A Jewish Spiritual Perspective on Psychopathology and Psychotherapy: A Clinician's View

This paper will present a Jewish Spiritual Perspective on clinical work by examining key underlying values and attitudes in Judaism that relate to human behavior, mental health and illness. Common symptom presentations and family issues that have roots in culture will be explored. Contemporary and ancient spiritual coping tools will be suggested for use in clinical work and personal growth.     

The Role of Religious Coping and Resilience in Individuals With Dissociative Identity Disorder

Survivors with dissociative identity disorder (DID) often report a history of traumatic events in their lives. Past studies indicated a link between trauma, resilience, and spiritual coping in both positive and negative aspects of a survivor's life. This article includes a review of existing literature salient to these constructs in relation to i ndividuals with DID, as well as results from a study examining the relationships between these constructs and individuals with DID (N = 52). Implications are discussed based on the findings for counselors treating individuals with DID.     

Everyday mysticism: Spiritual development in later adulthood

Most cultures contain a belief that aging, with its long span of life experience, can lead to spiritual growth or development. Theories of spiritual development have focused primarily on stages of spiritual growth, with less attention to its relation to the cultural life course. This paper posits that contemplative, mystical experience is the primary psychological dynamic that enables the qualitative change in life perspective that we associate with spiritual growth. While theoretically possible at any adult age, this shift in perspective is correlated with physical and psychological aging, with the relaxation of social demands that typifies the life stages of later adulthood, and with the simple, close-to-home lives led by many individuals after age 75.     

Toward a Psychology of Religion, Spirituality, Meaning-Search, and Aging: Past Research and a Practical Application

The current work is a combined review of several major theoretical issues in religious gerontology and of related research findings. It is intended to briefly inform, rather than to serve as a comprehensive review of the literature. The current author's primary goals are to put-forth points of information about contemporary terminology, to conceptualize motives for meaning-search at any age, to synthesize a few major findings and associated flaws in the research, and to describe a practical approach to the psychology of religion and spirituality (i.e., coping outcomes research). Within the current work, the reader is directed to sources of extensive reviews of data and of broader theoretical debates.     

Understanding the Ageing Process: A Developmental Perspective of the Psychosocial and Spiritual Dimensions

SUMMARY

This chapter describes a perspective of psychosocial and spiritual development in the later years of life. It outlines a study of nurses conducted in six nursing homes using pre and post workshop tests to identify changes in nurses' assignment of a list of behaviours as psychosocial or spiritual. Use of SPSS found significant changes between the pre and post tests. Pre workshop tests only identified items as spiritual if they included the word God, or Bible. Results from this study highlight the potential role for nurses in aged care to provide spiritual care as part of holistic care. It also highlights the fact that many nurses feel ill prepared for this role.     

肿瘤科护士灵性照护认知与灵性照顾能力的相关性研究

采用量性调查和质性访谈结合的方法,对肿瘤科护士灵性照护认知和灵性照顾能力现状,以及他们之间的相关性进行研究和探讨,结果显示肿瘤科护士的灵性照顾能力总分为(69.74±15.31)分,灵性照护认知得分为(174.99±24.95)分,灵性照顾能力和灵性照护认知得分之间呈正相关(r=0.307,P<0.001),说明肿瘤科灵性照顾能力和灵性照护认知有待进一步提升,可通过干预或培训提升肿瘤科护士的灵性照护认知,从而提高其灵性照顾能力。     

Metamorphosis: Change & Continuity, Chaos & Order, Conflict & Transformation

Metamorphosis is an organic process of change that is seen in all levels of life. Whether at the individual, the corporate or the global level of human life, the processes of change involve natural periods of chaos and order, times of conflict that underlie the movement toward transformation, and developmental shifts that may be painful as well as pleasurable. This paper addresses these phenomena in relation to current changes going on in our world.     

Spiritual,Religious, Nonspiritual,and Nonreligious Narratives in Marginalized Older Adults: A Typology of Coping Styles

SUMMARY

Narrative therapy is an important tool in the phenomenological framing of life events with older clients. Seventy-nine older adults who lived independently in four subsidized high-rise housing facilities in Chicago were interviewed in a research project about managing life challenges. Cases represent four types in a spiritual-religious typology: religious and spiritual, religious only, spiritual only, and neither religious nor spiritual (Zinnbauer, 1997). This article explores how older adults managed adversity and maintained a sense of self-efficacy. Findings indicate that older adults use many references to religion and spirituality in their narratives, either embracing these domains or defining themselves in contrast to them. Narrative therapy suggests that the implications of religious and spiritual resources addressed in client stories may reinforce coping capacity and promote aging well.     

Religious Coping,Coping Resources,and Depressive Symptoms: Test of a Mediation Model

This study examined the relationships between religious coping, coping resources, and depressive symptoms. The authors tested whether coping resources explained the link between religious coping and depressive symptoms in a sample of 349 college students. Results indicated that coping resources partially mediated the relationship between negative religious coping and depressive symptoms, primarily through decreased social ease. The results offered no evidence that coping resources mediated the relationship between positive religious coping and depressive symptoms.     

The Role of Attachment in Predicting Spiritual Coping with a Loved One in Surgery

Research has examined the relationship between spiritual coping and adjustment and found that individuals employ spirituality in coping in various ways. However, the reasons that individuals choose certain strategies remains unclear. The current project examined whether spiritual coping mediates the relationship between attachment to God and adjustment for individuals (N = 155) waiting for a loved one undergoing inpatient surgery. Results from the present study indicated that attachment to God was differentially related to spiritual coping activities and styles. In turn, spiritual coping was associated with the adjustment to the surgery vigil. Data were analyzed through path analysis of models for each of the outcome variables (Religious Outcome, General Outcome, Stress-Related Growth, and General Health Questionnaire). Attachment to God was predictive of spiritual coping, which, in turn, was predictive of adjustment. Attachment to God provides a useful framework for understanding why individuals choose particular coping strategies.     

PTSD,Posttraumatic Growth,and Coping Among Ultra-Orthodox Jewish Battered Women in Israel

This study examined the association between posttraumatic stress (PTS) symptoms, posttraumatic growth (PTG), and coping styles in a very unique and difficult-to-access Jewish ultra-Orthodox population. The study was conducted with 88 women who spent time in the only shelter in Israel for battered women from the ultra-Orthodox Jewish community; data were collected almost 6 years on average after they left the shelter. No association was found between PTS symptoms and PTG. In addition, coping style was not found to have an indirect effect on the relationship between these variables. The theoretical and clinical implications of these findings are discussed.     

Moderating Effects of Religious/Spiritual Coping in the Relation Between Perceived Stress and Psychological Well-Being

Although the relationship between stress and depressive symptoms is well documented, less is known about the role of coping strategies, in particular strategies for coping via religious or spiritual means. To investigate the relationships among these factors, data was collected with questionnaires completed by 127 MSW students at a northeastern university in 2003. Significant Stress×Religious/Spiritual Coping buffer interactions were found in the relationship between stress and depression. EQS 6.1 and hierarchical moderated regression analysis showed that religious/spiritual coping reduced the impact of stress on depression. Implications for practice are discussed.     

Psychological Adjustment,Coping, and Emotion Regulation as Predictors of Posttraumatic Growth

Abstract

The present study examined factors contributing to reported benefits of traumatic experiences or posttraumatic growth (PTG) in a college sample. Specifically, we examined dimensions typically associated with trauma recovery (i.e., psychological functioning, coping, emotion regulation) and features of the trauma (i.e., number and recency of traumatic events, average, and maximal distress). Participants (N= 193) completed standardized questionnaires measuring these constructs. Results indicated that active coping and subjective well-being independently contributed to PTG, but social desirability and symptom distress were independent of growth. These results were consistent with study expectations. Although not specifically predicted, maximal trauma distress also uniquely predicted PTG. Contrary to expectations, effective emotion regulation did not contribute to PTG.     

Spiritual Disclosure and Ego Resiliency: Validating Spiritual Competencies

Counselor spiritual and religious competency depends primarily on the ability to facilitate client spiritual disclosure. Little is known, however, about the empirical qualities of spiritual disclosure. In a sample of 318 adults (mean age = 44 years), spiritual disclosure independently predicted ego resiliency, a critical quality for stress‐related growth. Spiritual disclosure predicted ego resiliency over the partial mediators of the 5 factors of personality, general global disclosure, and congregational support. Implications for professional counseling ethics are discussed.     

Spiritual well-being,burnout and trauma in counsellors and psychotherapists

Burnout represents a potential risk for counsellors and psychotherapists in their work with distressed clients. In the research reported here, the relationship between spiritual well-being and burnout was explored, with attention paid to clinicians’ perceptions of trauma. Eighty-nine Australian counsellors and psychotherapists (71 females and 18 males) completed a demographic survey, the Maslach Burnout Inventory, and Spiritual Well-Being Scale. It was found that existential well-being accounted for some of the variance in MBI subscale scores, and buffered the effect of trauma on emotional exhaustion. In addition, clinicians who reported high levels of existential well-being reported being better able to avoid emotional exhaustion when working with severely traumatised clients.     

应对的研究设计、测量、类别及未来研究方向

应激和应对是现代心理学研究中最广泛的一个主题, 但是目前此领域的研究存在着停滞不前的情况。应对的研究设计、测量和类别三方面是应对现有研究中具有挑战性的问题, 研究设计方面提倡纵向的动态设计, 注重情境因素的作用; 测量方面提倡加大对应对的生态瞬时评估、叙事方法的研究, 且要注意根据研究内容的需要选择合适的方法; 应对类别方面注重对意义应对的研究。应对领域未来研究方向主要包括面向未来的主动应对、二元模式的应对、应对与积极情绪三个方面。     

Continuity in Problems of Social Functioning in Adulthood: A Cumulative Perspective

Based on an ongoing longitudinal study involving 145 women and 152 men, this study analyzed the continuity in and accumulation of problems of social functioning from age 27 (year 1986) to age 36 (year 1995), and studied sex differences in these processes. The accumulation of problems of social functioning (e.g., poor financial standing, poor intimate relationships, and drinking problems) was more common in men than in women at both ages. Sex differences, however, narrowed because problems increased only among women during the follow-up period. Continuity, both in accumulated problems and in good social functioning, was stronger than continuity in single problems, as assumed on the basis of the theory of problem gravitation. The proportion of individuals with either accumulated problems or with good social functioning did not, however, increase relative to individuals with single problems, as the theory of problem gravitation has suggested. Continuity in problems of social functioning was partly mediated by career instability among both sexes. There was also a tendency for the quality of partner to moderate the relation between problems of social functioning between the two ages; in particular, a problematic partner was likely to add to women's problems.     

Stress, Positive Emotion, and Coping

There is growing interest in positive aspects of the stress process, including positive outcomes of stress and antecedents that dispose individuals to appraise stressful situations more as a challenge than as a threat. Less attention has been given to the adaptational significance of positive emotions during stress or to the coping processes that sustain positive emotions. We review evidence for the occurrence of positive emotions under conditions of stress, discuss the functional role that positive emotions play under such conditions, and present three types of coping that are associated with positive emotion during chronic stress. These findings point to new research questions about the role of positive emotions during stress and the nature of the coping processes that generate these positive emotions.