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We are living in an era where modern medicine has started looking closer into the Body-Mind connection. http://www.icoachacademy.com/blog/coaching-resources/research-papers/maria-ermioni-papastefanou-coaching-for-health-and-wellness/
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Research Paper Assessment
Name: Maria-Ermioni (Noni) Papastefanou
Date: 4th November 2012
Student ID: 265984
Email: [email protected]
Coaching For Health and Wellness
Abstract
This article aims to discuss:
a. the meaning of health and wellness and health and wellness coaching
b. stress and coaching
c. a body-mind coaching model to achieve health/wellness related goals
d. the applications of health and wellness coaching
A. Introduction
We are living in an era where modern medicine has started looking closer into the Body-Mind connection. It
is now known that our intellectual and emotional state affect our physical state and our physical state affects
how we think and feel. (Dr N. Kostopoulos, MD, “Ayurvedic Approach to Psychosomatic conditions”).
People dealing with health-related issues start to realize that they cannot rely on their cure only on medical
care. In order to improve their health people need to change; change their lifestyle habits, their harmful
thoughts, their negative feelings. Although change may be decided instantly it is an ongoing process of
transformation. This is the time when coaching can be an empowering life choice and accountability system
to personal effectiveness in meeting health related goals and intentions.
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B. Coaching For Health And Wellness
I. Definition Of Health And Wellness
According to World Health Organization, health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity.
Wikipedia defines wellness as a healthy balance of the mind, body and spirit that results in an overall
feeling of well-being. The term has been defined by the Wisconsin-based National Wellness Institute
as an active process of becoming aware of and making choices toward a more successful existence.
Wellness is a view of health that emphasizes the state of the entire being and its ongoing development. The
phrase can be seen as an analogue to the medical term "homeostasis". Wellness can also be described
as "the constant, conscious pursuit of living life to its fullest potential." (Wikipedia)
The above clearly showcases that our choices and behaviors affect our health and we have the power and
responsibility to change them. This principle is exhibited more clearly in the below pie chart, as provided by
the American Holistic Health Association:
Factors Defining The Level of Health And Well-being
Understanding that over fifty per cent of the quality of our health depends on our choices can be an
empowering realization of what we can do to attain the optimum degree of health and set health-related
goals.
II. Definition and Benefits of Health and Wellness Coaching
Since the early 1990's, coaching has been gaining recognition as a profession that facilitates performance
(Downey, 1990). International Coach Federation defines coaching as partnering with clients in a thought-
provoking and creative process that inspires them to maximize their personal and professional potential. The
business world has been applying coaching extensively in the workplace to improve performance and
produce results. Applying this knowledge and approach on the health sector, improved performance and
results on individuals facing health issues can be expected. Health coaching focuses on facilitating the
promotion of healthy behaviors and to help individuals achieve their health-related goals and enhance their
well-being (S.Palmer, International Journal of health promotion and education). A minor difference can be
discerned among health and wellness coaching. Whilst health coaching deals mainly with specific health
issues (e.g. hypertension), wellness coaching is about attaining wellness goals, such as engaging in physical
exercise, loosing weight, managing stress, cessation of smoking.
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Through health and wellness coaching one can develop ownership and responsibility, self awareness,
improve skills and behaviors, increase self-efficacy, identify solutions to specific health-related issues, take
action and generate the desired results.
III. Stress Management
A basic component of self-care and well-being is the effective management of stress. As 60-90% of
healthcare visits are related to mind-body stress induced conditions (Harvard Medical School), it is worth
examining stress further and discuss structures to manage it effectively.
a. What Is Stress?
Stress is defined as the perception of a physical or psychological threat and the perception that the
individual's responses are inadequate to cope with that threat. Threats include major life events, trauma,
and abuse, environmental signals, or physical and emotional stress.
When the brain perceives the threat, it triggers a cascade of events the result of which is called the stress
response or fight or flight response. Some of the physical results are a heightened arousal state, alertness,
and focused attention. The stress response is integral to the life of every living organism, evolved as an
adaptive mechanism to preserve stability or homeostasis. (“Body Mind Medicine”, Harvard Medical School).
Therefore, some stress can be beneficial at times (eustress), producing a boost that provides the drive and
energy to help people get through demanding and challenging situations. However, an extreme amount of
stress (distress) and the prolonged time of adapting to change can lead to pathological consequences,
related to hyperarousal, gastrointestinal, hormonal, musculosketelal, inflammatory, cardiovascular and
respiratory disorders. Other common symptoms of stress are headaches, sleeping disorders, lack of energy
and concentration, irritability, depression, nervousness and inability to take decisions. When discussing
stress and stress management we refer to distress.
b. Types Of Stress And Coaching
Identifying the various types of stress, can help to choose the most suitable coaching approach or refer
patients/clients to a health care expert for treatment.
The American Psychological Association has defined three types of stress: acute, episodic acute and
chronic.
Acute stress is the most common form of stress and it comes from demands and pressures of the recent
past and anticipated demands and pressures of the near future. Episodic acute stress comes from ceaseless
worry and pessimism. Chronic stress comes when a person never sees a way out of a miserable
situation. It's the stress of unrelenting demands and pressures for seemingly interminable periods of time.
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Dr Karl Albrecht, (author of the book “Stress and the Manager”, 1979), identified another four types of stress,
frequently encountered in the modern environment of organizations:
Time related stress (fear of failure to achieve something important), anticipatory stress ( it concerns the
future and it can be focused on a specific event, or be vague and undefined), situational stress (it is
experienced when there is a scary situation that we have no control over), encounter stress (it revolves
around people and it is about worrying when interacting with a certain person or group of people. It can also
occur in the case where a lot of personal interactions with people that are in distress).
Through coaching all the above types of stress can be addressed; one can learn to balance urgent and
important tasks, making sure that there is enough time spent on the important priorities that are the ones
related to life's meaningful objectives. Positive visualization techniques help to imagine the situation going
right. Mindfulness and meditation are other techniques that help develop focus and the ability to concentrate
on what's happening right now, rather than on an imagined future. Preparing and making contingency plans
can give a greater control of the situation. Increasing self-awareness by recognizing the "automatic" physical
and emotional signals that the body sends out when it is under pressure is essential that one understands
both the physical and emotional symptoms of stress, so that one can manage them appropriately. Self care
(taking short breaks to recharge), learning to communicate effectively, recognizing emotions and needs of
self and others, and exercising empathy, are all valuable skills for coping with stress.
“Stressful times are inevitable but living in stress is optional”. Stress management coaching, self care and the
adoption of a healthy lifestyle in the way that is described in the following section, are essential approaches
to cope with stress.
IV. A Body-Mind Coaching Model for Health and Wellness
Based on the principles of coaching, body-mind medicine and holistic health, an approach to coping with
health and wellness issues is outlined in this model, using the following six steps.
1. Creating Awareness
The first step is to create awareness and recognize the signs that the Self sends through various
channels (physical, mental, emotional) when one of the self aspects is out of balance. When there is
an imbalance at the physical level, attention needs to be paid on the signals that the body sends to
recognize what makes it feel good and what hurts. At the emotional level, one observes emotions to
know which people or activities cause positive or negative feelings. At the mental level, one
examines the thoughts that make one tighten up or relax. Coaching can help become aware of
behaviors that lead to such imbalance and focus on what needs to be changed. Active listening,
powerful questioning and feedback without judgment can promote awareness.
2. Implementation of a Healthy Life-Style
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According to the American Holistic Health Association and Harvard Medical School, a healthy life-
style concerns all aspects of self and it means taking care of it at all levels.
Physical level
◦ balanced diet according to the needs of the individual
◦ physical exercise
◦ relaxation
◦ recuperative sleep
Emotional level
◦ being able to recognize and handle emotions
◦ share feelings
◦ play/have fun
◦ create warm, loving relationships
Mental level
◦ develop positive thinking and positive attitudes
◦ examine limiting beliefs and replace them with empowering ones
◦ communicate effectively
Spiritual level
◦ spend quiet time with self to connect with inner self and wisdom/nature/Higher Power
◦ exercise mindfulness
◦ unleash creativity
◦ exercise gratitude
During a coaching session, the areas that need focus and development can be identified and create
structures to strengthen them.
3. Motivation
Through value elicitation a coach can assist in the identification of the reasons one wants to change.
Values are what we move toward or away from and they provide a motivation for our actions. Values
are those things/or notions, that we are willing to expend resources for, or to obtain resources to
have and they govern all human behavior. Values are mainly unconscious and they drive a person's
true purpose in life. (Tad James & Wyatt Woodsmall, Timeline Therapy and the Basis of
Personality). Once the values and purpose are identified, decisions can be made accordingly so that
the individual is aligned with who she/he is. A coach can support, encourage, hold them
accountable and acknowledge the individual for the new decisions that lead to the desired life-style
changes. Once the individuals find their reasons for wanting to change, they can get excited about
what will happen if they do change their habits and behaviors to achieve wellness.
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4. Goal Setting
An important step in the process is the setting of S.M.A.R.T. goals that will be based on the identified
values. S stands for specific, M for measurable and meaningful, A for achievable and as if now (act
as if), R for realistic and responsible (ecological), and T for timed and toward the desired outcome.
Health-related goals are always tailor -made as wellness varies according to the life-style and
conditions of each individual.
5. Taking Action
Once the goal is determined, the next step is to decide what changes need to be made to
achieve them, (for instance practicing a beneficial activity more often, replacing an unhealthy habit
with a healthy one). Any goal, no matter how big or difficult it may seem, can be broken down to
smaller goals and milestones. Creating and maintaining well-being is an ongoing process and
doesn't happen overnight. It is all about taking the first step and celebrating small achievements to
create momentum and reinforce the willingness to move forward.
6. Evaluation
Measuring performance daily or weekly, allows to be aware of where one stands in regards to one's desired
outcome. During the evaluation status of goals can be reviewed, barriers will be addressed and strategies
revised if necessary. Identifying and acknowledging what worked is another useful part of the process as it
encourages the commitment by seeing the results of a behavior that has been changed consciously.
V. Applications Of Health and Wellness Coaching
People at all stages of health can benefit from health and wellness coaching – from those who want help
maintaining health and a state of well-being, to those who are at risk of developing, or already have chronic
conditions.
Patients in hospitals and clinics, medical practice groups, patients of health-care practitioners, can learn that
they are active participants in treatment and they learn to develop new behaviors required to achieve their
health-related goals.
Wellness coaching benefits corporations/organizations because healthier, happier employees are more loyal
and more productive. When individuals are most willing to make a change, they increase their success rates.
Universities could benefit from wellness coaching programs to ensure that the professional leaders that are
being prepared to work in any field, learn how to be in charge of their health and well-being in order to be
effective in their professional life.
C. Conclusion
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It is everybody's birthright to be healthy and happy. A state of well-being constitutes the solid foundation of a
meaningful, happy and successful life. When one starts examining its wellness status at all levels (physical,
mental, emotional, spiritual), one can identify the areas of one's life that need to change or improve in order
to feel fulfilled.On such a healthy foundation other goals can be built upon and flourish.
References
1. Institute Of Coaching (www.instituteofcoaching.org)
2. American Holistic Health Association (www.ahha.org)
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3. American Psychological Association (www.apa.org)
4. International Coach Federation (www.icf.org)
5. Wikipedia (www.wikepidia.com)
6. World Health Organization (www.who.int/en)
7. International Stress Management Association (www.isma.org.uk)
8. Dr Miller for Body-Mind medicine (www.drmiller.com)
9. Deepak Chopra (www.deepakchopra.com/blog)
10. Choice magazine (www.choice-online.com)
11. “Time and Stress in the workplace”, Alexander Hamilton Institute
12. “The Revolutionary Practice of Body-Mind Medicine”, Harvard Medical School (manual from Body-
Mind Medicine Conference, June 2011)
13. Stephen Palmer, “Health coaching to facilitate the promotion of healthy behavior and achievement of
health-related goals”, International Journal of health promotion and education
14. Nikos Kostopoulos, MD, “Ayurvedic Approach to Psychosomatic conditions”, 3rd International
Colloquium of Ayurveda
15. Herbert Benson, MD, “The relaxation response”, Harper 2001
16. Dennis Greenberger, Phd, Christine A. Padesky, PhD, “Mind over mood”, Guidford, 1995
17. Tad James & Wyatt Woodsmall, Timeline Therapy and the Basis of Personality, Meta Publications,
1988
18. Karl Albrecht, “Stress and the Manager”, 1979
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