoga-therapist attends to the interpersonal factors
• Therapeutic relationship for wellness • Promote Holistic healing
OHE: 3-Behavioral Domain
• How Yoga-therapist attends to the behavioral factors
• Promotion of “Satvik lifestyle”
• Integrates well with “Western Medicine”
OHE: 4-External Domain
• How Yoga-therapist attends to the external factors
• Foster • Sattvik guna and• symbiosis with Nature
Healing Intention
Personal Wholeness
Healthy Relation-ships
Healthy Organisation
Healthy Lifestyle
Integrative Medicine
Healthy Spaces
Green & Ecosustainable
INTERNAL
INTER-PERSONAL
BEHAVIORAL
EXTERNAL
Yoga practice (total hours) versus positive attitudes & subjective vitalityInt J Yoga. 2013 6(1): 11–19.doi: 10.4103/09736131.105937
To Sum up…• Preventive and promotive practices protect against
pathology• Health goes beyond mere absence of pathology• Up to 40% of illnesses have no pathological basis (MUS)
• Lifestyle-based wellness choices can maximize positive life experiences (salutogenesis)• joy, vitality, serenity, happiness, self-actualization, and
other qualities, which make life worth living• Yoga is an ancient set of integrated mental, physical
and spiritual practices that promote Salutogenesis.
Thank You !