The ontogenesis of primary prevention: Lengthy strides and subbed toes

Reviews evolution of the concept of primary prevention in the past 40 years and cites progress in overcoming significant early deterrents (e.g., loosely anchored, overinclusive definitions; weak supporting empirical base) to this development. Highlights the growing trend to define the concept specifically around the yoked notions of risk, and the goal of forestalling major psychological dysfunction. This de facto shift in definitional emphasis has obscured primary prevention's early vision of promoting health and wellness. Stresses need for a comprehensive, multilevel, proactive approach targeted systematically toward the enhancement of psychological wellness in all people, from the start. This article is based on the Seymour B Sarason Award talk given at the 103rd annual meeting of the American Psychological Association, New York City, August 12, 1995. Although the spoken and written versions are similar, and their intended bottom lines identical, the two differ in several ways. One is that the talk's many references to Sarason'shighly influential contributions to the field, and his unique, thought-stimulating style, do not appear here. They continue, however to be keenly felt. Those views are a matter official record (see “In Honor of Seymour Sarason,”American Journal of Community Psychology, 1976, Vol. 4, pp. 244–246). A second difference between the talk and the article is that the former was more relaxed, breezier, and less jargonesque. Although I have tried to preserve some of that informality, the article is surely stuffier than the talk.     

Promoting Wellness in Refugee Populations

Refugee populations experience risk factors that may influence their wellness. As the number of refugees continues to rise, it is important for professional counselors, counselor educators, and counselors‐in‐training to be aware of techniques for supporting wellness in this population. This article addresses risk factors to refugee wellness within the indivisible self model of wellness (Myers & Sweeney, 2004 ) and highlights current wellness trends and the importance of a prevention‐based treatment paradigm for helpers working with refugee populations.     

Wellness During Midlife and Older Adulthood: A Different Perception

The authors explored how midlifers and older adults perceive wellness by factor analyzing the Perceived Wellness Survey (PWS; Adams, Bezner, & Steinhardt, 1997 ). Results indicated a 4‐factor solution different from the 6 originally proposed wellness dimensions of the PWS, suggesting that wellness perceptions change as people age. Suggestions for further research are proposed.     

Poor,Rural Women: Spirituality,Religion, and Wellness Across the Life Span

Researchers have suggested strategies in the spiritual domain for improving wellness. This study explored relationships among spirituality, religiosity, and wellness for poor, rural women in early adulthood, early–middle adulthood, and middle–later adulthood. Implications for evidence‐based strategies to improve wellness for poor, rural women across the life span are provided.     

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.     

Psychosocial Predictors of Wellness in College Students

The authors examined how the first 6 stages of psychosocial development predict wellness in undergraduate college students using the Measures of Psychosocial Development (Hawley, 1988 ) and the Perceived Wellness Survey (Adams, Bezner, & Steinhardt, 1997 ). Results indicated that 4 of the 6 stages predict wellness in college students. Clinical implications for counselors of this population are provided.     

The Impact of Wellness‐Focused Supervision on Mental Health Counseling Practicum Students

Professional counseling organizations tout the importance of wellness for counselors and counselors‐in‐training. The authors used a wellness‐focused supervision model with mental health practicum students to assess the model's degree of treatment effect at improving students' wellness over the course of the semester. Participants' demographics included three women, one man, three European Americans, and one Latino/a. Single‐case design results revealed that ongoing wellness‐focused interventions are helpful in improving participants' level of wellness; implications for practice are provided.     

The value of life purpose: Purpose as a mediator of faith and well-being

This study investigated the relationship between faith, life purpose, and well-being, and the potential mediational effects of life purpose between faith and well-being. One hundred and three male and female college students completed a life purpose measure designed for the current study, the General Life Purpose Scale, as well as the Perceived Wellness Scale (Adams, T.B. (1995). The conceptualization and measurement of wellness (Doctoral dissertation, University of Texas at Austin, 1995). Dissertation Abstracts International, 56(6–B), 3111) and the Santa Clara Strength of Religious Faith Questionnaire (Plante, T.G., & Boccaccini, M.T. (1997). The Santa Clara Strength of Religious Faith Questionnaire. Pastoral Psychology, 45, 375–387). Results indicated that life purpose significantly mediated the relationship between faith and well-being. The importance of these findings for clinicians and educators is discussed.     

The wellness behavior interaction model

A cognitive-behavioral model for conceptualizing wellness is proposed consisting of situational/antecedent variables, person variables, and consequence variables which, taken individually or together, may serve to describe and explain wellness behavior. The model also is interactional in the sense that different categories of variables or factors within a category may impact on each other in a multidirectional fashion. A selective review of research relating to each variable is provided to demonstrate the need for such a multidimensional conceptual scheme for wellness.     

On the Semantics and Operations of Primary Prevention and Wellness Enhancement (Or Will the Real Primary Prevention Please Stand Up?)

Compared two recent, major reviews of primary prevention program evaluation research (i.e., Durlak and Wells' meta-analysis of 177 such studies and the Institute of Medicine (IOM) Report's summary of research studies of preventive intervention programs) with respect to specific studies included and input sources used. Whereas the IOM Report defined the goal of primary prevention as reducing the occurrence of new cases of mental disorder, Durlak and Wells' broader definition included both that goal and the promotion of psychological wellness. Overlap in journal sources used by the two reviews was modest and overlap in the actual primary prevention program evaluation studies included was minimal (7%). These findings bespeak somewhat different views of primary prevention and suggest a need for the complementary development of both the above approaches as alternatives, individually and collectively, to mental health's past established restorative ways.     

Wellness,Emotion Regulation,and Relapse During Substance Use Disorder Treatment

Using a cross-sectional study design, the authors investigated the impact of wellness and emotion regulation on relapse in 179 individuals currently enrolled in substance use disorder treatment. An integration of the indivisible self model of wellness (Myers & Sweeney, 2004) and the covert antecedents model of relapse (Marlatt, 1985) informed the study hypothesis that emotion regulation mediates the wellness-relapse relationship. Binomial logistic regressions revealed that Creative Self wellness (odds ratio [OR] = 1.09, p = .002), reappraisal (OR = 1.08, p = .008), difficulties in emotion regulation (OR = 1.03, p = .007), and Physical Self wellness (OR = 0.95, p < .001) were associated with the odds of relapse on any given day during treatment. Sobel tests indicated 2 occurrences of full mediation, including that difficulties in emotion regulation mediated the relationship between Coping Self wellness and relapse (OR = 0.97, p = .015).     

“Meeting Someone at the Edge”: Counselors’ Experiences of Interpersonal Stress

Using consensual qualitative research, the authors explored the factors that contribute to counselors’ experiences of interpersonal stress and how counselors respond to interpersonal stressors within therapeutic settings. Thirteen professional counselors representing a variety of counseling contexts and settings participated in semistructured interviews. Through consensus building, the authors identified 4 domains within the data: client characteristics, relationship dynamics, counselor response, and personal vs. professional self. The findings suggest that client characteristics and relationship dynamics are catalysts to counselor interpersonal stress responses, which shape their conscious awareness of the experience. Implications for clinical practice, clinical supervision, and counselor wellness are discussed.     

Forgive and Forget? Forgiveness,Personality, and Wellness Among Counselors‐in‐Training

Forgiveness as a method of addressing “wounds” has been linked to enduring aspects of personality and improved physical and mental health outcomes. The aim of this study was to understand the effects of forgiveness on counseling students’ overall wellness. Counseling students (N= 115) from 5 universities completed self‐report measures of forgiveness, wellness, and personality. Results indicate that, when personality factors are controlled, forgiveness contributes a significant proportion (10%) of the variance in wellness for counseling students. Implications for counselor training and counseling are discussed.     

Relationship between job burnout and personal wellness in mental health professionals

This study aimed to determine the nature of the relationship between job burnout and personal wellness among mental health professionals. The authors performed intercorrelations and multivariate multiple regression analyses to identify the relationship between subscales of job burnout and personal wellness. Results showed that all subscales of job burnout, except for the Negative Work Environment subscale, significantly predicted a large amount of the variance in the collective personal wellness subscales. Implications for mental health professionals’ clinical practice, training, and supervision and limitations and prospects for future studies are discussed.     

Implications for Wellness‐Based Supervision and Professional Quality of Life

This study evaluated the efficacy of the wellness model of supervision (WELMS; Lenz & Smith, 2010 ) for promoting changes across the perceptions of counselors‐in‐training (CITs) regarding professional quality of life. Three female participants (1 Caucasian, 2 Hispanic) were enrolled in a program accredited by the Council for Accreditation of Counseling and Related Educational Programs. Results of a single‐case research design with multiple baselines indicated that the WELMS was efficacious across client–CIT interactions on professional quality of life.     

Child Wellness and Social Inclusion: Values for Action

Participatory Action Research (PAR) with children and youth is at the intersection of child wellness and social inclusion. Exclusion and marginalization detract from personal and collective health. Inclusion, on the contrary, contributes to wellness. Hence, we should study inclusion and exclusion in the overall context of child wellness. This special issue offers a wealth of methodologies and lessons for fostering inclusion of young people through PAR. In an effort to synthesize my concerns with child wellness, inclusion, and the scholarly work of this special issue, this paper will (a) articulate the values underpinning the philosophy of social inclusion and child wellness, (b) suggest roles and responsibilities for putting these values into action, and (c) integrate the contributions of this special issue into the emerging framework for social inclusion and child wellness.     

Psychometric Synthesis of the Five Factor Wellness Inventory

This quantitative synthesis combines results of 59 studies that published psychometrics of the Five Factor Wellness Inventory (5F-Wel; Myers & Sweeney, 2005a, 2005b). Although few studies reported complete statistics, and demographically targeted research studies are needed, this synthesis reflects that the 5F-Wel (also known as the FFWEL; Mind Garden, n.d.) is sound psychometrically for adults: Internal consistency, subsample means, and intrascale correlations are promising, as are correlations with related constructs. Consequently, the 5F-Wel demonstrates utility for clinical use when working with clients on wellness goals.     

Perceptions of Wellness From Adults With Mobility Impairments

The purpose of this study was to describe the perceptions of wellness from adults with mobility impairments by using phenomenological‐heuristic inquiry. The primary research question was, how do adults with mobility impairments perceive wellness? Eight participants were interviewed, and 6 core themes emerged: overcoming barriers, pain management, psychological wellness, physical activity and nutrition, social connectedness and family support, and spirituality. Implications for counselors and counselor educators and suggestions for future research are presented.