Wellness (alternative medicine)

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The Eight Dimensions of Wellness
The Eight Dimensions of Wellness

Wellness is a state beyond absence of illness but rather aims to optimize well-being.[1]

The notions behind the term share the same roots as the alternative medicine movement, in 19th-century movements in the US and Europe that sought to optimize health and to consider the whole person, like New Thought, Christian Science, and Lebensreform.[2][3]

The term wellness has also been misused for pseudoscientific health interventions.[4]

History

The term was partly inspired by the preamble to the World Health Organization’s 1948 constitution which said: “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”[1] It was initially brought to use in the US by Halbert L. Dunn, M.D. in the 1950s; Dunn was the chief of the National Office of Vital Statistics and discussed “high-level wellness,” which he defined as “an integrated method of functioning, which is oriented toward maximizing the potential of which the individual is capable.”[1] The term "wellness" was then adopted by John Travis who opened a "Wellness Resource Center" in Mill Valley, California in the mid-1970s, which was seen by mainstream culture as part of the hedonistic culture of Northern California at that time and typical of the Me generation.[1] Travis marketed the center as alternative medicine, opposed to what he said was the disease-oriented approach of medicine.[1] The concept was further popularized by Robert Rodale through Prevention magazine, Bill Hetler, a doctor at University of Wisconsin–Stevens Point, who set up an annual academic conference on wellness, and Tom Dickey, who established the Berkeley Wellness Letter in the 1980s.[1] The term had become accepted as standard usage in the 1990s.[1]

In recent decades, it was noted that mainstream news sources had begun to devote more page space to "health and wellness themes".[5]

The US Substance Abuse and Mental Health Services Administration uses the concept of wellness in its programs, defining it as having eight aspects: emotional, environmental, financial, intellectual, occupational, physical, social, and spiritual.[6]

Corporate wellness programs

By the late 2000s the concept had become widely used in employee assistance programs in workplaces, and funding for development of such programs in small business was included in the Affordable Care Act.[2] The use of corporate wellness programs has been criticised as being discriminatory to people with disabilities.[7] Additionally, while there is some evidence to suggest that wellness programs can save money for employers, such evidence is generally based on observational studies that are prone to selection bias. Randomized trials provide less positive results and often suffer from methodological flaws.[2]

Criticism

Promotion of Pseudoscience

Wellness is a particularly broad term,[8] but it is often used by promoters of unproven medical therapies, such as the Food Babe[4] or Goop.[8] Jennifer Gunter, who is known for debunking dubious health claims, has criticized what she views as a promotion of over-diagnoses by the wellness community. Goop's stance is that it is "skeptical of the status quo" and "offer[s] open-minded alternatives."[8]

Healthism

Wellness has also been criticized for its focus on lifestyle changes over a more general focus on harm prevention that would include more establishment-driven approaches to health improvement such as accident prevention.[2] Petr Skrabanek has also criticized the wellness movement for creating an environment of social pressure to follow its lifestyle changes without having the evidence to support such changes.[9] Some critics also draw an analogy to Lebensreform, and suggest that an ideological consequence of the wellness movement is the belief that "outward appearance" is "an indication of physical, spiritual, and mental health."[10]

The wellness trend has been criticised as a form of conspicuous consumption.[11]

See also

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6
  2. 2.0 2.1 2.2 2.3
  3. 4.0 4.1
  4. Basas, Carrie Griffin, What's Bad About Wellness? (August 1, 2014). Journal of Health Politics, Policy and Law, Vol. 39, No. 5, 2014. Available at SSRN: https://ssrn.com/abstract=2478902
  5. 8.0 8.1 8.2
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