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.     

Native American Spirituality

ABSTRACT

Followers of the New Age movement and others have been exploiting and commercializing “Native American” spirituality. This exploitation is being fought by many Native people. Native American spirituality may be studied and appreciated, but use of Native American religious forms outside of Native American communities is considered misappropriation and cultural theft. Native spiritualities address the needs of present-day Native communities. A Native spirituality that ignores that need is no longer a religion of and for the community. Disconnected from a Native community, religious beliefs, ceremonies, and religious art forms lose their primary significance.     

Exploring the Role of Religiosity and Spirituality in Amniocentesis Decision-Making Among Latinas

Given the complex array of emotional and medical issues that may arise when making a decision about amniocentesis, women may find that their spiritual and/or religious beliefs can comfort and assist their decision-making process. Prior research has suggested that Latinas’ spiritual and/or religious beliefs directly influence their amniocentesis decision. A more intimate look into whether Latinas utilize their beliefs during amniocentesis decision-making may provide an opportunity to better understand their experience. The overall goal of this study was to describe the role structured religion and spirituality plays in Latinas’ daily lives and to evaluate how religiosity and spirituality influences health care decisions, specifically in prenatal diagnosis. Semi-structured interviews were conducted with eleven women who were invited to describe their religious beliefs and thoughts while considering the option of amniocentesis. All participants acknowledged the influence of religious and/or spiritual beliefs in their everyday lives. Although the women sought comfort and found validation in their beliefs and in their faith in God’s will during their amniocentesis decision-making process, results suggest the risk of procedure-related complications played more of a concrete role than their beliefs.     

Spiritual and Religious Implications of Aging with HIV: A Conceptual and Methodological Review

ABSTRACT

Spirituality and religious practices can buffer people from stressful life circumstances and promote positive biopsychosocial outcomes. The beneficial effects of spirituality and religious practices have been documented in aging and HIV. Unfortunately, little is known about spirituality and religious practices in older adults with HIV. As the number of older adults with HIV increases, with an estimated 91,000 adults over 50 being diagnosed with this disease in the United States, spirituality and religious practices may help HIV-positive people to age successfully. Crisis competence and spiritual trajectories are ways of conceptualizing spiritual development when confronting aging with a life-changing event such as a being diagnosed with HIV. Methodological issues in studying spirituality in adults aging with HIV are identified including defining spirituality and religiosity, heterogeneity of the population, timing of diagnosis, mode of transmission, sexual orientation, religious and cultural stigma, and hardiness. Implications for possible interventions are also posited.     

Reconciling Spiritual Values Conflicts for Counselors and Lesbian and Gay Clients

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 orientation.     

Chapter Five: Aging in Rapidly Changing Chinese Societies: A Summary and Interpretation of Our Study

ABSTRACT

Older adults at a church-related continuing care retirement community perceived themselves as being more spiritual in their later years and having a stronger emotional connection to their spirituality than when they were younger. Respondents were currently stable in their religious practice and spirituality, suggesting that changes occurred prior to the recent past, possibly around the time of retirement. This may uphold the notion that increased spirituality in the later years is a natural developmental phenomenon of the aging process. The association between religious coping and perceived health was noted, suggesting that religious coping may buffer perceived health from the negative impact of medical problems. The contribution to spirituality by physical environment and pastoral care was also noted.     

FEMINIST SOCIAL PROCESS

Abstract

A qualitative semi-structured interview was used to explore the interaction between Christian women's sexuality and spirituality and the impact of sex-negative messages on sexual and spiritual development of 10 Caucasian, middle-aged Christian women. A salient feature of this negative interaction was the women's attempts to reduce the dissonance between their sexuality and spirituality, which reflected a developmental process. Results are discussed in terms of the difficulty Christian women face in being able to integrate their sexuality and spirituality. The study revealed that integration is not an end but an ongoing process. Clinical implications and recommendations for future research are offered.     

Finding New Language

Abstract

This study examined the role of faith, both religion and spirituality, on the sexual satisfaction of lesbian/queer and bisexual women (n = 318). A hierarchical regression was used to determine the potential influence of religion and spirituality above and beyond the variance explained by three background variables (i.e., age, sexual orientation, living with partner status). While religion did not significantly contribute to women's reports of sexual satisfaction, results indicated that both living with a partner and spirituality had a significant positive relationship with sexual satisfaction. In particular, two aspects of spirituality (spiritual freedom and connectedness) were strong predictors of sexual satisfaction.     

The Impact of a Breast Cancer Diagnosis on Religious/Spiritual Beliefs and Practices in the UK

The use of religious/spiritual resources may increase when dealing with the stress of a cancer diagnosis. However, there has been very little research conducted into changes in religious/spiritual beliefs and practices as a result of a cancer diagnosis outside the USA. The aim of this study was to examine the impact of a breast cancer diagnosis on patients’ religious/spiritual beliefs and practices in the UK where religious practice is different. The study used two methods. One compared the religious/spiritual beliefs and practices of 202 patients newly diagnosed with breast cancer with those of a control group of healthy women (n = 110). The other examined patients’ perceived change in religious/spiritual beliefs and practices at the time of surgery with those in the year prior to surgery. The aspects of religiousness/spirituality assessed were: levels of religiosity/spirituality, strength of faith, belief in God as well as private and public practices. Patient’s perceived their belief in God, strength of faith and private religious/spiritual practices to have significantly increased shortly after surgery compared with the year prior to surgery. However, there were no significant differences in religious/spiritual beliefs and practices between patients and healthy participants. Change scores demonstrated both a reduction and an increase in religious/spiritual beliefs and practices. Although belief in God, strength of faith and private religious/spiritual practices were perceived by patients to be significantly higher after their cancer diagnosis, no significant differences in religious/spiritual beliefs and practices were found between the cancer group at the time of surgery and the control group. Different methodologies appear to produce different results and may explain contradictions in past US studies. Limitations of this study are discussed and suggestions for future research are made.     

Five Therapists' Personal and Professional Reflections and Integration

Abstract

Women come to the therapeutic table with varying degrees of integration of sexuality and spirituality. Some have felt harmed by traditional religious interpretations and practices, others embrace these, and still others recreate and reclaim this integration in ways that are empowering and meaningful to them. Both the literature and the profession's guidelines have compelled us to begin with ourselves as women who are therapists. Five diverse women who are therapists share their own personal accounts of their sexuality and spirituality. Their experiences and identities run the gamut from keeping spirituality and sexuality distinctly separate to finding sacred meaning in the intersection.     

Disordered eating and self-objectification in college women: clarifying the roles of spirituality and purpose in life

Spirituality and purpose in life have been associated with positive mental health outcomes. This study examined the effects of spirituality, religiousness, and purpose in life on self-objectification and disordered eating. An ethnically diverse sample of college women (N?=?161), aged 18–25, who were enrolled in the undergraduate level psychology courses, participated by completing a survey assessing relational spirituality, intrinsic religiousness, and purpose in life, as well as self-objectification and disordered eating. Results supported a relationship between self-objectification and disordered eating. Intrinsic religiousness was also associated with self-objectification after controlling for religious affiliation. In addition, women who had less purpose in their lives displayed more disordered eating. These findings suggest that a sense of purpose in life may be a key dimension of spirituality that is associated with eating disturbance.     

Ageing and Death: A Buddhist-Christian Conceptual Framework for Spirituality in Later Life

SUMMARY

This study tested the roles of age, religious beliefs and organizational religiosity in the prediction of depressive symptoms and positive affect. Data provided by 129 younger and older adults were used to test a path model in which both direct and indirect effects of age and beliefs on well being were hypothesized. Both age and religious beliefs were positively and significantly associated with organizational religiosity. Individuals who reported more frequent participation in organizational religiosity reported fewer depressive symptoms and higher positive affect. Neither age nor religious beliefs, however, exerted direct effects on the outcomes. Results of the current investigation suggest that a better understanding of the content and function of religious beliefs may add to our understanding of well being and aging. Moreover, we advocate the further investigation of religiosity and positive emotional experiences.     

The Role of Personal Spirituality and Religious Social Activity on the Life Satisfaction of Older Widowed Women

We examined the impact of personal spiritualityand religious social activity on the life satisfactionof older widowed women. Fifty-one White, femaleretirement community residents completed measures of personal spirituality, religious socialactivities, and life satisfaction. Ten residents werealso interviewed about their religious beliefs andactivities. Although the interviews revealed bothpersonal spirituality and religious social activity tobe central to the life satisfaction of these women,quantitative results suggested only involvement withreligious social activities was related to lifesatisfaction. Interviews revealed thatchurch activitiesprovided the women a loving family and a supportivecommunity. Religious activities helped these older womenovercome hardships, gave them a chance to sustainfriendships, and provided a vehicle through which they couldcontribute to their community.     

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.     

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.     

Long-term effects of religious upbringing

Abstract

The impact of religious experiences on development is often ignored in therapeutic settings. This study examines the effects of rigidity and fear in religious upbringings and of current religious status on conformity to parental expectations, guilt, aversion to religious artifacts, family strife, independence and irrational beliefs. Questionnaires were designed to measure these effects and were completed by 129 adult men and women. Regression analyses revealed that high histories of fear, high current religiosity and older age were predictive of guilt; high current religiosity predicted conformity to parental wishes; high histories of fear and low current religiosity predicted aversion to religious artifacts; and high histories of rigidity were predictive of family strife. Histories of religious rigidity and fear were differentially associated with disaffiliation from parental religions. Family strife was also associated with similarity of beliefs between subjects and their parents. Subjects over 30 years of age were more likely to report higher histories of fear and to be affiliated with their parents’ religion. Subjects under 30 years of age reported higher histories of rigidity. Results support the importance of considering religion, including religious history, as a cultural variable in research and practice.     

Is Evidence Able to Persuade Physicians to Discuss Spirituality with Patients?

Patients believe that spirituality informs health; frequently, they wish to share their beliefs with physicians. Although a large number of physicians believe it their responsibility to be aware of patient beliefs, many do not address spirituality because they do not believe it their role to do so. These physicians would perhaps feel differently if presented with evidence that associated spirituality with positive health outcomes. This national sample of family medicine residents were asked if, presented with evidence that spirituality was associated with improved outcomes, they would be more likely to initiate discussions of spirituality with patients. To varying degrees, most residents agreed that they would be more willing to initiate spirituality discussions if presented with good evidence. Geographic region of training, religious preference, and Spiritual Well-Being Scale quartile predicted both strength of agreement and whether a resident would be as responsive to spirituality oriented research as to investigations of traditional therapeutic modalities. Although residents indicated that they would be more responsive to publications on traditional medical therapies, familiarity with the spirituality literature as part of a residency educational curriculum may help break down barriers to addressing this issue with patients.     

Spirituality and Sexual Abuse: Issues and Dilemmas for Survivors

Abstract

Sexual abuse profoundly affects survivors to the extent that they are unable to maintain previously held viewpoints or ways of being, including those relating to their spirituality. Certainly the experience has considerable potential to complicate the spiritual lives of survivors. For Christian survivors, this may include how they perceive and relate to both themselves and God as well as affect participation in sacraments such as eucharist and reconciliation. Spiritual traditions often promote the embracing of silence, but this may be problematic for survivors who have been silenced and unable to give expression to their experiences. Similarly, socialization resulting in beliefs that Christians should always forgive and/or never be angry needs to be overcome. While negotiating these pitfalls may result in explorations of spirituality being even less straightforward for survivors of sexual abuse than it is for others, a transformative spirituality within a Christian framework can be realized.