Sense of coherence and salutogenesis
Medical sociologist Aaron Antonovsky proposed salutogenesis, a framework focused on how people maintain health and cope well under stress, as an alternative to the traditional pathogenesis approach of searching for the causes of disease. Sense of coherence (SOC), built from comprehensibility, manageability, and meaningfulness, is the central concept within that framework.
How it differs from resilience
Resilience tends to focus on the ability to bounce back after going through hardship, while sense of coherence is a broader, more stable disposition about how consistently and meaningfully someone perceives the world and their own life in general. Research suggests people with a strong sense of coherence also tend to show stronger resilience when stressful situations arise.
Frequently Asked Questions
Is sense of coherence something you're born with, or something you develop?
Antonovsky believed it forms relatively stably through experiences from childhood into early adulthood and then stays fairly consistent afterward. Later research, though, suggests it can still shift somewhat through significant adult experiences or deliberate intervention.
Does a low sense of coherence guarantee health problems?
No. Studies show that a stronger sense of coherence is associated with better stress coping and generally better health, but this is closer to a correlation than proof that it directly causes or prevents any specific illness.