The Imagination of Images and Images of Imagination: How the Imagination Relates to Aging,Health, and Spirituality

ABSTRACT

Psychological literature suggests that religion and spirituality increase in late adulthood. Yet, operational definitions of spirituality and religiosity remain widely debated and inadequate for the concepts they are designed to measure. The empirical studies of religion and spirituality as one ages are of poor design and often measure only limited aspects of religion or spirituality. Few empirical studies exist which have been conceived to only study religiosity and spirituality in late adulthood. The purpose of this study was to determine the defining aspects of religiosity and spirituality using the Allport, Ross Intrinsic, Extrinsic Religiosity Scale, Ellison's Spiritual Well-Being Scale, and Neugarten's Life Satisfaction Instrument. Using a principal component factor analysis, the study examined the factor structure using an older adult sample of 320 individuals 65 years of age and older. Having a purpose in life combines with intrinsic religious questions for the first factor. Life satisfaction questions group together on two factors and extrinsic religiosity is clearly one factor. The scales used hold together well when combined. A new, shortened scale to measure aspects of religiosity and spirituality is proposed.     

How Do “Religion” and “Spirituality” Differ? Lay Definitions Among Older Adults

Research and public interest in religion and spirituality is on the rise. Consequently, there is an increasing need for rigorously obtained information on what individuals mean when they use these terms. This study examined how 64 older adults living in three retirement communities (including one Christian‐based community), a relatively understudied population, conceptualize religion and spirituality. Participants defined “religion” and “spirituality,” and their narrative definitions were coded and compared using a framework derived from Hill et al.'s (2000) conceptualization of religion and spirituality. Despite considerable overlap, participants' definitions differed on several dimensions. Participants were more likely to associate religion than spirituality with personal beliefs, community affiliation, and organized practices. Moreover, spirituality appeared to be a more abstract concept than religion, and included nontheistic notions of a higher power.     

An Interpersonal and Intercultural Embrace

SUMMARY

Using Ono's (1997) “letter” format to share one's multiplicity of “voices,” I discuss the negotiation of interpersonal and intercultural factors of a gay, transcontinental, HIV serodiscordant relational connection with my late partner and a multicultural relational connection with my current partner. In this letter, I work to open paths of inquiry and understanding of our connections by intersecting relational “differences” (e.g., ethnicity, nations of birth, social class, HIV status, and religion/spirituality) with relational “similarities” (e.g., attraction and love, age status, shared gay identity, shared languages, and educational privilege). Finally, I address our learned and practiced skills for sustaining relational healthiness.     

Bridging the Divide

Abstract

Women who consider themselves traditional or conservative in the context of religious practice often experience tremendous conflicts regarding the integration of same-sex emotional and sexual feelings with their religion and spirituality. Current religious teachings about homosexuality make this combination difficult as only heterosexual sexuality within marriage is permitted in most orthodox faiths. Further, the way that spirituality and sexuality are conceptualized as opposing dichotomous categories (e.g., body vs. soul) presents women with a framework where integration does not seem possible. Observant women who come to psychotherapy often experience tremendous distress, guilt, depression, and even suicidality due to the conflict between their sexual feelings and religious doctrine. Relieving the distress, and resolving the conflicts while honoring the emotional complexity of sexual feelings, spirituality, and religious orthodoxy can present tremendous dilemmas for the practitioner as well as the client. Using the example of psychotherapy of an Orthodox Jewish woman who integrated same-sex desire into her life, this article describes psychotherapy process and alternative ways of viewing spirituality and sexuality that permit possible resolutions for clients.     

Some reflections on spirituality,religion and mental health

For both religion and psychiatry context is becoming more important. Object relations theory, and especially the concept of a transitional object, may be a means of linking religious thinking and psychoanalysis together. The distinction between religion and spirituality is important, though not absolute. Two factors emerge from this engagement: 1) critical questioning at the boundary of each discipline; and 2) both spirituality and mental health are related to life in a specific society. The link between religion and irrational behaviour is important, religion being a primary means of acknowledging the irrational facets of everyday life. But delusion must not be confused with illusion: between these two imagination, art and religion flourish. Each of these is dangerous, since they connect the ‘normal’ with the ‘riskily marginal’. In a multicultural society behaviour which may be acceptable in one context may in another be regarded as a sign of illness. This is particularly true of religious behaviour. Three key issues are examined: 1) the social function of spirituality and religion; 2) the idea of personal wholeness; and 3) the link between external and internal validation of the individual's spirituality. The boundary between psychotic and religious behaviour is a difficult one to discern. Yet neither medical nor spiritual explanations alone seem sufficient. There is a complementary mapping of the complications of human experience.     

Correlates of spirituality and well-being in a community sample of people living with HIV disease

While the past several years have witnessed an increase in the amount of research examining the spiritual perspectives of people living with HIV/AIDS, this literature is still insufficient to guide the conceptualization and development of spiritually based interventions to improve the life quality of people living with HIV illness. The present study assessed a community sample of 275 persons living with HIV disease to examine relationships among their spirituality, quality of life, perceptions of social support, and coping and adjustment efforts. This study found relationships between social support, active problem solving, life satisfaction, and gender and race with higher levels of spirituality among people living with HIV/AIDS. Mental health providers may need to routinely include assessments of spirituality and religious practices. Caregivers, faith communities, and mental health providers will need to assist in developing supportive environments that enhance the spiritual life and social well-being of people living with HIV infection. Additionally, caregiver training programs will need to focus on spiritual practices as a means of establishing a support system that increases the psychosocial well-being of people living with HIV/AIDS.     

A critique from within: some important research issues that psychologists of religion and spirituality should further work on

ABSTRACT

Operating from a perspective of an empirical psychologist of religion and spirituality, in this paper, I point to some areas of improvement in our field. Specifically, I (1) briefly target the lack of consensus in defining religion and spirituality; (2) point to the need for answering the crucial question: How unique is religion? (3) tackle the Western/Christian bias of the field; and (4) address three fundamental methodological issues (generalisability, self-report, and cross-sectional design) and their implications for research.     

Psychiatrists and community partners examine religion and spirituality

ABSTRACT

The commentary reflects on the definition of spirituality and religion and further implications for the practice of psychiatry. These include the possibilities to partner with spiritual and religious practitioners to support education and research, provide access to care for people with or at risk of mental ill health, and also consider how to the reduce the risks to the well-being of vulnerable people and families from some practices and settings. The World Psychiatric Association sees the possibilities for collaborating with its member societies and community partners including service users and family carers to develop resources on working with faith groups and spiritual healers in high- and low-income countries.     

Couple Therapy and Spirituality and Religion

Abstract

The current state of the art of the integration of couple therapy with spirituality and religion is presented. Each of three waves of this integration identified in this article have seen an increase in the literature in this area, although only a limited amount in each wave has addressed couple therapy specifically. In the first wave, from 1990–1994, articles set forth arguments for why spirituality should be integrated in therapy. During the second wave, 1995–1999, publications focused on the ways that including spirituality in therapy can enhance as well as harm the therapeutic process. In the third wave, 2000-present, attention has shifted away from whether to include spirituality to how it should be included, and the literature of this period features many practical interventions and suggested guidelines for integrating spirituality and religion into therapy and training. The article concludes with recommendations for further developing the integration of spirituality and religion into couple therapy models, research, and training.     

Initial Validation of Measures of Sanctification in Same‐Sex Romantic Relationships and Sexual Behavior

Researchers have created reliable and valid scales of the sanctification of romantic relationships and sexual behavior of opposite‐sex couples. The goal of the present study is to assess the reliability and validity of sanctification measures within same‐sex romantic relationships. Measures of sanctification and relationship adjustment were given to 256 persons in same‐sex romantic relationships living in the United States. Both sanctification measures had Cronbach alpha values above 0.80. Sanctification related to relationship adjustment in expected ways. Controlling for demographic variables, general religiosity, and self‐perceived spirituality, the sanctification of a same‐sex romantic relationship was associated with greater investment in the partnership, emotional intimacy toward one's partner, and relationship satisfaction. Sanctifying same‐sex sexual behavior related to more frequent sex and more positive emotions toward sex, after controlling for demographic variables, general religiosity, and perceived spirituality. Implications and suggestions for future research are discussed.     

Psychodrama: Rehearsal for Living

Abstract

The current study examined therapist characteristics that are related to the use of spiritual and religious interventions in group therapy and to perceived barriers to attending to spirituality in group therapy among a sample of experienced group therapists. Results demonstrated that greater therapist spirituality was associated with more frequent use of both spiritual and religious interventions, as well as lower perceived barriers to attending to spirituality in group therapy. Religious commitment was only uniquely related to perceived barriers, such that therapists with higher religious commitment actually perceived greater barriers. Training in religion and spirituality and comfort with spiritual discussions was also related to therapists’ use of religious and spiritual interventions and perceived barriers.     

The Ways in Which Adolescents Cope and their Relationship to Age,Gender and Specific Religious Variables

This study investigated the roles of age, gender, the importance of religion/spirituality, attending church activities and frequency of prayer on the types of adolescents’ coping strategies. Participants were drawn from ten public high schools. Data on coping strategies, personal variables and religiosity and spirituality were collected using the Adolescent Coping Orientation for Problem Experiences (A-COPE) coping inventory. Scheffé posthoc tests were used to evaluate associations between the coping strategies used by adolescents and the identified personal and faith-oriented variables. Gender and age explained some differences in types of coping strategies preferred. Specifically, females used the developing social support coping strategy more than males; older adolescents used the avoiding problems coping strategy more than younger adolescents. Adolescents for whom religion/spirituality is of lesser importance, obtained a significantly higher mean score for the avoiding problems subscale. Both personal variables (age and gender) as well as one of the faith-oriented variables (importance of religion) were identified as important role players in using developing social support and avoiding problems as coping strategies by adolescents.     

Well-Being’s Relation to Religiosity and Spirituality in Children and Adolescents in Zambia

The relations among dimensions of subjective well-being (i.e., happiness and life satisfaction), spirituality and religiousness were assessed in children (aged 7–12, n = 391) and adolescents (aged 13–19, n = 902) in Zambia. These participants were sampled from schools in both urban and rural regions that represented a relatively wide range of affluence. Participants self-reported their happiness using the Faces Scale and the Subjective Happiness Scale, and their life satisfaction using the Student Life Satisfaction Scale. The surveys were available in English as well as two local languages, and were delivered in classroom settings. To assess religiosity, participants were asked about the frequency that they attended church and about the importance of religion in their life. To assess spirituality, participants were asked about whether they considered themselves to be a spiritual person and about the nature domain of spirituality (e.g., “I feel connected to nature”). Results indicated that age, gender, grade and religiosity were not strong predictors of children’s well-being. However, spirituality accounted for 21 % of the variance in life satisfaction beyond these demographic variables and religiosity, but did not account for additional variance in happiness. The results were similar for adolescents except that the demographic variables were weakly predictive of their life satisfaction, and religiosity was a modest predictor of their happiness. Spirituality predicted variance in happiness and life satisfaction more so among adolescents than among children. These results confirm earlier work showing that spirituality, but not necessarily religiosity, is associated with children’s and adolescents’ well-being.     

Automatic affective-motivational regulation processes underlying supportive dyadic coping: the role of increased implicit positive attitudes toward communal goals in response to a stressed relationship partner

Background and objectives: We examined the implicit affective mechanisms underlying provision of support in intimate dyads. Specifically, we hypothesized that in individuals with high relationship satisfaction, the perception that one’s partner is stressed leads to increased implicit positive attitudes toward communal goals. In turn, this change in implicit attitudes facilitates supportive behavior.

Design and methods: In two studies, we induced partner stress by instructing participants to either recall a situation where their partner was highly stressed (Study 1; N?=?47 university students) or imagine a specific stressful event (excessive workload; Study 2; N?=?85 university students). Subsequently, implicit attitudes toward communal goals were assessed with an Implicit Association Test.

Results: In both studies, we found that among participants with high relationship satisfaction partner stress increases preferences for communal goals. In addition, implicit preferences for communal goals predicted stronger inclinations to engage in supportive dyadic coping (Study 2).

Conclusions: The current findings provide important insights into the implicit cognitive-affective mechanics of dyadic coping. Moreover, they can explain how people manage to avoid experiencing motivational conflicts between partner-oriented and self-oriented goals in situations characterized by high partner stress.     

Intact Marriages in Which One Partner Dis-Identifies with Experiences of Same-Sex Attraction: A Follow-Up Study

This study is a one-year follow-up study of heterosexually married couples in which one partner reports having experienced same-sex attraction and both partners report satisfaction with their marriage despite facing such constraints. Questionnaires were sent to 32 individuals who had participated in the initial study. Of these, 30 returned completed questionnaires. The questionnaires contained open-ended questions about the participants' experiences, motivations, coping behaviors, and so on. Analysis suggested a number of themes related to vulnerability to extramarital relationships, coping activities, and satisfaction with marriage. Suggestions for clinical practice include exploring sexual identity issues, maintaining communication, and monitoring emotional connection in the marital dyad.     

Couples and Diabetes: A 30-Year Narrative Review of Dyadic Relational Research

Diabetes is a chronic condition that affects both members of a couple. However, relatively few studies have focused on the entire couple system as the unit of observation when examining the psychosocial impact of this disease. This narrative review examines the literature between 1980 and 2010 that uses the couple as the unit of observation. A total of 49 articles were identified for review. Articles were grouped by their central themes or outcomes: (1) sexual functioning, (2) relationship adjustment and support, (3) culture and spirituality, (4) treatment/education programs, and (5) diabetes as a risk factor. Research and clinical implications such as increasing the utilization of dyadic analytical strategies and the importance of assessing illness burden from each partners’ perspective are discussed. Identified benefits of incorporating the couple dyad for future research and clinical practice included: (1) understanding the influence of variables such as a non-diabetic partner and gender have on diabetes adjustment and management, (2) the role disease severity and management of diabetes by the partner living with diabetes has on spousal support and non-diabetic partner emotional wellbeing, (3) the interdependent nature of couple outcomes in the areas of adjustment to sexual dysfunction, perceived illness burden, and couple satisfaction, as well as, (4) disease as both an individual and a shared experience among couples.     

Satisfaction with Spirituality, Satisfaction with Religion and Personal Well-Being among Spanish Adolescents and Young University Students

Young people in Catalonia are studied in order to better understand differences between satisfaction with spirituality and satisfaction with religion. Results suggest a reactive position on the part of most Spanish youngsters towards traditional religion; they consider it not very important either for their well-being or to give a sense of meaning to their own lives. While the importance given to spirituality is clearly higher, the concept seems to have several very different interpretations among young people. The discussion underlines the importance of discovering young people’s own points of view in order to understand the meaning they give to religion and spirituality in the context of an ever more rapidly changing society. The implications for future research and practice are discussed.     

Religion,Spirituality, and Marriage and Family Therapy: A Study of Family Therapists' Beliefs about the Appropriateness of Addressing Religious and Spiritual Issues in Therapy

For many years the literature in the field of family therapy was silent as to the religious and spiritual aspects of clients' lives. During the past five years, however, many voices have come forth calling attention to the importance of bringing spirituality and religion into our conversations with clients. The result of these new voices has been a significant increase in attention to spirituality in journal articles, books, and presentations at national conferences. While there appears to be a strong movement in favor of bringing spirituality and religion into the therapy room, there have been no published studies in marriage and family therapy journals that explore marriage and family therapists' beliefs about the appropriateness of addressing spiritual issues in therapy. The purpose of this study was to fill this gap in the literature by examining the beliefs of a random sample of clinical members of AAMFT in respect to this issue.     

Protestant Spirituality and Well-Being of People in Hong Kong: The Mediating Role of Sense of Community

While literature demonstrates that the relationship between religion and well-being is generally positive, information about the mechanisms is still far from clear. Two hundred and sixty-eight Chinese were recruited to examine how Protestant spirituality is related to well-being in Hong Kong. Path analysis demonstrated the complex relationship between various spirituality dimensions (religious belief, experience, and practice) and well-being variables, manifested in life satisfaction, social trust and sense of community. While spirituality may directly predict life satisfaction, the relationship between spirituality and social trust are fully mediated through sense of community. Furthermore, the well-being at the community level (feeling sense of community and social trust) appears to affect the well-being on the personal level (life satisfaction). These findings not only show that the influence of religion on people’s well-being can be richly diverse, but also match with the emerging literature on the positive effects of social capital on health and well-being.