Evolution of Positive Health

I just uploaded a video to my YouTube page (below) that reviews how I see the evolution of positive health. Within this video I describe how the concepts of wellness and salutogenesis are related. After you watch this short 11 minute video, please share your thoughts. Thank you.

Be Well’r,
Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

 

 

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Am I in Bizarro World? Lets Make 2017 Great!

2016 has been a crazy year. The unexpected happened: the Cubs won the worlds series, Donald Trump became our president, and Army beat Navy.  Am I in Bizarro world?

For me Bizarro world would be where up is down, black is white, in is out, etc. I have had the Bizarro sensation lately. The Seinfeld TV series covered this topic. In this episode, George Costanza,  the neurotic, self-loathing, short, stocky, slow witted, bald man, and self proclaimed “Lord of the Idiots” character decided he needed to do the opposite of everything. He decided he should do the opposite of what he would have or thought he should do because, so far in his life, what he had done was always  wrong (see clip).

I work for a Department of Health Education and Promotion. To me this should mean those in our department are charged to promote, support, and encourage health. Health is the PRESENCE of physical, mental and social well being and NOT merely the absence of disease and infirmity, according to the World Health Organization. This suggests the job of health professionals should be to promote, encourage, support and enable actions that create improved levels of physical, mental and social well-being.

In general, when we determine if things are better, the same, or worse we compare expectations to a reference point. Our reference point, or what we compare our current reality to, is used to determine if things are better, the same, or worse. If it looks like things  would be about the same, it would be neutral and therefore likely to maintain the status quo. Please note, people have a noted bias for status quo.

The status quo then would be not having anything worse than how it is, or it could be thought of as a state of not bad meaning no new efforts are needed. Not bad would then be equivalent to a “zero” state. Based on the idea of improvement, not bad or zero would be the opposite of the inherent goal health promotion has to improve health unless we are in Bizarro world. Health promotion should be about going beyond zero by helping people experience a better, true good, state of health or a +3 – as compared to our neutral reference, zero, or status quo. (see video)

Recent experiences have made me feel that I am in Bizarro world. Our department is in the process of hiring 3 new professors for the department of health education and promotion. For these searches we brought in 6 outstanding candidates for interviews and presentations.

Each candidate was highly  intelligent, had a great grasp of science and advanced statistics, had completed compelling studies, and had done work of a high caliber. My push into Bizarro world happened because these candidates had focus areas of suicide, HIV, adolescents and alcohol, teen pregnancy, chronic obstructive pulmonary disease (COPD), and cancer. How could any of these areas of focus identify and or discover ways to be more physically, mentally and socially well – beyond the absence of those identified diseases and or conditions of infirmity? One colleague suggested suicide was not about disease. I agreed but still could not understand how suicide investigations would help discover paths to improved physical, mental or social well-being. He concurred.

Several say to me that treating disease or “fixing it” does mean more health. True, but only if you change the reference line from which you compare the current state of health. Most of us are generally healthy so our reference is not bad, neutral, managed or zero. Fixing anything below zero, is just getting us back to the status quo and not creating physical, mental and social well-being beyond our initial reference of not bad, neutral, managed, or zero. As should be obvious and is shown in research, people are less motivated to achieve an outcome of managed, not bad, neutral, or zero than to work toward developing a flourishing, achieving, or thriving outcome.

Research related to those in poverty demonstrated that those in poverty did not perceive receiving more money as a gain but a way to catch up, or get to zero, their reference point. Gains for them were not possible until they were at least out of poverty, their reference. It reminds me of Jim Gaffigan when he explained in one of his performances the arrival of their fourth child. “Yes we are having a fourth baby. To help people understand what is like to have four kids, imagine you are drowning and someone hands you a baby. Thats it.” His focus therefore was maintenance, or not getting worse. In other words, forward could only be possible if they could at least be at zero, swimming with ease, or above the poverty line in the previous example.

To clarify the idea of gains or positive outcomes, lets examine employee’s. When workers are hired they are expected to complete a specific amount of work. These work expectations then create a work level and work completed sets a reference point. If, or when a disease and or infirmity occurs, work falls below that established reference and this creates a deficit.

If health professionals then focused on bringing that workers effort back to that reference, deficit reduction, it is just a return to the status quo, not improvement to higher work levels, growth or gain. This measure, or return to previous work effort level does not even consider lost work time. Health promotion should add physical, mental and social well-being so higher levels of health enable productivity at a better, not yet attained level of performance, rather than merely a return to the status quo.

Health creation has been the focus of my career. To maintain my focus on health creation, I have used salutogenesis as my model or framework. Salutogenesis focuses on the origins of health. (salu = health; genesis = origins) I however am in the minority, most in the health field are guided by pathogenesis. Pathogenesis is a model or framework focused on the origins of disease. Isn’t that the opposite? Are we in Bizarro world? How can more be learned about better health, beyond he absence of problems, if the focus is on the origins or causes of problems in the form of disease and infirmity? Several noted scholars have questioned using pathogenesis as a guiding framework for health promotion. (see video for comparison of Pathogenesis and Salutogenesis)

Pathogenesis leaves one to wonder how an investigation using this framework can inspire strategies that create physical, mental and social well-being beyond the development of strategies for less disease. While less disease is important and morally appropriate, it is important to understand that less disease does not necessarily create more health beyond the absence of problems. Remember, health is not merely the absence of disease and infirmity – it is more than.

In addition, positive and negative states are independent. Decreasing and or increasing positive or negative states of health does not necessarily have equating reciprocal effects on the other state. Increasing physical, mental and social well-being or positive health, however, does increase capacity and potential and this improvement enables a greater ability to overcome problems that would not be possible otherwise. (see more about how high levels of health enable better health in: Serendipity? Don’t “Have” a Nice Day – Make it So! and in the story from my recovery from a near fatal car accidentFor this reason, it is recommended salutogenesis and pathogenesis be complementary. Complementary use of these frameworks is described in the linked article Salutogenesis 30 Years Later, Where do we go from here?

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So what does this mean? I put on many of my students papers, <- ≠ >+, or less negative does not equal or mean more positive.(see more at Less Bad ≠ More Good – We Must Create Good) I mark this because my work and that of many other noted scholars has documented prevention does not create health, just less disease. I explain many of these issues in a previous postPrevention Can’t Work and Problems are Irrelevant! Health has to be created.  In many presentations and classes I explain how it is good to eliminate bad, but we can do more and better should be our focus. To clarify please see short video below, Better than Not Bad:

Many then ask, “But we have to do something about issues such as those of the candidates: suicide, HIV, adolescents and alcohol, teen pregnancy, chronic obstructive pulmonary disease (COPD), and cancer. Absolutely, something must be done, however to be truly effective we should do more than just eliminate the bad. We should create an idealized good that also eliminates the bad as a by-product. For this to happen, the goal must be positive, not just non-negative, and be better than the reference. We should clearly explain a goal by Operationalizing an Idealized Outcome, rather than just a not bad outcome which simply brings everything back to the status quo or reference point. A not bad outcome would only achieve better health by accident, focusing on  Idealized Outcomes creates better health on purpose.

I teach the capstone class and introduce my students to the ideas of health creation. At the end of the class I ask them to write a monologue to describe the impact, if any, the class had on them. Despite the possible bias because it is an assignment, without fail most students comment, “I never knew you could think about health this way.” These same comments are heard from professionals at my presentations. This makes me wonder, do we live in Bizarro world?  How is it, people who focus on health improvement think it is opposite or odd to focus on discovering actions and environments that cause or lead to better health and think using the traditional techniques of investigating way to prevent bad outcomes is correct? Isn’t discovering causes of bad health the “opposite” of discovering causes of good or better health?

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So what can be done? Without question suicide, HIV, adolescents and alcohol, teen pregnancy, chronic obstructive pulmonary disease (COPD), and cancer are important areas. However if we focus beyond the problem to a desired or Idealized Outcome, we can end up better while also eliminating, preventing or managing a disease or infirmity.

For the situations related to these candidates, as illustrated in earlier posts, we should Practice Paneugenesis. The aim of paneugenesis is to generate comprehensive improvements by creating pervasive, reciprocal, selfish, selfless, synergistic interactions so everyone and everything benefits. This can be done by using this 4 step Paneugenesis Process:

1. Operationalize an Idealized Outcome – make sure all involved parties know what is to be created and be sure that it is better than what can be now. The outcome should have pervasive and reciprocal effects that carry meaning and impact to and beyond the individual.

2. Discover Precursors – what must exist now to make the idealized outcome a reality. Discover what skills, abilities, traits, environments are necessary and or  must exist to realize the idealized outcome. These precursors are conditions that must be created and are not currently present.

3. Optimize the Process – what must be done to create those precursors that will enable the idealized outcome and precursors to be created and realized.  Go do that now! Do what must be done to create and put in place the necessary precursors discovered.

4. Plot Progress – find measures that document and demonstrate progress is being made toward the creation of discovered precursors and or idealized outcomes. Progress measures that indicate movement of actions taken in your process are being made toward the creation of the new, desired reality.  Documenting progress is necessary to give meaning and purpose to the process and to help participants maintain motivation.

To use the Paneugenesis Process for Suicide misses the objective.  We must move toward a positive and the prevention of a negative will be a secondary benefit.  That thought reminds me of my work with people in the military. Originally when we met, their goal was to limit soldier suicide. After our work together, it was agreed their real goal, or Idealized Outcome, was to create great soldiers who were confident, purposeful and had meaning in their life. As discovered, great soldiers were not only more productive, they had lower suicide rates. The goal was then transformed from limiting soldier suicide to developing great soldiers. As a by-product, this approach to develop great soldiers would also limit soldier suicides.

For the candidate who had studied and sought to limit suicide in India, I would suggest adjusting the research goal toward the Idealized Outcome of finding purposeful groups in India. Groups doing good in that area are also likely to  have lower suicide rates. Such an example was shown in the December 18th, 2016 60 Minutes program show about theWhite Helmetsgroup in Syria. The “White Helmets” groups are a trained force of 3000 rescue workers that offer Syrian civilians help and hope.

For the candidate who focused on HIV and MSM, (Men who have Sex with Men) an alternative approach may prove more useful. Most of the work focused on the positive or negative feelings these individuals had about themselves, their community and or religious group, and their homosexuality. An analysis of these variables with safe sex practices and HIV was conducted. The goal was to have less bad, as measured by HIV and negative personal feelings, and not to create true good beyond the absence of HIV and negative feelings. Questionable benefits from this work were highlighted when findings from this work documented that those that felt more negative about themselves were the individuals that more regularly used condoms and therefore had safer sex practices.

An alternative aim for this work, using the “all good” or Paneugenesis approach, would seek comprehensive improvements and Idealized Outcomes in this situation to the individual, the community/congregation and all related stakeholders. To do this, a beginning study would investigate multiple community and or religious groups to determine which groups had homosexual individuals with good personal feelings about themselves and if  homosexual’s in those groups had a higher life satisfaction and safer sex practices.

Upon discovering a more health creating group, the research would then seek to Discover the Precursors or conditions, such as a more accepting or more closely integrated community/congregation, that enabled that group to do and be better. It would also be necessary to understand the Processes used, possibly community functions or congregation by-laws, that created those Precursors. Follow-up intervention research would then work to create identified successful Precursors in other communities and or congregations by Optimizing the Processes to enable Idealized Outcomes. Research would investigate processes and outcomes.

The researcher who investigated adolescents and alcohol hoped to lessen problems associated with adolescents using alcohol such as accidents and school difficulties. An alternative aim using the “all good” or Paneugenesis Process would be to measure positive outcomes such as graduation and college acceptance rates. Increases in these rates are related to purpose and direction in life and also, as a by-product, show lower or more managed alcohol use.

The same alternative “all good” or Paneugenesis Process could be used by the researcher who focused on teen pregnancy. In my discussions with this candidate I asked, if you lower teen pregnancy, what do you get? She admitted there was no clear direction toward something positive and agreed a positive outcome such as higher graduation rates and college acceptance rates would be a good aim. She confirmed, those thinking about future generally have more meaning and purpose while also having lower pregnancy rates.

It think it can be seen how using the Paneugenesis Process to Operationalize an Idealized Outcome will create a process that can lead to outcomes beyond less bad. For the other candidates who focused on Chronic obstructive pulmonary disease (COPD) and Cancer, the aim of improved physical, mental, and social well-being such as is possible with a whole food plant based eating style may be appropriate. Whole food plant based eating style improves well-being and provides extensive environmental benefits for all and this provides purpose and meaning to their lives from their food choices. Beyond improved health, a by-product of a whole foods plant based eating style prevents and can sometimes reverse chronic diseases.

Operationalizing the Idealized Outcome is a vital component. The outcome must be positive or the Paneugenesis, creating all good process, is not possible. Every  Idealized Outcome should operationalize, or make clear, that work is directed toward an outcome that creates meaning and connection. It also should be explained how this outcome will have an impact beyond the individual. As Dan Ariely explains in “Payoff: The Hidden Logic that Shapes our Motivations“, when effects move beyond ourselves, our social circle, and even our existence – this drives people to work extra hard to gain meaning. To maintain motivation and effort, it is vital to document progress is being made. People must see measures that Plot Progress and demonstrate movement forward. The by-product benefit of having a meaningful Operationalized Idealized Outcome is the enhancement of inherent joy and the minimization of confusion. This outcome reciprocally leads to higher passion and improved productivity.

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So how can this help Make 2017 Great? Use this to clarify to yourself and others (operationalize) a personal or work Idealized Outcome to achieve in 2017. Investigate and discover Precursors that must be true to realize the desired outcome. Do you need a degree? Co-worker with other skills? What skills, abilities, connections or conditions must exist for you to realize that Idealized Outcome? After you Discover the Precursors that must exist, design your life in 2017, Optimize Your Process, so you create those needed Precursors. To  keep moving toward your goal and to maintain your motivation you will need consistent reminders of the progress you are making. To give yourself reminders or notices that you are moving toward your goal, find a way to regularly Plot Your Progress. Good luck.

I look forward to hearing how you will generate comprehensive improvements by creating pervasive, reciprocal, selfish, selfless, synergistic, interactions so everyone and everything benefits.

Be Well’r,
Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

Thank You Mr. Obvious

My work seems obvious so I am confused by traditional practice. I work with health. Most in health work from a disease elimination perspective to create health, despite the fact health is the PRESENCE of physical, mental and social well being and NOT MERELY THE ABSENCE of disease and infirmity. To accomplish this goal I use a salutogenic or health origins/causing framework while others use a pathogenic or disease origins/causing framework.

To me this is obvious, if we want to cause health, shouldn’t we study health’s precursors or causes? How is it possible to cause health through a better understanding of disease? Of course we must know how to cure and treat disease but causing better health has to lessen disease.

Am I missing something?

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Other obvious things seem to happen. For instance a Mr. Obvious comment is, “And I found it in the last place I looked.” This is confusing, should someone keep looking for the item after they find it?

Another Mr. Obvious is reports of Greenhouse Gas (GhG) emissions. I hear reports of percent decreases in emissions and think great, less heat trapping emissions are being dumped into our atmosphere. This however is creative accounting, and not accurate. Generally what they mean is less emissions per square foot. For example, although less emissions are being released, the area using fossil fuels to heat, a/c and more has grown, therefore the emissions needed for that space also grew.

Despite dumping more GhG into our biosphere, a recent report documented “reductions”?

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It is like when we required the catalytic converters for cars. Although less emissions were released per car, we had more cars so there was no decrease in emissions. To me this is obvious, if we want to improve we must actually reduce the emissions in total, not just per square foot. We must find a way to do good, not just less bad (see here for more about this).

In another Mr. Obvious moment, a former student I had in 2006, 10 years ago, saw me recently and was impressed by something that should be obvious. Now she is getting a graduate degree. She said she remembered me because of one thing I said in class. She explained that her group was telling me that they did their best work under a time crunch so there was no reason to get started early. My Mr. Obvious, and obviously memorable comments was:

“Of course you do your best work when you are in a time crunch, it is the only option you have left. If however you do your work early, you have an opportunity to do even better work.”

While she doesn’t remember much else from class, so she claims, she said she always remembered that and now gets to work on her projects early so she can do better work.

To me my work is a Mr. Obvious. We should be doing what causes health because it builds physical, mental and social well-being and enables higher capacities and potential. Higher health is good because when something difficult or tragic happens, which most likely will happen, the person than has the capacity and ability to not just overcome, they can be better. If we only take preventive action, we are less likely to create the potential needed to achieve and reach a higher state of well-being. Increased capacity, skills, and potential is always useful to achieve what is desired and is especially useful if something difficult happens.

To me this seems obvious, yet to others it does not. For me it proved beneficial because at 17 I was in great shape, physically, mentally and socially and also had a great family. I did what I did to have a better life, not in case something happened and would more likely recover, but simply because I wanted a better life to enjoy.

Unfortunately something did happen, on September 21, 1984 I was the passenger of a car that collided head on with another. The driver and the other 2 passengers of the car died and I suffered a severe head contusion. I lapsed into a coma for a week. When I awoke, I was paralyzed and the brain damage caused me to lose all I had known. At the time, it was not expected  to be able to go to college and had a marginal chance of completing high school.

I did recover and am now able to thrive. (To see more of my story and recovery click here) My recovery was only possible because I was in good physical, mental and social well-being at the time. My parents and family were amazing and they were there for me and pushed me to be better.

Therefore, not only did being engaged in physical, social, emotional, spiritual, intellectual, vocational, and environmental health promoting activities at that time in my life make my things better then, it also helped me have a better life today. My parents consider my wonderful children, Amanda & Annika a miracle, as do I.

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Engage in health promoting actions to make your life better now. Not only will it make your life better, if something does happen, as things usually do,  it will help you avoid, overcome or recover faster. Make it a great day, week, year, and life!

Be Well’r,
Craig Becker

Be selfish, selfless, & synergistic so everyone and everything benefits!

New Publication – Action Sports Improves Health

Using the good work of Masters student Ryan Moynahan, with colleagues, we published a new paper in the Journal of Sport Behavior. Using the Salutogenic Wellness Promotion Scale for young adults and The H.E.A.L.T.H Model (see below the Holistic Ecological Assessment of Lifestyles for Total Health) for a guide, it was found that regular engagement in action sports improves health. Actions sports are non-traditional and possess risk, danger, rules and techniques atypical of traditional sports. Action sports include surfing, skateboarding, snowboarding, eco-challenge, and rock climbing and the number of participants in these sports is growing faster than any other sport activity.

While this findings seems obvious, the study was done because generally we only hear about the dangers or injuries from  actions sports and not the benefits. As this study suggests, with proper precautions and training, similar health benefits as with participation in other sport activities is the result. Of course Risk Homeostasis Theory would suggest that only those who properly train would be involved in actions sports. If Dr. Wilde were initially looking at actions sports, it would seem the benefits of the risky behavior outweigh the benefits of safe behavior. Yet the assessment must go deeper. Engaging in actions sports without injury means they engaged in the cautious behavior of proper equipment, training, etc. so they could engage in action sports. This then is a case where the benefits of cautious behavior, being properly trained, drove them to take appropriate action.

As I say throughout my work, all of us desire to create pleasure so to help make this happen we need to highlight the benefits of actions that improve quality of life that encourages  actions from which everyone and everything benefit. Any way you look at, this interesting paper documents that health benefits and more accrue from involvement in actions sports. If you are interested you can access the article at:

Shores, K., Becker, C. M., Moynahan, R., Williams, R., & Cooper, N. (2015). The Relationship of Youth Adults’ Health and Their Sports Participation. Journal of Sport Behavior, 38 (3), 306-320. (see JSB-Relationshp of Hlth & Sport part)

Color H.E.A.L.T.H. Model

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New Article about Creating Health Published

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With my colleagues, our new article, Adapting and Using Quality Management Methods to Improve Health Promotion, has been published. You can access the journal article here. This is the abstract. If you have time to review it, I am interested in your thoughts. Thank you.

Abstract:

Although the western world is the most technologically advanced civilization to date, it is also the most addicted, obese, medicated, and in-debt adult population in history. Experts had predicted that the 21st century would be a time of better health and prosperity. Although wealth has increased, our quest to quell health problems using a pathogenic approach without understanding the intercon- nectedness of everyone and everything has damaged per- sonal and planetary health. While current efforts help identify and eliminate causes of problems, they do not facilitate the creation of health and well-being as would be done with a salutogenic approach. Sociologist Aaron Anto- novsky coined the term salutogenesis in 1979. It is derived from salus, which is Latin for health, and genesis, meaning to give birth. Salutogenesis, the study of the origins and creation of health, provides a method to identify an interconnected way to enhance well-being. Salutogenesis provides a framework for a method of practice to improve health promotion efforts. This article illustrates how quality management methods can be used to guide health promo- tion efforts focused on improving health beyond the absence of disease.

Key words: Quality, salutogenesis, health, systems

PDF of Article

Be Well’r,

Craig M. Becker, PhD

Lets all make life more livable for all by generating comprehensive benefits by creating interactions so everyone and everything benefits.

Better Has to be Better

 

To be truly better, innovation  is necessary. Better cannot be linear, it must be systematic. In other words, better can’t mean that it is only better in quality but not cost or functionality but not sustainability; it must be better on all accounts. Data is documenting that this can be done if continual improvement is ongoing. Research is also documenting that these solutions require a different approach and different work effort, however the results are more beneficial, and yes more profitable – in more than monetary ways. As Aaron Antonovsky said, “No one contends that museums pay off in cash.”

Better must take into account the whole system. As Jane Benyus clarify’s with BioMimicry, when nature evolves and creates new things, these new things also make life more livable. Its not so much that certain things are gone and no longer exist as they have evolved into a more complex functioning organism that improves the whole system – understand time factor. In other words, solutions were not fixes but ways to optimize the continually improving system that also provided fixes. By approaching better this way, nature created leaves and petals to not only increase the beauty of a plant, it provided feed for the plant when it fell to the ground, provided food for animals like us, and in some cases also protected it from predators with an emitted smell. Plants also are friends to the system by helping soil and air. Leaves help the soil by serving as feed, the plants hold the soil and the leaves perform photosynthesis to get food from carbon dioxide so it can exhale oxygen. It also performs many other functions to enhance its own life that also improve the system to make life more livable for all.

Nature’s answers that improved the whole system did not come about but focusing on how to fix problems, but rather by thinking about what can be done to improve the whole system. In doing this, not only was the system improved, the functioning of that species improved. A result was that problems dissolved. If the improvement did not lead to the dissolution of a problem, it really would not have been a true improvement. For example, humans developed their prefrontal cortex which now allows us to plan and predict for the future. While the benefits of this capability are innumerable and has led to our ability to create our world, problems such as being overcome by predictable problems has dissolved. For example we now know of possible weather change problems and difficulty in getting food at certain times of the year so we have built structures and stored food. Although some can suggest these solutions have created other problems, the example demonstrates solutions can not only create a better world for us, it also dissolves many associated problems.

With this in mind, it provides us with a map for how to become better at getting better. Aaron Antonovsky did work related to the origins of health, what he called salutogenesis and continually encouraged people to ask the salutogenic question – “What leads to movement toward the positive end.” This questions is not only relevant  for health but for all fields – how can we move toward the positive end, not just away from the negative end. Realize positive and negative are not different ends of the same pole, they are on different poles. Positives and negatives have been shown to be independent in multiple fields. It seems we have gotten stuck with a focus on fixing problem or deficits incorrectly believing it will create positives. Maslow pointed out that progress must focus on growth not deficits because eliminating deficits does not create true growth. As I have shown in exceeding expectations, fixing problems is helpful but it can only return us to the status quo or where we were before the problem – not truly better.

If profit or money is a concern, we must remember money ALWAYS follows, it can’t lead. When better is created using the idea of continuous and never ending improvement, it starts a ripple and good things follow. Start as many positive ripples as you can. I look forward to all of us enjoying the positive ripples you create to help improve the whole system by creating interactions so everyone and everything benefits.

Be Well’r,
Craig Becker

I look forward to hearing about how you use selfish, selfless, synergy to Practice Paneugenesis by creating interactions so everyone and everything benefits!

What Makes Sense Leads to Moral Progress

Morality predicated on external pressures is never sufficient.                                               – Immanuel Kant

As explained in Steven Pinker and Rebecca Newberger Goldstein’s TED Presentation, “The Long Reach of Reason” (also below) moral progress has been instigated through reasoned arguments that documented inconsistency in values, actions, and common sense.  After discussing some examples of how reasoned arguments led to moral progress, they wonder if our grandchildren will be as appalled by our actions as we are of our ancestors who saw things such as beheadings and slavery as normal. Won’t our ancestors or even our children wonder why we focused on eliminating disease when we were wanting to experience better health that we defined as the presence of physical, mental and social well-being and not merely the absence of disease and infirmity? After all, doing actions and engaging in thoughts that lead to or cause health to create gains in well-being beyond just the absence of problems is a reasoned, logical course of action. Efforts focused on eliminating problems are insufficient and illogical if improved well-being is the goal.

Eliminating problems just brings us back to where we were, not better. If we want to be better, logic and reason suggests we must first determine the better outcome, Operationalize and Idealized Outcome, we want that is not available now and then determine how to create that better reality, Discover Precursors, Optimize the Process, and Plot Progress. This idea is the objective with salutogenesis and paneugenesis and the idea is explained in the Exceeding Expectations video you can access here or below. Reasoning and logic suggests focusing on and working toward creating a better is the obvious way  to create a better tomorrow.

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I look forward to hearing about how you will be exceeding YOUR expectations, doing so will generate comprehensive improvements as you create interactions that help everyone and everything benefit.

 

Be Well’r,
Craig Becker
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