Flourishing

Surprising Finding | Mental Illness vs. Mental Health: Continuum or Matrix?

A few days ago, I shared some research by Carol Ryff and Corey Keyes on the structure of psychological well-being. Today, I’d like to highlight more of Keyes’  work.

When we think about psychological health, we typically have a kind of continuum in mind. On the one end, there are states such as satisfaction and happiness, on the other end there’s (severe) mental illness, e.g., depression and anxiety disorders. And we’re also sure all people can be located on this single dimension at any given point in time. Additionally, the absence of one state is mostly equated to the presence of the other. Accordingly, an individual is perceived as being psychological healthy when there are no signs of mental illness.

Turns out this perspective may be flawed, or rather: incomplete. Using large-scale samples, Corey Keyes is able to show that we should probably see mental health and mental illness as two interrelated, yet clearly separable dimensions. The first one is about the presence or absence of mental health, the other about the presence or absence of mental illness (please take a look at his paper Mental Illness and/or Mental Health? Investigating Axioms of the Complete State Model of Health)

Keyes_Mental_Health_Matrix

When creating a matrix that is composed of these two continua, we’re able to understand psychological states on a much more nuanced level. By way of example, in his data, Keyes finds there are people who portray distinct signs of mental illness (e.g., depressive symptoms) while at the same time displaying a moderately high level of psychological health (e.g., perception of meaning in life). Conversely, there are quite a few people who are clearly neither mentally ill nor particularly healthy, a state that Keyes calls languishing. In the words of the researcher:

The current study confirms empirically that mental health and mental illness are not opposite ends of a single continuum; rather, they constitute distinct but correlated axes that suggest that mental health should be viewed as a complete state. Thus, the absence of mental illness does not equal the presence of mental health.

[…]

The diagnosis and measurement of mental health […] has provided some invaluable information. First, relatively few adults (i.e., about 2 in 10) who were free of any of the four 12-month mental disorders could be classified as flourishing or completely mentally healthy. Almost as many adults were mentally unhealthy (i.e., languishing) as were mentally healthy (i.e., flourishing), and most adults were moderately mentally healthy. Second, diagnoses less than flourishing were associated with greater levels of dysfunctions in terms of work reductions, health limitations, and psychosocial functioning. Moreover, pure languishing was as dysfunctional (sometimes more) than pure mental illness.

Especially the last sentence should give some food for thought to public health officials and corporate health executives alike. For decades, their focus has been on understanding, assessing, and mitigating mental illness. And while this certainly is an important endeavor, Keyes´ esearch clearly shows that it might be and equally pressing mission to help people find pathways from a state of low mental health (languishing) to high mental health (flourishing).

Enter Positive Psychology…

CEO, want your Bonus? Then make your Employees happy!

Tui - Employee Satisfaction - BonusA couple of days ago, I introduced the term Return on Flourishing (ROFL) as a key financial performance indicator for future-minded leaders. My post described how programs that are designed to foster employee wellbeing can be assessed pertaining to their financial returns.

To that effect, today I was delighted to learn that German tourism giant TUI Group plans to base a part of their top executives´ bonus salaries on employee satisfaction in the near future. Yes, you´ve read correctly: employee satisfaction, not customer satisfaction.

That´s really good news in light of the old managerial adage:

What gets measured gets done.

Besides being a progressive and bold move in terms of leadership culture, it´s also a clever campaign in terms of profitability – as studies have shown time and time again there´s a strong link between employee satisfaction, customer satisfaction and profitability.

Here, you can read a German article about it in Die Welt, one of Germany´s premier daily newspapers. And here´s an English press release. Enjoy!