The sixteenth module of the EPEC-O (Education in Palliative and End-of-Life Care for Oncology) Self-Study: Cultural Considerations When Caring for African Americans explores the importance of spirituality in the lived experience of most African Americans, and how they utilize spirituality and religion to cope with serious stressors such as life-threatening illness.
Zappone, Katherine E.
Argues that spirituality is often poorly handled in religious education because traditional descriptions of it fail to touch all people. Examines the nature of Christian spirituality found among feminists and Latin Americas' poor. Discusses how these views of spirituality can be used to encourage the integration of critical reflection,…
We defined a spiritual pain as feelings of failure and regret at end-of-life, followed by hopelessness and worthlessness in patient's own life. In Japanese, spiritual pain should be assessed in patient's dignity, psycho-social factor, and prognostic stage, not only in religious context. And patient's spirituality should be supported with providing pain and symptom relief based on human relationships. "Sterbebegleitung" is a German proverb, introduced by Alfons Deeken, and seemed to be a suggestive word for such hope-recovering relationships. PMID:21950035
This article explores the concept of embodied spirituality from early Celtic traditions through the British medieval mystic Julian of Norwich to the present day. A "high theology" of the body in early Christianity and early Christian understandings of the relation among body, soul and spirit gave way to the influences of Greek thought with its…
Abbasi, Mojgan; Farahani-Nia, Marhamat; Mehrdad, Neda; givari, Azam; Haghani, Hamid
Background: Spiritual care should be considered an important part of holistic and multidisciplinary care and it has not been given much importance so far. We should begin with student nurses, who will soon be clinicians, to find out about potentiality of the nursing profession to put spiritual care into practice. Little has been known about spiritual well-being, spirituality, and spiritual care perspectives among nursing students. In this study, a comparison has been made in spiritual well-being, spirituality, and spiritual care perspectives between the first and fourth year baccalaureate nursing students. Materials and Methods: This is a descriptive–comparative study that was carried out among 283 nursing students. All the students were Iranians studying in the universities of Iran, Tehran, and Shahid Beheshti medical sciences. They volunteered to participate in the study. There were 105 first year students and 178 fourth year students. The questionnaires used were on Spiritual Well-being (SWB) Scale, Spiritual Perspective Scale (SPS), and Nursing Spiritual Care Perspective Scale (NSCPS). The statistical analysis was performed using the SPSS software, version 10. The data were analyzed using descriptive statistics (distribution frequency, mean, and standard deviation). Mann–Whitney test was to compare each item and independent t-test to compare the mean values of two groups. Results: Regarding spiritual well-being, there were no significant differences between the two groups. 98.8% of the first year students and 100% of the fourth year students were in the category of moderate spiritual well-being. Neither were there any significant differences between the two groups in spiritual perspective and spiritual care perspectives. Conclusions: The scores of fourth year nursing students were similar to those of first year students in spiritual well-being, spirituality, and spiritual care perspectives, though the fourth year students had already undergone 4-year
Wakefield, Dara V.
Spiritual living demands growth, and spiritual development has many parallels with human development. Ministers who are knowledgeable of the various stages are best prepared to assist and optimize spiritual growth. The primary benefit of nurturing believers through developmental stages is assured spiritual health and maturity in the context of a…
Hogan, Michael J.
It is a mistake to ignore the scientific study of spirituality. Research examining the structure and function of concepts such as "spirit" and "spirituality" is likely to reveal new insights into the relationship between a functional spirituality and other thinking skills, including creativity. The study of spirituality should not stand alone as a…
True holistic care requires attention to spiritual as well as physical needs, but many health care providers do not feel comfortable discussing spiritual matters with clients. Although recognized by national nursing groups as a standard of care, nurses are not well prepared or rewarded for spiritual care efforts. There are several spiritual assessment tools available and many suggestions for interventions, but little research-based evidence on the effectiveness of spiritual care assessments or interventions. Nurses are well positioned by their continued intimate contact with clients and the importance of caring to nursing to lead the health care profession in developing spiritual care theory and practices. PMID:17544683
Ponds, Kenneth T.
Research on positive psychology indicates that spiritual strengths can be important in helping individuals overcome crisis and loss. Encounters with difficult challenges of life inspire people to think more deeply about their spiritual and religious beliefs and the meaning of life. Spirituality, faith, and religious roots have been shown to be…
Dangwal, Kiran Lata; Singh, Shireesh Pal
Spiritualism is one word which puts man on the highest plinth of life. Spirituality is the way we find meaning, hope, comfort and inner peace in life. Spirituality in the virtual World is generally known as Virtual Spirituality. A goldmine of wisdom from all kinds of religious and spiritual philosophies, traditions and practices can be found in…
Ross, L A
In this paper the author relates how she initially became interested in spiritual care. A synopsis of a literature review is given in which the spiritual dimension is defined and evidence presented for its influence on health, well-being and quality of life. Spiritual care is also presented as part of the nurse's role. However, it is acknowledged that there is a lack of guidelines for the practice of spiritual care. A conceptual framework for the latter is, therefore, proposed by the author. As little is currently known about how nurses perceive the spiritual dimension and their role in spiritual care, the findings from a doctoral study, which examined these issues, are reported and discussed. The descriptive study was part of the author's PhD thesis (Waugh 1992). PMID:8014303
... cancer, may cause spiritual distress. Religious and spiritual values are important to patients coping with cancer. Studies have shown that religious and spiritual values are important to Americans. Most American adults say that they ...
Puchalski, Christina M
This article presents an overview of spirituality as an essential domain of geriatrics palliative care, and provides guidelines for clinicians to diagnose spiritual distress and to integrate spirituality into their clinical practice. PMID:25920059
Shaw, Jon A
The phenomenology of mystical experiences has been described throughout all the ages and in all religions. All mystical traditions identify some sense of union with the absolute as the ultimate spiritual goal. I assume that the pathway to both theistic and secular spirituality and our readiness to seek a solution in a psychological merger with something beyond the self evolves out of our human experience. Spirituality is one of man's strategies for dealing with the limitations of the life cycle, separation and loss, biological fragility, transience, and non-existence. Spirituality may serve as the affective component to a belief system or myth that is not rooted in scientific evidence but is lived as if it is true. Spirituality may take many forms, but I will suggest that in some instances it may serve as a reparative process in which one creates in the external world, through symbolic form, a nuance or facet of an internalized mental representation which has become lost or is no longer available to the self; or it may represent the continuity of the self-representation after death through a self-object merger. Lastly I will illustrate from the writings of two of our greatest poets, Dante Alighieri and William Wordsworth, how their poetry became interwoven with a profound spirituality. In Dante we will see the elaboration of a religious spirituality, while in the writings of Wordsworth a secular spirituality emerges interwoven with nature and belatedly his identification with "tragic man" as his mythos. PMID:16599401
Few concerned with educational theory and policy could have failed to notice the recent upsurge of interest in the notion of spiritual development as a possible aim or goal of public or common schooling. A more presently pressing question, however, is that of the pedagogical means by which theorists of spiritual education might cultivate any…
National and international professional health and nursing guidelines recommend that attention should be given to the spiritual and religious needs of patients. This suggests that spiritual care is an important aspect of holistic patient care that needs to be considered and supported, if relevant, in a healthcare context. PMID:27615352
Dailey, Stephanie F.; Robertson, Linda A.; Gill, Carman S.
This article describes a follow-up analysis of the Spiritual Competency Scale, which initially validated ASERVIC's (Association for Spiritual, Ethical and Religious Values in Counseling) spiritual competencies. The study examined whether the factor structure of the Spiritual Competency Scale would be supported by participants (i.e., ASERVIC…
Those matters that are judged to be spiritual are seen as especially valuable and important. For this reason it is claimed that nurses need to be able to offer spiritual care when appropriate and, to aid them in this, nurse theorists have discussed the nature of spirituality. In a recent debate John Paley has argued that nurses should adopt a naturalistic stance which would enable them to employ the insights of modern science. Barbara Pesut has criticized this thesis, especially as it is applied to palliative care. This paper re-examines this debate with particular attention to the meaning of 'spirituality' and the justification for accepting spiritual and religious theories. It is argued that when we take into consideration the great diversity among religious and spiritual ideas, the lack of rational means of deciding between them when they conflict, and the practicalities of nursing, we find that a spiritual viewpoint is less useful than a naturalistic one, when offering palliative care. PMID:19291195
The inclusion of spirituality in addictions recovery began with the 12-steps program of Alcoholics Anonymous. Cofounded by Bill Wilson, the 12-steps' spiritual orientation is based on Wilson's own recovery from alcoholism that was associated with a spiritual experience. His correspondence with Carl Jung, who verified the importance of Wilson's experience, empowered Wilson to make spirituality central to the 12 steps. Spirituality remains a source of misunderstanding between the scientific, empirically informed mental health community, and the 12-step recovery movement. This article offers an outline of spiritual development, based on neuroscience, which the professional can utilize in the spiritual aspect of a patient's recovery. PMID:24041179
The natural science base of modern medicine influences the way in which medicine is delivered and may ignore the spiritual factors associated with illness. The history of spirituality in healing presented here reflects the growth of scientific knowledge, demands for religious renewal, and the shift in the understanding of the concept of health within a broader cultural context. General practitioners have been willing to entertain the idea of spiritual healing and include it in their daily practice, or referral network. Recognizing patients' beliefs in the face of suffering is an important factor in health care practice. PMID:1777299
Schaller, M D; Martinuz, M; Kraehenbuehl, N; Odier, C
Taking care of a critically-ill patient is of high complexity level, as it includes bio-pschosocial and cultural aspects. Until recently, physicians have paid little attention to spirituality, although it constitutes the essential of human being. Spiritual need may reveal to be of utmost importance and has influence on bio-psycho-social aspects for a patient experiencing severe disease with threatening outcome and near death. A physician may transfer the problem to a specialist, a chaplain, or may personally be able to assess this need. To put a bio-psycho-social-spiritual model of care into practice, health care givers including chaplains should set up a team work. Their educational programs should include spirituality care training. Swiss intensivists should acquire the competency to take care of their patients in a holistic manner. PMID:17236327
Palmer, Parker J.
Describes three spiritual practices: study of sacred texts, prayer and contemplation, and community life. Shows how each practice has a counterpart in secular education. Provides a critique of modern objective knowing and the validity of types of knowledge. (SK)
Barron, Earle P
This article considers the relationships of allergic reactions to substances and emotions. It deals with spiritual sensitivity as well. Resistance is a key to allergic reactions: Allergic reactions involve the body's resistance to substances, emotions, and their energies. A major problem in spiritual formation is resistance to giving up the prideful and self-centered position and moving into loving relationships. It is sometimes possible from an alternative approach to promote spirituality by treating allergy. In spiritual formation, one may sometimes decrease allergic tendencies by giving up pride and other negative emotions. I propose that the alternative method I advocate not only reduces symptoms but deals with causes on an energetic level. It works with physical, emotional and spiritual factors. It provides new ways for counselors and spiritual directors to quickly get to basic issues and clear negative emotions and beliefs. This may be accomplished within or in connection with the therapists' or directors' particular religions, practices and/or therapeutic approaches. PMID:21404759
Miller, Lisa; Athan, Aurelie
Our theoretical orientation as educators is to teach with a spiritual foundation. Central to our perspective is that the classroom as an academic space is poised to facilitate profound spiritual evolution for students. A graduate course in psychotherapy using a Spiritual Awareness Pedagogy (SAP) offers students an opportunity to understand…
This article aims to provide an account of "spiritual prosperity," whereby various related mental capacities may be developed through an expanded range of learning processes. This account will be secular and humanistic, thereby circumnavigating the theology of spirituality in favour of psychological models. As spirituality remains "a slippery…
Krejci, Mark J.; Thompson, Kevin M.; Simonich, Heather; Crosby, Ross D.; Donaldson, Mary Ann; Wonderlich, Stephen A.; Mitchell, James E.
This study assessed the association between spirituality and psychopathology in a group of sexual abuse victims and controls with a focus on whether spirituality moderated the association between sexual trauma and psychopathology. Seventy-one sexual trauma victims were compared to 25 control subjects on spiritual well-being, the Eating Disorder…
Cashwell, Craig S.; Glosoff, Harriet L.; Hammond, Cheree
The phenomenon of spiritual bypass has received limited attention in the transpersonal psychology and counseling literature and has not been subjected to empirical inquiry. This study examines the phenomenon of spiritual bypass by considering how spirituality, mindfulness, alexithymia (emotional restrictiveness), and narcissism work together to…
Ross, Linda A.
Spiritual care that enhances patient well-being should be taught to nurses, but it is unclear how or if it is being taught, according to a survey of 685 Scottish nurses. Nurses should be aware of the spiritual dimension of their own lives, have experience and learning from crises, and collaborate with clergy in meeting patients' spiritual needs.…
Webster, R. Scott
A holistic approach to spirituality indicates a spiritual development that is relevant for all students and not just for those who have a religious background. However, debates in England surrounding spirituality in education often generally locate it within the religious domain (Blake, 1996; Carr, 1995, 1999; Isherwood, 1999). Conceptualizing…
Discusses the need to address spiritual beliefs in teacher education, arguing that: because spiritual impulses are so primary for many people, they must be addressed in teacher education; educators must recognize and cultivate students' spiritual motivations to teach and foster reflectivity; and student teachers must learn what they can legally…
This paper shows how palliative care developed as a reaction to the compartimentalized technical approach of modern medicine. But what does it mean if we say palliative care wants to treat patients as whole persons? A few pitfalls need to avoided. All disciplines involved in palliative care should act within the limits of their own specific professional role. Physicians and nurses should certainly not force patients into spiritual or religious discussions or practices. They should understand that religion and spirituality also influence the ethical (and thus medical) choices people make, respect their own conscience and worldview too and cultivate conscious compassion. PMID:21811369
Azarsa, Tagie; Davoodi, Arefeh; Khorami Markani, Abdolah; Gahramanian, Akram; Vargaeei, Afkham
Introduction: Nurses’ spiritual wellbeing and their attitude toward spirituality and competence of nurses in providing of spiritual care can affect the quality of care in nursing. The aim of this study was to evaluate spiritual wellbeing, attitude toward spiritual care and its relationship with the spiritual care competence among nurses. Methods: This was a correlational descriptive study conducted on 109 nurses working in the Intensive Care Units of Imam Reza and Madani hospitals in 2015, Tabriz, Iran. Data collection tools were a demographic data form and three standard questionnaires including Spiritual Wellbeing Scale, Spirituality and Spiritual Results: The mean score of the spiritual wellbeing was 94.45 (14.84), the spiritual care perspective was 58.77 (8.67), and the spiritual care competence was 98.51 (15.44). The linear regression model showed 0.42 variance between the spiritual care competence scores which were explained by the two aspects of spiritual wellbeing (religious health, existential health) and three aspects of spiritual care perspective (spirituality, spiritual care, personalized care). The spiritual care competence had a positive relationship with spiritual wellbeing and spiritual care perspective. Conclusion: Because of the nature of nursing and importance of close interaction of nurses with patients in ICUs, the higher nurses’ SW and the more their positive attitude toward spiritual care, the more they can provide spiritual care to their patients. PMID:26744730
Isaac, Kathleen S; Hay, Jennifer L; Lubetkin, Erica I
Addressing cultural competency in health care involves recognizing the diverse characteristics of the patient population and understanding how they impact patient care. Spirituality is an aspect of cultural identity that has become increasingly recognized for its potential to impact health behaviors and healthcare decision-making. We consider the complex relationship between spirituality and health, exploring the role of spirituality in primary care, and consider the inclusion of spirituality in existing models of health promotion. We discuss the feasibility of incorporating spirituality into clinical practice, offering suggestions for physicians. PMID:26832335
School leaders do work that is both demanding and draining. Amid the day-to-day pressures of managing their school districts, many are seeking inspiration and deeper meaning. As a result, some are increasingly looking to integrate their spirituality and their work. In this article, the author describes three individuals interviewed as part of the…
Selman, Victor; Selman, Ruth Corey; Selman, Jerry; Selman, Elsie
Drawing on the "new" [c. 2000], upgraded science of the human brain with its three different kinds of neural structures--mental, emotional and spiritual--Zohar  offers a model for structure, leadership and learning within an organization that allows them to thrive on uncertainty, deal creatively with rapid change, and realize the full…
Mische, Patricia, Ed.; And Others
Ten thematic articles explore the spiritual implications for the creation of a world of greater justice and peace. Examples of topics discussed in the articles follow. Some rather startling implications of recent findings in psychological and psychic research which suggest that we are at the threshold of new and deeper public understanding of the…
Kaiser, L R
The "s" word can now be spoken without flinching in health care organizations. Spirituality is becoming a common topic in management conferences around the world. Many U.S. corporations are recognizing the role of spirituality in creating a new humanistic capitalism that manages beyond the bottom line. Spirituality refers to a broad set of principles that transcend all religions. It is the relationship between yourself and something larger, such as the good of your patient or the welfare of the community. Spirituality means being in right relationship to all that is and understanding the mutual interdependence of all living beings. Physician executives should be primary proponents of spirituality in their organizations by: Modeling the power of spirituality in their own lives; integrating spiritual methodologies into clinical practice; fostering an integrative approach to patient care; encouraging the organization to tithe its profits for unmet community health needs; supporting collaborative efforts to improve the health of the community; and creating healing environments. PMID:10847945
Peteet, John R; Balboni, Michael J
Despite the difficulty in clearly defining and measuring spirituality, a growing literature describes its importance in oncology and survivorship. Religious/spiritual beliefs influence patients' decision-making with respect to both complementary therapies and aggressive care at the end of life. Measures of spirituality and spiritual well-being correlate with quality of life in cancer patients, cancer survivors, and caregivers. Spiritual needs, reflective of existential concerns in several domains, are a source of significant distress, and care for these needs has been correlated with better psychological and spiritual adjustment as well as with less aggressive care at the end of life. Studies show that while clinicians such as nurses and physicians regard some spiritual care as an appropriate aspect of their role, patients report that they provide it infrequently. Many clinicians report that their religious/spiritual beliefs influence their practice, and practices such as mindfulness have been shown to enhance clinician self-care and equanimity. Challenges remain in the areas of conceptualizing and measuring spirituality, developing and implementing training for spiritual care, and coordinating and partnering with chaplains and religious communities. PMID:23625473
The Spiritual Experience Index was developed to measure spiritual maturity in persons of diverse religious and spiritual beliefs. The scale was constructed from a developmental rather than a multidimensional conceptualization of faith. Initial findings from a religiously heterogeneous college sample indicated good reliability for the SEI and supported its use as a unidimensional measure. Higher scores on the SEI were significantly related to lower dogmatism and intolerance of ambiguity. The SEI was also moderately related to higher religious participation and positively correlated with intrinsicness and quest. However, compared with the intrinsic and quest scales, the SEI emerged as the strongest indicator of adaptive spiritual functioning. Directions for future research are suggested. PMID:24272766
Means, Darris R.; Jaeger, Audrey J.
This case study explored the spiritual journey and spaces of one Black gay male college student. Data collection included semi-structured interviews, field observations, and photovoice. Findings indicate that the student experienced tension during his spiritual journey because of his racial and sexual orientation identities but was able to…
Walker, Monica Windley; McPhail, Christine Johnson
The purpose of this study was to explore community college president and chancellor perceptions of the phenomenon of spirituality and the role of spirituality in their leadership style. A hermeneutic phenomenological research design guided this study. A total of 14 community college presidents and chancellors were purposely selected and…
Witherspoon, Noelle; Taylor, Dianne L.
The historic connection of religion and spirituality to women, education, advocacy, and leadership is prevalent in Black American histories in general and the role of the religion and spirit in promoting education and socialisation. Important in this history is the intersection of spirituality and leadership for Black American women. This research…
Brantmeier, Edward J., Ed.; Lin, Jing, Ed.; Miller, John P., Ed.
"Spirituality, Religion, and Peace Education" attempts to deeply explore the universal and particular dimensions of education for inner and communal peace. This co-edited book contains fifteen chapters on world spiritual traditions, religions, and their connections and relevance to peacebuilding and peacemaking. This book examines the teachings…
Examines workplace spirituality in an historical context and compares it to religious beliefs and to established ethical theories and moral principles. Suggests how managers and administrators in both the public and private sectors can use workplace spirituality to increase performance and develop ethical organizations. (Contains 54 references.)…
This article begins with two nonfiction narratives that are used throughout the article to defend and nuance the rationale for educational leaders to create dialogical spaces in schools for students to explore their spiritualities. The reasons for the inclusion of spirituality in schools are clustered into four categories for the sake of…
Banke, Susan; Maldonado, Nancy; Lacey, Candace H.
This phenomenological study examined the spiritual experiences of Christian school leaders who are the spiritual leaders of their schools. A purposeful, nominated sample of 12 Christian school leaders was selected. In-depth, open-ended interviews were conducted, audio taped, and then transcribed verbatim. Data analysis was based on Rudestam and…
Wilson, Ruth A.
A misconception about spirituality is that it is tied to religion (i.e., belief in and reverence for a supernatural power). Yet, the term "spirituality" is derived from the word "spirit"--often defined as the vital principle or animating force within living things. This definition may reflect some overlap with what is generally covered in…
Kalra, Gurvinder; Bhui, Kamaldeep S; Bhugra, Dinesh
Sikhism has millions of followers in India and among the Indian diaspora. As a religion it is relatively young but carries with it unique perspectives which are often not well known. The holy book of Sikhism, Guru Granth Sahib, is not only the last Guru, but also remained a key text for this religion. Using descriptions of the religion and its followers we attempt to understand the context of spirituality within this religion and attempt to apply it to clinical settings. We explored various texts to understand the notions of spirituality and ethics and directions for living one's life. We studied both the Gurumukhi version as well as the English translation of the Sikh holy text. In the context of history of the Sikhs, various descriptions related to mental well being were identified. In this paper we describe the history, development and the core values of the religion and we also review their role on psychiatric and mental health settings for managing Sikh patients. Guru Granth Sahib offers a very useful insight into what is understood by the term equivalent to depression and its phenomenology. The notions of dukh (loosely translated as pain, but can also mean sadness or suffering) and maya (illusion) and their role in daily living are also discussed. In this paper these descriptions are explored further and their importance explained. PMID:23174442
Curry, Jennifer R.
The imperative to integrate spirituality in counseling has been well documented in the counseling literature. Developing spiritual timelines is one creative technique that may help clients with spiritual concerns. The purpose of this manuscript is to briefly review spirituality in counseling, describe the use of spiritual timelines as a creative…
Puchalski, Christina M.; Larson, David B.
Discusses one approach to achieving compassionate medical caregiving, the study of spirituality and medicine. Examines the relationship between spirituality and healing and describes studies indicating that patients want to have spiritual issues addressed by their physicians, and noting potential health benefits of spiritual beliefs. Outlines…
Jankowski, Peter J.; Vaughn, Marsha
This study explored the relationships between an individual's interpersonal functioning, perceived spirituality, and selected spiritual practices. Using Bowen's family systems theory, the authors proposed that an individual's level of spiritual development and level of differentiation are correlated and that certain spiritual practices are…
Stoyles, Gerard John; Stanford, Bonnie; Caputi, Peter; Keating, Alysha-Leigh; Hyde, Brendan
Spirituality is an essential influence in a child's development. However, an age-appropriate measure of child's spiritual sensitivity is not currently available in the literature. This paper describes the development of a measure of children's spiritual sensitivity, the Spiritual Sensitivity Scale for Children (SSSC). Statistical analyses…
Starting from the premise that Paulo Freire's capacity for hope in the face of personal struggle and exile issued from his spirituality, this paper examines Freire's spirituality through the lens of Michael Dantley's concept of critical spirituality. The concept of spirituality as discussed in the literature is explored, followed by an explication…
Spiritual practices have been proposed to have many beneficial effects as far as mental health is concerned. The exact neural basis of these effects is slowly coming to light and different imaging techniques have elucidated the neural basis of meditative practices. The evidence though preliminary and based on studies replete with methodological constraints, points toward the involvement of the prefrontal and parietal cortices. The available data on meditation focus on activated frontal attentional network. Neuroimaging studies have shown that meditation results in an activation of the prefrontal cortex, activation of the thalamus and the inhibitory thalamic reticular nucleus and a resultant functional deafferentation of the parietal lobe. The neurochemical change as a result of meditative practices involves all the major neurotransmitter systems. The neurotransmitter changes contribute to the amelioration of anxiety and depressive symptomatology and in part explain the psychotogenic property of meditation. This overview highlights the involvement of multiple neural structures, the neurophysiological and neurochemical alterations observed in meditative practices. PMID:22013351
Hellman, Ann N; Williams, Wesley E; Hurley, Shelia
Healthcare literature suggests that many nurses fail to address patients' spiritual needs and/or identify signs of spiritual distress. A study was conducted to explore whether nurses in a medical center possessed the knowledge to assess patients' spirituality and design and implement a plan of spiritual care. The Spiritual Care Competence Scale was used to assess competence in spiritual care assessment and implementation; professionalization and improving quality; personal support and patient counseling; referral; attitude toward patient spirituality; and communication of spiritual needs. PMID:26548177
Chism, Lisa Astalos; Magnan, Morris A
Guided by Chism's Middle-Range Theory of Spiritual Empathy, the overarching purpose of this study was to determine the extent to which nursing students' spiritual care perspectives account for their expressions of spiritual empathy. In this descriptive correlational study, spiritual care perspectives accounted for 8.6% of the variance in nursing students' (N = 223) expressions of spiritual empathy after controlling for relevant demographic and spirituality variables. Findings of the study suggest that the provision of spiritual care in nursing practice depends, in part, on nurses clarifying their own spiritual care perspectives. PMID:19650610
Williams, Margaret G; Voss, Autumn; Vahle, Barb; Capp, Sheila
Nursing students often find it difficult to address spirituality in clinical practice. The purpose of this study was to examine the effect of students' use of the FICA Spiritual History Tool during clinical practice on their own spirituality and comfort with the provision of spiritual care. The students (N = 31) completed the Spirituality and Spiritual Care Rating Scale at the beginning and end of the semester, which revealed changes, although not statistically significant, in students' spirituality, religiosity, and their provision of spiritual care. PMID:27166591
The practice of spiritual direction concerns the human experience of God. As praxis, spiritual direction has a long tradition in Western Christianity. It is a process rooted in spirituality with theology as its foundation. This paper explores the convergences between aspects of philosophy (contemplative awareness), psychology (Rogerian client-centered approach) and phenomenology. There are significant points of convergence between phenomenology and spiritual direction: first, in Ignatius of Loyola's phenomenological approach to his religious experience; second, in the appropriation by spiritual directors of concepts of epochē and empathy; third, in the process of "unpacking" religious experience within a spiritual direction interview. PMID:24469918
King, Pamela Ebstyne; Carr, Drew; Boitor, Ciprian
Issues of spirituality and thriving are pertinent to the period of adolescence given the marked changes in body, mind, and relationships. In order to provide an overview of the relationship between religion, spirituality, and positive youth development, this chapter offers a developmental systems perspective and proposes a relational spirituality as a framework for understanding adolescent religious and spiritual development. In addition, the chapter examines various psychological mechanisms through which religion and spirituality may promote positive youth development. Existing empirical research on the relationships between adolescent religion, spirituality, thriving, and specific indicators of positive youth development is reviewed. Finally, future directions for continuing to build the field of study are discussed. PMID:23259192
Lima, Nádia Nara Rolim; do Nascimento, Vânia Barbosa; de Carvalho, Sionara Melo Figueiredo; Neto, Modesto Leite Rolim; Moreira, Marcial Moreno; Brasil, Aline Quental; Junior, Francisco Telésforo Celestino; de Oliveira, Gislene Farias; Reis, Alberto Olavo Advíncula
To deal with the suffering caused by childhood cancer, patients and their families use different coping strategies, among which, spirituality appears a way of minimizing possible damage. In this context, the purpose of the present study was to analyze the influence of spirituality in childhood cancer care, involving biopsychosocial aspects of the child, the family, and the health care team facing the disease. To accomplish this purpose, a nonsystematic review of literature of articles on national and international electronic databases (Scientific Electronic Library Online [SciELO], PubMed, and Latin American and Caribbean Health Sciences Literature [LILACS]) was conducted using the search terms “spirituality,” “child psychology,” “child,” and “cancer,” as well as on other available resources. After the search, 20 articles met the eligibility criteria and were included in the final sample. Our review showed that the relation between spirituality and health has lately become a subject of growing interest among researchers, as a positive influence of spirituality in the people’s welfare was noted. Studies that were retrieved using the mentioned search strategy in electronic databases, independently assessed by the authors according to the systematic review, showed that spirituality emerges as a driving force that helps pediatric patients and their families in coping with cancer. Health care workers have been increasingly attentive to this dimension of care. However, it is necessary to improve their knowledge regarding the subject. The search highlighted that spirituality is considered a source of comfort and hope, contributing to a better acceptance of his/her chronic condition by the child with cancer, as well as by the family. Further up-to-date studies facing the subject are, thus, needed. It is also necessary to better train health care practitioners, so as to provide humanized care to the child with cancer. PMID:24133371
Lima, Nádia Nara Rolim; do Nascimento, Vânia Barbosa; de Carvalho, Sionara Melo Figueiredo; Neto, Modesto Leite Rolim; Moreira, Marcial Moreno; Brasil, Aline Quental; Junior, Francisco Telésforo Celestino; de Oliveira, Gislene Farias; Reis, Alberto Olavo Advíncula
To deal with the suffering caused by childhood cancer, patients and their families use different coping strategies, among which, spirituality appears a way of minimizing possible damage. In this context, the purpose of the present study was to analyze the influence of spirituality in childhood cancer care, involving biopsychosocial aspects of the child, the family, and the health care team facing the disease. To accomplish this purpose, a nonsystematic review of literature of articles on national and international electronic databases (Scientific Electronic Library Online [SciELO], PubMed, and Latin American and Caribbean Health Sciences Literature [LILACS]) was conducted using the search terms "spirituality," "child psychology," "child," and "cancer," as well as on other available resources. After the search, 20 articles met the eligibility criteria and were included in the final sample. Our review showed that the relation between spirituality and health has lately become a subject of growing interest among researchers, as a positive influence of spirituality in the people's welfare was noted. Studies that were retrieved using the mentioned search strategy in electronic databases, independently assessed by the authors according to the systematic review, showed that spirituality emerges as a driving force that helps pediatric patients and their families in coping with cancer. Health care workers have been increasingly attentive to this dimension of care. However, it is necessary to improve their knowledge regarding the subject. The search highlighted that spirituality is considered a source of comfort and hope, contributing to a better acceptance of his/her chronic condition by the child with cancer, as well as by the family. Further up-to-date studies facing the subject are, thus, needed. It is also necessary to better train health care practitioners, so as to provide humanized care to the child with cancer. PMID:24133371
Haasz, Christine A.
This study investigated the relationship among spiritual competencies, personal spiritual beliefs, and clinical supervision in spirituality with professional psychology predoctoral interns. It was hypothesized personal spiritual beliefs and supervision in spirituality would be predictors of spiritual competencies in clinical practice. Social…
This article seeks to explain why spiritual education must be clear about the nature of spiritual knowledge and truth and how it differs from the knowledge and truth generated by science. The author argues this is important in order that spirituality and science are equally valued, and in order that spiritual pedagogy appropriately reflects the…
A model for improving nurses' preparation in spiritual care includes development of spiritual self-awareness, knowledge of varied traditions of spirituality, and ability to implement a spiritual dimension in nursing practice using the skills of communication, trust building, and giving hope. (SK)
Taylor, Elizabeth Johnston
This article explores how clinicians can promote patient and family caregiver spiritual health. After a review of pertinent theory and research, clinical implications are identified, including appropriate goals for clinicians with regard to spiritual health promotion. PMID:18562823
Ahmad, Mahjabeen; Khan, Shamsul
Spirituality's influence on general well-being and its association with healthy ageing has been studied extensively. However, a different perspective has to be brought in when dealing with spirituality issues of ageing Muslims. Central to this perspective is the intertwining of religion and spirituality in Islam. This article will contribute to the understanding of the nature of Islamic spirituality and its immense importance in the life of a practicing ageing Muslim. Consequently, it will help care providers to include appropriate spiritual care in the care repertoire of a Muslim care recipient. It is assumed that the framework for a model of spirituality based on Islamic religious beliefs would help contextualise the relationship between spirituality and ageing Muslims. Not only challenges, but also the opportunities that old age provides for charting the spiritual journey have underpinned this model. PMID:25822881
Greenstreet, Wendy M.
This literature review addresses the following questions: "What is spirituality?"; How is it defined in a nursing context?"; and "What should be taught in nursing and how?" It emphasizes spirituality as a broad concept, not equated with any religion. (SK)
In this article autobiography is defined as a dialogue of the self with itself in the present about the past for the sake of self-understanding. Spirituality involves connectedness to oneself, others, nature and to a larger meaning. It is associated with creativity, play, wisdom, faith, and a sense of oneness. Writing and reflecting on one's autobiography enhances spiritual growth and can be therapeutic freeing people from outlived roles and self-imposed images. After discussing the history of spiritual autobiography as a genre, the author compares and contrasts four approaches to autobiography: the structured life review, the guided autobiography, the intensive journal workbook, and autobiographical work in twelve step programs. For those who work with older persons these techniques should prove very useful. PMID:16172074
Prezioso, Frederick Alan
This document attempts to give some shape and definition to the term spirituality as it relates to the addiction and recovery of chemically dependent persons and co-dependents. Positive and negative spirituality are discussed and addiction and "hitting bottom" are described. A variety of spiritual issues that are a part of the recovery process are…
Ngunjiri, Faith Wambura
Purpose: The purpose of this paper is to explicate spiritual leadership lessons of beneficence, courage, hope and ubuntu/humanness that are derived from the experiences of women leaders in Kenya. The paper seeks to connect African data with existing literature on spiritual leadership, to demonstrate where African spiritual leadership is similar…
Purdy, Melanie; Dupey, Peggy
The Holistic Flow Model of Spiritual Wellness is a conceptualization of spiritual health and well-being that has implications for clinical practice and research. The model is unique in its placement of the spirit at the center of Life and in its fluid vision of the spirit. The authors present the model after a discussion of spirituality and the…
Hage, Sally M.; Hopson, Amy; Siegel, Matthew; Payton, Gregory; DeFanti, Elizabeth
Is spiritual diversity a neglected dimension in preparation for multicultural competency? The authors present an interdisciplinary overview of research related to multicultural training in spirituality and religion to address this issue. Findings indicate that counseling program leaders have minimal preparation in spiritual and religious diversity…
Astin, Alexander W.; Astin, Helen S.; Lindholm, Jennifer A.
This paper describes a comprehensive set of 12 new measures for studying undergraduate students' spiritual and religious development. The three measures of spirituality, four measures of "spiritually related" qualities, and five measures of religiousness demonstrate satisfactory reliability, robustness, and both concurrent and predictive validity.…
Moore, Kelsey; Talwar, Victoria; Bosacki, Sandra
Few researchers have explored children's understandings of spirituality. Thus, Canadian children from different religious, spiritual and cultural backgrounds were asked open-ended questions concerning their spiritual thoughts, beliefs and experiences. Parents of participants completed a demographic questionnaire and reported children's religious…
Grimm, Donald W.
Examines nature of therapist spiritual and religious values and impact of these values on psychotherapy practice. Suggests that integration of therapist spiritual and religious values with therapist epistemic values to accommodate spiritual and religious needs of both client and counselor should be goal of effective treatment. Includes 28…
Yob, Iris M.
The basic thesis explored in this paper is that rather than seeing spirituality as a byproduct of music, the other arts, and religion, music, the other arts, and religion might be seen as a byproduct of spirituality--hence, the proposition that music is a language of spirituality. If that is the case, there are twin dangers: talk of "wholism" can…
Beauvais, Audrey; Stewart, Julie G; DeNisco, Susan
Understanding factors that influence spiritual well-being may improve nurses' spiritual caregiving. This study examined relationships between emotional intelligence (EI) and spiritual well-being (SWB) in undergraduate and graduate nursing students. Using the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) and the spiritual well-being scale (SWBS) relationships were found between managing emotion and spiritual well-being, and managing emotion and existential well-being. Implications for education and practice are discussed. PMID:25004728
Kyllo, D O
The person who experiences a stroke realizes a change in every area of life. The spiritual life of each individual is affected by stroke and goes through a period of adjustment. It is also the area of life that gives support and strength to cope and hope through the changes, allowing feelings and frustrations to be expressed without recourse. The perceived presence of the Divine gives a sense of love, purpose, power, and belongingness. The spiritual is an integral part in recovery from and rehabilitation following a stroke. PMID:27620151
Niño, Andrés G
Confessions, the narrative of Augustine's spiritual journey, has been a source of inspiration to readers through many centuries. It addresses the universal striving of the individual towards a 'way of living' characterized by internal coherence and an experience of the transcendent. Augustine, using a method of inquiry and engagement, guides the reader through some fundamental exercises: remembering one's story; facing inner restlessness; entering into dialogue with God; ordering of human love; centering in Christ; participating in a community of faith; living as a pilgrim. Together, they constitute a didactic instrument for the spiritual development of his readers. This paper reconstructs that central purpose in a coherent and practical model. PMID:19105004
Bellous, Joyce E.; Csinos, David M.
Children need to sense that their way of being spiritual is honoured within learning environments that nurture the human spirit. This assertion rests on two assumptions: that children have different ways to express a desire to make the world a better place and that there are patterns to these ways that can be identified, understood and involved in…
Mueller, Carolyn R
Children are born with "spiritual competence," an inner quality or power for faith development. Traditions from early nursing practice address the care of those who are in distress, suffering, questioning the reason for illness or pain, or seeking meaning and purpose in their lives. Increased demands on time and rapidly changing complex medical cases allow less time and energy directed toward spiritual issues for the nurse, while at the same time increasing the possibility of spiritual needs of the child and family. The following discussion is a synthesis of faith development theory, effects of spirituality in children, spiritual assessment techniques, and intervention strategies for children. PMID:20860259
Musgrave, Catherine F.; Allen, Carol Easley; Allen, Gregory J.
Spirituality among African American and Hispanic women has been associated with a variety of positive health outcomes. The purposes of this commentary are (1) to define spirituality, comparing it with religiosity, and briefly examine the historical, cultural, and contextual roots of spirituality among women of color; (2) to explore research data that support a relationship between spirituality and health, particularly among women of color; and (3) to present several examples of how spirituality may enhance public health interventions designed to promote health and prevention. PMID:11919051
Bussing, Arndt; Foller-Mancini, Axel; Gidley, Jennifer; Heusser, Peter
This paper analyses which aspects of spirituality are valued by adolescents, and how they are interconnected with youths' life satisfaction and "self-centeredness". The participants were 254 adolescents (11th grade) of four different high schools from west Germany. After re-validation of the 6-factorial student's version of the ASP questionnaire…
This paper considers the often overlooked religious and educational works of the Russian novelist Leo Tolstoy (1828-1910). After outlining Tolstoy's life, religious and educational views, it is argued that Tolstoy has much to offer spiritual educators today. In particular, it suggests Tolstoy's insistence on the absolute and eternal nature of…
Linking the concepts of intellectual disability and spiritual development creates a challenging mixture of sociological and theological issues. Formal definitions of the concepts can be less than conclusive but it remains a fundamental issue to consider if there may be some minimal level of intellectual competence below which it is not feasible to…
Rhodes, Jean E.; Chan, Christian S.
Religious organizations offer a potentially rich pool of caring adults who are driven by their own spiritual commitments and a strong ethic to serve others. Indeed, more Americans volunteer through religious organizations than through any other venue. Religious organizations account for half of all volunteering, with an estimated 60 percent of the…
A patient has to cope with an illness on a physical, mental and spiritual level. There exists a difference between religiousness and spirituality even though the approach has a common foundation. Nonreligious spirituality relates to an inner experience, transcendent states of consciousness, meaningfulness, responsibility, sympathy, ethics, humanisation, faith. We encounter the spiritual point of view in humanistic psychotherapy, pastoral medicine, work of hospital chaplains, New Age, psychotherapies with religious and alternative aspects, transpersonal psychotherapy, psycho-spiritual crises, unusual states of consciousness, in meditation, Yoga, relaxation, kinesiology, ethicotherapy, reincarnation therapy, positive motivation, holotropic breathing, etc. There is description of different degrees of spiritual development, rational and irrational feeling of spirituality, Quantum Physics, spiritual intelligence, neuro-theology, physiological change, effects on improving adaptation during stress, drugs addiction, etc. Spirituality in relation with ethics is discussed in terms of socio-biology, evolution, emotions, aggressivity, genetics and social influence. The work analyses the effect of stressful situations on the deterioration of moral attitudes: during lack of time, obedience to authority and order. It is described how temperament and personality disorders can affect perception of spirituality, guilt feeling and conscience. Stressful situations, lack of time, relying only on the auxiliary objective methods leads to alienation of physician with a patient. Spirituality can partially improve the doctor-patient relationship, communication and sense of responsibility. PMID:26311026
Shek, Daniel T. L.
The concept of spirituality as a positive youth development construct is reviewed in this paper. Both broad and narrow definitions of spirituality are examined and a working definition of spirituality is proposed. Regarding theories of spirituality, different models pertinent to spiritual development and the relationship between spirituality and positive youth development are highlighted. Different ecological factors, particularly family and peer influences, were found to influence spirituality. Research on the influence of spirituality on adolescent developmental outcomes is examined. Finally, ways to promote adolescent spirituality are discussed. PMID:22654611
Kohls, Nikola; Sauer, Sebastian; Offenbächer, Martin; Giordano, James
Empirical findings have identified spirituality as a potential health resource. Whereas older research has associated such effects with the social component of religion, newer conceptualizations propose that spiritual experiences and the intrapersonal effects that are facilitated by regular spiritual practice might be pivotal to understanding potential salutogenesis. Ongoing studies suggest that spiritual experiences and practices involve a variety of neural systems that may facilitate neural ‘top-down’ effects that are comparable if not identical to those engaged in placebo responses. As meaningfulness seems to be both a hallmark of spirituality and placebo reactions, it may be regarded as an overarching psychological concept that is important to engaging and facilitating psychophysiological mechanisms that are involved in health-related effects. Empirical evidence suggests that spirituality may under certain conditions be a predictor of placebo response and effects. Assessment of patients' spirituality and making use of various resources to accommodate patients' spiritual needs reflect our most current understanding of the physiological, psychological and socio-cultural aspects of spirituality, and may also increase the likelihood of eliciting self-healing processes. We advocate the position that a research agenda addressing responses and effects of both placebo and spirituality could therefore be (i) synergistic, (ii) valuable to each phenomenon on its own, and (iii) contributory to an extended placebo paradigm that is centred around the concept of meaningfulness. PMID:21576141
Bailey, Maria E; Moran, Sue; Graham, Margaret M
This study aims to describe nurses' experiences of delivering spiritual support in a palliative care setting in the Republic of Ireland. The authors conducted semi-structured interviews with 22 nurses working in the area of specialist palliative care. A content analysis of the transcriptions revealed five sub-themes: understanding spirituality; the art of nursing in spiritual care; education and learning; the challenge of spiritual caring; and the dimensions of time. The resulting creation of a spiritual tapestry provided an overall theme. Nurses in this study were spiritually self-aware and placed a high value on the spiritual element of their caring role. Nurses described their individual understanding of spirituality and discussed how they recognized and addressed a patient's spiritual needs. Time was described as essential to the provision of spiritual support and appeared to be a significant resource challenge to the provision of spiritual care. The challenges of assessing spiritual needs and measuring outcomes of care were also reported. Participants in this study described the creation of a spiritual tapestry that 'weaves' together care and compassion with skills and knowledge in their nursing practice. PMID:19234430
Willow, Rebecca A.; Tobin, David J.; Toner, Susan
Spiritual genograms collect and organize family information of a religious or spiritual nature. The authors explored the use of the spiritual genogram in counselor education. Graduate counseling students were assigned to construct and present a spiritual genogram within a course titled "Counseling and Spirituality." An assessment of the quality of…
Garen, David C.
I would like to continue the discussion ofpoints raised in William Carter's response toRobert Frodeman's Eos Forum article Carter,2006; Frodeman, 2005. I have appreciatedFrodeman's work and feel that perspectiveson science deriving from humanities, philosophy,and religion can add depth, insight,and meaning to our endeavors. I would liketo broaden the discussion beyond just spacepolicy to include the relationship betweenscience in general and these, what I wouldcall, spiritual issues.
Manning, Lydia K.
Against the backdrop of a dramatic increase in the number of individuals living longer, particularly older women, it is vital that researchers explore the intersection of spirituality, gender, and aging. In this qualitative study of six women aged 80 and older, I explore, using, multiple, in-depth interviews, the experiences of spirituality over the life course. A hermeneutic phenomenological analysis of the interviews was performed and provided insights into the nature of their “lived experience” allowing for the understanding of the essence of their spirituality. The results are presented as an interpretation of the participants’ perceptions of their spirituality and spiritual experiences. For the women in this study, the essence of their spirituality lies in: being profoundly grateful; engaging in complete acceptance; and having a strong sense of assuredness, while stressing the linkages and importance of spirituality. Implications for understanding spirituality for older adults are considered. PMID:23185856
Windsor, Liliane Cambraia; Shorkey, Clay
The current study used data from reliability testing of the Christian Inventory of Spirituality (CIS) to: 1) assess the utility of CIS in detecting differences in level of spirituality in residents of residential Christian faith-based substance abuse programs (RCFBSAPs); 2) test the hypothesis that residents that have been in the program for longer periods of time will have significantly higher levels of spirituality after controlling for relevant demographic characteristics; and 3) test the hypothesis that residents of programs that only use unlicensed staff and place higher importance on spirituality will have significantly higher levels of spirituality. A purposive sample of the cross-sectional data from the reliability testing of the CIS was used (n=253). Analysis supported the hypothesis. Demographic characteristics were not associated with level of spirituality. The CIS proved to be useful in discriminating levels of spirituality. Further research is needed to examine spiritual change using randomized pre-post test designs. PMID:20687002
Walton, Martin Neal
A previous article focused on an analysis of prominent conceptualizations of spirituality in health care. The encompassing character of those approaches was viewed as problematic because too little attention is paid to the distinctiveness and particularities of spiritual experience. This article argues that the criteria gleaned from the prior analysis provide an impetus for a constructive discernment proposal of lived spirituality. The experience of otherness is provides a central clue to an understanding of spirituality particularly by two key terms, receptivity and transformation, as central characterizations of lived spirituality. These terms are investigated as they embrace operational potential for chaplaincy care. The article concludes with a reflection on chaplaincy care as it relates to spiritual practice. PMID:24040742
Nurse educators are challenged to find meaningful methods to teach spirituality throughout the curriculum. Simulation is one teaching strategy that offers real-life situations in a less threatening environment. This article offers a simulation of a client in spiritual distress and describes student responses using the Situation, Background, Assessment and Recommendation (SBAR) tool. Simulation can be used to help students develop critical thinking and clinical reasoning skills for spiritual care. PMID:26548176
This article discusses the development of spiritual literacy in relation to a new consciousness of the Earth and what Thomas Berry calls "Earth literacy". It draws on the metaphor of "earthing" to argue for a close link between spiritual literacy and Earth literacy, considered of great importance for both personal spiritual development and the…
Bay, Paul S; Ivy, Steven S; Terry, Colin L
This study tested whether two 1-day retreats focused on spiritual self-care would positively change nurse participants' spirituality. A total of 199 critical care nurses were accepted into this study; 87 were randomized to receive the retreat intervention. All 199 nurses were tested preretreat, 1 month and 6 months postretreat. Retreat participants demonstrated increased spirituality. PMID:20421752
Australian teachers in Church related schools have begun to use the term "spiritual intelligence" in their educational discourse. Is it accurate to describe spirituality as a form of intelligence? This paper explores whether the notion of spiritual intelligence is plausible. It addresses this firstly by discussing the notion of spiritual…
In a survey of 35 first-year and 18 fourth-year nursing students, most expressed strong awareness of personal spirituality and spiritual health and were able to identify behaviors that facilitated spiritual nursing care. Fourth-year students were more patient centered, focusing on supporting patients' beliefs. (Contains 26 references.) (SK)
This article begins by asking whether religion and spirituality are useful terms for cross-cultural comparisons. After discussing the increasing distinction between religion and spirituality in Western cultures, it points out how the terms religion and spirituality are used in divergent ways in the literature and the need for conceptual clarification in this area. Broadly, spirituality relates to interconnectedness, ultimate meaning or life force itself. The current use of the term spirituality in Western cultures derives both from Christian spirituality and 'New Age' thinking, which often appropriates ideas from Eastern religious traditions. The sociocultural roots of this division are complex, involving both growth of individualism, the pursuit of meaning and discontent with materialism and scientific rationalism. This situation is contrasted with other monotheistic religions where there is no distinction between religion and spirituality. This turn to spirituality has influenced health care professionals' conceptualizations of health and healing. The implications for psychiatry are discussed. I conclude that spirituality is a way of 'being in the world' and shares affinities with Tambiah's notion of a participatory mode of thinking. PMID:16570516
Research indicates that nurses do not consistently provide spiritual care, feel ill equipped to do so, and there is a lack of information as to the type of spiritual care practices nurses use. This exploratory descriptive study surveyed nurses (N = 123) about their spiritual care practices and perceptions of effectiveness, followed by qualitative interviews with volunteers (n = 5) from the surveyed group. The nurses favored spiritual interventions that are not overtly religious, but conveyed concern and support, such as listening and providing comforting touch. PMID:25898449
Fleming, John; Ledogar, Robert J
Indigenous spirituality is a more complex phenomenon than the term spirituality alone, as generally understood, implies. Spirituality is closely bound up with culture and ways of living in Indigenous communities and requires a more holistic or comprehensive research approach. Two conceptual frameworks could help to orient Indigenous resilience research. One is the enculturation framework. Enculturation refers to the degree of integration within a culture, which can be protective in social behaviour, academic achievement, alcohol abuse and cessation, substance abuse, externalizing behaviours, and depressive symptoms. Instruments for measuring enculturation generally have three components: traditional activities, cultural identification, and traditional spirituality. A second conceptual framework is cultural spiritual orientation which distinguishes between cultural spiritual orientations and tribal spiritual beliefs. Enculturation and cultural orientations are protective against alcohol abuse, suicide ideation, and suicide attempts. New tools are emerging for measuring the multidimensional nature of culturally rooted spirituality in Indigenous communities, tools that are context-specific and often the product of collaborative design processes. As the ability of researchers to measure these complex processes advances and Indigenous communities take increasing charge of their own research, it should become easier to design interventions that take advantage of the cultural/spiritual dimension of Indigenous traditions to promote individual, family, and community resilience. PMID:20963185
Sharma, Pulkit; Charak, Ruby; Sharma, Vibha
The paper strives to elucidate the complex yet intimate relation between spirituality and mental health from contemporary perspectives. The diverse and constantly evolving views that spiritualists and mental health professionals have held toward each other over last century are discussed with special accent on the transpersonal spiritual framework within psychology. The role of spirituality in promoting mental health and alleviating mental illness is highlighted. The paper is concluded with an increasing need to integrate spirituality within the mental health field albeit there are several impediments in achieving the same, which need to be worked through circumspectly. PMID:21938086
Perdue, Bobbie; Johnson, Deanna; Singley, Doretha; Jackson, Cheylon
The case scenario illustrates the advantage of using spirituality as a tool for recovery when working with mentally ill African American clients. Often spiritual and clinical perspectives are seen as contradictory. But for African Americans, these perspectives can be mutually reinforcing. Spirituality can serve as a resource of strength. It can provide emotional consolation, inspiration, guidance, and security. It can foster personal responsibility, identity, respect for ethical codes and community building. Mental Health professionals who use spirituality as a tool for recovery can expect to have better client outcomes when working with African Americans than those who do not. PMID:18402348
Cole, Brenda S; Hopkins, Clare M; Tisak, John; Steel, Jennifer L; Carr, Brian I
This study assessed the factor structure, reliability, and validity of an instrument designed to assess spiritual transformations following a diagnosis of cancer-the Spiritual Transformation Scale (STS). The instrument was administering to 253 people diagnosed with cancer within the previous 2 years. Two underlying factors emerged (spiritual growth (SG) and spiritual decline (SD)) with adequate internal reliability (alpha = 0.98 and 0.86, respectively) and test-retest reliability (r = 0.85 and 0.73, respectively). Validity was supported by correlations between SG and the Positive and Negative Affect Scale (PANAS) Positive Affect Subscale (r = 0.23, p < 0.001), the Daily Spiritual Experiences Scale (r = 0.57, p < 0.001), and the Post-traumatic Growth Inventory (r = 0.68, p < 0.001). SD was associated with higher scores on the Center for Epidemiological Studies Depression scale (r = 0.38, p < 0.001) and PANAS-Negative Affect Subscale (r = 0.40, p < 0.001), and lower scores on the PANAS-Positive Affect Subscale (r = -0.23, p < 0.001), and the Daily Spiritual Experiences Scale (r = -0.30, p < 0.001). Hierarchical regression analyses indicated that the subscales uniquely predicted adjustment beyond related constructs (intrinsic religiousness, spiritual coping, and general post-traumatic growth). The results indicate that the STS is psychometrically sound, with SG predicting better, and SD predicting poorer, mental and spiritual well-being following a diagnosis of cancer. PMID:17458862
Gallo, Laura L.
Spirituality is an area that has not received a great deal of attention in supervision, yet it can have substantial effects on the counseling process. A definition of spirituality that allows for a variety of worldviews can be useful to both counselor and client as it helps strengthen the counseling relationship and lessen differences between…
Burke, Mary Thomas, Ed.; Miranti, Judith G., Ed.
This book presents a compilation of articles previously published in the journal "Counseling and Values." The follwing articles are included: (1) "Ethics and Spirituality: The Prevailing Forces Influencing the Counseling Profession" (Judith Miranti, Mary Thomas Burke); (2) "Three Contributions of a Spiritual Perspective to Counseling,…
Johnson, Peggy; Mutschelknaus, Mike
Noting that at Saint Mary's University (where the authors teach) the issue of spirituality is in the forefront of education and is seamlessly woven into required courses throughout four years of college in an attempt to "enhance students' spiritual and personal lives," this paper positions writing centers as a place for student inquiries about…
Ibrahim, Farah A.; Dykeman, Cass
In this article, the authors identify the cultural and spiritual assessments needed to conduct counseling with Muslim Americans and Muslim immigrants to the United States. Assessment processes are outlined that include cultural identity (which subsumes several variables); worldview; spiritual assessment along with acculturation level and migration…
Japar, Muhammad; Purwati
Religiuosity, spirituality, and adolescents' self-adjustment. The objective of this study is to test the correlation among religiosity, spirituality and adolescents' self-adjustment. A quantitative approach was employed in this study. Data were collected from 476 junior high schools students of 13 State Junior High Schools and one Junior High…
The Brahma Kumaris (BK) Spiritual University, headquartered in London, works toward helping others understand the role of spirituality in daily life and in creating a better world. In the early 1990s, a BK research project in 128 countries found that people's ideal vision of the future emphasized a return of the importance of values. In response,…
Steen, Rheta LeAnne; Engels, Dennis; Thweatt, W. Tom, III
The authors review the professional literature related to spirituality and ethics in counseling. The American Counseling Association's (1995, 2005) code of ethics was used as a basis for exploring the possibilities and limits/ boundaries appropriate for discussion of spirituality in counseling. Implications for practice and research are discussed.
Lodewyk, Ken; Lu, Chunlei; Kentel, Jeanne
Spirituality is a fundamental, everyday life process involving a joy of living, sacrifice and love for others, and a connection to self, others, nature, and to a larger meaning or purpose. Distinct from moral or religious beliefs, spirituality engages interactively with the psyche, body, and sociocultural setting to influence human functioning,…
A study examined significant deliberate learning activities (as demonstrated in learning projects) which were related to spiritual growth. (Spiritual growth was defined in broad terms within which each interviewee interpreted his or her own concept.) Fifty persons between the ages of thirty-five and fifty-five and representing five groups (three…
Animal- and bird-becoming is an aspect of play as metamorphosis connected to spirituality in early childhood settings. The reconceptualisation of play presented here is supported by research that explored the spiritual experiences of young children in different early childhood contexts. Qualitative case study research carried out in Aotearoa New…
Yang, Chun-Tien; Yen, Shiaw-Yu; Chen, Jui-O
In the context of holistic care, the definition of "unitary human being" incorporates the physical, psychological, social and spiritual. However, patient spiritual well-being is often neglected by nurses. Part of the reason for this is that a majority of clinical nurses have not had adequate training or practical guidance on spiritual caring methods. This paper applied the methodology outlined by Walker and Avant (2005) to analyze the concept of spiritual well-being. Analytical procedures used included a literature review of conceptual definitions of spiritual well-being and identification of defining attributes. We then developed a concept of spiritual well-being by referencing borderline and contrary cases identified in the constructed model and identified antecedents and consequences. Empirical referents were also outlined. Results show the defining attributes of spiritual well-being to be: (1) having a subjective feeling of happiness; (2) Affirming the self worth; (3) managing interpersonal relationships with an open, accepting attitude; and (4) possessing an internal "energy". This analysis is hoped to enhance nurse understanding of spiritual well-being in order to utilize the concept in their professional practice. PMID:20535684
Einolf, Christopher J.
This paper examines how the Daily Spiritual Experiences Scale (DSES) relates to range of prosocial behaviors, using a large, nationally representative U.S. data set. It finds that daily spiritual experiences are a statistically and substantively significant predictor of volunteering, charitable giving, and helping individuals one knows personally.…
Moriarty, Micheline Wyn
The benefits of sport and physical activity are endorsed by a number of professionals as a means of improving children's health and their sense of well-being, and their unity with the natural world, other people and the Transcendent. For children, sport is a spiritual source of joy and wonder. Using Champagne's "spiritual modes of being", my…
Proposes three understandings of spirituality and examines how they challenge religious educators. Stating that spirituality can be understood as a common human yearning and experience, as a developmental reality, and as a discipline involving the whole person, the author concludes that people cannot ignore their relationship to nature and to the…
Beveridge, Kelli; Cheung, Monit
Through an examination of recent incest treatment development, this article emphasizes the theoretical concept of "integration" within the treatment process for female adult incest survivors. Spirituality as a therapeutic foundation is discussed with examples of therapeutic techniques. A case study illustrates the psycho-spiritual process of…
Pridmore, Pat; Pridmore, John
This paper considers whether there are aspects of spiritual pedagogy specific to the education of children who are sick and asks how these concerns are to be addressed. The context of the enquiry is England and Wales where the promotion of the spiritual development of children is a legislative requirement. The focus of the study is on sick…
Souldrama[R] is a therapeutic, psychospiritual group action model that leads participants through seven sequential stages of spiritual development with the goal of accessing their spiritual intelligence. It can help group members move past resistance and recognize and move on to their higher purpose. Psychodramatically based, it is intended to be…
Spirituals are religious folk songs that were created and sung by enslaved African Americans to express the emotions and thoughts of a people in bondage. The spiritual conveyed deep religious convictions and the desire for freedom brought on by two centuries' worth of oppression, as slavery was legal in the United States from approximately 1650…
Payne Gold, Shaunna
Spiritual development and nonheterosexual identity development are both slippery topics that are individually complex and multifaceted. Scholars from various disciplines have called for a deeper understanding of the intersection of spirituality and nonheterosexual identity (Buchanan, Dzelme, Harris & Hecker, 2001; Love, Bock Jannarone, &…
Markle, D. Thomas
Currently, little is known about the influence classroom learning has on the spiritual beliefs of students. Despite this fact, decisions on educational policy, parental home schooling, and even whether to bring legal actions against school districts, often rest on the assumption that education can induce spiritual belief change. To begin the…
Attempts a redefinition of spirituality and an incorporation of this into art education. Argues that symbolic and spiritual consciousness plays a crucial role in the works of artists as disparate as William Blake and Frida Kahlo. Criticizes the preeminence of scientific theory as a modern belief system. (MJP)
Nursing guidelines recommend that attention should be given to the spiritual and religious needs of patients. This suggests that meeting the spiritual needs of patients is an important aspect of holistic care, and that it should be considered and supported wherever relevant. PMID:27615589
Hicks, Mona; Tran-Parsons, Uyen
The skill development of equanimity and empathy gained through spiritual growth equips students to examine solutions to complex problems in a diverse, global society. This chapter explores intentional multicultural initiatives designed to foster spiritual development and interfaith engagement as means to navigate difference and social good.
Elkonin, Diane; Brown, Ottilia; Naicker, Samantha
Religion and spirituality are recognized coping resources but are neglected in psychological training and practice. However, religion and spirituality can be successfully used to cope with psychological disorders, prevent unhealthy behaviors and promote resilience. This study explored and described two questions regarding the concepts of the terminology religion and spirituality, and the perceptions of the use of religion and spirituality in therapy. Purposive sampling was utilized in a qualitative study of 15 registered psychologists, and data were analyzed using Tesch's model of qualitative content analysis. The concepts religion and spirituality appear difficult to define but the importance of their use as coping mechanisms in their own and their clients' lives was recognized. These findings have implications for professional training. PMID:22562170
McClung, Emily; Grossoehme, Daniel H; Jacobson, Ann F
Current accreditation and professional standards in health care reflect the importance of chaplaincy services to patients, families, the health care team, and the organization. However, inadequate spiritual assessment, the organizational structure and climate, and lack of understanding of the chaplain's role can prevent these services from being optimally utilized. Chaplains are trained extensively to provide spiritual care to patients, families, and staff as they assist in meeting the organization's mission to provide patient-centered care. Spiritual assessment is a tool for nurses to recognize patient's needs for spiritual intervention and chaplain referral. By collaborating with chaplains, nurses can help develop an organizational infrastructure capable of timely responsiveness to patients' spiritual needs. PMID:16817296
Grover, Sandeep; Davuluri, Triveni; Chakrabarti, Subho
Religion and spirituality exert a significant role in the lives of many individuals, including people with schizophrenia. However, the contribution of religion and spirituality to various domains (psychopathology, explanatory models, treatment seeking, treatment adherence, outcome, etc.) has not received much attention. In this article, we review the exiting data with regards to the relationship of religion, spirituality, and various domains in patients with schizophrenia. Available evidence suggests that for some patients, religion instills hope, purpose, and meaning in their lives, whereas for others, it induces spiritual despair. Patients with schizophrenia also exhibit religious delusions and hallucinations. Further, there is some evidence to suggest that religion influences the level of psychopathology. Religion and religious practices also influence social integration, risk of suicide attempts, and substance use. Religion and spirituality also serves as an effective method of coping with the illness. Religion also influences the treatment compliance and outcome in patients with schizophrenia. PMID:24860209
This paper explores the use of dreams in the context of pastoral care. Although many people dream and consider their dreams to hold some significant spiritual meaning, spiritual care providers have been reluctant to incorporate patients' dreams into the therapeutic conversation. Not every dream can be considered insightful, but probing the meaning of some dreams can enhance spiritual care practice. Hill's Cognitive-Experimental Dream Interpretation Model is applied in the current article as a useful framework for exploring dreams, gaining insight about spiritual problems, and developing a therapeutic plan of action. Bulkeley's criteria for dream interpretation were used to furnish safeguards against inappropriate application of dream interpretation to spiritual assessment and interventions. PMID:21534069
Briggs, Michele Kielty; Dixon, Andrea L.
Women's spirituality has unique characteristics that are often ignored within the spirituality literature. The authors review the literature on women's spirituality to reveal the major themes women have identified as relevant to their spiritual journeys across the life span. Implications for counseling and ideas for practice are included after…
Osborn, Debra; Street, Sue; Bradham-Cousar, Michelle
This study examined the self-reported value of spirituality, types of spiritual practices, and values of 69 counselor education students. It also examined counseling students' ideas for how to increase their comfort with incorporating spirituality into counseling practice. Implications for implementing spirituality training in counselor education…
Geertsma, Elisabeth J.; Cummings, Anne L.
The purpose of this preliminary study was to describe midlife transition, spirituality, and healing of relationships for members of women's spirituality groups. Ten women completed the Spiritual Well-Being Scale (R. Paloutzian & C. Ellison, 1982) and a 45-minute interview about spirituality, religion, life transitions, relationships, and…
Myers, Jane E.; Williard, Kirk
Incorporating spirituality within a wellness paradigm can help counselors and counselor educators value and address spirituality as an integral component of optimum human functioning. By distinguishing between religiosity and spirituality and operationally conceptualizing spirituality as a lifespan developmental phenomenon that is essential for…
Livingston, Kimberly A.; Cummings, Anne L.
This study contributes to the growing body of knowledge about spirituality and life transitions. Through qualitative investigation, 9 young women in professional education programs described their definition of spirituality, their spiritual activities, and how they used their spirituality to cope with life transitions as they prepared to enter the…
Momennasab, Marzieh; Moattari, Marzieh; Abbaszade, Abbas; Shamshiri, Babak
Background: Life-threatening and stressful events, such as myocardial infarction (MI) can lead to an actual crisis, which affects the patients spiritually as well as physically, psychologically, and socially. However, the focus of health care providers is on physical needs. Furthermore, the spirituality of the patients experiencing heart attack in the light of our cultural context is not well addressed in the literature. This study is aimed at exploring the spiritual experiences of the survivors of the MI. Materials and Methods: In this qualitative research a grounded theory approach was used. Key informants were 9 MI patients hospitalized in the coronary care units of 3 hospitals in Shiraz. In addition, 7 nurses participated in the study. In-depth interviews and a focus group were used to generate data. Data analysis was done based on Strauss and Corbin method. Constant comparison analysis was performed until data saturation. Results: Five main categories emerged from the data, including perceived threat, seeking spiritual support, referring to religious values, increasing faith, and realization. The latter with its 3 subcategories was recognized as core category and represents a deep understanding beyond knowing. At the time of encountering MI, spirituality provided hope, strength, and peace for the participants. Conclusion: Based on the results we can conclude that connecting to God, religious values, and interconnectedness to others are the essential components of the participants’ spiritual experience during the occurrence of MI. Spirituality helps patients to overcome this stressful life-threatening situation. PMID:23853646
Johnson, Ruth W; Tilghman, Joan S; Davis-Dick, Lorrie R; Hamilton-Faison, Barbara
The following article is an attempt to encapsulate an historical overview of spirituality in nursing. Despite a plethora of information relative to spirituality in nursing, the decision was to do an eclectic overview that was not reflective of any one spiritual/religious group. The authors at times found this goal difficult when writing about the Pre-Christian and Christian eras. Most of the major religions have their own perspective on the concept of spirituality, and historical personalities recorded maybe reflective of that particular religion. Another factor that impacted on the writing of this article was the concept that spirituality was not always linked specifically to religion. Spirituality was an experiential component of the wonders of nature and life, a domain that the authors took into account but did not expound upon. Finally the authors realized that spirituality has almost always been an aspect of African-American life and certainly of those in nursing. To this end the authors realize that there is a need for more research in this area. PMID:18402344
Dougherty, Troy J.
Very little research exists to empirically support a spiritual component to leadership. Most of the literature connecting spirituality to leadership is either theory based or anecdotal. Even less research exists involving college students and the contribution of spirituality to their attitudes and behaviors as leaders. Spiritual intelligence has…
Melhem, Ghaith Ahmad Bani; Zeilani, Ruqayya S; Zaqqout, Ossama Abed.; Aljwad, Ashraf Ismail; Shawagfeh, Mohammed Qasim; Al- Rahim, Maysoon Abd
Aims: This study aimed to describe nurses’ perceptions of spirituality and spiritual care in Jordan, and to investigate the relationship between their perceptions and their demographic variables. Methods: The study used a cross-sectional descriptive design and recruited a convenience sample of 408 Jordanian registered nurses to complete the spiritual care giving scale. Results: The findings of the study demonstrated that most of the participating nurses had a high level of spirituality and spiritual care perception. Significant differences were found between male and female nurses’ perceptions of spirituality and spiritual care (P < 0.05); previous attendance of courses on spiritual care also made a significant difference to perceptions (P < 0.05). Conclusions: The research findings suggest that, Jordanian nurses’ gender made a difference in their perceptions of spirituality and spiritual care. They had satisfactory levels of perception of spirituality and spiritual care. Moreover, spiritual care courses appeared to have a positive impact on their perception of spirituality and spiritual care. Enhancing nursing care by integrating standardized spiritual care into the current nursing care, training, and education should also be emphasized. PMID:26962280
Schonfeld, Toby L; Schmid, Kendra K; Boucher-Payne, Deborah
Researchers are beginning to collect empiric data about coping mechanisms of health science students. Yet, there is an important aspect of coping with stress that is only partially addressed in health sciences curricula: students' spiritual well-being. In this essay, we describe a course in spirituality and health care that we offered to fourth-year medical students, as well as a small empirical study we conducted to assess students' spiritual needs and practices. We then offer reflections on the broad applicability of this work to students in the health sciences more generally, including suggestions for curriculum interventions that may ensure students' success. PMID:25404167
Lowery, John Wesley
An increasingly litigious environment, combined with a renewed interest in spirituality, makes it imperative for higher education officials to be cognizant of the legal implication of two competing fundamental rights.
Solomon, Jeffrey; Hunter, Jeremy
Using Howard Gardner's concept of existential intelligence along with others such as Jerome Bruner, explores the psychology of spirituality and leadership. Describes how famous film director uses meditation in his work. Draws implications for educational leadership. (PKP)
... that are meaningful for me? b What books, music, prayers, readings, art are meaningful for me? It ... experience with the person, offer prayer, spiritual readings, music or sacred rituals as appropriate or requested. b ...
Miller, Lynda W.
Parish nursing is a health promotion ministry that links faith and health. A continuing education course to prepare nurses for it addresses spiritual, emotional, physical, mental, cultural, and social dimensions. It includes reflective and self-assessment activities. (SK)
Boss, Lisa; Branson, Sandy; Cron, Stanley; Kang, Duck-Hee
Background: Meals on Wheels’ clients are at risk for spiritual pain due to advanced age, social isolation, and failing health. They are also prone to stress, depression, and loneliness, placing them at risk for adverse biological disruptions and health outcomes. The purpose of the study was to examine associations of spiritual pain with psychosocial factors (stress, depression, loneliness, religious coping) and salivary biomarkers of stress and inflammation (cortisol, IL-1β) in Meals on Wheels’ clients. Methods: Data were collected cross-sectionally from 88 elderly (mean age 75.4). Spiritual pain, stress, depression, loneliness, and religious coping were measured with standardized instruments, and salivary biomarkers were assessed with enzyme immunoassays. Results: Spiritual pain was significantly and positively correlated with stress (r = 0.35, p ≤ 0.001), depression (r = 0.27, p = 0.01), and negative religious coping (r = 0.27, p = 0.01). Correlations with loneliness, positive religious coping, and salivary biomarkers were non-significant. Conclusion: Spiritual pain is an important concept in this population. Research should be expanded to understand the significance of spiritual pain in conjunction with psychosocial and biological variables and its potential impact on physical, mental, and cognitive health outcomes in the elderly.
Promotion of students' spiritual development is one of the goals of pastoral care in schools. The heritage of Chinese calligraphy is traditionally used as a way to enhance an individual's self-reflection and cultivation, and has an educational value in spiritual development. This study aims to examine the cultural meaning of Chinese calligraphy…
Mercer, Joyce Ann
Children's spirituality has become a significant for-profit enterprise in North American consumer culture. This article explores the marketing of children's spirituality as an aspect of the larger construction of children as consumers in the context of late globalized capitalism. Playing off of parental anxieties over the need to avail their…
Campbell, Karen P.
The purpose of this heuristic study was to explore the ways in which spirituality informed and impacted educators' own experience of learning as a transformative inner encounter. It inquired into the experience of learning from a spiritual perspective in order to determine the extent to which transformative learning could be described as a…
Miller, Vachel W., Ed.; Ryan, Merle M., Ed.
The chapters in this collection explore the religious and spiritual dimensions of college life. They offer innovative approaches for positive change and address legal, organizational, and cultural issues involved in making campuses more hospitable to the human spirit. The chapters in Part 1, Religious Pluralism and Spirituality in Campus Life:…
Hodge, David R.; Derezotes, David S.
The integration of spirituality content into curricula has accelerated dramatically during the past decade. Despite this trend, little discussion has appeared in the literature about the instructional methods best suited to teach spirituality. Adopting a new approach referred to as "pedagogical pluralism," the authors suggest that some aspects of…
Hammermeister, Jon; Peterson, Margaret
Examined relationships among college students' differing levels of spiritual well-being and 11 psycho-social and health-related characteristics. Results revealed that students scoring higher on the spiritual health measure displayed better outcomes on psycho-social measures (e.g., loneliness, self-esteem and hopelessness). Alcohol and drug use…
Günther, Andreas; Baumann, Klaus; Frick, Eckhard; Jacobs, Christoph
Spirituality/religiosity is recognized as a resource to cope with burdening life events and chronic illness. However, less is known about the consequences of the lack of positive spiritual feelings. Spiritual dryness in clergy has been described as spiritual lethargy, a lack of vibrant spiritual encounter with God, and an absence of spiritual resources, such as spiritual renewal practices. To operationalize experiences of “spiritual dryness” in terms of a specific spiritual crisis, we have developed the “spiritual dryness scale” (SDS). Here, we describe the validation of the instrument which was applied among other standardized questionnaires in a sample of 425 Catholic priests who professionally care for the spiritual sake of others. Feelings of “spiritual dryness” were experienced occasionally by up to 40%, often or even regularly by up to 13%. These experiences can explain 44% of variance in daily spiritual experiences, 30% in depressive symptoms, 22% in perceived stress, 20% in emotional exhaustion, 19% in work engagement, and 21% of variance of ascribed importance of religious activity. The SDS-5 can be used as a specific measure of spiritual crisis with good reliability and validity in further studies. PMID:23843867
Colucci, Erminia; Martin, Graham
The inner experience of spiritual and religious feelings is an integral part of the everyday lives of many individuals. For over 100 years the role of religion as a deterrent to suicidal behavior has been studied in various disciplines. We attempt to systematize the existing literature investigating the relationship between religion/spirituality and suicide in this paper. After an overview of the attitudes of the dominant religions (e.g., Catholicism, Islam, and Buddhism) toward suicide, the three main theories that have speculated regarding the link between religion and suicide are presented: "integration theory" (Durkheim, 1897/1997), "religious commitment theory" (Stack, 1983a; Stark, 1983), and "network theory" (Pescosolido & Georgianna, 1989). Subsequent to this theoretical introduction, we report on studies on religion/spirituality keeping the suicidal path as a reference: from suicidal ideation to nonlethal suicidal behavior to lethal suicidal behavior. Studies presenting indications of religious beliefs as a possible risk factor for suicidal behavior are also presented. The last section reviews possible intervention strategies for suicidal patients and suicide survivors. Indications for future research, such as more studies on nonreligious forms of spirituality and the use of qualitative methodology to achieve a better and deeper understanding of the spiritual dimension of suicidal behavior and treatment, are offered. PMID:18444780
Kessler, C; Wischnewsky, M; Michalsen, A; Eisenmann, C; Melzer, J
Ayurveda is playing a growing part in Europe. Questions regarding the role of religion and spirituality within Ayurveda are discussed widely. Yet, there is little data on the influence of religious and spiritual aspects on its European diffusion. Methods. A survey was conducted with a new questionnaire. It was analysed by calculating frequency variables and testing differences in distributions with the χ (2)-Test. Principal Component Analyses with Varimax Rotation were performed. Results. 140 questionnaires were analysed. Researchers found that individual religious and spiritual backgrounds influence attitudes and expectations towards Ayurveda. Statistical relationships were found between religious/spiritual backgrounds and decisions to offer/access Ayurveda. Accessing Ayurveda did not exclude the simultaneous use of modern medicine and CAM. From the majority's perspective Ayurveda is simultaneously a science, medicine, and a spiritual approach. Conclusion. Ayurveda seems to be able to satisfy the individual needs of therapists and patients, despite worldview differences. Ayurvedic concepts are based on anthropologic assumptions including different levels of existence in healing approaches. Thereby, Ayurveda can be seen in accordance with the prerequisites for a Whole Medical System. As a result of this, intimate and individual therapist-patient relationships can emerge. Larger surveys involving bigger participant numbers with fully validated questionnaires are warranted to support these results. PMID:24368928
Newberg, Andrew B.
The purpose of this paper will be to provide a perspective on the current state of the research evaluating the neurobiological correlates of spiritual practices and review the methodological issues that confront this research field. There are many types of spiritual practices that might be studied including prayer and meditation, as well as unusual practices such as mediumistic trance states, speaking in tongues, and also drug-induced experiences. Current studies have utilized neuroimaging techniques including functional magnetic resonance imaging, single photon emission computed tomography, and positron emission tomography. These studies have helped elucidate the neurobiological mechanisms associated with spiritual practices. Such studies confront unique challenges for scientific methodology including determining the most appropriate objective measures such as neuroimaging studies and physiological parameters, and correlating them with subjective measures that help capture states of spiritual significance. Overall, a neuroscientific study of spiritual practices and experiences has the potential to provide fascinating data to further our understanding of the relationship between the brain and such phenomena. PMID:24672504
Kessler, C.; Wischnewsky, M.; Michalsen, A.; Eisenmann, C.; Melzer, J.
Ayurveda is playing a growing part in Europe. Questions regarding the role of religion and spirituality within Ayurveda are discussed widely. Yet, there is little data on the influence of religious and spiritual aspects on its European diffusion. Methods. A survey was conducted with a new questionnaire. It was analysed by calculating frequency variables and testing differences in distributions with the χ2-Test. Principal Component Analyses with Varimax Rotation were performed. Results. 140 questionnaires were analysed. Researchers found that individual religious and spiritual backgrounds influence attitudes and expectations towards Ayurveda. Statistical relationships were found between religious/spiritual backgrounds and decisions to offer/access Ayurveda. Accessing Ayurveda did not exclude the simultaneous use of modern medicine and CAM. From the majority's perspective Ayurveda is simultaneously a science, medicine, and a spiritual approach. Conclusion. Ayurveda seems to be able to satisfy the individual needs of therapists and patients, despite worldview differences. Ayurvedic concepts are based on anthropologic assumptions including different levels of existence in healing approaches. Thereby, Ayurveda can be seen in accordance with the prerequisites for a Whole Medical System. As a result of this, intimate and individual therapist-patient relationships can emerge. Larger surveys involving bigger participant numbers with fully validated questionnaires are warranted to support these results. PMID:24368928
Monareng, Lydia V
Although the concept 'spiritual nursing care' has its roots in the history of the nursing profession, many nurses in practice have difficulty integrating the concept into practice. There is an ongoing debate in the empirical literature about its definition, clarity and application in nursing practice. The study aimed to develop an operational definition of the concept and its application in clinical practice. A qualitative study was conducted to explore and describe how professional nurses render spiritual nursing care. A purposive sampling method was used to recruit the sample. Individual and focus group interviews were audio-taped and transcribed verbatim. Trustworthiness was ensured through strategies of truth value, applicability, consistency and neutrality. Data were analysed using the NUD*IST power version 4 software, constant comparison, open, axial and selective coding. Tech's eight steps of analysis were also used, which led to the emergence of themes, categories and sub-categories. Concept analysis was conducted through a comprehensive literature review and as a result 'caring presence' was identified as the core variable from which all the other characteristics of spiritual nursing care arise. An operational definition of spiritual nursing care based on the findings was that humane care is demonstrated by showing caring presence, respect and concern for meeting the needs not only of the body and mind of patients, but also their spiritual needs of hope and meaning in the midst of health crisis, which demand equal attention for optimal care from both religious and nonreligious nurses. PMID:23327772
Cashwell, Craig S.; Bentley, Paige B.; Yarborough, J. Preston
Given the increased attention to spirituality in the counseling literature, with a primary emphasis on helping clients find their spiritual path, it is important for counselors to be aware of one potential pitfall of the spiritual path, namely spiritual bypass. Spiritual bypass occurs when clients seek to use their spiritual beliefs, practices,…
Rudolfsson, Gudrun; Berggren, Ingela; da Silva, António Barbosa
Spirituality is often mistakenly equated with religion but is in fact a far broader concept. The aim of this integrative review was to describe experiences of the positive impact of spirituality and spiritual values in the context of nursing. The analysis was guided by Whittemore and Knafl’s integrative review method. The findings revealed seven themes: ‘Being part of a greater wholeness’, ‘Togetherness − value based relationships’, ‘Developing inner strength’, ‘Ministering to patients’, ‘Maintaining one’s sense of humanity’, ‘Viewing life as a gift evokes a desire to ‘give back’’ and ‘Achieving closure − life goes on’. It is difficult to draw definite conclusions, as spirituality involves many perspectives on various levels of awareness. However, spirituality was considered more inclusive, fluid and personal. Furthermore, it emerged that spirituality and spiritual values in the context of nursing are closely intertwined with the concept of caring. PMID:25598856
Biccheri, Eliane; Roussiau, Nicolas; Mambet-Doué, Constance
The aim of this study is to identify the impact of spirituality on coping strategies and on the quality of life of fibromyalgia patients. The study was carried out on 590 people suffering from fibromyalgia. The data were collected with the French version of the WCC-R (The Ways of Coping Checklist: Cousson et al. 1996), the questionnaire of spirituality (Evaluation de La Spiritualité: Renard and Roussiau, 2016) and Diener's Satisfaction with Life Scale questionnaire, translated into French (Blais et al. 1989). An analysis carried out with the software SPSS and Hayes' models showed that both problem-focused coping and coping through social support seeking are mediating variables that enable an indirect link between spirituality and quality of life. PMID:26922751
Bagheri Noaparast, Khosrow
This paper aims at showing the dimensions of spirituality in childhood education by suggesting a new analysis of the concept of "pure life" used in the Qur'an. Putting spirituality in the framework of the pure life provides us with a rich framework in dealing with spirituality as the latter will be extended to all dimensions of a life. In the…
Buzzanell, Patrice M.
Spirituality offers a range of connections--to oneself, others, organizations, a higher being--that may shift over the course of an individual's lifetime. The spiritual values of compassion, humility, and simplicity are a basis on which spiritual practices and identities form and grow. In turn, practices and identities shape the meanings and…
Spirituality is an important aspect of counseling. This paper identifies spirituality as a task that is a journey universal to human beings. It presents a taxonomy of spirituality/consciousness developed by Render and Lemire, postulating five levels of taxonomy: self, others, groups, the world, and cosmic. These levels apply across cultural,…
Benson, Peter L.; Roehlkepartain, Eugene C.
Addressing the spiritual development of young people has the potential to strengthen youth work and its outcomes. Spiritual development matters because it is an intrinsic part of being human and because young people themselves view it as important. This article reviews the research that points to positive impacts of spiritual development for youth…
Numerous popular figures currently espouse the importance of spirituality. Some prominent voices, such as Deepak Chopra, Marianne Williamson, and Eckhart Tolle, advocate a more spiritual existence, warning that the earth and humanity are engaged in a seismic change. The shift of spiritual leaders from fringe to fairly mainline attention is…
Using spiritual and religious resources gives patients and families strength to cope during a crisis, but nurses often do not offer spiritual care (Kloosterhouse & Ames, 2002). The purpose of this phenomenological study was to explore nurses" lived experience of giving spiritual care. A descriptive phenomenological approach was used to interview 4…
Hodge, David R.
A paucity of research exists on the effectiveness of spiritual interventions, despite their wide use by practitioners and the acknowledged importance of evidence-based practice. To assist practitioners in their selection of spiritual interventions, the author reviewed research on the effectiveness of spiritually modified cognitive therapy. The…
The purpose of this study was to provide a rich description of what spiritual experiences look like in children in a kindergarten classroom, in which typically, spirituality is not considered a part of the philosophy or curriculum of the school. This study sought to first describe what constitutes a spiritual experience, to then describe how…
Stloukal, Merit E.; Wickman, Scott A.
The authors present a model for creating spiritual and religious safe zones in school counseling programs that implements the Association for Spiritual, Ethical and Religious Values in Counseling's (ASERVIC; 2009) "Competencies for Addressing Spiritual and Religious Issues in Counseling" in a school setting. The authors frame the model within the…
Daniels, Carla; Fitzpatrick, Marilyn
In recent decades, spirituality has become a prominent focus of psychological inquiry. As research begins to elucidate the role of spiritual beliefs and behaviours in mental health and the influences of spirituality in psychotherapy, developing therapist competency in this domain has increased in importance. This article will first situate…
We are living in a time of increasing interest in the religious and spiritual aspects of sport and human movement activities. A strict distinction between religion and spirituality is, however, still missing in much of the literature. After delimiting religious and spiritual modes of experience, this article addresses Coubertin's "religio…
Marsh, Paul E.
What do people mean when they describe backcountry adventure experiences as being "spiritual"? Spiritual aspects of adventure experiences in the wilderness have been recounted anecdotally and recognized in research. This body of research, however, has left the definition of the term spiritual to the individual participants, and has not yet…
A co-operative inquiry group consisting of 8 counsellors met for 11 months to explore their experience of spirituality in their training and in their work with clients [Swinton, V. (2010). The spiritual in counselling training (Unpublished Thesis). The University of Manchester; Swinton, V. (2015). The spiritual in counselling training. In G. Nolan…
Spirituality is recognised by many to be an inherent property of the human being. Empirical studies and theoretical literature both suggest that spirituality affects one's quality of life in terms of emotional and physical well-being, relationships, and social inclusion. However, the importance of the spiritual dimension of life is rarely…
du Plessis, Emmerentia
This article argues that while not all nurses are comfortable with spiritual care, nurses may be comfortable with enacting presence. Presence, an encompassing element in spiritual care, might be a more accessible first step for nurses toward spiritual care. To further highlight this viewpoint, the nature, consequences, and cultivation of presence are also discussed. PMID:26633726
Looks at the spiritual dimensions of nursing at various historical periods: ancient civilizations, the Middle Ages, Renaissance, and the 18th and 19th centuries. Reviews contemporary perspectives on spirituality and nursing and suggests how nurses can be equipped to deal with patients' spiritual needs. (SK)
Adams, Christopher M.; Puig, Ana; Baggs, Adrienne; Wolf, Cheryl Pence
Despite a professionally recognized need for training in religion/spirituality, literature indicates that religious and spirituality issues continue to be inconsistently addressed in counselor education. Ten experts were asked to identify potential barriers to integrating religion and spirituality into counselor education and indicate strategies…
Farias, Miguel; Underwood, Raphael; Claridge, Gordon
Previous research has linked certain types of modern spirituality, including New Age and Pagan, with either benign schizotypy or insecure attachment. While the first view emphasizes a positive aspect of spiritual believers' mental health (benign schizotypy), the second view emphasizes a negative aspect, namely the unhealthy emotional compensation associated with an insecure attachment style. This study addresses these two conflicting views by comparing a sample of modern spiritual individuals (N = 114) with a contrast group of traditional religious believers (N = 86). Measures of schizotypy and attachment style were combined with mental health scales of anxiety and depression. We further assessed death anxiety to determine whether modern spiritual beliefs fulfilled a similar function as traditional religious beliefs in the reduction of existential threat. Our results support a psychological contiguity between traditional and modern spiritual believers and reinforce the need to de-stigmatize spiritual ideas and experiences. Using hierarchical regression, we showed that unusual experiences and ideas are the major predictor of engagement in modern spiritual practices. Anxiety, depression variables, and insecure attachment were not significant predictors of spirituality or correlated with them; on the other hand, the results show that spiritual believers report high social support satisfaction and this variable predicts involvement in modern spirituality. Further, spiritual practices were negatively correlated with and negatively predicted by death anxiety scores. Overall, the results strengthen the association between modern spirituality, good mental health, and general well-being. PMID:23848387
Lili, Tian; Shenghua, Jin
Objective: To explore the characteristics of the spiritual beliefs among junior high school students. Method: 431 junior high school students are measured by Students' Basic Information Questionnaire (SBIQ) and Middle School Students' Spiritual Beliefs Questionnaire (MSSSBQ). Results: (1) The overall characteristics of the spiritual beliefs among…
Dean, P. A.; Marler, Clayton Fay
Tribal people in southeast Idaho sincerely desire that archaeologists include Shoshone concepts of spirituality when investigating archaeological materials and sites. However, most archaeologists and resource managers have little understanding about these concepts and this creates difficulties. We examine two important aspects of the Shoshone soul, Mugua’ and Nabushi’aipe, and discuss how understanding these attributes aid in explaining why certain archaeological remains are considered sacred. A greater understanding of Shoshone spirituality will begin to bridge the needs of both tribal people and archaeologists.
Nakasone, R Y
The spiritual journey of a Buddhist devotee is a continual exploration of the truth of interdependence which Siddhartha Gautama realized to become the Buddha, "the Enlightened One." On the morning of the enlightenment, the Buddha apprehended the truth that all things and all beings are interconnected and mutually dependent in time and space. One measure of the spiritual maturity of the Buddhist devotee is his or her appreciation for the profound responsibilities and gratitude we share for all things. To illustrate the significance of interdependence in our lives, the author turns to the wisdom contained inVital Involvement in Old Age by Erik and Joan Erikson and Helen Q. Kivnick. PMID:24264030
LEE, MATTHEW T.; VETA, PAIGE S.; JOHNSON, BYRON R.; PAGANO, MARIA E.
The purpose of this study is to explore changes in belief orientation during treatment and the impact of increased daily spiritual experiences (DSE) on adolescent treatment response. One-hundred ninety-five adolescents court-referred to a 2-month residential treatment program were assessed at intake and discharge. Forty percent of youth who entered treatment as agnostic or atheist identified themselves as spiritual or religious at discharge. Increased DSE was associated with greater likelihood of abstinence, increased prosocial behaviors, and reduced narcissistic behaviors. Results indicate a shift in DSE that improves youth self-care and care for others that may inform intervention approaches for adolescents with addiction. PMID:25525291
Yaghjian, Lucretia B.
Mentoring is an important but often overlooked resource in theological education and students' academic and spiritual formation. This essay profiles the mentoring practices and postures of the writing tutor and the spiritual director as exemplars of academic and spiritual mentoring. An extended probe of this analogy affirms the integration of…
Corry, Lisa M.
The question explored in this research from the literature is: Regarding college student identity development, what is known about personal integrative spirituality and relational Christian spirituality, with a particular focus on gender differences? Spirituality is included as an aspect of identity development by theorists Erikson, Marcia,…
Lewis, Jeffrey S.; Geroy, Gary D.
Discusses six entry points to initiate discussion of employee spirituality in management education: cross-cultural management, workplace diversity, leadership, team management, organizational culture, and human resource development. (SK)
Hatala, Andrew R
Previous research on Aboriginal [Native American] spirituality has demonstrated that some of its dimensions have significant, positive effects on health and healing. This review will explore and highlight some important spiritual domains and characteristics of Aboriginal life that are significant factors in both the prevention of and recovery from various mental health issues afflicting the Canadian Aboriginal population today. Findings from current research in this area is explored and presented as grounds for supporting the current objectives. As demonstrated, Aboriginal perspectives on health and healing are broader than those of biomedicine, encompassing emotional and spiritual aspects as well as the mental and physical. Mental health practitioners should, therefore, include spiritual dimensions while working with Aboriginal patients, not only to respect the patients' worldview but also for the demonstrated positive effects on healing. PMID:20664135
Mooney, Bróna; Timmins, Fiona
Precise definitions of spirituality can be elusive (McSherry, 2000). This factor together with the increasing class sizes for undergraduate nursing students render the teaching and learning of spirituality in nursing a challenge for both lecturers and students alike (McSherry, 2000). This paper reports on the design, delivery and evaluation of an innovative spirituality program for second year nursing students attending a Bachelor of Science degree at a university in the Republic of Ireland. This teaching program was introduced in 2005 to enhance nursing students' engagement with the concept of spirituality. The program consisted of a series of lectures on the topic, followed by a visit to the National Gallery of Ireland. The latter involved a structured visit, whereby the students (n=100) were divided into ten small groups and asked to wander through a section of the gallery and choose a piece of art work that they perceived to be spiritual in nature. Students were then asked to write their subjective impressions and reasons for their choice of painting. A list of themes related to spirituality was provided to the students as a prompt. Students later visited the paintings with both a lecturer and an art gallery guide and their chosen paintings were discussed within the group. Later that day, purposive sampling was used, whereby a selection of nursing students participating in the Gallery visit (n=21) partook in four recorded focus group interviews following the Gallery visit. Themes emerging from the interviews pertained to the universal and individual nature of spirituality. In keeping with Mc Sherry's (2000:27) definition of spirituality as a "universal concept relevant to all individuals", students in the study revealed their surprise at the uniqueness of their colleague's interpretations. The teaching methodology offered them an opportunity to reflect upon their own understandings and develop a deeper awareness of the meaning of spirituality. It also allowed
Dobratz, Marjorie C
The purpose of this article is to describe a Roy adaptation model based- research abstraction, the findings of which were synthesized into a middle-range theory (MRT) of adaptive spirituality. The published literature yielded 21 empirical studies that investigated religion/spirituality. Quantitative results supported the influence of spirituality on quality of life, psychosocial adjustment, well-being, adaptive coping, and the self-concept mode. Qualitative findings showed the importance of spiritual expressions, values, and beliefs in adapting to chronic illness, bereavement, death, and other life transitions. These findings were abstracted into six theoretical statements, a conceptual definition of adaptive spirituality, and three hypotheses for future testing. PMID:26980894
Ferrell, Betty; Wittenberg, Elaine; Battista, Vanessa; Walker, Gay
Although we know that families of seriously ill children experience spiritual distress, especially at the end of the child's life, there is little information on the specific spiritual needs of families. In order to develop further training for nurses in paediatrics and help nurses develop skills for communicating about spirituality, this research examined the spiritual needs of families based on nurses' experiences with families of seriously ill children. Nurses' experiences revealed that families' anger with God, blame/regret, forgiveness, and ritual and cultural traditions are salient spiritual needs requiring effective nurse communication skills to support families of ill children. PMID:27568778
King, Michael B; Koenig, Harold G
The need to take account of spirituality in research and health services provision is assuming ever greater importance. However the field has long been hampered by a lack of conceptual clarity about the nature of spirituality itself. We do not agree with the sceptical claim that it is impossible to conceptualise spirituality within a scientific paradigm. Our aims are to 1) provide a brief over-view of critical thinking that might form the basis for a useful definition of spirituality for research and clinical work and 2) demystify the language of spirituality for clinical practice and research. PMID:19594903
Parallels between the reconstruction of self in Alcoholics Anonymous and the reconstruction of self in second language acquisition are drawn out and examined in three areas: ego deflation, identification at depth, and mutual assistance. These spiritual principles are shown to be theoretically and empirically supported in SLA literature and…
McGinnis, Jane Berndt
This review examines research in moral and spiritual development during the adolescent years, with a primary focus on Piaget's and Kohlberg's theories. It begins by presenting definitions of morality and then discusses theories of moral development set forth by Piaget, Elkind, and Kohlberg. Theories of Piaget and Kohlberg are briefly compared.…
Mehl-Madrona, Lewis; Mainguy, Barbara; Valenti, Michael Pickren
Research suggests that spiritual transformation, a change in the way a person considers the sacred, can change medical outcome (Pargament, 2006). Psychometric studies have failed to identify specific factors, but qualitative reports detail an experience that can be reliably shown to have an impact. We report on the development of a rubric for…
Colucci, Erminia; Martin, Graham
The inner experience of spiritual and religious feelings is an integral part of the everyday lives of many individuals. For over 100 years the role of religion as a deterrent to suicidal behavior has been studied in various disciplines. We attempt to systematize the existing literature investigating the relationship between religion/spirituality…
McCarthy-Jones, Simon; Waegeli, Amanda; Watkins, John
For millennia, some people have heard voices that others cannot hear. These have been variously understood as medical, psychological and spiritual phenomena. In this article we consider the specific role of spirituality in voice-hearing in two ways. First, we examine how spirituality may help or hinder people who hear voices. Benefits are suggested to include offering an alternative meaning to the experience which can give more control and comfort, enabling the development of specific coping strategies, increasing social support, and encouraging forgiveness. Potential drawbacks are noted to include increased distress and reduced control resulting from placing frightening or coercive constructions on voices, social isolation, the development of dysfunctional beliefs, and missed/delayed opportunities for successful mental health interventions. After examining problems surrounding classifying voices as either spiritual or psychotic, we move beyond an essentialist position to examine how such a classification is likely to be fluid, and how a given voice may move between these designations. We also highlight tensions between modernist and postmodernist approaches to voice-hearing. PMID:24273597
Kuh, George D.; Gonyea, Robert M.
One of the more intriguing trends at the turn of the twenty-first century is the ascendant influence of religion in various aspects of American life. The renewed interest in religion and spirituality is not just a function of aging baby boomers acknowledging their mortality. The University of Pennsylvania reported that 86 percent of those between…
Hodge, David R.; Moser, Stephanie E.; Shafer, Michael S.
Mothers are one of the fastest growing segments of the homeless population in the United States. Although mental health problems often contribute to homelessness, little is known about the factors that affect mothers' mental health. To help identify protective factors, this longitudinal study examined the relationship between spirituality and…
Knowles, Debora; Bryant, Rhonda M.
Given their tremendous professional responsibilities, professional counselors face daunting challenges to remaining healthy and avoiding role stress and overload. This article explores the intersection of race, gender, wellness, and spirituality in the self-care of African American women counselors. The authors give particular attention to…
Falb, Melissa D; Pargament, Kenneth I
Mindfulness training, which emphasizes deliberate non-judgmental attention to present moment experiences, has become increasingly mainstream over the past several decades. With accumulating evidence for the physical and mental health benefits of mindfulness, it has been integrated into medical and psychological treatments and is increasingly accepted in the fields of psychology and psychiatry. However, several elements of mindfulness practice which potentially contribute to its benefits have been largely neglected. These include the connections between mindfulness, interpersonal relationships, spirituality, and the psychotherapeutic alliance. The emerging concept of "relational mindfulness" focuses attention on the oft-neglected interpersonal aspects of mindfulness practices. Relational mindfulness is potentially relevant to the psychotherapeutic process, due to its cultivation of the types of qualities that enhance the therapeutic relationship, including warmth, empathy, curiosity, acceptance, self-attunement, and emotional intelligence. In addition, mindfulness practices, especially relational ones, can contribute to the development of spiritual qualities, such as transcendence, boundlessness, ultimacy, and interconnectedness. Several recent studies suggest that meditation/mindfulness interventions may be explained and or enhanced by an emphasis on spiritual components. In this paper, we suggest that focusing on the oft-neglected relational and spiritual aspects of mindfulness practice has the potential to deepen its benefits, especially within the context of the psychotherapeutic relationship. PMID:23174445
Franklin, H. Carolyn
Attention to teaching and developing spirituality in interpersonal communication is timely. Today's technology usurps the "human" in human being. Humankind is displaced by computers, e-mail, and various websites which substitute for the "person" in interpersonal communication. This technology, combined with the emergence of widespread cultural…
McCarthy-Jones, Simon; Waegeli, Amanda; Watkins, John
For millennia, some people have heard voices that others cannot hear. These have been variously understood as medical, psychological and spiritual phenomena. In this article we consider the specific role of spirituality in voice-hearing in two ways. First, we examine how spirituality may help or hinder people who hear voices. Benefits are suggested to include offering an alternative meaning to the experience which can give more control and comfort, enabling the development of specific coping strategies, increasing social support, and encouraging forgiveness. Potential drawbacks are noted to include increased distress and reduced control resulting from placing frightening or coercive constructions on voices, social isolation, the development of dysfunctional beliefs, and missed/delayed opportunities for successful mental health interventions. After examining problems surrounding classifying voices as either spiritual or psychotic, we move beyond an essentialist position to examine how such a classification is likely to be fluid, and how a given voice may move between these designations. We also highlight tensions between modernist and postmodernist approaches to voice-hearing. PMID:24273597
Based in an unfortunate tradition that stretches back in time to Watson's behaviorism and Freud's psychoanalysis, psychology has tended to reject and to pathologize matters of the spirit. In the past 30 years, however, with the advent of what has been termed the cognitive revolution, psychology has greatly expanded the scope of its subject matter. Psychologists and thanatologists have begun to unravel the cognitive underpinnings of our assumptive world and the transformation of those underpinnings in times of crisis and stress. This article examines the cognitive basis of the spiritual experience and the use of cognitive assimilation, accommodation strategies during the process of mourning the death of a loved one, as well as during the process of living our own dying. Of special importance to mental health professionals and clergy, new research on dying, mourning, and spirituality suggests that the specific ways in which people rediscover meaning--such as belief in traditional religious doctrine, the afterlife, reincarnation, philanthropy, or a spiritual order to the universe--may be less important than the process itself. In other words, in the midst of dealing with profound loss in our lives, the ability to reascribe meaning to a changed world through spiritual transformation, religious conversion, or existential change may be more significant than the specific content by which that need is filled. PMID:10558611
Church documents, theology, leadership theory, and sociology come together in this article to present a pedagogy for Catholic schools that is deeply rooted in a personal faith and a contemporary understanding of the person. In order to construct a conceptual model of a pedagogy grounded in Christian spirituality, the meaning of the term "pedagogy"…
York, Kenneth D.; Miller, Doreen M.; Duncan, Cecil
The purpose of this study was to assess the rehabilitation counselor issues regarding the integration of spirituality into rehabilitation counseling. Rehabilitation counseling, from its inception, has espoused the concept of holism. The holistic approach to rehabilitation counseling recognizes the importance of working with the whole person, to…
Evolution of the relationship between counseling and spirituality since 1840 is examined in terms of the number of publications that have appeared over time that include these terms. The author retrieved the data using the American Psychological Association's PsycINFO database. A similar search was done adding the term training. The rise of…
Asserts the importance of psychological and spiritual factors in the treatment of chronic illness. Discusses the inevitably of sickness, old age, and death, as well as the presence of the physician, patience, pain, and hope. Maintains that reflection on these qualities can benefit both the physician and patient. (MJP)
A teacher developing a method to teach spiritual care to nursing students over age 25 used a journal to record and reflect on experiences. The importance of a safe and open learning environment, use of adult-learning principles, and immediate recording of journal entries was underscored. (SK)
Arden, Harvey; Wall, Steve
This book documents meetings with Native American elders who shared their tribal stories of origin, sacred traditions, social life and customs, and traditional wisdom. The idea for the book began when a Cherokee medicine man requested that his tribal knowledge be documented for future generations. For the past 10 years, the spiritual elders of…
This paper, informed especially by the work of the philosopher John Macmurray, focuses on two personal anecdotes in order to explore the relationship and distinctions between emotional and spiritual experience. Despite being unique to the individual, emotional experience requires relationship, and thus appreciation of the feelings of others is…
Louie-Badua, Liane J.; Wolf, Maura
Service-learning, by its very nature, fosters young people's spiritual development, especially in experiencing a sense of interconnectedness with others and the rest of the world; opening one's heart; and expanding self-inquiry and self-knowledge. (Contains 7 notes.)
Bruce, Anne; Sheilds, Laurene; Molzahn, Anita
Despite growing interest in spiritual matters throughout society, definitions and descriptions of spirituality seem incomplete or otherwise unsatisfactory. In this article, the authors consider the possibility that such incompleteness is perhaps necessary and welcomed in addressing spirituality. In particular, they investigate the challenges of using metaphor and metonymic approaches to "languaging" spirituality. By exploring these figures of speech they hope to diversify how nurses articulate deeply personal and perhaps enigmatic human phenomena such as spirituality. Metaphoric language uses everyday structures to help make sense of complex, emotional, and abstract experience. Whereas metaphor creates substitutive relationships between things and provides insights into conceptualizing spirituality, metonymy and metonymic writing establish relationships of contiguity. Whereas metaphor functions to represent and facilitates understanding and feelings about spirituality, metonymy disrupts while opening possibilities of moving beyond binary thinking. Attending to language and its various ontological assumptions opens diverse and potentially more inclusive possibilities. PMID:20841392
Miller, Lisa; Bansal, Ravi; Wickramaratne, Priya; Hao, Xuejun; Tenke, Craig E.; Weissman, Myrna M.; Peterson, Bradley S.
IMPORTANCE We previously reported a 90% decreased risk in major depression, assessed prospectively, in adult offspring of depressed probands who reported that religion or spirituality was highly important to them. Frequency of church attendance was not significantly related to depression risk. Our previous brain imaging findings in adult offspring in these high-risk families also revealed large expanses of cortical thinning across the lateral surface of the right cerebral hemisphere. OBJECTIVE To determine whether high-risk adults who reported high importance of religion or spirituality had thicker cortices than those who reported moderate or low importance of religion or spirituality and whether this effect varied by family risk status. DESIGN, SETTING, AND PARTICIPANTS Longitudinal, retrospective cohort, familial study of 103 adults (aged 18–54 years) who were the second- or third-generation offspring of depressed (high familial risk) or nondepressed (low familiar risk) probands (first generation). Religious or spiritual importance and church attendance were assessed at 2 time points during 5 years, and cortical thickness was measured on anatomical images of the brain acquired with magnetic resonance imaging at the second time point. MAIN OUTCOMES AND MEASURES Cortical thickness in the parietal regions by risk status. RESULTS Importance of religion or spirituality, but not frequency of attendance, was associated with thicker cortices in the left and right parietal and occipital regions, the mesial frontal lobe of the right hemisphere, and the cuneus and precuneus in the left hemisphere, independent of familial risk. In addition, the effects of importance on cortical thickness were significantly stronger in the high-risk than in the low-risk group, particularly along the mesial wall of the left hemisphere, in the same region where we previously reported a significant thinner cortex associated with a familial risk of developing depressive illness. We note that
Spinale, Joann; Cohen, Scott D.; Khetpal, Prashant; Peterson, Rolf A.; Clougherty, Brenna; Puchalski, Christina M.; Patel, Samir S.; Kimmel, Paul L.
Background and objectives: No studies have evaluated the relationship among spirituality, social support, and survival in patients with ESRD. This study assessed whether spirituality was an independent predictor of survival in dialysis patients with ESRD after controlling for age, diabetes, albumin, and social support. Design, setting, participants, & measurements: A total of 166 patients who had ESRD and were treated with hemodialysis completed questionnaires on psychosocial variables, quality of life, and religious and spiritual beliefs. The religious variables were categorized into three scores on a 0 to 20 scale (low to high levels): Spirituality, religious involvement, and religion as coping. Social support was assessed using the Multidimensional Scale for Perceived Social Support. Analyses were also performed including and excluding patients with HIV infection. Religious variables were categorized on the basis of means, medians, and tertiles. Results: In analyses that used religious variables, only the responses on the spirituality scale split at the mean were associated with survival. The association of other religious variables with survival did not reach significance. Social support correlated with spirituality, religion as coping, and religious involvement measures. Only social support and age were associated with survival when controlling for diabetes, albumin concentration, HIV infection, and spirituality. Conclusions: These data suggest that the effects of spirituality may be mediated by social support. Larger, multicenter, prospective studies that use well-validated tools to measure religiosity and spirituality are needed to determine whether there is an independent association of spirituality variables with survival in patients with ESRD. PMID:18922991
Mystakidou, Kyriaki; Tsilika, Eleni; Prapa, Efi; Smyrnioti, Marilena; Pagoropoulou, Anna; Lambros, Vlahos
ABSTRACT OBJECTIVE To assess the relationship between spirituality and hopelessness, desire for hastened death, and clinical and disease-related characteristics among patients with advanced cancer, and to investigate predictors of spirituality. Spiritual well-being is thought to have a beneficial effect on patients’ response to illness. DESIGN Patients were asked to complete 4 questionnaires: the Greek version of the Spiritual Involvement and Beliefs Scale, the Greek version of the Schedule of Attitudes toward Hastened Death, the Beck Hopelessness Scale, and a questionnaire on demographics. SETTING A palliative care unit in Athens, Greece. PARTICIPANTS A total of 91 patients with advanced cancer. MAIN OUTCOME MEASURES Associations between scores on the Spiritual Involvement and Beliefs scale and scores on the Schedule of Attitudes toward Hastened Death scale and the Beck Hopelessness scale, and demographic characteristics. RESULTS Statistically significant associations were found between spirituality and sex of patients (P = .001) and spirituality and stronger hopelessness (r = 0.252, P = .016). In multivariate analyses, stronger hopelessness, male sex, younger age, and receiving chemotherapy were found to be the strongest predictors of being spiritual. CONCLUSION Demographic and clinical characteristics and stronger hopelessness appeared to have statistically significant relationships with spirituality. Interventions to improve patients’ spiritual well-being should take these relationships into account. PMID:19074719
Seddigh, Ruohollah; Keshavarz-Akhlaghi, Amir-Abbas; Azarnik, Somayeh
Context The objective of the present review was to collect published spiritual needs questionnaires and to present a clear image of the research condition of this domain. Evidence Acquisition First, an electronic search was conducted with no limits on time span (until June 2015) or language in the following databases: PubMed, Scopus, Ovid, ProQuest and Google Scholar. All derivations of the keywords religion and spiritual alongside need and its synonyms were included in the search. Researches that introduced new tools was then selected and included in the study. Due to the limited quantity of questionnaires in this domain and with no consideration given to the existence or lack of exact standardization information, all of the questionnaires were included in the final report. Results Eight questionnaires were found: patients spiritual needs assessment scale (PSNAS), spiritual needs inventory (SNI), spiritual interests related to illness tool (SpIRIT), spiritual needs questionnaire (SpNQ), spiritual needs assessment for patients (SNAP), spiritual needs scale (SNS), spiritual care needs inventory (SCNI), and spiritual needs questionnaire for palliative care. Conclusions These questionnaires have been designed from a limited medical perspective and often involve cultural concepts which complicate their cross-cultural applicability. PMID:27284281
Cramer, Emily M; Tenzek, Kelly E; Allen, Mike
Chaplains provide a much-needed service to patients and families requiring spiritual care in the healthcare setting. Despite evidence documenting improvements quality of life for patients using spiritual services, chaplains experience challenges in translating the benefits they provide into concepts understood by patients, team members, and administrators. A qualitative study using interviews with 19 chaplains found that translation problems occur in three main areas: (a) justifying the role to patients and families, (b) determinations of what constitutes a "productive" employee, and (c) effective collaboration with other members of the health care team. This study outlines several strategies used by chaplains to ease the process of translation, as well as some directions for future research. PMID:24040699
Igboin, Benson O
Everyday experience shows that there is a commonality between spirituality and medical practice. A text message I received from a friend recently read, "Please pray for me. I've been getting a mysterious headache for some days now. I will be seeing the doctor today." This clearly speaks of a relationship: asking for prayer so as to be relieved of a "mysterious headache", yet going to see a doctor whose job is not to cure mysterious headaches. Even though both areas of human experience have their peculiar and largely unrelated methodologies, this paper argues that any extreme separation of the two is injurious to the teleology of both disciplines in relation to human well-being, which forms the core of spirituality and medicine. PMID:26592781
Mermann, A. C.
Dying is an event beyond our comprehension, an experience that can only be imagined. Patients with cancer have a gift denied many others: some time to prepare for the approaching end of life. This time can be used to bring old conflicts to a close, to say goodbye and seek forgiveness from others, to express love and gratitude for the gifts of a life. Physicians can help patients by being aware of the spiritual dimensions to life that many patients have. In major religious traditions, death is accepted as the natural end of the gift of life and as a point of transition to another, yet unknown, existence. For many patients, it is not death that is feared, but abandonment. The physician's awareness of the spiritual needs of patients can make care of the dying more rewarding and fulfilling for all concerned. PMID:1519377
Jafari, Najmeh; Farajzadegan, Ziba; Zamani, Ahmadreza; Bahrami, Fatemeh; Emami, Hamid; Loghmani, Amir; Jafari, Nooshin
Purpose. The aim of this study was to investigate the role of spiritual therapy intervention in improving the spiritual well-being and quality of life (QOL) of Iranian women with breast cancer. Methods. This randomized controlled clinical trial (RCT) recruited 65 women with breast cancer, randomly assigned to a 6-week spirituality-based intervention (n = 34) or control group (n = 31). Before and after six-week spiritual therapy intervention, spiritual well-being and quality of life (QOL) were assessed using Functional Assessment of Chronic Illness Therapy Spiritual Well-being scale (FACIT-Sp12) and cancer quality-of-life questionnaire (QLQ-C30), respectively. t-test, Paired t-test, pearson's correlation, and hierarchical regression analyses were used for analysis using Predictive Analytic software (PASW, version 18) for Windows. Results. After six spiritual therapy sessions, the mean spiritual well-being score from 29.76 (SD = 6.63) to 37.24 (SD = 3.52) in the intervention group (P < 0.001). There was a significant difference between arms of study (F = 22.91, P < 0.001). A significant positive correlation was detected between meaning and peace with all subscales of functional subscales on European Organization for Research and Treatment of Cancer quality of Life (EORTC QLQ-C30) (P < 0.05). Hierarchical regression analyses of participants indicated that the study arm, pain, and financial impact were significant predictors of spiritual well-being and overall QOL. Social functioning was another significant predictor of spiritual well-being. Conclusion. The results of this randomized controlled trial study suggest that participation in spiritual therapy program is associated with improvements in spiritual well-being and QOL. Targeted interventions to acknowledge and incorporate spiritual needs into conventional treatment should be considered in caring of Iranian patients with breast cancer. PMID:24023572
Salladay, Susan A
Aostmodern thinking that embraces tolerance and suggests there is no absolute truth may make Christian nurses feel uncertain or uncomfortable in giving spiritual care, especially care consistent wtih their beliefs. Christian nurses can be guided by the example of Jesus Christ and the Apostles Peter and Paul in the bible, being sensitive to postmodern perceptions without being intimidated by them and feeling neither obliated to share their faith, nor afraid to do so if a patient asks and gives consent. PMID:21473195
Messina, Giuseppina; Anania, Stefania; Bonomo, Claudia; Veneroni, Laura; Andreoli, Antonietta; Mameli, Francesca; Ortolina, Chiara; De Fabritiis, Paola; Gaffuri, Maria; Imbesi, Francesco; Moja, Egidio
Background: It has been shown that the pineal gland plays a fundamental role in mediating either the spiritual perception or the anticancer immunity by stimulating the endogenous production of anticancer cytokine interleukin (IL)-2. Objective: The present study was performed to evaluate the impact of a spiritual approach consisting of Kriya Yoga program alone or in association with melatonin (MLT) or low-dose IL-2 plus MLT on the survival time in a group of metastatic cancer patients with life expectancy less than 1 year. Materials and Methods: A case-control study was carried out in 240 patients (M/F: 146/94; median age: 62 years, range: 34-71, suffering from non-small-cell lung cancer or gastrointestinal tumors) who were subdivided into 6 groups of 40 patients, treated with supportive care alone as a control group, supportive care plus Yoga, MLT alone, MLT plus Yoga, inteleukin-2 plus MLT, or IL-2 plus MLT plus Yoga. Results: The best results in terms of increased survival time were obtained by the association between neuroimmunotherapy with MLT plus IL-2 and Yoga program (2 years), which was significantly longer with respect to that achieved by supportive care alone, Yoga alone, or IL-2 plus MLT alone (1 year). Conclusions: This study would suggest that a spiritual therapeutic approach may improve the survival time of untreatable metastatic solid tumor patients. PMID:21654973
Phillips, Lauren; Kemppainen, Jeanne K; Mechling, Brandy M; MacKain, Sally; Kim-Godwin, Yeounsoo; Leopard, Louisa
Associations were examined between eating disorder symptoms and spiritual well-being in a convenience sample of college students. Undergraduate nursing students at a university in a Mid-Atlantic coastal beach community were recruited for the study. A total of 115 students completed the Spiritual Well-Being Scale (SWBS); the Sick, Control, One Stone, Fat, Food (SCOFF) screening questionnaire; and the Eating Attitudes Test (EAT-26). Approximately one quarter of students had positive screens for an eating disorder, and 40% admitted to binging/purging. SWBS scores reflected low life satisfaction and a lack of clarity and purpose among students. A significant association was found between EAT-26 scores and SWBS Existential Well-Being (EWB) sub-scale scores (p = 0.014). SCOFF scores were significantly associated with SWBS EWB scores (p = 0.001). Symptoms of eating disorders were pervasive. Future research that assesses the impact of spiritual factors on eating disorders may help health care providers better understand the unique contributions to the development of eating disorders. [Journal of Psychosocial Nursing and Mental Health Services, 53(1), 30-37.]. PMID:25490775
Khanna, Surbhi; Greyson, Bruce
People who have near-death experiences often report a subsequently increased sense of spirituality and a connection with their inner self and the world around them. In this study, we examined spiritual well-being, using Paloutzian and Ellison's Spiritual Well-Being Scale, among 224 persons who had come close to death. Participants who reported having near-death experiences reported greater spiritual well-being than those who did not, and depth of spiritual well-being was positively correlated with depth of near-death experience. We discussed the implications of these findings in light of other reported aftereffects of near-death experiences and of spiritual well-being among other populations. PMID:23625172
Batcheller, Joyce; Davis, James; Yoder-Wise, Patricia S
Healthy workplaces address various issues. Work focused on ergonomics addresses physical issues, satisfaction surveys reveal psychosocial issues; and other approaches address spirituality issues. Spirituality in the workplace contributes to holistic care and to the worth of the individual. Incorporating the concept of spirituality, in its broad sense, into the workplace enriches leadership practice and contributes to a holistic work environment. Spirituality is core to the servant leader approach to leadership and beneficial to other approaches. Followers benefit from a holistic approach to leadership; and some specific practices can exhibit the belief an organization holds related to the worth of the individual. Incorporating spirituality into an organization reflects the same values nursing holds for person-centered care, a view of integration of physical, psychological, and spiritual needs. PMID:24022284
Peteet, John R.
Many studies have found an inverse correlation between religious/spiritual involvement and depression. Yet several obstacles impede spiritually integrated treatment of depressed individuals. These include specialization and fragmentation of care, inexperience of clinicians and spiritual care providers, ideological bias, boundary and ethical concerns, and the lack of an accepted conceptual framework for integrated treatment. Here I suggest a framework for approaching these obstacles, constructed from a unified view of human experience (having emotional, existential, and spiritual dimensions); spirituality seen as a response to existential concerns (in domains such as identity, hope, meaning/purpose, morality, and autonomy in relation to authority, which are frequently distorted and amplified in depression); a rationale for locating spiritually oriented approaches within a clinician's assessment, formulation, and treatment plan; and recognition of the challenges and potential pitfalls of integrated treatment. PMID:22577530
Interest in both spirituality and complementary therapies is growing, with their inclusion in both daily life and in health care. The concept of spirituality and the delivery of a therapy have a certain synergy as they both espouse a view of the world that recognises the importance of the whole person. Increasingly, clients want their values and beliefs attended to, perhaps choosing a therapy as a pathway to nourish their sense of the spiritual. Consequently working in a holistic way the complementary therapist needs to acknowledge the spiritual dimension of the client. Integral to this is how the therapeutic encounter facilitates this engagement and how important it is that the therapist develops and explores their own spirituality and life values. This article is an exploration of how spirituality and complementary therapies can legitimately work together, creating a sacred space for both therapist and client. PMID:16648095
There is an increasing interest in the role of spirituality on the experience of health, wellness and illness, as well as the role of spiritual practice in health care provision. For pregnancy and childbirth, this focus has tended to concentrate on hospital birth settings and care, and religious forms of spirituality. The blessingway ceremony can be described as an alternative baby shower, popular with home-birthing women. Its focus is woman-centred and draws on the power of ritual to evoke a spiritual experience for the pregnant host and her guests. This spirituality is experienced as a strong connection between women, their relationship with 'nature', and forged via the nostalgic imagination of women through time and space. This article will draw on data obtained in 2010 during doctoral fieldwork with 52 home-birthing women across eastern Australia and will examine the blessingway ceremony and its significance as a site of potential spiritual empowerment for pregnant and birthing women. PMID:25577206
Religion, spirituality, health and medicine have common roots in the conceptual framework of relationship amongst human beings, nature and God. Of late, there has been a surge in interest in understanding the interplay of religion, spirituality, health and medicine, both in popular and scientific literature. A number of published empirical studies suggest that religious involvement is associated with better outcomes in physical and mental health. Despite some methodological limitations, these studies do point towards a positive association between religious involvement and better health. When faced with disease, disability and death, many patients would like physicians to address their emotional and spiritual needs, as well. The renewed interest in the interaction of religion and spirituality with health and medicine has significant implications in the Indian context. Although religion is translated as dharma in major Indian languages, dharma and religion are etymologically different and dharma is closer to spirituality than religion as an organized institution. Religion and spirituality play important roles in the lives of millions of Indians and therefore, Indian physicians need to respectfully acknowledge religious issues and address the spiritual needs of their patients. Incorporating religion and spirituality into health and medicine may also go a long way in making the practice of medicine more holistic, ethical and compassionate. It may also offer new opportunities to learn more about Ayurveda and other traditional systems of medicine and have more enriched understanding and collaborative interaction between different systems of medicine. Indian physicians may also find religion and spirituality significant and fulfilling in their own lives. PMID:18097118
Milner, Kerry A; Foito, Kim; Watson, Sherylyn
Nurse educators need to equip nursing students with suitable resources and education so they can develop their own spiritual care, as well as recognize spiritual care needs in patients. There is a paucity of literature on teaching strategies for spiritual care and prayer in undergraduate nursing programs. This article describes how one faith-based school implemented strategies to facilitate spiritual development in students, which are integrated throughout the curriculum and utilized in the U.S. and a study-abroad program in Ireland. PMID:27610908
The purpose of this article is to bring to focus an historical perspective to the subject of spirituality in nurse education. In doing so, the historical roots of spirituality in nursing are traced and commented. Whilst acknowledging the emerging perspectives on spirituality (Simsen 1986, Burnard 1986, 1987, Narayanasamy 1991, 1993, Harrison 1993, Bradshaw 1994, Ross 1995, Oldnall 1996, McSherry & Draper 1998) this paper attempts to address its historical dimension, which is presently lacking in the nursing literature. In order to address this historical gap in spirituality, this paper begins by looking at the spiritual influences of nursing in ancient civilizations like Egypt, Mesopotamia, China, Palestine, India, Greece and Rome and then examines the influence of Christianity. After this, the spiritual dimension of nursing is portrayed as it was in the Middle Ages, Renaissance, Eighteenth and Nineteenth centuries. Finally, the emerging nursing theories and their positions on spirituality (including those of humanists) are reviewed and commented. It is hoped that this paper, through a brief review of events, has begun to highlight the significance of the precursor to spirituality in nursing from an historical perspective. It is concluded that contemporary literature suggests there is scope for development of educational programmes to better equip nurses to meet patients' spiritual needs. PMID:10693486
Egan, Richard; Wood, Sarah; MacLeod, Rod; Walker, Robert
Chronic kidney disease is marked by a reduced life expectancy and a high symptom burden. For those who reach end-stage renal disease, the prognosis is poor, and this combined with the growing prevalence of the disease necessitates supportive and palliative care programmes that will address people’s psychosocial, cultural and spiritual needs. While there is variation between countries, research reveals that many renal specialist nurses and doctors are reluctant to address spirituality, initiate end-of-life conversations or implement conservative treatment plans early. Yet, other studies indicate that the provision of palliative care services, which includes the spiritual dimension, can reduce symptom burden, assist patients in making advanced directives/plans and improve health-related quality of life. This review brings together the current literature related to renal supportive care and spirituality under the following sections and themes. The introduction and background sections situate spirituality in both healthcare generally and chronic kidney disease. Gaps in the provision of chronic kidney disease spiritual care are then considered, followed by a discussion of the palliative care model related to chronic kidney disease and spirituality. Chronic kidney disease spiritual needs and care approaches are discussed with reference to advanced care planning, hope, grief and relationships. A particular focus on quality of life is developed, with spirituality named as a key dimension. Finally, further challenges, such as culture, training and limitations, are explicated. PMID:27417819
Haroutiounian, Ara; Ghavam, Shirin; Gomez, Stephanie Jo; Ivshin, Ella; Phelan, Sherry; Freshman, Brenda; Griffin, Matt; Lindsay, Cindy
Members of a diverse management class discuss how they explored issues of spirituality "in" and "of" work, an inclusive definition of spirituality and work, and opposition to organizational imposition of spiritual values. (SK)
Background As professional spiritual care (chaplaincy) is introduced to new cultures worldwide, it bears examining which elements of screening and care are universal and, for those elements showing cultural difference, to study them in each culture. No quantitative spiritual care patient study had previously been done in Israel. Our objectives were twofold: 1) to examine who wants spiritual care in Israel, including demographic and clinical variables, and to compare against other results worldwide to further develop universal screening protocols 2) to see what patients want from spiritual care specifically in the Israeli setting. Methods Self-administered patient questionnaire examining spirituality/religiosity, interest in spiritual care (subdivided by type of care), and key demographic, social, and clinical data. The study setting was an Israeli oncology center at which spiritual care had been recently introduced. Results Data from 364 oncology patient questionnaires found 41% interest in spiritual care, as compared to 35%-54% in American studies. Having previously been visited by a spiritual caregiver predicted patient interest in further spiritual care (AOR 2.4, 95% CI 1.2-4.6), suggesting that the new service is being well-received. Multivariate stepwise logistic regression analysis identified additional predictors of openness to receiving spiritual care: self-describing as somewhat/very spiritual vs. not spiritual (adjusted odds ratio [AOR] 3.9 and 6.3, 95% CI 1.8-8.6 and 2.6-15.1) or traditional/religious vs. secular (AOR 2.2 and 2.1, 95% CI 1.3-3.6 and 1.1-4.0); and receiving one visit a week or less from family and friends (AOR 5.6, 95% CI 2.1-15.1). These findings are in line with previous American studies, suggesting universality across cultures that could be utilized in screening. Differences in demographic data and medical condition were not significant predictors of patient interest, suggesting a cultural difference, where age and education were
The "Adelaide Declaration on National Goals for Schooling in the Twenty-First Century" provides a mandate for discussion of the spiritual within secular state schooling, but this discussion has never occurred. This is a serious omission given what could be called an "undercurrent of concern" for the ways in which young people today frame and make…
King, Pamela Ebstyne; Clardy, Casey E.; Ramos, Jenel Sánchez
This qualitative study aimed to develop theory about psychological constructs relevant to spiritual development in diverse adolescents. Exemplar and Consensual Qualitative Research methods were used to explore 30 interviews of adolescents aged 12 to 21 years ("M" = 17.73 years) representing eight religions and six countries from around…
Rassouli, Maryam; Zamanzadeh, Vahid; Ghahramanian, Akram; Abbaszadeh, Abbas; Alavi-Majd, Hamid; Nikanfar, Alireza
Background: Although nurses acknowledge that spiritual care is part of their role, in reality, it is performed to a lesser extent. The purpose of the present study was to explore nurses’ and patients’ experiences about the conditions of spiritual care and spiritual interventions in the oncology units of Tabriz. Materials and Methods: This study was conducted with a qualitative conventional content analysis approach in the oncology units of hospitals in Tabriz. Data were collected through purposive sampling by conducting unstructured interviews with 10 patients and 7 nurses and analyzed simultaneously. Robustness of data analysis was evaluated by the participants and external control. Results: Three categories emerged from the study: (1) “perceived barriers for providing spiritual care” including “lack of preparation for spiritual care,” “time and space constraints,” “unprofessional view,” and “lack of support”; (2) “communication: A way for Strengthening spirituality despite the limitations” including “manifestation of spirituality in the appearances and communicative behaviors of nurses” and “communication: Transmission of spiritual energy”; and (3) “religion-related spiritual experiences” including “life events as divine will and divine exam,” “death as reincarnation,” “trust in God,” “prayer/recourse to Holy Imams,” and “acceptance of divine providence.” Although nurses had little skills in assessing and responding to the patients’ spiritual needs and did not have the organizational and clergymen's support in dealing with the spiritual distress of patients, they were the source of energy, joy, hope, and power for patients by showing empathy and compassion. The patients and nurses were using religious beliefs mentioned in Islam to strengthen the patients’ spiritual dimension. Conclusions: According to the results, integration of spiritual care in the curriculum of nursing is recommended. Patients and
Marchais, P; Randrup, A
The meaning of the themes with spiritual connotations poses complex problems for psychiatry, because these themes induce the observer to project his own convictions and frames of references on his investigations. A double detachment (objectivation) concerning both the object of study and the observer is implied. This makes it possible to study these phenomena by a more rigorous method, to investigate the conditions of their formation and to demonstrate objectifiable correlates (experienced space and time, the various levels of psychic experience, factors in the environment...). In consequence the appropriate medical behaviour can be more precisely delineated. PMID:7818230
In order to provide whole-person care for patients and families, Loma Linda University Health recognizes the importance of supporting employee wholeness. The Employee Spiritual Care department helps create and support an environment that nurtures the spiritual health and wholeness of employees, and provides employees tools and knowledge about providing whole-person care to patients and colleagues. PMID:27119805
It is my thesis that the Child Theology Movement is a new and significant aspect of cultural change within the Christian church that will have resonance with the wider community, affecting parenting behaviour as well as spiritual and religious education. This paper examines some of the aspects of children's spirituality that link to and have value…
Wihak, Christine; Merali, Noorfarah
Eight non-Indigenous counsellors who temporarily lived in Nunavut to serve Inuit clients were interviewed regarding what they learned about Inuit spirituality during their cultural immersion experience. They were also asked about how they applied their understandings of the Inuit spiritual worldview in their professional practice. Counsellors'…
Bosacki, Sandra; Elliott, Anne; Akseer, Spogmai; Bajovic, Mira
Drawn from a larger study of Canadian children's sense of self and media habits, this study explores the role of religiosity and/or spirituality within 535 children's (281 girls, 254 boys; 5-13 years of age) self-reported media preferences and habits over a three-year period. Results indicate that the theme of spirituality and/or religiosity…
Three leadership characteristics are experience, competencies, and spiritual awareness. Eighteen youths spent a week on the remote island of Mull (United Kingdom) to explore their own spirituality away from the noise of 20th-century living. Activities using music, discussion, art, poetry, and outdoor experience acted as catalysts for spiritual…
Kim, Sangwon; Esquivel, Giselle B.
Spirituality is a universal phenomenon and an inherent aspect of human nature that unfolds during adolescence as the individual searches for transcendence, meaning, and purpose in life. Recently, spirituality has received attention as a source of resilience for adolescents. Theoretical perspectives and empirical research suggest that spirituality…
Bensley, Robert J.
Literature review explores various components of spiritual health, defining and categorizing existing definitions identified in the literature into six perspectives: sense of fulfillment in life; values and beliefs of community and self; wholeness in life; a factor in well-being; a controlling higher power; and human/spiritual interaction. (SM)
Yampolsky, Maya A.; Wittich, Walter; Webb, Gail; Overbury, Olga
Spirituality and coping behaviors were measured in 85 individuals with visual impairments aged 23 to 97. A regression analysis indicated that the religious well-being subscale of the Spiritual Well-Being Scale is a significant predictor of adaptive coping behaviors, indicating that higher religious well-being facilitates adaptive coping. (Contains…
Muselman, Dannette M.; Wiggins, Marsha I.
The death of a loved one has serious implications for adolescent growth and development. The authors review relevant research on the grief process and spirituality in adolescence, and they give a rationale for integrating spirituality into adolescent grief work. By way of a case illustration, they draw implications for counselors' use of…
Puterbaugh, Dolores T.
This article draws from a phenomenological study on the experience of being a bereavement counselor. Ten bereavement counselors shared their experiences in bereavement counseling. Spiritual and emotional aspects of bereavement counseling with grieving and dying persons are discussed as well as the spiritual effects on and growth processes of the…
Norton, Nadjwa E. L.
In this article, the author combines multicultural feminist critical theories with the voices of Black and Latina/Latino young spiritual children to extend culturally responsive teaching. The author illuminates how children use their hip-hop writing to construct themselves as people who communicate with God, choose spiritual content for their…
Crisp, Beth R.
Once taught almost exclusively in seminaries, spirituality is now finding its way into the curricula of professional training for health and welfare workers. How this should occur, particularly within the context of the secular university, raises many questions and may require different approaches to those used to teach spirituality to theological…
Garrett, Michael Tlanusta; Garrett, J. T.
Presents a centering technique called "Ayeli," based on Cherokee spiritual traditions as a way of incorporating spirituality into counseling by helping clients identify where they are in their journey, where they want to be, and how they can get there. Relevant Native cultural traditions and meanings are explored. (Contains 25 references.) (GCP)
Spiritual nurturing includes the recognition that children have valuable ways of knowing, such as pondering, sacred listening, intuition, and dreams and visions. Children nurtured in spiritual ways of being are supported through the traits of creativity, compassion, love, gratitude, affirmation, contemplation, and silence. These attributes are…
Hawks, Steven R.; Goudy, Marylynn B.; Gast, Julie A.
The purpose of this exploratory study was to evaluate the relationship between emotional eating and spiritual well-being. It was found that among college women lower levels of spiritual well-being correlated with higher levels of emotional eating (r = -0.22, p = 0.0015). In other studies emotional eating has been found to contribute to higher…
Hanna, Fred J.; Green, Alan
In the current practice of school counseling, little consideration is given to the spiritual background of students of Asian cultures. Although there is a body of literature on Asian culture in counseling, the authors could find remarkably few articles pertaining to counseling students in the context of Asian religious and spiritual traditions. In…
Pesut, Barbara; Fowler, Marsha; Reimer-Kirkham, Sheryl; Taylor, Elizabeth Johnston; Sawatzky, Rick
The tremendous growth in nursing literature about spirituality has garnered proportionately little critique. Part of the reason may be that the broad generalizing claims typical of this literature have not been sufficiently explicated so that their particular implications for a practice discipline could be evaluated. Further, conceptualizations that attempt to encompass all possible views are difficult to challenge outside of a particular location. However, once one assumes a particular location in relation to spirituality, then the question becomes how one resolves the tension between what are essentially theological or philosophical commitments and professional commitments. In this study, we discuss the tension between these perspectives using the idea of a responsible nursing response to spiritual pluralism. We then problematize three claims about spirituality in nursing discourse based upon our location as scholars influenced by Christian theological understandings: (i) the claim that all individuals are spiritual; (ii) the claim that human spirituality can be assessed and evaluated; and (iii) the claim that spirituality is a proper domain of nursing's concern and intervention. We conclude by suggesting that the widely shared values of social justice, compassion and human dignity may well serve as a grounding for the critique of spiritual discourses in nursing across particularized positions. PMID:19906284
Bobilya, Andrew J.; Akey, Lynn D.; Mitchell, Donald, Jr.
Higher education often supports new student transition through various orientation programs. Recently a greater focus on student spiritual growth has emerged as an important aspect. The wilderness orientation program in this study is unique because of its length (12-14 days) and its focus on students' spiritual development. The purpose of this…
Rockenbach, Alyssa Bryant; Walker, Coretta Roseboro; Luzader, Jordan
Through in-depth interviews with ten diverse participants, this phenomenological study explored the meaning, dimensions, and processes of spiritual struggle in college students' lives. The findings revealed that encountering contrast was the unifying dimension underlying students' spiritual struggle narratives. Contrast was apparent in students'…
Ramezani, Monir; Ahmadi, Fazlollah; Mohammadi, Eesa; Kazemnejad, Anoshirvan
Background: Despite the paramount importance and direct relationship of spirituality and spiritual care with health and well-being, they are relatively neglected aspects of nursing care. Objectives: The aim of this study is to explore Iranian nurses’ perceptions and experiences of the facilitators of spiritual care delivery. Materials and Methods: For this qualitative content analysis study, a purposive maximum-variation sample of 17 nurses was recruited from teaching and private hospitals in Tehran, Iran. Data were collected from 19 individual, unstructured interviews. The conventional content-analysis approach was applied in data analysis. Results: The facilitators of spiritual care delivery fall into two main themes: living to achieve cognizance of divinity and adherence to professional ethics. These two main themes are further divided into eight categories: spiritual self-care, active learning, professional belonging, personal and professional competencies, gradual evolution under divine guidance, awareness of the spiritual dimension of human beings, occurrence of awakening flashes and incidents during life, and congruence between patients’ and healthcare providers’ religious beliefs. Conclusions: The study findings suggest that the facilitators of spiritual care delivery are more personal than organizational. Accordingly, strategies to improve the likelihood and quality of spiritual care delivery should be developed and implemented primarily at the personal level. PMID:27247787
Sink, Christopher A.; Devlin, James M.
In this article, the professional school counseling community is introduced to the value of addressing student spirituality as a way to foster personal and social growth. Prior to discussing the robust theoretical and research foundation for this endeavor, 3 workable definitional strands of spirituality are summarized and applied to educational…
Moriarty, Micheline Wyn
This paper presents a model of children's spirituality which provided a structure for conducting some recent research and for analysing the findings. The model consisted of four dimensions of spirituality derived from the literature, namely consciousness, relationality, roadmap and identity, with a central integrating concept of worldview. The…
Polanski, Patricia J.
This article describes one counselor's exploration of her spiritual beliefs in relation to Adler's theory of counseling and human development in an effort to move toward ideological consistency and to enhance competence in addressing spiritual dimensions of clients' development. (Contains 34 references.) (GCP)
Tan, Charlene; Wong, Yew-Leong
Against a backdrop of the debates on religious education in public or state schools, we argue for the introduction of "spiritual ideals" into the public school curriculum. We distinguish our notion of spiritual ideals from "religious ideals" as conceptualised by De Ruyter and Merry. While we agree with De Ruyter and Merry that ideas drawn from…
Dew, Rachel Elizabeth; Daniel, Stephanie S.; Armstrong, Tonya D.; Goldston, David B.; Triplett, Mary Frances; Koenig, Harold G.
The aim of the current article is to review the literature on religion and spirituality as it pertains to adolescent psychiatric symptoms. One hundred and fifteen articles were reviewed that examined relationships between religion/spirituality and adolescent substance use, delinquency, depression, suicidality, and anxiety. Ninety-two percent of…
Shamsalinia, Abbas; Norouzi, Kiyan; Khoshknab, Masoud Fallahi; Farhoudian, Ali
Background and Purpose: Spirituality is an important factor influencing the decrease of substance abuse severity and maintenance of the recovery phase. This research, investigates the effect of spiritual experiences in the recovery of substance abusers. Material and Methods: Qualitative data was collected from 16 men and 6 women, selected through purposeful sampling to ensure an equilibrated gender representation and data from different recovery periods. Data were collected via semi-structured interviews. Results: Data showed two main categories: “Mutual relationship between spirituality and recovery,” divided into four subcategories: religious background, religious teachings, experience exchange, and support of family and society; and “A new perspective toward life” subdivided into access to calmness and spiritual development. A factor “spirituality meaning religion” arose repeatedly throughout the study. Conclusion: The results of this study can be useful for policy makers, care providers, families, and drug addicts. The promotion of spirituality in substance abusers can help in their struggle with temptation. Effective strategies to ensure drug abstinence and maintenance of the recovery phase are encouraging substance abusers and their families to participate in spirituality-based psychotherapy sessions held in addiction treatment centers, multi-disciplinary cooperation among the organizations involved in the addiction phenomenon, and training the families regarding the importance of spirituality in the mental health of their children through mass media. PMID:25363097
Smith, Yolanda Y.
The author believes that a deep sense of spirituality together with effective Christian education can be a powerful resource for equipping individuals and communities to play an active role in transforming their lives as well as oppressive systems that have impacted their communities. In her discussion of spirituality, womanist ethicist Emilie…
Ferch, Shann R.; Ramsey, Marleen I.
Suggests that spiritual questions can be explored in the therapeutic context in order to help the client gain a sense of meaning in their suffering, as well as a measure of peace in their lives. The authors' approach, entitled Sacred Conversation, uses Victor Frankl's work as well as literature on empathy, forgiveness, and spirituality as its…
The "spirituality in the workplace" movement serves a range of interests, including personal fulfillment on the job, a growing need to reconcile personal values with those of the corporation, and corporate desires to help individuals achieve more balanced lives. In addition to being the theme at a growing number of conferences, spirituality has…
This research investigates teenagers' perceptions of spirituality. The author considers how far teenage ideas mirrored the many academic theories of spirituality-in-education that have influenced policy makers. Comparisons are made particularly with the theories of four scholars who have dominated the debate over the last twenty years: Jack…
The importance of spirituality is reinforced in legislation and policy directives in England and Wales. Nevertheless, it is argued that there is a dearth of studies into the practice and pedagogy of spiritual development in classroom settings. Thus, an investigation was developed capturing the experiences and learning reflections of 52 English…
The spiritual aspect of early childhood education is supported by the early childhood curriculum in Aotearoa New Zealand, "Te Whariki". Research in three different early childhood settings presents new perspectives on the everyday experiences of children in terms of spirituality. Each setting formed a case study that included the voices of…
Wortmann, Jennifer H.; Park, Crystal L.; Edmondson, Donald
Because exposure to potentially traumatic events is common (Kessler, Sonnega, Bromet, & Hughes, 1995), the mechanisms through which post-traumatic stress disorder (PTSD) symptoms develop is a critical area of investigation (Ozer, Best, Lipsey, & Weiss, 2003). Among the mechanisms that may predict PTSD symptoms is spiritual struggle, a set of negative religious cognitions related to understanding or responding to stressful events. Although prominent theories emphasize cognitive factors in the development and maintenance of PTSD symptoms, they have not explicitly addressed spiritual struggle. The present prospective study tested the role of spiritual struggle in the development and maintenance of PTSD symptoms following trauma. We assessed exposure to trauma and non-trauma events during the first year of college, spiritual struggle due to the most stressful event, and PTSD symptoms resulting from the index event. Spiritual struggle partially mediated the relationship between trauma and PTSD symptoms. Interestingly, some individual subscales of spiritual struggle (specifically, Punishing God Reappraisal, Reappraisal of God’s Powers, and Spiritual Discontent) partially mediated the relationship between trauma and PTSD symptoms; however, reappraisal of the event to evil forces did not relate to PTSD symptoms. These results suggest that spiritual struggle is an important cognitive mechanism for many trauma victims and may have relevance for cognitive therapy for PTSD. PMID:22308201
This article offers one approach to exploring the question of in what sense music educators can speak of music and its moving power as spiritual by inquiring into what might count as a "musical spiritual experience" in emotional terms. The essay's analytic framework employs the distinction between two related concepts which I call the "shiver" and…
Purpose. The purpose of this study was to establish among health educators a consensus in the definition of spirituality and health that would ultimately guide effective development of a curriculum or program in spirituality and health for undergraduate programs in college health science departments. Methodology. This mixed-methods research study…
Comeaux, Russell Mark
The purpose of this mixed methods study was to explore spiritual development differences between online and on-campus students. For this study, spiritual maturation was measured by the locus of authority and view of self and others, primarily as measured by the God Image Scales. The assumption was that development is marked by a shift in locus of…
Webster, R. Scott
John Dewey's "religious attitude" has great potential for the educative development of children's spirituality. This is because it enables their spiritual understandings to become more intelligently composed--not just in a cognitive or hyper-rational sense, but as a way of being. This paper provides an outline of Dewey's approach, which is…
Ginting, Henndy; Näring, Gérard; Kwakkenbos, Linda; Becker, Eni S
Many individuals with coronary heart disease (CHD) experience disease-related anxiety, depressive symptoms, and anger. Spirituality may be helpful to cope with these negative emotions. Research findings on the role of spirituality in dealing with negative emotions are inconsistent. In this study, we examined the associations between 7 dimensions of spirituality (ie, meaningfulness, trust, acceptance, caring for others, connectedness with nature, transcendent experiences, and spiritual activities) and negative emotions among individuals with CHD in Indonesia, controlling for perceived social support as well as demographic and clinical characteristics. In total, 293 individuals with CHD were recruited from the 3 largest hospitals in Bandung, Indonesia. They completed the Spiritual Attitude and Involvement List, the Beck Depression Inventory-II, the Trait Anxiety Scale of the State Trait Anxiety Inventory, the Multidimensional Anger Inventory, and the Multidimensional Scale of Perceived Social Support. Hierarchical linear regression analyses indicated that a higher overall level of spirituality was associated with lower levels of depressive symptoms, less anxiety, and less anger. Specifically, a higher level of trust was significantly associated with both less depressive symptoms and less anxiety. Higher levels of caring for others and spiritual activities were associated with less anxiety, and a higher level of connectedness with nature was associated with less anger. These findings underscore the importance of specific dimensions of spirituality as a potentially independent buffer against negative emotions in individuals with CHD. PMID:25350528
Rehm, Marsha L.; Allison, Barbara N.
This interview study explored the role of spirituality in the career preparation experiences of 25 university family and consumer sciences (FCS) students. All participants viewed spirituality as both a steadfast higher power and a flexible resource for providing resiliency. Participants believed their career-related experiences were meaningful…
Buffington, Angela Cunningham
While science education aims for literacy regarding scientific knowledge and the work of scientists, the separation of scientific knowing from other knowing may misrepresent the knowing of scientists. The majority of science educators K-university are women. Many of these women are spiritual and integrate their scientific and spiritual ways of knowing. Understanding spiritual women of science would inform science education and serve to advance the scientific reason and spirituality debate. Using interviews and grounded theory, this study explores scientific and spiritual ways of knowing in six women of science who hold strong spiritual commitments and portray science to non-scientists. From various lived experiences, each woman comes to know through a Passive knowing of exposure and attendance, an Engaged knowing of choice, commitment and action, an Mindful/Inner knowing of prayer and meaning, a Relational knowing with others, and an Integrated lifeworld knowing where scientific knowing, spiritual knowing, and other ways of knowing are integrated. Consequences of separating ways of knowing are discussed, as are connections to current research, implications to science education, and ideas for future research. Understanding women scientists' scientific/ spiritual ways of knowing may aid science educators in linking academic science to the life-worlds of students.
Ojalehto, Bethany; Wang, Qi
This article provides a synthesis of current research and theories of spiritual development in forced displacement from a human rights perspective. Spirituality, understood as a cognitive-cultural construct, has shown positive impact on children's development through both collective and individual processes and across ecological domains of the…
English, Leona M.; Fenwick, Tara J.; Parsons, Jim
Workplace education's interest in spirituality is examined, with an emphasis placed on why this interest might be increasing and what challenges it presents. This article interrogates commonplace strategies to integrate spirituality in workplace education,--providing holistic education, creating sacred spaces and mentoring--questions each approach…
Banke, Susan; Maldonado, Nancy; Lacey, Candace H.
This phenomenological study examined the spiritual experiences of Christian school leaders who are the spiritual leaders of their schools. A purposeful, nominated sample of 12 Christian school leaders was selected. In-depth, open-ended interviews were conducted, audio taped, and then transcribed verbatim. Data analysis was based on Rudestam and…
Isakson, Richard L; Worthen, Vaughn E.; Dougher, M. Kirk
An attempt was made to determine whether counseling doctoral programs allow or encourage a discussion of religion and spirituality as part of the counselor client relationship. Several arguments are presented that support therapists attending to clients' religious and spiritual beliefs. The types of problems or disorders that can be aided by…
Bosacki, Sandra Leanne; Moore, Kelsey; Talwar, Victoria; Park-Saltzman, Jeeseon
Research suggests that self-control or self-regulation may play a role in the connections among spirituality, health, well-being, and social behavior. Within the framework of social-cognitive developmental theory, we explore the question of how do children and adolescents learn to think of themselves as gendered and spiritual beings within the…
Wortmann, Jennifer H.; Park, Crystal L.
Surprisingly little research has examined the widely held assumption that religion and spirituality are generally helpful in adjusting to bereavement. A systematic literature search located 73 empirical articles that examined religion/spirituality in the context of bereavement. The authors describe the multidimensional nature of…
We systematically reviewed the research literature on spiritually and religiously integrated group psychotherapy to answer the following three questions: first, how are spirituality and religiosity defined; second, how are spiritual and religious factors characterized and integrated into group psychotherapy; and, third, what is the outcome of the group psychotherapies? We searched in two databases: PsycINFO and PubMed. Inclusion and exclusion criteria and checklists from standardized assessment tools were applied to the research literature. Qualitative and quantitative papers were included. In total, 8 articles were considered eligible for the review. Findings from the evaluation suggested that the concepts of spirituality and religiosity were poorly conceptualized and the way in which spiritual and religious factors were integrated into such group psychotherapies, which distinguished it from other types of group psychotherapies, was not fully conceptualized or understood either. However, clear and delimited conceptualization of spiritual and religious factors is crucial in order to be able to conclude the direct influences of spiritual or religious factors on outcomes. Implications for spiritually or religiously integrated group psychotherapy and conducting research in this field are propounded. PMID:24288557
Morrison, Julie Q.; Clutter, Stacy M.; Pritchett, Elaine M.; Demmitt, Alan
Although current research indicates that psychotherapeutic change both affects and is affected by spiritual concerns, relatively little is known about the degree to which spirituality is used as an intervention in counseling and how it is perceived by clients and mental health professionals. The purpose of this study was to examine the perceptions…
Davis, S. J.; Benshoff, John J.; Koch, D. Shane
One-hundred and fifty-one students enrolled in substance abuse counselor training classes were surveyed on their attitudes about spirituality in substance abuse treatment and their beliefs about the principles of Alcoholics Anonymous (AA). Significant correlations were found between the subjects' spirituality and their attitudes toward…
Briggs, Michele Kielty; Apple, Kevin J.; Aydlett, Ann E.
Personal crises have been associated with spiritual growth. Sparked by the global response to the crisis of September 11, 2001, this study examined the relationship of spirituality and the September 11 tragedy using a sample of convenience from a college student population. This preliminary study used an experimental design to examine various…
Mayes, Clifford; Mayes, Pamela Blackwell
Results of 7-question, 45-60-minute interviews with 9 Mormon teachers asking them to reflect on the spiritual side of teaching. Teachers were asked, for example, are there spiritual values that you think are important to pass on to your students? Reports and analyzes answers to this and other questions. Draws implications for teachers,…
Ubani, Martin; Tirri, Kirsi
The purpose of this study is to investigate how Finnish pre-adolescents perceive religion and spirituality. The participants of the study are 12- to 13-year-old Grade 6 pupils (N=102). The pupils were asked to give their meanings of religion and spirituality. The data includes over 700 written expressions on the two concepts. The qualitative…
Background This article examines spiritual care training provided to healthcare professionals in Germany, Austria and Switzerland. The paper reveals the current extent of available training while defining the target group(s) and teaching aims. In addition to those, we will provide an analysis of delivered competencies, applied teaching and performance assessment methods. Methods In 2013, an anonymous online survey was conducted among the members of the International Society for Health and Spiritual Care. The survey consisted of 10 questions and an open field for best practice advice. SPSS21 was used for statistical data analysis and the MAXQDA2007 for thematic content analysis. Results 33 participants participated in the survey. The main providers of spiritual care training are hospitals (36%, n = 18). 57% (n = 17) of spiritual care training forms part of palliative care education. 43% (n = 13) of spiritual care education is primarily bound to the Christian tradition. 36% (n = 11) of provided trainings have no direct association with any religious conviction. 64% (n = 19) of respondents admitted that they do not use any specific definition for spiritual care. 22% (n = 14) of available spiritual care education leads to some academic degree. 30% (n = 19) of training form part of an education programme leading to a formal qualification. Content analysis revealed that spiritual training for medical students, physicians in paediatrics, and chaplains take place only in the context of palliative care education. Courses provided for multidisciplinary team education may be part of palliative care training. Other themes, such as deep listening, compassionate presence, bedside spirituality or biographical work on the basis of logo-therapy, are discussed within the framework of spiritual care. Conclusions Spiritual care is often approached as an integral part of grief management, communication/interaction training, palliative care, (medical) ethics
Hajnová Fukasová, E; Bužgová, R; Feltl, D
The appraisal and the right diagnostics of all needs and problems of patients, including the spiritual needs, are unavoidable for increase of the quality of the all-embracing nursing care. In the case of satisfying of the needs of the patients, it is important to have view the person as a unity of thebody and the soul. Identification and satisfying of the spiritual needs are not uncomplicated; moreover, spirituality does not have a target--ed and clear definition. In the palliative care, the solution and saturation of spiritual needs have a great priority, and it can be the key aspect of psychological activity. Also, medical experts are becoming aware of the meaning of spirituality as the part of psychological contentment more and more. Smaller importance is attached to measurement of spiritual needs, and in many medical institutions ends at the case history with the questions: "Are you a believer?", "Do you have any spiritual needs?". Spirituality and religion are very personal matters of every human. Many patients turn to religion to find answers to difficult questions while others find support through the spiritual beliefs outside the scope of organized religion. Mistaking of meanings of the spirituality and religionism can lead to many misunderstandings. The basic condition for the right diagnostics and satisfaction of spiritual needs are the definition of the used terms and using of standardized measurement devices in the clinical praxis. The target of summarizing study was to define the term of spirituality, to describe a lot of measurement devices these are suitable for the evaluation of human spiritual needs. For methodology for acquiring of the results of research works that are concerned with the questions of spiritual needs in case of the incurable patients, the following databases were used (2005-2013): EBSCO, Bibliographia Medica Čechoslovaca, Google Scholar, Solen - www.solen.cz, Profese on-line as the source of the data. The choice of studies were
Miller, William R.; Forcehimes, Alyssa; O'Leary, Mary; LaNoue, Marnie D.
Spirituality has long been regarded as an important component of recovery from addiction. This article reports the findings of two controlled trials of spiritual direction as an adjunct in addiction treatment. In Study 1, 60 participants were randomly assigned to receive or not receive a 12-session manual-guided spiritual guidance (SG) intervention during and after inpatient treatment, in addition to treatment as usual (TAU). In Study 2, two cohorts of 40 each received TAU without or with SG during their inpatient stay. In both trials, contrary to prediction, SG had no effect on spiritual practices or substance use outcomes at any follow-up point. At the first follow-up in Study 1 only, those randomly assigned to spiritual direction unexpectedly showed significantly less improvement on depression and anxiety, relative to TAU controls. Limitations and implications for treatment are discussed. PMID:18657945
Hinton, Ladson; Tran, Jane NhaUyen; Tran, Cindy; Hinton, Devon
This paper focuses on the role of religion and spirituality in dementia caregiving among Vietnamese refugee families. In-depth qualitative interviews were conducted with nine Vietnamese caregivers of persons with dementia, then tape-recorded, transcribed, and analyzed for emergent themes. Caregivers related their spirituality/religion to three aspects of caregiving: (1) their own suffering, (2) their motivations for providing care, and (3) their understanding of the nature of the illness. Key terms or idioms were used to articulate spiritual/religious dimensions of the caregivers’ experience, which included sacrifice, compassion, karma, blessings, grace and peace of mind. In their narratives, the caregivers often combined multiple strands of different religions and/or spiritualities: Animism, Buddhism, Taoism, Confucianism and Catholicism. Case studies are presented to illustrate the relationship between religion/spirituality and the domains of caregiving. These findings have relevance for psychotherapeutic interventions with ethnically diverse populations. PMID:20930949
Hart, Alton; Kohlwes, R Jeff; Deyo, Rick; Rhodes, Lorna A; Bowen, Deborah J
The purpose of this study was to assess hospice patients' attitudes regarding the discussion of spiritual issues with their physicians. We conducted in-depth interviews using open-ended questions on living with illness, spirituality and religion, and physician-patient relationships. The interviews were audiotaped, transcribed, and analyzed for dominant themes. The following dominant themes were identified: (1) treating the whole person, (2) treating with sensitivity, (3) favorable attitudes toward religious or spiritual discussions with doctors, and (4) no "preaching." Our findings suggest that patients do not expect physicians to be their primary spiritual advisors; however, physicians should be aware of and comfortable communicating with patients about religious or spiritual issues. More training in this topic may enhance the care physicians provide to patients near the end of life. PMID:12693646
Benson, Peter L; Roehlkepartain, Eugene C
Addressing the spiritual development of young people has the potential to strengthen youth work and its outcomes. Spiritual development matters because it is an intrinsic part of being human and because young people themselves view it as important. This article reviews the research that points to positive impacts of spiritual development for youth and notes that in an increasingly pluralistic society, everyone needs to build skills for negotiating religious and spiritual diversity. The authors propose that spiritual development involves, in part, the dynamic interplay of three dimensions: belonging and connecting, awareness and awakening, and a way of living. Three initial challenges and opportunities are emerging: empowering youth to explore core developmental issues, motivation and focus, and multisector engagement. PMID:18642315
Hinton, Ladson; Tran, Jane Nhauyen; Tran, Cindy; Hinton, Devon
This paper focuses on the role of religion and spirituality in dementia caregiving among Vietnamese refugee families. In-depth qualitative interviews were conducted with nine Vietnamese caregivers of persons with dementia, then tape-recorded, transcribed, and analyzed for emergent themes. Caregivers related their spirituality/religion to three aspects of caregiving: (1) their own suffering, (2) their motivations for providing care, and (3) their understanding of the nature of the illness. Key terms or idioms were used to articulate spiritual/religious dimensions of the caregivers' experience, which included sacrifice, compassion, karma, blessings, grace and peace of mind. In their narratives, the caregivers often combined multiple strands of different religions and/or spiritualities: Animism, Buddhism, Taoism, Confucianism and Catholicism. Case studies are presented to illustrate the relationship between religion/spirituality and the domains of caregiving. These findings have relevance for psychotherapeutic interventions with ethnically diverse populations. PMID:20930949
Dedeli, Ozden; Kaptan, Gulten
Pain relief is a management problem for many patients, their families, and the medical professionals caring for them. Although everyone experiences pain to some degree, responses to it vary from one person to another. Recognizing and specifying someone else’s pain is clinically a well know challenge. Research on the biology and neurobiology of pain has given us a relationship between spirituality and pain. There is growing recognition that persistent pain is a complex and multidimensional experience stemming from the interrelations among biological, psychological, social, and spiritual factors. Patients with pain use a number of cognitive and behavioral strategies to cope with their pain, including religious/spiritual factors, such as prayers, and seeking spiritual support to manage their pain. This article provides an overview of the complex phenomenon of pain, with a focus on spiritual and religious issues in pain management. PMID:26973914
Luft, John Paul
The aim of this article is to provide the experience of one chaplain resident in a clinical pastoral education program specializing in women and infants health and the intersection of professional spiritual care for this particular patient population. Spiritual care can be an elusive, non-tangible form of professional healthcare, and so within the clinical setting the chaplain is called to act as spiritual care provider, emotions facilitator, grief counselor, cultural and religious expert and administrative specialist in decedent care. Gaining a better perspective on the contributions the clinical chaplain makes in healthcare allows other clinicians (nurses and physicians) to better serve and provide quality holistic care to patients and their families during moments of great emotional, spiritual and psychosocial loss and grief. Both nursing and physician staff must be aware of the relevance, importance and complementary role of the spiritual care provider (clinical chaplain) in the provision of quality holistic healthcare. PMID:26956749
Chao, Co-Shi Chantal; Chen, Ching-Huey; Yen, Miaofen
The purpose of this hermeneutic study was to investigate the essence of spirituality of terminally ill patients. In-depth unstructured interviews were used as the method for data collection. In the six-month period of data collection, the researcher was in the role of a hospice palliative care consultant who directly took care of the subject patients in a hospice ward of a teaching hospital. The six subjects were selected purposively according to various demographic backgrounds. Interview transcripts provided the data for analysis. The results were composed of four constitutive patterns and ten themes. The first constitutive pattern was "Communion with Self" which included three themes: (1) Self-identity--spirituality is the discovery of the authentic self. (2) Wholeness--a human being is full of contradictions but still in wholeness. (3) Inner peace--spirituality is negotiating conflicts for self-reconciliation. The second constitutive pattern was "Communion with others" which included two themes: (1) Love--spirituality is a caring relationship but not an over-attachment to others. (2) Reconciliation--spirituality is to forgive and to be forgiven. The third constitutive pattern was "Communion with Nature" which included two themes: (1) Inspiration from the nature--spirituality is the resonance of the marvelous beauty of nature. (2) Creativity--spirituality is conceiving imaginatively. The fourth constitutive pattern was "Communion with Higher Being" which included three themes: (1) Faithfulness--spirituality is keeping the trust dependably. (2) Hope--spirituality is claiming possibilities. (3) Gratitude--spirituality is giving thanks and embracing grace. The scientific rigor of this qualitative research as well as the strength and limitations of the study are reported. Implications for hospice palliative care and future research are recommended. PMID:12522736
Historically underpinning principles of the English curriculum framework for children from birth to five years explicitly acknowledged a spiritual dimension to children's uniqueness and well-being. Yet spirituality receives scant reference in the discourse of creative learning and teaching. This paper considers the relationship of…
This article argues relational consciousness of Self and Other is influenced by multiple significant relationships--what are termed "Spiritual Friends". The research on which this article is based explores the spirituality of children within the context of British urban secondary education, and identifies significant relationships in…
Black, Helen K.; Hannum, Susan M.
We examined the concepts of aging, time, spirituality, and future care needs in four randomly selected informants from a group of 54 never-married childless older women. Using data from the Generativity and Lifestyles of Older Women (GLOW) study, we questioned how women’s perceptions of these concepts came together in current older age. We employed cultural theory, (our theoretical framework), ethnography, (our methodological framework), and phenomenology, (our philosophical foundation) to produce a portrait of each woman interviewed. Through a three-session interview process, we elicited the women’s life stories, reasons for childlessness, and topics that emerged as significant to the women, including aging, a sense of time remaining, and spirituality. A key finding was that the context of each woman’s life, both biographical and historical, transpired as a foundation for these concepts. That is, a woman’s “place in time” shaped their experiences of aging, as well as her reasons for childlessness and perceptions of finitude. PMID:26539067
Acute life experiences ("expériences limites de l'existence") have long been considered the exclusive domain of religion. Until recently in Québec, the Catholic Church was noted for overseeing these symbolic events. Although the religious reference has not completely disappeared, the author argues that it has now undergone two changes, in terms of privatization and diversification. As such, several systems of belief, whether religious or secular, are being suggested to provide meaning to our lives. Yet, can these approaches provide any relevant support to patients in general, and to HIV-infected persons in particular, including the various organizations and individuals that provide care and assistance? The author points out that genuine support for seropositive persons or AIDS patients in their search for meaning and their fight against the negative forces in life, must involve a person's spiritual dimension. The outcome of this indispensable process does not necessarily have to lead to a traditional religious creed. However, in considering the issue of spiritual support in the context of illness and suffering, the author concludes that "belief in the search for meaning" is an imperative for all those who are concerned by AIDS. PMID:1515526
Briggs, Michele Kielty; Shoffner, Marie F.
Overall spiritual wellness, as well as 4 individual components of spiritual wellness, has been theoretically and empirically linked with depression. Prior to this investigation, no study has examined the relationship between spiritual wellness and depression by using a 4-component measurement model of spiritual wellness. In this study of older…
Benjamin, Phyllis; Looby, Joan
Discusses the presence and power of the spiritual content in the counseling process and in the attainment of optimum wellness. Spirituality and spiritual wellness are defined and the intrinsic nature of spirituality is discussed in the context of Rogers's and Maslow's self-actualization theories as well as the importance of optimum psychological…
Spirituality has replaced religion in popular culture and its presence is being felt in the therapeutic world. Using a questionnaire completed by 104 people utilising six descriptive definitions of spirituality and 36 categories of spiritual experience, three meta-themes of forms of spirituality emerged through a thematic analysis. These are…
Mellinger, Laurie A.
This dissertation explores the recent work on spiritual practices in the academic discipline of Christian spirituality, gathering together the strengths of various conceptions of practice from the literature and developing a rigorous definition of a Christian spiritual practice: Christian spiritual practices are things God enables Christian people…
Hafner, Madeline M.; Capper, Colleen A.
This essay problematizes the current discourses on spirituality and leadership, particularly in terms of how spirituality is defined. To this end, the authors provide a brief overview of the different definitions of spirituality as explicated in the literature on spirituality and leadership, identify the underlying epistemologies of these…
To study children's spirituality at the beginning of the twenty-first century provides a prime opportunity for exploring the personal, social and global interconnections in the understanding and practice of spirituality. Countless definitions of spirituality have been suggested, yet it has also been said that spirituality escapes definition…
Hayman, Jessie Wetherbe; Kurpius, Sharon Robinson; Befort, Christy; Nicpon, Megan Foley; Hull-Blanks, Elva; Sollenberger, Sonja; Huser, Laura
The authors investigated the relationships between spirituality, body image, self-esteem, and stress in 204 college freshmen who identified themselves as being highly spiritual. A positive relationship was found between spirituality and self-esteem. Although self-esteem was found to be negatively related to stress, spirituality served as a buffer…
Joldersma, Clarence W.
This paper argues for an alternative notion of spirituality for education, based on Theo de Boer's idea of a spirituality of the desert. Rather than depicting an inner, additional region named the spiritual, spirituality here is thought of as a discourse that depicts the everyday world in a particular way. In dialogue with David Purpel's analysis,…
Health care technology has witnessed incredible advances and increasingly effective treatments for physical and psychological disorders, but the spiritual component of care is an intervention resource that often goes unseen, unaddressed, and underused for patients facing multiple challenges. State-of-the-art services must take a perspective that expands beyond a focus on the biological and psychological needs of patients to also integrate practice skills to address spiritual needs. Spirituality can provide valuable interventions to help maintain hope and stability in times of turbulence. If health care providers are to offer holistic care to patients, we must create an environment in which spirituality is competently explored and addressed. What do health care providers have to lose by integrating the spiritual, dimension into care delivery and accessing a powerful intervention that can make a positive difference to patients? How might patients benefit and what might we learn by asking a few simple, but profound, spiritual questions? What gives your life meaning? What is your greatest hope? What do you fear? What comforts or encourages you most? As you consider how spirituality fits into and benefits your practice you might find meaning in Viktor Frankl's words, "No cure that fails to engage our spirit can make us well". PMID:16499171
Köteles, Ferenc; Simor, Péter; Czető, Márton; Sárog, Noémi; Szemerszky, Renáta
Modern health worries (MHWs) are widespread in modern societies. MHWs were connected to both negative and positive psychological characteristics in previous studies. The study aimed to investigate the relationships among intuitive-experiential information processing style, spirituality, MHWs, and psychological well-being. Members of the Hungarian Skeptic Society (N = 128), individuals committed to astrology (N = 601), and people from a non-representative community sample (N = 554) completed questionnaires assessing intuitive-experiential information processing style, spirituality, modern health worries (MHWs), and psychological well-being. Astrologers showed higher levels of spirituality, intuitive-experiential thinking, and modern health worries than individuals from the community sample; and skeptics scored even lower than the latter group with respect to all three constructs. Within the community sample, medium level connections between measures of spirituality and the experiential thinking style, and weak to medium level correlations between spirituality and MHWs were found. The connection between MHWs and experiential thinking style was completely mediated by spirituality. Individuals with higher levels of spirituality are particularly vulnerable to overgeneralized messages on health related risks. Official communication of potential risks based on rational scientific reasoning is not appropriate to persuade them as it has no impact on the intuitive-experiential system. PMID:27231809
Mahlungulu, S N; Uys, L R
There is scientific evidence that the spiritual well being of a person can affect quality of life and the response to illness, pain, suffering and even death. In spite of this evidence, spirituality in nursing has not been examined within a South African context. The purpose of this study was to describe the phenomenon of spirituality from the perspective of nurses and patients/clients with the aim of generating a middle range theory of spiritual care in nursing. A qualitative mode of inquiry using a grounded theory method was applied. A sample of 56 participants composed of 40 nurses, 14 patients and 2 relatives of patients was recruited by theoretical sampling procedure from one public hospital, one private hospital and one hospice setting. Focus group interviews and one on one in depth interviews were conducted. An audio tape recorder was used to record the interviews. Field notes and memos were also kept. Data were collected and analyzed simultaneously. Non numerical Data Qualification Solutions NUDIST software was used to code data into different levels of codes. The results were rich descriptions of the concept of spirituality. This concept was described as a unique individual quest for establishing and, or, maintaining a dynamic transcendent relationship with self, others and with God/supernatural being as understood by the person. Faith, trust and religious belief were reported as antecedents of spirituality, while hope, inner peace and meaningful life were reported to be consequences of spirituality. PMID:15974016
Background. For years, researchers have sought to provide a clear definition of spirituality and its features and consequences, but the definitions provided of this concept still lack transparency. The present qualitative research was conducted to clarify this concept within the religious-cultural context of Iran. Materials and Methods. The present conventional qualitative content analysis was conducted with an inductive approach. Data were collected through semistructured interviews with 17 spiritual health experts and activists selected through purposive sampling. Results. Three themes emerged from the analysis of the data, including (1) the structure of spirituality, (2) defects in the conceptualization of spirituality, and (3) spirituality in practice, which are explained in this paper with their relevant subthemes and codes. The definition which this study proposes for this concept is that “spirituality is the sublime aspect of human existence bestowed on all humans in order for them to traverse the path of transcendence that is closeness to God (Allah).” Conclusion. The definition provided by this study is similar to the previous definitions of this concept in its main part (transcendence) and in incorporating a God-centered view of spirituality within the context of an Islamic society. This definition has implications for health services' education, research, and practice in similar societies. PMID:27493675
Seegers, Debra L
A total of 10 gay men with symptomatic HIV illness defined "religion" and "spirituality" and explored their experiences in a transcendental phenomenological study. Themes essential to participants' experiences were (A) spirituality was experienced as a dynamic, evolving, reciprocal relationship with oneself, God, or a universal spirit; (B) participants developed an identity of self in relation to church through the creative resolution of dissonance between institutionalized prejudice in the church and the lived gay Christian experience; (C) spirituality was expressed through religious practices; (D) experiences of religion and spirituality were intertwined with family relationships; (E) religious experiences were perceived as more important to spiritual satisfaction than experiences defined as spiritual but not religious; and (F) for African American participants, the traditions and practices of the Black church were the foundation of spiritual and religious experiences. A total of 8 participants identified others' negative responses to their homosexuality as social problems that affected their behavior in formal religious settings but not self-acceptance. PMID:17570295
Memaryan, Nadereh; Rassouli, Maryam; Mehrabi, Maryam
Background. For years, researchers have sought to provide a clear definition of spirituality and its features and consequences, but the definitions provided of this concept still lack transparency. The present qualitative research was conducted to clarify this concept within the religious-cultural context of Iran. Materials and Methods. The present conventional qualitative content analysis was conducted with an inductive approach. Data were collected through semistructured interviews with 17 spiritual health experts and activists selected through purposive sampling. Results. Three themes emerged from the analysis of the data, including (1) the structure of spirituality, (2) defects in the conceptualization of spirituality, and (3) spirituality in practice, which are explained in this paper with their relevant subthemes and codes. The definition which this study proposes for this concept is that "spirituality is the sublime aspect of human existence bestowed on all humans in order for them to traverse the path of transcendence that is closeness to God (Allah)." Conclusion. The definition provided by this study is similar to the previous definitions of this concept in its main part (transcendence) and in incorporating a God-centered view of spirituality within the context of an Islamic society. This definition has implications for health services' education, research, and practice in similar societies. PMID:27493675
Peter Kevern believes that the cognitive science of religion (CSR) provides a justification for the idea of spiritual care in the health services. In this paper, I suggest that he is mistaken on two counts. First, CSR does not entail the conclusions Kevern wants to draw. His treatment of it consists largely of nonsequiturs. I show this by presenting an account of CSR, and then explaining why Kevern's reasons for thinking it rescues 'spirituality' discourse do not work. Second, the debate about spirituality-in-health is about classification: what shall count as a 'spiritual need' and what shall count as 'spiritual care'. It is about the politics of meaning, an exercise in persuasive definition. The function of 'spirituality' talk in health care is to change the denotation of 'spiritual', and attach its indelibly religious connotations to as many health-related concepts and practices as possible. CSR, however plausible it may be as a theory of the origins and pervasiveness of religious belief, is irrelevant to this debate. PMID:26308949
Lawson, Erma Jean; Thomas, Cecelia
Hurricane Katrina has drawn increased interest in coping strategies, spirituality, and mental health among low-income Blacks. Given the paucity of information available regarding the role of spirituality in surviving Hurricane Katrina, this qualitative study explores active coping strategies of older Blacks. Older respondents who were evacuated to a Texas retirement apartment complex participated in a series of three in-depth interviews (starting approximately three weeks after their arrival in the host state and continuing weekly). Without exception, the findings indicate that this population coped with Katrina and its aftermath through reliance on a Higher Power. The relationship to a Higher Power did not necessarily translate into church membership. The conclusions of the respondents' spiritual coping mechanisms revealed the following themes: 1) regular communication with a supernatural power; 2) miracles of faith through this source of guidance and protection; 3) daily reading of the Bible and various spiritual and devotional materials; and 4) helping others as a consequence of faith and devotion to a supreme being. This study indicates that spirituality promotes emotional resilience in the aftermath of traumatic events such as Hurricane Katrina. These findings also point to the need for researchers to reconsider expressions of spirituality based solely on church membership/attendance and prayer, and to consider redefining spiritual coping as a form of cultural capital. PMID:17483562
Johnson, Paige Turner; Cheshire, Michelle; Wood, Felecia G; Dunn, Linda L; Ewell, Patrick J
This research describes the first reported assessment of spirituality in nurse educators. Faculty members at a public university in a southern U.S. state participated in a study to investigate the relationship between daily spiritual experiences (DSE), self-reported health, and depression. All participants viewed themselves as spiritual, had a religious affiliation, and recognized a difference between spirituality and religiosity. Many who reported spiritual experiences at least daily rated their health as good or excellent; those reporting less frequent DSE reported more depressive symptoms. Nurse educators' self-awareness of spirituality is important as they prepare future nursing professionals who will integrate spirituality into healthcare. PMID:27295236
Mthembu, Thuli Godfrey; Roman, Nicolette Vanessa; Wegner, Lisa
Spirituality and spiritual care both have received increased attention over the course of this past decade from different disciplines. However, for many years, in the occupational therapy profession, the importance of spirituality and spiritual care seems to be controversial because it is unclear how these concepts are integrated in occupational therapy education. Although occupational therapy students are being educated to consider a holistic and client-centred approach, spirituality is not regarded within this framework which diminishes the integrity of holistic approach. In South African occupational therapy education, it is unclear whether any single course on teaching and learning of spirituality and spiritual care exists. Thus, the aim of this study was to describe occupational therapy students' perceptions and attitudes regarding spirituality and spiritual care in occupational therapy education. A cross-sectional descriptive study design of undergraduate occupational therapy students from one educational institution was used. Data included demographic characteristics, responses on Spiritual Care-Giving Scale (SCGS), Spiritual and Spiritual Care Rating Scale (SSCRS) and Spirituality in Occupational Therapy Scale (SOTS). A response rate of 50.5 % (n = 100 out of 198) was achieved. In the SCGS, among the factors only factor 1 had the highest mean value score showing consistent agreement about spirituality, whereas in the SSCRS only three factors were found to have highest mean score and one with lowest mean score. In SOTS, participants had a highest score mean in relation to formal education and training about spirituality. Thus, in the integration of spirituality and spiritual care a holistic approach needs to be considered in education to enhance students' knowledge of how to address mind, body and spirit needs. PMID:26374135
Bowden, J W
The purpose of this study was to discover the internal aspects of change in persons who are doing well living without alcohol. The heuristic research method, a qualitative phenomenological design, was used to investigate the experience of recovery. Eight recovering alcoholics were interviewed in depth. The process of recovery reflected a mythological journey comprising a departure from the shadowland of drinking, initiation into the world of sobriety, and knowledge gained along the way. New adaptive strategies were acquired, including strengthening the will, training the mind, and exercising spiritual qualities in one's daily life. The profile of doing well in recovery also reflected self-acceptance and an ongoing search for connecting with the transpersonal realm. PMID:9782855
Mahoney, Annette; Cano, Annmarie
In light of the ongoing salience of spirituality and religion for individuals across the globe, this special section presents four rigorous empirical studies that tie conceptually based and potentially malleable spiritual constructs to better marital functioning. These studies exemplify an emerging subfield called Relational Spirituality, which focuses on the ways that couples can draw on specific spiritual cognitions and behaviors to motivate them to create, maintain, and transform their unions (Mahoney, 2010, 2013). In this introduction, we first provide a thumbnail sketch of the past 3 decades of empirical research in this area. We then summarize compelling findings from the 4 articles in this special section about 3 constructs that appear to enhance married heterosexuals' relationship dynamics: petitionary prayer for partner, spiritual intimacy, and the sanctification of marriage. In addition, religious/spiritual coping was shown to have promise as a construct relevant to couples' functioning. Finally, our introduction highlights that future research is needed to extend current findings to diverse samples and to uncover spiritual constructs that can harm couples' relationships, particularly couples in distress. PMID:25264769
Zamaniyan, Sakineh; Bolhari, Jafar; Naziri, Ghasem; Akrami, Majid; Hosseini, Sara
Cancer is deemed the century's major health problem, and its increasing growth during the last decades has made experts concerned more than ever. Of all types of cancer, breast cancer is regarded as the second most common disease among women. The aim of this study was to determine the effectiveness of spiritual group therapy on quality of life and spiritual well-being among patients suffering from breast cancer. The present research was carried out between March and June 2011. The sample consisted of 24 participants randomly assigned to 2 groups: an experimental group (n, 12) and a control group (n, 12). All the subjects completed questionnaires on quality of life and spiritual well-being in pretest and posttest. The experimental group received 12 sessions of spiritual group therapy. The results demonstrated improvement in quality of life and spiritual well-being in the experimental group. In conclusion, spiritual group therapy can be used to improve quality of life and spiritual well-being (religious health and existential health) among patients with breast cancer. PMID:26989285
Zamaniyan, Sakineh; Bolhari, Jafar; Naziri, Ghasem; Akrami, Majid; Hosseini, Sara
Cancer is deemed the century’s major health problem, and its increasing growth during the last decades has made experts concerned more than ever. Of all types of cancer, breast cancer is regarded as the second most common disease among women. The aim of this study was to determine the effectiveness of spiritual group therapy on quality of life and spiritual well-being among patients suffering from breast cancer. The present research was carried out between March and June 2011. The sample consisted of 24 participants randomly assigned to 2 groups: an experimental group (n, 12) and a control group (n, 12). All the subjects completed questionnaires on quality of life and spiritual well-being in pretest and posttest. The experimental group received 12 sessions of spiritual group therapy. The results demonstrated improvement in quality of life and spiritual well-being in the experimental group. In conclusion, spiritual group therapy can be used to improve quality of life and spiritual well-being (religious health and existential health) among patients with breast cancer. PMID:26989285
Human suffering speaks differently to different lived contexts. In this paper, I have taken a metaphoric representation of suffering, Ishvara, from the lived context of a Hindu immigrant woman to show that suffering is experienced and expressed within one's lived context. Further, a dominant narrative from her world is presented to show that the same lived context can be a resource for spiritual care that could reconstruct her world that has fallen apart with a suffering experience. Having argued that suffering is experienced and expressed within one's lived context, and that lived context could be a resource, in this paper I present that spiritual care is an intervention into the predicaments of human suffering and its mandate is to facilitate certain direction and a meaningful order through which experiences and expectations are rejoined. Finally, I observe that spiritual care is an engagement between the lived context where suffering is experienced and the spiritual experience and orientation of the caregiver. PMID:19787453
Knapik, Gregory P.; Martsolf, Donna S.; Draucker, Claire B.; Strickland, Karen D.
This study focuses on what aspects of attributes of spirituality as defined by Martsolf and Mickley (1998) are most salient for female and male survivors of sexual violence. Content analysis of secondary narrative data, provided by 50 participants in a study of women’s and men’s responses to sexual violence, was coded to the five attributes of spirituality as defined by Martsolf and Mickley. The attribute aspects of connecting with others in spiritual ways and with God/higher power were particularly significant. The attribute of transcendence was found less important, and the attributes of value, becoming, and meaning were not found important. The Martsolf and Mickley framework helped organize narrative data for a content analysis of spirituality in survivors of sexual violence. PMID:21850278
Cohen, Harriet L; Thomas, Cecilia L; Williamson, Celia
This exploratory qualitative study examined the intrinsic definitions of spirituality and religion across three different religious or ethnic groups of older adults--Jewish, African American Protestants and Caucasian Protestants. The study explores how older adults from these various backgrounds self-identify with the terms religion and spirituality. Because both African-Americans and Jewish older adults are underrepresented in the research on spirituality and religion, their inclusion lends insights to this topic and helps to anchor the findings in a cross-cultural context. Focus groups were employed to understand how these groups characterize their relationship to spirituality and religion. Social work professionals can utilize these findings to work more effectively with the diverse and complex issues of older adults. PMID:19043904
Garroutte, Eva Marie; Anderson, Heather Orton; Nez-Henderson, Patricia; Croy, Calvin; Beals, Janette; Henderson, Jeffrey A.; Thomas, Jacob; Manson, Spero M.
Following a previous investigation of religio-spiritual beliefs in American Indians, this article examined prevalence and correlates of religio-spiritual participation in two tribes in the Southwest and Northern Plains (N = 3,084). Analysis suggested a “religious profile” characterized by strong participation across three traditions: aboriginal, Christian, and Native American Church. However, sociodemographic variables that have reliably predicted participation in the general American population, notably gender and age, frequently failed to achieve significance in multivariate analyses for each tradition. Religio-spiritual participation was strongly and significantly related to belief salience for all traditions. Findings suggest that correlates of religious participation may be unique among American Indians, consistent with their distinctive religious profile. Results promise to inform researchers’ efforts to understand and theorize about religio-spiritual behavior. They also provide tribal communities with practical information that might assist them in harnessing social networks to confront collective challenges through community-based participatory research collaborations. PMID:26582964
Three key themes of spirituality are proposed as a way to integrate it into nursing curriculum: world views, intrapersonal connectedness, and interpersonal connectedness. Teaching strategies related to these themes are suggested. (Contains 22 references.) (SK)
Heydari, Abbas; Khorashadizadeh, Fatemeh; Heshmati Nabavi, Fatemeh; Mazlom, Seyed Reza; Ebrahimi, Mahdi
Context In order to gain a more detailed insight into the concept of spiritual health, a hybrid model of concept analysis was used to remove some of the ambiguity surrounding the conceptual meaning of spiritual health in Islamic and Iranian contexts. The purpose of this study was to clarify the meaning and nature of the spiritual health concept in the context of the practice of Islam among Iranian patients. Evidence Acquisition The current concept analysis was undertaken according to the modified traditional hybrid model, which consists of five phases: theoretical phase, initial fieldwork phase, initial analytical phase, and final fieldwork and final analytical phase. In the theoretical phases of the study, the concept of spiritual health was described based on a literature review of publications dealing with the Islamic viewpoint (years: from 2013 to 2014, Databases and search engines: Pubmed, SID, Magiran, Noormax, Google Scholar, Google and IranMex, Languages: English and Persian, Keywords: spiritual health AND (Islam OR Quran), spirituality AND (Islam OR Quran), complete human AND Islam, healthy heart (Galb Salim) AND Islam, healthy life (Hayat tayebeh) AND Islam, calm soul (Nafse motmaeneh) And Islam and healthy wisdom (Aghle Salim) AND Islam). Purposive sampling was conducted and nine participants were selected. Semi-structured interviews and observations were conducted periodically for data collection after obtaining informed consent. Observational, theoretical, and methodological notes were made. Then, using MAXQUDA 7 software, the data were analyzed using qualitative content analysis. Results The relevant literature in the theoretical phase uncovered the attributes of the concept of spiritual health, including love of the Creator, duty-based life, religious rationality, psychological balance, and attention to afterlife. These attributes were explored in depth in later stages. Finally, the definition of spiritual health was developed. Conclusions Islam has
Carder, M M
Describes the special spiritual and religious needs of the mentally retarded, at the same time proclaiming the necessity of thinking of them firstly as persons. Gives specific illustrations of how the spiritual and religious needs of the mentally retarded may be met by peers, chaplains, and family members. Offers a personal testimony on how the mentally retarded can contribute to the growth and insight of the caregiver. PMID:10266989
Curry, Janel; McCallum, Margaret; Rodriguez V, Jorge Juan
The provision of spiritual care, and the training of spiritual care providers, must be embedded within the larger systems (economic, social, generational, and environmental) and communities within which clients reside. This study analyzes the results of a systems approach to CPE training that focused on the rural context of Swan River, Manitoba. It addresses the need for new approaches to contextualizing CPE training and for understanding the uniqueness of rural contexts in particular. PMID:26956751
UNIVERSITY OF Hull nursing students are undertaking placements with chaplains to find out more about the importance of patient spirituality. Lead chaplain for Northern Lincolnshire and Goole NHS Foundation Trust, the Rev Charles Thody, is working with chaplains at Hull and East Yorkshire Hospitals NHS Trust to provide placements and run lectures and tutorials. 'Spiritual care is a huge element of palliative and end of life care,' he said. PMID:25428299
Babikir, Haydar E
This cross sectional hospital based study, carried out simultaneously in Khartoum and in Wad Madani, Al Gezira State, aimed to study the impact of spiritual beliefs on explanation of the epilepsy etiology and the choices and methods of spiritual and traditional medicine used in the management of epilepsy in Sudan. The study included 180 care givers of whom 165 (91.7%) were mothers. Their ages ranged between 30–40 years. The majority (88.8%) were educated and 60 (33.3%) of them live in rural areas. Fifty eight (32.2%) attributed epilepsy to supernatural causes while 41 (22.8%) and 90 (50%) thought that epilepsy is an untreatable and contagious disorder, respectively. Traditional and spiritual medicine for the treatment of epilepsy was used by 70.5%. The common spiritual technique used was incantations (45.6%), spitting cure (37.2%) and ritual incensing (36.7%). Herbs, black cumin (Nigella sativa), honey and olive oil were mentioned among others as a traditional treatment for epilepsy. About two fifth (42.5%) started traditional or spiritual treatment before seeking any medical advice. Nevertheless, only 2.4% stopped the medical treatment as advised by the traditional healer. Fifty five (43.3%) thought that spiritual and/ or traditional treatment were effective in the management of epilepsy, 60(47.2%) found no difference while 12(9.45) got worse. The majority of patients with epilepsy, although on medical treatment, used traditional and spiritual methods as well. Traditional and spiritual healers may be involved positively in the management of epilepsy and extensive public educational programs are needed. PMID:27493355
Crick, Ruth Deakin; Jelfs, Helen
In this paper we explore the relationship between spirituality and learning how to learn in a faith-based secondary school. The development of a spiritually grounded pedagogy is a way of explicitly attending to spiritual development in teaching, learning and curriculum. The research described here comprises a personalised enquiry project in which…
Trivedi, Surbhi C; Subramanyam, Alka A; Kamath, Ravindra M; Pinto, Charles
Subjective memory complaints are very common among elderly. They can be due to depression, cognitive decline, or be a part of normal aging process. Spirituality is another important dimension in elderly, and it is believed to help them cope with various adversities. This study was done to find out whether any relation exists between these 2 variables in elderly. A total of 120 elderly individuals, presenting with subjective memory complaints, were divided into 3 groups - controls, elderly with depression, and elderly with mild cognitive impairment (MCI). Spirituality in them was studied by dividing it into the subdomains of self-transcendence, presence of meaning in life, search for meaning in life, and locus of control. Spirituality was the highest in controls, followed by MCI group, and then depression group. Spirituality had a direct negative relationship with severity of depression, while relationship of spirituality with severity of cognitive decline was more complex. Relationship of spirituality with mental health status in elderly patients seemed bidirectional, that is, cause as well as effect relationship. PMID:26276729
Koenig, Laura B
The author investigated the change and stability of different aspects of religiousness and spirituality, as well as whether personality traits may help explain why individuals increase or decrease in religiousness and spirituality during emerging adulthood. Self-report measures of childhood and current religiousness were completed by 224 college-aged participants. A subset of participants also completed a measure of personality and measures of religious and spiritual belief trajectories by rating the importance of each belief at successive age brackets across their lifespan. Analyses of mean-level, rank-order, and individual-level stability and change in religiousness indicated that while average religiousness scores decreased, there was still moderate to high rank-order stability in scores. Additionally, service attendance was less stable and decreased more than importance of religion in daily life. Examination of the trajectories of religiousness and spirituality over time showed similar differences: religiousness decreased, on average, whereas spirituality increased slightly, but significantly, across successive age brackets. Personality traits did not significantly predict change in religiousness over time, although openness predicted change in spirituality. Conclusions include the idea that religiousness in emerging adulthood is comprised on different components that change at different rates. PMID:26287515
The secular practice of meditation is associated with a range of physiological and cognitive effects, including lower blood pressure, lower cortisol, cortical thickening, and activation of areas of the brain associated with attention and emotion regulation. However, in the context of spiritual practice, these benefits are secondary gains, as the primary aim is spiritual transformation. Despite obvious difficulties in trying to measure a journey without goal, spiritual aspects involved in the practice of meditation should also be addressed by experimental study. This review starts by considering meditation in the form of the relaxation response (a counterpart to the stress response), before contrasting mindfulness research that emphasizes the role of attention and alertness in meditation. This contrast demonstrates how reference to traditional spiritual texts (in this case Buddhist) can be used to guide research questions involving meditation. Further considerations are detailed, along with the proposal that research should triangulate spiritual textual sources, first person accounts (i.e., neurophenomenology), and physiological/cognitive measures in order to aid our understanding of meditation, not only in the secular context of health benefits, but also in the context of spiritual practice. PMID:26137495
The secular practice of meditation is associated with a range of physiological and cognitive effects, including lower blood pressure, lower cortisol, cortical thickening, and activation of areas of the brain associated with attention and emotion regulation. However, in the context of spiritual practice, these benefits are secondary gains, as the primary aim is spiritual transformation. Despite obvious difficulties in trying to measure a journey without goal, spiritual aspects involved in the practice of meditation should also be addressed by experimental study. This review starts by considering meditation in the form of the relaxation response (a counterpart to the stress response), before contrasting mindfulness research that emphasizes the role of attention and alertness in meditation. This contrast demonstrates how reference to traditional spiritual texts (in this case Buddhist) can be used to guide research questions involving meditation. Further considerations are detailed, along with the proposal that research should triangulate spiritual textual sources, first person accounts (i.e., neurophenomenology), and physiological/cognitive measures in order to aid our understanding of meditation, not only in the secular context of health benefits, but also in the context of spiritual practice. PMID:26137495
Dedeli, Ozden; Yildiz, Emel; Yuksel, Safak
The purpose of this study was to assess the oncology patients' spiritual needs and activities. Besides, the study was to provide clinical evaluation of the feasibility and usefulness of the Patients Spiritual Needs Assessment Scale. This descriptive and cross-sectional study was performed by using a demographic and spiritual practices questionnaire, the Turkish version of the Patients Spiritual Needs Assessment Scale. The results of our study demonstrated that the most common spiritual needs of patients with cancer were "to address issues before death and dying" (100%), "feel a sense of peace and contentment" (94.8%), and "for companionship" (93.5%). Spiritually assessing a patient with cancer requires knowledge of how spiritual needs may manifest and how to talk with a client about his or her spiritual needs. These findings can help nurses to begin this process of providing spiritual care for patients with cancer. PMID:25658933
Dermatis, Helen; James, Tina; Galanter, Marc; Bunt, Gregory
The purpose of this study was to determine the extent to which spiritual orientation was associated with adaptation to therapeutic community treatment. Spiritual orientation was assessed by the Spirituality Self-Rating Scale, a measure consistent with the conceptualization of spirituality typically reflected in Alcoholics Anonymous members' views. Spiritual orientation was positively correlated with acceptance of therapeutic community principles and clinical progress. Further assessment of spirituality related characteristics and their relation to treatment outcomes is important in informing the design of interventions aimed at improving progress in the therapeutic community, particularly those aspects involving the relative value of integrating the 12-Step group approach in therapeutic community programs. PMID:20635280
In what light should a scientist regard the assertions of a religion, or of religions in general? One extreme position is the atheistic one of regarding the assertions of religion as falsehoods. Such a position can be sustained only by regarding the experiences which individuals consider as validating their religious beliefs as being explicable in other ways and, in the absence of an adequate research programme to support it, must be considered more as falling within the field of opinion that as within that of science. The alternative to this atheistic position is that there exists an aspect of reality-that one may for convenience call transcendental-which embraces the subject matter of religion (or as some may prefer to term it, the spiritual aspect of life) and which is not at present encompassed by science. The question then arises whether some future science may be able to cope with this aspect of reality, or whether it will remain forever beyond the scope of science. The author attempts to explain the ways in which current scientific orthodoxies are being challenged and to convey some idea of the alternatives presently emerging. A number of important themes here include the questions of the validity of reductionism and the universality of quantum mechanics, as well as that of the relevance of mystical experience.
Kremer, Heidemarie; Ironson, Gail
This 10-year study (N=177) examines how people with HIV use spirituality to cope with life's trauma on top of HIV-related stress (e.g., facing death, stigma, poverty, limited healthcare) usual events. Spirituality, defined as a connection to a higher presence, is independent from religion (institutionalized spirituality). As a dynamic adaptive process, coping requires longitudinal studying. Qualitative content-analysis of interviews/essays yielded a coding of specific aspects and a longitudinal rating of overall spiritual coping. Most participants were rated as spiritual, using spiritual practices, about half experienced comfort, empowerment, growth/transformation, gratitude, less than one-third meaning, community, and positive reframing. Up to one-fifth perceived spiritual conflict, struggle, or anger, triggering post-traumatic stress, which sometimes converted into positive growth/transformation later. Over time, 65% used spiritual coping positively, 7% negatively, and 28% had no significant use. Spirituality was mainly beneficial for women, heterosexuals, and African Americans (p<0.05). Results suggest that spirituality is a major source of positive and occasionally negative coping (e.g., viewing HIV as sin). We discuss how clinicians can recognize and prevent when spirituality is creating distress and barriers to HIV treatment, adding a literature review on ways of effective spiritual assessment. Spirituality may be a beneficial component of coping with trauma, considering socio-cultural contexts. PMID:24601735
Abstract This 10-year study (N=177) examines how people with HIV use spirituality to cope with life's trauma on top of HIV-related stress (e.g., facing death, stigma, poverty, limited healthcare) usual events. Spirituality, defined as a connection to a higher presence, is independent from religion (institutionalized spirituality). As a dynamic adaptive process, coping requires longitudinal studying. Qualitative content-analysis of interviews/essays yielded a coding of specific aspects and a longitudinal rating of overall spiritual coping. Most participants were rated as spiritual, using spiritual practices, about half experienced comfort, empowerment, growth/transformation, gratitude, less than one-third meaning, community, and positive reframing. Up to one-fifth perceived spiritual conflict, struggle, or anger, triggering post-traumatic stress, which sometimes converted into positive growth/transformation later. Over time, 65% used spiritual coping positively, 7% negatively, and 28% had no significant use. Spirituality was mainly beneficial for women, heterosexuals, and African Americans (p<0.05). Results suggest that spirituality is a major source of positive and occasionally negative coping (e.g., viewing HIV as sin). We discuss how clinicians can recognize and prevent when spirituality is creating distress and barriers to HIV treatment, adding a literature review on ways of effective spiritual assessment. Spirituality may be a beneficial component of coping with trauma, considering socio-cultural contexts. PMID:24601735
Tyler, Indira D; Raynor, James E
The Big Bang theory, a widely accepted theory of the origin of the universe, states that the universe was created between ten to twenty billion years ago from a cosmic explosion. Charles Darwin, a 19th century English naturalist, convinced the scientific community through his work that life evolved by natural selection over three and a half million years ago rather than through the influence of a Supreme Being or creator. Although there has been scientific data to support the claims of natural selection, there still remain many unanswered questions suggesting that other mechanisms contributed to the evolution of life. These unresolved findings greatly influenced mysticism and the development of the theological argument, which suggest the existence of a supreme being (God), who is believe to be an omnipotent healer, comforter, provider of salvation, and the center of mysticism spirituality. There has been consistent use of spiritual practices to address health concerns by individuals for thousands of years. There is increasing data that supports the implementation of spirituality in nursing for client care to enhance health outcome and patient wellbeing. Incorporating spiritual care into practice is an integral dimension of holistic care that is the crux of nursing practice in the 21st century. Holistic care of clients requires that nurses use the nursing process to implement spiritual care in practice. PMID:18402345
Mills, Paul J; Wilson, Kathleen; Iqbal, Navaid; Iqbal, Fatima; Alvarez, Milagros; Pung, Meredith A; Wachmann, Katherine; Rutledge, Thomas; Maglione, Jeanne; Zisook, Sid; Dimsdale, Joel E; Lunde, Ottar; Greenberg, Barry H; Maisel, Alan; Raisinghani, Ajit; Natarajan, Loki; Jain, Shamini; Hufford, David J; Redwine, Laura
Depression adversely predicts prognosis in individuals with symptomatic heart failure. In some clinical populations, spiritual wellness is considered to be a protective factor against depressive symptoms. This study examined associations among depressive symptoms, spiritual wellbeing, sleep, fatigue, functional capacity, and inflammatory biomarkers in 132 men and women with asymptomatic stage B heart failure (age 66.5 years ± 10.5). Approximately 32 % of the patients scored ≥10 on the Beck Depression Inventory, indicating potentially clinically relevant depressive symptoms. Multiple regression analysis predicting fewer depressive symptoms included the following significant variables: a lower inflammatory score comprised of disease-relevant biomarkers (p < 0.02), less fatigue (p < 0.001), better sleep (p < 0.04), and more spiritual wellbeing (p < 0.01) (overall model F = 26.6, p < 0.001, adjusted R square = 0.629). Further analyses indicated that the meaning (p < 0.01) and peace (p < 0.01) subscales, but not the faith (p = 0.332) subscale, of spiritual wellbeing were independently associated with fewer depressive symptoms. Interventions aimed at increasing spiritual wellbeing in patients lives, and specifically meaning and peace, may be a potential treatment target for depressive symptoms asymptomatic heart failure. PMID:25533643
Shenefelt, Philip D; Shenefelt, Debrah A
Skin and skin disorders have had spiritual aspects since ancient times. Skin, hair, and nails are visible to self and others, and touchable by self and others. The skin is a major sensory organ. Skin also expresses emotions detectable by others through pallor, coldness, “goose bumps”, redness, warmth, or sweating. Spiritual and religious significances of skin are revealed through how much of the skin has been and continues to be covered with what types of coverings, scalp and beard hair cutting, shaving and styling, skin, nail, and hair coloring and decorating, tattooing, and intentional scarring of skin. Persons with visible skin disorders have often been stigmatized or even treated as outcasts. Shamans and other spiritual and religious healers have brought about healing of skin disorders through spiritual means. Spiritual and religious interactions with various skin disorders such as psoriasis, leprosy, and vitiligo are discussed. Religious aspects of skin and skin diseases are evaluated for several major religions, with a special focus on Judaism, both conventional and kabbalistic. PMID:25120377
Bowie, Janice; Sydnor, Kim Dobson; Granot, Michal
PURPOSE: To explore the integration of spirituality into medical care for African-American men coping with prostate cancer. PROCEDURES: A total of 14 African-American prostate cancer patients completed a self-administered quantitative survey examining the dimension of spirituality as a resource for coping. FINDINGS: A high proportion of survivors reported a general religious orientation as expressed through church affiliation and frequent church attendance. A majority (67%) had spoken with their doctors about their spiritual and religious beliefs and more than half the physicians had solicited their patients' spiritual beliefs as part of their handling of prostate cancer. While one-third of the men reported their doctors had been in contact with their clergy, two-thirds would like their doctor and clergy to be in contact with one another. CONCLUSIONS: This is a pilot study that incorporated both qualitative and quantitative data collection but with the small sample, has limited generalizability. However, this work does suggest that integrating spirituality and religion into medical care may be beneficial to prostate cancer patients. Physicians and physician organizations should engage in future research in this area. PMID:14620707
Shenefelt, Philip D; Shenefelt, Debrah A
Skin and skin disorders have had spiritual aspects since ancient times. Skin, hair, and nails are visible to self and others, and touchable by self and others. The skin is a major sensory organ. Skin also expresses emotions detectable by others through pallor, coldness, "goose bumps", redness, warmth, or sweating. Spiritual and religious significances of skin are revealed through how much of the skin has been and continues to be covered with what types of coverings, scalp and beard hair cutting, shaving and styling, skin, nail, and hair coloring and decorating, tattooing, and intentional scarring of skin. Persons with visible skin disorders have often been stigmatized or even treated as outcasts. Shamans and other spiritual and religious healers have brought about healing of skin disorders through spiritual means. Spiritual and religious interactions with various skin disorders such as psoriasis, leprosy, and vitiligo are discussed. Religious aspects of skin and skin diseases are evaluated for several major religions, with a special focus on Judaism, both conventional and kabbalistic. PMID:25120377
Trichter, Stephen; Klimo, Jon; Krippner, Stanley
Ayahuasca, a hallucinogenic plant brew from the Amazon basin used as part of healing ceremonies by the local indigenous people of the region for centuries, is now being consumed by growing numbers of people throughout the world. Anecdotal evidence and previous research suggest that there are spiritual effects experienced among participants who take part in ayahuasca ceremonies. The current study examined whether novice participants' spirituality was affected through participation in an ayahuasca ceremony, and if so, how. A mixed-design method was used, comparing those participating in an ayahuasca ceremony to those who did not participate. This investigation used the Peak Experience Profile, the Spiritual Well-being Scale, and the Mysticism Scale as quantitative measures. Participant interviews and written accounts of ceremony experiences were analyzed. Results showed that neither the SWB score nor the M-Scale score increased significantly after participating in an ayahuasca ceremony. However, it was found that the higher the PEP score, the greater the positive change in SWB and M-Scale scores. Qualitative data revealed common spiritual themes in many of the participants' interviews and written accounts. Experiential differences were displayed within the ayahuasca ceremony group, warranting continued investigation into, and identification of, various confounding variables that prompt reported changes in spirituality within some participants while not in others. PMID:19705674
Oluwole, David Adebayo
This study investigated the patterns of spirituality, gender, and age in cybergossip practices among Nigerian adolescents. The study utilized a descriptive survey method. Five hundred thirty adolescent students, randomly selected from four major cities in Nigeria, participated in the study. Their age range was 16 to 21. General Spirituality and Gossip Purpose scales were used to collect data from the participants. Data collected were subjected to t test statistics. Findings showed that there is no significant difference in the cybergossiping practices of adolescents based on their levels of spirituality. This reveals that spirituality is not an inhibiting factor in cybergossiping practices among the adolescents. However, there is significant difference between male and female youths in their cybergossiping practices. The results showed that females are more likely than males to be involved in cybergossiping activities. There is also significant difference between early and late adolescents' cybergossiping activities. The implication is that gossip and cybergossip is a natural tendency that involves communicative expression with a pleasure-seeking purpose. It is a habit that excludes no one despite spiritual, gender, or age factors. Therefore, this behavior should be positively directed away from abusive computing and communication. This work is unique because of the need for parents, guardians, and psychologists to design measures to identify and manage various moderating variables in children's computing practices for optimal positive outcomes. PMID:19445634
Müller, Jakob; Frick, Eckhard; Petersen, Yvonne; Mauer, Christine
The aim of this paper is to discuss and explore the interrelation between two concepts, attachment theory and the concept of spirituality, which are important to palliative care and to founding a multivariate understanding of the patient's needs and challenges. Both concepts have been treated by research in diverse and multiform ways, but little effort has yet been made to integrate them into one theoretical framework in reference to the palliative context. In this paper, we begin an attempt to close this scientific gap theoretically. Following the lines of thought in this paper, we assume that spirituality can be conceptualized as an adequate response of a person's attachment pattern to the peculiarity of the palliative situation. Spirituality can be seen both as a recourse to securely based relationships and as an attempt to explore the ultimate unknown, the mystery of one's own death. Thus, spirituality in the palliative context corresponds to the task of attachment behavior: to transcend symbiosis while continuing bonds and thus to explore the unknown environment independently and without fear. Spiritual activity is interpreted as a human attachment behavior option that receives special quality and importance in the terminal stage of life. Implications for clinical practice and research are discussed in the final section of the paper. PMID:24319482
Spurlock, Wanda Raby
The purpose of this study was to examine the relationship between spiritual well-being and caregiver burden in family caregivers of persons with Alzheimer's disease. A descriptive, correlational research design was used, and a convenience sample of 150 caregivers was surveyed (71 African Americans, 77 Caucasians, and 2 other caregivers). Descriptive statistics were used to examine selected caregiver demographics. Statistical analysis included bivariate correlations using the Pearson product-moment coefficient correlation. The study's research question was as follows: What is the relationship between spiritual well-being and caregiver burden? It was hypothesized that there would be an inverse relationship between the 2 variables. A statistically significance inverse relationship (R = -.493, P < or = .01) was found to exist between the variables, thereby supporting the study's hypothesis. Additional findings revealed significant differences in African American and Caucasian caregiver's perception of spiritual well-being and caregiver burden. Caregivers also reported frequent use of spiritual behaviors or practices such as prayer. Findings implicate the need for further investigation and development of culturally relevant caregiver intervention strategies and programs that incorporate spirituality as a core component. PMID:15973342
Koenig, Harold G
This article summarizes research prior to 2010 and more recent research on religion, spirituality, and health, including some of the latest work being done by research teams at Columbia University, Harvard University, Duke University, and other academic medical centers. First, terms such as religion, humanism, and spirituality are defined. Second, based on his research team's previous systematic review of quantitative studies published in the peer-reviewed literature prior to 2010, the author discusses the findings from that research on the effects of religion and spirituality (R/S) on (1) mental health-well-being, purpose in life, hope, optimism, self-esteem, depression, anxiety, suicide, and substance abuse; (2) health behaviors-exercise, diet, cigarette smoking, and risky sexual activity; and (3) physical health-coronary artery disease, cancer, and all-cause mortality. Third, the author examines the latest research on the prevalence of spiritual needs among individuals with serious or terminal medical illnesses, the consequences of ignoring those needs, and the results of clinical trials that have examined the effects of spiritual assessments by physicians. Finally, the author reviews the research currently being conducted at Duke University on the efficacy of religious cognitive-behavioral therapies and on the effects of religious involvement on telomere length in stressed caregivers. Resources are provided that will assist seasoned researchers and clinicians who might be interested in doing research in this novel and expanding area of whole-person medicine. PMID:26026153
Almeida, Rodrigo G S; Martinez, Edson Z; Mazzo, Alessandra; Trevizan, Maria A; Mendes, Isabel A C
College students have become more representative as blood donors, mainly to help other people. This study ascertained the association between spirituality and adherence or intention to donate blood in post-graduate students. In this quantitative and cross-sectional study, participants were 281 students from a post-graduate programme at a Brazilian public university. After complying with ethical requirements, data were collected through a questionnaire for sociodemographic characterization and identification of blood donation practices, followed by the Spiritual Well-Being Scale. Descriptive statistics and parametric tests were used for data analysis. A total of 74% of the participants were female and 26% were male. Previous experience and/or intention to donate blood were found in 75.3%; 14.3% donated blood periodically. In addition, 12.2% were not adept to donation and 12.5% were inapt. Spiritual Well-Being scores were similar between individuals who are not adept and those who donate periodically. In conclusion, in the sample, spirituality and blood donation are not associated, but spiritual well-being and gender are. To enhance blood donation, further research is needed. PMID:23361148
Deng, Di; Deng, Qing; Liu, Xiaofang; Xie, Cong Hua; Wu, Xin
Terms such as spirituality and spiritual needs are abstract and difficult to understand. Realization of spirituality of hospice patients was premise in addressing expression of their spiritual needs. This study investigated expectations expressed during life review and tried to prove that the expectation was intelligible term for spiritual needs in Chinese hospice from May 2011 to June 2013. Among the 107 recruited patients, families were the most frequent emotion-expressing recipients, and 133 expectations related to patients' spiritual needs were identified. The emotion-expressing recipients and the patient's expectations were not affected by demographic characteristics. The expectations in life review with hospice patients and their families had the features of spiritual essence. The identified expectation contents could be used to address spiritual needs in hospice care in Chinese. PMID:24963084
Dehan, Nicole; Levi, Zipi
This article aims to conceptualize spiritual abuse as an additional dimension to physical, psychological, sexual, and economic abuse. Growing out of an interpretivist participatory action research study in a therapeutic Haredi (Jewish ultraorthodox) group of eight abused women, spiritual abuse has been defined as any attempt to impair the woman's spiritual life, spiritual self, or spiritual well-being, with three levels of intensity: (a) belittling her spiritual worth, beliefs, or deeds; (b) preventing her from performing spiritual acts; and (c) causing her to transgress spiritual obligations or prohibitions. The concept and its typology are illustrated by means of examples from the women's abusive experiences and may be of theoretical and therapeutic worldwide relevance. PMID:19809096
Hilsman, G J
If managed care leaders are able to achieve their goals of enhancing total well-being within a capitated system of care, they must attend to the broad new societal interest in spiritual perspectives and find ways to integrate them into their structure of care. Imaginative and sensitive members of many professions, particularly those who acknowledge the value of spirituality in their own lives and are convinced of its value in healing, will likely spearhead this integrated movement. Promoting individuals' total well-being necessitates an acknowledgement that everyone has a unique personal spirituality that needs to be addressed at times of crisis, such as illness or hospitalization. Further, attention to the spiritual dimensions of problems that result in high healthcare costs, such as violence, alcoholism, and the fear of death, can help reduce those costs. The process of grief also needs to be addressed in healthcare settings, for professionals as well as patients, to enhance understanding, acceptance, and the quality of care. People recover and retain health through a balanced integration of physical, spiritual, and community aspects of their lives. If professional chaplains who have emphasized crisis and acute care in their ministry styles are to contribute to this integrative healing and its adoption into managed care systems, they may need to explore broader frameworks, holistic concepts of healing processes, motivations for self-care, and a personal holistic balance. PMID:10165750
Ho, Rainbow T H; Wan, Adrian H Y; Chan, Caitlin K P
Medical and behavioral treatments are the predominant types of rehabilitation services for people with schizophrenia. Spirituality in people with schizophrenia remains poorly conceptualized, thereby limiting knowledge advancement in the area of spiritual health care services. To provide a framework for better clinical and research practices, we advocate a holistic approach to investigating spirituality and its application in spiritual health care services of people with schizophrenia. PMID:27501209
The holistic care of those with a specific religious faith and those with a spiritual belief is important for good family-centred care. Within a busy clinical setting an important aspect of spiritual care is enabling participation in religious observance, where desired. Children's nurses, midwives and hospital chaplains are instrumental in striving to ensure that both a suitable environment and appropriate spiritual support are offered. According to data from the 2001 census for England, Wales and Scotland, the most common religious affiliations after Christianity are Muslim, Hindu, Sikh, Jewish and Buddhist. This article considers the rites, rituals or ceremonies for each of these religions which are deemed both necessary and helpful after birth or when a child is sick or dying. PMID:17193915
Bluman, Rabbi Olga F.; Klein, Linda; Thomas, Jay; Ferrell, Betty
Providing biopsychosocial/spiritual care for patients facing a life threatening illness can be complex, and this complexity can be amplified when a patient identifies as Jewish. A common but incorrect assumption is that a person who identifies him or herself as Jewish abides by the tenets of the Jewish religion. However, many Jews consider themselves Jewish in an ethnic or cultural sense rather than connected to a religion or belief in God. This case report presents an ethnic/cultural Jew with a life threatening illness of advanced lung cancer. Despite evidence of spiritual/existential suffering, this patient declined spiritual care. From an analysis of this case and clinical experience, we suggest exploratory questions that clinicians can use in response to common questions or statements made by such patients. This exploration may lead to a chaplain referral and we highlight interventions that chaplains and clinicians may find helpful as they come alongside Jewish patients. PMID:23614173
Touhy, Theris A; Brown, Cynthia; Smith, Carol J
The purpose of this qualitative study was to explore spiritual care for dying nursing home residents from the perspectives of registered nurses, practical nurses, certified nursing assistants, advanced practice nurses, and physicians. Five major themes emerged: honoring the person's dignity, intimate knowing in the nursing home environment, wishing we could do more, personal knowing of self as caregiver, and struggling with end-of-life treatment decisions. Spiritual caring was described within the context of deep personal relationships, holistic care, and support for residents. Spiritual care responses and similarities and differences in the experiences of participants are presented. Education and research about how to assist residents and families as they struggle with difficult end-of-life decisions, adequate time and staff to provide the kind of care they "wished they could," and development of models that honor the close connection and attachment of staff to residents could enhance end-of-life care in this setting. PMID:16190010
Khosravi, Masoumeh; Nikmanesh, Zahra
Objective: The purpose of this study was to investigate on relationship between spiritual intelligence, resilience, and perceived stress. Methods: The study sample consisted of 307 students of Sistan and Baluchistan University. The Connor–Davidson Resilience Scale (CD-RISC), the Spiritual Intelligence Self-Report Inventory (SISRI) and the Perceived Stress Scale (PSS) are used as a research instrument. Results: The results show that there is a positive and significant relationship between the SISRI and the CD-RISC. However, there is a negative and significant relationship between the SISRI and the PSS of students. The Enter regression analysis for prediction of the CD-RISC show that the SISRI predicts 0.10 of the CD-RISC variances and also the SISRI predicts 0.11 of the PSS variances. Conclusion: Spirituality helps to resilience in people who experience stress. PMID:25798174
Espinosa, M Cristina
By addressing ethnic identities of riparian people in Loreto, this article shows the relevance of spirituality, ethnic difference, and gender subordination affecting health interventions. Ethnic spirituality defines daily life behavior and attitudes revealing different meanings associated with medicine, illness, and healing. Gender segregates natural spaces and portrays women and children as more vulnerable to illness caused by spiritual powers, imposing taboos, and regulations. Due to lesser exposure to the modern outside world, adult women remain less familiar with it, even though modernity is also present in the village and reinterpreted by local ethnic views. Women seem closer to ethnic beliefs that 'color' their views and attitudes toward modern medicine and for that reason experience higher levels of discrimination and subordination. Being the principal care takers, their views and attitudes on medicine, illness, and healing are extremely important to consider. In practice, women and their ethnic views on medicine and illness usually remain invisible. PMID:19330606
The connection between the AIDS epidemic and the efflorescence of religious 'enthusiasm' (construed in both classical and contemporary senses) in Africa in recent decades is best understood, this paper argues, by reference to a concept of 'spiritual insecurity'. The article offers a general description of the condition of spiritual insecurity and argues that it is best studied within a relational realist paradigm. The article presents a critique of the concept of 'belief' as commonly used in the social science of religion, arguing instead for an opening of the study of social relations to include the universe of relations within which people experience the world, including their relations with entities such as spiritual beings that might otherwise be considered virtual. PMID:21819313
Hammell, K W
Canadian occupational therapists have placed spirituality as the central core of their theoretical Model, depicting inner and outer selves that contradict simultaneous declarations concerning the integration of mind/body/spirit. Even the word spirituality has discrepant meanings and failure to articulate one chosen meaning leads to ambiguity. This paper argues that occupational therapists must agree upon a single definition of spirituality that is congruent with our professional mandate and philosophical perspective; and that prevention of misunderstandings between and amongst clients and other health care professionals demands recourse to our own terminology. It is proposed that intrinsicality be employed to articulate the personal philosophy of meaning with which we interpret our lives. Influenced by environmental context and in homeostatic relationship with the body and mind, intrinsicality constitutes the essence of the self and informs occupational choices based upon personal values and priorities. Acknowledgement of intrinsicality respects the uniqueness of individuals' meanings. PMID:11433917
Martinez, Jennifer S; Smith, Timothy B; Barlow, Sally H
Spiritual and religious interventions in psychotherapy have increasingly received research attention, particularly with highly religious clients. This study examined client opinions about and experiences with religious interventions in psychotherapy. A sample of 152 clients at a counseling center of a university sponsored by the Church of Jesus Christ of Latter-Day Saints (LDS) completed a survey with ratings of specific religious interventions concerning appropriateness, helpfulness, and prevalence. Out-of-session religious interventions were considered more appropriate by clients than in-session religious interventions, but in-session interventions were rated as more helpful. Specific interventions considered both appropriate and helpful by the LDS participants included referencing scriptural passages, teaching spiritual concepts, encouraging forgiveness, involving religious community resources, and conducting assessments of client spirituality. Some religious interventions were perceived as inappropriate or not helpful, and clients provided explanations for why religious interventions can be either effective or ineffective in psychotherapy. PMID:17828760
Puchalski, Christina M; Blatt, Benjamin; Kogan, Mikhail; Butler, Amy
Spirituality has played a role in health care for centuries, but by the early 20th century, technological advances in diagnosis and treatment overshadowed the more human element of medicine. In response, a core group of medical academics and practitioners launched a movement to reclaim medicine's spiritual roots, defining spirituality broadly as a search for meaning, purpose, and connectedness. This commentary describes the history of the field of spirituality and health-its origins, its furtherance through the Medical School Objectives Project, and its ultimate incorporation into the curricula of over 75% of U.S. medical schools. The diverse efforts in developing this field within medical education and in national and international organizations created a need for a cohesive framework. The National Competencies in Spirituality and Health-created at a consensus conference of faculty from seven medical schools and reported here for the first time-answered that need.Also reported are some of the first applications of these competencies-competency-linked curricular projects. This issue of Academic Medicine features articles from three of the participating medical schools as well as one from an additional medical school. This commentary also describes another competency application: the George Washington Institute of Spirituality and Health-Templeton Reflection Rounds initiative, known as G-TRR, which has provided clerkship students with the opportunity, through reflection on their patient encounters, to develop their own inner resources to address the suffering of others. This commentary concludes with the authors' proposals for future directions for the field. PMID:24280839
Lauzon, Allan C.
The idea of spirituality is increasingly being used in the context of adult education. This paper will tentatively explore some of the implications of an emergent spirituality within the practice of adult education. It begins by situating our understanding of spirituality in an historical context. This is followed by a brief historical overview of…
Rockenbach, Alyssa Bryant; Mayhew, Matthew J.
Using data collected via the Campus Religious and Spiritual Climate Survey (CRSCS), we examined how dimensions of the campus spiritual climate shape student satisfaction. The findings reveal that structural worldview diversity, space for support and spiritual expression, and provocative experiences with worldview diversity positively relate to…
Trousdale, Ann; Bach, Jacqueline; Willis, Elizabeth
Reading and discussing poetry with spiritual themes can play a major role in children's spiritual development. The communal, oral recitation of poetry has been a means of spiritual expression in many faith traditions. How would children respond to such a time-honoured oral group experience with poetry? What might it reveal about their…
Fallon, Kathleen M.; Dobmeier, Robert A.; Reiner, Summer M.; Casquarelli, Elaine J.; Giglia, Lauren A.; Goodwin, Eric
Counselors and lesbian and gay clients experience parallel values conflicts between religious beliefs/spirituality and sexual orientation. This article uses critical thinking to assist counselors to integrate religious/spiritual beliefs with professional ethical codes. Clients are assisted to integrate religious/spiritual beliefs with sexual…
This article demonstrates through an example the usefulness of autoethnography as a mechanism for teachers acquiring clarity about their spiritual experiences, which has the potential to contribute to facilitating pupils' spiritual growth. I begin by examining the role of the spiritual dimension in the promotion of a holistic model of education.…
Simoni, Jane M.; Martone, Maria G.; Kerwin, Joseph F.
Survey interviews with 230 predominantly African American and Puerto Rican low-income women who were living with HIV/AIDS in New York City revealed high levels of spirituality and spiritually based coping with HIV. Both spirituality indicators positively correlated with the frequency of receipt of HIV-related social support; they were negatively…
Welch, Marshall; Koth, Kent
This article presents a hybrid metatheory of spiritual formation that can be applied to understanding college students' spiritual development through service-learning experiences. A definition and overview of spirituality is presented and contrasted with religion, followed by a review of various theoretical models from developmental…
Following previous work on the spiritual health of secondary students, the author wondered if it was possible to develop a spiritual health measure for younger children. Taking Fisher's model of spiritual health as the basis, items were developed to reflect relationships with self, with others, with the environment and with a god. The children's…
Clarke, Philip B.; Giordano, Amanda L.; Cashwell, Craig S.; Lewis, Todd F.
Spiritual bypass is the avoidance of underlying emotional issues by focusing solely on spiritual beliefs, practices, and experiences. Motivational interviewing (MI) is a client-centered, compassionate approach to effectively addressing resistance among those who present with spiritual bypass. In this article, the authors provide background…
Hodge, David R.; Horvath, Violet E.
Spiritual needs often emerge in the context of receiving health or behavioral health services. Yet, despite the prevalence and salience of spiritual needs in service provision, clients often report their spiritual needs are inadequately addressed. In light of research suggesting that most social workers have received minimal training in…
Krumrei, Elizabeth J.; Mahoney, Annette; Pargament, Kenneth I.
This study examined the role of three spiritual responses to divorce for psychological adjustment: appraising the event as a sacred loss/desecration, engaging in adaptive spiritual coping, and experiencing spiritual struggles. A sample of 100 adults (55% female) was recruited through public divorce records. Most appraised their divorce as a sacred…
Throughout the history of Eastern and Western thought, the spiritual quality of musical experience has been associated with religion or religious experience. The author writes auto biographically and shares the evolution of her own musical spirituality. An inquiry is launched into the relationship between musical spirituality, and her struggle…
Meyer, Dixie D.
Exploring spirituality and religion continues to be an important component when considering multicultural issues. However, understanding how to incorporate spiritual and religious diversity into counseling courses continues to be a challenge for educators. An exercise using drama therapy was developed to explore religion and spirituality.
Engnell, Richard A.
Discusses the spiritual potential of scene, some spiritual implications of film narrative, and "Otherness" and the varieties of spirituality. Explores multiple ways in which film may manipulate scene and narrative to express Otherness by examining two films: "Places in the Heart" and "Tender Mercies." (SR)
Koepfer, Stephen R.
Explores the role of children's religious and spiritual beliefs in pediatric medicine and healing. Also explores cultural variables, methods for addressing religious and spiritual concerns in treatment, and the importance of the therapist's own religious and spiritual sensitivity. Discusses how art therapy can help bridge the gap between medical…
Plugge, Carol; McCormick, Debby
Personal and spiritual transformation is emerging as a great need. Numerous societal and health concerns are beginning to surface as spiritual issues in the eyes of many professionals. A better understanding of the relationship between psychosocial-biological issues and spirituality would enhance professional capabilities. Experiential skills and…
Yob, Iris M.
Two extraordinary recent experiences that the author would call highly "spiritual" are explored against the background of ideas provided by writers such as Friedrich Schleiermacher, Rudolf Otto, Paul Tillich, and Abraham Maslow to unpack what spirituality is, with particular attention to the emotions and the insights involved in spirituality. The…
Responses from 132 baccalaureate nursing programs indicated that the majority include spiritual dimensions in program philosophy and curriculum, but few had definitions of spirituality and nursing care. Content typically addressed patients' spiritual needs, dying, and holism. Respondents were uncertain about faculty preparation to teach about…
Glover-Graf, Noreen M.; Marini, Irmo; Baker, Jeff; Buck, Tina
Ninety-five persons receiving treatment for chronic pain were surveyed using the Spirituality and Chronic Pain Survey (SCPS). The survey included a pain assessment, a spiritual/religious practices assessment, and questions related to spiritual/religious beliefs and attitudes. Most participants reported experiencing constant, higher-level pain. The…
Karlin-Neumann, Patricia; Sanders, Joanne
This essay examines how Stanford University, secular in its origins, yet with a church at its center, addresses the religious and spiritual concerns of current students, whether from traditional or innovative religious backgrounds. Identified religious and spiritual needs prompt questions about the balance between the spiritual health and…
de Guzman, Allan B.; Dalay, Naihra Jae Z.; De Guzman, Anthony Joe M.; de Jesus, Luigi Lauren E.; de Mesa, Jacqueline Barbara C.; Flores, Jan Derick D.
Spirituality is an aspect of holistic care delivery by health team members. However, despite the established relationship of spirituality and health, there had been little evidence of ways of assessing spirituality for nurses' clinical practice in Asia, particularly in regard to geriatric patients. This study aimed to establish an eiditic…
Diaz, Naelys; Horton, E. Gail; Green, Diane; McIlveen, John; Weiner, Michael; Mullaney, Donald
This study aims to examine the relationship between spirituality and believing in God's presence and depressive symptoms among 160 inpatient individuals who abuse substances. Findings indicated that both spirituality and believing in God's presence were significant predictors of depressive symptoms, whereby spirituality was inversely related to…
Ryan, Kathleen; Fiorito, Basil A.
This paper describes the reliability of the Means-Ends Spirituality Questionnaire to assess preferred ways and goals of spiritual expression. The means subscales assessed thinking, feeling, acting, and relating in the area of spiritual expression. A total of 405 university students participated in this investigation. Study 1 analyzed the…
Toivonen, Kristiina; Stolt, Minna; Suhonen, Riitta
Across this literature review (n = 10), supporting spirituality in the nursing care of older adults with dementia is concerned with supporting religious activity, enabling connections, nurses' reflections on their own spirituality, and nonverbal communication. The benefits from the support of spirituality were seen to be reciprocal and to occur in everyday nursing. PMID:26263290
Hodge, David R.
Cognitive-behavioral therapy (CBT) is an effective modality for the treatment of alcoholism. Given widespread interest in incorporating spirituality into professional treatment, this article orients practitioners to spiritually modified CBT, an approach that may enhance outcomes with some spiritually motivated clients. More specifically, by…
Weddle-West, Karen; Hagan, Waldon Joseph; Norwood, Kristie M.
This study focused on the impact of college environments on the spiritual development of African American students. Using the Armstrong Measure of Spirituality (AMOS) survey administered to 125 African American college students, the study sought to ascertain whether or not there were differences in spirituality as reported by African American…
Canales, Arthur David
The essay considers the process of cultivating Christian spirituality in Catholic adolescents. It will integrate and document official Catholic Church teachings on the subject and also unofficial scholarly reflections. The expose briefly defines adolescent spirituality and situates the process of cultivating adolescent spirituality in Catholic…
Youth work in the United Kingdom is a profession requiring three years of training, and its beginnings are strongly rooted in a spiritual (often specifically Christian) context. Until the past few decades, spirituality was also integrated within the educational system. The author argues that intentionally bringing spirituality to the center of…
Ganje-Fling, Marilyn A.; McCarthy, Patricia
Defines spirituality and discusses its relevance for counselors who work with childhood sexual abuse survivors. Describes the impact of abuse on client spirituality, and presents several suggestions for assessment and intervention approaches that address spiritual issues as part of the counseling process. (JPS)
This article seeks to understand spirituality in newborn children through an exploration of Wordsworth's clouds of glory. First the article explores adult reactions reflecting a newborn child's spirituality. Objective manifestations of spirituality in newborn children, such as love, presence and connection, wonder and meaning, and faith, are…
Kellems, Ian S.; Hill, Clara E.; Crook-Lyon, Rachel E.; Freitas, Gary
University counseling center therapists (N = 220) completed an Internet survey about religion/spirituality in therapy, with 200 of these therapists describing therapy with a recent client whose issues involved religion/spirituality. Common client religion/spirituality issues were questioning one's childhood religion, exploring…
St. Peters, Timothy R.
As schools expand secularization and laws limiting religious expression increase, one must not forget the religious spirituality of the individual. Individual religious spirituality is still protected under the United States Constitution. Many researchers feel that this religious spirituality should be nurtured, not discouraged in public schools.…
Marini, Irmo; Glover-Graf, Noreen M.
A total of 157 persons with spinal cord injury completed the "Spirituality and Spinal Cord Injury Survey" in relation to their spiritual and/or religious attitudes, beliefs, and practices in terms of adapting to their disability. Factor analysis accounting for 69% of the variance revealed four factors related to Spiritual Help and Improvement…
Kimbel, Tyler M.; Schellenberg, Rita
Authors discuss the importance of school counselors addressing spiritual and religious issues in ethically meeting the developmental and cultural needs of K-12 students. Domains of spiritual and religious competence for professional counselors, published by the Association for Spiritual, Ethical, and Religious Values in Counseling (ASERVIC, 2009),…
Unantenne, Nalika; Warren, Narelle; Canaway, Rachel; Manderson, Lenore
The lifelong management of a chronic condition requires considerable mental fortitude and commitment in social adjustment and adherence to medical advice. In examining strategies of adaptation, we draw on ethnographic research, including interviews with 69 people with type 2 diabetes and/or cardiovascular disease. We explore how they incorporate spirituality into their self-management routines, with positive impact on their health and wellbeing, and highlight the role of spiritual practices in supporting people with chronic conditions mentally, physically and socially, so encouraging personal responsibility for one's health and wellbeing. PMID:22083464
De Germond-Burquier, Véronique; Narring, Françoise; Entremont, Cécile; Basset, Lytta
Spirituality affects adolescents' as well as adults' daily life. It is usually considered to be a protective factor in physical and psychological health outcomes, but might also be a cause of suffering. In the perspective of an holistic approach, health professional should assess this subject with tact and sensitivity. Until there is a suitable instrument adapted to this age group and European culture, the exploration of spirituality and religious practices can be evaluated while taking the clinical history. Nevertheless, resistance which is common in health professionals, could be overcome by appropriate training. PMID:27451512
The purpose of this study was to explore spirituality and its relationship to resilience for women in late life. Over thirty interviews with six women aged 80 and older provide a dataset allowing for the phenomenological investigation of spiritual resilience. Themes emerged illustrating the components of spiritual resilience. The components of spiritual resilience are having divine support, maintaining purpose, and expressing gratitude. These factors are essential to the women’s resilience and act as mechanisms that promote high levels of subjective well-being and an overall good quality of life. Essentially, participants articulate how their experiences of enduring hardships are informed by spiritual resilience. PMID:22869460
Taylor, Robert Joseph; Chatters, Linda M.
This study examined the importance of spirituality and religion in daily life (i.e., only religion, only spirituality, both religion and spirituality, and neither religion nor spirituality) among a nationally representative sample of African Americans, Caribbean Blacks and non-Hispanic Whites. A majority in each group felt they were both important…
Frame, Marsha Wiggins; Uphold, Constance R.; Shehan, Constance L.; Reid, Kimberly J.
This study examined the association of spirituality and health-related quality of life among 226 HIV-positive men. Two measures of spirituality were used: the Spiritual Growth subscale from the Health-Promoting Lifestyle Profile II (S. N. Walker, K. R. Sechrist, & N. J. Pender, 1987) and the Spirituality subscale of the HIV Coping Instrument (L.…
Means, Darris R.; Jaeger, Audrey J.
This qualitative study explores how the spiritual epistemology of Black, gay and bisexual, cisgender men in college changed during their spiritual journeys and how participants used spirituality in their collegiate lives. External forces, such as family members, religious text, and church settings, initially shaped many participants' spirituality,…
Stewart, Dafina Lazarus
This critical essay reviews Small's (2011) book reporting research on the spiritual identities and discursive practices of college students in intrafaith and interfaith dialogue. Small's recommendations and research methods are instructive and helpful to both scholars and practitioners in higher education and student affairs. This research opens…
van der Merwe, Liesl; Habron, John
This article aims to describe the phenomenon of spirituality in music education by means of a model derived from the academic literature on the topic. Given the centrality of lived experience within this literature, we adopted a hermeneutic phenomenological theoretical framework to describe the phenomenon. The NCT (noticing, collecting, and…
In this age of technological change and innovation which has had a major impact upon schools, together with the continuing demands of an assessment driven curriculum, are schools providing opportunities which will develop and enhance children's creative, aesthetic and spiritual experiences? It is the contention of this paper that learning through…
Dhar, Neera; Chaturvedi, Suresh K.; Nandan, Deoki
While measuring physical, mental, and social health as defined by the World Health Organization (WHO), the basis of measurement is in terms of Determinants. Recently with the advent of health promotion activities, the emphasis is on enabling individuals, groups, and societies to have control on these Determinants. To measure the spiritual health, the 4th Dimension, a Spiritual Health Scale consisting of 3 Domains, 6 Constructs, and 27 Determinants of spiritual health were identified through a scientific process. A statistically reliable and valid Spiritual Health Scale (SHS 2011) containing 114 items has been developed. Construct validity and test-retest reliability has been established. The 3 Domains are: Self-Evolution, Self-Actualization, and Transcendence. In this article, the process of self evolution in terms of “Wider Perspective” and “Nurturance-Art” have been captured through the Determinants like Commitment, Introspection, Honesty, Creativity, Contemplation, Prayer, Philanthropy, Extending Self, Empathy, Yoga and Exercise, Questioning Injustice, Aesthetics, Value for Time, and Being Away From Comparisons. PMID:23559785
Buser, Juleen K.; Parkins, Rachael A.
Nine female participants shared their experiences of body satisfaction, spiritual beliefs, and the intersection of these domains. Using phenomenological inquiry, the authors identified 6 themes in participant interviews. The authors discuss ways in which this study extends previous research, in addition to providing suggestions for counseling…
If one asks any family, or a group of families, to share their experience with religious communities or to talk about the impact of their child on their spirituality, the answers one gets are rarely lukewarm. If the trust is there, stories emerge about how incredibly important their faith or faith community has been, on the one hand, or perhaps…
Pielstick, C. Dean
Business leaders and business workers are increasingly interested in bringing their whole selves to work, including the spiritual. Students, as prospective leaders, need to understand issues of reasonable accommodation, religious holidays, display of religious objects, religious practices at work, and so forth. Students may also benefit from…
Russo, Thomas J.
Discusses the hesitancy of counselors and psychotherapists to approach the spiritual concerns of clients. Proposes a counseling and psychotherapy training model that contains discrete yet continuous levels of learning. The holistic epistemology of Gregory Bateson is used to derive guiding theoretical principles for the training model. (Author/JAC)
Marshall, Jody L.
The implications of the spirituality of South Asian women for adult learning were examined through semistructured interviews of five South Asian women who resided in Canada. The women, who included students, working professionals, mothers, and single women, originated from Nepal, India, Pakistan, and Sri Lanka and were from Hindu, Moslem, and…
This article discusses seven ways to develop spiritual intelligence, including: think about goals and identify values; access inner processes and use visualization to see goals fulfilled; integrate personal and universal vision; take responsibility for goals; develop a sense of community; focus on love and compassion; and take advantages of…
This paper introduces the context for young people in the United Kingdom today, identifies some of the key factors associated with well-being, and then focuses on ways spiritual well-being can be promoted through informal education. Informal education is the widely acknowledged primary pedagogical approach for professional youth workers. Using…
Woods, Glenys J.; Woods, Philip A.
This article sets out theorisations of developmental democracy and spiritual awareness formulated in previous work by the authors. These are used to explore collegial leadership in a case study Steiner school, with the aim of illuminating and illustrating the transformative demands of developmental democracy and its interconnection with spiritual…
Bowland, Sharon; Edmond, Tonya; Fallot, Roger D.
This study evaluated the effectiveness of an 11-session, spiritually focused group intervention with older women survivors (age 55 years and older) of interpersonal trauma (child abuse, sexual assault, or domestic violence) in reducing trauma-related depressive symptoms, posttraumatic stress, and anxiety. Forty-three community-dwelling women…
Rhee, Jeong-eun; Subedi, Binaya
In this postcolonial inquiry, we analyze how spirituality has been simultaneously appropriated/re-covered and re-appropriated/recovered for the purpose of (re)colonizing as well as decolonizing projects. By drawing from discrete yet interconnected literatures of decolonizing, (post)(anti)colonial, Indigenous, and ethnic studies based theories, we…
Taliaferro, Lindsay A.; Rienzo, Barbara A.; Pigg, R. Morgan, Jr.; Miller, M. David; Dodd, Virginia J.
Objective: This study explored whether specific dimensions of spiritual well-being (religious well-being and existential well-being) relate to reduced suicidal ideation, and whether associations persisted after controlling for religiosity and psychosocial variables associated with suicide. Participants: Participants were 457 college students who…
Clary, Michael D.
Social support has been shown to be a significant protective factor in the lives of adolescents and has been linked to numerous health and psychological outcomes. Spirituality and religion have also been demonstrated to have similar effects on a host of outcomes. The current study further analyzed the link between these two constructs from a…
Posey, Catherine Ruth
The purpose of this phenomenological study was to describe four children's lived spiritual experiences of literary texts as generated through their responses to two toy fantasy novels for children, "The Miraculous Journey of Edward Tulane" by Kate DiCamillo (2006) and "The Mouse and his Child" by Russell Hoban (1967). The…
Leenders, Gordon; Henderson, Bob
Field notes written by students and guides during an eight-day university credit course in canoeing and wilderness living are presented as a dialogue to illuminate the spiritual experience of self-realization and well-being that comes to many students during the trip. (SV)
Trefz, Steven G.
The "Picturing Lay Ministry" project uses the visual methodology of photovoice as a way of generating participatory laity discernment around the topics of calling, rural ministry, and spiritual gifts. The project involves working with curriculum action research embedded within one-day ministry discernment events for laity. Measurement…
This research addressed the question of how the spiritual experience of young children might be supported in early childhood educational settings. Qualitative case study research took place in three different contexts: a Montessori casa, a Rudolf Steiner kindergarten and a private preschool. Children aged 2 1/2-6 years, their parents and teachers…
Taylor, Elizabeth Johnston; Mamier, Iris
This secondary analysis of data from 200 practicing registered nurses' and student nurses' responses to 3 vignettes depicting patient spiritual distress were evaluated qualitatively and quantitatively (using the Empathic Response Scale). Findings showed wide variation in these nurses' ability to respond empathically; while some responses would be healing, others were potentially hurtful. PMID:23774721
Jones Tinner, LaShanta Y.
This study explored the experience of Black female adult learners and how spirituality influenced their academic journeys. Research concerning Black female adult learners in higher education is ostensibly partial. These data offered an extended understanding of Black female adult learners' academic experiences, while also investigating common…
Duncan, James C.
This research study sought to explore the relationship between spiritual reading and its effects on human growth. The emphasis of the study was how participants felt they had grown in their relationship with God through reading. Participants were clergypersons in the Tidewater, Virginia area. The 30 pastors interviewed for this study indicated…
Castelli, Mike; Trevathan, Abdullah
Developing a language and a context for a spirituality that can speak to children and young people in a post-modern, secular English society is a challenge for anyone, parent or teacher, who wishes to raise the vision beyond the purely material and the everyday. The challenge is both epistemological and pedagogical. How young people see, know and…
Background/Context: Listening is largely overlooked in cultures constituted on the basis of the freedom of speech, such as we find in the United States and elsewhere. Purpose/Objective/Research Question/Focus of Study: The article explores compassionate listening as a creative spiritual activity. Such listening recognizes the suffering of others…
Morgan, Oliver J.
This article reviews the prevalence of trauma, substance use disorders, and their co-occurrence in both clinical and community populations. Deeper understanding of these phenomena is providing new and promising treatment modalities. Spiritual development and growth complement these emerging treatments.
This essay reviews recent research about infant attachment, then discusses the implications of this research as they relate to the following specific manifestations of children's spirituality: faith, wonder, relational consciousness, flow (as in a sense of wholeness or unity), and compassion, in the light of other research on children's…
The paper presents education as a process of human development toward becoming our authentic Selves and posits the Tarot hermeneutic as one of the means of holistic, spiritual education. As a system of images and symbols, Tarot encompasses the three I's represented by intuition, insight and imagination in contrast to the three R's of traditional…
This paper is threefold. It is grounded in the philosophical work of two educational theorists: John Dewey and our contemporary Nel Noddings. It also brings into the conversation the ancient system of Tarot, arguing that its pictorial symbolism embodies intellectual, moral, and spiritual "lessons" derived from collective human experiences across…
Udermann, Brian E.; Schutte, Greta E.; Reineke, David M.; Pitney, William A.; Gibson, Mark H.; Murray, Steven R.
Objective: The objectives of this study were to examine if topics related to spirituality were being addressed in the curricula of athletic training education programs (ATEPs) and to investigate whether program directors (PDs) believed this to be a topic worthy of inclusion in ATEP experiences. Design and Setting: A descriptive mixed method study…
Frame, Marsha Wiggins; Williams, Carmen Braun; Green, Evelyn L.
Describes African American cultural and spiritual traditions that are the bedrock for therapeutic work with this population. States women who present for counseling with emotional themes of isolation, devaluation, internalized oppression, and low self-esteem and quest for positive racial identity are especially receptive to interventions that…
The traditional relationship and participation of Indian people with the American landscape has influenced their perceptions of themselves and of reality. The Pueblo "theology of place" is illustrated in their agricultural practices and accompanying ceremonial cycles. Modern Indian education must heal the split between spiritual and scientific…
Rockenbach, Alyssa Bryant; Bachenheimer, Aaron; Conley, Abigail Holland; Grays, Shaefny
Grounded in narrative inquiry, this study explored the ways in which graduate and undergraduate students representing different worldview identities come together in dyads to share stories that reflect their existential and spiritual development. The study revealed two contrasting types of exchange: (1) deep, personal exchanges that involved a…
DiGioia, Melissa Keyes
Attitudes and beliefs about sexuality are informed by a variety of sources, including faith-based traditions. This lesson is designed for older adults to explore sexuality-related messages and values that are based on spiritual or faith perspectives. Participants will reflect upon their past learning, evaluate their present day attitudes about…
Olson, Chris G.
This article presents some of the findings from a recent study on adult students (25 years and older) in Christian nontraditional programs and the implications these findings have for Christian higher education. One goal of the study was to develop a better understanding of adult spirituality. Utilizing a descriptive, cross-sectional survey…
Bleich, Russell M.
Exact delineation of the duties and obligations of Catholic educators in the development of religious growth in their pupils is set forth. Teaching methods and instructional aids are suggested, and the role of the teacher as a spiritual guide is explored. Responsibility for moral instruction is delegated to parents and to the community as well as…
Faith and beliefs about living and dying are fundamental constituents of spiritual development. However, children are seldom asked to talk about their experiences of life and death. This article has a twofold purpose. It first describes children's expressions on living and dying, as heard during a newly developed programme which encourages…
Baker, Louisa K.; Rigazio-DiGilio, Sandra A.
The authors empirically evaluated a spiritually based 1-day child maltreatment training program. Pretest, posttest, and follow-up results indicated that participants' recognition of hypothetical maltreatment did not increase after training. Furthermore, although participants decreased their use of items known to dissuade decisions to report, they…
Based on specific school and community tragedies, this article reviews difficult situations and how students' spiritual and religious beliefs were incorporated into school-based grief interventions. Suggestions are made to strengthen this often untapped resource, encouraging school-based mental health professionals to consult with community…
Resilience is described by Richardson as "the motivational force within everyone that drives them to pursue wisdom, self-actualisation, and altruism and to be in harmony with a spiritual source of strength". The author discusses this view from a Christian theological perspective and in reference to the debate concerning the self-actualisation…
Arts educators can learn the following from persons who have pursued spirituality and mysticism: awareness of the limits of the human condition, the necessity of metaphor to describe the ineffable, recognition that we are all potentially artists and mystics, and the call to active life in the world. (SK)
Using a life history approach, this paper explores spirituality in the life and work of Muslim teachers employed in state schools of England. Background for discussion includes a rationale for the methodology and its advantages. The findings highlight their conceptualisation of God and purpose of life, and draw attention to their views and…
Rogers, Judy L.
In this article, the author shares the anxiety she first felt when she learned that she will be teaching a course on the spiritual dimensions of leadership. She was afraid of the fact that she would be going to give up a lot of control when she starts this course. Unlike teaching organization theory, where the boundaries seem clear and tidy,…
Dunbar, Heather T.; Mueller, Charles W.; Medina, Cynthia; Wolf, Tamra
Thirty-five women experiencing various stages of HIV were interviewed. Five components were found to be important in their psychological and spiritual growth: reckoning with death, life affirmation, creation of meaning, self-affirmation, and redefining relationships. Discusses implications for social work practice and future research. (Author/MKA)
Garrett, Michael Tlanusta; Garrett, J. T.; Torres-Rivera, Edil; Wilbur, Michael; Roberts-Wilbur, Janice
Native American humor is explored through a brief discussion of the current literature regarding the use of humor in counseling and descriptions of various forms and communication styles of Native humor as spiritual tradition. Implications for multicultural awareness in the use of humor and possible use of Native humor in counseling with Native…
Gorman, Michael J., Ed.
This anthology presents seven articles that focus on the integration of ethical and spiritual concerns into the academic curriculum. The argument is made for the inclusion of ethical and religious concerns in the study of subjects such as literature, history, foreign languages and cultures, and science. The articles include: "The Voice of the…
Peñalva, Stacy Lee; Coggin, Linda Skidmore; Medina, Carmen L.
Although the notion of cultural capital (Bourdieu, 1986) has been well studied and affirmed as important in recognizing the strengths of children and developing inclusive pedagogical models (Albright & Luke, 2008), this article presents a study of transcultural spiritual literacy--an element of cultural capital that is often overlooked, seldom…
Reymann, Linda S.; Fialkowski, Geraldine M.; Stewart-Sicking, Joseph A.
This study examined spirituality, personality, and psychosocial growth among 216 students at a small university in Maryland. Results demonstrated that faith maturity predicted unique variance in purpose in life. There was a main effect observed for gender among faith scores, as well as an interaction effect between gender and year in school among…
Is it feasible and appropriate to develop a sustainability metrics which captures cosmological-spiritual dimensions of un/sustainability? Departing from the supposition that the crisis of unsustainability is a crisis of worldview and misguided cosmology which needs redirection on a cultural and global scale, this essay introduces the notion of a…
Pate, Robert H., Jr.; Hall, Maureen P.
The authors describe the design of and student reaction to a counseling and spirituality course offered to full-time resident counselor education students at the University of Virginia, a secular university. The course was offered as a blended Internet-based and seminar course. The Internet components were the result of student feedback from…
Rich, Marcia L.
Responding to an increased recognition of the importance of spirituality in the aetiology and treatment of addictions, this article provides an overview of the potential contributions of both transpersonal psychology and shamanic methodology for the addictions field. A case study is provided to illustrate the integration of conventional,…
Boynton, Heather Marie
Children's spirituality is a rising area of importance in research within other helping disciplines, which social work should attend to. Epistemology is an important element of research that is often difficult to discern. This article discusses the different epistemological paradigms and identifies pertinent theories in relation to some of the…
The article discusses choreographer Liz Lerman's work with clergy, faith practitioners, and communities in the merging of religious themes with dance. Throughout the article, Lerman raises questions and provides answers that address her investigation of the power of creativity, prayer, ritual and performance, as well as artistry, spirituality,…
This review examines the role of religion, for better and worse, in marital and parent-child relationships according to peer-reviewed studies from 1999 to 2009. A conceptual framework of relational spirituality is used (a) to organize the breadth of findings into the 3 stages of formation, maintenance, and transformation of family relationships…
This study focuses on documenting and analyzing the experience of eight adults as they engaged in an adult education program that focused on developing and enhancing their capacity for spiritual knowing. Situated in adult learning theory and practice, the methodological approach chosen for this study was qualitative instrumental case study. Four…
McSherry, Wilfred; Draper, Peter
Barriers to inclusion of a spiritual dimension in British nursing education may be intrinsic to institutions, pressured by curriculum reforms and resource limitations, or extrinsic, due to the nature of the modern materialistic, secular society. There are ways that nursing schools can attempt to introduce this dimension. (SK)
Matthews, Charles O.
Explores the issues involved in integrating the spiritual dimension into traditional counselor education by creating a joint community and addictions-counseling master's program based on a hybrid of the wounded-healer and wellness models. Presents a theoretical discussion of the model. Describes an experimental master's program based on the model.…
Historically, Christian colleges and universities have struggled to incorporate racial and ethnic diversity into White and homogenous campuses. Research indicates that a positive racial climate is essential to promote spiritual growth for students from diverse backgrounds. As a result, diversity is a compelling interest for Christian institutions.…
Williams, Carmen Braun; Frame, Marsha Wiggins; Green, Evelyn
Explains cultural and spiritual traditions within African American women's experience that form the foundation for group counseling strategies. Reviews literature regarding African American women's experience in groups. Explains group interventions such as art, music, dance, imagery, journaling, and rituals that can help transcend, empower, and…
Trousdale, Ann M.
This paper explores the intersections of spirituality, religion and gender in contemporary children's books published in the United States. Background for the discussion includes a history of religion in children's literature and the history of women's roles in the Christian tradition. Representative works of realistic fiction--historical and…
Erickson, David V.
This article focuses on loss, recovery and spiritual dimensions of trauma in spinal cord injury (SCI) during adolescence. From a clinical perspective, while there are physical characteristics in common with congenital childhood disabilities such as spina bifida, life adjustment issues associated with acquired disabilities can be quite different,…
Furbish, Dale S.; Reid, Lynette
New Zealand Maori are the indigenous people of New Zealand Aotearoa, a relatively small nation of 4 million people. The juxtaposition of Maori and European cultures presents an opportunity to contrast the highly spiritual nature of Maori culture with European traditions of linearity and rationality. This contrast can be especially appreciated in…
Teichmann, Mare; Murdvee, Mart; Saks, Kai
This paper reports on three field studies using the WHOQOL-100 and WHOQOL-BREF instruments that utilized three different samples (N = 1,801) to get a better understanding of how important the person's spiritual needs are for quality of life. The most striking negative difference between the Estonian and World Health Organization samples was in…
Suyemoto, Karen L.; MacDonald, Marian L.
This study used a flexible, data-driven research method to derive an inductive theory concerning the content and function of religious beliefs. Data from interviews with 28 undergraduates were content analyzed, yielding 7 distinct belief domains: higher power, creation, soul, life after death, spiritual connection with others, fate, and…
Wu, Li-Fen; Koo, Malcolm; Tseng, Hui-Chen; Liao, Yu-Chen; Chen, Yuh-Min
Spiritual care is essential to the well-being of patients, and nurses provide spiritual care as a fundamental part of nursing practice. In this study, we investigated the spiritual care needs of hospitalized patients to determine whether the perceived knowledge of nurses corresponded with these spiritual care needs. A cross-sectional study was conducted on 1351 hospitalized patients and 200 registered nurses recruited from a medical center in central Taiwan. A questionnaire, including the 21-item Spiritual Care Needs Inventory (patient and nurse version) and basic demographic information, was distributed to eligible participants. The top three items of the spiritual care needs expressed by the hospitalized patients were respect for privacy and dignity, showing concern, and guidance in gaining a sense of hope in life; the percentages of nurses not knowing how to provide these spiritual care needs were 0%, 1%, and 15%, respectively. The spiritual care needs of patients showed a significant relationship with the knowledge of nurses, suggesting that the perceived knowledge of the nurses generally corresponded with the spiritual care items that the patients required most. PMID:26260862
Charlton, Bruce G
The most frequently discussed role for genetic engineering is in relation to medicine, and a second area which provokes discussion is the use of genetic engineering as an enhancement technology. But one neglected area is the potential use of genetic engineering to increase human spiritual and religious experience - or genospirituality. If technologies are devised which can conveniently and safely engineer genes causal of spiritual and religious behaviours, then people may become able to choose their degree of religiosity or spiritual sensitivity. For instance, it may become possible to increase the likelihood of direct religious experience - i.e. 'revelation': the subjective experience of communication from the deity. Or, people may be able to engineer 'animistic' thinking, a mode of cognition in which the significant features of the world - such as large animals, trees, distinctive landscape features - are regarded as sentient and intentional beings; so that the individual experiences a personal relationship with the world. Another potentially popular spiritual ability would probably be shamanism; in which states of altered consciousness (e.g. trances, delirium or dreams) are induced and the shaman may undergo the experience of transformations, 'soul journeys' and contact with a spirit realm. Ideally, shamanistic consciousness could be modulated such that trances were self-induced only when wanted and when it was safe and convenient; and then switched-off again completely when full alertness and concentration are necessary. It seems likely that there will be trade-offs for increased spirituality; such as people becoming less 'driven' to seek status and monetary rewards - as a result of being more spiritually fulfilled people might work less hard and take more leisure. On the other hand, it is also possible that highly moral, altruistic, peaceable and principled behaviours might become more prevalent; and the energy and joyousness of the best churches might spread
Bresnahan, Mary; Lee, Sun Young; Smith, Sandi W; Shearman, Sachiyo; Yoo, Jina H
This study investigated whether spiritual beliefs offered any explanation for why participants from Korea (N = 146), Japan (N = 134), and the United States (N = 146) were willing or reluctant to register as organ donors. A culturally appropriate measure of spiritual beliefs about organ donation, the Spiritual Beliefs Scale, was developed consisting of 2 factors: (a) Spiritual Connection and (b) Spiritual Concern. Spiritual Connection was a significant predictor of behavioral intention to become an organ donor for Korean respondents, whereas Spiritual Concern was a significant predictor of reluctance to become an organ donor for American respondents. Spiritual beliefs correlated as predicted with attitude toward organ donation and fear of bodily mutilation, showing that the Spiritual Beliefs Scale exhibited internal, external, and predictive validity. Across the 3-country sample, Spiritual Connection was associated with greater willingness to become an organ donor for women, whereas Spiritual Concern inhibited participation for men. Implications of these findings are discussed for developing culturally effective education and procurement campaigns. PMID:17461751
Currier, Joseph M; Holland, Jason M; Drescher, Kent D
Spirituality is a multifaceted construct that might affect veterans' recovery from posttraumatic stress disorder (PTSD) in adaptive and maladaptive ways. Using a cross-lagged panel design, this study examined longitudinal associations between spirituality and PTSD symptom severity among 532 U.S. veterans in a residential treatment program for combat-related PTSD. Results indicated that spirituality factors at the start of treatment were uniquely predictive of PTSD symptom severity at discharge, when accounting for combat exposure and both synchronous and autoregressive associations between the study variables, βs = .10 to .16. Specifically, veterans who scored higher on adaptive dimensions of spirituality (daily spiritual experiences, forgiveness, spiritual practices, positive religious coping, and organizational religiousness) at intake fared significantly better in this program. In addition, possible spiritual struggles (operationalized as negative religious coping) at baseline were predictive of poorer PTSD outcomes, β = .11. In contrast to these results, PTSD symptomatology at baseline did not predict any of the spirituality variables at posttreatment. In keeping with a spiritually integrative approach to treating combat-related PTSD, these results suggest that understanding the possible spiritual context of veterans' trauma-related concerns might add prognostic value and equip clinicians to alleviate PTSD symptomatology among those veterans who possess spiritual resources or are somehow struggling in this domain. PMID:25624135
Taylor, E J; Highfield, M; Amenta, M
Why nurses neglect spiritual care issues remains unclear. Therefore, a questionnaire designed to assess oncology nurse clinicians' attitudes and beliefs about spiritual care was mailed to a stratified, random sample of 700 Oncology Nursing Society members within the United States. Data from the 181 respondents were analyzed using descriptive and multivariate statistics (for quantitative items) and content analysis (for essay questions). Analysis of data revealed both a positive regard for spiritual care within nursing, and relationships between beliefs and attitudes about spiritual care and self-reported spiritually, religiosity, ethnicity, work role, and education. Recommendations are for inclusion of theoretical and practical aspects of spiritual care in nursing education and for further investigation of nurses' attitudes and beliefs regarding spiritual care. PMID:7820826
Zhang, Kaili Chen
The main purpose of this research was to explore early childhood education teachers', principals', and parents' perceptions of the role of spirituality in the lives of children with special needs, and how educators and schools can support the spiritual development of these children. Three preschools, the Buddhist, Christian, and Waldorf schools, were purposefully selected on the basis that each of them reflects a philosophy that includes the spiritual. Three themes emerged from the data analysis: (a) the influence of the schools' religion and/or spiritual orientations on inclusion; (b) support provided for the spiritual development of children with special needs; and (c) the role of spirituality in the lives of children with special needs. By drawing attention to and offering a preliminary study on early childhood inclusion and spirituality, I hope to encourage more scholars and educators to engage with research and debate on this important yet under-studied dimension of early childhood education. PMID:23999975
Burgess, Dale S.
The purpose of this study was to better understand how male African American leaders in higher education perceive the influence of spirituality on their leadership decision making. This phenomenological study provided the opportunity for seven male African American leaders in higher education to explain in their own words how they perceive the…
Limb, Gordon E.; Hodge, David R.
This study represents an initial step at giving social work practitioners an important assessment tool as they seek to provide culturally competent services to Native American clients. For the current study, a spiritual lifemap assessment tool was modified by the authors for a Native American cultural context. To determine the relevancy and…
Puchalski, Christina M
Spirituality and health is a growing field of healthcare. It grew out of courses in spirituality and health developed for medical students in the United States. Research in this area over the last 30 years has also formed an evidence base for spirituality and health. Studies have demonstrated an association between spiritual beliefs and values and a variety of healthcare outcomes. More recent research has also shown a strong desire on the part of patients to have their spirituality addressed as part of their care. Studies also show that spiritual care has an impact on patient decision making, particularly in end-of-life care. The Association of American Medical Colleges developed a broad definition of spirituality as well as learning objectives and guidelines for teaching. Standards in organizations such as the American College of Physicians support physicians treating the whole person, that is, the body, mind, and spirit. In 2009, National Competencies in Spirituality and Health education were developed in the United States with schools currently working on curriculum projects based on these competencies. Models are being developed for all members of the healthcare team to address patient distress, in cooperation with chaplains as spiritual care experts. The goals are to develop a biopsychosocial and spiritual assessment and treatment as part of compassionate whole-person care of all patients. PMID:24084250
Kopacz, Marek S.
Introduction: In recent years, considerable empirical attention has been devoted to examining the increased risk of suicide observed in some Veteran populations. This has led to a renewed focus on developing novel support options which can be used to respond to Veterans in distress, reducing their risk of suicide. Spirituality and religion, however, have been largely absent from any public discourse related to suicide prevention, not least of all in Veteran populations. Aim: The aim of this cross-sectional study is to compare the self-rated spiritual health of Veterans with and without suicide ideation. Identifying differences which may exist between these two groups could highlight the relevance of spiritual well-being to Veteran suicide prevention efforts. Materials and Methods: Data were collected using pencil-and-paper surveys, called Spiritual Assessments, distributed within the general population of in- and outpatients at a U.S. Department of Veterans Affairs Medical Center. Using Likert-type scales, this study examines the self-rated spiritual health, spiritual devotion, and significance ascribed to spirituality in a sample of 5378 Veterans. Statistical analysis took place using chi-squared to examine differences in the distribution of responses between ideators and non-ideators. Results: Ideators significantly more often rated their spiritual health as worse than that of non-ideators. Even with similar levels of spiritual devotion or significance ascribed to spiritual life, ideators continued to significantly more often rate their spiritual health as worse than that of non-ideators. Conclusion: The results show that Veterans with suicide ideation more often rate their spiritual health as worse than that of Veterans without suicide ideation. This suggests that spiritual well-being may indeed be relevant to suicide prevention efforts in Veteran populations. PMID:25750787
Carlson, Thomas D.; Kirkpatrick, Dwight; Hecker, Lorna; Killmer, Mark
Although increasing attention has been given to spirituality, to date, no published studies in marriage and family therapy journals have explored marriage and family therapists' beliefs about the appropriateness of addressing spirituality in therapy. This study fills this gap by examining the beliefs of a sample of clinical members of AAMFT about…
Mandhouj, Olfa; Aubin, Henri-Jean; Amirouche, Ammar; Perroud, Nader Ali; Huguelet, Philippe
The aim of this study was to describe the role of spirituality and religiousness (SR) among detainees. Thirty detainees from a French short-stay prison were assessed with the World Health Organization Quality of Life-Spirituality Religion and Personal Beliefs questionnaire (WHOQOL-SRPB) and with open questions about SR. Forty percent of detainees described SR as an important way of coping with incarceration and stressful events, as a means of finding inner peace, showing altruism, and gaining the respect of others. SR involvement was associated with reports of decreased suicide risk and of the prevention of future offences. SR appears to be an important coping mechanism and may help the transition to the community following incarceration. This study endorses the view that SR should be considered when treating this population. PMID:23782706
Booker, Staja Q
Persistent (chronic) pain prompts older African Americans (AAs) to utilize a combination of biomedicine (BM) and spiritual medicine (SM)for pain management. Because less is known about how older AAs use these pain management interventions, healthcare providers are unable to provide holistic care and optimal pain management. Using a Christian and Afrocentric perspective, this article reviews older AAs use of BM and SM, offering reconmendations on how to integrate BM and SM for pain management. PMID:26211300
Deb, Sibnath; McGirr, Kevin; Sun, Jiandong
The present study aimed to understand spirituality and its relationships with socioeconomic status (SES), religious background, social support, and mental health among Indian university students. It was hypothesized that (1) female university students will be more spiritual than male university students, (2) four domains of spirituality will differ significantly across socioeconomic and religious background of the university students in addition to social support, and (3) there will be a positive relationship between spirituality and mental health of university students, irrespective of gender. A group of 475 postgraduate students aged 20-27 years, 241 males and 234 females, from various disciplines of Pondicherry University, India, participated in the study. Students' background was collected using a structured questionnaire. Overall spirituality and its four dimensions were measured using the Spirituality Attitude Inventory, while mental health status was estimated based on scores of the psychological subscale of the WHO Quality of Life Questionnaire. Female students were significantly more spiritual than male students, particularly in spiritual practice and sense of purpose/connection. Hindu religion and lower family income were associated with lower spirituality. Higher spirituality was associated with congenial family environment and more support from teachers and classmates. There was a strong association between overall spirituality and two spirituality domains (spiritual belief and sense of purpose/connection) with better mental health. Findings suggest an opportunity for open dialogue on spirituality for university students as part of their mental health and support services that fosters a positive mind set and enhancement of resilience. PMID:26920414
Baldacchino, Donia; Torskenaes, Kristina; Kalfoss, Mary; Borg, Josette; Tonna, Aaron; Debattista, Clifford; Decelis, Neville; Mifsud, Rodianne
Spiritual coping, which may or may not contain religiosity, may enhance adaptation of clients with chronic illness. Part 1 of this article (Baldacchino et al, 2013) presented the research methodology of this cross-sectional comparative study, which explored the spiritual coping of clients with chronic illness receiving rehabilitation services in Malta (n=44) (lower limb amputation: n=10, chronic heart disease: n=9, osteoarthritis in an institution: n=10 and in the community: n=15) and Norway (n=16) (post-hip/shoulder surgery: n=5; chronic heart disease: n=5; chronic pain: n=6). Data were collected from seven purposive samples by focus groups. Roy's adaptation model (1984) and Neuman's Systems Model (2010) guided the study. Part2 discusses the findings, which consist of one main spiritual coping theme and three sub-themes: 'adopting religious coping strategies, relationship with God, and time for reflection and counting one's blessings'. Commonalities were found in the findings except in one dimension, which was found only in the Malta group, that is, being supported by others with a similar condition. This difference may be a result of the environment in the rehabilitation centres, cultural, and geographical differences between the two countries. While considering the limitations of this study, recommendations are proposed to the rehabilitation and education sectors and further trans-cultural comparative longitudinal research with mixed method approach on various clients with acute, chronic and life-threatening illness. PMID:23588017
JEFFRIES, WILLIAM L.; DODGE, BRIAN; SANDFORT, THEO G. M.
Traditionally, religion has been a major source of institutional support and well-being for Black people in the USA. However, when juxtaposed against sexuality, religion's positive effect upon the lives of non-heterosexual individuals is questionable. Research suggests that non-heterosexuals often abandon structured religion for spirituality due to the homonegativity perpetuated through religious institutions. Although studies have examined religion and spirituality among gays and lesbians, few have examined their roles in the lives of bisexuals. In this study, we analyzed qualitative interviews from 28 bisexual Black men who resided in New York City. In addition to church attendance, participants expressed belonging to religious communities through activities such as music ministry. Despite rejection because of their bisexuality, some participants saw other religious individuals as being accepting of them. Others discussed the church as a place where non-heterosexuals interacted, often for meeting sexual partners. Participants evoked beliefs in God in coping with adverse life experiences; some linked faith to family and sexual responsibilities. Drawing upon relevant literature, we discuss the implications of religion and spirituality for the quality of life of bisexual Black men in the USA. PMID:18568870
Francoeur, R T
This article outlines some of the major Eastern sexual and spiritual traditions (primarily Hinduism, Taoism and Tantrism), and discusses their relevance for the contemporary Western world. The article begins by examining the sources of Eastern sexual traditions, before and after the "Axial" period, the turning point at which male consciousness and power gained ascendancy over the female principle. Although a phallocentric view of the world came to dominate the East, Eastern cultures -- unlike the West -- maintained a respect for nature. According to this view, health and spirituality are gained only when humanity respects its place in the cosmos and lives in harmony with nature. The article then examines the sexual traditions of Hinduism, in which sexual asceticism not only coexisted but also complimented the celebration of sexual desire and pleasure. The article then discusses the Taoist traditions, which, among other things, stressed the importance of female sexual satisfaction. Taoism argued that men cannot experience true sexual ecstasy unless they develop the ability to control their ejaculation. The Tantric sexual tradition, the article explains, maintained that ultimate sexual pleasure would enable one to experience the true nature of reality. The article then goes on to review variations of these traditions: the Hindu Tantric Doctrine (Shaktism), the Buddhist Tantric Doctrine, and Tantra and Yoga. Finally, the article considers the relevance of these Eastern philosophies to the Western sexual tradition, which has tended to view sexuality as antagonistic to spiritual liberation. PMID:12343737
Palliative care advocates a holistic, multiprofessional approach to the care of people with life-threatening disease. In addition to the control of physical symptoms attention should also be paid to psychosocial, cultural and spiritual aspects of the patient's experience of illness. Guidance documents and research evidence reflect the complexity of the patient's journey and the need to regularly assess these areas of need over time. Cultural background can shape how patients respond to life-threatening illness, as can the beliefs held by the patients, whether religious or more broadly spiritual. Research evidence shows the importance of identifying and addressing cultural and spiritual aspects of care held by patients, families and staff. These are often neglected in clinical practice due to the focus on biomedical concerns and staff discomfort in engaging with beliefs and culture. Recent studies have highlighted gaps in the research, and some methodological difficulties and indicate many patients welcome healthcare staff enquiring about the importance of their beliefs and culture. Identifying research priorities is necessary to guide future research and strengthen the evidence base. PMID:26933233
Hurlbut, Jené; Ditmyer, Marcia
The primary purpose of this case study was to assess the meaning of spirituality in a convenience sample of women located in an urban city in the southwest United States. The secondary purpose was to describe their lived experiences associated with spirituality. From these interviews five themes emerged: Belief in God or a Higher Power, Distinction Between Religion and Spirituality, Belief That There Is a Plan for Their Lives, Spirituality Providing Guidance for What Is Right/Wrong, and Belief That Their Lives Will Improve. These findings support the perceived fundamental importance of spirituality in the lives of homeless women. Nurses and other clinicians can use this information to develop interventions to help support women using spirituality practices and to help improve the outlook of homelessness for these women. PMID:26902440
Timmins, Fiona; Murphy, Maryanne; Begley, Thelma; Neill, Freda; Sheaf, Greg
National and international professional health and nursing guidelines recommend that attention should be given to the spiritual and religious needs of patients. This suggests that spiritual care is an important aspect of holistic patient care that needs to be considered and supported, if relevant, in a healthcare context. However, many nurses lack knowledge and awareness of the subject, and it is unclear to what extent core textbooks provide the information they need. This article reports on a study that explored the extent to which contemporary core nursing textbooks support and advocate the provision of spiritual care by nurses. Its findings suggest there is a lack of consistency in the inclusion of spirituality in these texts, and few refer specifically to the need for spiritual assessment tools or referral to chaplains. As more attention is given to patients' spiritual needs, the guidance given by nursing textbooks needs to be more substantive and consistent. PMID:27581914
Marshall, Jacqueline; Archibald, Cynthia
Spirituality is an integral part of the Afro-Caribbean experience. This study explored spirituality's influence on health in a church-going Afro-Caribbean population in order to further develop the concept of Spiritually-Guided Health risk Interception (SGHRI). Using a naturalistic approach, ten (10) members of local Pentecostal churches including ministry leaders, were interviewed. Items from the Spiritual Health Locus of Control scale (SHLC) guided the sessions. Content analysis was used to examine the data, and three themes emerged: compassion for service, divine authority, and shared responsibility. The findings of this study suggested that Afro Caribbean church-goers are fervent in their spirituality and dedication to social services provided by the church. While they rely on church leaders for guidance in health matters, recognition of personal role in health promotion was acknowledged. This valuable resource may be used to combine the fundamental principles associated with their spiritual practices and with health risk interceptions. PMID:26336662
PURPOSE The explosion of evidence in the last decade supporting the role of spirituality in whole-person patient care has prompted proposals for a move to a biopsychosocial-spiritual model for health. Making this paradigm shift in today’s multicultural societies poses many challenges, however. This article presents 2 theoretical models that provide common ground for further exploration of the role of spirituality in medicine. METHODS The 3 H model (head, heart, hands) and the BMSEST models (body, mind, spirit, environment, social, transcendent) evolved from the author’s 12-year experience with curricula development regarding spirituality and medicine, 16-year experience as an attending family physician and educator, lived experience with both Hinduism and Christianity since childhood, and a lifetime study of the world’s great spiritual traditions. The models were developed, tested with learners, and refined. RESULTS The 3 H model offers a multidimensional definition of spirituality, applicable across cultures and belief systems, that provides opportunities for a common vocabulary for spirituality. Therapeutic options, from general spiritual care (compassion, presence, and the healing relationship), to specialized spiritual care (eg, by clinical chaplains), to spiritual self-care are discussed. The BMSEST model provides a conceptual framework for the role of spirituality in the larger health care context, useful for patient care, education, and research. Interactions among the 6 BMSEST components, with references to ongoing research, are proposed. CONCLUSIONS Including spirituality in whole-person care is a way of furthering our understanding of the complexities of human health and well-being. The 3 H and BMSEST models suggest a multidimensional and multidisciplinary approach based on universal concepts and a foundation in both the art and science of medicine. PMID:18779550
Lewis, Lisa M.; Ogedegbe, Gbenga
Racial disparities in hypertension prevalence and its attendant complications are well documented. Spirituality is an important component of African American beliefs and a small body of literature suggests that spirituality influences hypertension management in African Americans. This article describes a conceptual model of spirituality that may be useful for developing interventions for increasing medication adherence and decreasing blood pressure in African Americans diagnosed with hypertension. PMID:18758275
Cotton, Sian; Tsevat, Joel; Szaflarski, Magdalena; Kudel, Ian; Sherman, Susan N; Feinberg, Judith; Leonard, Anthony C; Holmes, William C
BACKGROUND/OBJECTIVE Having a serious illness such as HIV/AIDS raises existential issues, which are potentially manifested as changes in religiousness and spirituality. The objective of this study was (1) to describe changes in religiousness and spirituality of people with HIV/AIDS, and (2) to determine if these changes differed by sex and race. METHODS Three-hundred and forty-seven adults with HIV/AIDS from 4 sites were asked demographic, clinical, and religious/spiritual questions. Six religious/spiritual questions assessed personal and social domains of religiousness and spirituality. RESULTS Eighty-eight participants (25%) reported being “more religious” and 142 (41%) reported being “more spiritual” since being diagnosed with HIV/AIDS. Approximately 1 in 4 participants also reported that they felt more alienated by a religious group since their HIV/AIDS diagnosis and approximately 1 in 10 reported changing their place of religious worship because of HIV/AIDS. A total of 174 participants (50%) believed that their religiousness/spirituality helped them live longer. Fewer Caucasians than African Americans reported becoming more spiritual since their HIV/AIDS diagnosis (37% vs 52%, respectively; P<.015), more Caucasians than African Americans felt alienated from religious communities (44% vs 21%, respectively; P<.001), and fewer Caucasians than African Americans believed that their religiousness/spirituality helped them live longer (41% vs 68% respectively; P<.001). There were no significantly different reported changes in religious and spiritual experiences by sex. CONCLUSIONS Many participants report having become more spiritual or religious since contracting HIV/AIDS, though many have felt alienated by a religious group—some to the point of changing their place of worship. Clinicians conducting spiritual assessments should be aware that changes in religious and spiritual experiences attributed to HIV/AIDS might differ between Caucasian and African