yoga for holistic wellness (salutogenesis) by prof kr sethuraman
TRANSCRIPT
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Yoga for Holistic Wellness &
Optimal Healing
by Prof KR Sethuraman. MD,PGDHEVice-chancellor,
Sri Balaji Vidyapeeth, Pondicherry
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Part -1 From Pathogenesis
to Salutogenesis
Part 2 – Salutogenesis,
Optimal Healing &Yoga Therapy
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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?
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And Not merely the absence of disease
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Salutogenesis
• Derivation of Greek + Latin• Latin: salus = health• Greek: genesis = source
• In combination = Sources of health
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‘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)
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Salutogenesis vs. Pathogenesis
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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
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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.”
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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.
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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”
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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
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Lastly, Do you want your grandson to remember you as ‘smoking grandpa’?
Making one’s Life Meaningful…
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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
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From: “what did I do today to treat disease / illness?”
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To: “what did I do today to create health/wellness?”
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Part 2 – Salutogenesis,
Optimal Healing &Yoga Therapy
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• 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)
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4 domains of Optimal Healing Environment
(OHE)
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*OHE: 1-Internal Domain
• How Yoga attends to the internal factors
• Mindfulness = Focus
• Wholeness
* optimal healing environment
PERSONAL
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OHE: 2-Interpersonal Domain
• How Yoga-therapist attends to the interpersonal factors
• Therapeutic relationship for wellness • Promote Holistic healing
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OHE: 3-Behavioral Domain
• How Yoga-therapist attends to the behavioral factors
• Promotion of “Satvik lifestyle”
• Integrates well with “Western Medicine”
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OHE: 4-External Domain
• How Yoga-therapist attends to the external factors
• Foster • Sattvik guna and• symbiosis with Nature
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Healing Intention
Personal Wholeness
Healthy Relation-ships
Healthy Organisation
Healthy Lifestyle
Integrative Medicine
Healthy Spaces
Green & Ecosustainable
INTERNAL
INTER-PERSONAL
BEHAVIORAL
EXTERNAL
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Yoga practice (total hours) versus positive attitudes & subjective vitalityInt J Yoga. 2013 6(1): 11–19.doi: 10.4103/09736131.105937
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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.
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Thank You !