Related Experiment Video
Updated: Jun 17, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
Evolving definitions of mental illness and wellness
Ronald W Manderscheid1, Carol D Ryff, Elsie J Freeman
1Mental Health and Substance Use Programs, Global Health Sector, SRA International, Inc, Rockville, MD 20852, USA. ronald_manderscheid@sra.com
Definitions of wellness and illness have evolved from disease-centered to person-centered models. Modern wellness emphasizes positive psychological function, while illness focuses on disease presence, impacting health and healthcare reform.
Area of Science:
- Health Psychology
- Medical Sociology
- Public Health
Background:
- The understanding of wellness and illness has significantly shifted since the mid-20th century.
- Definitions have moved from a disease-focused approach to a more person-centered perspective for mental health.
- The paradigm has transitioned from an "absence of disease" model to one emphasizing positive psychological functioning.
Observation:
- Current definitions distinguish wellness as positive self-regard and life enthusiasm, versus illness as the presence of disease.
- These updated definitions are applicable to both physical and mental health contexts.
- The article examines the evolution of these concepts and their significance.
Findings:
- Wellness is now understood as a state of positive psychological function and enthusiasm.
- Illness is defined by the presence of disease, applicable across physical and mental health.
- The shift impacts how health and healthcare reforms are conceptualized.
Implications:
- Health reform now incorporates health promotion and well-being development.
- Healthcare reform focuses on disease treatment and rehabilitation efforts.
- Understanding these evolving definitions is crucial for effective health and healthcare policy.
Related Concept Videos
Concepts of Health and Illness
Dimensions of Health and Illness
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results from...
Classification of Illness
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
Diagnostic and Statistical Manual of Mental Disorders (DSM)