Dr. John Travis | |
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Born | John Walton Travis |
Occupation | Author and physician |
Education | BA, The College of Wooster; MD, Tufts University School of Medicine; MPH, Johns Hopkins Bloomberg School of Public Health; |
Subject | Wellness, Genital integrity, Attachment parenting |
Notable works | Wellness Inventory (1975, 1981, 1988, 2003) Wellness Workbook (1981, 1988, 2004) |
John W. Travis is an American author and medical practitioner. He is a proponent of the alternative medicine concept of "wellness", originally proposed in 1961 by Halbert L. Dunn, and has written books on the subject. In the 1970s, Travis founded the first "wellness center" in California. [1] He originated the Illness–Wellness Continuum. [2]
Travis earned his BA from The College of Wooster in 1965, followed by an MD from Tufts University School of Medicine in 1969, [3] and spent six years as a commissioned officer in the U.S. Public Health Service (USPHS). At this time, he completed a residency in preventive medicine at Johns Hopkins Bloomberg School of Public Health, which included a Masters in Public Health, awarded in 1971. [4]
Between 1975 and 1979 he opened and ran the Wellness Resource Center in Mill Valley, California. He closed the Center in 1979 and established Wellness Associates, a non-profit educational corporation. [5]
In 2000, he moved to Australia, where he has continued to work in the field of adult and infant wellness. [6] Between 2008-2016, he was an adjunct professor in the Wellness Program at RMIT University (Royal Melbourne Institute of Technology). [7] He is also a member of the Advisory Board, Integrative Health Studies master's degree, at the California Institute of Integral Studies in San Francisco. [8]
Travis has cited Halbert L. Dunn's 1961 book, High-Level Wellness as one of the influences which led him to found the Wellness Resource Center. [4] The Center focused on the individual’s overall state of wellbeing and encouraged “self-directed approaches” to improving health. [4] [9] In 1975, he self-published the Wellness Inventory. This utilized a whole-person model, based on a "Wellness Energy System" that comprised 12 dimensions, incorporating nutrition, exercise, stress, and the social environment. [5] He first wrote and self-published the Wellness Workbook in 1977. This was later re-published in collaboration with Regina Ryan, and had sold 175,000 copies by 2005. [10] In 1979 he was interviewed by Dan Rather on 60 Minutes , which helped to bring the concept of wellness to national attention. [11]
The Illness-Wellness Continuum is a graphical illustration of a wellbeing concept first proposed by Travis in 1972. [12] It proposes that wellbeing includes mental and emotional health, as well as the presence or absence of illness.
Travis believed that a medical approach that relied on the presence or absence of symptoms of disease to demonstrate wellness was insufficient. As shown in the Continuum, the right side reflects degrees of wellness, while the left indicates degrees of illness. [9] The model has been used to describe how, in the absence of physical disease, an individual can suffer from depression, anxiety or other conditions. [13]
He contends that medicine typically treats injuries, disabilities, and symptoms, to bring the individual to a "neutral point" where there is no longer any visible illness. However, the Wellness Paradigm requires moving the state of wellbeing further along the continuum towards optimal emotional and mental states. [14] [15] The concept assumes that wellbeing is a dynamic rather than a static process. [16]
The Illness-Wellness Continuum proposes that individuals can move farther to the right, towards greater health and wellbeing, passing through the stages of awareness, education, and growth. [17] Worsening states of health are reflected by signs, symptoms and disability.
In addition, a person's outlook can affect wellness. According to the concept, a positive outlook will enhance health and wellbeing, while a negative outlook will hinder it, independent of the current health status. For example, a person who demonstrates no symptoms of disease, but is constantly complaining, will be facing the left side of the Continuum and away from a state of high-level wellness. Conversely, a person with a disability, but who maintains a positive outlook, will be facing to the right, toward a high level of wellness. [18] It is less important where a person is on the Continuum than the direction they are facing.
The Illness-Wellness Continuum has been viewed as promoting preventive treatment, which improves wellbeing before an individual presents with signs or symptoms of illness, as well as educating people to be aware of and avoid risk factors, in order to protect against pathology and premature death. [19]
Travis began developing his Continuum in 1972 and it was first published in 1975 in the Wellness Inventory. [20] Since then the concept has been applied to fields such as medicine, [21] [22] nursing, [23] [24] [25] counseling, physical therapy, [12] [19] [26] public health, [13] and organizational development. [27]
Since 1991, Travis has focused on attachment parenting, connection parenting, and infant wellbeing in conjunction with Meryn Callander. In 1999 they co-founded the Alliance for Transforming the Lives of Children (aTLC). [28] He has criticized the practice of male infant circumcision, voicing support for the principle of body integrity for young males and challenging the legality of parental decision making in relation to circumcision. [29]
Travis is co-founder of:
Coalition for Improving Maternity Services (1996),
Alliance for Transforming the Lives of Children (1999)
International Coalition for Genital Integrity (1999). [2]
Arthritis is a term often used to mean any disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, swelling, and decreased range of motion of the affected joints. In some types of arthritis, other organs are also affected. Onset can be gradual or sudden.
Psychosomatic medicine is an interdisciplinary medical field exploring the relationships among social, psychological, behavioral factors on bodily processes and quality of life in humans and animals.
Health has a variety of definitions, which have been used for different purposes over time. Health can be promoted by encouraging healthful activities, such as regular physical exercise and adequate sleep, and by reducing or avoiding unhealthful activities or situations, such as smoking or excessive stress. Some factors affecting health are due to individual choices, such as whether to engage in a high-risk behavior, while others are due to structural causes, such as whether the society is arranged in a way that makes it easier or harder for people to get necessary healthcare services. Still, other factors are beyond both individual and group choices, such as genetic disorders.
Hypochondriasis or hypochondria is a condition in which a person is excessively and unduly worried about having a serious illness. Hypochondria is an old concept whose meaning has repeatedly changed over its lifespan. It has been claimed that this debilitating condition results from an inaccurate perception of the condition of body or mind despite the absence of an actual medical diagnosis. An individual with hypochondriasis is known as a hypochondriac. Hypochondriacs become unduly alarmed about any physical or psychological symptoms they detect, no matter how minor the symptom may be, and are convinced that they have, or are about to be diagnosed with, a serious illness.
Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain, illnesses including other problems whether physical, psychosocial, and spiritual". In the past, palliative care was a disease specific approach, but today the WHO takes a broader patient-centered approach that suggests that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness. This shift was important because if a disease-oriented approach is followed, the needs and preferences of the patient are not fully met and aspects of care, such as pain, quality of life, and social support, as well as spiritual and emotional needs, fail to be addressed. Rather, a patient-centered model prioritizes relief of suffering and tailors care to increase the quality of life for terminally ill patients.
Avolition, as a symptom of various forms of psychopathology, is the decrease in the ability to initiate and persist in self-directed purposeful activities. Such activities that appear to be neglected usually include routine activities, including hobbies, going to work or school, and most notably, engaging in social activities. A person experiencing avolition may stay at home for long periods of time, rather than seeking out work or peer relations.
Occupational therapy (OT) is a healthcare profession that involves the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or occupations, of individuals, groups, or communities. The field of OT consists of health care practitioners trained and educated to improve mental and physical performance. Occupational therapists specialize in teaching, educating, and supporting participation in any activity that occupies an individual's time. It is an independent health profession sometimes categorized as an allied health profession and consists of occupational therapists (OTs) and occupational therapy assistants (OTAs). While OTs and OTAs have different roles, they both work with people who want to improve their mental and or physical health, disabilities, injuries, or impairments.
Psychological trauma is an emotional response caused by severe distressing events that are outside the normal range of human experiences. It must be understood by the affected person as directly threatening the affected person or their loved ones with death, severe bodily injury, or sexual violence; indirect exposure, such as from watching television news, may be extremely distressing and can produce an involuntary and possibly overwhelming physiological stress response, but does not produce trauma per se. Examples include violence, rape, or a terrorist attack.
Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. According to World Health Organization (WHO), it is a "state of well-being in which the individual realizes his or her abilities, can cope with the normal stresses of life, can work productively and fruitfully, and can contribute to his or her community". It likewise determines how an individual handles stress, interpersonal relationships, and decision-making. Mental health includes subjective well-being, perceived self-efficacy, autonomy, competence, intergenerational dependence, and self-actualization of one's intellectual and emotional potential, among others. From the perspectives of positive psychology or holism, mental health may include an individual's ability to enjoy life and to create a balance between life activities and efforts to achieve psychological resilience. Cultural differences, personal philosophy, subjective assessments, and competing professional theories all affect how one defines "mental health". Some early signs related to mental health difficulties are sleep irritation, lack of energy, lack of appetite, thinking of harming oneself or others, self-isolating, and frequently zoning out.
The sociology of health and illness, sociology of health and wellness, or health sociology examines the interaction between society and health. As a field of study it is interested in all aspects of life, including contemporary as well as historical influences, that impact and alter our health and wellbeing.
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history. It is done to detect diseases early in people that may look and feel well.
The psychosocial approach looks at individuals in the context of the combined influence that psychological factors and the surrounding social environment have on their physical and mental wellness and their ability to function. This approach is used in a broad range of helping professions in health and social care settings as well as by medical and social science researchers.
Mental disorders are classified as a psychological condition marked primarily by sufficient disorganization of personality, mind, and emotions to seriously impair the normal psychological and often social functioning of the individual. Individuals diagnosed with certain mental disorders can be unable to function normally in society. Mental disorders may consist of several affective, behavioral, cognitive and perceptual components. The acknowledgement and understanding of mental health conditions has changed over time and across cultures. There are still variations in the definition, classification, and treatment of mental disorders.
Self-care has been defined as the process of establishing behaviors to ensure holistic well-being of oneself, to promote health, and actively manage illness when it occurs. Individuals engage in some form of self-care daily with food choices, exercise, sleep, and hygiene. Self-care is not only a solo activity, as the community—a group that supports the person performing self-care—overall plays a role in access to, implementation of, and success of self-care activities.
Animal-assisted therapy (AAT) is an alternative or complementary type of therapy that includes the use of animals in a treatment. The goal of this animal-assisted intervention is to improve a patient's social, emotional, or cognitive functioning. Studies have documented some positive effects of the therapy on subjective self-rating scales and on objective physiological measures such as blood pressure and hormone levels.
Islamic psychology or ʿilm al-nafs, the science of the nafs, is the medical and philosophical study of the psyche from an Islamic perspective and addresses topics in psychology, neuroscience, philosophy of mind, and psychiatry as well as psychosomatic medicine. In Islam, mental health and mental illness were viewed with a holistic approach. This approach emphasized the mutual connection between maintaining adequate mental wellbeing and good physical health in an individual. People who practice Islam thought it was necessary to maintain positive mental health in order to partake in prayer and other religious obligations.
Medical diagnosis is the process of determining which disease or condition explains a person's symptoms and signs. It is most often referred to as a diagnosis with the medical context being implicit. The information required for a diagnosis is typically collected from a history and physical examination of the person seeking medical care. Often, one or more diagnostic procedures, such as medical tests, are also done during the process. Sometimes the posthumous diagnosis is considered a kind of medical diagnosis.
Somatic symptom disorder, also known as somatoform disorder, is defined by one or more chronic physical symptoms that coincide with excessive and maladaptive thoughts, emotions, and behaviors connected to those symptoms. The symptoms are not deliberately produced or feigned, and they may or may not coexist with a known medical ailment.
Holistic nursing is a way of treating and taking care of the patient as a whole body, which involves physical, social, environmental, psychological, cultural and religious factors. There are many theories that support the importance of nurses approaching the patient holistically and education on this is there to support the goal of holistic nursing. The important skill to be used in holistic nursing would be communicating skills with patients and other practitioners. This emphasizes that patients being treated would be treated not only in their body but also their mind and spirit.. Holistic nursing is a nursing speciality concerning the integration of one's mind, body, and spirit with his or her environment. This speciality has a theoretical basis in a few grand nursing theories, most notably the science of unitary human beings, as published by Martha E. Rogers in An Introduction to the Theoretical Basis of Nursing, and the mid-range theory Empowered Holistic Nursing Education, as published by Dr. Katie Love. Holistic nursing has gained recognition by the American Nurses Association (ANA) as a nursing specialty with a defined scope of practice and standards. Holistic nursing focuses on the mind, body, and spirit working together as a whole and how spiritual awareness in nursing can help heal illness. Holistic medicine focuses on maintaining optimum well-being and preventing rather than just treating disease.
Mindfulness-based pain management (MBPM) is a mindfulness-based intervention (MBI) providing specific applications for people living with chronic pain and illness. Adapting the core concepts and practices of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT), MBPM includes a distinctive emphasis on the practice of 'loving-kindness', and has been seen as sensitive to concerns about removing mindfulness teaching from its original ethical framework. It was developed by Vidyamala Burch and is delivered through the programs of Breathworks. It has been subject to a range of clinical studies demonstrating its effectiveness.