Search Results (19)

This study examined how Protestant theological orientation and marginalized social identity influence attitudes toward Christian denominations and religion more broadly. We tried to test whether greater theological openness predicts more affirming attitudes and whether marginalized identity moderates this relationship. A total of 479 adults completed measures of Protestant Theological Orientation (PTS), Attitudes Toward Denominations (ATD), Attitudes Toward Religion (ATR), Defensive Theology (DTS), and Attachment to God (AGI). Regression and MANOVA analyses tested hypotheses regarding the predictive roles of theology and marginalization (non-cisgender and/or non-heterosexual status). Contrary to expectations, higher biblical literalism (higher PTS scores) predicted stronger affirming attitudes toward both denominations and religion overall. Marginalized participants expressed significantly lower ATD scores but did not differ in ATR. Interaction analyses revealed that marginalized status moderated the relationship between theology and denominational attitudes, suggesting that literalism was especially affirming for marginalized participants. Marginalized individuals also reported higher defensive theology and greater attachment anxiety toward God. Findings challenge assumptions that theological openness fosters affirmation, instead showing that biblical literalism predicts more positive denominational and religious attitudes, particularly among marginalized groups. Results show the complex interplay of theology, social identity, and spiritual resilience, with implications for counseling, pastoral care, and interfaith engagement. Full article

One of the central themes of this journal is to ‘re-boot’ the mystical tradition for the contemporary seeker. The author, a practising psychotherapist, undertakes this in the present article by connecting three strands of thought and practice to propose a ‘mystical therapy’. First, there is the Christian mystical tradition as exemplified by the medieval tradition of theologia mystica. Second, the practices and insights of present-day therapy and counselling arising from the pioneering work of Sigmund Freud (1856–1939) and his successors, including recent approaches from practitioners such as James Hillman and Wilfred Bion. Finally, the philosophical reflections of Freud’s Viennese contemporary Ludwig Wittgenstein (1889–1951), especially in regard to das Mystische and the choreography of saying and showing. All three strands are blended together as the author reflects on three decades of work in the area and the possibility of ‘re-booting’ the mystical through these means. Full article

In the twentieth century and into the present one, scholars working in the field of Christian pastoral care have concentrated their efforts in both well-established and emerging areas. Traditionally, thinking about pastoral care has been oriented to the person suffering from an existential, developmental, spiritual, or moral crisis (or a combination of these). With the emergence of the psychotherapeutic psychology of Freud, Jung, Erikson, Kohut, Berne, Perls, and others, a new focus on pastoral psychotherapy emerged. Taking things in a very different direction, a host of pastoral theologians issued a call to not only care for the individual, but also for the socio-political world that is oppressive and exclusionary for many. Still others promoted pastoral care and counseling as a ministry of the Christian Church. Finally, those animated by the ancient tradition of cura animarum accented pastoral care as spiritual formation. It is to these latter two themes that this article is addressed. What is proposed is a practical prompt card approach to spiritual formation in the congregation that is holistic and runs in the first instance over six to eight weeks. The four areas covered are spiritual practices, spiritual character (fruits of the Spirit), moral character, and positive psychology. Full article

As an outgrowth of globalization, religious globalization has significantly transformed the religious landscape worldwide. Contemporary societies exhibit religious pluralism, posing challenges for services such as spiritual or pastoral care. This study aimed to investigate how pastoral/spiritual caregivers of divergent cultural and religious backgrounds navigate religious diversity and how their religious location influences their inter-religious relations. Data were gathered through a standardized open-ended interview protocol. The study sample consisted of German Christian pastoral caregivers and Turkish Muslim spiritual caregivers from Germany and Turkey, respectively (N = 67). Overall, the entire sample expressed a generally positive attitude towards providing spiritual/pastoral care (S/PC) to individuals of other religious affiliations. German participants emphasized a human-centered approach towards individuals from diverse religious and cultural backgrounds, whereas Turkish participants placed greater emphasis on the qualifications of the caregiver. Turkish participants exhibited less exposure to other cultures/religions compared to their German counterparts, yet both subsamples responded positively to requests for care from individuals of different faiths. Both subsamples adhered to standard procedures during S/PC visits. German participants were more inclined to incorporate elements from other religions/cultures into their S/PC work compared to Turkish participants. The majority of participants regarded their respective institutions (Church/Diyanet) as responsible for addressing the spiritual needs of others. However, the German subsample displayed greater reluctance towards the employment of pastoral caregivers from different religious backgrounds by their institution, as opposed to the Turkish subsample. Full article

This article delves into the intricacies of human defences in various domains, including the biological and psychological responses to protect oneself, and the abstract concept of sacrificing one’s life to uphold ethical, moral, religious, and spiritual values. While physical, psychological, and moral values have been attended to in counselling, regard for the religious and spiritual aspects is still developing. As the author writes from a Christian perspective, Christian faith and values are considered. It is posited that a study of human nature, as presented in the Christian Bible, can facilitate a profound comprehension of human defences. The paper scrutinizes the correlation between “human defences” and “Christian spirituality” through a Christian lens on human nature. Furthermore, it introduces the idea of “spiritual defence” and how it is related to a spiritual awakening. Full article

The body of literature on the integration of Christianity and psychology and/or counseling indicates that integration is best learned and taught through spiritual formation and mentoring relationships. More specifically, the ongoing spiritual formation of counseling or psychology faculty in Christian, integrative programs and their ability to mentor students well are significant in shaping the integrative development of those they educate and train, and for ensuring integrative practice. However, what is underexplored in the literature is how faculty members in integrative programs might personally grow and develop in these areas if they are not already in existence or are underemphasized. This article seeks to address this need by providing an overview of practical ways for strengthening the spiritual formation and mentoring opportunities for Christian, integrative faculty, ultimately with the aim of encouraging greater integrative activity in counselors entering the field. Through a review of the pertinent counseling literature, as well as scholarship on spiritual formation, and spiritual formation and mentoring in educational contexts, a summative list of practical strategies is presented. Implications for broader use and application are also discussed, along with potential opportunities for future research. Full article

Background: Guidelines recommend the prompt surgical removal of any ectopic pregnancy (EP) in the presence of a vital embryo. This treatment impacts future fertility, particularly in low-resource settings where access to assisted reproductive techniques is limited. In addition, growing evidence is reporting live births after conservative management of initially undiagnosed abdominal pregnancies. Therefore, the discussion on the acceptability of expectant management in selected cases has been recently raised. Case: We present and discuss the case of a woman with vital first trimester EP who refused surgical treatment at Princess Christian Maternity Hospital, Freetown, Sierra Leone. She was initially diagnosed with a 12 week pregnancy located in the left adnexal region without hemoperitoneum. She refused both surgical treatment and hospital admission and did not come back to the hospital for antenatal care until 26 weeks of gestational age. Therefore, she was admitted and finally delivered, at 34 weeks of gestation, a 1.9 kg healthy baby which was alive. To disentangle the potential conflict between the ethical principles of medical treatment’s beneficence and the patient’s autonomy, we provide an update on counselling for a patient with early vital EP in a resource-limited setting and discuss the knowledge gap in this area. Conclusions: Limited access to fertility treatment in low- and middle-income countries may justify the discussion of expectant management as an option in selected cases of uncomplicated vital EP. Full article

Sixty-eight percent of persons infected with HIV live in Africa, but as few as 67% of those know their infection status. The emergency department (ED) might be a critical access point to HIV testing. This study sought to measure and compare HIV prevalence in an ED injury population with other clinical and nonclinical populations across Tanzania. Adults (≥18 years) presenting to Kilimanjaro Christian Medical Center ED with acute injury of any severity were enrolled in a trauma registry. A systematic review and meta-analysis was conducted to compare HIV prevalence in the trauma registry with other population groups. Further, 759 injury patients were enrolled in the registry; 78.6% were men and 68.2% consented to HIV counseling and testing. The HIV prevalence was 5.02% (tested), 6.25% (self-report), and 5.31% (both). The systematic review identified 79 eligible studies reporting HIV prevalence (tested) in 33 clinical and 12 nonclinical population groups. Notable groups included ED injury patients (3.53%, 95% CI), multiple injury patients (10.67%, 95% CI), and people who inject drugs (17.43%, 95% CI). These findings suggest that ED injury patients might be at higher HIV risk compared to the general population, and the ED is a potential avenue to increasing HIV testing among young adults, particularly men. Full article

Vitiligo is an acquired chronic depigmentation disorder that can have a negative impact on the quality of life (QoL). This is especially true for patients with non-white skin. Only few studies have investigated the QoL of Asian patients with vitiligo. We aimed to investigate the QoL in Taiwanese vitiligo patients and identify the factors that influence their QoL. The cross-sectional study recruited 100 vitiligo patients and 100 controls with general skin diseases in the Department of Dermatology of Changhua Christian Hospital. Data were obtained using a structured questionnaire for demographic information and modified Skindex-21 instruments. The QoL was not significantly different between vitiligo patients and controls. Among the vitiligo patients, adults exhibited deteriorated emotional levels and total QoL as compared with non-adults. Married females reported greater levels of emotional disturbance than the unmarried ones. A higher educational level and shorter history of disease were associated with greater emotional impacts. The patients with a generalized type of vitiligo suffered more in total QoL. After multivariate adjustment, the young adult patients aged 20–39 were associated with poorer total QoL. It is suggested that vitiligo patients who are aged between 20 and 39, are married females, are highly educated, have a shorter disease history, and suffer from the generalized type of this disease demonstrate more deterioration in their life quality compared with other vitiligo patients. Care providers should tailor the psychological counseling and treatment accordingly. Full article

The concept of spirituality has a long philosophical history. Based on detailed studies of a history of spiritual exercises from Socrates, the Stoics, Epicureanism, to early Christianity, the former catholic priest Pierre Hadot conceives philosophical practice as spiritual exercises in learning how to live a philosophical life. Following this idea, a number of philosophers such as Gerd B. Achenbach started the contemporary movement of philosophical practice in the 1980s, which aimed to apply philosophical theories and methods to discussions about issues people constantly encounter in life, mainly in the forms of philosophical counseling and philosophical therapy. In this paper, after showing that philosophical practice has already become a new frontier in philosophical research, we further argue that philosophical practice as spiritual exercises is an exercise of reason and logos, while certain kinds of religious exercises such as Zen arts can also constitute an important part of philosophical practice. We conclude that in light of the distinct plurality of the methods and modes of philosophical practice and the spiritual exercises involved, philosophical practice can be considered a meaningful and applicable approach to pursuing truth, wisdom, and virtue, which is of great didactic and ethical significance in the post-COVID-19 era. Full article

Domestic and family violence (DFV) is a serious and widespread problem in Australia and across the world, including in faith communities. There are calls for research to assist churches to better recognize, respond to and prevent violence. This study draws on data from the 2016 Australian National Church Life Survey (n = 883 senior local church leaders, n = 1270 churchgoers) to provide the first Australia-wide cross-denominational statistics on Christian clergy responses to DFV. Two-thirds of leaders had previously dealt with DFV situations in their ministry, primarily responding to victims of abuse by referring them to specialist support services and by counselling them. The findings suggest a particular depth of experience with DFV situations and strength of awareness of the needs of victims for safety and specialist support among Salvationist leaders. While, overall, a substantial majority of churchgoers felt that they could approach their church for help if they were experiencing DFV, just half of Catholics felt that they could do so. Future research should explore responses to DFV in specific denominations and culturally and linguistic diverse contexts in more detail and seek to understand the practices used by the large minority of clergy who are dealing with perpetrators. Full article

Mindfulness is increasingly implemented as a tool in mental health practice for coping and self-care. Some Christians worry that these practices might be in conflict with their own tradition, while other Christian contexts are reclaiming the contemplative aspects of the faith. Though clinicians are not trained to teach on religious topics and ethically must avoid pushing religion onto clients, conceptualization and research extend the benefits of mindfulness practices for religious clients. This paper will discuss the evidence for using mindfulness in mental health treatment and connect mindfulness to the Christian tradition. The authors explore how intentional awareness and embodiment of the present moment are supported in Christian theology through the incarnation of Jesus and God’s attention of the physical body in the Christian scriptures. The authors also discuss how sacraments and prayer naturally overlap with mindfulness practices for the dual purposes of emotional healing and spiritual growth. To bolster the benefits of mindfulness in the psychological and religious realms, the purpose of this paper is to empower therapists to address client concerns of whether mindfulness is in conflict with Christianity, support clients in expanding current Christian religious coping, and provide Christian leaders with more information about how mindfulness elements are already present in Christian rituals and beliefs. Full article

The aftermath of the Second World War saw some radical rethinking in both theology and philosophy on what it is to live well as a human being. In philosophy two of the key thinkers were Elizabeth Anscombe and Philippa Foot. In theology two key thinkers were Thomas Deman, a French Dominican, and somewhat later an English Dominican, Herbert McCabe. A key feature in all four thinkers was a recovery of the work of Aristotle and Aquinas, in particular the concept of phronēsis (prudentia). The paper’s close analysis of the virtue of prudentia demonstrates the insufficiency of modern moral philosophies that are committed to portraying morality as a moral code. A correlative argument is made within theology: the virtue of prudentia fortified by the gift of counsel is central for good Christian living. Full article

Homelessness is a continual problem around the world, leaving many organizations uncertain of how to serve these individuals. Although 60-percent of homeless are being served by faith-based organizations, religiosity and spirituality have been largely ignored by researchers as a way of treatment. In this study, we looked at 121 men who were admitted to a Christian-based rescue mission. The mission offered programs such as NA/AA and Spiritual Development. Those that agreed to participate in the study filled out the survey after the first 7-days of treatment, and again after 3 months. Our results revealed that due to the program, there was an overall increase in Religious Involvement, and a significant decrease in Religious Crisis. It is evident that religious and spiritual counsel is vital to improving the lives of those who are economically marginalized, and to ignore this is to not treat these individuals holistically. Full article

There is a lack of quantitative studies on the acceptance of extramarital sex in China. Based on data from the Chinese General Social Survey 2013 (CGSS2013), this paper used a zero-inflated Poisson regression model to analyze the factors influencing the public’s attitudes toward extramarital sex. When other variables were controlled, groups of younger ages, higher educational levels, and stronger tendencies toward “liberalization” and non-Islamic beliefs were more tolerant toward extramarital sex, whereas gender and Christian beliefs had no significant influence. In this regard, family and marriage counseling, and society’s moral tolerance and social control of religion are discussed, and further research on cross-cultural verification is needed. Full article