Ch 5: Celebrating Our Best

Pataasin ang iyong marka sa homework at exams ngayon gamit ang Quizwiz!

Coaching generates positivity by fostering the ___, ___, and ___ that are needed for successful change.

Coaching generates positivity by fostering the capacity, resources, and processes that are needed for successful change.

Positive psychology: ___ people are more likely to engage in ___ behaviors

Positive psychology: happy people are more likely to engage in healthy behaviors

Positive Psychology ___ and ___ is a two-way street; one generates the other, an upward spiral.

Positivity and health is a two-way street; one generates the other, an upward spiral.

Positivity is a ___, not a ___; it is an essential component of good health and well-being.

Positivity is a necessity, not a luxury; it is an essential component of good health and well-being.

Problem Solving It is the nature of the human mind to zoom in and look at what's not working; to notice, analyze, and solve problems. But that does not necessarily make it the best or most effective strategy to use. Indeed, tackling problems head on often promotes ___ and ___ rather than fostering encouragement and readiness to change.

Problem Solving It is the nature of the human mind to zoom in and look at what's not working; to notice, analyze, and solve problems. But that does not necessarily make it the best or most effective strategy to use. Indeed, tackling problems head on often promotes resistance and discouragement rather than fostering encouragement and readiness to change.

The value of Appreciative Inquiry (AI) in Coaching: In AI, clients should be encouraged to identify and commit to SMART goals. What is a SMART goal?

SMART goal: Specific Measurable Actionable Realistic has a Timeline

What phase of the 5-D Cycle for Appreciative Inquiry (AI) is viewed as the most important in the coaching session?

The discovery phase of AI can be viewed as the most important phase in the coaching session.

The top 10 positive emotions: 1. ___ - connecting health and well being to higher purpose and life meaning 2. ___- creating a vision for the future 3. ___- uncovering strengths and talents and appreciating success in meeting goals 4. ___- setting goals that are engaging but not anxiety producing 5. ___- fostering trust, rapport, and connection with the coach harness social support 6. ___- identifying inspiring role models and heroes 7. ___- laughing at onset and positive situation 8. ___- improving awareness and enjoyment of thrilling 9. ___- appreciating life's gift, including its challenges 10. ___- stopping to savor the moments of contentment

The top 10 positive emotions: 1. Inspiration - connecting health and well being to higher purpose and life meaning 2. Hope- creating a vision for the future 3. Pride- uncovering strengths and talents and appreciating success in meeting goals 4. Interest- setting goals that are engaging but not anxiety producing 5. Love- fostering trust, rapport, and connection with the coach harness social support 6. Awe- identifying inspiring role models and heroes 7. Amusement- laughing at onset and positive situation 8. Joy- improving awareness and enjoyment of thrilling 9. Gratitude- appreciating life's gift, including its challenges 10. Serenity- stopping to savor the moments of contentment

The top 10 positive emotions: 1. ___ :connecting health and well being to higher purpose and life meaning

The top 10 positive emotions: 1. Inspiration :connecting health and well being to higher purpose and life meaning

The top 10 positive emotions: 10. ___- stopping to savor the moments of contentment

The top 10 positive emotions: 10. Serenity- stopping to savor the moments of contentment

The top 10 positive emotions: 2. ___- creating a vision for the future

The top 10 positive emotions: 2. Hope- creating a vision for the future

The top 10 positive emotions: 3. ___- uncovering strengths and talents and appreciating success in meeting goals

The top 10 positive emotions: 3. Pride- uncovering strengths and talents and appreciating success in meeting goals

The top 10 positive emotions: 4. ___- setting goals that are engaging but not anxiety producing

The top 10 positive emotions: 4. Interest- setting goals that are engaging but not anxiety producing

The top 10 positive emotions: 5. ___- fostering trust, rapport, and connection with the coach harness social support

The top 10 positive emotions: 5. Love- fostering trust, rapport, and connection with the coach harness social support

The top 10 positive emotions: 6. ___- identifying inspiring role models and heroes

The top 10 positive emotions: 6. Awe- identifying inspiring role models and heroes

The top 10 positive emotions: 7. ___- laughing at onset and positive situation

The top 10 positive emotions: 7. Amusement- laughing at onset and positive situation

The top 10 positive emotions: 8. ___- improving awareness and enjoyment of thrilling

The top 10 positive emotions: 8. Joy- improving awareness and enjoyment of thrilling

The top 10 positive emotions: 9. ___- appreciating life's gift, including its challenges

The top 10 positive emotions: 9. Gratitude- appreciating life's gift, including its challenges

The value of Appreciative Inquiry (AI) in Coaching: AI is a valuable tool for energizing, motivating, and mobilizing a client toward behavior change. It starts with the presumption that ___ __ ___ and them employs a ___ to help clients make it happen, thus elevating both ___-___ and ___-___.

The value of Appreciative Inquiry (AI) in Coaching: AI is a valuable tool for energizing, motivating, and mobilizing a client toward behavior change. It starts with the presumption that anything is possible and them employs a methodology to help clients make it happen, thus elevating both self-esteem and self-efficacy.

The value of Appreciative Inquiry (AI) in Coaching: No matter how well-crafted the strategy, a purely analytic approach will fail if it is not supplemented by a process that engages the client's heart and stirs the client's imagination. SMART goals must also be ___ goals.

The value of Appreciative Inquiry (AI) in Coaching: No matter how well-crafted the strategy, a purely analytic approach will fail if it is not supplemented by a process that engages the client's heart and stirs the client's imagination. SMART goals must also be compelling goals.

What considerations impact the dream-making process? Question of ___. What is life calling a client to be or become? Question of ___. What possibilities generate excitement for a client? Question of ___. What is the positive core that supports a client?

What considerations impact the dream-making process? Question of calling. What is life calling a client to be or become? Question of energy. What possibilities generate excitement for a client? Question of support. What is the positive core that supports a client?

When working on challenges with the AI framework, keep the following in mind: Acknowledge success- clients easily lose sight of their progress when they have setbacks or don't reach their goals as quickly as they wish. Keep reminding them of past ___ no matter how much or how little they have made.

When working on challenges with the AI framework, keep the following in mind: Acknowledge success- clients easily lose sight of their progress when they have setbacks or don't reach their goals as quickly as they wish. Keep reminding them of past progress no matter how much or how little they have made.

When working on challenges with the AI framework, keep the following in mind: Because coaching promotes client development within a learning partnership, it is important for coaches to solicit ___ form clients.

When working on challenges with the AI framework, keep the following in mind: Because coaching promotes client development within a learning partnership, it is important for coaches to solicit feedback from clients.

Four Discoveries of the AI Protocol: 1. Best Experience - even when people bring seemingly intractable challenges to the coaching session, it is important to encourage them to look at things through an ___ frame and a light of ___ wonder and interest - the coach who endeavors to stay ___, anticipate ___, reframe reality, evoke insight, and share stories enables clients to experience coaching as bringing out the best in them rather than the worst - using humor, laughter, and playfulness in AI ___ the behavior change process so that solutions ___ in scope, sustainability, and effectiveness

1. Best Experience - even when people bring seemingly intractable challenges to the coaching session, it is important to encourage them to look at things through an appreciative frame and a light of curious wonder and interest - the coach who endeavors to stay positive, anticipate greatness, reframe reality, evoke insight, and share stories enables clients to experience coaching as bringing out the best in them rather than the worst - using humor, laughter, and playfulness in AI energizes the behavior change process so that solutions expand in scope, sustainability, and effectiveness

5-D Cycle of Appreciative Inquiry: 1. ___ (clarifying) 2. ___ (appreciating) 3. ___ (envisioning) 4. ___ (co-constructing) 5. ___ (innovating)

5-D Cycle of Appreciative Inquiry: 1. Define (clarifying) 2. Discover (appreciating) 3. Dream (envisioning) 4. Design (co-constructing) 5. Destiny (innovating)

5-D Cycle of Appreciative Inquiry: 1. ___ What is the focus? (affirmative topic choice) => clarifying 2. ___ What give life? (the best of what is it) => appreciating 3. ___ What might be? (what the world is calling for => envisioning 4. ___ How can it be? (compelling goals) => co-constructing 5. ___ What will be? (how to empower, learn, and improvise) => innovating

5-D Cycle of Appreciative Inquiry: 1. Define: What is the focus? (affirmative topic choice) => clarifying 2. Discover: What give life? (the best of what is it) => appreciating 3. Dream: What might be? (what the world is calling for => envisioning 4. Design: How can it be? (compelling goals) => co-constructing 5. Destiny: What will be? (how to empower, learn, and improvise) => innovating

Appreciation Inquiry (AI) does not focus on ___ and ___ to fix; instead, clients are encouraged to acknowledge ___ and imagine ___ in order to rise above and outgrow their problems

Appreciation Inquiry (AI) does not focus on wellness and problems to fix; instead, clients are encouraged to acknowledge strengths and imagine possibilities in order to rise above and outgrow their problems

What is a philosophy as well as an approach for motivating change and enhancing well-being that focuses on exploring and amplifying the best in a person

Appreciation Inquiry (AI) is a philosophy as well as an approach for motivating change and enhancing well-being that focuses on exploring and amplifying the best in a person

As the positive psychology movement matures, so does the perspective on its goals. In the early states, there was strong focus on increasing one's ___ through positive emotions, engagement, and meaning. The end game was to feel ___.

As the positive psychology movement matures, so does the perspective on its goals. In the early states, there was strong focus on increasing one's happiness through positive emotions, engagement, and meaning. The end game was to feel good.

What are the five principles of Appreciative Inquiry (AI)?

Five Principles of Appreciative Inquiry: - The positive principle - The construction principle - The simultaneity principle - The anticipatory principle - The poetic principle

Five Principles of Appreciative Inquiry: - The ___ principle: Positive actions and outcomes stem from positive energy and emotion. This principle asserts that positive energy and emotion disrupts that positive energy and emotion disrupt downward spirals, building the aspirations of people into a dynamic force for transformational change. - The ___ principle: Positive energy and emotion stem from positive conversions and interactions, this principle asserts that positive energy and emotion are generated through positive conversions and interactions leading to positive outcomes - The ___ principle: This principle claims that conversations and interactions become positive the instant we ask a positive question, tell a positive story, or share a positive reflection - The ___ principle: This asserts, when there is a positive anticipation toward the future, everything tilts in that direction - The ___ principle: This asserts that the more one attends to the positive dimensions of the present moment; the more positive the intention for the future moments will be

Five Principles of Appreciative Inquiry: - The positive principle: Positive actions and outcomes stem from positive energy and emotion. This principle asserts that positive energy and emotion disrupts that positive energy and emotion disrupt downward spirals, building the aspirations of people into a dynamic force for transformational change. - The construction principle: Positive energy and emotion stem from positive conversions and interactions, this principle asserts that positive energy and emotion are generated through positive conversions and interactions leading to positive outcomes - The simultaneity principle: This principle claims that conversations and interactions become positive the instant we ask a positive question, tell a positive story, or share a positive reflection - The anticipatory principle: This asserts, when there is a positive anticipation toward the future, everything tilts in that direction - The poetic principle: This asserts that the more one attends to the positive dimensions of the present moment; the more positive the intention for the future moments will be

Five Principles of Appreciative Inquiry: The ___ principle: This asserts, when there is a positive anticipation toward the future, everything tilts in that direction

Five Principles of Appreciative Inquiry: The anticipatory principle: This asserts, when there is a positive anticipation toward the future, everything tilts in that direction

Five Principles of Appreciative Inquiry: The ___ principle: Positive energy and emotion stem from positive conversions and interactions, this principle asserts that positive energy and emotion are generated through positive conversions and interactions leading to positive outcomes

Five Principles of Appreciative Inquiry: The construction principle: Positive energy and emotion stem from positive conversions and interactions, this principle asserts that positive energy and emotion are generated through positive conversions and interactions leading to positive outcomes

Five Principles of Appreciative Inquiry: The ___ principle: This asserts that the more one attends to the positive dimensions of the present moment; the more positive the intention for the future moments will be

Five Principles of Appreciative Inquiry: The poetic principle: This asserts that the more one attends to the positive dimensions of the present moment; the more positive the intention for the future moments will be

Five Principles of Appreciative Inquiry: The ___ principle: Positive actions and outcomes stem from positive energy and emotion. This principle asserts that positive energy and emotion disrupts that positive energy and emotion disrupt downward spirals, building the aspirations of people into a dynamic force for transformational change.

Five Principles of Appreciative Inquiry: The positive principle: Positive actions and outcomes stem from positive energy and emotion. This principle asserts that positive energy and emotion disrupts that positive energy and emotion disrupt downward spirals, building the aspirations of people into a dynamic force for transformational change.

Five Principles of Appreciative Inquiry: The ___ principle: This principle claims that conversations and interactions become positive the instant we ask a positive question, tell a positive story, or share a positive reflection

Five Principles of Appreciative Inquiry: The simultaneity principle: This principle claims that conversations and interactions become positive the instant we ask a positive question, tell a positive story, or share a positive reflection

Four Discoveries of the AI Protocol: 2. Core Values - AI emphasize life-giving ___, core ___, generative ___, and heartfelt ___ as it energizes clients to learn to make new contributions and to express new ways of being in the world. - the challenge is to enable clients not only to deliver on their promises but also to go beyond them. - this happens when clients learn to ___, ___, and ___ so that they can take bigger, bolder, and better actions in the service of their dreams

Four Discoveries of the AI Protocol: 2. Core Values - AI emphasize life-giving experiences, core values, generative conditions, and heartfelt wishes as it energizes clients to learn to make new contributions and to express new ways of being in the world. - the challenge is to enable clients not only to deliver on their promises but also to go beyond them. - this happens when clients learn to experiment, innovate, and improvise so that they can take bigger, bolder, and better actions in the service of their dreams

Four Discoveries of the AI Protocol: 3. Generative Conditions - a masterful coach pays attention to the large ___ at play in a client's life rather than just the ___ goal or task. - AI avoids fragmented ___ by recognizing the totality of the ___. - for example, one of the more impactful consequences of the constructionist principle for coaching is in the area of ___-___.

Four Discoveries of the AI Protocol: 3. Generative Conditions - a masterful coach pays attention to the large dynamics at play in a client's life rather than just the immediate goal or task. - AI avoids fragmented interventions by recognizing the totality of the whole. - for example, one of the more impactful consequences of the constructionist principle for coaching is in the area of self-improvement

Four Discoveries of the AI Protocol: 4. Three Wishes - Tell me about your hopes and dreams for the future... - If you found a magic lamp and a genie were to grant you three wishes, what would they be? - the purpose of these discoveries is to boost the ___ and strengthen ___-___ of clients through the vivid reconnaissance of mastery experiences

Four Discoveries of the AI Protocol: 4. Three Wishes - tell me about your hopes and dreams for the future... - If you found a magic lamp and a genie were to grant you three wishes, what would they be? - the purpose of these discoveries is to boost the energy and strengthen self-efficacy of clients through the vivid reconnaissance of mastery experiences

Who contended in 2009 that the way to happiness was to flourish through cultivating positivity in order to be optimally resilient in the face of negativity?

Fredrickson (2009) contended that the way to happiness was to flourish through cultivating positivity in order to be optimally resilient in the face of negativity

Given the value of positive emotions, Appreciation Inquiry (AI) is a valuable coaching tool for ___ and ___ the best of what is and what could be.

Given the value of positive emotions, Appreciation Inquiry (AI) is a valuable coaching tool for evaluating and celebrating the best of what is and what could be.

In the "Design" phase of the 5-D Cycle of Appreciative Inquiry - ___ represent actions that clients promise to take in response to the requests of others - ___ represent actions that clients volunteer to take - ___ represent actions that clients seek from others in order to successfully implement the design

In the "Design" phase of the 5-D Cycle of Appreciative Inquiry - commitments represent actions that clients promise to take in response to the requests of others - offers represent actions that clients volunteer to take - requests represent actions that clients seek from others in order to successfully implement the design

Seligman (2011) introduced the PERMA model of well-being with five components to expand on his initial thinking. What are the five components of the model?

Seligman (2011) introduced the PERMA model of well-being with five components to expand on his initial thinking: - positive emotion - engagement - relationship - meaning - achievement

Who introduced the PERMA model of well-being?

Seligman introduced the PERMA model of well-being (2011).

What is the transformational change process (works with large groups and individuals) developed from the five principles of Appreciative Inquiry (AI)?

The 5-D Cycle of Appreciative Inquiry is the transformational change process (works with large groups and individuals) developed from the five principles of Appreciative Inquiry (AI)

The 5-D Cycle of Appreciative Inquiry: Define - The process starts by securing an ___ between coach and client as to what to learn (topic choice) and how the client wants to learn it (method choice). - The effectiveness of the AI process depends on the agreement being both ___ and ___. Some clients may not be ready, willing, or able to implement a strength-based approach to transformational change. - Express ___ as an entry point to move the conversation forward. - In the absence of ___ ___ after a reasonable amount of time, clients may make more progress with a therapist or counselor by developing ways to heal or process ___ ___ and experiences.

The 5-D Cycle of Appreciative Inquiry: Define - The process starts by securing an agreement between coach and client as to what to learn (topic choice) and how the client wants to learn it (method choice). - The effectiveness of the AI process depends on the agreement being both clear and appropriate. Some clients may not be ready, willing, or able to implement a strength-based approach to transformational change. - Express compassion as an entry point to move the conversation forward. - In the absence of forward movement after a reasonable amount of time, clients may make more progress with a therapist or counselor by developing ways to heal or process negative emotions and experiences.

The 5-D Cycle of Appreciative Inquiry: Design - the design phase of the AI process gives dreams legs by working to align the client's ___ with the dream - It is important to make the design phase as detailed an personal as possible. Encourage clients to make commitments, offers, and requests with a close horizon.

The 5-D Cycle of Appreciative Inquiry: Design - the design phase of the AI process gives dreams legs by working to align the client's infrastructure with the dream - It is important to make the design phase as detailed an personal as possible. Encourage clients to make commitments, offers, and requests with a close horizon.

The 5-D Cycle of Appreciative Inquiry: Destiny - the purpose of AI is to elevate both the ___ energy and ___-___ of clients in order to assist them in realizing their destinies - it is not just a feel-good process; it is also an ___ process that makes dreams come true and makes dreaming intrinsic to the client's way of being in the world

The 5-D Cycle of Appreciative Inquiry: Destiny - the purpose of AI is to elevate both the positive energy and self-efficacy of clients in order to assist them in realizing their destinies - it is not just a feel-good process; it is also an action process that makes dreams come true and makes dreaming intrinsic to the client's way of being in the world

The 5-D Cycle of Appreciative Inquiry: Discover - Once the learning agreement is clear, the next step is to assist clients in ___ promising examples of the desired outcomes, both past and present. - To facilitate the discovery process, AI has developed an appreciative interview ___ that can be adapted and used by coaching process. It is particularly effective when clients are ___ or struck. - The discovery phase of AI can be viewed as the most important phase in the coaching session. It elevates ___ and lays the ___ for all that follows. That's why it's so important to not rush through the discovery process in order to get goal setting.

The 5-D Cycle of Appreciative Inquiry: Discover - Once the learning agreement is clear, the next step is to assist clients in discovering promising examples of the desired outcomes, both past and present. - To facilitate the discovery process, AI has developed an appreciative interview protocol that can be adapted and used by coaching process. It is particularly effective when clients are discouraged or struck. - The discovery phase of AI can be viewed as the most important phase in the coaching session. It elevates self-confidence and lays the foundation for all that follows. That's why it's so important to not rush through the discovery process in order to get goal setting.

The 5-D Cycle of Appreciative Inquiry: Dream - once clients have discovered the best of "what is," it is time to encourage them to envision the best of "what might be." - in the dream-making process, AI encourages the use of both ___ brain and ___ brain activities - several considerations impact the dream making process: - question of ___ - question of ___ - question of ___ - when the dream becomes a ___ that beckons and an anticipatory field that surrounds and supports a client's best self, it is time move on to design

The 5-D Cycle of Appreciative Inquiry: Dream - once clients have discovered the best of "what is," it is time to encourage them to envision the best of "what might be." - in the dream-making process, AI encourages the use of both left brain and right brain activities - several considerations impact the dream making process: - question of calling - question of energy - question of support - when the dream becomes a target that beckons and an anticipatory field that surrounds and supports a client's best self, it is time move on to design

What are the four discoveries of the AI Protocol?

The AI Protocol Includes Four Discoveries: 1. Best Experience 2. Core Values 3. Generative Conditions 4. Three Wishes

Where is a good place to start when clients do not have a clear focus?

The Appreciative Inquiry (AI) is a good place to start when clients do not have a clear focus

When working on challenges with the AI framework, keep the following in mind: Coach and client and the environment- designing environments to be ___ of a client's goals and promises is essential for client success - a strength-based approach to coaching does not work in isolation from a client's ___ - friends, colleagues, and relatives can provide ___ support, practical support, partnering, or listening ears (e.g. exercise with someone, phoning someone periodically, reporting progress regularly to someone)

When working on challenges with the AI framework, keep the following in mind: Coach and client and the environment- designing environments to be supportive of a client's goals and promises is essential for client success - a strength-based approach to coaching does not work in isolation from a client's environment - friends, colleagues, and relatives can provide emotional support, practical support, partnering, or listening ears (e.g. exercise with someone, phoning someone periodically, reporting progress regularly to someone)

When working on challenges with the AI framework, keep the following in mind: It is "trial and correction" not "trial and error" - Trial and correction, rather than trial and error, underlies AI. The process is analogous to the nearly universal human experience of learning how to walk. Watching people and listening awakens our ___, evoking more robust motivation for ___.

When working on challenges with the AI framework, keep the following in mind: It is "trial and correction" not "trial and error" - Trial and correction, rather than trial and error, underlies AI. The process is analogous to the nearly universal human experience of learning how to walk. Watching people and listening awakens our ambitions, evoking more robust motivation for change.

When working on challenges with the AI framework, keep the following in mind: My certainty is greater than your doubt- great coaches come from this framework, but know that it is better to not directly make this argument to their clients. Great coaching communicates a calm energy of ___ on which clients can build and from which they can learn.

When working on challenges with the AI framework, keep the following in mind: My certainty is greater than your doubt- great coaches come from this framework, but know that it is better to not directly make this argument to their clients. Great coaching communicates a calm energy of confidence on which clients can build and from which they can learn.

When working on challenges with the AI framework, keep the following in mind: Speak the truth in love- if the definition of love includes "___ ___," it is important for coaches to bring this to the coaching relationship, especially in times of challenges. Clients who are not fully engaged, honest with themselves, following through on their promises, working hard, and/or making progress may benefit from coaches reflecting these perceptions.

When working on challenges with the AI framework, keep the following in mind: Speak the truth in love- if the definition of love includes "mutual care," it is important for coaches to bring this to the coaching relationship, especially in times of challenges. Clients who are not fully engaged, honest with themselves, following through on their promises, working hard, and/or making progress may benefit from coaches reflecting these perceptions.

When working on challenges with the AI framework, keep the following in mind: Stay in a positive frame: it is human nature to selectively notice and focus on ___; that's why news headlines get our attention when they focus on tragedies and scandals. Acknowledge the problem and then invite them to look at it from a different ___. Two possible questions to ask to make the shift from a traditional problem-solving approach are: - How did this make a positive contribution to your development? - How else would you describe this situation?

When working on challenges with the AI framework, keep the following in mind: Stay in a positive frame: it is human nature to selectively notice and focus on problems; that's why news headlines get our attention when they focus on tragedies and scandals. Acknowledge the problem and then invite them to look at it from a different perspective. Two possible questions to ask to make the shift from a traditional problem-solving approach are: - How did this make a positive contribution to your development? - How else would you describe this situation?

When working on challenges with the AI framework, keep the following in mind: Use AI to handle a client's self-sabotage- avoid "___" with clients who are not meeting their goals or following through on their promises week after week. Instead, use the ___-___ ___ to make sure the goals and promises are exciting to the client's capacity. If, after employing these strategies and not provoking resistance, the coach still cannot assist a client to move forward, it may be true that the client is experiencing challenges that go deeper than coaching can resolve. If so, it may be time to make a ___ referral.

When working on challenges with the AI framework, keep the following in mind: Use AI to handle a client's self-sabotage- avoid "wrestling" with clients who are not meeting their goals or following through on their promises week after week. Instead, use the 5-D cycle to make sure the goals and promises are exciting to the client's capacity. If, after employing these strategies and not provoking resistance, the coach still cannot assist a client to move forward, it may be true that the client is experiencing challenges that go deeper than coaching can resolve. If so, it may be time to make a therapeutic referral.

When working on challenges with the AI framework, keep the following in mind: You have what it takes to succeed- if a coach does not believe in the ___ and innate ___ of their client, it will negatively impact progress toward improved health and well-being.

When working on challenges with the AI framework, keep the following in mind: You have what it takes to succeed- if a coach does not believe in the ambitions and innate abilities of their client, it will negatively impact progress toward improved health and well-being.


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