A sense of control, health, and illness: exploring the mind-body relationship and the socio-cultural/spiritual context: reflections on Bali.

Research has shown that there is a much more intimate and complex relationship between the "mind" and "body" than heretofore acknowledged within the predominant Western scientific paradigm; and that a "sense of control" may be one of the more important variables mediating that relationship. Furthermore, even when this "mind-body" relationship is studied, it is often done so in a reductionist way--at a psychophysiological level within the individual, thereby ignoring the socio-cultural context within which it is embedded. To address these issues, this article examines the mind-body relationship within the socio-cultural/spiritual context of Bali. Specifically examined are: (1) the culture's underlying assumptions about the mind-body-spirit connection across developmental and life cycle issues (including physical illness, and death); (2) the importance of maintaining a sense of control, harmony, and balance, within oneself, one's community, and the cosmos; and (3) the implications of those views for a control-based model of positive health. The article concludes with: (1) a discussion of why control seems to be such an important "construct" in human evolution; (2) an examination of the costs and benefits of different methods of maintaining a sense of control and orientation; and (3) and a call for efforts toward a unifying theory of human control.