The concepts of salutogenesis and Antonovsky's sense of coherence are intro
duced. Salutogenesis and sense of coherence are based upon factors (i.e., c
omprehensibility, manageability, and meaningfulness) that promote health ra
ther than those factors that cause disease. This study investigated the rel
ationship between sense of coherence and adjustment in individuals with a d
isability (i.e., 89 college students with disabilities). Results indicated
a positive correlation between sense of coherence and adjustment (P < .01)
The subscales of sense of coherence accounted fur 77% of the variance in ad
justment, with the meaningfulness subscale accounting for the greatest perc
entage. The value of these paradigms and implications for rehabilitation co
unseling are discussed.