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Salutogenesis : ウィキペディア英語版
Salutogenesis

Salutogenesis is a term coined by Aaron Antonovsky,〔Antonovsky, A. "Health, Stress and Coping" San Francisco: Jossey-Bass Publishers, 1979〕 a professor of medical sociology. The term describes an approach focusing on factors that support human health and well-being, rather than on factors that cause disease. More specifically, the "salutogenic model" is concerned with the relationship between health, stress, and coping.
Antonovsky's theories reject the "traditional medical-model dichotomy separating health and illness". He described the relationship as a continuous variable, what he called the "''health-ease'' versus ''dis-ease'' continuum".〔
==Derivation==
The word "salutogenesis" comes from the Latin ''salus'' = health and the Greek ''genesis'' = origin. Antonovsky developed the term from his studies of "how people manage stress and stay well".〔Antonovsky, A. Unraveling The Mystery of Health - How People Manage Stress and Stay Well, San Francisco: Jossey-Bass Publishers, 1987〕 He observed that stress is ubiquitous, but not all individuals have negative health outcomes in response to stress. Instead, some people achieve health despite their exposure to potentially disabling stress factors.
In his 1979 book, ''Health, Stress and Coping'', Antonovsky described a variety of influences that led him to the question of how people survive, adapt, and overcome in the face of even the most punishing life-stress experiences. In his 1987 book, ''Unraveling the Mysteries of Health'', he focused more specifically on a study of women and aging; he found that 29% of women who had survived concentration camps had positive emotional health, compared to 51% of a control group. His insight was that 29% of the survivors were ''not'' emotionally impaired by the stress. Antonovsky wrote: "this for me was the dramatic experience that consciously set me on the road to formulating what I came to call the 'salutogenic model'."〔
In salutogenic theory, people continually battle with the effects of hardship. These ubiquitous forces are called ''generalized resource deficits'' (GRDs). On the other hand, there are ''generalized resistance resources'' (GRRs), which are all of the resources that help a person cope and are effective in avoiding or combating a range of psychosocial stressors. Examples are resources such as money, ego-strength, and social support.

GRDs will cause the coping mechanisms to fail whenever the sense of coherence is not robust to weather the current situation. This causes illness and possibly even death. However, if the sense of coherence is high, a stressor will not necessarily be harmful. But it is the balance between GRDs and GRRs that determines whether a factor will be pathogenic, neutral, or salutary.〔
Antonovsky's formulation was that the GRRs enabled individuals to make sense of and manage events. He argued that over time, in response to positive experiences provided by successful use of different GRRs, an individual would develop an attitude that was "in itself the essential tool for coping".〔

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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