Dennis:  I am disturbed by what you imply is REALY (your all caps) health
promotion, and what is not 'REAL'.

Defining the boundaries of health promotion is much needed. However, I would
have thought that health  behaviour change ( wellness as well as risk focused)
at the individual level is still a core component.

As you know, I frame individual behaviour change within a  context of expanding
levels of influence:family/friends, groups, organizations, communities,
societies.

The key principle is 'reciprocal determinism': ie. the person influenced by a
context and the context influenced by a person.

Maybe I  have it all wrong about what is and what is not REAL. In that case, I
will have to turn in my health promotion card.

Harvey.


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      Harvey A. Skinner   PhD
          Professor and Chair
               Department of Behavioural Science
          Acting Chair
               Department of Preventive Medicine and Biostatistics
          Acting Chair
               Graduate Department of Community Health
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          Faculty of Medicine, McMurrich Building
          University of Toronto
          Toronto,  Ontario,  Canada   M5S 1A8

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