The Four Pillars of
Holistic Health Coaching


  Karen Lawson, MD, Director of Health Coaching,
 University of MN Center for Spirituality and Healing
Past-President, American Holistic Medical Association
Learning Objectives
•   Describe the four core principles of Holistic Health
    Coaching—Mindful Presence, Authentic
    Communication, Self-Awareness, and Safe/Sacred
    Space.
•   Distinguish between the operational framework
    you currently use in your practice and the
    framework of Holistic Health Coaching.
•   Identify one practice or perspective from this
    model that you could apply right away in your own
    professional practice.
Introductions: Who’s Listening?
What is your primary profession currently?
A. Coach
B. Physician
C. Nurse
D. Mental Health practitioner of some kind
E. Fitness or wellness practitioner
F. Nutritionist
G. Allied Health (PT, OT, ST, other)
H. Other
Introductions: Who’s Listening?
If your current profession is in coaching, what
     primary area?
A. Life
B. Executive
C. Health
D. Wellness
E. Sports
F. Other
Introductions: Who’s Listening?
If your current profession is Health or Wellness
     coaching, do you use/recommend
     integrative therapeutic options?
A. Yes
B. No
C. Unfamiliar with
Coaching is a discovery process
         and a perspective


http://flavor8.com/index.php/2007/06
 /26/spinning-woman-optical-illusion/
Reflective Questions
•   How would you like your work to be
    different?
•   What’s missing for you that would make
    your work more effective and satisfying?
•   Is there something you don’t feel is
    happening or is optimal in your current
    practice?
Breathing and Grounding:
 establishing new habits
A Holistic Perspective
• The process of Health Coaching, which--
  by seeing a person as intrinsically
  healthy, whole, and wise-- empowers
  the client to become the ultimate
  expert in their own healing journey,
  allowing the health of the person to
  emerge.
• Lens of pathology versus lens of health
Health Coaching helps with change
• Humans tend to resist change, despite extensive information that it
would be a good thing to do.
• Disease management is just that—it manages the disease, but it is
not specifically designed to help the individual uniquely manage their
own health.
• Humans most successfully make changes when they
   Know why the change is needed
   Want to make the change
   Have values that are reinforced by the change
   Have necessary support and resources
   Have a plan
   Understand and work with their own motivations, fears, and
   resistance
Behavioral scientists have shown
 that one-on-one coaching is
 among the most effective
 approaches to helping people
 make and sustain improvements
 in their lives.
So, what is Professional Health Coaching?
     • Uses the process of coaching
     • Understands human health and disease,
       the health care system, and integrative
       approaches
     • Sees the individual as the source of their
       own solutions and healing potential
     • Works with individuals in health crisis or
       dealing with chronic disease, or with those
       desiring improved health/prevention
Transformation
• Transformational work is for coach and
  client both
• The difference between change and
  transformation—the challenges,
  possibilities, and limitations of each…
Q: What does transformation mean to you?
The Four-Pillars of Health Coaching™

                Mindful Presence




      Self-                        Sacred
    Awareness                      Space




                  Authentic
                Communication
MINDFUL PRESENCE

             Mindful Presence




   Self-                        Sacred
 Awareness                      Space




               Authentic
             Communication
Mindful Presence
• The process of focused, non-judgmental
  awareness in the present moment

• Mindfulness in Relationship to the Other

• Requires intentional consciousness at multiple
  levels
Mindful Presence
• Hears beyond what’s spoken
• Engages Empathy and compassion
  – A level few experience
• Respects client’s internal wisdom
• Primes the pump
• Includes it all – non-judgmentally, without
  discounting
Mindful Presence Reflective Questions
• What does you being present look and feel
  like to you?



• How do you know when you’re present?
Blocks to Presence
    Blocks can be intentional or unintentional
        based on some of the following:
• Busyness/task- focused     • Need to be in control
• Stress                     • Overemphasis on being
                               goal directed
• Fear                         “responsibilities”
• Concern over what          • Lack of patience
  others will think          • Lack of openness
• Feeling inadequate         • Personal limitations
• Lack of desire/intent to   • Fatigue, low blood sugar
  be present                 • Inadequate
• Distractions                 communication skills
Presence
             the

        Bridge to


Authentic Communication
AUTHENTIC COMMUNICATION
                Mindful Presence




      Self-                        Sacred
    Awareness                      Space




                  Authentic
                Communication
Authentic Communication means:
• Deep Listening –
  Between words, body language, emotions.
  Multiple ways of knowing for both coach and
  client
• Curious Inquiry
• Perceptive Reflections
• Silence
Deep Listening
Authentic Communication means:
• Deep Listening
• Curious Inquiry –
  Non-judgmental practice of open-hearted
  exploration without goals or expectations. AI and
  MI Skills possibly.
• Perceptive Reflections
• Silence
Authentic Communication means:
• Deep Listening
• Curious Inquiry
• Perceptive Reflections –
  Mirror what you hear or perceive. Check truth
  with yourself. Offer observations, insights – with
  empathy
• Silence
Thoughtful Speech
• Aligned with their
  – comments
  – energy
  – theme
  – language
• Engages all the senses/intelligences –
  Presence
• Congruency
  – The How, The What, The When, The Why
Authentic Communication means:
•   Deep Listening
•   Curious Inquiry
•   Perceptive Reflections
•   Silence:
     What is your comfort level with silence?
     Is it a friend or a scary visitor?
Some Tools which build
    Authentic Communication
• Non-Violent communication

• Appreciative Inquiry

• Motivational Interviewing
Authentic Communication
            Reflective Questions
• In your experience how does it feel and/or look
  when you are hearing the full depth and
  breadth of what is being intended in yourself
  and others?

• List the different ways that you can listen

• How do you know you are listening to your
  ‘highest self’ internally?
SELF-AWARENESS

            Mindful Presence




  Self-                        Sacred
Awareness                      Space




              Authentic
            Communication
Awareness of emotion
          ≠
Expression of emotion
Self-Awareness
Mindfulness about self—physically, mentally, and
    emotionally. In order to be clear with
    another, a coach is required to be aware of
    what feelings and reactions they are having.
This means a good health coach commits to a
    regular practice of self-awareness, using
    whatever tools, skills and resources are
    necessary over time.
Self-Awareness Checks
      Allenbaugh, E. Wake Up Calls. Bard Productions.

•   Criticizing other’s comments.
•   Becoming defensive, reacting emotionally?
•   Waiting to talk rather than listening?
•   Being “too busy”?
•   Preparing my rebuttal: “yes, but…”
•   Keeping score - looking to get even?
•   Interrupting, talking?
•   Finding flaws in other’s ideas and perceptions?
More Self-Awareness Checks
•   Switching to my own agenda?
•   Explaining, intellectualizing?
•   Focusing on personalities, missing issues?
•   Initiating premature closure?
•   Locking onto my position?
•   Rolling eyes, sighing, tapping fingers?
•   Checking out - glazed eyes?
•   Placing conditions on my availability to talk?
•   Leaving when things get sensitive?
Self-Awareness Reflective Questions
• What is your current average level of self-
  awareness?
  – How do you cultivate it?
  – How does it impact, positively or negatively, your
    client work?
• In what aspects would you like to heighten
  your self-awareness?
• What support/instruction/resources do you
  need to achieve this?
Safe/Sacred Space
            Mindful Presence




  Self-                        Sacred
Awareness                      Space




              Authentic
            Communication
Defining Safe Space
• Physically

• Emotionally

• Intentionally

• Boundaries
The Power of Intention
• Shared purpose

• Focus

• Client’s intention
Boundaries Reflective Questions
• Are they intentional or ignored?
• Where are they too weak? Too strong?
• What challenges arise from boundary issues in
  your practice?
  – For you
  – For the client
  – For your work
Reflective Questions:


How could such health coaching skills support
  you in your current work?
University of Minnesota--Certificate In
Complementary Therapies and Healing
     Practices: Health Coaching
• 18 credit post-baccalaureate area of emphasis
• Targeted for Health Care Professionals and health
  care professional students
• Coursework began in Fall 2005. Currently 6th
  cohort of students in year 1, and 5th cohort of
  students in year 2.
• Applications accepted with March 15 deadline for
  fall admission.
Certificate In Complementary Therapies
 & Healing Practices: Health Coaching
Health Coaches are trained to be able to:
• Design personalized healthcare plans which address
  physical, mental, emotional & spiritual issues
• Recognize & help shift behaviors that block success or
  readiness to change
• Facilitate communication between conventional &
  complementary providers & the client
• Teach about tools & practices for self-care, reflection,
  balance & growth
University of Minnesota—
Continuing Ed. Option for Health Coaching
 • 60 hours over 4 months or 120 hours web-supported
   CEU’s over 8 months; package priced
 • Meets for 2 or 4, 4-day weekends in MN; on-line and
   phone work in between
 • Targeted for Health Care Professionals who wish to
   expand their clinical skills set
 • Next session begins Sept 2011
 • Applications and registration accepted in spring and
   summer, and coursework begins each fall.
Free Guided Imagery at
           www.csh.umn.edu
http://www.csh.umn.edu/healthcoaching/guidedimagery/
Be You!




To paraphrase ancient Chinese wisdom: live
  simply, do what you enjoy, and be completely
  present.
Recommended Books

• Arloski, M. (2007) Wellness Coaching for
  Lasting Lifestyle Change, Whole Person
  Associates.
• Belf, T. (2002) Coaching with Spirit, Pfeiffer.
• Dacher, E. (2006) Integral Health: The Path to
  Human Flourishing, Laguna Beach, CA. Basic
  Health Publications.
• Goleman, D. (2005) Emotional Intelligence,
  Bantam.
Recommended Books

• Kabat Zinn J. (2000) Full Catastrophe Living,
  Surrey, England. Delta Publishing.
• Prochaska, J., etal. (1995) Changing for Good,
  Collins.
• Rollnick S. (2008) Motivational Interviewing
  in Health Care, NY, NY. The Guilford Press.
Recommended Books

• Rosenberg, M. and Gandhi, A. (2003) Non-
  violent Communication: A Language of Life,
  Puddledancer Press.
• Shapiro, D. (2006) Your Body Speaks Your
  Mind, Sounds True.
• Silsbee, D., (2008) Presence-Based Coaching:
  Cultivating Self-Generative Leaders Through
  Mind, Body, and Heart, Jossey-Bass.
Questions from
  the Audience

Karen Lawson, MD
  lawsonk@umn.edu

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4 pillars of health coaching

  • 1. The Four Pillars of Holistic Health Coaching Karen Lawson, MD, Director of Health Coaching, University of MN Center for Spirituality and Healing Past-President, American Holistic Medical Association
  • 2. Learning Objectives • Describe the four core principles of Holistic Health Coaching—Mindful Presence, Authentic Communication, Self-Awareness, and Safe/Sacred Space. • Distinguish between the operational framework you currently use in your practice and the framework of Holistic Health Coaching. • Identify one practice or perspective from this model that you could apply right away in your own professional practice.
  • 3. Introductions: Who’s Listening? What is your primary profession currently? A. Coach B. Physician C. Nurse D. Mental Health practitioner of some kind E. Fitness or wellness practitioner F. Nutritionist G. Allied Health (PT, OT, ST, other) H. Other
  • 4. Introductions: Who’s Listening? If your current profession is in coaching, what primary area? A. Life B. Executive C. Health D. Wellness E. Sports F. Other
  • 5. Introductions: Who’s Listening? If your current profession is Health or Wellness coaching, do you use/recommend integrative therapeutic options? A. Yes B. No C. Unfamiliar with
  • 6. Coaching is a discovery process and a perspective http://flavor8.com/index.php/2007/06 /26/spinning-woman-optical-illusion/
  • 7. Reflective Questions • How would you like your work to be different? • What’s missing for you that would make your work more effective and satisfying? • Is there something you don’t feel is happening or is optimal in your current practice?
  • 8. Breathing and Grounding: establishing new habits
  • 9. A Holistic Perspective • The process of Health Coaching, which-- by seeing a person as intrinsically healthy, whole, and wise-- empowers the client to become the ultimate expert in their own healing journey, allowing the health of the person to emerge. • Lens of pathology versus lens of health
  • 10. Health Coaching helps with change • Humans tend to resist change, despite extensive information that it would be a good thing to do. • Disease management is just that—it manages the disease, but it is not specifically designed to help the individual uniquely manage their own health. • Humans most successfully make changes when they Know why the change is needed Want to make the change Have values that are reinforced by the change Have necessary support and resources Have a plan Understand and work with their own motivations, fears, and resistance
  • 11. Behavioral scientists have shown that one-on-one coaching is among the most effective approaches to helping people make and sustain improvements in their lives.
  • 12. So, what is Professional Health Coaching? • Uses the process of coaching • Understands human health and disease, the health care system, and integrative approaches • Sees the individual as the source of their own solutions and healing potential • Works with individuals in health crisis or dealing with chronic disease, or with those desiring improved health/prevention
  • 13. Transformation • Transformational work is for coach and client both • The difference between change and transformation—the challenges, possibilities, and limitations of each… Q: What does transformation mean to you?
  • 14. The Four-Pillars of Health Coaching™ Mindful Presence Self- Sacred Awareness Space Authentic Communication
  • 15. MINDFUL PRESENCE Mindful Presence Self- Sacred Awareness Space Authentic Communication
  • 16. Mindful Presence • The process of focused, non-judgmental awareness in the present moment • Mindfulness in Relationship to the Other • Requires intentional consciousness at multiple levels
  • 17. Mindful Presence • Hears beyond what’s spoken • Engages Empathy and compassion – A level few experience • Respects client’s internal wisdom • Primes the pump • Includes it all – non-judgmentally, without discounting
  • 18. Mindful Presence Reflective Questions • What does you being present look and feel like to you? • How do you know when you’re present?
  • 19. Blocks to Presence Blocks can be intentional or unintentional based on some of the following: • Busyness/task- focused • Need to be in control • Stress • Overemphasis on being goal directed • Fear “responsibilities” • Concern over what • Lack of patience others will think • Lack of openness • Feeling inadequate • Personal limitations • Lack of desire/intent to • Fatigue, low blood sugar be present • Inadequate • Distractions communication skills
  • 20. Presence the Bridge to Authentic Communication
  • 21. AUTHENTIC COMMUNICATION Mindful Presence Self- Sacred Awareness Space Authentic Communication
  • 22. Authentic Communication means: • Deep Listening – Between words, body language, emotions. Multiple ways of knowing for both coach and client • Curious Inquiry • Perceptive Reflections • Silence
  • 24. Authentic Communication means: • Deep Listening • Curious Inquiry – Non-judgmental practice of open-hearted exploration without goals or expectations. AI and MI Skills possibly. • Perceptive Reflections • Silence
  • 25. Authentic Communication means: • Deep Listening • Curious Inquiry • Perceptive Reflections – Mirror what you hear or perceive. Check truth with yourself. Offer observations, insights – with empathy • Silence
  • 26. Thoughtful Speech • Aligned with their – comments – energy – theme – language • Engages all the senses/intelligences – Presence • Congruency – The How, The What, The When, The Why
  • 27. Authentic Communication means: • Deep Listening • Curious Inquiry • Perceptive Reflections • Silence: What is your comfort level with silence? Is it a friend or a scary visitor?
  • 28. Some Tools which build Authentic Communication • Non-Violent communication • Appreciative Inquiry • Motivational Interviewing
  • 29. Authentic Communication Reflective Questions • In your experience how does it feel and/or look when you are hearing the full depth and breadth of what is being intended in yourself and others? • List the different ways that you can listen • How do you know you are listening to your ‘highest self’ internally?
  • 30. SELF-AWARENESS Mindful Presence Self- Sacred Awareness Space Authentic Communication
  • 31. Awareness of emotion ≠ Expression of emotion
  • 32. Self-Awareness Mindfulness about self—physically, mentally, and emotionally. In order to be clear with another, a coach is required to be aware of what feelings and reactions they are having. This means a good health coach commits to a regular practice of self-awareness, using whatever tools, skills and resources are necessary over time.
  • 33. Self-Awareness Checks Allenbaugh, E. Wake Up Calls. Bard Productions. • Criticizing other’s comments. • Becoming defensive, reacting emotionally? • Waiting to talk rather than listening? • Being “too busy”? • Preparing my rebuttal: “yes, but…” • Keeping score - looking to get even? • Interrupting, talking? • Finding flaws in other’s ideas and perceptions?
  • 34. More Self-Awareness Checks • Switching to my own agenda? • Explaining, intellectualizing? • Focusing on personalities, missing issues? • Initiating premature closure? • Locking onto my position? • Rolling eyes, sighing, tapping fingers? • Checking out - glazed eyes? • Placing conditions on my availability to talk? • Leaving when things get sensitive?
  • 35. Self-Awareness Reflective Questions • What is your current average level of self- awareness? – How do you cultivate it? – How does it impact, positively or negatively, your client work? • In what aspects would you like to heighten your self-awareness? • What support/instruction/resources do you need to achieve this?
  • 36. Safe/Sacred Space Mindful Presence Self- Sacred Awareness Space Authentic Communication
  • 37. Defining Safe Space • Physically • Emotionally • Intentionally • Boundaries
  • 38. The Power of Intention • Shared purpose • Focus • Client’s intention
  • 39. Boundaries Reflective Questions • Are they intentional or ignored? • Where are they too weak? Too strong? • What challenges arise from boundary issues in your practice? – For you – For the client – For your work
  • 40. Reflective Questions: How could such health coaching skills support you in your current work?
  • 41. University of Minnesota--Certificate In Complementary Therapies and Healing Practices: Health Coaching • 18 credit post-baccalaureate area of emphasis • Targeted for Health Care Professionals and health care professional students • Coursework began in Fall 2005. Currently 6th cohort of students in year 1, and 5th cohort of students in year 2. • Applications accepted with March 15 deadline for fall admission.
  • 42. Certificate In Complementary Therapies & Healing Practices: Health Coaching Health Coaches are trained to be able to: • Design personalized healthcare plans which address physical, mental, emotional & spiritual issues • Recognize & help shift behaviors that block success or readiness to change • Facilitate communication between conventional & complementary providers & the client • Teach about tools & practices for self-care, reflection, balance & growth
  • 43. University of Minnesota— Continuing Ed. Option for Health Coaching • 60 hours over 4 months or 120 hours web-supported CEU’s over 8 months; package priced • Meets for 2 or 4, 4-day weekends in MN; on-line and phone work in between • Targeted for Health Care Professionals who wish to expand their clinical skills set • Next session begins Sept 2011 • Applications and registration accepted in spring and summer, and coursework begins each fall.
  • 44. Free Guided Imagery at www.csh.umn.edu http://www.csh.umn.edu/healthcoaching/guidedimagery/
  • 45. Be You! To paraphrase ancient Chinese wisdom: live simply, do what you enjoy, and be completely present.
  • 46. Recommended Books • Arloski, M. (2007) Wellness Coaching for Lasting Lifestyle Change, Whole Person Associates. • Belf, T. (2002) Coaching with Spirit, Pfeiffer. • Dacher, E. (2006) Integral Health: The Path to Human Flourishing, Laguna Beach, CA. Basic Health Publications. • Goleman, D. (2005) Emotional Intelligence, Bantam.
  • 47. Recommended Books • Kabat Zinn J. (2000) Full Catastrophe Living, Surrey, England. Delta Publishing. • Prochaska, J., etal. (1995) Changing for Good, Collins. • Rollnick S. (2008) Motivational Interviewing in Health Care, NY, NY. The Guilford Press.
  • 48. Recommended Books • Rosenberg, M. and Gandhi, A. (2003) Non- violent Communication: A Language of Life, Puddledancer Press. • Shapiro, D. (2006) Your Body Speaks Your Mind, Sounds True. • Silsbee, D., (2008) Presence-Based Coaching: Cultivating Self-Generative Leaders Through Mind, Body, and Heart, Jossey-Bass.
  • 49. Questions from the Audience Karen Lawson, MD [email protected]