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Open AccessArticle

Integrating Spirituality in Group Psychotherapy with First Responders: Addressing Trauma and Substance Misuse

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Caroline Cecil Kaufman

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David Hillel Rosmarin

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Hilary Connery

Religions 2022, 13(12), 1132; https://doi.org/10.3390/rel13121132 - 23 Nov 2022

Viewed by 692

Abstract

First responders (e.g., fire fighters, law enforcement, paramedics, corrections officers) are at disproportionately high risk of experiencing posttraumatic stress and engaging in substance misuse. Spirituality is a potential source of resilience and recovery in the context of trauma and substance misuse; however, evidence-based [...] Read more.

First responders (e.g., fire fighters, law enforcement, paramedics, corrections officers) are at disproportionately high risk of experiencing posttraumatic stress and engaging in substance misuse. Spirituality is a potential source of resilience and recovery in the context of trauma and substance misuse; however, evidence-based clinical protocols integrating spirituality into group psychotherapy with first responders are rare. This article describes the adaptation of an existing and previously examined spiritually integrated group psychotherapy clinical protocol to address substance misuse among first responders with posttraumatic stress. This brief (90-min) and stand-alone group psychotherapy intervention includes (a) psychoeducation about the co-occurrence of trauma syndromes and substance misuse among first responders, (b) discussion of the relevance of spirituality to both posttraumatic stress and substance misuse, and (c) the integration of spiritual beliefs and behaviors to cope with symptoms related to trauma exposures and substance misuse. We discuss relevant clinical theory behind the development of this intervention as well as the potential clinical application of this protocol. Full article

(This article belongs to the Special Issue Religion, Spirituality and Health)

Open AccessArticle

Prayer and Healing: A Study of 83 Healing Reports in the Netherlands

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Religions 2022, 13(11), 1056; https://doi.org/10.3390/rel13111056 - 03 Nov 2022

Cited by 1 | Viewed by 1388

Abstract

The setting: 83 reports of healing related to prayer (HP) were evaluated between 2015 and 2020 in the Netherlands. Research questions: What are the medical and experiential findings? Do we find medically remarkable and/or medically unexplained healings? Which explanatory frameworks can help [...] Read more.

The setting: 83 reports of healing related to prayer (HP) were evaluated between 2015 and 2020 in the Netherlands. Research questions: What are the medical and experiential findings? Do we find medically remarkable and/or medically unexplained healings? Which explanatory frameworks can help us to understand the findings? Methods: 83 reported healings were investigated using medical files and patient narratives. An independent medical assessment team consisting of five medical consultants, representing different fields of medicine, evaluated the associated files of 27 selected cases. Fourteen of them received in-depth interviews. Instances of healing could be classified as ‘medically remarkable’ or ‘medically unexplained’. Subsequent analysis was transdisciplinary, involving medical, experiential, theological and conceptual perspectives. Results: the diseases reported covered the entire medical spectrum. Eleven healings were evaluated as ‘medically remarkable’, while none were labelled as ‘medically unexplained’. A pattern with recurrent characteristics emerged, whether the healings were deemed medically remarkable or not: instantaneity and unexpectedness of healing, often with emotional and physical manifestations and a sense of ‘being overwhelmed’. The HP experiences were interpreted as acts of God, with a transformative impact. Positive effects on health and socio-religious quality of life persisted in most cases after a two and four year follow-up. Conclusions: the research team found it difficult to frame data in medical terms, especially the instantaneity and associated experiences in many healings. We need a broader, multi-perspective model to understand the findings. Horizontal epistemology, valuing both ‘subjective’ (experiential) and ‘objective’ data, may be helpful. An open dialogue between science and religion may help too. There is an analogy with healing narratives in the Bible and throughout church history. Future studies and documentation are needed to verify and clarify the pattern we found. Full article

(This article belongs to the Special Issue Religion, Spirituality and Health)

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Open AccessArticle

‘Why Does This Happen to Me?’ Religious and Spiritual Struggles among Psychiatric Inpatients in The Netherlands: A Narrative Analysis

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Joke C. van Nieuw Amerongen-Meeuse

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Hanneke Schaap-Jonker

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Gerlise Westerbroek

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Arjan W. Braam

Religions 2022, 13(10), 965; https://doi.org/10.3390/rel13100965 - 12 Oct 2022

Cited by 1 | Viewed by 932

Abstract

Background. Religious and spiritual (R/S) struggles may impact mental health treatment and recovery processes. The current study investigates how R/S struggles play a role in mental illness and what approaches are experienced as helpful. Methods. Thirty-five semi-structured interviews with clinical mental health patients [...] Read more.

Background. Religious and spiritual (R/S) struggles may impact mental health treatment and recovery processes. The current study investigates how R/S struggles play a role in mental illness and what approaches are experienced as helpful. Methods. Thirty-five semi-structured interviews with clinical mental health patients in a Christian (N = 15) and a secular (N = 20) mental health clinic were narratively analyzed. Results. R/S struggles are common in people who suffer from mental illness and often coexist together with R/S support, mostly fluctuating over time. In summary, patients experience R/S struggles as negative feelings (e.g., loneliness, shame, mistrust) and the absence of positive feelings (e.g., hope and peace). These are influenced by someone’s R/S background and beliefs, as well as by the illness and other events. All participants appreciated a receptive approach (1) and many preferred an active approach (2) by mental health professionals. Some patients reported benefits from a directive approach (3). Conclusions. R/S struggles are tightly connected with other aspects that play a role in patients with mental illness. Mental health professionals are recommended to listen to patients’ narratives and carefully consider whether or not further interventions, in order to enhance R/S support and reduce R/S struggles, might be appropriate. Full article

(This article belongs to the Special Issue Religion, Spirituality and Health)

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Open AccessArticle

Christian Shame and Religious Trauma

by

Alison Downie

Religions 2022, 13(10), 925; https://doi.org/10.3390/rel13100925 - 03 Oct 2022

Viewed by 2794

Abstract

The analysis of religious trauma is enriched by considering how it may be produced by formation in chronic shame. The testimony of those who have experienced religious trauma and severe religious shame is essential to interdisciplinary understanding of and response to this harm. [...] Read more.

The analysis of religious trauma is enriched by considering how it may be produced by formation in chronic shame. The testimony of those who have experienced religious trauma and severe religious shame is essential to interdisciplinary understanding of and response to this harm. The experiences of those harmed indicates that some traditional Christian doctrinal interpretations are shaming. Thus, the potential for Christian communities to create climates of chronic shame and cause religious trauma is present wherever such theological interpretations dominate. In this way, the religious teachings themselves, especially when communicated in chronically shaming environments, are traumatizing. In this approach, Christian religious trauma is not an added element to traumas of domestic, physical, or sexual abuse by a religious person or leader. Instead, the source of the trauma is formative experience of participating in Christianity. Religious trauma merits interdisciplinary study in Religious Studies and trauma studies, as well as Christian theology. Theological response to Christian religious trauma contributes to this interdisciplinary need. Full article

(This article belongs to the Special Issue Religion, Spirituality and Health)

Open AccessArticle

Orientation on ‘Visions of the Good’: A Narrative Analysis of Life Stories of Patients with Personality Disorders

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Religions 2022, 13(10), 902; https://doi.org/10.3390/rel13100902 - 26 Sep 2022

Viewed by 950

Abstract

Persons with a diagnosis of personality disorder struggle to experience meaning in life. This article explores how meaning in life of patients with personality disorder changes during intensive psychotherapy. In a qualitative study, life stories of nineteen Dutch patients receiving intensive psychotherapy, written [...] Read more.

Persons with a diagnosis of personality disorder struggle to experience meaning in life. This article explores how meaning in life of patients with personality disorder changes during intensive psychotherapy. In a qualitative study, life stories of nineteen Dutch patients receiving intensive psychotherapy, written both before and after treatment, were analyzed using holistic content analysis. Here, meaning in life was understood and operationalized in terms of the concept of orientation towards visions of the good by philosopher Charles Taylor. The findings suggest that patients experience both positive and negative shifts concerning meaning in life. On the one hand, in comparison to the first life stories, there is more awareness and insight about the way the ‘good’ is missing in the second life stories. On the other hand, there are more descriptions about being vulnerable, guilty or ashamed, whereas particular sources of meaning are missing. Full article

(This article belongs to the Special Issue Religion, Spirituality and Health)

Open AccessArticle

The Meaning of ‘Spiritual’ as Integral Health: From Hippocrates of Kos to the Potamius of Lisbon

by

Alex Villas Boas

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Isidro Lamelas

Religions 2022, 13(9), 848; https://doi.org/10.3390/rel13090848 - 13 Sep 2022

Viewed by 846

Abstract

This article aims to analyze how the category ‘spiritual’ used by Hippocrates of Kos can help with a better understanding of the influence and reception of Hippocratic medicine the Christian self-understanding as a religion of healing, especially from the Hippocratic influence in Potamius [...] Read more.

This article aims to analyze how the category ‘spiritual’ used by Hippocrates of Kos can help with a better understanding of the influence and reception of Hippocratic medicine the Christian self-understanding as a religion of healing, especially from the Hippocratic influence in Potamius of Lisbon, and at the same time this Christian understanding contributes to the desacralization of medicine as a medical art. For this purpose, it will be analyzed the category pneuma in the Hippocratic naturalism, and within the debate between the medical schools, Pneumatics and Empirics, around the various methods of treatment to maintain the dynamization of pneuma. With this, it is intended, then, to identify different forms of reception of Hippocrates in Christianity associated with the different perceptions that one has of the writings of the physician of Kos. Such contextualization aims to help understand the process of spiritualization of pneuma that paved the way for the radicalization of the Pauline duality between body and soul, as well as to identify another understanding of pneuma linked to the conception of stoic sympatheia and the reading of the empiricists of Hippocratic Naturalism, both present in the Christian reading of the Corpus Hippocraticum. In this sense, this article will take as an example the work of Potamius of Lisbon (4th century), in order to identify an epistemological model of spirituality and health that could works as a kind of antidote to the tendency towards spiritualization of the pneuma, to accentuate its aspect of integrating, vitalizing and unifying body and soul in a pneuma dynamism, connecting the notion of restoring the health of nature with the notion of Christian redemption. Full article

(This article belongs to the Special Issue Religion, Spirituality and Health)

Open AccessArticle

Religion and Spirituality as Relevant Dimensions in Psychiatric Patients—From Research to Practice

by

Samuel Pfeifer

Religions 2022, 13(9), 841; https://doi.org/10.3390/rel13090841 - 11 Sep 2022

Viewed by 804

Abstract

Background: Associations between psychiatric syndromes and religion/spirituality (R/S) are confounded by a diversity of descriptive instruments, the interpretation of statistical correlations, and the highly individual experience of illness. Method: This presentation focuses on three major syndromes in psychiatric patients: (a) delusions with religious [...] Read more.

Background: Associations between psychiatric syndromes and religion/spirituality (R/S) are confounded by a diversity of descriptive instruments, the interpretation of statistical correlations, and the highly individual experience of illness. Method: This presentation focuses on three major syndromes in psychiatric patients: (a) delusions with religious content, (b) depressive conditions, and (c) anxiety disorders. Results: The content of delusions is marked by cultural factors, including religious concepts. There is empirical evidence that R/S may have a supportive role in patients with schizophrenia. Affective disorders show a more varied pattern of causality—a better outcome in about 60%, but in 10%, there seems to be a higher incidence in patients with a conservative, guilt-oriented, religious background. In anxiety disorders, a meta-analysis could not find a correlation between R/S and clinical syndromes. However, research into the emerging field of “spiritual struggles” has shown an interaction between subjective anxieties and religious conflicts, strongly influenced by the level of neuroticism beyond religious factors. Conclusions: The correlation of R/S and dysfunctional psychological experience may be summarized in three concepts (culture, conflict, and coping), modulated by the neurobiological basis of psychiatric disorders. Full article

(This article belongs to the Special Issue Religion, Spirituality and Health)

Open AccessArticle

Existential Empathy: The Challenge of ‘Being’ in Therapy and Counseling

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Siebrecht Vanhooren

Religions 2022, 13(8), 752; https://doi.org/10.3390/rel13080752 - 17 Aug 2022

Cited by 2 | Viewed by 2591

Abstract

Although probably all psychotherapists and counselors care for the lives of their clients, not every therapist is invested in helping their clients make sense of their existence. Departing from the question if clients are actually bringing their existential concerns to therapy, studies actually [...] Read more.

Although probably all psychotherapists and counselors care for the lives of their clients, not every therapist is invested in helping their clients make sense of their existence. Departing from the question if clients are actually bringing their existential concerns to therapy, studies actually show that a significant proportion of clients brings their ultimate concerns to the consultation room. However, therapists do not always feel comfortable with the existential concerns of their clients. Therapists seem to underestimate their clients’ existential needs. Furthermore, therapists and counselors report that the existential concerns of clients can be overwhelming and evoke an existential quest in therapists. Existential empathy, or the capacity to resonate with the client’s existential concerns and to communicate this empathy, could be enlarged in therapists in order to help clients find different avenues to be with their human condition. Inspired by Tillich, Rank, and Rogers, grounding in ‘being’ is suggested to help therapists being fully present with the clients’ ultimate concerns. Full article

(This article belongs to the Special Issue Religion, Spirituality and Health)

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Open AccessEssay

How Clinical Psychology of Religion Can Support Mental Health: An Ecological–Existential View, Illustrated by the Case of Shame

by

Hanneke Schaap-Jonker

Religions 2022, 13(11), 1009; https://doi.org/10.3390/rel13111009 - 24 Oct 2022

Viewed by 1108

Abstract

This article argues how the clinical psychology of religion can support mental health and mental health care. The starting point is an ecological–existential approach to mental health, that stresses the interactions between person and environment, with an emphasis on the existential dimension of [...] Read more.

This article argues how the clinical psychology of religion can support mental health and mental health care. The starting point is an ecological–existential approach to mental health, that stresses the interactions between person and environment, with an emphasis on the existential dimension of interactions. This approach will be related to religion and spirituality (R/S) and the study of R/S and mental health. To show the added value of an ecological–existential approach, the emotion of shame will be discussed as an illustrative case. Finally, implications for clinical psychology of religion and mental health care will be outlined and a clinical case report will be presented. Full article

(This article belongs to the Special Issue Religion, Spirituality and Health)

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