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Health, Wellness and Society
Health, Wellness and Society
Health, Wellness,
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Abstract: The last decade has witnessed an exponential increase in the establishment of school-based mindfulness
programs around the world. A wide range of organizations, from universities to private businesses, have designed
mindfulness programs specifically to suit the school system. A theoretical framework built for educational settings is
required in order to make sense of literature from a wide range of disciplines and methodological perspectives. In the
current article, the author proposes using wellness as a conceptual framework to guide and enhance our appreciation of
mindfulness practice and research. Wellness philosophy, principles, and characteristics are introduced and the
framework is then used to understand the motivation behind cultivating mindfulness in the classroom. It was discovered
that programs are perceived to target a wide range of wellness outcomes, with less emphasis currently placed on the
connection between mindfulness and the environment. Future research and discussion is required to determine whether
wellness can act as a suitable platform to improve and integrate mindfulness practice and research.
Introduction
wellness models, in particular Dunn (1961), who is considered to be the forefather of modern
wellness theory (Albrecht 2011; Palombi 2009) will be outlined. The next phase of inquiry will
involve reviewing literature in order to understand the rationale for implementing school-based
mindfulness programs within the context of wellness.
What is Wellness?
Wellness, a term often used interchangeably with well-being (Mackey 2000), is not a new
concept. The term has been used in the English language since the 1600s (Miller 2005) but it is
only in the last two decades that the concept has received significant attention. Dunn (1961) was
one of the first authors to significantly expand upon and clearly elucidate the relevance of
wellness to society. He coined the term “High-Level Wellness” and in a series of lectures, journal
ALBRECHT: WELLNESS
articles and a book outlined his philosophy and interpretation of the construct (Albrecht 2011).
Dunn’s work was influenced by prominent psychologists such as, Maslow, Rogers and Allport
(Dunn 1961) and his work in turn inspired models of wellness by Ardell, Hettler, Hinds, Jourard
and Travis and Ryan (Palombi 1992).
Dunn seems to have had a number of objectives in mind when discussing and writing about
wellness. His primary goal was to trigger an expansion in the way humans view and interact with
the world. “He asked for medical professionals, educators, business leaders and researchers from
all disciplines to rethink their fragmented and compartmentalized view of man, where physical
health is divorced from spiritual health and knowledge is given priority over wisdom” (Albrecht
2011, 2). Dunn invited researchers and professionals to view man instead as “a physical, mental
and spiritual unity – a unity which is constantly undergoing a process of growth and adjustment
within a continually changing physical, biological, social and cultural environment” (Dunn 1959,
789). He encouraged future researchers to develop methods to measure an individual’s wellness,
business leaders to take steps to reverse and prevent the environmental destruction that was
emerging and for educators to nourish in their students the development of an expanded
worldview, one that embraces wisdom and compassion. These steps were viewed as a critical
foundation for improving the world and revitalizing and enhancing humans’ and the planet’s
health (Dunn 1957, 1959).
Dunn’s conception and interpretation of wellness is prevalent throughout disciplines,
especially in counseling (Roscoe 2009) and positive psychology (Compton and Hoffman 2013).
He broadly defined wellness as:
It also involves the integration of the whole being of the person – his body, mind, and
his spirit – in the functioning process (Dunn 1961, 159).
His message additionally appears to have found a receptive home in mainstream education
over the last two decades. Wellness models are being used to: connect and make coherent a range
of educational initiatives, projects, policies and practices; enhance and measure improvements in
students’ well-being; identify learners who may be at risk; encourage and engage members of the
community to support and improve student and societal well-being (Cruchon 2009; The State of
South Australia 2007) and guide research initiatives (Hollingsworth 2009) and program
development (Hollingsworth 2009; Konu and Rimplea 2002; McQuaid 2012; Yager 2011).
In order to ground and enhance societal wellbeing, Dunn (1959) suggested that all members
of the community need to work collaboratively and systematically through: research;
measurement; education; model design and practical implementation to enhance societal
wellbeing.
THE INTERNATIONAL JOURNAL OF HEALTH, WELLNESS, AND SOCIETY
interest in the concept and its growing commercialization, wellness has recently emerged as a
discipline in its own right, with the establishment of university undergraduate and graduate
programs” (Albrecht 2011, 1).
Systems theory allows for a flexible approach to analyzing complex problems such as the
multilevel and interacting variables that impact the implementation and efficacy of school-based
mindfulness programs. It is essential when assessing mindfulness programs with children that we
consider the practices within a holistic framework, taking into account factors that may
potentially mediate the positive development of physical, behavioral, emotional, social,
intellectual, moral, spiritual and cultural outcomes, such as the child-parent relationship (Harnett
and Dawe 2012). For example, a randomized controlled trial conducted at a school may assess
how a mindfulness intervention impacts a student’s psychological wellbeing but neglect to
consider the family environment and whether it mitigates or promotes the cultivation of
mindfulness. It is considered critical when researching complex interventions such as meditation
and mindfulness that we allow the “system” to remain intact (Verhoef and Vanderheyden 2007).
Systems theory is employed in various disciplines from biology and engineering to
education and management. It is used for policy analysis, hypothesis generation and to test and
explore theories (Urban, Osgood, and Mabry 2011). One of the primary values of the theory is
that it can be used as a guiding framework to gain a better understanding of a problem or
research area (Urban et al. 2011). Employment of a systems-based wellness theory allows the
researcher to gain a holistic viewpoint of a problem through the careful consideration of the
multi-faceted nature of the topic. Sub systems can be analyzed using outcomes-based study
designs and the results will be given perspective and credence within the whole system, while in-
depth qualitative research may shed light on the nature of the whole system and the interacting
elements between its parts.
ALBRECHT: WELLNESS
Wheels of Wellness
A number of theorists have employed simple metaphors and diagrammatic explanations to help
convey core principles. One method is to use “wheels”, pie graphs or hexagons to depict how
different dimensions such as spiritual, cognitive, emotional, environmental and physical aspects
combine to form wellness. When a person, for example, over exercises and then neglects
spending time with friends, the wheel is represented in a lop-sided fashion – flat in some
quadrants and the individual’s overall level of wellness is said to be impaired (Greenberg,
Dintiman, and Oakes 2004). An individual may experience “High-Level Wellness” when she has
awareness, knowledge and the ability and motivation to take active steps to keep the tyre
“inflated” in regards to all dimensions of wellbeing (Greenberg et al. 2004; Travis and Ryan
2004).
A visual example of a wheel of wellness is depicted in Figure 1. The wheel acts as a
platform for the delivery of Mindfulness-Based Wellness Education at the Ontario Institute for
Studies in Education at the University of Toronto (Meiklejohn et al. 2011; Poulin 2009; Soloway
2011).
THE INTERNATIONAL JOURNAL OF HEALTH, WELLNESS, AND SOCIETY
It is interesting to note that the inspiration behind the design of the wheel came from
“indigenous knowledge keepers” (Poulin 2009, 28), rather than modern wellness theory. Poulin
initially focused on the 4-quandrant Native American Medicine Wheel, which represents 4
dimensions of “true learning” – mental, physical, spiritual and emotional (Bopp et al. 2004) to
provide a framework for understanding mindfulness. Native American 1 wisdom says that a
person cannot learn in a whole and balanced manner unless all four dimensions of her being have
been involved in the process (Bopp et al. 2004). Soloway, in 2006, “expanded upon the Medicine
Wheel’s teachings and created a 7-quandrant wheel that integrates traditional knowledge from
Yogic traditions” (cited in Poulin 2009, 29).
Wellness Characteristics
The next step in providing a comprehensive conceptual framework to examine research or assist
with the practical implementation of wellness programs is to outline characteristics or “elements”
that combine to form wellbeing. What does spiritual or physical wellness actually mean?
Elements of wellness are commonly categorized into dimensions (Corbin and Pangrazzi 2001;
Roscoe 2009), according to the model makers’ worldview, preferences and logico-deductive
reasoning. In the current article six wellness dimensions are presented: physical, emotional,
social, cognitive, spiritual and environmental. Some of the characteristics commonly associated
with a high-level of wellness, which the author has synthesized from a range of models and
theories (see Birdsall 2010; Cmich 1984; Epstein, Senzon, and Lemberger 2009; Fleuret and
Atkinson 2007; Maher 1999; Myers and Sweeney 2008; Nash, Meiklejohn, and Sacre 2006;
Pollard and Davidson 2001; Roscoe 2009; Ryff 1989; The State of South Australia 2007; Travis
and Ryan 2004; Witmer and Sweeney 1992) are described in the subsequent sections. The
dimensions largely correspond with the educational model of wellbeing that will later be
explained, except for the inclusion of environmental and ecological characteristics. Age-related
developmental descriptions are largely excluded; however, the characteristics can be adapted for
different age groups. For example, social wellness progresses as follows: from birth through to 5
1
It is recognized that there are problems inherent in using the term, “Native American”. The term was used as a political
necessity to unify oppressed groups of people (Cohen 1998). It has been used in the current paper in order to distinguish
other oppressed and marginalized Indigenous communities from other countries, such as Australia.
ALBRECHT: WELLNESS
years of age, children build secure attachments with one or more familiar educators. In the first
year of school, students then interact with their peers, teachers and other adults in a range of
contexts. In Year 1 and 2, students begin to develop and exhibit appropriate behaviors for
maintaining positive social relationships (State Government Victoria 2009).
Physical Wellness
Emotional Wellness
Social Wellness
THE INTERNATIONAL JOURNAL OF HEALTH, WELLNESS, AND SOCIETY
Cognitive Wellness
Spiritual Wellness
Environmental Wellness
ALBRECHT: WELLNESS
THE INTERNATIONAL JOURNAL OF HEALTH, WELLNESS, AND SOCIETY
ALBRECHT: WELLNESS
Conclusion
In the current article the author proposed using wellness as a framework to guide our
comprehension of school-based mindfulness practice and research. Wellness has wide-spread
industry appeal, governs paradigmatic views in a number of academic disciplines and serves as a
platform to unite policies, practices and pedagogy in schools. Wellness philosophy, core concepts
and characteristics have been described and a wellness framework has been used to give
perspective and place in context the motivation for implementing school-based mindfulness
programs. It was seen that mindfulness programs target a wide range of wellness outcomes and a
holistic perspective is needed when designing studies to assess the impact of interventions as
there are a large number of intervening variables that have the potential to mediate results. The
framework was used specifically to tie together mindfulness research employing a range of
methods in child and adolescent populations but it could also be used to make sense of other
wellness programs such as school kitchen gardens initiatives. Further research and discussion is
required to determine whether wellness can act as a suitable platform to enhance and integrate
mindfulness practice and research.
Acknowledgement
I would like to thank: my mother, Dr. Patricia Maria Albrecht from Flinders University in South
Australia for proofing and providing feedback on this article; Professor Rosalind Murray-Harvey
and Dr. Leigh Burrows from Flinders University for encouraging me to submit my thoughts for
publication and Professor Marc Cohen, my boss, from RMIT University for being an
inspirational leader in the emerging academic discipline of wellness.
THE INTERNATIONAL JOURNAL OF HEALTH, WELLNESS, AND SOCIETY
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The International Journal of Health, Wellness
and
Society offers an interdisciplinary forum for the
discussion of issues at the intersection of human
physiology and the social life conditions. It is a focal
point for scholarly and practice-based discussion in
a time of growing public and research awareness of
the relations between health and social well-being.
The concept of “health and wellness” impacts all
members of society, whether at a personal level in the
positive senses of life-satisfaction and exhilaration,
or problematically through the cost and availability of
remedial healthcare. Contributions to the journal range
from broad scientific, sociological, philosophical and
policy explorations, to detailed studies of particular
physiological and social dynamics.
ISSN 2156-8960