The Wheel of Wellness Counseling for Wellness: A Holistic Model for Treatment Planning

A holistic model of wellness and prevention over the life span was presented by T. J. Sweeney and J. M. Witmer (1991) and J. M. Witmer and T. J. Sweeney (1992). Recent advances in research and theory related to wellness support modifications of the original model. The foundation for the model is examined, research related to each component is explored, and implications for use of the model as a basis for counseling interventions are presented.     

Spiritual Wellness and Depression

With a growing appreciation for the holism of human functioning, interest in the spiritual dimension as it relates to depression has increased. In this article, I review medical wellness literature and counseling literature for insight into the nature of spirituality and propose 4 dimensions of spiritual wellness as a result of this review: a sense of meaning in life, a transcendent perspective, an intrinsic value system, and a sense of belonging to a spiritual community of shared values and support. These dimensions are examined as they relate to the clinical literature and empirical research on depression. Implications for research, counseling, and counselor education also are reviewed.     

A Holistic Model for Wellness and Prevention Over the Life Span

A small percentage of our resources for health and human services is devoted to wellness and prevention of illness and social problems. An integrated paradigm for wellness and prevention over the life span is presented for the purpose of theory building, research, clinical application, education, advocacy, and consciousness raising. The model includes 11 characteristics desirable for optimal health and functioning. These characteristics are expressed through the five life tasks of spirituality, self-regulation, work, friendship, and love. Life forces external to the person are noted to understand the interaction between the individual and societal institutions.     

EcoWellness: The Missing Factor in Holistic Wellness Models

A growing body of multidisciplinary literature has delineated the benefits that natural environments have on physical and mental health. Current wellness models in counseling do not specifically address the impact of nature on wellness or how the natural world can be integrated into counseling. The concept of EcoWellness is presented as the missing link in wellness models and counseling. Integrating EcoWellness in counseling provides new and potentially powerful interventions to enhance wellness across the life span.     

Counseling for Spiritual Wellness: Theory and Practice

Spiritual wellness is an emerging area of interest in counseling. It still lacks clarity, however, in definition and application. To increase familiarity with and encourage counselor intervention regarding the spiritual dimension, the authors of this article attempt to define more clearly the concept of spiritual health and to describe ways to use techniques for the enhancement of spiritual wellness and the advancement of spiritual development.     

Refining Dimensions of Spiritual Wellness: A Cross-Traditional Approach

There is an increased interest in the topic of spirituality in the fields of counselor education and professional counseling. Present research involves the constructs of spirituality, religiosity, spiritual well-being, and spiritual wellness. This article reports a study in which previously published dimensions of spiritual wellness were reviewed and refined by a cross-cultural panel of 12 people representing 11 different spiritual traditions. The initial 7 dimensions of spiritual wellness were revised and expanded to 10 dimensions that met with agreement across the traditions represented by the panel and provide a starting point for further inquiry.     

Spiritual Wellness and Depression: Testing a Theoretical Model With Older Adolescents and Midlife Adults

Overall spiritual wellness, as well as 4 individual components of spiritual wellness, has been theoretically and empirically linked with depression. Prior to this investigation, no study has examined the relationship between spiritual wellness and depression by using a 4‐component measurement model of spiritual wellness. In this study of older adolescents and midlife adults, negative correlations between 4 components of spiritual wellness and depression were found for both groups. Results of multiple regression analyses showed that for both older adolescents and midlife adults, the only significant contributing factor of spiritual wellness to depression was meaning and purpose in life.     

Assessing and Promoting Spiritual Wellness as a Protective Factor in Secondary Schools

Spiritual wellness, much like resilience, is a multidimensional protective factor for students. This article reviews the relevant literature linking spiritual wellness and thriving in the adolescent population. Assessment and intervention methods that can be used in secondary school settings to promote spiritual wellness are provided.     

Spiritual Wellness for Clients With HIV/AIDS: Review of Counseling Issues

The epidemic of HIV/AIDS has resulted in an increasing population of individuals in need of counseling services: persons living with AIDS, as well as family, friends, and caregivers. The relationship between HIV/AIDS clients' counseling and spiritual issues is demonstrated by a review of salient literature. Three broad themes are used: terminal illness issues such as post-death existence and existential meaning of life, religious disenfranchisement from society or families of origin, and multicultural spiritual and religious issues. Practical recommendations for counselors and research implications are included.     

Application of Yoga as a Spiritual Practice to Enhance Counselor Wellness and Effectiveness

In this article, we explore potential benefits of yoga, an ancient Indian tradition for spiritual growth and development, for counselors. Counselors use themselves as instruments to support clients and are constantly exposed to the traumatic experiences of clients, which may leave them susceptible to secondary traumatic stress or compassion fatigue (Shallcross, 2011). Yoga can help counselors not only in achieving holistic wellness but also in developing a way of being consistent with the characteristics of an effective counselor. Furthermore, yoga, as a spiritual practice, can empower counselors to embark on a spiritual journey driven by their own personal experiences.     

Religion and Health: Holistic Wellness From the Perspective of Two African American Church Denominations

This study examined differences in beliefs, concerns, practices, and perceptions of susceptibility to illness by gender and religion in 2 Baptist and 3 Seventh Day Adventist (SDA) African American churches. A modified Health Belief Model Questionnaire was completed by 363 African Americans. Health beliefs were more related to gender than to religion. Results revealed that women were concerned about being ill, being susceptible to illness, and expressed confidence in doctors. Men exercised more frequently, were sick less, and felt less susceptible to illness. SDAs believed in following a certain diet and avoiding alcohol and cigarettes. SDA women and Baptist men thought more about health than did SDA men or Baptist women.     

Vocational Souljourn Paradigm: A Model of Adult Development to Express Spiritual Wellness as Meaning,Being, and Doing in Work and Life

The author invites counselors to consider integrating spiritual, philosophical, and psychological ideas regarding work and life to encourage client well‐being. The Vocational Souljourn Paradigm is a model that can be used with adult clients who are exploring their work and life choices in a holistic and spiritual context. The variables meaning, being, and doing and the work paths Job, occupation, career, and vocation are defined. The model explains how dynamic interactions of meaning, being, and doing can propel an individual into a particular work/life path.     

Psychosocial Treatment of Life-Threatening Disease: A Wellness Model

A wellness approach to counseling for healing and possible recovery from bodily disease, especially cancer, is described. The model attempts to position the body so as to marshal its instinctive healing forces and reduce destructive attitudes, assumptions, beliefs, and behaviors. The model is holistic in that it treats body, mind, spirit, and emotions in an eclectic way that ultimately empowers the client.     

The Holistic Phase Model of Early Adult Crisis

The objective of the current study was to explore the structural, temporal and experiential manifestations of crisis episodes in early adulthood, using a holistic-systemic theoretical framework. Based on an analysis of 50 interviews with individuals about a crisis episode between the ages of 25 and 35, a holistic model was developed. The model comprises four phases: (1) Locked-in, (2) Separation/Time-out, (3) Exploration and (4) Rebuilding, which in turn have characteristic features at four levels—person-in-environment, identity, motivation and affect-cognition. A crisis starts out with a commitment at work or home that has been made but is no longer desired, and this is followed by an emotionally volatile period of change as that commitment is terminated. The positive trajectory of crisis involves movement through an exploratory period towards active rebuilding of a new commitment, but ‘fast-forward’ and ‘relapse’ loops can interrupt Phases 3 and 4 and make a positive resolution of the episode less likely. The model shows conceptual links with life stage theories of emerging adulthood and early adulthood, and it extends current understandings of the transitional developmental challenges that young adults encounter.     

Adherence to a Wellness Model and Perceptions of Psychological Well-Being

This study investigated the relationship between college students' perceived psychological well-being and the quality of their lives on 5 variables associated with a 5-factor holistic wellness model. The Wellness Evaluation of Lifestyle (Witmer, Sweeney, & Myers, 1993) and Memorial University of Newfoundland Scale of Happiness (Kozma & Stones, 1994) were completed by 155 undergraduate college students. Multivariate regression analysis revealed a significant relationship between 5 dimensions of wellness and both short-term state and long-term trait constructs of psychological well-being. Subsequent univariate analysis found that students' ability to self-regulate, identity with work, and friendships contributed the most to their psychological well-being. Implications for college counseling centers and student development professionals are presented.     

The Spiritual Dimension of Caring: Applying a Model for Spiritual Tasks of Ageing

SUMMARY

This chapter describes a spiritual dimension of ageing using themes and a model for spiritual tasks of ageing, developed as a part of doctoral studies that examined spirituality amongst a group of independent-living older adults in Canberra and NSW. This model has been tested further and the model was confirmed through in-depth interviews of residents of nursing homes in the ACT. The first study identified six major spiritual themes from participant interviews. These were: ultimate meaning in life for each person, the way they responded to meaning, self-sufficiency versus despair, moving from provisional to final life meanings, relationship versus isolation in ageing and hope versus despair.     

Gender and Wellness: A Multidimensional Systems Model for Counseling

An expanded view of health is advocated for assessment and treatment of individual clients in helping them achieve and maintain their maximum potential for high-level wellness. In addition, moderating variables, such as culture, age, and gender differences, have an impact on every dimension of health and wellness. In this article a multidimensional systems model for wellness is described, and gender differences along those dimensions are reviewed. Application of the model and implications for counseling are discussed. Finally, two illustrative case examples, one man and one woman, are described.     

Satir Model of Family Therapy and Spiritual Direction

To consider a connection between the therapy model named under Virginia Satir and the practice of spiritual direction may arouse suspicion. This paper, however, attempts to show that the link between the two is natural, sensible, and inspiring, particularly for the part of spiritual direction. The first section of the paper first addresses the fact that spiritual direction, with its unique focus, is not to be confused with psychotherapy, then, discusses the recognized need to seek a psychologically sound model of spiritual direction. The second section describes some of the useful concepts in the Satir model and then relates them to the various aspects of spiritual direction. It is believed that the Satir model of therapy can enrich the practice of spiritual direction in a number of ways. Ekman P. C. Tam is the Spiritual Director of Tao Fong Shan Christian Centre, Hong Kong.