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50 Philosophical Foundations of Health Education

acknowledge the need for studying the human organism in relation to its environment.

Not only was he concerned with the complete essence of man, but he also was

interested in the overall environment, including natural and manmade elements

(Muller, 1973). Jesse F. Williams, an early leader in the field of health and physical

education during the 1920s, developed a perspective of health as “ the quality of life

that renders the individual fit to live most and serve best ” and “ a condition of the

whole organism expressing its functions ” (1935, pp. l0, 12). He felt that the development

of health was contingent upon participation in quality experiences or activities

by the whole organism. Through a compendium of articles spanning several

decades, health education professionals such as Delbert Oberteuffer (1931), Mabel

Rugen (1940), Howard Hoyman (1965; 1966), Robert Russell (1975), Russell &

Hoffman (1981), Ann Nolte (1976), Richard Eberst (1984), and Jerrold Greenberg

(1985) reinforced the holistic concept of health as the basis for sound health

education.

One of the challenges inherent to implementation of a holistic approach to health

and health education is language. The compartmentalization of language begins as we

strive to define and discuss the various dimensions of human functioning which

include, but are not limited to, physical, mental, spiritual, emotional, and social components

(Eberst, 1984). As soon as different dimensions are identified and labeled, scientists

begin to create measures to determine how well each of the dimensions is

functioning. Biologists and kinesiologists develop measures for the physical dimension;

psychologists, psychiatrists, and neurologists attempt to measure the mental

dimension; and an even broader spectrum of professionals engage in describing and

attempting to measure the social and spiritual dimensions of human functioning. In

light of these measurements, health educators must question the potential and limitations

of each dimension. Furthermore, health educators must continually challenge the

definition of holistic health. For example, are individuals afflicted with paralysis considered

“ healthy ” in accordance with the holistic model of health? Similarly, are individuals

plagued by mental disabilities incapable of experiencing holistic health? These

are the questions health educators must explore and resolve at a personal level before

they can practice at an optimal level of effectiveness. There is no right or wrong answer

to these questions, but each practitioner must have an answer that is consistent with his

or her personal philosophy.

To illuminate the holistic concept of health, J. Keogh Rash stated, “ Above all

health is not and cannot be static or compartmentalized ” (1960, p. 34). Rash ’ s statement

presents a challenge for health educators striving to act on behalf of their philosophical

beliefs.

In past and current centuries, health educators have identified and developed various

strategies to reflect their philosophical tenets. For example, a select group of health

educators has focused on changing the unhealthy habits of individuals through behavior

modification techniques (Green, Kreuter, Deeds, & Partridge, 1980; Greenberg.

2004; Hochbaum, 1981). Behavior change methods have ranged from reward and

punishment to aversion therapy (Simons - Morton, Greene & Gottlieb, 1995). Other

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