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Mental Health as a Complete State: How the Salutogenic Perspective Completes the Picture

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Bridging Occupational, Organizational and Public Health

Abstract

There have been at least three conceptions of health throughout human history. The pathogenic approach views health as the absence of disability, disease, and premature death. The salutogenic approach views health as the presence of positive states of human capacities and functioning in cognition, affect, and behavior. The third approach is the complete state model, which derives from the ancient word for health as being hale, meaning whole. This approach is exemplified in the World Health Organization’s definition of health as a complete state, consisting of the presence of positive states of human capacities and functioning as well as the absence disease or infirmity. This chapter reviews evidence supporting the complete state model when applied to mental health and illness. Studies are reviewed making the case for promoting and protecting positive mental health to prevent mental illness and to improve overall psychosocial functioning of individuals and population health.

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References

  • Antonovsky, A. (1979). Health, stress, and coping. San Francisco: Jossey-Bass.

    Google Scholar 

  • Bradburn, N. M. (1969). The structure of psychological well-being. Chicago: Aldine.

    Google Scholar 

  • Chisholm, D., Sanderson, K., Ayuso-Mateos, J. L., & Saxena, S. (2004). Reducing the global burden of depression: Population-level analysis of intervention cost-effectiveness in 14 world regions. The British Journal of Psychiatry, 184, 393–403.

    Article  PubMed  Google Scholar 

  • Davis, N. J. (2002). The promotion of mental health and the prevention of mental and behavioral disorders: Surely the time is right. International Journal of Emergency Mental Health, 4, 3–29.

    PubMed  Google Scholar 

  • Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575.

    Article  PubMed  CAS  Google Scholar 

  • Downie, R. S., Fyfe, C., & Tannahill, A. (1990). Health promotion: Models and values. Oxford, England: Oxford University Press.

    Google Scholar 

  • Gallagher, M. W., Lopez, S. J., & Preacher, K. J. (2009). The hierarchical structure of well-being. Journal of Personality, 77, 1025–1049.

    Article  PubMed  Google Scholar 

  • Greenspoon, P. J., & Saklofske, D. H. (2001). Toward an integration of subjective well-being and psychopathology. Social Indicators Research, 54, 81–108.

    Article  Google Scholar 

  • Gurin, G., Veroff, J., & Feld, S. (1960). Americans view their mental health. New York, NY: Basic Books.

    Google Scholar 

  • Hart, G. D. (1965). Asclepius: God of medicine. Canadian Medical Association Journal, 92, 232–236.

    PubMed  CAS  Google Scholar 

  • Headey, B., Kelley, J., & Wearing, A. (1993). Dimensions of mental health: Life satisfaction, positive affect, anxiety, and depression. Social Indicators Research, 29, 63–82.

    Article  Google Scholar 

  • Health and Welfare Canada. (1988). Mental health for Canadians: Striking a balance. Ottawa, Canada: Supply and Services Canada.

    Google Scholar 

  • Huppert, F. A., & Whittington, J. E. (2003). Evidence for the independence of positive and negative well-being: Implications for quality of life assessment. British Journal of Health Psychology, 8, 107–122.

    Article  PubMed  Google Scholar 

  • Insel, T. R., & Scolnick, E. M. (2006). Cure therapeutics and strategic prevention: Raising the bar for mental health research. Molecular Psychiatry, 11, 11–17.

    Article  PubMed  CAS  Google Scholar 

  • Kendler, K. S., Myers, J. M., Maes, H. H., & Keyes, C. L. M. (2011). The relationship between the genetic and environmental influences on common internalizing psychiatric disorders and mental well-being. Behavior Genetics, 41, 641–650.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen, H.–. U. (1998). The World Health Organization Composite International Diagnostic Interview Short Form (CIDI–SF). International Journal of Methods in Psychiatric Research, 7, 171–185.

    Article  Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., DuPont, R. L., Berglund, P., & Wittchen, H.-U. (1999). Impairment in pure and comorbid generalized anxiety disorder and major depression at 12 months in two national surveys. The American Journal of Psychiatry, 156, 1915–1923.

    PubMed  CAS  Google Scholar 

  • Keyes, C. L. M. (1998). Social well-being. Social Psychology Quarterly, 61, 121–140.

    Article  Google Scholar 

  • Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43, 207–222.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M. (2005a). The subjective well-being of America’s youth: Toward a comprehensive assessment. Adolescent and Family Health, 4, 3–11.

    Google Scholar 

  • Keyes, C. L. M. (2005b). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73, 539–548.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M. (2006). Mental health in adolescence: Is America’s youth flourishing? The American Journal of Orthopsychiatry, 76, 395–402.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M. (2007). Promoting and protecting mental health as flourishing: A complementary strategy for improving national mental health. American Psychologist, 62, 95–108.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M. (2009). The nature and importance of positive mental health in America’s adolescents. In R. Gilman, E. S. Huebner, & M. J. Furlong (Eds.), Handbook of positive psychology in schools (pp. 9–23). New York, NY: Routledge.

    Google Scholar 

  • Keyes, C. L. M., Dhingra, S. S., & Simoes, E. J. (2010). Change in level of positive mental health as a predictor of future risk of mental illness. American Journal of Public Health, 100, 2366–2371.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M., Myers, J. M., & Kendler, K. S. (2010). The structure of the genetic and environmental influences on mental well-being. American Journal of Public Health, 100, 2379–2384.

    Article  PubMed  Google Scholar 

  • Keyes, C. L. M., Wissing, M., Potgieter, J. P., Temane, M., Kruger, A., & van Rooy, S. (2008). Evaluation of the Mental Health Continuum Short Form (MHC-SF) in Setswana-speaking South Africans. Clinical Psychology & Psychotherapy, 15, 181–192.

    Article  Google Scholar 

  • Masse, R., Poulin, C., Dassa, C., Lambert, J., Belair, S., & Battaglini, A. (1998). The structure of mental health higher-order confirmatory factor analyses of psychological distress and wellbeing measures. Social Indicators Research, 45, 475–504.

    Article  Google Scholar 

  • Murray, C. J. L., & Lopez, A. D. (Eds.). (1996). The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Cambridge, MA: Harvard School of Public Health.

    Google Scholar 

  • Robitschek, C., & Keyes, C. L. M. (2009). The structure of Keyes’ model of mental health and the role of personal growth initiative as a parsimonious predictor. Journal of Counseling Psychology, 56, 321–329.

    Article  Google Scholar 

  • Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well–being. Journal of Personality and Social Psychology, 57, 1069–1081.

    Article  Google Scholar 

  • Secker, J. (1998). Current conceptualizations of mental health and mental health promotion. Health Education Research, 13, 57–66.

    Article  PubMed  CAS  Google Scholar 

  • Sigerist, H. E. (1941). Medicine and human welfare. New Haven, CT: Yale University Press.

    Google Scholar 

  • Strümpfer, D. J. W. (1995). The origins of health and strength: From ‘salutogenesis’ to ‘fortigenesis’. South African Journal of Psychology, 25, 81–89.

    Article  Google Scholar 

  • Suldo, S. M., & Shaffer, E. J. (2008). Looking beyond psychopathology: The dual-factor model of mental health in youth. School Psychology Review, 37, 52–68.

    Google Scholar 

  • Ustun, T. B. (1999). The global burden of mental disorders. American Journal of Public Health, 89, 1315–1318.

    Article  PubMed  CAS  Google Scholar 

  • Ustun, T. B., Ayuso-Mateos, J. L., Chatterji, S., Mathers, C. D., & Murray, C. J. L. (2004). Global burden of depressive disorders in the year 2000. The British Journal of Psychiatry, 184, 386–392.

    Article  PubMed  CAS  Google Scholar 

  • Veit, C. T., & Ware, J. E. (1983). The structure of psychological distress and well-being in general populations. Journal of Consulting and Clinical Psychology, 51, 730–742.

    Article  PubMed  CAS  Google Scholar 

  • Westerhof, G. J., & Keyes, C. L. M. (2008). Geestelijke gezondheid is meer dan de afwezigheid van geestelijke ziekte [Mental health is more than the absence of mental illness]. Maandblad Geestelijke Volksgezondheid, 63, 808–820.

    Google Scholar 

  • Westerhof, G. J., & Keyes, C. L. M. (2010). Mental illness and mental health: The two continua model across the lifespan. Journal of Adult Development, 17, 110–119.

    Article  PubMed  Google Scholar 

  • World Health Organization. (1948). World Health Organization constitution. In Basic documents. Geneva, Switzerland: Author.

    Google Scholar 

  • World Health Organization. (2004). Promoting mental health: Concepts, emerging evidence, practice: Summary report. Geneva, Switzerland: Author.

    Google Scholar 

  • World Health Organization. (2008). The global burden of disease: 2004 update. Geneva, Switzerland: WHO Press.

    Google Scholar 

Download references

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Correspondence to Corey L. M. Keyes .

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Keyes, C.L.M. (2014). Mental Health as a Complete State: How the Salutogenic Perspective Completes the Picture. In: Bridging Occupational, Organizational and Public Health. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5640-3_11

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  • DOI: https://doi.org/10.1007/978-94-007-5640-3_11

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