Religion and Spirituality in Coping with Advanced Breast Cancer: Perspectives from Malaysian Muslim Women

This article is part of a larger study on the role of spirituality in coping with breast cancer among Malaysian Muslim women. The study seeks to reveal the meaning of the experience through the stories of three Muslim women surviving advanced breast cancer, to better understand the deep meanings that inform their experiences with spirituality and transformation as they cope with the challenges of breast cancer. Data were gathered using in-depth interview. Qualitative methods were used in identifying two themes—illness as an awakening and hope and freedom comes from surrendering to God. The themes were discussed in the context of two broad areas: (1) what are the new meanings these women discovered in their experiences with cancer; and (2) how did the new meanings change their lives? The study suggests that cancer survivors’ experiences with cancer and their learning processes must be understood within the appropriate cultural context. This is especially so for spirituality. The common emphasis of spirituality on relationship with God, self and others, may significantly influence how people learn to live with cancer.     

Religion, Meaning in Life, and Change in Physical Functioning During Late Adulthood

This study has two primary goals. The first is to see whether select aspects of religion are associated with meaning in life. The second goal is to see whether change in meaning in life is associated with change in physical functioning. Data from a nationwide longitudinal survey of older people provide support for the following relationships: (1) older adults who attend church services more often tend to develop a closer relationship with God; (2) older people who have a closer relationship with God are more likely to provide emotional support to others; (3) elders who give emotional support to their social network members are more likely to have a stronger sense of meaning in life; and (4) older individuals who have a deeper sense of meaning in life are less likely to experience a decline in their physical functioning over time.     

Emerging Finnish Adults Coping with Cancer: Religious,Spiritual, and Secular Meanings of the Experience

The article presents empirical findings on religious, spiritual, and secular coping among emerging Finnish adults with cancer and seeks an understanding of the different meanings they constructed of their experience with cancer. Autobiographical interviews and life tree drawings of 16 emerging adults were analyzed utilizing a narrative approach. To gain a deeper understanding of the cancer-coping and meaning-making processes, the stories of Beth, Sophia, and Anna are explored in detail. An exploration of the meaning-making process of all the participants shows that over time many of the participants were able to find meaning in their cancer experience. Religious meaning was found when the disease was discovered as a calling from God, spiritual meaning was discovered within a buffered identity and important relationships, and secular meaning was found in the courage to make a career change. The theoretical discussion points out a gap between the disciplines of theology and psychology of religion. The gap is partly bridged by utilizing the concepts of lived religion and existentially oriented spirituality in the discussion of meaning-making theories.     

Suffering, meaning, and bioethics.

Suffering evokes moral and metaphysical reflection, the bioethics of suffering concerns the proper ethos of living with suffering. Because empirical and philosophical explorations of suffering are imprisoned in the world of immanent experience, they cannot reach to a transcendent meaning. Even if religious and other narratives concerning the meaning of suffering have no transcendent import, they can have aesthetic and moral significance. This understanding of narratives of suffering and of their custodians has substantial ecumenical implications: chaplains can function as general custodians of narratives and sustainers of a generic religious meaning. This understanding is contrary to traditional Christianity, which discloses a transcendent significance of human suffering found in a very particular history involving particular persons: Christ as the second Adam through the submission of the second Eve has taken on our nature so that we can be united with God. Human suffering is tied to human sin, not simply as a punishment for sin, much less as an opportunity to discharge a supposed temporal punishment due to sin. Human suffering is the result of our rebellious free choices. It provides an opportunity for humility and submission, so that, united to the cross of Christ, sin can be forgiven and suffering set aside in the Resurrection. Knowledge of this framing context for all human suffering is accessible not through rational argument. It is a knowledge garnered through repentance, purification of the heart, illumination by God's grace, and unification with God. Christian bioethics is embedded in the narrative of suffering, which is part of the history of salvation and which encompasses and places all of medicine in its terms.     

Phenomenology of Bodily Integrity in Disfiguring Breast Cancer

In this paper, I explore the meaning of bodily integrity in disfiguring breast cancer. Bodily integrity is a normative principle precisely because it does not simply refer to actual physical or functional intactness. It rather indicates what should be regarded and respected as inviolable in vulnerable and damageable bodies. I will argue that this normative inviolability or wholeness can be based upon a person's embodied experience of wholeness. This phenomenological stance differs from the liberal view that identifies respect for integrity with respect for autonomy (resulting in an invalidation of bodily integrity's proper normative meaning), as well as from the view that bodily integrity is based upon ideologies of wholeness (which runs the risk of being disadvantageous to women). I propose that bodily integrity involves a process of identification between the experience of one's body as “Leib” and the experience of one's body as “Körper.” If identification fails or is not possible, one's integrity is threatened. This idea of bodily integrity can support breast cancer patients and survivors in making decisions about possible corrective interventions. To implement this idea in oncology care, empirical‐phenomenological research needs to establish how breast cancer patients express their embodied self‐experiences.     

Integrating Religious Resources Within a General Model of Stress and Coping: Long-Term Adjustment to Breast Cancer

The purpose of the present cross-sectional study was to explore the role of religious resources in long-term adjustment to breast cancer. A sample of fifty-two survivors was assessed on indices of religious resources (e.g., image of God), nonreligious resources (e.g., cognitive appraisal) and emotional and spiritual well-being. Results indicated that both relationship with God/God image and religious coping behaviour were related to the nonreligious mediator variables of cognitive appraisal and coping in response to the current cancer situation. Various experiences of relationship with God (e.g., Presence) were related to more positive appraisals of the current cancer situation as well as to the greater use of the nonreligious coping behaviour of focusing on the positive. In contrast, religious coping behaviours demonstrated more complex associations with cognitive appraisal and nonreligious coping factors. The same coping behaviour, for example religious avoidance, could be related to both positive and negative appraisals of the cancer situation. Finally, religious resources, but not nonreligious resources predicted emotional and spiritual well-being for these long-term breast cancer survivors.     

Suffering and Transcendence

This essay explores the experience of suffering in order to see to what extent it can be understood within the context of the human condition without diverting the reality of suffering or denying the meaning of human existence and divine reality. Particular attention is given to describing and interpreting what I call the transcendent dimensions of suffering with the intent of showing that in the experience of suffereing persons come up against the limits of what can be accounted for in ordinary terms and point towards transcendent reality. In religious faith the transcendent dimensions of suffering may be understood to come together with other transcendent dimensions of experience in a more distinctive or focused encounter with transcendent reality. The conception of God that is suggested by the transcendent dimensions of suffering, however, differs from the model of God in western theism as an absolutely transcendent, all powerful, immutable and impassible being.     

CAN CHRISTIAN TALK ABOUT GOD BE LITERAL?

This article discusses whether Christian talk about God can be literal. First, it is argued that the meaning of a word cannot be reduced to its use, that metaphorical language is indirect in its use of words, and that the change of meaning of a word by analogical extension differs from the change of meaning by repeated metaphorical use. Next, it is shown that in Christian talk about God, God can be literally referred to by God's proper name, “YHWH,” and by words that in contexts of prayer and praise function as proper names. Then it is argued that terms for non‐basic actions can be literally applied to the Christian God, and that some of God's essential properties can be literally described on the basis of his self‐revealing actions.     

THE ESCHATOLOGICAL THEOGONY OF THE GOD WHO MAY BE: EXPLORING THE CONCEPT OF DIVINE PRESENCE IN KEARNEY, HEGEL, AND HEIDEGGER

Abstract: While heightening the nihilistic tension underlying the discourse of Richard Kearney, I highlight the positive contribution his book The God Who May Be makes to the debate concerning the need for a postmodern revitalization of religious symbolism. I argue for three qualifications of Kearney's argument, suggesting, in response to Kearney's exclusionary approach to the God who "neither is nor is not but may be," a God whose possibility for meaningfulness arises as an "eschatological theogony" from out of the chaos (confusion and openness) of contemporary religious symbolism. Arguing that such a radical reenvisioning of God must be tempered and given meaning through reentering and reaffirming onto-theology in a qualified (hermeneutical) sense, I sketch a possible renewal of meaning for the traditional Christian parousia -concept as a hermeneutical circle between Hegel's systematic closure of Western metaphysics and Heidegger's deconstructive appropriation of the hidden possibilities of presence within the onto-theological tradition.     

The meaning of ‘reconstruction’ within the lived experience of mastectomy for breast cancer

This paper represents a heuristic study of the meaning and essence of ‘reconstruction’ within the lived experience of mastectomy for breast cancer. Open‐ended interviews were conducted with a sample of eight women aged 40 to 58 years, who underwent mastectomy for breast cancer. Four participants had immediate breast reconstruction; two participants had delayed breast reconstruction, and two participants decided not to have the procedure. The study demonstrates that themes of loss/change/reconstruction are inextricably linked to the experience of mastectomy. Loss of a breast was likened to bereavement and in some women caused a loss of part of their identity. The closeness of death altered the awareness the women had of their time left on earth. This awareness brought about change/reconstruction in the majority of the women, in their lives and in their relationships with others. Prior to breast reconstruction there is a place for exploring with women the meaning of ‘normal’ and ‘whole’. Implications for counselling are discussed.     

Hearing the faith in time: countertransference and religious metaphor in an oncology patient's psychotherapy

Material from the psychoanalytic psychotherapy of a patient with breast cancer demonstrates the emergence of constructive meaning in areas of psychological experience burdened by conflicts regarding the dimension of time and faith. During analytic work, the spontaneous appearance of religious metaphors revealed deeper layers of memory where time, faith, language, and the sense of being listened to once interacted in ways whose significance could be conceptualized, with the help of the countertransference, as a rediscovery of a hearing breast, or even a sacred hearing breast. Implications for the psychoanalysis of religious experience are discussed.     

‘God,the Father Almighty’: A Theological Excursus

The confession of ‘God, the Father almighty’ in the Apostles’ and Nicene Creeds can be interpreted as offering a progressively more focused characterization of the First Person of the Trinity, such that ‘Father’ clarifies the meaning of ‘God’, and the force of ‘almighty’ is controlled by the meaning of ‘Father’. The results of such an exegesis accentuate divine transcendence in a way that raises questions about theological claims to natural knowledge of God. More specifically, they suggest that the very comprehensiveness of God's relationship to the world implied by divine almightiness blocks any direct line of inference from creation to Creator.     

GOD AS A COMMUNICATIVE SYSTEM SUI GENERIS: BEYOND THE PSYCHIC, SOCIAL, PROCESS MODELS OF THE TRINITY

With an aim to develop a public theology for an age of information media (or media theology), this article proposes a new God-concept: God is a communicative system sui generis that autopoietically processes meaning/information in the supratemporal realm via perfect divine media ad intra (Word/Spirit). For this task, Niklas Luhmann's systems theory is critically appropriated in dialogue with theology. First, my working postmetaphysical/epistemological stance is articulated as realistic operational constructivism and functionalism. Second, a series of arguments are advanced to substantiate the thesis: (1) God is an observing system sui generis ; (2) self-referential communication is divine operation; (3) unsurpassable complexity is divine mystery; (4) supratemporal autopoiesis of meaning is divine processing; (5) agape is the symbolic medium of divine communication. Third, this communicative model of God is developed into a trinitarian theology, with a claim that this model offers a viable alternative beyond the standard (psychic, social, process) models. Finally, some implications of this model are explored for constructive theology (conceiving creation as divine mediatization) and for science-and-religion in terms of derivative models: (1) God as a living system sui generis and (2) God as a meaning system sui generis .     

Acquaintance and the sublime: an alternative account of theistic sublime experience

In this paper I argue that when one has an epiphany of the form ‘God is F’ (e.g., ‘God is wise’) upon having a sublime experience one can be accurately described as being acquainted with the fact that God is F as opposed to inferring that God is F from the experience at hand. To argue for this, I will, first, outline what a sublime experience is, in general, before outlining what a theistic sublime experience is in particular. Second, I will outline two ways of understanding theistic sublime experiences. First, I will outline a model that I will call the ‘inference model’ which, put simply, says that when one has an epiphany of the form ‘God is F’, upon having a theistic sublime experience, one is drawing this conclusion via a process of ‘inference-to-the-best-explanation’ (Chignell and Halteman in: Costelloe (ed) The sublime: From antiquity to the present, Cambridge University Press, Cambridge, 2012, p. 426). Second, I will outline an alternative model that I call the ‘acquaintance model’ which, put simply, says that no inferential process occurs when one has an epiphany of the form ‘God is F’ upon having a theistic sublime experience, but one is made directly aware of the fact that God is F. Third, and finally, I will respond to some objections to the acquaintance model.     

Integrating Job, Jesus’ Passion, and Buddhist Metta to Bring Meaning to the Suffering and Recovery from Breast Cancer

Coming face-to-face with death was a spiritual crisis. My family and I suffered individually and collectively during my treatment and recovery for locally advanced breast cancer. Like Job, I learned that it takes tremendous energy to ruminate about the causes of suffering and to protest innocence with little gains in wisdom. Wisdom came as I deeply experienced a passion narrative based on the life of Jesus with reference to the psychological benefits as extolled by Wilkes. The grueling experience of treatment for locally advanced breast cancer broke my body and forced me to experience Easter Saturday as I retreated to heal in the tomb. My physical and emotional healing of Easter Saturday included the Buddhist meditation of Metta and guided imagery that involved spiritual healing focussed on God, Jesus and the Holy Spirit. My reflection on the story of Job, passion journaling and Buddhist meditation enabled me to physically, emotionally, and spiritually heal, even in the midst of chaos.     

DOES SCIENCE CLARIFY GOD'S RELATION TO THE WORLD?

Abstract. Central to the work of Arthur Peacocke on science and religion is the intention to develop a reasonable faith within an intelligible framework of meaning. Showing the inadequacy of reductionism is necessary for this purpose. Knowledge of God is related to what science can tell us about creation. From an evolutionary framework, characterized as a delicate balance that issued in humans, and manifested through contingency and chance, God's actions are expressed as exploring the potentialities of creation. The creation is understood to be in God, but God is more than the world, as in panentheism. God suffers with the creation in love, and the focus of human meaning is expressed in Jesus Christ, the Incarnation, the sacrament of God.     

Attachment to God,depression and loss in late life: a longitudinal study

ABSTRACT

Prior research shows that being anxiously and avoidantly attached to God is associated with psychologically problematic outcomes including depressive feelings. However, a clear understanding of how these insecure attachments to God are associated with depressive feelings is still missing. Therefore, a longitudinal study among 329 nursing home residents aged 65–99 was set up to investigate the prospective relation between anxious and avoidant attachment to God and the experience of depressive feelings, as well as whether this relation is moderated by a loss experience. That is, the loss of close relatives can be particularly stressful in late life, challenging existing attachment relationships and placing older adults at risk for depression. Results confirm that insecure attachments to God are distinctly related to depressive feelings, but that this relation is not moderated by a loss experience. Our results also show that depressive feelings predicts attachment to God, instead of the other way around.     

GOD,VALUE, AND NATURALISM

I consider whether there are philosophical developments which can deepen our understanding of God. I focus upon the relation between experience and physical things and the nature of value. I reject the narrow limits of experience presupposed by the verificationist, and the related monopoly of science on reality. I recommend a conception of reality which is rich enough to accommodate physical things and also the intertwining of value in the natural world. I detect structural similarities between these two problems and the problem of God, and consider how they might be related at the level of content.