Antonovsky’s Sense of CoherenceAntonovsky意义上的连贯性.ppt

Antonovsky’s Sense of Coherence Dana Riley EPI 6181 November 6, 2006 Health, Stress Coping Description of development of sense of coherence (SOC) Pathogenesis – focus of health care is reducing consequences of disease Morbidity hypothesis: at least 1/3 possibly majority of population is characterized by some morbidity at any point in time Views health as a continuum ease → dis-ease Salutogenesis Saluto (health) + genesis (origins) How do we stay healthy? Why? “What are the stressors in the lives of poor people that underlie the brute fact that with regard to everything related to health, illness patienthood, the poor are screwed?” Tension management 2 people confronted by same stressor, one meets challenge other doesn’t Tension: strain incurred by exposure to stressor Stress: reserved for the strain that remains when tension is not successfully overcome Tension management: process of dealing with this tension Generalized Resistance Resources GRR → {physical, biochemical, artifactual-material, cognitive, emotional, valuative-attitudinal, interpersonal-relational, macrosociocultural} → characteristic of an → {individual, group, subculture, society} → that is effective in → {avoiding, combating} → a wide variety of stressors When a person regularly experiences the availability of GRRs, a strong SOC develops Sense of coherence (SOC) Global orientation that expresses the extent to which one has a pervasive, enduring dynamic feeling of confidence that one’s internal external environment are predictable High probability that things will work out as reasonably as can be expected Generalized, long-lasting way of seeing the world one’s position in it Sense of coherence (2) Shaped tested, reinforced modified Constant tendency towards consistency generalization, stability continuity Weak SOC: Anticipate things will go wrong, difficulty expecting needs to be fulfilled, lack hope Strong SOC: Life is complicated, but understood in the end things will work out Develo