Seven Expressions Of Courageous Coaching

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Courageous coaching! What would “courageous coaching” look like for you? There are many ways to approach the subject of courage in coaching. As a trainer of wellness & health coaches here are some of the ways I would like to see courage show up for the coaches we educate.

1. The Courage To Stand For NCRW- Naturally Creative, Resourceful And Whole

In the foundational coaching book Co-Active Coaching (http://www.thecoaches.com/why-cti/buy-the-book) , the authors say “We start with this assertion: people are, by their very nature, creative resourceful and whole.” They finish their paragraph with “In the Co-Active model it more than a belief – it is a stand we take.” I love the courage in that statement. When coaches are functioning at their best, serving their clients to the fullest, they are taking that stand. It is like a line drawn in the sand that coaches will defend against all who would ridicule, diagnose, or demean their clients or disenfranchise them of their human dignity. The power of this stand feels not only like the compassionate expression of unconditional positive regard, but like the solid feeling of someone who stand with you. Standing alone facing those who would treat you as broken, inadequate, and incapable, it is like the feeling of an ally stepping up from behind you and you feel their shoulder touching yours as you face your challenge together. The coach’s courage brings out your own.

The courage of the coach is called forth here as they work in systems that would still adhere to old diagnostic models that label people. The wellness field sometimes deals with its challenge of leveraging large numbers by labeling people as “high-risk”, “obese” (according to completely unreliable BMI charts), or by the tag of their health challenge (diabetic, etc.). Here our courage comes forth as we welcome that client and treat them, despite what others say, or even what the discouraged clients believes about themselves, as naturally creative, resourceful and whole. We may be the first person in a human-helper role who has treated them this way.

“If you treat an individual as he is, he will remain how he is. But if you treat him as if he were what he ought to be and could be, he will become what he ought to be and could be.”
― Johann Wolfgang von Goethe

“You’ve got to REACH, a little bit higher!”

2. Courage To See The Potential In All And To Confront And Challenge

As we take this courageous stand to hold our clients to be naturally creative, resourceful and whole, there are times when we may believe this about our clients more than they believe it about themselves. Our clients come to us with lessened self-efficacy from repeated failure experiences and sometimes lack of support and even discouragement heaped upon them by others who did not see them as capable of much in their lives. From our perspective we may see possibilities and capabilities in our clients not evident to them. Here we can courageously confront and challenge our client to do more. As we demonstrate our belief and faith in our client’s abilities and capacities, they may rise to the challenge and succeed to a degree that surprises them.

Challenging clients to take a next step, to walk three times next week instead of two, to have that crucial conversation with their boss all hinges on the strength and depth of the coaching relationship. I challenge clients very little early on in coaching. As our alliance grows and they know that I am truly their ally, holding that their agenda is the only agenda, then a challenge is welcomed instead of mistrusted.

Coaches may also have to confront the unspoken conflicts that can arise in coaching. One of the bravest things that coaches do is to invite exploration of how can the coaching be improved. Right in the middle of the coaching process coaches will ask how they can work better with their clients. When coaches tune in to the tone of voice, to the increasing resistance, to the “agreements” made to new action steps that are mouthed in lukewarm fashion of compliance instead of embraced with motivation, the wise coach is alerted that the basic coaching relationship needs attention. The courageous coach then talks about “the elephant in the living room” and clears the air.

It may take real courage to make a referral. It’s easier, at first, to just ignore or minimize how our client is struggling. We may fear that our client will be offended, or that they will no longer like or trust us. We may try to fake our competency in areas where we are insufficiently prepared. Such coaches make numerous suggestions for solutions, whether the issues are nutritional questions or more psychological in nature. We have to be courageous enough to say “I don’t know.” We have to hold the client’s safety and wellbeing far above our own fears.

3. Courage To Do Process Coaching4806502-hands-reaching-out-for-each-other

Research tells us that 60% of all decisions are made emotionally, not logically. Emotion permeates the experience of working on changing our behavior. When we strive to change our belief systems (like the person who has always believed they must please others all the time and finally realizes that managing their own stress means saying “no” at times) there is always an emotional component. In wellness & health coaching we almost always encounter the emotional side of life as our clients deal with attempting work no body image, success and failure experiences, etc. Thinking that coaching is just a process of logically formulating plans, setting “goals for the week” and holding people accountable to those goals is not only naive, it is actually condescending, dismissive and disrespectful. So, coaches must be skilled in the art of process coaching, helping people process emotion so they can connect it to motivation and action.

Beyond the skills required for process coaching, is the courage to enter the world of emotions with one’s client. Certainly the confidence that comes from learning and practicing such skills enables the emergence of the courage we need. However, there is more than just confidence involved here. Can the coach face his or her own fears around dealing with emotion? Is the coach grounded enough in their own emotional balance to stay centered as they walk down the path of emotion with their client? Can the coach distinguish between the emotion of the client and their own feelings? Can the coach realize how safe they, themselves, truly are as their client deals with feelings?

We might call it emotional maturity coming from life experience. When one has learned from processing their own feelings, gained insights and applied those insights to their lives, fears around emotion lessen. Overcoming family of origin programming around such fears can be very challenging. If we can just learn that feelings are our allies, not our enemies, we can open up to the growth process that allows us to gain such maturity.

dcaa3213091a04451cbf0aaff27a3f5d4. Courage To Dance In The Moment

When my wife and I go dancing (as we love to do), I often listen to the music for a few bars and decide if it’s a number that suites our style before I propose getting out on the floor. In coaching it’s more like being out on the floor already and going with whatever music is played! As our clients conduct the band, the music can shift at any time. The client who seemed to simply be working on smoking cessation is suddenly talking about the profound sense of loss that has come from avoiding their old smoking companions during breaks. Dance with it!

It takes courage to go “out on the dance floor” when you don’t know what will happen next. Be centered in the confidence you have in your skills, but also draw upon the positive qualities you know you have. Coaching presence and your ability to be non-judgmental, empathic and compassionate will allow you to face, with your client, challenges of all sorts.

Trusting the coaching process is advice I am constantly giving coaches in training. Yet, part of coaching is knowing that the “coaching process” is something much bigger than a “protocol”, a rigid coaching format or worst of all a script. We can’t always anticipate the next move by our dancing client. Part of the true coaching process that we trust is letting go of what we thought was going to be our work today and going in the direction that emerges. Yes, structure is our friend, and our client’s friend as well, however structure has to accommodate flexibility. A client may have a day when resolving a conflict with the coach on direction and how to work together, or a time when a personal crisis takes over. On such occasions, feel free to toss the old agenda of reporting in on action steps out the window and deal with what is right in front of us.

5. Courage To Stand For Transformation

When a client reports that coaching has helped them change their life, that they are a “new person”, that what happened in the coaching process far exceeded their expectations, then we know that we have co-created, with our client, transformative coaching. As our clients work to improve their lifestyle, what is key to remember is that our clients will need to be living that new and healthier way for the entire rest of their lives. Yes, it’s good to reduce blood pressure points, A1C scores and percent body fat numbers. Yet, if all we are measuring is how many times Joe or Martha walked each week for the last few months, have we really helped our client as much as we could have?

Part of what coaches in the world of corporate coaching face is standing for transformation, not just single variable increases that can be conveniently measured and paid for. Coaching the whole person takes time. Yet, if we don’t want to see that client coming back through the revolving door of coaching, or perhaps of the treatment end of the healthcare system (with yet another chronic illness) then working courageously with our clients to help them make sustainable lifestyle improvement just makes good sense. When more than just some change in a measurable behavior takes place, when the person’s self-esteem, self-efficacy and connectedness with additional and lasting support systems can rise, then we know that lasting lifestyle change can thrive. Work to help your clients transform their lives.

6. Courage To Do Your Own “Work”self-reflection_1024x768

The oft-used phrase “knowing when and how to get yourself out of the way” has great import for coaching. When there are issues in our lives that are so unresolved, so demanding of our awareness, that we are distracted by them, influenced by them and/or almost pulled to them unconsciously they will interfere with effective coaching. Such issues are likely to push us into projecting our own feelings on to others. The coach who is carrying around unresolved anger sees more anger in their client’s expression of emotion. We believe that others “need” to work on the same “stuff” that we are wrestling with. The danger continues with such coaches ascribing feelings or beliefs to clients that they really don’t possess. The probability of collusion increases dramatically. We give the struggling client a quick free-pass on their accountability because of our own feelings about their challenge. The border between effective process coaching and the world of psychotherapy/counseling becomes much more ambiguous for such coaches.

In all of my years as a psychologist practicing psychotherapy and working with colleagues in universities, clinics, and private practices, I observed that the truly effective therapists were the ones who were continually working on their own personal growth. They were open to looking at their own shortcomings and how to improve. Socially they were open and easy to get to know. The ineffective therapists were much more defended and resistant to self-examination, much less seeking out of personal growth. They maintained a “clinical presence” with their “patients” and were more socially distant. The lesson for coaches is equally clear.

It takes courage to look at ourselves. Who knows what lies hidden if we crack open Pandora’s Box? A coach who is afraid of not being able to handle the contents is most likely going to coach with the fear of being surprised by what a client might say. Instead of clearly distinguishing then if we can proceed with coaching, or encourage a referral to a mental health professional, such a coach may instead retreat from dealing with feelings altogether and rigidly stick to talking about goals and action steps.

Do we need to finish up all of our unfinished business emotionally before we can coach effectively? Of course not. We all have moved forward effectively in life with some weight left in our backpacks. If, however, we’re carrying an iron anvil in that pack, it definitely will weight us down and get in the way of our coaching work. So, take on the personal challenge if need be, to seek out the ways for you to do the intrapersonal work that you need to do and be a better coach!

“The unexamined life is not worth living.”
Socrates

personalgrowth7. Courage To Grow

When clients realize that wellness is ultimately about personal growth as a whole human being, transformation takes place. Motivation for lifestyle improvement then becomes easy. When a coach realizes that that personal growth is not something to fear, but something to embrace, their professional growth mirrors that unleashing of potential. Growth means change. Change means loss. Scary stuff. Sometimes it is most tempting to hang on to the status quo, even if it is stifling, unfulfilling and stagnating. The personal growth journey is always a twisting path and there is seldom much of a view of what’s around the next bend. So yes, it takes courage to be open to growth and perhaps even more to seek it out.

Growth is about joy, but also about being uncomfortable. Our growing edge is sometimes tender, sometimes a place where pain has taken place. Our inner-critic is always on hand to discourage us, to shake our confidence, to have us consider all of the ways we can fail, or that we are even worthy of the benefits that it might bring.

Yet, when we risk and succeed, when we calculate our leap and then we take it the rewards are great. Personal development and professional development overlap and we thrive. Personal growth opportunities take on many shapes. We grow mostly from being open to experience life and what comes to us. At other times, we know that stretching ourselves might require seeking growth out. Signing up for a new opportunity to socialize or engage in adventure, to travel outside the walls of the “all-inclusive”, or simply to allow ourselves to experiment with that which has been the hardest for us to do, can all yield surprising growth. It might be giving ourselves permission to risk being vulnerable and let an intimate relationship grow. It might be backpacking through Europe solo. The “what” depends upon where your own growing edge is located.

Courageous coaching can show up in many ways as we have seen. Courageous coaching pays off in greater integrity, confidence, personal growth and ultimately in better service for our clients.

In the astonishing book, Facing The Lion, Being The Lion: Finding Inner Courage Where It Lives (http://marknepo.com/books_finding.php) , poet and cancer survivor, Mark Nepo urges us to face things in life. “…facing ourselves, each other, and the unknown. It is something we cannot do without, for facing things is what courage, at its most fundamental level, is all about. Without this, we replay and pass our suffering on to others repeatedly.”

For those who grow, there comes a time to Face The Lion, and by doing so, Become The Lion.

For those who grow, there comes a time to Face The Lion, and by doing so, Become The Lion.

Later this month I will be hosting a Real Balance Free Monthly Webinar (https://www.realbalance.com) with Real Balance Faculty member Joshua Steinfeldt as my guest. His topic will be “What Are Coaches Afraid Of? An Exploration Of Courage And Coaching Mastery”. A recent grad of the Masters Degree Program in Positive Psychology at the University of Pennsylvania where Martin Seligman and others in the Positive Psychology Movement teach, Joshua will be presenting the fascinating work he did on his Masters Thesis.

Posted in coaching, health coaching, wellness, wellness coaching | Tagged , , , , , , , , , , , ,

Downshifting To The Speed Of Life: Coaching Slowness

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“Summertime and the livin’ is easy.” How long has it been since the words of that old song rang true? In response to the accelerated pace of life a conscious movement has emerged to help us slow down and reclaim our quality of life again.

In my last post I shared about Time Affluence (http://wp.me/pUi2y-hV) and how we can experience a greater sense of time by changing our way of perceiving it. Today I’ll share about another way to address our sense of “time poverty” by learning how to deliberately slow down our pace of life: the “slow movement”.

What started in Italy with “slow food” as a reaction to omnipresent “fast food”slow-food-logo-1-550x392 (http://www.independent.co.uk/life-style/food-and-drink/features/carlo-petrini-the-slow-food-gourmet-who-started-a-revolution-1837223.html ) has morphed into a broader “slow living” movement including slow travel, slow schools, slow cities, slow design, slow relationships and more. Its main tenet is that for a more fulfilling and deeply satisfying life we need to allow the appropriate amount of time to experience the activities we engage in.

Savoring may save us. Consciousness may return control to our lives. As author Carl Honore (In Praise of Slowness) (http://www.carlhonore.com/books/in-praise-of-slowness/) puts it, our cultural obsession with speed erodes our health, productivity and quality of life. “We are living the fast life, instead of the good life.”

Operating on “automatic pilot” may seem like an important strategy to cope with feeling overwhelmed. However it usually results in staying stuck in habits that don’t serve us as well as the conscious choices we might make instead, if only we…slowed down and thought about it. As Mae West tells us “Anything worth doing is worth doing slowly.”

article-2381351-1B10EE79000005DC-377_634x422Downshifting

So, how do we make the shift? How do we de-stress ourselves, further change our perception of time and pump up our quality of life? How do we begin to embrace and benefit from “slow living”?

Value the intrinsic over the extrinsic. Focus on the internal rewards found in experience, not production; the taste of fresh tomatoes, the smile of a child. The irony here is that we know that intrinsic motivation drives greater and more creative productivity.

Re-wire your brain. Changing life-long habits means developing new neural pathways in our brains and staying off the old well-worn habit pathways. Catch yourself in your old speedy habits and jump back on the new path over and over again.

Plan to be spontaneous. Plan ahead to have free time. Make plans to “be” not just get things done. Make reservations at campgrounds so you will get out and do it. Arrange with friends to have a slow dinner evening savoring food and fun.

Lose your mind and come to your senses. Focusing on our sensory experience of taste, sound, touch, and smell can help us slow down. Breath deep, eyes closed, and take a moment to smell the roses.

16702647-mmmainCreate conspiracies. The only way to break out of unhealthy cultural norms is to conspire with friends, family and co-workers to create healthier, slower ones. Together cultivate the Italian phrase “Il dolce far niente” the sweetness of doing nothing!

 

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The Coach’s Takeaway

Our coaching clients often come to us either feeling that they are overwhelmed and have to slow down their pace of life, or, perhaps when they have had a “wake up call”, like the onset of a serious health challenge, that has caused them to reassess life’s priorities. They want to “slow down”, but, “marinated in a culture of speed” (as Honore puts it), they don’t know how.

You may have clients who are do not want to slow down. Staying busy, staying distracted, they don’t have to look at deeper issues that may be more troubling to encounter. Coach them around exploring what they fear might happen if they were to slow down. Explore “what if” examples: “What would happen if you made an agreement with your family to eat dinner together with no television or other devices turn on?” “What would it be like to take a long, hot bath instead of a quick shower?” Some clients may have such fears that they need counseling rather than coaching and the “pressure” to slow down may be too much. Referral can be discussed, but you can also back up and coach in other areas until they are ready to look at how they might experiment with slowing down.

Some fears might not be so psychological. Your client may fear that if they slow down they won’t be able to compete in the workplace or marketplace. They may fear that they won’t appear as a attractive as the hard-charging, “work-hard/play hard” person they want to portray. If you client is open to it, this may be where you can turn them on to some of the resources of the “slow movement”, such as Honore’s book, or: http://www.slowmovement.com; http://www.create-the-good-life.com/slow_movement.html; and http://movimientoslow.com/en/filosofia.html. They may learn that they can allay many of their fears by seeing how the benefits of slowing down include just what they are trying to achieve by rushing and working too hard: greater creativity, productivity and quality of life.

Slowing down may have a link with self-permission. Many of the healthy changes in behavior often revolve around greater self-care. Great wellness plans go nowhere if the client is unwilling to give themselves permission to implement them. Explore this concept of self-permission and how the person is holding themselves back.

For most clients though, the desire for a slower, more fulfilling life is there.

  • Create experiments using the Downshifting idea above.
  • Get creative with your client and co-create new action steps that they can take week by week to try out new ways to slow down in whatever area seems both important to them and most likely of succeeding.
  • They may even want to commit to looking at several dimensions of their wellness (perhaps as represented in a simple tool like the Wheel of Life) and creating experiments in each area.
  • Commit to cooking more meals at home.
  • Visit a farmers market.
  • Declare a “technological Sabbath” for a day.
  • Commit to learning and practicing “centering” activities such as Tai Chi, Yoga, relaxation training, or some form of mindfulness practice.
  • Commit to reading a novel instead of work-related books.
  • Read Thoreau’s essay “On Walking” and learn to saunter! (http://thoreau.eserver.org/walking1.html)

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Posted in coaching, health coaching, Slow Living, Uncategorized, wellness, wellness coaching | Tagged , , , , , , , , , , , , ,

Time Affluence: What New Findings Mean For The Wellness Coach

Man in lounge chair on beach

No matter how intensely we human beings think about time, the Earth rotates on its axis in the same twenty-four hour cycle. Yet time is all about our perception of it, and far too frequently we view it as a scarce commodity. Time scarcity thinking is just as detrimental to our health and wellbeing as financial scarcity thinking, maybe even worse. Yet, in our stressful world it is so easy to feel like that planetary rotation has indeed accelerated. Feeling behind in our work, overwhelmed by our responsibilities and our to-do list, it often feels that we are indeed in a “time famine”. The perception of a time famine (as researchers have actually begun to call it) drives stress and dissatisfaction with life. We attempt to adapt by overscheduling ourselves, downloading productivity apps, making endless lists, and rushing from one thing to another, usually without scheduling enough time for the transit in between. No matter how hard we work, or how hard we work at “managing” time, we simply cannot conjure more minutes in the day.

The clients of the wellness coach, like many of us, experiment in ways that negatively impact health. We cut down on the hours of sleep, sometimes following the advice of so-called motivational speakers and celebrities who have “made it”. The harsh reality message of science, however shows us that getting less than our eight hours of shut-eye increases our risk of all the major chronic illnesses. (http://healthysleep.med.harvard.edu/healthy/matters/consequences/sleep-and-disease-risk) We cut down on time with family and friends leading to a real deficit in getting many of our emotional needs met and straining the most important relationships in our lives. We cut down on the time we spend cooking healthy meals, exercising, etc. The experiments buy us some minutes here and there, but in addition to what we lose in quality of life, we often don’t feel any more satisfied with the abundance of time in our lives.

Omnipresent Urgency

My blog post “Stress Coaching Part I: A False Sense Of Urgency” (http://wp.me/pUi2y-e9) spoke of how we can individually or collectively (like in the workplace or family) drive anxiety and even panic through creating a sense of urgency that is not in line with the reality of the situation. A frantic sense of urgency driven by anxiety and fear, sets us all up for unhealthy levels of stress and severely diminished quality of life. That post looked at how we create such perceptions and at ways to distinguish between true urgency and false urgency, and between urgency and emergency. We also explored how to concretely coach around this issue.

Get Organized!

Coaches often serve their clients very well by helping them to improve their experience of time by assisting them with organization. I’ve often been surprised by how often my stressed-out client operates a complicated life with no written calendar and no simple “to do” list! “Time management” strategies can help, but usually only go so far. What else is really at play here?

Time Poverty

Feeling like we are not in control of our time, especially in the workplace is actually a huge health risk. A UK study of over 10,000 employees found that those who were in situations where they were at the command of others as to when to work and when to take breaks were three times more likely to call in sick, and had a mortality rate three times higher than others the same age.

“Take Back Your Time” activists argue that the more control we feel over our moment-by-moment schedule, the greater our sense of time spaciousness, or time affluence. Tim Kasser, the researcher credited with coining this term, recently published the results of four empirical studies documenting its positive impacts. It not only relieves stress; it also improves physical health and leads to greater civic involvement, more positive ecological behavior, and increased well-being, including job and family satisfaction—all at rates significantly higher than increasing material affluence.” (http://www.iftf.org/uploads/media/SR1378_TYF11_4-Time_rdr_02.pdf) Workplaces may have to face their responsibility here for driving such health risks and the individual coming to coaching may have such an environment to cope with.

Time Affluence

What if we both personally, and as a family, a workplace, or of friendship circle, went from time famine to “time affluence”? What if we coached for a shift in perspective and consciousness, not just more and more “management” experiments?

Leisure timeCan you remember times when you had all the time you needed, even surplus time? It may have been during the summer in childhood. It may have been the prime motivator for traveling to another country where there is greater time affluence. The appeal of vacation destinations like Italy, Mexico or Ireland often rests largely in their more laid-back pace of life. Our challenge is not scheduling more vacations; it’s changing our thinking about time and creating norms that embrace a more conscious pace of life. Feeling time affluent can be incredibly empowering and lead, according to researchers, to greater health and personal happiness. “Time affluence, it appears, has real benefits in our lives. If time famine can create a state of rolling personal crisis, studies have shown that feeling “time affluent” can be powerfully uplifting, more so than material wealth, improving not only personal happiness, but even physical health and civic involvement.” (http://www.bostonglobe.com/ideas/2012/09/08/how-make-time-expand/26nkSfyQPEetCXXoFeZEZM/story.html#) However, becoming time affluent is not the same as financial affluence. “Time-poor people report being more stressed and less satisfied with their lives, and even money doesn’t appear to help. Figures from Gallup suggest that wealth has an inverse relationship with time famine. “The more cash-rich working Americans are,” a 2011 Gallup report on time concluded, “the more time-poor they feel.” (http://www.bostonglobe.com/ideas/2012/09/08/how-make-time-expand/26nkSfyQPEetCXXoFeZEZM/story.html#)

Coaching For Time Affluence

So, what are some quick ways to coach a shift in our perception of time and slow our lives down to an optimally healthy speed?

First, change our language about time. What would happen if you took the thought “I don’t have time to…” and changed it to “This is not a priority for me.” It might be tough to admit to yourself, but then again, it might cause you to reevaluate the way you think of your time and that particular item. How would it feel to say “My wellbeing is not a priority.”? Sure there are times when the situation demands that your own wellbeing might need to be temporarily set aside, but how chronic is this pattern? Are you saying “I don’t have time for me!” far too often?

A second idea is to begin to live your life with greater mindfulness about your daily experience. Tune in to what you are doing in the present moment and see if it is something you want to savor. Sunsets, bird song in the morning, the graceful movement of a child, the taste of fresh lemonade can slow us down to the speed of now and the relaxation and balance that comes with it. This is where “mindful eating” and such approaches can fit in nicely.

Giving It Away (Giving to/doing for others)

Counterintuitive as it may sound, but researchers have found, much to even their surprise, that when people help others, donate their time, they actually feel like they have more of it! Feeling useful and effective in such acts seems to create the feeling of an expansion of the time we have. People who gave more freely of their time for others actually engaged in more self-care activities as well.(http://www.bostonglobe.com/ideas/2012/09/08/how-make-time-expand/26nkSfyQPEetCXXoFeZEZM/story.html#)

Full Of Awe Not Awful

When people experience awe, time seems to also expand. Even tiny doses such as visualizing an inspiring scene in nature, watching a video of such, writing about a personal experience of awe or happiness, etc. can bring a momentary boost of in life satisfaction, and increase the perception of time availability. So, as coaches work with clients around relaxation practices we might want to include such guided visualization. The work we do with helping the client to create their “Well Life Vision” may serve not only as a destination for our wellness plan, but also as a source of time expansion as we settle in to visualizing that ideal way of living and see ourselves there experiencing it!

In further posts we’ll take a further look at the “Slow Movement” and additional ways to become more time affluent.

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Ten Steps To Structuring Great Wellness Coaching Sessions

HopscotchWellness coaching clients show up for appointments desiring to make progress in improving their lifestyles and thereby improving their lives. For as much as they want the session to be productive, it is easy for the client and the coach to drift together from topic to topic and finish up realizing that little has been accomplished. Sometimes a client comes to the session eager to talk about a particular subject, perhaps an emotion-laden one. Quickly the session’s minutes evaporate while little else is covered, including, perhaps, exactly what the client had originally hoped to work on. The Wellness Plan that the coach and client had developed gets pushed aside and soon the session is over. If this happens repetitively client dissatisfaction soars and soon coaching comes to a premature end.

Getting Started

Beginning coaches often feel awkward initiating the coaching conversation.  Clients come through our door or arrive on the call sometimes unsure how to get started as well.  A lesson from anthropology will tell us that social greeting behavior is expected, normal, and helps everyone relax.  The old saying that “Bullshit is good fertilizer.  Sometimes good things grow from it.” is really saying that it’s not only okay to exchange what we might call pleasantries, talk about the weather, etc., it grounds us in a more comfortable and familiar interaction from which to proceed.

“Structure Is Your Friend!”

While every coach is free to develop their own coaching style, and is probably a better coach because of that, consciously following a basic coaching structure will help insure that sessions are as productive as desired. Clients engage with coaches in order to accomplish what they have not been getting done in their lives. Much of the help that coaches provide is in helping clients to become better organized, to plan, to commit and to be accountable to themselves, thereby producing the results they want to see.

Being client-centered does not mean passively following the client in conversation wherever they may lead. It means facilitating the client’s own process, keeping them in the driver’s seat, but traveling down the road to where the client wants to go. The metaphor of the coach and client walking down a trail in the woods at midnight is a good one. It is the coach’s job to hold the flashlight and illuminate the way. It is the client’s job to choose the path.

Co-Creating The Agenda- Every Timeagendaicon

Coaches help their clients to get clear about what they want to accomplish in coaching. They consciously co-create the coaching alliance. They hold the client’s agenda to be the agenda, but that does not mean starting a session with the often-disastrous invitation “So! What do you want to talk about today?” Make your coaching sessions more productive and satisfying by using the following steps as part of your coaching session structure.

tenStepsTen Steps To Structuring Great Wellness Coaching Sessions

1. Preparation. Begin working on the session before it even happens. Have your client use a Coaching Session Prep Form to list their “wins”, address their commitments to action steps, and share what is important to process. Do your own homework on this client by reviewing notes, and getting mentally and physically prepared for the session.
2. Consciously Co-Create The Agenda for the session. Create an agreement about what will be worked on in this particular session. This should be relevant to the client’s overall Wellness Plan, or to the development of that plan. Following a map insures that we will get where we want to go.
3. Acknowledge and… When a client comes bursting through the door, so to speak, with an important issue to discuss handle it like this: A. Acknowledge their experience. B. Reflect their feelings about it. C. Emphasize the importance of being sure to talk about this issue today and ask what else the client wants to be sure to include in today’s agenda.
4. Dealing with crisis. Realize that when a client comes to the session in the midst of an immediate crisis that the empathic understanding and support of the coach may be all that “gets done” today, and that is totally okay. Create an agreement to just focus on helping them to express themselves about this issue and, perhaps do some immediate problem solving, such as helping them find additional resources to deal with the crisis (this could include referral to medical resources, mental health resources, or other possibilities).
5. Wins! Most sessions will progress from Co-Creating The Agenda, to checking in on what has gone well for the client since the last session. You may want to go over the Prep Form together. Looking at “wins” first is a positive psychology approach that coaching is famous for. It works! This moves along to checking in on progress and challenges regarding the action steps that the client had committed to working on during the last session.
6. Drawing out learning and processing. Explore the client’s experience with those action steps, with internal and external barriers that have come up. Coach for realization, insight and deeper understanding of self and environment. Connect with motivation. Coach for possibilities.
7. Next steps. Leave about one-third of the session available for “Where do we go from here?” Drawing upon what was gained in the session co-create next steps for the client to take in applying what they are learning. Look at previous commitments to Action Steps and either RECOMMIT (to the same Action Steps), RESET (adjust the Action Steps to a different level or threshold), or SHIFT (shift to new Action Steps). You may also want to co-create with the client an “inquiry” for them to work on in the coming week – something for them to think about, journal and/or converse about that is relevant to what came up in the session.
8. Review and agree. Summarize the essence of the session. Review exactly what the client’s understanding of the way forward is and agree upon specific Action Steps that the client is committing to. Reinforce the motivational connection between the Action Steps and how these actions will help the client achieve what they want in their Wellness Plan.
9. Wrap it up and close. Leave the client with inspiration, acknowledgement and clarity about the next meeting time.
10. Notes & Self-Care time. Finish up your notes, including notes about information you need to find (such as knowledge about a medication your client is taking) and any action steps that you have committed to doing. Then, take a little time for your own self-care, on a mental, emotional and/or physical level.27-730x487

Students in our Advanced Wellness Coaching Competencies classes (https://www.realbalance.com/Event-Details?catid=13&id=112) and our Mentor Coaching program have consistently remarked how implementing the co-creation of an agenda for the session (Step #2), has completely changed and improved how they coach with their clients. Step #3 has often helped them to stick to this structure while meeting the client where they needed to be met.

Structure often serves to paradoxically increase our freedom. Instead of wandering or even floundering on our coaching path, we find we cover more ground discover more along the way by having a map to follow.

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Wellness Coaching And Chronic Lung Disease

DandelionbreathIt surprises many people to discover that the third leading cause of death in the United States, behind heart disease and cancer, is chronic lower respiratory diseases. These conditions take twice as many lives annually as does diabetes. Yet, unless COPD (Chronic Obstructive Pulmonary Disease), or another such disease is part of your life or family, the seriousness of this public health challenge seems to seldom get our attention.

It’s estimated that over 15 million people in the U.S. suffer from COPD. The two main diseases that are associated with COPD are emphysema and chronic bronchitis. Approximately 22 million people in the U.S. are affected by asthma. Pneumoconiosis, also known as Black Lung Disease, is an occupational lung disease caused by inhaling coal dust. This affects more people in coal producing areas such as Appalachia and Northern Wyoming. All of these respiratory diseases have much in common, but for this article our focus will be on COPD and the ways in which lifestyle improvement can be relevant.

The most common cause of COPD is cigarette smoking and can also be related to ongoing exposure to indoor, outdoor and occupational air pollution. The preventative implications are obvious and wellness, health and safety programs can play a significant role. Like other chronic illnesses once thought to present a health challenge that we were helpless to do much about, COPD has a behavioral component that can affect the course of the illness and improve quality of life. The lifestyle medicine approach is illuminating ways in which the COPD patient can affect their condition for better or worse. Wellness and health coaching is emerging as a delivery mechanism to support COPD patients in succeeding with the lifestyle improvements that their treatment team wants to see.

271813-exhaleThe Behavioral Side Of COPD

COPD normally develops slowly and is the cumulative effect of decades of exposure. Any damage that is done to the lung tissue is irreversible. There is no cure for COPD and so treatment goals aim to slow the progression of the disease and to reduce symptoms. Once properly diagnosed the most immediate behavioral interventions are environmental: (reduction in exposure to workplace or living environment pollutants, e.g. a person working in an industrial pottery who is daily exposed to clay dust); strategic: an effort to immediately cease smoking; and medically behavioral: compliance/adherence to medical treatment (e.g. bronchodilator treatments, regular medical appointments).

The overall wellness of the client is important on a number of fronts. As treatment continues, lifestyle changes, physical exercise, and regular practicing of breathing exercises may also help to improve a person’s ability to remain active, prevent exacerbations and improve one’s overall health. A good nutritious diet is very important in order to avoid infections and to keep their lungs as healthy as possible. Maintaining a healthy weight is an important factor for a person that has lung disease. If a person is overweight it can make it difficult to move around and make it even harder to breathe. Being underweight though is actually a worse prognosis than being overweight. As lung disease progresses a person will become more short of breath and fatigued. Even eating can become a lot of work and a person might find it very difficult to get all the nutrients and calories that they need.

Improving a person’s overall strength and exercise tolerance is also a goal. The patient photo3063should speak first with their physician to determine what exercise or activities would be safe for them to do. Even though activity can make a person feel more short of breath it is vital to strengthen their muscles so that they will be able to continue to do the things they enjoy and be able to care for themselves. An individual will greatly benefit from participating consistently in a local pulmonary rehabilitation program.

Raising self-efficacy is vital to the COPD patient. Clients/patients benefit greatly from learning as much as possible about their disease and how to manage their symptoms, work properly with their medications and make the best use of supplemental oxygen. In fact, in a study of Mindfulness training and COPD (Mindfulness: A New Approach To Reduce COPD Hospitalizations Discovery’s Edge, Mayo Clinic’s Online Research Magazine, Volume 8, Issue 1
http://www.mayo.edu/research/discoverys-edge/mindfulness-new-approach-reduce-copd-hospitalizations) researchers found that the patient’s perception of their disease was the greatest predictor of frequency of hospitalizations. (70% of the medical costs associated with a COPD patient come from hospitalizations).

Comorbidities

The majority of people that experience COPD also
have other chronic conditions too. Researchers aren’t sure
why, but for some reason COPD patients seem to have more
comorbid conditions than patients with other types of diseases.
In a recent study of over 1,500 people with COPD, researchers found
patients averaged having four other types of comorbid conditions whereas those that didn’t have COPD averaged less than two other
problems. This study confirmed that comorbidities are very
common in people with COPD. Some of these conditions
included heart disease, high cholesterol, high blood pressure,
diabetes, osteoporosis, arthritis, depression and cancer. These
comorbid conditions increase the likelihood of a COPD patient
being hospitalized and can also result in death (WebMD.
(2014a). COPD comorbid conditions: Heart disease, osteoporosis,
and more. Retrieved from
http://www.webmd.com/lung/copd/the-importance-of-
comorbidities.)

Older-Adults-Support-TeamCoaching And Coping

When we review the behavioral changes that facing the challenge of COPD requires we begin to realize what a huge potential role successful lifestyle improvement has. Wellness and health coaches have been finding effective ways to assist COPD patients in their quest for a healthier life with their illness. In a cooperative study with Duke and Ohio State Universities (Coping Techniques Help Patients With COPD Improve Mentally, Physically http://psychcentral.com/news/2014/09/28/coaching-copd-patients-on-coping-helps-boost-quality-of-life/75448.html) “147 COPD patients participated in coping skills training. Psychologists provided regularly scheduled phone sessions, offering patients and their caregivers general information about COPD, step-by-step instructions in relaxation techniques such as deep breathing, tensing and releasing muscles, and ways to manage their reactions to stressful events.
Another group of 151 patients also received regular phone consultations, but only on topics such as medication and nutrition. They did not receive specific coping techniques. Participants who received training in coping skills reported improvements in their overall mental health, and lessened depression, anxiety, fatigue and shortness of breath when compared to the other group, according to the study’s findings.
Although there were no improvements in COPD-related hospitalizations or deaths, the study suggests that the low-cost approach could enhance quality of life, reduce distress and somatic symptoms, and improve physical functioning for patients, according to the researchers.” While not coaching per se, this combination of instruction and a very coach-like relationship with the psychologists who provided the phone sessions, proved the value of lifestyle improvement in increasing quality of life for COPD patients.

At the Mayo Clinic, researcher Roberto Benzo, M.D. is using Mindfulness Training (as mentioned and referenced earlier in this article) and a coach approach to not only increase client self-efficacy (and the key factor of their perception of their illness), but has shown outstanding results in reducing the number of days his subjects have needed to stay in the hospital when they are hospitalized, and reduced the overall number of needed hospitalizations.

“Patients in Dr. Benzo’s clinical trials undergo an active eight-week rehabilitation program. A wellness coach uses motivational interviewing, a style of communication, to identify an appropriate exercise and develop an individualized plan. Participants are also trained to become aware of their body sensations and motions as they exercise. Active coaching is followed by monthly calls to keep them motivated.
“Daily practice is the core of the rehabilitation,” Dr. Benzo says. “This means carving out a special time to be present with what is going on with their body and coming to terms with their life as it is.” (http://www.mayo.edu/research/discoverys-edge/mindfulness-new-approach-reduce-copd-hospitalizations) As is found in most work with chronic illnesses, a combination of education and coaching was successful.

Dr. David Hinton Thom at the University of California, San Francisco is currently conducting a two-million dollar grant-funded study to bring the coach approach to patients in underserved communities who are challenged by COPD. “The most comprehensive disease self-management programs, i.e., “pulmonary rehabilitation,” are generally not available to patients who are seen at community clinics. While self-management educational programs are more generally available, they are not often accessed by patients and do not provide personalized, sustained support. Health coaching by trained medical assistants or health workers has emerged as an effective model to provide individualized, patient-centered information, decision and self-management support, and coordination of care to improve outcomes for patients with chronic conditions. Health coaching provides patient support and reinforcement for self-management skills and activities, strategic approaches to effect behavior change, and a platform to improve comprehensiveness and quality of care. For the management of COPD, health coaches, for example, could assist patients with getting vaccinations, prescriptions, engaging in a graded exercise program, responding to exacerbations of their COPD, learning correct inhaler technique, and coordinating care between the patient’s primary and specialty providers.” (Health Coaching to Reduce Disparities for Patients with Chronic Obstructive Pulmonary Disease http://www.pcori.org/research-results/2013/health-coaching-reduce-disparities-patients-chronic-obstructive-pulmonary.) Here we see how the role of a coach can become incredibly practical and strategic, assisting patients/clients with their medical self-care and self-advocacy.

177859857Ways Coaches Can Assist With Lifestyle Modification For COPD:

• Smoking cessation
• Securing and attending a Pulmonary Rehab Program
• Securing education about proper breathing techniques from doctor, respiratory therapist or nurse to help reduce shortness of breath, and then tracking and accountability through coaching to ensure consistent practice
• Securing education about different cough techniques and breathing positions that are more effective.
• Explore various stress management tools and relaxation techniques, learning and practicing with coaching accountability.
• Tracking the intake of water (at least 8 glasses/day), to help hydrate secretions to be able to clear them from the airway.
• Tracking, follow through and accountability re: exercising regularly to improve overall strength and cardiovascular reserve. Client should speak first with their health care provider for specific instructions.
• Assisting client with nutritional/eating goals such as:
o Eat smaller meals more frequently to diminish shortness of breath.
o Eat healthy foods and maintain a normal weight.
• Securing support for their lifestyle improvement through family, friends, workplace, and others. Coaching for connectedness.
• Securing more support through group wellness coaching and finding a greater sense of community amongst others challenged with the same illness.

The Power Of An Ally In Lifestyle Improvement

Beyond all of the concrete behavioral steps involved in lifestyle improvement nothing exceeds the importance of having a solid coaching alliance between patient, now client, and coach. Having an ally through the behavioral change process is a boost to the motivation of the client and can help them to feel that a better life is possible.

Coaches also need to be aware that clients could experience more irrational feelings and “Gremlin talk” when short of breath and oxygen level are low. Decreased oxygen levels can cause people to feel fatigued and confused, which can have a direct effect on self-efficacy. When this is suspected, once again, a referral back to the client’s treatment team is in order.

Coaches can help their clients to process the grief they feel around their loss of health. This could be directly related to diminished feelings of self-efficacy and increased helplessness. (See “Astonishing Non-compliance” in Wellness Coaching For Lasting Lifestyle Change, 2nd Ed. http://wholeperson.com/store/wellness-coaching-for-lasting-lifestyle-change.shtml by the author.)

Facing the challenge of COPD while seeking one’s best life possible means integrating a well-coordinated treatment plan with a wellness plan focused on lasting lifestyle change. Taking the journey to one’s best health may best be done with an ally walking side-by-side with us all the way.

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Productive Exploration In Wellness Coaching

AgeExpMap

How can we tell if we have or have not done enough exploration with a wellness coaching client? Inadequate exploration usually results in poorly selected and set goals. In the rush to do “goal-setting” clients sometimes do so without considering all aspects of their life, health and wellbeing first. Many times I have seen a client insightfully discover that a key component of their challenge in losing weight is actually their social isolation. Until we explored their social and work relationships they thought we would simply be working on helping them to become more physically active and eat better.

Adequate exploration means coaching your client to look at their life three-hundred and sixty degrees – full circle! (https://realbalance.com/wellness-mapping-360-wellness-coaching-model) Simple tools of exploration like “The Wheel of Life” help clients realize how truly holistic wellness is. Taking the time to coach clients around the interconnections of the different areas of their life often pays off in more accurate selection of areas to work on and therefore actually saves time in the long run.

The Power Of Story

Our client’s “story” needs to be heard, honored, and understood. When clients don’t feel “heard”, they either elaborate further and further, or they clam up, withdraw, and perhaps drop out. Great coaches demonstrate excellent listening skills and show warm, empathic coaching presence as they hear the client’s story. Acknowledgement, validation and empathy pave the way to both building the relationship and establishing awareness of the client’s life as it is today.

Yet, we can perseverate on exploration! Clients often feel the need to fill us in on tremendous detail. Their thoughts, as they speak, lead them from one related detail to another and before long the coaching session is expiring and we really haven’t done much “work”. The “Chatty Cathy” sort of client talks and talks, often connecting their sentences and phrases with drawn-out “Ummmm’s” making interruption very challenging for the coach. Sound familiar? Or, the client engages with the coach in a lively conversation that seems like it should be productive, but never really delivers on that promise. Often, what is going on is that the client is simply conveying what they already know.

Effective exploration is when your client is fully and thoughtfully engaged. It’s when they are curious and want to understand themselves and their lives and behavior more. It’s when they want to Explore a new perspective, discover new insights!

bisti-wilderness-area-hd-wallpaperReal EXPLORATION is when you are exploring NEW LANDS, not just taking a walk in your neighborhood! Clients often use a lot of coaching time informing the coach about every tree, bush and rock in their neighborhood (rehashing things THEY already know). Effective exploration is when we say to the client, “How about we go someplace new? Let’s go on a journey!” Coaches help people look at the old neighborhood with “new eyes”, and yes, that is the close-to-home aspect of exploration. However, more serious growth usually takes place somewhere less familiar, perhaps even someplace riskier.

Thailand-BangkokSome international travelers never stray from the well-worn resort areas, or don’t even travel to a country that doesn’t speak their own language. Other than many trips to Canada, my first time “overseas” was to dive alone into the heart of Bangkok, Thailand. Talk about an adventure! Yet, it’s often on such adventures that we are stretched in new ways resulting in growth we never expected. You, the coach, need to become comfortable with being uncomfortable. When you exude more confidence in new territory, your traveling companion client will feel safer and allow themselves to proceed while feeling uncomfortable as well.

“Life is an adventure, it’s not a package tour.” Eckhart Tolle

The probability of our clients sailing into unchartered waters is vastly improved when they have a traveling companion, and preferably a trusted professional guide. In a way, we might all become better coaches if we fancy ourselves as “adventure guides”! To do so might mean getting some adventurous miles under our own belts. No need to book that flight to Thailand or the Amazon. Your own exploration is right where you know it is, in the land of your own personal growth. You might not need to jump into years of therapy and confront your shadow side, but simply ask yourself, “What will stretch me?” Your own Personal Wellness Foundations is rooted in your own Personal Growth.

Hudson's Ship "Half Moon"

Hudson’s Ship “Half Moon”

Then, as you work with your client you might ask yourself, “Are we really exploring here?” You might imagine you and your client like the famous explorers in history; Vasco da Gama, Henry Hudson, Daniel Boone, etc. They were all looking for new lands, and, importantly new routes to get to places that they knew existed. Henry Hudson and his crews jammed their way through artic ice again and again searching for the fabled “Northwest Passage” that would lead them to Cathay (China). They never made it to the Orient, but in the process they opened up the great land of Canada. Sometimes exploration in coaching helps our clients to discover their own passage, their own route that can lead them to the life they truly want to live.

From “Patient” to “Client”

Part of what keeps clients stuck “in the neighborhood” of their familiar lives is the patient role that they have learned well. As a patient I believe in telling my healthcare provider as much accurate information as I can about my conditions, my current health status, etc., so that they can develop an accurate diagnosis and recommend the best course of treatment. This works great when I am in this professional medical consultation situation. Coaching, as we know, works differently.

Part of building the coaching alliance is helping our clients learn how to become “clients”! We can explain how coaching works and ways in which we will be of value to our clients. As we do so we can make a distinction between how the medical consultation works and how things proceed in coaching. After this introduction we will most likely find that we will need to repeatedly coach with the client in such a way as to remind them that we, the coach, don’t really need all the details. Our job is to help the client work with the client’s own situation by facilitating the coaching process with them.

Exploring Laser Style

As I teach our Real Balance LASER COACHING CLASS I’m seeing how vital effective exploration is to time efficiency. The techniques of laser coaching really pay off by helping the client to stay focused, on track, and relevant as they share their story. Also, if it is REAL exploration, it’s NEW territory, not the time-consuming conveying what the client already knows (that’s the “walk around the same old block”). When we are working in areas the client finds productive to explore they are more engaged, more satisfied and we cover ground more quickly. Insights help us spring forward with new behavioral experiments and we see progress.

Setting Sail Or Blazing A New Path In The WildernessLeVoyageur

So, what does ineffective and effective coaching exploration sound and look like?

INEFFECTIVE EXPLORATION

• Client energy is low, even monotone in voice
• Or, client energy is fine, even anxious, speech may even be rapid
• The same ground gets “plowed” again and again
• Tangents and minutia prevail
• The client tend to stick to “favorite” topics (e.g. what to eat)
• “Drilling down” into details never “strikes oil” (we don’t gain insights, only more details)
• Client may be giving the coach what the client thinks the coach wants to hear
• The coach finds it hard to “forward the action”
• May feel like “hard work”, but is more exhausting than rewarding

EFFECTIVE EXPLORATION

• Client energy is strong and engaged
• There is a curiosity that the client shows about their own life, behavior, beliefs, etc.
• Challenges the client
• Asks about the relevance of what is being discussed
• Asks the client if they are receiving real value out of the current discussion
• Stimulates new ideas, insights, connections, potential solutions
• Helps clarify values and beliefs
• Draws upon what has worked in the past
• Experiments with new perspectives
• Can tap into body-wisdom of both the coach and client
• Includes “process coaching” where feelings may be explored and emotions processed
• Encourages looking into new topics
• Provides the substance for “possibility thinking”

THE SOUND OF EFFECTIVE EXPLORATION

Here are some questions, requests and phrases a coach might use to help make exploration more productive.

• “So, is what we’re talking about something you’re finding value in?”
• “That’s one perspective. Now tell me about the same thing, but from a completely different perspective.”
• “I understand how important the components of your diet are. Would you find it more productive to continue to explore what your are eating, or is there some other aspect of food and eating that we could benefit from looking at?”
• Summarize and then: “Hearing your long list of all the tasks and activities you are engaged in right now, what are you aware of?”
• “What question are you hoping I will ask you now?”
• “What question are you afraid I might ask you now?”
• “What would be a real stretch for you here?”

There are many more ways to speak with your clients about gaining new perspective. Encourage your clients to take Aikido Master and Conflict Expert Thomas Crum’s advice and “Get off your viewpoint, and try out a new point of view.” (http://www.aikiworks.com/products.html)

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“Well-being” Is Whole-Person Wellness

 

Plunging Into Whole Person Wellness

Plunging Into Whole Person Wellness

The term “Well-being” may have come along at just the right time. Public speakers and marketers are re-branding wellness as wellbeing by saying that well-being is more complete, more holistic. Well-being, they say, incorporates the whole person, their environment, their financial picture, their career, etc. On the one hand it’s too bad that we have to invent a new term to refresh our memory of what “wellness” really is. On the other, with the way that corporations and organizations have allowed their wellness programs and products to deteriorate into overly simplistic efforts, based on single-measurable-variable pieces of research, “well-being” may be the kick in the pants that reminds us about “whole-person wellness”.what-is-HWB_04

Twenty to forty-year veterans of the wellness and health promotion field hear speakers appear to create false distinctions between the terms wellbeing and wellness. And yet, are they indeed false distinctions?

Has the term wellness been worn out? It has certainly been misused and abused. Here in Northern Colorado a “wellness center” is probably a medical marijuana dispensary. “Google” the word and the number one listing on that search engine is always the “Wellness” brand of dog and cat food.

What may be more disturbing though, is how we have come to look at wellness in ways that jettison its original holistic meaning. In an effort to be more scientific and “evidence-based”, we have embraced research efforts to show the effectiveness of our approaches to wellness and health promotion. While this research is important and has yielded much of great value, too much of it has been focused on what could be called the measurement of a single variable. As we’ve tried to apply the scientific method to this cause we’ve oversimplified our approach far too often.

Skinner boxWhen we want to study the health behavior of human populations the challenge is daunting. It’s easy to control extraneous variables in a “Skinner Box”. Any social scientist will tell you that people are a lot more complicated. The result has been too many health behavior studies measuring one aspect of activity, one blood lipid level, one blood sugar level. While those little building blocks all help to assemble the scientific foundation we need, too much is concluded from them. In our online digital world a simple study with twenty subjects, run one time, has its results proclaimed as headline news.

Following the medical world, where the threat of litigation for malpractice hovers over every practice like a vulture, we have sought to provide only programming that is “evidence-based”. That means, as Dee Edington stated at the 2013 American College of Lifestyle Medicine Conference, “if you only do evidence-based you’ll never innovate!” The temptation is to “dumb-down” our concept of wellness to just physical fitness and nutrition. The temptation is to be happy that we got someone to walk three times a week and call it good.

620-667-I-G36There Is Nothing New Under The Sun

Dusting off the yellowed pages of my edition of Donald Ardell’s High Level Wellness: An Alternative To Doctors, Drugs and Disease (1977) I found my long-time friend Don referred to his colleague and fellow wellness pioneer, Jack Travis, as Jack and he defined wellness: “Travis believes that wellness begins when an individual sees himself or herself as a growing, changing person. High level wellness means giving care to the physical self, using the mind constructively, channeling stress energies positively, expressing emotions effectively, becoming creatively involved with other, and staying in touch with the environment.”

Travis - 12 Dimensions Model

Travis – 12 Dimensions Model

Ardell posed five dimensions of wellness, Bill Hetler six (http://www.nationalwellness.org/?page=Six_Dimensions), and Travis, including a number of psychological dimensions, built a model with twelve dimensions (http://www.wellpeople.com/Wellness_Dimensions.aspx). Clearly “wellness” has always been meant to be a holistic concept as I stated in 1994 in my article “The Ten Tenets Of Wellness” (published in Wellness Management , the newsletter of The National Wellness Association, which also can be found in Chapter Two in Wellness Coaching For Lasting Lifestyle Change, 2nd Ed.)(http://wholeperson.com/store/wellness-coaching-for-lasting-lifestyle-change.shtml).

Indeed we’ve seen it all before. The term “Mindfulness” has been skillfully re-packaged by Jon Kabat-Zinn and others. Studying today’s version of “mindfulness” someone like me is transported back to about 1968 when I was in college and reading books like Bernard Gunther’s Sense Relaxation Below Your Mind(http://www.amazon.com/Sense-Relaxation-Below-Your-Mind/dp/B000VLH7Q8). Of course everything we’re talking about here is based on practices that go back thousands of years in the traditions of meditation, Yoga, Tai Chi, and more.

While in my doctoral program in the 1970’s, I was blessed with the opportunity to learn deeply about biofeedback and how to apply it in working with stress-related disorders. I specialized in that for many years as a psychologist and served as the President of The Ohio Society For Biofeedback and Behavioral Health. The beauty of the research done by biofeedback pioneers Elmer and Alice Greene (http://www.amazon.com/Beyond-Biofeedback-Elmer-Green/dp/0940267144 and http://www.consciousnessandbiofeedback.org) was to use recently developed technology to study the consciousness practices of Indian Yogis, monks, and others. By examining their subject’s brain waves and various physiological indicators they ended up validating the legitimacy of such practices. Thus we see that today’s “mindfulness” has its roots in research completed under other names as well.

Authentic H CoverToday’s dynamic Positive Psychology movement has invigorated the field of psychology and is providing the sound research evidence that is validating what the Humanistic Psychology folks have been saying since the 1950’s and 1960’s. The “Human Potential Movement” of the late 1960’s and the work of Abraham Maslow, Virginia Satir, Carl Rogers, Rolo May and many others, emphasized looking at human behavior from a positive growth perspective instead of the usual clinical/pathological perspective. Saying that Martin Seligman “founded” the Positive Psychology Movement may be accurate in recent history, but he did so standing on the shoulders of these earlier giants. Our field of coaching also built its self on these same shoulders and from its inception always took on a positive psychology, strengths-based approach to working with people.

WellnesssunsetkickA Return To Whole-Person Wellness

Looking at wellness programs merely as “cost-containment strategies” has caused us to develop a tunnel vision ROI-only view. Some companies today are spending more money on their incentives to get people to take a health-risk assessment, etc. than they are spending on their wellness programs! When we view employees only as statistical units that drive up healthcare costs, we down-size – or “dumb-size” our thinking. The “well-being” approach would have us view employees as whole people who can contribute to the mission and purpose of our company and do so through creative, higher performance that happens when they are “well” in this holistic sense. The term to shift to is VOI (Value On Investment).

More Than Just Corporate Health Promotion

BIGGARD_SU_C_^_SUNIQWhen we step outside of the corporate world we see wellness, and now well-being, at work in our healthcare settings, communities, schools, places of worship, and among groups and individuals who want to live their best life possible. We are realizing the powerful effect that connection and community provides for our health and well-being. We are seeing how having safe green spaces to walk, play and exercise increase the health of communities. Part of our approach to wellness/well-being is to step outside of a myopic corporate perspective and remember that not everyone works for a company with the benefits of a wellness program. Being inclusive of under-served populations in both rural and urban areas, Native American/First Nations Reservations, and others means maintaining this big-picture view of what wellness/well-being means.

If “Well-Being” helps us remember to work with the whole person and view them from a holistic perspective – great! If the term refreshes programs and generates engagement – wonderful! Bring on “Well-Being” while we remember that it really is – Whole Person Wellness.

 

Note: This June the National Wellness Conference will celebrate it’s 40th Anniversary. (http://www.nationalwellness.org/?page=NWC2015) The latest in wellness and health promotion will be on display as well as an opportunity to create community in the wellness field like nowhere else. Among the celebrations will be a special Legacy & Vision Talk with a number of the founders of the wellness field. Come and join us and experience what Whole Person Wellness is really all about!

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