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Green Care: A Conceptual Framework - Frisk i naturen

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down to three concepts or dimensions called Comprehensibility,<br />

Manageability and Meaningfulness. These can be measured as independent<br />

dimensions with three subscales (Antonovsky, 1987). Antonovsky states<br />

that Sense of Coherence depends on cognitive, affective, motivational and<br />

existential factors. He draws on the works in existential psychiatry and<br />

existential psychotherapy of Victor Frankl (Frankl, 1963, 1978; Frankl et al<br />

1970); and concerning coping, on the theories of Lazarus (1984).<br />

Antonovsky assumed that patients with a high SOC score would be<br />

more resilient to the effect of stressors and would cope better with these<br />

experiences than those patients with a lower SOC score (Antonovsky, 1984;<br />

Antonovsky, 1987). The SOC score can be used both as a mediator and a<br />

moderator (Eriksson, 2006).<br />

References<br />

Antonovsky, A. (1979) Health, Stress, and Coping, San Francisco: Jossey-Bass.<br />

Antonovsky, A. (1984) ‘The sense of coherence as a determinant of health’, In J. D. Matarazzo (Ed.)<br />

Behavioral Health: a Handbook of Health Enhancement and Disease Prevention, 114-129, New York:<br />

Wiley.<br />

Antonovsky, A. (1985) ‘The life-cycle, mental-health and the sense of coherence’. Israel Journal of<br />

Psychiatry and Related Sciences, 22, 273-280.<br />

Antonovsky, A. (1987) Unravelling the Mystery of Health: How People Manage Stress and Stay Well.<br />

San Francisco: Jossey-Bass.<br />

Antonovsky, H. and Sagy, S. (1986) ‘The development of a sense of coherence and its impact on<br />

responses to stress situations’. Journal of Social Psychology, 126, 213-225.<br />

Eriksson, M. (2006) ‘Antonovsky’s sense of coherence scale and the relation with health: a systematic<br />

review’. Journal of Epidemiological Community Health, 60, 376-381.<br />

Frankl, V. E. (1963) Man’s Search for Meaning: An Introduction to Logotherapy. New York:<br />

Washington Square Press.<br />

Frankl, V. E. (1978) The Unheard Cry for Meaning: Psychotherapy and Humanism. New York: Simon<br />

and Schuster.<br />

Frankl, V. E., Crumbaugh, J. C., Maholick, L. T. and Gerz, H. O. (1970) Psychotherapy and<br />

Existentialism: Selected Papers on Logotherapy, London: Souvenir.<br />

Lazarus, R. S. and Folkman, S. (1984) Coping and Adaption. In W. D. Gentry (ed.) Handbook of<br />

Behavioral Medicine, 282-325, New York: Guilford.<br />

82 <strong>Green</strong> <strong>Care</strong>: A <strong>Conceptual</strong> <strong>Framework</strong>

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