Showing posts with label measuring health. Show all posts
Showing posts with label measuring health. Show all posts

Saturday, February 4, 2012

Healthy Spirituality vs Broken Spirits, Broken Hearts and Shattered Egos

A merry heart doeth good like a medicine: but a broken spirit drieth the bones. Proverbs 17:22.

How big is the difference between a broken heart, a broken spirit and a crushed ego? From the health perspective - what is 'Spirit'? What is spirituality?  How can we recognize or measure the healthiness of someone's spirit?

In the Hierarchy of Healthiness the body is defined by its physical presence.  The mind houses the rational processes we use to plan and execute specific actions; calculation, memory and possibly intuition. Each new level requires the levels below - but rises above them all to create a distinct new entity. The body exists, by itself, above the structures of your organs, systems, tissues, cells, etc.

Your spirit exists above the physical mind and the body. The body might be damaged, the mind might be stressed - while the spirit prevails. Or your spirit might be crushed while the body carries on like an automaton.

The Hierarchy of Health 'Spirit', consists of your spirit, your spirituality, your ego and your personality. Your creative and artistic spirit. Your 'heart', as in 'a broken heart', and also as in 'you've  gotta have heart', is part of your spirit, not part of your body.

Communal aspects of spirituality are in the next layer of the hierarchy: team spirit, community spirit, etc. are in the layer Community Healthiness.

When does our spirit develop?  Do adult dogs have 'spirit'?  I suspect the answer is yes, but they do not have 'spirituality'. Dogs can be playful, bordering on creativity. They may have spirituality in the sense of being comfortable their place in life, but not in 'knowing their purpose', nor 'understanding the meaning of life'.

Spirit healthiness is a measurement of the health status of a person's spirit and spirituality. 

Can we measure the health status of someone's spirit? of their spirituality?

Physical strength is measured by what we can carry; spiritual by what we can bear. An interesting quotation, source unknown, that deserves further thought. Sometimes we can hardly bear to listen to, much less enjoy, the noise of children - other times the roar of traffic is easily ignored. Our spirit strength waxes and wanes as do our physical and mental strengths.

How can we tell if someone has an unhealthy spirit? 

Playfulness; creativity; artistic is an interesting dimension.  Many great works of art are created by people with troubled spirits.  But many are created by people who are spiritually comfortable - and have time to relax and explore their artist spirits. When very creative people have troubled spirits - they might channel their energies into their art.  Sometimes people may channel their troubled spirits into risk and destruction, or self harm.  Suicide might not exist if we didn't have a spirit to be troubled.

Music can sooth the spirit.  Or lift your spirits.  Even sad music can make you feel better - as discussed in a previous post: Is Listening to the Blues Healthy? Great music might be created by a contented spirit, a forlorn spirit, or a troubled spirit - and it can be enjoyed by all.

The Spirituality Index of Well-Being: A New Instrument for Health-Related Quality-of-Life Research
was presented by Timothy P. Daaleman, DO1 and Bruce B. Frey, PhD2 in 2002. The survey asks:
Which statement best describes your feelings and choices?
Strongly Agree 1 Agree 2 Neither Agree nor Disagree 3 Disagree 4 Strongly Disagree 5
 1. There is not much I can do to help myself.
 2. Often, there is no way I can complete what I have started.
 3. I can’t begin to understand my problems.
 4. I am overwhelmed when I have personal difficulties and problems.
 5. I don’t know how to begin to solve my problems.
 6. There is not much I can do to make a difference in my life.
 7. I haven’t found my life’s purpose yet.
 8. I don’t know who I am, where I came from, or where I am going.
 9. I have a lack of purpose in my life.
10. In this world, I don’t know where I fit in.
11. I am far from understanding the meaning of life.
12. There is a great void in my life at this time.

Questions 1 to 6 are primarily about 'spirit', although 4 and 5 are also about the ego.  Questions numbered 7 to 12 are about spirituality. Questions 7 and 9 are almost the same question.

The test is a powerful tool to measure spirit and spirituality of people who are ill.  It gives a useful number for a measurement of spiritual health.  The two sets of questions can give separate numbers to rate spirit separate from spirituality. It is not a tool to measure ego healthiness - as there are no direct questions to the ego.  I do wonder if it is possible to distinguish between a healthy and an unhealthy ego, especially by asking questions of the subject.

The weakness of this test - for measuring healthiness - is clear when we realize that all of the questions are negative. This measurement instrument was, like most so-called 'health measurements' developed in a clinical setting to measure the spirituality of people who are ill.  In fact it does not measure 'spirtual well being', rather each question measures 'spiritual weakness' (or illness), with the assumption that the opposite of illness is wellness.

The measurement of spirituality is made more complex by the presence of an objective, v.s. the subjective observer.  Someone might rate themselves very highly, or very low, on these scales - but their family, or their physician might give them a different rating.  Physical attributes like blood pressure and pulse can be measured accurately by a machine.  Attributes of spirituality are much more difficult to measure objectively.

There is also the ego.  Many religions and philosophies suggest that the ego is opposed to the true spirit and to spirituality.  eg. To become truly spiritual you must lose a large part of your ego. Someone with a forceful ego might rate their spiritual healthiness much higher than someone with a healthy self image and ego.

Does spirituality arise from having a purpose in life? from understanding the meaning of life? from feeling 'complete' in our lives? Or is there something more to spirituality?

Can you improve your spirit health? The things you do to improve your spirit healthiness might depend...  Are you relatively healthy in mind, body and spirit - and you want to improve your spiritual health?  In this situation, the recommended prescription is often solitude, quiet, fasting, meditation, etc. But if you are ill and you have a poor spirit, a more effective prescription might be involvement in family activities, yes - noise of children, and food - preferably with family or friends. This suggests that measuring the healthiness of our spirit is not effective in isolation from other aspects of health.

At what age do we begin to develop the spirituality aspect of our spirit?

Loevinger's stages of ego development traces development from birth (pre-ego) to the rarely attained 9th integrated ego stage, where the subject is at peace with inner conflicts. Erikson's stages of psychosocial development trace through stages of hope, will, purpose, competence, identity, love, care to wisdom. Carl Jung classified Psychological Types into eight categories by first classifying perception into sensation vs. intuition, judging into thinking and feeling - and then mapping them against introvert and extrovert mental types. Note: Jung does not pass judgement, classifying one category over another he simply groups people into different categories based on some aspects of their spirit.

We might look at each of the classification criteria and measure it on a scale of deficient - healthy - excessive.  For example an introvert might be healthy, or so introverted as to be a hermit, or hardly introverted at all.  Of course introvert deficiency is not a negative, but excessive introversion might be a health problem.

How can we measure spirit healthiness?

First, we can enumerate some attributes of the spirit for measurement. The 12 questions from Daaleman and Frey provide some suggestions. Each question measures some aspect of the spirit.  However, as noted - they are worded to measure only 'negative' aspects of the spirit. |

Illness arises from deficiency or excess.  Healthiness is the large or small 'normal' area between deficiency and excess.  If we re-word the concepts of these questions into a scale that measures deficiency and excess, we have something like:

1. Ability to look after self.  Deficient - not able to look after self. Healthy - able to look after self most of the time.  Excessive - not able to ask for or accept assistance when required.
2. Ability to complete tasks.  Deficient - not able to complete most task that are started (may indicate tendency to start too many tasks or tasks that are too challenging).  Healthy - normally able to complete tasks that are started.  Excessive - never takes on challenges that present risk of failure.
3. Able to understand own problems. Deficient - not able to understand own problems.  Healthy - has a normal understanding of own problems. Excessive - understands everything about themselves (or claims to).
4. Dealing with personal difficulties and challenges. Overwhelmed - Healthy - denial.
5. Confident when new problems encountered. Unsure, indecisive - Healthy - overconfident.
6. Able to plan for the future. Impulsive - Healthy - anal retentive.
7. Comfortable with role in life. Unhappy - Healthy - lazy.
8. Know thyself. Confused about self - Healthy - arrogance or excessive pride.
9. Have a purpose in life. Lost - Healthy - driven.
10. Know place in society. Submissive - Healthy - defiant.
11. Understand the meaning of life. childlike - Healthy - philosopher
12. Feel complete and whole. insecure - Healthy - complacent

I'm not saying these are the best questions to measure spirituality healthiness.  At this time they may be the best we have. We can work on something better.  What are the most important dimensions of spirituality?  Are some more important than others?

There might always be disagreement about what the spirit is, and what is not part of the spirit.  In the context of the Hierarchy of Healthiness we can define spirit clearly for specific purposes.  Spirit Healthiness encompasses all of the aspects of people that are at a higher level than the body and mind - and at a lower level than those attributed to communities of people.  Introversion, intuition, purpose, understanding, compassion - these are all aspects of the spirit.  Each can be healthy - in the normal range - or not.  If we can attain that goal, we might attempt to 'optimize' spirit health - a much more challenging goal.

Our spirit healthiness scores can change over time as we mature, grow older and age - and as a result of life circumstances.

Keep your spirits up, tracy
www.personalhealthfreedom.com












Tracy is the author of two book about healthicine: 


Friday, January 20, 2012

Are you Sick? Or just Unhealthy?


Mike goes to the doctor with a cough.  Is he sick? Or just unhealthy?

The doctor asks how many cigarettes Mike smokes - a pack a day, for 25 years.  Is Mike sick?  Or just unhealthy?

It's not easy to tell if someone is sick, or just unhealthy.  Even in Mike's situation.  If the cough just came on in the past few days, and there are other symptoms - Mike is probably sick.  But if the cough is a nagging cough that has been present and growing, Mike is probably 'just unhealthy'.

Mike's case is a simple one. It can get much more complicated. Let's look again at Alice and Zizi.  You might remember that Alice and Zizi are the same age, similar in many ways, but Alice gets 5 to 7 colds a year, whereas Zizi gets a cold once every 1 or 2 years. Now, Alice develops a cough.  Is she sick? Or just unhealthy? It might be difficult to tell. Alice might have a cough because she ate something that caused her to cough,, or because she is in the final stages of a cold. Presumably, if she is in the final stages of 'another' cold, then she has a cough because she is unhealthy - compared to Zizi - and because she is sick with a cold.

What is unhealthiness? Is there a difference between unhealthiness and sickness.

Merriam-Webster defines unhealthy as "not in good health : sickly, diseased".

People tend to use the words sickness, illness and disease interchangeably. Medical condition is sometimes used for special illnesses like a bone fracture, or bullet puncture - but, medical condition can also be used to name all variations of sickness, illness, disease and medical condition.

In our studies of health and healthiness, it is important to have a clearly defined meaning for unhealthiness.  Health has been defined as: a measure of the state of wellness of a personor community. Health can be seen as a measure, between 0 and 100 percent, that defines the state of wellness.  It is clear than that un-health should be the other percentage, the state of unwellness. 


For example, if your health score is 80 precent, which might be a higher than average score, then your unhealthiness would be 100 - 80, or 20 percent unhealthiness.  




We tend to think of unhealthiness is a condition that is within personal control.  This includes: 
 - poor nutrition 
 - poor cleanliness
 - laziness (insufficient exercise, insufficient mental stress, etc.)

Where is the line between unhealthiness and illness?  When does unhealthiness become a medical condition?  What does it mean when unhealthiness becomes a medical condition? 
This diagram shows a transition from healthiness to unhealthiness to medical condition. The black line represents the point of diagnosable illness. 

If you are simply 'unhealthy' by one of many measurements, you can change.  An unhealthy diet can be changed, improved and eventually become a healthy diet. Of course you can never be 100 percent healthy.  If you are ill, you might be able to increase your level of health - and become not ill - depending on the illness.

So can someone be 'unhealthy'?  In light of this information, it's difficult to define a specific line where unhealthiness begins.  We have no statistics on the health of 'normal people' so we can hardly define those who are 'unhealthy'. But of course it gets more complicated. 

The hierarchy of healthiness has 10 layers of health, from genetics to community health.

In each layer, we have a health score and, by subtracting the health score from 100, we can calculate an unhealthiness score for that area.

In this example, we can see a Community unhealthiness of 18, a Spirit unhealthiness of 22, etc to a Nutrient unhealthiness score of 32 and Genetic unhealthiness of 22. The overall unhealthiness score is 100-78 = 22.

Is healthiness, or unhealthiness is some areas more important than in other areas? Should some illnesses be classified as 'unhealthiness' instead of illness?  Will that help us to determine the best actions?




When we learn to measure healthiness effectively, we will also learn to measure unhealthiness.  And then we will have a better understanding of the choices we can make with regards to both our healthiness and our illnesses.

Illness (sickness)
 - can be diagnosed
 - often the result of external conditions (virus, germs, etc)
 - often a temporary condition (time heals all wounds)
 - may require treatment

Unhealthiness
 - a result of long term health actions or inactions
 - not a temporary condition - will not change without changes in activities
 - generally not affected by 'treatments' or medicines

We treat illness directly, and we treat unhealthiness indirectly, by healthy actions, for the most effective results.

It is important to ask ourselves, are we sick?  Or just unhealthy?

to your health, tracy
Tracy is the author of two book about healthicine: 


www.personalhealthfreedom.com