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don's report archiveWellness in the Headlines
Monday December 11, 2000
The term wellness has many definitions, is applied differently in varied settings, and remains unfamiliar to a large percentage of people. First popularized by Halbert L.Dunn, M.D. some fifty years ago, “wellness” has been adopted and advanced by many organizations, most notably the National Wellness Institute (NWI) of Stevens Point, WI. The NWI has, among many activities, sponsored highly successful week-long annual conferences for the past 25 years which have, as much as any other factor, contributed to the spread of the term and, more consequentially, the many breakthrough concepts and principles associated with it. Of course, the NWI is not alone in promoting the wellness concept and a movement of ideas and actions associated with it. The wellness idea has been described and promoted in books (including fifteen written by yours truly), newsletters, radio programs, worksite educational initiatives, videos and assorted training materials. In summary, a great many wellness advocates, including physicians, health practitioners, fitness and other trainers and a diverse cast of individuals and institutions have, in diverse ways, added to the growing public awareness of the term. Yet, there has been little standardization; wellness means what someone says it means—at least to that person. As you might expect, there is no regulatory organization that monitors the way in which the term wellness is defined, applied, understood or promoted. If some TV evangelist wants to call his program “The Wellness Hour of Power,” that’s his/her prerogative. If a psychic surgeon wants to brand his/her chicanery as “creative wellness for whatever ails you,” there is no “controlling legal authority” to discourage the practice. I’m surprised that none of the candidates for president this year promised to offer wellness education along with drugs for seniors or suggested that “the wellness way to vote is to mark your ballot for me!” So, you might wonder, “Where does this leave us?” “What shall I do about this variation in the public perception and understanding of the word wellness?” Well, in a free country where buyer beware is the watchword for the wise consumer, two steps seem self-evident:
In this spirit, to paraphrase Richard Nixon, let me be perfectly clear. In my opinion, wellness is what I say it is! Which is as follows: a lifestyle, consciously chosen, intended to bring about optimal health and life satisfaction. It has many dimensions, including physical elements (exercise, fitness and nutrition), psychological aspects (critical thinking, stress management and a wide range of skill issues dealing with relationships, emotional intelligence, humor and play and more) and other matters harder to categorize (the search for meaning and purpose). It is a positive approach to life, focused on pleasures and gains to be realized, not unpleasant states to be avoided (lifestyle diseases, for example.) Of course, it’s a lot of other things, too, such as whatever you say it is! There are wildly different levels of wellness. In recognition of these differences of interpretation and in an effort to add a bit of clarity to the nature of the varied states of wellness that someone might realize by creating and following a wellness lifestyle, I have a suggestion: Let’s try to articulate a “Hierarchy of Wellness.” Most health care and human potential promoters of varied stripes are familiar with Abraham Maslow’s famous “Hierarchy of Values;” let’s create a wellness version of Maslow’s hierarchy. Here’s my attempt at a first draft. Nothing scientific about this—it’s just off the top of a head (mine) that’s been filled with thoughts about wellness for a quarter of a century. As in Maslow’s hierarchy, a wellness lifestyle requires a floor level of factors to enable the more refined, higher levels. Once this foundation is set down, the individual can without so many distractions focus on the higher states. Please consider that this hierarchy is only a personal opinion—everyone who takes the time to think about wellness might enjoy pondering (and sharing) his/her own hierarchy, which will probably change over time to some degree. For what it’s worth, and I hope it’s plenty, here is mine. What do you think?
More to follow, in time, as I get more sensible with the passing years. If you have suggestions to speed me along, I’d love to hear from you. Be well. (Note: This essay will be filed in the archives in the MENTAL DOMAIN under the skill area of factual knowledge. Additional articles related to this theme may be found there.)
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