• During my post-doctoral work I noticed a fundamental lack of understanding about psychological adaptation and hope to illness. This knowledge is fundamental to living and coping to illness.

What is MEAH?

  • MEAH provides a novel way to understand peoples' responses to change, challenge and illness.  

  • A screening tool for mental health was developed to work using the model to allow a brief assessment of mental health.

What is the response to MEAH?

  • The response to MEAH from a variety of stakeholders has been very positive. Feedback I have received includes:

  • it has given me a fresh way to look at my patient” (Health Care Professional).

  • It has been very useful to me and my wife to be able to plot my adaptation to my degenerative chronic illness and it has facilitated a number of fundamental positive steps that have really helped my mental health” (Individual with an illness).

  • Initial work with health care professionals students during COVID has established that a short screening and support session can positively impact emotions, hope and adaptation. 

How does MEAH work?

  • The MEAH is used to 'map' or plot a specific named difficulty, challenge that is perceived. The MEAH uses specific questions to screen this difficulty for an adaptive response. The screening relates to four questions that consider hope, psychological adaptation and emotions. 

What does MEAH look like​ as a map?

  • The MEAH looks like an axis of a three dimensional graph or map (see Figure 1 below). The map provides the position of a named difficulty or challenge identified as part of a screening tool. 
  • It represents a dimension relating to hope (Y axis of the X-Y axis), a dimension relating to psychological adaptation (X axis of the X-Y axis) and two dimensions (X-Z axis) relating to emotions. 
  • The hope dimension (Y axis on the X-Y axis). This identifies that expressions and responses that relate to hope. This expression can illustrate reactions that range from hopelessness  to complete or concrete hope.

  • The adaptation dimension (X axis on the X-Y axis). This identifies expressions and responses that relate to the ability to accept. This expression can illustrate reactions that range from denial or rejection of what is happening (inability to accept) to complete embracement of what is happening. 

  • The emotional dimensions of energy (Z axis on the Z-X axis) and pleasantness (X axis on the Z-X  axis). This identifies a range of emotional responses that are representative of varied emotions that accompany illness or significant loss or change. 


press to zoom

press to zoom

Figure 1. The MEAH 

Understand the Concepts Further

You can further your understanding of the concepts which are related to the MEAH by clicking here

The MEAH and Story Plots

One of the most fundamental developments of the MEAH is how it can be used to understand the plots of stories people tell. The main implication of this is that the stories people tell have important psychological meaning that is hiddenClick here to see this.

We have developed training for health care professionals to support patients using the MEAH as the science of how to interact during significantly challenging conversations.

The MEAH training manuals

Consider this page if you want to learn more about how training is being developed which uses MEAH. Click here to see this. 


To consider our post casts please click here

  • LinkedIn Social Icon
  • Facebook
  • Twitter