Download - Health: The Emotional, Social, and Spiritual Paradigms Richard A. Swenson, MD April 9, 2005
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Health: Health: The Emotional, The Emotional,
Social, Social, and Spiritual and Spiritual
ParadigmsParadigmsRichard A. Swenson, MDRichard A. Swenson, MD
April 9, 2005April 9, 2005
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An Integrated An Integrated Understanding Understanding
of Healthof Health The 90/10 principle:The 90/10 principle:
Ninety percent of the indices Ninety percent of the indices that determine whether we that determine whether we
are healthy or ill are not are healthy or ill are not influenced by the medical influenced by the medical
paradigmparadigm
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In other words . . .In other words . . .
All the doctors, hospitals, and All the doctors, hospitals, and pharmaceuticals influence pharmaceuticals influence only only ten percentten percent of our of our wellness or illnesswellness or illness
Yet this Yet this ten percentten percent is costing is costing us $1.9 trillion/year . . .us $1.9 trillion/year . . .
. . . and rising rapidly. . . and rising rapidly
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Health Care Costs
1900 1950 2000
$1 trillion
$3.4 trillion
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What should we do?What should we do?
Work on the Work on the ninety percentninety percent by by developing an integrated developing an integrated understanding of healthunderstanding of health
THIS IS WHERE THE THIS IS WHERE THE CHURCH COMES IN!CHURCH COMES IN!
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The Church and The Church and HealthcareHealthcare
HistoryHistory Center of communityCenter of community Faith = Health Faith = Health (1200 studies)(1200 studies) Preexistent, natural Preexistent, natural
synergiessynergies
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Preexistent Natural Preexistent Natural SynergiesSynergies
Parish nursesParish nurses Church-based clinicsChurch-based clinics Group visits with shared diagnosesGroup visits with shared diagnoses Hospital visitsHospital visits Post-surgery carePost-surgery care Meals during sicknessMeals during sickness Respite careRespite care Retirement homes, Assisted living, Retirement homes, Assisted living,
Nursing homesNursing homes
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Preexistent Natural Preexistent Natural SynergiesSynergies
Hospice, Death and dyingHospice, Death and dying PrayerPrayer Social supportsSocial supports Group accountabilityGroup accountability Care for the poorCare for the poor Help for uninsuredHelp for uninsured Lifestyle disease intervention with Lifestyle disease intervention with
accountabilityaccountability Bioethical standards Bioethical standards Alternative medicine possibilitiesAlternative medicine possibilities
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Beyond the Physical Beyond the Physical Paradigm…Paradigm…
The EmotionalThe Emotional The SocialThe Social The SpiritualThe Spiritual
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The EmotionalThe Emotional
Do we live in a deteriorating Do we live in a deteriorating psychic environment?psychic environment?
Emotional illness is the Emotional illness is the second largest “burden of second largest “burden of disease” after heart diseasedisease” after heart disease
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Emotional Well-beingEmotional Well-being
Progress & our emotionsProgress & our emotions We are “better off” -- but We are “better off” -- but
we’re not “happier”we’re not “happier” DepressionDepression
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Emotional Well-beingEmotional Well-being
Six saboteurs of progress & Six saboteurs of progress & emotionsemotions Stress*Stress* ChangeChange ComplexityComplexity SpeedSpeed IntensityIntensity OverloadOverload
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Emotional Well-beingEmotional Well-being
Six saboteurs of progress & Six saboteurs of progress & emotionsemotions StressStress ChangeChange Complexity*Complexity* SpeedSpeed IntensityIntensity OverloadOverload
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Emotional Well-beingEmotional Well-being
Six saboteurs of progress & Six saboteurs of progress & emotionsemotions StressStress ChangeChange ComplexityComplexity Speed*Speed* IntensityIntensity OverloadOverload
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Emotional Well-beingEmotional Well-being
Six saboteurs of progress & Six saboteurs of progress & emotionsemotions StressStress ChangeChange ComplexityComplexity SpeedSpeed Intensity*Intensity* OverloadOverload
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Emotional Well-beingEmotional Well-being
Six saboteurs of progress & Six saboteurs of progress & emotionsemotions StressStress ChangeChange ComplexityComplexity SpeedSpeed IntensityIntensity Overload*Overload*
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Emotional Well-beingEmotional Well-being
Social supportsSocial supports PetsPets ReconciliationReconciliation RestRest**
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Mark 6:30-32Mark 6:30-32
The apostles gathered around Jesus The apostles gathered around Jesus and reported to Him all they had done and reported to Him all they had done and taught. Then, because so many and taught. Then, because so many people were coming and going that people were coming and going that they did not even have a chance to eat, they did not even have a chance to eat, He said to them, “Come with me by He said to them, “Come with me by yourselves to a quiet place and get yourselves to a quiet place and get some rest.” So they went away by some rest.” So they went away by themselves in a boat to a solitary place.themselves in a boat to a solitary place.
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Emotional Well-beingEmotional Well-being
LaughterLaughter MusicMusic GratitudeGratitude Appropriate expectationsAppropriate expectations
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The SocialThe Social
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Social Well-beingSocial Well-being
Zerrissenheit: Zerrissenheit: torn-to-pieces-torn-to-pieces-hoodhood
Relationships: family, faith, Relationships: family, faith, friendsfriends
Church is where we live _____ Church is where we live _____ togethertogether
CommunityCommunity tradition, relationships, visiontradition, relationships, vision
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Social Well-beingSocial Well-being
The need for StructureThe need for Structure structural, institutional, structural, institutional,
denominational helpdenominational help ServiceService Technology – a mixed recordTechnology – a mixed record
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Social Well-beingSocial Well-being
Aging, Aging, Longevity, Longevity, Bioethics, and Bioethics, and the need for the need for meaningmeaning
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The Graying of The Graying of AmericaAmerica
What will society do?What will society do? The number of seniors will nearly The number of seniors will nearly
double by 2030 double by 2030 Grandmothers caring for Grandmothers caring for theirtheir
grandmothers? grandmothers? No socially or fiscally stable No socially or fiscally stable
answers have yet presented answers have yet presented themselvesthemselves
The role of the churchThe role of the church
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The SpiritualThe Spiritual
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Spiritual Well-beingSpiritual Well-being
FaithFaith HopeHope
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HopeHope
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Spiritual Well-beingSpiritual Well-being
LoveLove VisionVision GraceGrace**
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Spiritual Well-beingSpiritual Well-being
SimplicitySimplicity ContentmentContentment
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Hagar’s Two Rules for Hagar’s Two Rules for HappinessHappiness
1. Be content with what 1. Be content with what you haveyou have
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Hagar’s Two Rules for Hagar’s Two Rules for HappinessHappiness
1. Be content with what 1. Be content with what you haveyou have
2. Always be sure you have 2. Always be sure you have plentyplenty
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Progress is not enoughProgress is not enoughPills are not enoughPills are not enough
If we are ever to be truly If we are ever to be truly healthy, we also need healthy, we also need relationships, community, relationships, community, reconciliation, rest, laughter, reconciliation, rest, laughter, music, gratitude, service, faith, music, gratitude, service, faith, hope, love, vision, grace, and hope, love, vision, grace, and contentmentcontentment