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Wednesday, March 13, 2024

Speaking in tongues


The Theotokos and the Twelve Apostles – Fifty Days after the Resurrection of Christ, awaiting the descent of the Holy Spirit
An icon depicting the Theotokos with the apostles filled with the Holy Spirit, indicated by "cloven tongues like as of fire" (Acts 2:3) above their heads

Speaking in tongues, also known as glossolalia, is an activity or practice in which people utter words or speech-like sounds, often thought by believers to be languages unknown to the speaker. One definition used by linguists is the fluid vocalizing of speech-like syllables that lack any readily comprehended meaning. In some cases, as part of religious practice, some believe it to be a divine language unknown to the speaker. Glossolalia is practiced in Pentecostal and charismatic Christianity, as well as in other religions.

Sometimes a distinction is made between "glossolalia" and "xenolalia" or "xenoglossy", which specifically relates to the belief that the language being spoken is a natural language previously unknown to the speaker.

Etymology

Glossolalia is a borrowing of the γλωσσολαλία (glossolalía), which is a compound of the γλῶσσα (glossa) 'tongue, language' and λαλέω (laleō) 'to speak, talk, chat, prattle, make a sound'. The Greek expression (in various forms) appears in the New Testament in the books of Acts and First Corinthians. In Acts 2, the followers of Christ receive the Holy Spirit and speak in the languages of at least fifteen countries or ethnic groups.

The exact phrase speaking in tongues has been used at least since the translation of the New Testament into Middle English in the Wycliffe Bible in the 14th century. Frederic Farrar first used the word glossolalia in 1879.

Linguistics

In 1972, William J. Samarin, a linguist from the University of Toronto, published a thorough assessment of Pentecostal glossolalia that became a classic work on its linguistic characteristics. His assessment was based on a large sample of glossolalia recorded in public and private Christian meetings in Italy, the Netherlands, Jamaica, Canada, and the United States over the course of five years; his wide range of subjects included the Puerto Ricans of the Bronx, the snake handlers of the Appalachians and the spiritual Christians from Russia in Los Angeles (Pryguny, Dukh-i-zhizniki).

Samarin found that glossolalic speech does resemble human language in some respects. The speaker uses accent, rhythm, intonation and pauses to break up the speech into distinct units. Each unit is itself made up of syllables, the syllables being formed from consonants and vowels found in a language known to the speaker:

It is verbal behaviour that consists of using a certain number of consonants and vowels ... in a limited number of syllables that in turn are organized into larger units that are taken apart and rearranged pseudogrammatically ... with variations in pitch, volume, speed and intensity.

[Glossolalia] consists of strings of syllables, made up of sounds taken from all those that the speaker knows, put together more or less haphazardly but emerging nevertheless as word-like and sentence-like units because of realistic, language-like rhythm and melody.

That the sounds are taken from the set of sounds already known to the speaker is confirmed by others. Felicitas Goodman, a psychological anthropologist and linguist, also found that the speech of glossolalists reflected the patterns of speech of the speaker's native language. These findings were confirmed by Kavan (2004).

Samarin found that the resemblance to human language was merely on the surface and so concluded that glossolalia is "only a facade of language". He reached this conclusion because the syllable string did not form words, the stream of speech was not internally organized, and – most importantly of all – there was no systematic relationship between units of speech and concepts. Humans use language to communicate but glossolalia does not. Therefore, he concluded that glossolalia is not "a specimen of human language because it is neither internally organized nor systematically related to the world man perceives". On the basis of his linguistic analysis, Samarin defined Pentecostal glossolalia as "meaningless but phonologically structured human utterance, believed by the speaker to be a real language but bearing no systematic resemblance to any natural language, living or dead".

Felicitas Goodman studied a number of Pentecostal communities in the United States, the Caribbean, and Mexico; these included English-, Spanish- and Mayan-speaking groups. She compared what she found with recordings of non-Christian rituals from Africa, Borneo, Indonesia and Japan. She took into account both the segmental structure (such as sounds, syllables, phrases) and the supra-segmental elements (rhythm, accent, intonation) and concluded that there was no distinction between what was practised by the Pentecostal Protestants and the followers of other religions.

History

Classical antiquity

It was a commonplace idea within the Ancient world that divine beings spoke languages different from human languages, and historians of religion have identified references to esoteric speech in Greco-Roman literature that resemble glossolalia, sometimes explained as angelic or divine language. An example is the account in the Testament of Job, a non-canonical elaboration of the Book of Job, where the daughters of Job are described as being given sashes enabling them to speak and sing in angelic languages.

According to Dale B. Martin, glossolalia was accorded high status in the ancient world due to its association with the divine. Alexander of Abonoteichus may have exhibited glossolalia during his episodes of prophetic ecstasy. Neoplatonist philosopher Iamblichus linked glossolalia to prophecy, writing that prophecy was divine spirit possession that "emits words which are not understood by those that utter them; for they pronounce them, as it is said, with an insane mouth (mainomenό stomati) and are wholly subservient, and entirely yield themselves to the energy of the predominating God".

In his writings on early Christianity, the Greek philosopher Celsus includes an account of Christian glossolalia. Celsus describes prophecies made by several Christians in Palestine and Phoenicia of which he writes, "Having brandished these threats they then go on to add incomprehensible, incoherent, and utterly obscure utterances, the meaning of which no intelligent person could discover: for they are meaningless and nonsensical, and give a chance for any fool or sorcerer to take the words in whatever sense he likes".

References to speaking in tongues by the Church fathers are rare. Except for Irenaeus' 2nd-century reference to many in the church speaking all kinds of languages "through the Spirit", and Tertullian's reference in 207 AD to the spiritual gift of interpretation of tongues being encountered in his day, there are no other known first-hand accounts of glossolalia, and very few second-hand accounts among their writings.

1100 to 1900

  • 12th century – Bernard of Clairvaux explained that speaking tongues be no longer present because there be greater miracles – the transformed lives of believers.
  • 12th century – Hildegard of Bingen is said to have possessed the gift of visions and prophecy and to have been able to speak and write in Latin without having learned the language.
  • 1265 – Thomas Aquinas wrote about the gift of tongues in the New Testament, which he understood to be an ability to speak every language, given for the purposes of missionary work. He explained that Christ did not have this gift because his mission was to the Jews, "nor does each one of the faithful now speak save in one tongue"; for "no one speaks in the tongues of all nations, because the Church herself already speaks the languages of all nations".
  • 15th century – The Moravians are referred to by detractors as having spoken in tongues. John Roche, a contemporary critic, claimed that the Moravians "commonly broke into some disconnected Jargon, which they often passed upon the vulgar, 'as the exuberant and resistless Evacuations of the Spirit'".
  • 17th century – The French Prophets: The Camisards also spoke sometimes in languages that were unknown: "Several persons of both Sexes", James Du Bois of Montpellier recalled, "I have heard in their Extasies pronounce certain words, which seem'd to the Standers-by, to be some Foreign Language". These utterances were sometimes accompanied by the gift of interpretation exercised, in Du Bois' experience, by the same person who had spoken in tongues.
  • 17th century – Early Quakers, such as Edward Burrough, make mention of tongues-speaking in their meetings: "We spoke with new tongues, as the Lord gave us utterance, and His Spirit led us".
  • 1817 – In Germany, Gustav von Below, an aristocratic officer of the Prussian Guard, and his brothers, founded a religious movement based on their estates in Pomerania, which may have included speaking in tongues.
  • 19th century – Edward Irving and the Catholic Apostolic Church. Edward Irving, a minister in the Church of Scotland, writes of a woman who would "speak at great length, and with superhuman strength, in an unknown tongue, to the great astonishment of all who heard, and to her own great edification and enjoyment in God". Irving further stated that "tongues are a great instrument for personal edification, however mysterious it may seem to us".
  • 19th century – The history of the Church of Jesus Christ of Latter-day Saints (LDS Church), contains extensive references to the practice of speaking in tongues by Brigham Young, Joseph Smith and many others.  Sidney Rigdon had disagreements with Alexander Campbell regarding speaking in tongues, and later joined the Church of Jesus Christ of Latter-day Saints. Speaking in tongues was recorded in contemporary sources, both hostile and sympathetic to Mormonism, by at least 1830. The practice was soon widespread amongst Mormons, with many rank and file church members believing they were speaking the language of Adam; some of the hostility towards Mormons stemmed from those of other faiths regarding speaking in tongues unfavorably, especially when practiced by children. At the 1836 dedication of the Kirtland Temple the dedicatory prayer asked that God grant them the gift of tongues and at the end of the service Brigham Young spoke in tongues, another elder interpreted it and then gave his own exhortation in tongues. Many other worship experiences in the Kirtland Temple prior to and after the dedication included references to people speaking and interpreting tongues. In describing the beliefs of the church in the Wentworth letter (1842), Joseph Smith identified a belief of the "gift of tongues" and "interpretation of tongues". The practice of glossolalia by the Latter-day Saints was widespread but after an initial burst of enthusiastic growth circa 1830–34, seems to have been somewhat more restrained than in many other contemporary religious movements. Young, Smith, and numerous other early leaders frequently cautioned against the public exercise of glossolalia unless there be someone who could exercise the corresponding spiritual gift of interpretation of tongues, so that listeners could be edified by what had been said. Although the Latter-day Saints believe that speaking in tongues and the interpretation of tongues is alive and well in the Church, modern Mormons are much more likely to point to the way in which LDS missionaries are trained and learn foreign languages quickly, and are able to communicate rapidly on their missions, as evidence of the manifestation of this gift. This interpretation stems from a 1900 General Conference sermon by Joseph F. Smith which discouraged glossolalia; subsequent leaders echoed this recommendation for about a decade afterwards and subsequently the practice had largely died out amongst Mormons by the 1930s and '40s.

20th century

Headline about the "Weird babel of tongues" and other behavior at Azusa Street, from a 1906 Los Angeles Times newspaper

During the 20th century, glossolalia primarily became associated with Pentecostalism and the later charismatic movement. Preachers in the Holiness Movement preachers Charles Parham and William Seymour are credited as co-founders of the movement. Parham and Seymour taught that "baptism of the Holy Spirit was not the blessing of sanctification but rather a third work of grace that was accompanied by the experience of tongues". It was Parham who formulated the doctrine of "initial evidence". After studying the Bible, Parham came to the conclusion that speaking in tongues was the Bible evidence that one had received the baptism with the Holy Spirit.

In 1900, Parham opened Bethel Bible College in Topeka, Kansas, America, where he taught initial evidence, a Charismatic belief about how to initiate the practice. During a service on 1 January 1901, a student named Agnes Ozman asked for prayer and the laying on of hands to specifically ask God to fill her with the Holy Spirit. She became the first of many students to experience glossolalia, in the first hours of the 20th century. Parham followed within the next few days. Parham called his new movement the apostolic faith. In 1905, he moved to Houston and opened a Bible school there. One of his students was William Seymour, an African-American preacher. In 1906, Seymour traveled to Los Angeles where his preaching ignited the Azusa Street Revival. This revival is considered the birth of the global Pentecostal movement. According to the first issue of William Seymour's newsletter, The Apostolic Faith, from 1906:

A Mohammedan, a Soudanese by birth, a man who is an interpreter and speaks sixteen languages, came into the meetings at Azusa Street and the Lord gave him messages which none but himself could understand. He identified, interpreted and wrote a number of the languages.

Parham and his early followers believed that speaking in tongues was xenoglossia, and some followers traveled to foreign countries and tried to use the gift to share the Gospel with non-English-speaking people. From the time of the Azusa Street revival and among early participants in the Pentecostal movement, there were many accounts of individuals hearing their own languages spoken 'in tongues'. The majority of Pentecostals and Charismatics consider speaking in tongues to primarily be divine, or the "language of angels", rather than human languages. In the years following the Azusa Street revival Pentecostals who went to the mission field found that they were unable to speak in the language of the local inhabitants at will when they spoke in tongues in strange lands.

The revival at Azusa Street lasted until around 1915. From it grew many new Pentecostal churches as people visited the services in Los Angeles and took their newfound beliefs to communities around the United States and abroad. During the 20th century, glossolalia became an important part of the identity of these religious groups. During the 1960s, the charismatic movement within the mainline Protestant churches and among charismatic Roman Catholics adopted some Pentecostal beliefs, and the practice of glossolalia spread to other Christian denominations. The discussion regarding tongues has permeated many branches of Protestantism, particularly since the widespread charismatic movement in the 1960s. Many books have been published either defending or attacking the practice.

Christianity

Theological explanations

In Christianity, a supernatural explanation for glossolalia is advocated by some and rejected by others. Proponents of each viewpoint use the biblical writings and historical arguments to support their positions.

  • Glossolalists could, apart from those practicing glossolalia, also mean all those Christians who believe that the Pentecostal/charismatic glossolalia practiced today is the "speaking in tongues" described in the New Testament. They believe that it is a miraculous charism or spiritual gift. Glossolalists claim that these tongues can be both real, unlearned languages (i.e., xenoglossia) as well as a "language of the spirit", a "heavenly language", or perhaps the language of angels.
  • Cessationists believe that all the miraculous gifts of the Holy Spirit ceased to occur early in Christian history, and therefore that the speaking in tongues as practiced by Charismatic Christians is the learned utterance of non-linguistic syllables. According to this belief, it is neither xenoglossia nor miraculous, but rather taught behavior, possibly self-induced. These believe that what the New Testament described as "speaking in tongues" was xenoglossia, a miraculous spiritual gift through which the speaker could communicate in natural languages not previously studied.
  • A third position claims that glossolalia does exist, but it is a form of prelest, not the "speaking in tongues" described in the New Testament. It believes glossolalia is part of a mediumistic technique where practitioners are manifesting genuine spiritual power, but this power is not necessarily of the Holy Spirit.
  • A fourth position conceivably exists, which believes the practice of "glossolalia" to be a folk practice and different from the legitimate New Testament spiritual gift of speaking/interpreting real languages. It is therefore not out of a belief that "miracles have ceased" (i.e., cessationism) that causes this group to discredit the supernatural origins of particular modern expressions of "glossolalia", but it is rather out of a belief that glossolalists have misunderstood Scripture and wrongly attributed to the Holy Spirit something that may be explained naturalistically.

Biblical practice

There are five places in the New Testament where speaking in tongues is referred to explicitly:

  • Mark 16:17 (though this is a disputed text), which records the instructions of Christ to the apostles, including his description that "they will speak with new tongues" as a sign that would follow "them that believe" in him.
  • Acts 2, which describes an occurrence of speaking in tongues in Jerusalem at Pentecost, though with various interpretations. Specifically, "every man heard them speak in his own language" and wondered "how hear we every man in our own tongue, wherein we were born?"
  • Acts 10:46, when the household of Cornelius in Caesarea spoke in tongues, and those present compared it to the speaking in tongues that occurred at Pentecost.
  • Acts 19:6, when a group of approximately a dozen men spoke in tongues in Ephesus as they received the Holy Spirit while the apostle Paul laid his hands upon them.
  • 1 Cor 12, 13, 14, where Paul discusses speaking in "various kinds of tongues" as part of his wider discussion of the gifts of the Spirit; his remarks shed some light on his own speaking in tongues as well as how the gift of speaking in tongues was to be used in the church.

Other verses by inference may be considered to refer to "speaking in tongues", such as Isaiah 28:11, Romans 8:26 and Jude 20.

The biblical account of Pentecost in the second chapter of the book of Acts describes the sound of a mighty rushing wind and "divided tongues like fire" coming to rest on the apostles. The text further describes that "they were all filled with the Holy Spirit, and began to speak in other languages". It goes on to say in verses 5–11 that when the Apostles spoke, each person in attendance "heard their own language being spoken". Therefore, the gift of speaking in tongues refers to the Apostles' speaking languages that the people listening heard as "them telling in our own tongues the mighty works of God". Glossolalists and cessationists both recognize this as xenoglossia, a miraculous ability that marked their baptism in the Holy Spirit. Something similar (although perhaps not xenoglossia) took place on at least two subsequent occasions, in Caesarea and Ephesus.

Glossolalists and cessationists generally agree that the primary purpose of the gift of speaking in tongues was to mark the Holy Spirit being poured out. At Pentecost the Apostle Peter declared that this gift, which was making some in the audience ridicule the disciples as drunks, be the fulfilment of the prophecy of Joel, which described that God would pour out his Spirit on all flesh (Acts 2:17).

Despite these commonalities, there are significant variations in interpretation.

  • Universal. The traditional Pentecostal view is that every Christian should expect to be baptized in the Holy Spirit, the distinctive mark of which is glossolalia. While most Protestants agree that baptism in the Holy Spirit is integral to being a Christian, others believe that it is not separable from conversion and no longer marked by glossolalia. Pentecostals appeal to the declaration of the Apostle Peter at Pentecost, that "the gift of the Holy Spirit" was "for you and for your children and for all who are far off" (Acts 2:38–39). Cessationists reply that the gift of speaking in tongues was never for all (1 Cor 12:30). In response to those who say that the baptism in the Holy Spirit be not a separate experience from conversion, Pentecostals appeal to the question asked by the Apostle Paul to the Ephesian believers "Have ye received the Holy Ghost since ye believed?" (Acts 19:2).
  • One gift. Different aspects of speaking in tongues appear in Acts and 1 Corinthians, such that the Assemblies of God declare that the gift in Acts "is the same in essence as the gift of tongues" in 1 Corinthians "but different in purpose and use". They distinguish between (private) speech in tongues when receiving the gift of the Spirit, and (public) speech in tongues for the benefit of the church. Others assert that the gift in Acts was "not a different phenomenon" but the same gift being displayed under varying circumstances. The same description – "speaking in tongues" – is used in both Acts and 1 Corinthians, and in both cases the speech is in an unlearned language.
  • Direction. The New Testament describes tongues largely as speech addressed to God, but also as something that can potentially be interpreted into human language, thereby "edifying the hearers" (1 Cor 14:5, 13). At Pentecost and Caesarea the speakers were praising God (Acts 2:11; 10:46). Paul referred to praying, singing praise, and giving thanks in tongues (1 Cor 14:14–17), as well as to the interpretation of tongues (1 Cor 14:5), and instructed those speaking in tongues to pray for the ability to interpret their tongues so that others could understand them (1 Cor 14:13). While some people limit speaking in tongues to speech addressed to God – "prayer or praise", others claim that speaking in tongues be the revelation from God to the church, and when interpreted into human language by those embued with the gift of interpretation of tongues for the benefit of others present, may be considered equivalent to prophecy.
  • Music. Musical interludes of glossolalia are sometimes described as singing in the Spirit. Some hold that singing in the Spirit is identified with singing in tongues in 1 Corinthians 14:13–19, which they hold to be "spiritual or spirited singing", as opposed to "communicative or impactive singing" which Paul refers to as "singing with the understanding".
  • Sign for unbelievers (1 Cor 14:22). Some assume that tongues are "a sign for unbelievers that they might believe", and so advocate it as a means of evangelism. Others point out that Paul quotes Isaiah to show that "when God speaks to people in language they cannot understand, it is quite evidently a sign of God's judgment"; so if unbelievers are baffled by a church service they cannot understand because tongues are spoken without being interpreted, that is a "sign of God's attitude", "a sign of judgment". Some identify the tongues in Acts 2 as the primary example of tongues as signs for unbelievers.
  • Comprehension. Some say that speaking in tongues was "not understood by the speaker". Others assert that "the tongues-speaker normally understood his own foreign-language message". This last comment seems to have been made by someone confusing the "gift of tongues" with the "gift of the interpretation of tongues" , which is specified as a different gift in the New Testament, but one that can be given to a person who also has the gift of tongues. In that case, a person understands a message in tongues that he has previously spoken in an unknown language.

Pentecostal and charismatic practices

Baptism with the Holy Spirit is regarded by the Holiness Pentecostals as being the third work of grace, following the new birth (first work of grace) and entire sanctification (second work of grace). Holiness Pentecostals teach that this third work of grace is accompanied with glossolalia.

Because Pentecostal and charismatic beliefs are not monolithic, there is not complete theological agreement on speaking in tongues. Generally, followers believe that speaking in tongues is a spiritual gift that can be manifested as either a human language or a heavenly supernatural language in three ways:

  • The "sign of tongues" refers to xenoglossia, wherein followers believe someone is speaking a language they have never learned.
  • The "gift of tongues" refers to a glossolalic utterance spoken by an individual and addressed to a congregation of, typically, other believers.
  • "Praying in the spirit" is typically used to refer to glossolalia as part of personal prayer.

Many Pentecostals and charismatics quote Paul's words in 1 Corinthians 14 which established guidelines on the public use of glossolalia in the church at Corinth although the exegesis of this passage and the extent to which these instructions are followed is a matter of academic debate.

The gift of tongues is often referred to as a "message in tongues". Practitioners believe that this use of glossolalia requires an interpretation so that the gathered congregation can understand the message, which is accomplished by the interpretation of tongues. There are two schools of thought concerning the nature of a message in tongues:

  • One school of thought believes it is always directed to God as prayer, praise, or thanksgiving but is spoken in for the hearing and edification of the congregation.
  • The other school of thought believes that a message in tongues can be a prophetic utterance inspired by the Holy Spirit. In this case, the speaker delivers a message to the congregation on behalf of God.

In addition to praying in the Spirit, many Pentecostal and charismatic churches practice what is known as singing in the Spirit.

Interpretation of tongues

In Christian theology, the interpretation of tongues is one of the spiritual gifts listed in 1 Corinthians 12. This gift is used in conjunction with that of the gift of tongues – the supernatural ability to speak in a language (tongue) unknown to the speaker. The gift of interpretation is the supernatural enablement to express in an intelligible language an utterance spoken in an unknown tongue. This is not learned but imparted by the Holy Spirit; therefore, it should not be confused with the acquired skill of language interpretation. While cessationist Christians believe that this miraculous charism has ceased, Charismatic and Pentecostal Christians believe that this gift continues to operate within the church. Much of what is known about this gift was recorded by St. Paul in 1 Corinthians 14. In this passage, guidelines for the proper use of the gift of tongues were given. In order for the gift of tongues to be beneficial to the edification of the church, such supernatural utterances were to be interpreted into the language of the gathered Christians. If no one among the gathered Christians possessed the gift of interpretation, then the gift of tongues was not to be publicly exercised. Those possessing the gift of tongues were encouraged to pray for the ability to interpret.

Non-Christian practice

Other religious groups have been observed to practice some form of theopneustic glossolalia. It is perhaps most commonly in Paganism, Shamanism, and other mediumistic religious practices. In Japan, the God Light Association believed that glossolalia could cause adherents to recall past lives.

Glossolalia has been postulated as an explanation for the Voynich manuscript.

In the 19th century, Spiritism was developed by the work of Allan Kardec, and the practice was seen as one of the self-evident manifestations of spirits. Spiritists argued that some cases were actually cases of xenoglossia.

Medical research

Glossolalia is classified as a non-neurogenic language disorder. Most people exhibiting glossolalia do not have a neuropsychiatric disorder.

Neuroimaging of brain activity during glossolalia does not show activity in the language areas of the brain. In other words, it may be characterized by a specific brain activity and it can be a learned behaviour.

A 1973 experimental study highlighted the existence of two basic types of glossolalia: a static form which tends to a somewhat coaction to repetitiveness and a more dynamic one which tends to free association of speech-like elements.

A study done by the American Journal of Human Biology found that speaking in tongues is associated with both a reduction in circulatory cortisol, and enhancements in alpha-amylase enzyme activity – two common biomarkers of stress reduction that can be measured in saliva. Several sociological studies report various social benefits of engaging in Pentecostal glossolalia, such as an increase in self-confidence.

As of April 2021, further studies are needed to corroborate the 1980s view of glossolaly with more sensitive measures of outcome, by using the more recent techniques of neuroimaging.

Criticism

Analysis of glossolalics reveals a pseudo-language that lacks consistent syntax, semantic meaning, usually rhythmic or poetic in nature and is similar to the speaker's native tongue. Samples of glossolalia show a lack of consistency needed for meaningful comparison or translation. It also is not used to communicate between fellow glossolalia speakers, although the meaning might be translated by the leader involved, in line with and supportive of whatever message or teaching had been given that day, in some way giving divine legitimacy to what is said. However it's more common that others than the leader translate.

Various Christian groups have criticized the Pentecostal and charismatic movement for paying too much attention to mystical manifestations, such as glossolalia.

In certain evangelical and other Protestant Churches, this experience was understood as a gift to speak foreign languages without having learned them (xenoglossy) for evangelization, the end of which was prophesied in the First Epistle to the Corinthians in chapter 13, an end which would correspond to the end of the writing of the Bible.

Theologians have recalled that on the day of Pentecost, the disciples who received a baptism of the Holy Spirit, did not speak in unknown tongues, but praised God in other tongues that non-believers in various parts of the world could understand, making it a useful gift for evangelism.

Social and behavior change communication

SBCC by health practitioner
SBCC on the Development-Entertainment spectrum.

Social and behavior change communication (SBCC), often also only "BCC" or "Communication for Development (C4D)" is an interactive process of any intervention with individuals, group or community (as integrated with an overall program) to develop communication strategies to promote positive behaviors which are appropriate to their settings and thereby solving the world's most pressing health problems. This in turn provides a supportive environment which will enable people to initiate, sustain and maintain positive and desirable behavior outcomes.

SBCC is the strategic use of communication to promote positive health outcomes, based on proven theories and models of behavior change. SBCC employs a systematic process beginning with formative research and behavior analysis, followed by communication planning, implementation, and monitoring and evaluation. Audiences are carefully segmented, messages and materials are pre-tested, and mass media (which include radio, television, billboards, print material, internet), interpersonal channels (such as client-provider interaction, group presentations) and community mobilisation are used to achieve defined behavioral objectives.

BCC should not be confused with behavior modification, a term with specific meaning in a clinical psychiatry setting. SBCC differentiates itself from social impact entertainment primarily through its "impact first", rather than "story first", approach.

Background

Providing people with information and teaching them how they should behave does not lead to desirable change in their response/behavior. However, when there is a supportive environment with information and communication (teaching) then there is a desirable change in the behavior of the target group. Thus, SBCC is proved to be an instructional intervention which has a close interface with education and communication. It is a strategic and group oriented form of communication to perceive a desired change in behavior of target group.

However, it is not as easy as it sounds, as there is no one-size-fits all strategy for any intervention. Interventions are context specific. Therefore, there is a need for proper information management and sharing. It is advised to document and report the interventions that worked somewhere, for example, the kind of messages, the medium and the audience.

Steps

SBCC is the comprehensive process in which one passes through the stages:

Unaware > Aware > Concerned > Knowledgeable > Motivated to change > Practicing trial behavior change

> Sustained behavior change

SBCC in classroom practices

It involves the following steps:

  1. State program goals
  2. Involve stakeholders
  3. Identify target populations
  4. Conduct formative BCC assessments
  5. Segment target populations
  6. Define behavior change objectives
  7. Define SBCC strategy & monitoring and evaluation plan
  8. Develop communication products
  9. Pretest
  10. Implement and monitor
  11. Evaluate
  12. Analyze feedback and revise

Enabling factors

Behavior change is influenced by motivation from others (external influence) as well as from within oneself (internal influence). Internal influence plays a significant role in creating more enjoyment of a behavior change, instilling a sense of ownership of the new behavior, which in turn instills a sense of ownership of the changed behavior. When designing SBCC strategies, enabling factors that affect the outcome must be considered. The following are some of the factors:

  • Effective communication
  • Enabling environment, which include policies, human rights community values and norms
  • User-friendly, accessible services and commodities

Theories

SBCC has several levels at which it can be implemented. Each level includes several theories. Each level (and each theory) employs specific communication channels.

Individual level
Community level
Change in organizations
  • 4 stage change
Public policy Level
The SBCC Summit 2018 in Bali, Indonesia, focusing on social and behavior change communication and featuring Entertainment-Education.
Over 1,200 attendees came to the 2018 SBCC Summit, where Entertainment-Education was a main topic among Social and Behavior Chance Communications professionals.

Strategies

SBCC is different from the ordinary instructional method of communication and is target specific. A society consists of many sub-groups. The strategy for SBCC will vary from group to group. The following points are important while considering the SBCC strategy.

  • Vulnerability/risk factor of the target group
  • The vulnerability/risk factor of the group which is to be addressed
  • The conflict and obstacles in the way to desired change in behavior
  • Type of message and communication media which can best be used to reach the target group
  • Type of resources available and assessment of existing knowledge of the target group about the issue which is going to be dealt with

There can be several more points in this list. A successful SBCC requires much research and meticulous planning about the knowledge content of the subject and behavior/attitude pattern of the target group.

Social marketing has been described as a tool for sustainable behaviour change.

Implications

SBCC has proven effective in several health areas, such as increasing the use of family planning methods, reducing the spread of malaria and other infectious diseases, and improving newborn and maternal health.

SBCC is an effective tool for dealing with many community and group related problems. BCC has been adapted as an effective strategy for community mobilization, health and environmental education and various public outreach programs. Enhanced knowledge about the behavior change process has facilitated the design of communications programs to reduce the risk of HIV transmission and AIDS. A wide variety of health promotion strategies use communication as either an educational or norm-forming strategy. In addition, specific strategies must be designed for high-risk groups such as women, young people, injecting drug abusers, homosexuals and HIV positive groups.

Role in HIV/AIDS

SBCC consists of effective communication which is central to the success of interventions to reduce the risk of HIV infection. It plays a role to:

  • Increase knowledge
  • Stimulate community dialogue
  • Promote essential attitude change
  • Advocate for policy changes
  • Create a demand for information and services
  • Reduce stigma and discrimination
  • Promote services for prevention and care

Ghostwriter

From Wikipedia, the free encyclopedia
The popular demand for Tom Clancy's action novels exceeded his ability to write new books. As a result, his publisher hired ghostwriters to write novels in the Clancy style.

A ghostwriter is a person hired to write literary or journalistic works, speeches, or other texts that are putatively credited to another person as the author. Celebrities, executives, participants in timely news stories, and political leaders often hire ghostwriters to draft or edit autobiographies, memoirs, magazine articles, or other written material.

Memoir ghostwriters often pride themselves in "disappearing" when impersonating others since such disappearance signals the quality of their craftsmanship. In music, ghostwriters are often used to write songs, lyrics, and instrumental pieces. Screenplay authors can also use ghostwriters to either edit or rewrite their scripts to improve them. Usually, there is a confidentiality clause in the contract between the ghostwriter and the credited author (or publisher) that obligates the former to remain anonymous, or obligates the latter to not reveal the ghostwriter. Sometimes the ghostwriter is acknowledged by the author or publisher for their writing services, euphemistically called a "researcher" or "research assistant", but often the ghostwriter is not credited.

Ghostwriting (or simply "ghosting") also occurs in other creative fields. Composers have long hired ghostwriters to help them to write musical pieces and songs; Wolfgang Amadeus Mozart is an example of a well-known composer who was paid to ghostwrite music for wealthy patrons. Ghosting also occurs in popular music. A pop music ghostwriter writes lyrics and a melody in the style of the credited musician. However it is most notable today among rap artists since there is a pressure to produce lyrically challenging content. Notable rappers such as Nicki Minaj have criticized artists like Cardi B for using ghostwriters to make their songs. In hip hop music, the increasing use of ghostwriters by high-profile hip-hop stars has led to controversy. In the visual arts, it is not uncommon in either fine art or commercial art such as comics for a number of assistants to do work on a piece that is credited to a single artist; Andy Warhol engaged in this practice, supervising an assembly line silk screen process for his artwork. However, when credit is established for the writer, the acknowledgment of their contribution is public domain and the writer in question would not be considered a ghostwriter.

Overview

A consultant or career-switcher may pay a ghostwriter to write a book on a topic in their professional area, to establish or enhance credibility as an expert in their field. Public officials and politicians employ "correspondence officers" to respond to the large volume of official correspondence. A number of papal encyclicals have been written by ghostwriters. A controversial and scientifically unethical practice is medical ghostwriting, where biotech or pharmaceutical companies pay professional writers to produce papers and then recruit (via payment or as a perk) other scientists or physicians to attach their names to these articles before they are published in medical or scientific journals. Some university and college students hire ghostwriters from essay mills to write entrance essays, term papers, theses, and dissertations. This is largely considered unethical unless the actual ghostwriting work is just light editing.

Ghostwriters are hired for numerous reasons. In many cases, celebrities or public figures do not have the time, discipline, or writing skills to write and research a several hundred-page autobiography or "how-to" book. Even if a celebrity or public figure has the writing skills to pen a short article, they may not know how to structure and edit a several hundred-page book so that it is captivating and well-paced. In other cases, publishers use ghostwriters to increase the number of books that can be published each year under the name of well-known, highly marketable authors, or to quickly release a topical book that ties in with a recent or upcoming newsworthy event.

Remuneration and credit

The ghostwriter for Hillary Clinton's memoirs received a $500,000 payment for collaborating with her.

Ghostwriters will often spend from several months to a full year researching, writing, and editing non-fiction and fiction works for a client, and they are paid based on a price per hour, per word, or per page, with a flat fee, a percentage of the royalties of the sales, or some combination thereof. In 2013, literary agent Madeleine Morel stated that the average ghostwriter's advance for work for major book publishers was "between $40,000 and $70,000". These benchmark prices are mirrored approximately in the film industry by the Writers Guild, where a Minimum Basic Agreement gives a starting price for the screenplay writer of $37,073 (non-original screenplay, no treatment).

However, the recent shift into the digital age (15–20% world market share of books by 2015) has brought some changes, by opening newer markets that bring their own opportunities for authors and writers—especially on the more affordable side of the ghostwriting business. One such market is the shorter book, best represented at the moment by Amazon's Kindle Singles imprint: texts of 30,000 words and under. Such a length would have been much harder to sell before digital reader-technologies became widely available, but is now quite acceptable. Writers on the level of Ian McEwan have celebrated this recent change, mainly for artistic reasons.

As a consequence, the shorter format makes a project potentially more affordable for the client/author. Manhattan Literary, a ghostwriting company, states that "book projects on the shorter side, tailored to new markets like the Kindle Singles imprint and others (30,000–42,000 words) start at a cost of $15,000". And this shorter book appears to be here to stay. It was once financially impractical for publishers to produce such novella-length texts (they would have to charge too much); but this new market is, by 2015, already substantial and has been projected to be a solid part of the future of book publishing. So, with its appearance the starting price for the professional book writer has come down by about half, but only if this shorter format makes sense for the client.

On the upper end of the spectrum, with celebrities that can all but guarantee a publisher large sales, the fees can be much higher. In 2001, The New York Times stated that the fee that the ghostwriter for Hillary Clinton's memoirs would receive was probably about $500,000 of her book's $8 million advance, which "is near the top of flat fees paid to collaborators".

A recent availability also exists, of outsourcing many kinds of jobs, including ghostwriting, to offshore locations like India, China, and the Philippines where the customer can save money. The true tests of credibility—the writer's track record, and samples of his or her craft—become even more important in these instances, when the writer comes from a culture and first language that are entirely different from the client's.

In some cases, ghostwriters are allowed to share credit. For example, a common method is to put the client/author's name on a book cover as the main byline (by [author's name]) and then to put the ghostwriter's name underneath it (with [ghostwriter's name]). Sometimes this is done in lieu of pay or to decrease the amount of payment to the book ghostwriter for whom the credit has its own intrinsic value. Also, the ghostwriter can be cited as a co-author of a book, or listed in the movie or film credits when having ghostwritten the script or screenplay for film production.

For nonfiction books, the ghostwriter may be credited as a "contributor" or a "research assistant". In other cases, the ghostwriter receives no official credit for writing a book or article; in cases where the credited author or the publisher or both wish to conceal the ghostwriter's role, the ghostwriter may be asked to sign a nondisclosure contract that legally forbids any mention of the writer's role in a project. Some have made the distinction between "author" and "writer", as ghostwriter Kevin Anderson explains in a Washington Post interview: "A ghostwriter is an interpreter and a translator, not an author, which is why our clients deserve full credit for authoring their books."

Types

Nonfiction

Ghostwriters are widely used by celebrities and public figures who wish to publish their autobiographies or memoirs. The degree of involvement of the ghostwriter in nonfiction writing projects ranges from minor to substantial. In some cases, a ghostwriter may be called in just to clean up, edit, and polish a rough draft of an autobiography or a "how-to" book. In other cases, the ghostwriter will write an entire book or article based on information, stories, notes, an outline, or interview sessions with the celebrity or public figure. The credited author also indicates to the ghostwriter what type of style, tone, or "voice" they want in the book.

In some cases, such as with some "how-to" books, diet guides, or cookbooks, a book will be entirely written by a ghostwriter, and the celebrity (e.g., a well-known musician or sports star) will be credited as author. Publishing companies use this strategy to increase the marketability of a book by associating it with a celebrity or well-known figure. In several countries before elections, candidates commission ghostwriters to produce autobiographies for them so as to gain visibility and exposure. One of John F. Kennedy's books (Profiles in Courage) is almost entirely credited to ghostwriters. Donald Trump's famous autobiography (Trump: The Art of the Deal) was produced by a ghostwriter. Several of Hillary Clinton's books were produced by ghostwriters. Nelson Mandela's autobiography (Long Walk to Freedom) was also produced by a ghostwriter.

A consultant or career-switcher may pay to have a book ghostwritten on a topic in their professional area, to establish or enhance their credibility as an "expert" in their field. For example, a successful salesperson hoping to become a motivational speaker on selling may pay a ghostwriter to write a book on sales techniques. Often this type of book is published by a self-publishing press (or "vanity press"), which means that the author is paying to have the book published. This type of book is typically given away to prospective clients as a promotional tool, rather than being sold in bookstores.

Fiction

Ghostwriters are employed by fiction publishers for several reasons. In some cases, publishers use ghostwriters to increase the number of books that can be published each year by a well-known, highly marketable author. Ghostwriters mostly pen fictional works for well-known "name" authors in genres such as detective fiction, mysteries, and teen fiction.

Additionally, publishers use ghostwriters to write new books for established series where the "author" is a pseudonym. For example, the purported authors of the Nancy Drew and Hardy Boys mysteries, "Carolyn Keene" and "Franklin W. Dixon", respectively, are actually pseudonyms for a series of ghostwriters who write books in the same style using a template of basic information about the book's characters and their fictional universe (names, dates, speech patterns), and about the tone and style that are expected in the book (for more information, see pseudonyms and pen names). In addition, ghostwriters are often given copies of several of the previous books in the series to help them match the style.

The estate of gothic novelist V. C. Andrews hired ghostwriter Andrew Neiderman to continue writing novels after her death, under her name and in a similar style to her original works. Many of action writer Tom Clancy's books from the 2000s bear the names of two people on their covers, with Clancy's name in larger print and the other author's name in smaller print. Various books bearing Clancy's name were written by different authors under the same pseudonym. The first two books in the Tom Clancy's Splinter Cell franchise were written by Raymond Benson under the pseudonym David Michaels.

Sometimes famous authors will ghostwrite for other celebrities as well, such as when H. P. Lovecraft ghostwrote "Imprisoned with the Pharaohs" (also known as "Under the Pyramids") for Harry Houdini in Weird Tales in the 1920s.

Religious

A number of papal encyclicals have been written by ghostwriters. Pascendi, for instance, was written by Joseph Lemius (1860–1923), the procurator in Rome of the Oblates of Mary Immaculate. In June 1938, Pius XI summoned American Jesuit John La Farge, who began to prepare a draft of Humani generis unitas, which LaFarge and two other Jesuits—Gustav Gundlach and Gustave Desbuquois—on in Paris; the draft was approximately 100 pages long. Another Jesuit translated the draft encyclical into Latin, presenting it to Wlodimir Ledóchowski, then the General of the Society of Jesus who had chosen Gundlach and Desbuquois for the project. The draft encyclical was delivered to the Vatican in September 1938. Sebastian Tromp, a Dutch Jesuit, a solid Thomist theologian and close to Pope Pius XII, is considered to be the main ghostwriter of Mystici corporis.

Michel-Louis Guérard des Lauriers, one of the Vatican's leading theologians of that time, was responsible for the critical study of the New Mass of Pope Paul VI, commonly known as the Ottaviani Intervention, after the supposed attribution to Cardinals Alfredo Ottaviani and Antonio Bacci. The Vatican later answered these accusations and Cardinal Ottaviani later regretted that his name was misused to berate the pope, of which, his questions about the Pauline Mass were already clarified.

Academic

Ghostwriting is considered to be academic dishonesty and can lead to repercussions if detected by universities, although it is not illegal in the United States, United Kingdom and Germany.

There are ghostwriting companies and freelancers that sell entrance essays, term papers, theses and dissertations to students. Such services are commonly known as "essay mills".

Although academic ghostwriting involves the sale of academic texts that are written on demand, it differs from plagiarism in that it does not involve an undisclosed appropriation of existing texts. As opposed to cases of plagiarism that stem from a copy-and-paste reuse of previous work, essays and assignments that are obtained through ghostwriting services as a rule have the originality of their text confirmed by plagiarism detection software packages or online services that are widely used by universities.

Universities have developed strategies to combat such academic services, which can be associated with academic fraud, that are offered to students and researchers. Some universities allow professors to give students oral examinations on papers which a professor believes to be ghostwritten. If the student is unfamiliar with the content of an essay that he or she has submitted, then the student can be charged with academic fraud.

Medical

With medical ghostwriting, pharmaceutical companies pay professional writers to produce papers and then pay other scientists or physicians to attach their names to these papers before they are published in medical or scientific journals. Medical ghostwriting has been criticized by a variety of professional organizations representing the drug industry, publishers, and medical societies, and it may violate American laws prohibiting off-label promotion by drug manufacturers as well as anti-kickback provisions within the statutes governing Medicare. Recently, it has attracted scrutiny from the lay press and from lawmakers, as well. It is permitted at some institutions, including the University of Washington School of Medicine. While it is prohibited and considered a particularly pernicious form of plagiarism at others, such as Tufts University School of Medicine.

Professional medical writers can write papers without being listed as authors of the paper and without being considered ghostwriters, provided their role is acknowledged. The European Medical Writers Association have published guidelines which aim to ensure professional medical writers carry out this role in an ethical and responsible manner. The use of properly acknowledged medical writers is accepted as legitimate by organisations such as the World Association of Medical Editors and the British Medical Journal. Moreover, professional medical writers' expertise in presenting scientific data may be of benefit in producing better quality papers.

Website

Some websites, including blogs, are ghostwritten, because not all authors have the information technology skills or the time to dedicate to running a website. Nonetheless, the style, tone and content is modeled on that of the credited author. Many website ghostwriters are freelance but some are freelancers who work under contract, as with radio presenters and television presenters. Occasionally a "house pseudonym", or collective name is used by the author of the website.

Some celebrities, CEOs, or public figures set up blog websites—sometimes as a marketing, public relations, or lobbying tool. However, since these individuals are typically too busy to write their blog posts, they hire discreet ghostwriters to post to the blog under the celebrity or CEO's name. As with nonfiction ghostwriting, the blog ghostwriter models their writing style, content and tone on that of the credited author. This goes for social media as well. Many public figures have ghostwriters at least partially handle their Facebook and Twitter accounts, among others.

Music

Classical music and film scores

The Classical era composer Mozart was paid to ghostwrite music for wealthy patrons who wished to give the impression that they were gifted composers.

Wolfgang Amadeus Mozart is an example of a well-known composer who was paid to ghostwrite music for wealthy patrons. In the film industry, a music ghostwriter is a "person who composes music for another composer but is not credited on the cue sheet or in the final product in any way." The practice is considered one of the "dirty little secrets of the film and television music business" that is considered unethical, but has been common since the early stages of the film industry. In the early years of film, David Raksin worked as music ghostwriter and orchestrator for Charlie Chaplin; even though Chaplin was credited as the score writer, he was considered to be a "hummer" (pejorative film industry slang for a person who purports to be a film score composer but who in fact only gives a general idea of the melodies to a ghostwriter).

The practice is also common in television, as composers listed on cue sheets are entitled to music royalties every time an episode or theme score appears on television. A 1998 investigation by The Hollywood Reporter revealed that it was especially prevalent among animation companies such as Saban Entertainment, DiC, Ruby-Spears Productions and Hanna-Barbera, which often listed company executives as musicians for the purpose of royalties. Several composers later filed a multimillion-dollar lawsuit against Saban Entertainment president Haim Saban, for allegedly taking ownership and credit for their musical compositions.

Popular music

Musical ghostwriting also occurs in popular music. When a record company wants to market an inexperienced young singer as a singer-songwriter, or help a veteran bandleader coping with writer's block (or a lack of motivation to finish the next album), an experienced songwriter may be discreetly brought in to help. In other cases, a ghostwriter writes lyrics and a melody in the style of the credited musician, with little or no input from the credited musician. A ghostwriter providing this type of service may be thanked, without reference to the service provided, in the album credits, or they may be a true 'ghost', with no acknowledgement in the album.

Legal disputes have arisen when musical ghostwriters have tried to claim royalties when an allegedly ghostwritten song becomes a money-making hit. In 1987, Darryl Neudorf was asked to work on a project for Nettwerk Productions involving a newly signed artist in their repertoire named Sarah McLachlan. This recording, the album Touch, resulted in garnering the interest of Arista Records. She signed a multi-album contract with them and two of the songs that Neudorf worked on with her became commercial hits in Canada. In 1991, Neudorf was invited back to work with McLachlan on her second album, Solace. In 1993, he filed a lawsuit against McLachlan and her label, Nettwerk, alleging that he had made a significant and uncredited contribution to the songwriting on Touch, and alleging that he was not paid properly for work done on Solace. The judge in this suit eventually ruled in McLachlan's favour on the songs; though Neudorf may have contributed to the songwriting, neither regarded each other as joint authors. The judge ruled in Neudorf's favour on the payment issue.

Chuck D of Public Enemy has offered a more positive view of ghostwriting in hip hop.

In hip hop music, the increasing use of ghostwriters by high-profile hip hop stars has led to controversy. Critics view the increasing use of hip hop ghostwriters as the "perversion of hip-hop by commerce." This is because of the limiting definition of "rapping" as "expressing yourself through your own words, not someone else's." Chuck D of Public Enemy thinks this point of view is mistaken because "not everyone is equipped to be a lyricist and not everyone is equipped to be a vocalist." He points out that creating a rap song may require multiple talents. Frank Ocean started his career as a ghostwriter for artists such as Justin Bieber, John Legend and Brandy.

Currently in hip-hop, the credit given to ghostwriters varies: "silent pens might sign confidentiality clauses, appear obliquely in the liner notes, or discuss their participation freely." In some cases, liner notes credit individuals for "vocal arrangement", which may be a euphemism for ghostwriting. In the early 2010s, hip-hop ghostwriting services like Rap Rebirth appeared online, which provide recording artists who wish to purchase ghostwritten rhymes a greater degree of anonymity.

Visual art

Ghost-authorship also applies to the visual arts, most commonly paintings. The extent of the master artist's contribution varies widely, as little as composition adjustments and corrective brush strokes, or as much as entire works. A common practice is the use of art instruction class milieu in which the master artist makes significant contributions to the work of the student who then signs that work as his or her own. Services addressing complete works have historically been highly confidential. Less prevalent are advertised commercial services which may use the term "vanity artwork" as suggestive of "vanity publishing".

As blacklisting countermeasure

In countries where the freedom of speech is not upheld and authors that have somehow displeased the ruling regime are "blacklisted" (i.e. forbidden from having their works published), the blacklisted authors or composers may ghostwrite material for other authors or composers who are in the good graces of the regime. Examples include:

In culture

Movies and novels about ghostwriters include:

Lifestyle medicine

From Wikipedia, the free encyclopedia
 
Lifestyle Medicine
The focus of Lifestyle Medicine is on these 6 pillars.
Focusnutrition, sleep, physical activity, stress management, tobacco/alcohol cessation, and healthy relationships..
Significant diseases
SpecialistLifestyle medicine physician

Lifestyle medicine (LM) is a branch of medicine focused on preventive healthcare and self-care dealing with prevention, research, education, and treatment of disorders caused by lifestyle factors and preventable causes of death such as nutrition, physical inactivity, chronic stress, and self-destructive behaviors including the consumption of tobacco products and drug or alcohol abuse.[1] The goal of LM is to improve individuals' health and wellbeing by applying the 6 pillars of lifestyle medicine (nutrition, regular physical activity, restorative sleep, stress management, avoidance of risky substances, and positive social connection) to prevent chronic conditions such as cardiovascular diseases, diabetes, metabolic syndrome and obesity.

Lifestyle medicine focuses on educating and motivating patients to improve the quality of their lives by changing personal habits and behaviors around the use of healthier diets which minimize ultra-processed foods such as a Mediterranean diet or whole food, plant-predominant dietary patterns. Poor lifestyle choices like dietary patterns, physical inactivity, tobacco use, alcohol addiction and dependence, drug addiction and dependence, as well as psychosocial factors, e.g. chronic stress and lack of social support and community, contribute to chronic disease. In the clinic, major barriers to lifestyle counseling are that physicians feel ill-prepared and are skeptical about their patients' receptivity. However, by encouraging healthy decisions, illnesses can be prevented or better managed in the long-term.

Characteristics

Lifestyle Medicine in Practice

Lifestyle interventions require behavior changes that may be challenging for health professionals, communities, and patients. The task of the LM practitioner is to motivate and support healthy behavior changes through evidence-based approaches to prevent and manage chronic conditions. LM emphasizes personalized care and uses patient-centered approaches such as goal-setting, shared decision-making, and self-management. Coaching patients how to cook healthy food at home, for example, can be part of a lifestyle-oriented medical practice. Focusing on the health needs of an individual includes looking at the person's social and economic needs, as well.

LM uses behavioral science to equip and encourage patients to make lifestyle changes. There are many theories of behavior change; the transtheoretical model is particularly suited to lifestyle medicine. It posits that individuals progress through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. Stage-matched interventions are most likely to result in successful behavior changes. LM practitioners are encouraged to adopt counseling methods such as motivational interviewing (MI) to identify patient readiness to change and provide stage appropriate lifestyle interventions. These skills have shown to be more effective than giving advice like "Exercise more and eat healthy".

LM is similar to preventive medicine in that it also bridges the gap between conventional medicine and public health. LM interventions such as behavioral change counseling are used in adjunct with pharmacotherapy. Like all of medicine, LM promotes healthy lifestyle choices to prevent and treat diseases. Overall wellness and self-management are a crucial components of lifestyle medicine and enforce the idea of living healthier through behavioral change. Health promotion is the foundation of LM and encourages individuals to participate in their own care and well-being.

Levels of Lifestyle Medicine

LM may be practiced on three levels. The first level involves recognition by all healthcare professionals that lifestyle choices determine health status and are important modifiers of the response to pharmaceutical and/or surgical treatments. All practitioners are encouraged to include lifestyle advice along with standard treatment protocols. The second level is specialty care (e.g., Exercise medicine and Physiatry) in which LM interventions are the focus of treatment and pharmaceutical and/or surgical treatments are an adjunct to be used as necessary. The third level is population/community health programs and policies. Lifestyle intervention advice should be included in public health/preventive medicine guidance and policies for the prevention and treatment of chronic diseases.

Interprofessional Education/Collaboration in Lifestyle Medicine Practice

Healthcare professionals and their future patients would benefit if the basics of LM were incorporated into all professional training programs. Formal training and personal experience of evidence-based lifestyle interventions such as plant-based nutrition, stress management, physical activity, sleep management, relationship skills, and substance abuse mitigation would transform the American healthcare system. LM is uniquely suited to interprofessional education in which students from two or more healthcare professions learn together during professional training with the objective of cultivating collaborative practice of patient-centered care. Physicians and other healthcare providers should feel comfortable talking with their patient about behavioral lifestyle changes and assessing needs in determinants of health. Engaging patients in these conversations can better help them achieve their lifestyle and healthcare goals.

There are many educational pathways to becoming an expert in LM. Physicians can become certified or accredited from the International Board of Lifestyle Medicine (IBLM), American Board of Lifestyle Medicine (ABLM), and British Society of Lifestyle Medicine (BSLM). The Lifestyle Medicine Global Alliance (LMGA) is an organization that connects LM professionals from nations around the world to collaborate, share resources, and create solutions to preventing and reversing non-communicable and chronic diseases.

From Wikipedia, the free encyclopedia
Lifestyle Medicine
The focus of Lifestyle Medicine is on these 6 pillars.
Focusnutrition, sleep, physical activity, stress management, tobacco/alcohol cessation, and healthy relationships..
Significant diseases
SpecialistLifestyle medicine physician

Lifestyle medicine (LM) is a branch of medicine focused on preventive healthcare and self-care dealing with prevention, research, education, and treatment of disorders caused by lifestyle factors and preventable causes of death such as nutrition, physical inactivity, chronic stress, and self-destructive behaviors including the consumption of tobacco products and drug or alcohol abuse. The goal of LM is to improve individuals' health and wellbeing by applying the 6 pillars of lifestyle medicine (nutrition, regular physical activity, restorative sleep, stress management, avoidance of risky substances, and positive social connection) to prevent chronic conditions such as cardiovascular diseases, diabetes, metabolic syndrome and obesity.

Lifestyle medicine focuses on educating and motivating patients to improve the quality of their lives by changing personal habits and behaviors around the use of healthier diets which minimize ultra-processed foods such as a Mediterranean diet or whole food, plant-predominant dietary patterns. Poor lifestyle choices like dietary patterns, physical inactivity, tobacco use, alcohol addiction and dependence, drug addiction and dependence, as well as psychosocial factors, e.g. chronic stress and lack of social support and community, contribute to chronic disease. In the clinic, major barriers to lifestyle counseling are that physicians feel ill-prepared and are skeptical about their patients' receptivity.However, by encouraging healthy decisions, illnesses can be prevented or better managed in the long-term.

Characteristics

Lifestyle Medicine in Practice

Lifestyle interventions require behavior changes that may be challenging for health professionals, communities, and patients. The task of the LM practitioner is to motivate and support healthy behavior changes through evidence-based approaches to prevent and manage chronic conditions. LM emphasizes personalized care and uses patient-centered approaches such as goal-setting, shared decision-making, and self-management. Coaching patients how to cook healthy food at home, for example, can be part of a lifestyle-oriented medical practice. Focusing on the health needs of an individual includes looking at the person's social and economic needs, as well.

LM uses behavioral science to equip and encourage patients to make lifestyle changes. There are many theories of behavior change; the transtheoretical model is particularly suited to lifestyle medicine. It posits that individuals progress through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. Stage-matched interventions are most likely to result in successful behavior changes. LM practitioners are encouraged to adopt counseling methods such as motivational interviewing (MI) to identify patient readiness to change and provide stage appropriate lifestyle interventions. These skills have shown to be more effective than giving advice like "Exercise more and eat healthy".

LM is similar to preventive medicine in that it also bridges the gap between conventional medicine and public health. LM interventions such as behavioral change counseling are used in adjunct with pharmacotherapy. Like all of medicine, LM promotes healthy lifestyle choices to prevent and treat diseases. Overall wellness and self-management are a crucial components of lifestyle medicine and enforce the idea of living healthier through behavioral change. Health promotion is the foundation of LM and encourages individuals to participate in their own care and well-being.

Levels of Lifestyle Medicine

LM may be practiced on three levels. The first level involves recognition by all healthcare professionals that lifestyle choices determine health status and are important modifiers of the response to pharmaceutical and/or surgical treatments. All practitioners are encouraged to include lifestyle advice along with standard treatment protocols. The second level is specialty care (e.g., Exercise medicine and Physiatry) in which LM interventions are the focus of treatment and pharmaceutical and/or surgical treatments are an adjunct to be used as necessary. The third level is population/community health programs and policies. Lifestyle intervention advice should be included in public health/preventive medicine guidance and policies for the prevention and treatment of chronic diseases.

Interprofessional Education/Collaboration in Lifestyle Medicine Practice

Healthcare professionals and their future patients would benefit if the basics of LM were incorporated into all professional training programs. Formal training and personal experience of evidence-based lifestyle interventions such as plant-based nutrition, stress management, physical activity, sleep management, relationship skills, and substance abuse mitigation would transform the American healthcare system. LM is uniquely suited to interprofessional education in which students from two or more healthcare professions learn together during professional training with the objective of cultivating collaborative practice of patient-centered care. Physicians and other healthcare providers should feel comfortable talking with their patient about behavioral lifestyle changes and assessing needs in determinants of health. Engaging patients in these conversations can better help them achieve their lifestyle and healthcare goals.

There are many educational pathways to becoming an expert in LM. Physicians can become certified or accredited from the International Board of Lifestyle Medicine (IBLM), American Board of Lifestyle Medicine (ABLM), and British Society of Lifestyle Medicine (BSLM). The Lifestyle Medicine Global Alliance (LMGA) is an organization that connects LM professionals from nations around the world to collaborate, share resources, and create solutions to preventing and reversing non-communicable and chronic diseases.

Equality (mathematics)

From Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Equality_...