1. Health: The Emotional, Social, and Spiritual Paradigms Richard A. Swenson, MD April 9, 2005

2. An Integrated Understanding of Health  The 90/10 principle: Ninety percent of the indices that determine whether we are healthy or ill are not influenced by the medical paradigm

3. In other words...  All the doctors, hospitals, and pharmaceuticals influence only ten percent of our wellness or illness  Yet this ten percent is costing us $1.9 trillion/year... ... and rising rapidly

4. Health Care Costs 190019502000 $1 trillion $3.4 trillion

5. What should we do?  Work on the ninety percent by developing an integrated understanding of health  THIS IS WHERE THE CHURCH COMES IN!

6. The Church and Healthcare  History  Center of community  Faith = Health (1200 studies)  Preexistent, natural synergies

7. Preexistent Natural Synergies  Parish nurses  Church-based clinics  Group visits with shared diagnoses  Hospital visits  Post-surgery care  Meals during sickness  Respite care  Retirement homes, Assisted living, Nursing homes

8. Preexistent Natural Synergies  Hospice, Death and dying  Prayer  Social supports  Group accountability  Care for the poor  Help for uninsured  Lifestyle disease intervention with accountability  Bioethical standards  Alternative medicine possibilities

9. Beyond the Physical Paradigm…  The Emotional  The Social  The Spiritual

10. The Emotional  Do we live in a deteriorating psychic environment?  Emotional illness is the second largest “burden of disease” after heart disease

11. Emotional Well-being  Progress & our emotions  We are “better off” -- but we’re not “happier”  Depression

12. Emotional Well-being  Six saboteurs of progress & emotions  Stress*  Change  Complexity  Speed  Intensity  Overload

14. Emotional Well-being  Six saboteurs of progress & emotions  Stress  Change  Complexity*  Speed  Intensity  Overload

16. Emotional Well-being  Six saboteurs of progress & emotions  Stress  Change  Complexity  Speed*  Intensity  Overload

18. Emotional Well-being  Six saboteurs of progress & emotions  Stress  Change  Complexity  Speed  Intensity*  Overload

20. Emotional Well-being  Six saboteurs of progress & emotions  Stress  Change  Complexity  Speed  Intensity  Overload*

24. Emotional Well-being  Social supports  Pets  Reconciliation  Rest *

25. Mark 6:30-32 The apostles gathered around Jesus and reported to Him all they had done and taught. Then, because so many people were coming and going that they did not even have a chance to eat, He said to them, “Come with me by yourselves to a quiet place and get some rest.” So they went away by themselves in a boat to a solitary place.

26. Emotional Well-being  Laughter  Music  Gratitude  Appropriate expectations

27. The Social

28. Social Well-being  Zerrissenheit: torn-to-pieces-hood  Relationships: family, faith, friends  Church is where we live _____ together  Community  tradition, relationships, vision

29. Social Well-being  The need for Structure  structural, institutional, denominational help  Service  Technology – a mixed record

30. Social Well-being  Aging, Longevity, Bioethics, and the need for meaning

31. The Graying of America  What will society do?  The number of seniors will nearly double by 2030  Grandmothers caring for their grandmothers?  No socially or fiscally stable answers have yet presented themselves  The role of the church

32. The Spiritual

33. Spiritual Well-being  Faith  Hope

34. Hope

35. Spiritual Well-being  Love  Vision  Grace *

37. Spiritual Well-being  Simplicity  Contentment

38. Hagar’s Two Rules for Happiness 1. Be content with what you have

39. Hagar’s Two Rules for Happiness 1. Be content with what you have 2. Always be sure you have plenty

40. Progress is not enough Pills are not enough If we are ever to be truly healthy, we also need relationships, community, reconciliation, rest, laughter, music, gratitude, service, faith, hope, love, vision, grace, and contentment