Search Results (354)

The Book of Margery Kempe is an extraordinary work of female visionary writing, in which Margery Kempe narrates her intimate and direct communications with Jesus Christ. The aim of this paper is to investigate how Kempe fashions herself into an authoritative religious figure and the impact of her self-fashioning. The study reveals that Kempe builds up her image as a chosen woman through a designed narrative discourse, which features disorder, imbalance, and homogeneity. To be specific, Kempe intentionally foregrounds her spiritual life endorsed by Christ and downplays her secular life in order to establish her authority. Moreover, Kempe’s work replicates the essential ingredients of hagiography, namely trials, divine intervention, and redemption, which naturally elevates Kempe to sainthood and therefore justifies her position of spiritual authority. Following on from this, Kempe, like other holy women, is well-qualified to instruct her fellow Christians to emulate her form of life, that is, to live a devout life. The establishment of Kempe’s spiritual authority is the epitome of women’s pursuit of spiritual leadership in the later Middle Ages, when they struggled with social conventions and ecclesiastical regulations. Full article

Objectives: The objectives of this review are to explore the effects of various nutrition and exercise lifestyle interventions on pregnancy outcomes in individuals with, or at risk of, gestational diabetes mellitus (GDM), as well as to examine whether interventions that are culturally and/or religiously sensitive influence clinical and behavioural outcomes. Methods: This study was conducted as a narrative review. PRISMA was used solely as a reporting guide to enhance transparency in the search and study selection process. PubMed/MEDLINE, CINAHL, and Scopus were searched for studies published up to November 2025. Intervention-based studies evaluating nutrition, physical activity, or combined lifestyle interventions targeting either GDM incidence, insulin use, or glycemic outcomes were included. Forty-three studies met eligibility criteria. Study designs consisted primarily of randomized controlled trials (RCTs) with one case–control and one quasi-experimental design trial. Results: Combined lifestyle interventions generally showed the most consistent improvements in glycemic control; however, findings were not uniform across all studies, and reporting on insulin outcomes was limited. The Mediterranean, low-glycemic index (LGI) and DASH diets, along with supervised, prenatal exercise programs with low–moderate intensity, delivered at least three times per week, were effective in managing GDM. Regarding culturally or religiously sensitive interventions, only one study was identified. Conclusions: Lifestyle interventions may improve glycemic outcomes in GDM; however, further high-quality research is needed, particularly studies incorporating culturally and religiously sensitive approaches and improved reporting of insulin-related outcomes. Full article

Background: Mental health problems are highly prevalent among university students in Saudi Arabia; however, help-seeking behaviors remain low despite the availability of mental health services. There is limited evidence regarding students’ intentions to seek help and preferred sources of support, especially formal or informal sources. This study examined help-seeking intentions for mental health problems among university students. Methods: This cross-sectional descriptive study was conducted using an online self-administered questionnaire. Participants were 248 undergraduate students from various Riyadh universities. Help-seeking intentions were assessed using the General Help-Seeking Questionnaire. SPSS software was used to perform independent t-tests to assess differences in preferred sources across demographic groups, and Pearson’s correlation analyses were conducted to examine relationships between preferred sources and demographic variables. Multiple linear regression analyses were conducted to examine demographic and academic predictors of intentions to seek help from formal and informal sources. Results: Students demonstrated a low overall propensity to seek help. Online sources were the most preferred help-seeking option, followed by mothers, friends, and general physicians, whereas faculty, relatives, and religious persons were the least preferred. Preferred help-seeking sources differed by gender. Seeking help from mental health specialists was positively correlated with age and grade point average. Additionally, the regression analysis for formal help-seeking was significant, explaining 8.4% of the variance, with gender as the only significant predictor. Conclusions: These findings suggest the need for targeted interventions to improve students’ help-seeking behaviors. Universities should prioritize mental health literacy initiatives, stigma reduction strategies, and accessible support pathways, particularly by integrating digital and hybrid services and enhancing the role of faculty and institutional support systems in promoting timely and appropriate help-seeking. Full article

Cow’s milk allergy (CMA) remains one of the most common food allergies in infancy, requiring the avoidance of cow’s milk and its derivatives. Breast milk is the best source of nutrition for infants. For those infants with CMA whose mothers are unable to breastfeed or choose not to, extensively hydrolysed formulas (eHFs) are widely recommended as first-line milk substitutes, whereas hydrolysed rice formulas (HRFs) are increasingly recognised as a viable alternative. This concept paper provides a healthcare professional (HCP) perspective on HRF, drawing on expert consensus from two meetings convened in 2025. Discussions noted the long history of safe and effective HRF use in Europe, its nutritional adequacy, and the evolving international guidelines supporting HRF as an alternative first-line option. A key meeting outcome was the development of a practical decision tree to help UK clinicians decide when HRF should be the preferred choice. Key considerations for its use in non-breastfed infants include the following: parental/caregiver stress related to persistent symptoms; ongoing symptoms despite multiple interventions; cultural and lifestyle choices; religious dietary requirements; and specialists’ recommendations. Secondary considerations highlighted by HCPs include the following: proven reactions whilst infants are breast-milk-fed together with parental request for formula; faltering growth; multiple symptoms; taste acceptance (older infants); and parental preference based on experience. The role of functional components, such as prebiotics and human milk oligosaccharides (HMOs), was noted in regard to the emerging evidence of benefits to the microbiome and immune development. The experts emphasised the importance of engaging HCPs across all levels of CMA care and addressing challenges in translating current guidance into treatment practice. It was concluded that, overall, HRF represents a nutritionally complete, plant-based alternative that has been shown to be well tolerated (taste, symptoms) in clinical studies. It can be used to broaden therapeutic options for infants with CMA in the UK who are not exclusively fed breast milk. Full article

Digital transformation has profoundly reshaped caregiving practices, yet its influence on family cohesion within disability contexts remains underexplored, particularly in Arab societies. This qualitative phenomenological study examines how digital technologies shape family cohesion among Jordanian caregivers of children with disabilities. In-depth, semi-structured interviews were conducted with 22 primary caregivers, and data were analyzed using reflexive thematic analysis. The findings reveal a central tension of being “between connectivity and care,” articulated through four interrelated themes: (1) a digital double-bind in which online support networks function as a vital “virtual village” while simultaneously contributing to intra-familial fragmentation; (2) the reconfiguration of care labor, whereby digital management emerges as an invisible and gendered form of caregiving work, often positioning mothers as primary digital coordinators; (3) the translation of traditional social capital (wasta) into digital spaces to navigate systemic resource constraints, producing new moral and emotional burdens; and (4) the strategic use of digital platforms to preserve cultural, religious, and familial identity in the face of stigma, thereby reinforcing internal cohesion. These findings suggest that digital technologies do not merely facilitate connection but actively reconfigure family dynamics through ongoing negotiation between support and strain. The study underscores the need for family-centered digital inclusion policies and support interventions that mitigate digital burdens while harnessing technology’s potential to strengthen culturally grounded resilience among families of children with disabilities. Full article

Poverty has continued to be a huge challenge in the post-apartheid South Africa, despite some interventions from the government, civil societies and religious organizations. The persistent increase in poverty raises critical questions about how interventions to address this challenge have been effective. Among other things, the country’s poverty situation reveals that something is missing in its approaches to addressing it. This article investigates the theological and ecclesial implications of the poverty crisis, arguing the need for the church to critically reexamine its role and witness in combating the problem. Drawing on the Confession of Belhar, mainly from Article 4, which asserts God’s solidarity with the poor and the oppressed, the article argues for the need for the church’s engagement with poverty to be rooted in renewed theological conviction. Article 4 of the Belhar Confession calls the church not only to solidarity with the poor but also to prophetically acting against systemic injustice and social–economic marginalization. The article discusses the causes of poverty in post-apartheid South Africa and argues that the church must look back to the Belhar Confession not just as a historical document but also as a guide for addressing all forms of injustice in a changing context. The article encourages the church in post-apartheid Africa to reclaim its prophetic identity and renew its commitment to economic justice. Full article

This article examines the interplay of memory, politics, and religion at the Buchenwald Memorial, focusing on the 2024 edition of the Genius Loci festival. Once staged by the German Democratic Republic as a monumental site of antifascist resistance, the memorial has undergone multiple reinterpretations, reflecting shifting regimes of remembrance and contested political claims, and an architectural vocabulary informed by Christian metaphors. Drawing on Durkheim’s sociology of religion and concepts of memory (Nora, Assmann), the analysis highlights how memorial architecture, ritual practices, and artistic interventions frame collective memory as both a political resource and a civic challenge. The Genius Loci festival exemplifies how contemporary art can reactivate debates around memorial spaces, exposing their religious frame of reference while simultaneously opening them to contemporary renegotiation. Full article

Social identity approaches suggest that people favour ingroup members, yet ingroup favouritism does not necessarily translate into outgroup derogation. Using a sample of Croatian majority-group youth from a nationally and religiously homogeneous pre-COVID context, we examined whether personal values moderate the relationship between national identification and attitudes towards minorities. We conducted a latent profile analysis (LPA) on higher-order values among young Croatian Catholics who did not belong to minority groups (N = 994) and identified five value profiles that varied primarily in the prioritisation of openness to change versus conservation. Profiles differed in minority attitudes and national identification. Crucially, the association between national identification and minority attitudes varied across profiles: it was unrelated in the profile prioritising openness over conservation, whereas in the remaining profiles it tended to be negative and was most consistently negative in the profile prioritising conservation over openness. Taken together, the findings highlight the role of values in the relationship between group identification and attitudes towards outgroups, confirming their relevance for social cohesion and potential for the development of deradicalisation interventions. Full article

Meditation-related difficulties have been systematically documented in contemporary contemplative science, yet the prescriptive resources preserved in the ancient Buddhist commentarial literature remain underutilized in comparative research. This study analyzes the case of five hundred monks in the Paramatthajotikā I’s commentary on the Karaṇīya-metta-sutta. During intensive practice, these monks experienced complex psychosomatic symptoms—perceptual disturbances, fear, somatic distress, and cognitive impairment—and received from the Buddha an integrated prescription of five protective practices (pañca rakkhā). Through Pāli textual and comparative analysis with Lindahl et al.’s taxonomy of meditation-related difficulties, this study demonstrates that the monks’ symptoms correspond systematically to the perceptual, affective, somatic, and cognitive domains of the modern taxonomy, with the critical difference residing in interpretive frameworks rather than in the phenomena themselves. The five practices—loving-kindness meditation, protective chant recitation, contemplation of impurity, mindfulness of death, and the arousal of religious urgency—constitute a sequentially structured system progressing from the emotional reframing of fear to the deconstruction of bodily and existential attachment, culminating in the restoration of soteriological motivation. This study argues that Paramatthajotikā I’s prescriptive system provides a historically grounded, soteriologically oriented complement to contemporary contemplative science, particularly in bridging the gap between phenomenological classification and meaning-centered intervention. Full article

Stunting remains a major public health challenge in Indonesia, with a national prevalence of 21.6% in 2022. Rural regions such as Madura face heightened vulnerability due to cultural dietary taboos, gendered caregiving structures, intergenerational authority, and digital disparities that shape household nutrition decision-making. This formative qualitative study explores stakeholders’ perceptions to inform the conceptual development of gender-sensitive serious games for nutrition communication in rural Indonesia. Using an exploratory design, 42 informants, including mothers of children under five, brides-to-be, health cadres, midwives, religious and community leaders, and local digital actors, were recruited across rural Madura. Thematic analysis examined trust-based communication patterns, gender dynamics, perceptions of artificial intelligence (AI), and contextual conditions influencing digital health acceptance. Findings indicate that acceptance of gender-sensitive serious games depends on cultural alignment, institutional endorsement, perceived credibility, and usability in low-resource settings. Participants consistently positioned serious games and AI-supported features as complementary communication layers rather than replacements for health workers. Game-based tools were considered potentially relevant when designed to support intergenerational co-play, integrate local narratives and religious values, and function in low-connectivity environments. Rather than evaluating an implemented intervention, this study proposes a conceptual design framework grounded in feminist communication perspectives, serious games scholarship, and technology acceptance theory. The findings provide context-sensitive insights to guide future prototype development and pilot testing within hybrid, community-based nutrition communication systems. Full article

This article investigates how site-specific audiovisual performances can reconfigure the contemporary relationship between art and the sacred in contexts characterised by religious plurality and late-modern disenchantment. In response to the erosion of traditional religious language, it examines how non-verbal mediation through sound, moving images and embodied presence can enable alternative ways of engaging with sacred spaces. Drawing on three artistic interventions created within different religious contexts, the article shows that performative memory emerges as a presence-in-absence phenomenon, activated through sensory, spatial and atmospheric engagement. The analysis reveals that religious spaces act as active agents in the process of performative remembrance, generating shared experiences centred on themes of shelter, humility, and fragility. Methodologically, the research takes a practice-as-research approach, informed by an emergent research design. This approach combines site immersion, audiovisual performance and reflexive analysis in order to articulate the knowledge produced through artistic practice. The findings suggest that these performances counter the accelerated temporal regimes characteristic of late-modern life by cultivating slowness, attentiveness, and affective resonance. The article concludes that performative memory functions as a relational practice through which the sacred persists and is reimagined beyond doctrinal representation, fostering inclusive forms of encounter within plural religious environments. In this way, the study contributes to broader sociological and humanistic debates on art, religion, and the transformation of sacred experience in contemporary society. Full article

The 19th century Protestant missionary James Legge is acknowledged for his voluminous and Christianity-inflected translations of Chinese classics of “Three Teachings”, yet his rendition of Buddhist texts remains under-examined. This study analyzes whether a value of Western theology exists in his portrayal of the Chinese monk Fâ-hien in A Record of Buddhistic Kingdoms, where the pilgrim should emerge as a devout Buddhist, a pioneering explorer, and a morally sensitive figure. Legge foregrounded these facets through paratexts such as illustrations and footnotes, but also repeatedly framed Fâ-hien within a biblical interpretation by frequently drawing parallels between Christianity and Buddhism. At the textual level, he shifted the original first-person narrative to a third-person perspective, which weakened the emotional and spiritual sense of Fâ-hien’s journey. Legge’s scholarly competence in Chinese learning and his role as Oxford’s first Professor of Chinese determined his precise representation of the rich connotations of Fâ-hien’s image, balancing academic rigor with an orientation toward Great Britain’s colonial education and imperial interests. His Christo-Buddhist intervention in the paratexts, associating the primary text with Christian culture, reveals his underlying missionary purpose to evangelize China. To this end, this study reveals how religious translation served both missionary and scholarly ends, contributing to Western perceptions of Chinese religion while illustrating the broader power dynamics of Christian engagement with modern China. Full article

This study fills a research gap regarding the risks that religion, spirituality, and faith (RSF) pose to resilience in survivors of sex trafficking. Interpretative phenomenological analysis was conducted on data from 44 interviews with 38 survivors of sex trafficking drawn from a larger qualitative study to develop a constructivist grounded theory of resilience during and after trafficking. Twenty-three (58%) identified as Christian, with the remaining participants (n = 15; 42%) identifying with non-mainstream or individualized spiritualities. Participants named religious struggles, spiritual bypassing, exclusionary and oppressive religious beliefs, and injurious behaviors from Christian communities and service providers as sources of harm. The core phenomena of personal agency amidst divine intervention and spiritual power, and the indestructibility of faith and hope, enabled participants to nonetheless benefit from RSF as a source of resilience. Participants’ enumeration of strategies for managing, overcoming, and preventing the harms of RSF notably occurred primarily in the privacy of their personal religious practices, with neither secular nor faith-based service providers being helpful. Their insights and experiences call for service providers and faith actors to be equipped to support survivors’ spiritual strengths and address spiritual trauma and religious struggles, and to advance church culture and traditions for autonomy-affirming spiritual support and care. Full article

This study examines religion as a potent pre-socialisation factor in modern military socialisation, exploring how sacred roots and transcendent anchors influence the formation of military identity. By synthesising Ecological Systems Theory, the Religion–Military Model, and an Integrative Model, the analysis frames religiosity as a multidimensional construct that shapes integration across macro (societal), meso (organisational), and micro (individual) levels. The research reveals the dualistic nature of religious influence. On the one hand, religious pre-socialisation instils a habitus defined by normative commitment, sacrificial ethics, and ritual familiarity. These elements facilitate Person–Organisation fit and act as catalysts for identity fusion, where personal agency is united with the group’s strength. On the other hand, the study identifies a critical theological and psychological vulnerability: moral injury. When absolute religious commandments—such as the sanctity of life—collide with the lethal demands of combat, an irresolvable normative conflict arises, mirroring historical tensions between the Christian conscience and the sacramentum. By identifying strategic intervention points for chaplaincy and leadership, the study demonstrates that integrating the religious dimension is not only an ethical duty but a prerequisite for maintaining triadic equilibrium, resilience, and institutional stability. Full article

Population aging poses a growing public health challenge in low- and middle-income countries, including Indonesia. Functional independence is a key determinant of older adults’ quality of life, yet integrated community-based health promotion Models addressing this issue remain limited. This study developed and empirically validated an Integrated 5I Health Promotion Model (Identify, Inspire, Initiate, Integrate, and Impact) to enhance independence and quality of life among older adults in an urban Indonesian setting. A community-based cross-sectional survey was conducted among 240 older adults in Surakarta, Indonesia, using proportional cluster sampling from community activity groups. The integrated 5I Model was constructed based on the Health Belief Model, the Logic Model, and a pentahelix approach. The data were collected using a structured questionnaire comprising the Mini-Mental State Examination (MMSE), the Geriatric Depression Scale (GDS), the modified PASE (including religious activities), and an expanded WHOQOL-BREF (incorporating spirituality, freedom, and happiness). The data were analyzed using path analysis to examine direct and indirect relationships among internal and external factors, perceptions, participation, independence, and quality of life. The model demonstrated good structural fit and explained a substantial proportion of variance in independence and quality of life. Perception and participation played significant mediating roles between the internal and external factors and independence. Increased independence was significantly associated with improved quality of life among older adults. Participation showed the most substantial direct effect with physical independence (β = 3.018, p < 0.001), while independence was significantly associated with quality of life (β = 0.599, p < 0.001). Participation was also found to have a significant direct impact on the quality of life (β = 2.376, p = 0.003). The model demonstrated excellent fit (CFI = 1.000; RMSEA = 0.000; SRMR = 0.012). The Integrated 5I Health Promotion Model offers a pragmatic, scalable framework for community-based interventions to promote independence and quality of life among aging populations in urban low- and middle-income settings. This model has important implications for public health programs and policies targeting healthy and active aging. Full article