Finding Spirits in Spirituality: What are We Measuring in Spirituality and Health Research?

Journal of Religion and Health - What are we asking when we ask about spirituality? When research subjects check survey boxes for “religiosity” and “spirituality” measures...     

IRB and Research Regulatory Delays Within the Military Health System: Do They Really Matter? And If So,Why and for Whom?

Institutional review board (IRB) delays may hinder the successful completion of federally funded research in the U.S. military. When this happens, time-sensitive, mission-relevant questions go unanswered. Research participants face unnecessary burdens and risks if delays squeeze recruitment timelines, resulting in inadequate sample sizes for definitive analyses. More broadly, military members are exposed to untested or undertested interventions, implemented by well-intentioned leaders who bypass the research process altogether. To illustrate, we offer two case examples. We posit that IRB delays often appear in the service of managing institutional risk, rather than protecting research participants. Regulators may see more risk associated with moving quickly than risk related to delay, choosing to err on the side of bureaucracy. The authors of this article, all of whom are military-funded researchers, government stakeholders, and/or human subject protection experts, offer feasible recommendations to improve the IRB system and, ultimately, research within military, veteran, and civilian populations.     

Spirituality and Cognition: Does Spirituality Influence What We Attend to and Remember?

This study investigated how spirituality as a positive life theme might be related to one’s unique style of cognitive processing. Study participants included 80 individuals; 40 older adults and 40 younger adults. Word recall and recognition tasks assessed memory for positive, negative, neutral, and religious words. Results indicated that spirituality does not appear to be related to cognitive bias, but that words with either positive, negative, neutral, or religious connotations are recalled and recognized at different rates.     

Qualitative Health Research and the IRB: Answering the “So What?” with Qualitative Inquiry

Qualitative inquiry is increasingly used to foster change in health policy and practice. Research ethics committees often misunderstand qualitative inquiry, assuming its design can be judged by criteria of quantitative science. Traditional health research uses scientific realist standards as a means-to-an-end, answering the question “So what?” to support the advancement of practice and policy. In contrast, qualitative inquiry often draws on constructivist paradigms, generating knowledge either as an end-in-itself or as a means to foster change. When reviewers inappropriately judge qualitative inquiry, it restricts the ways health phenomena can be understood. Qualitative inquiry is necessary because it enables an understanding not possible within scientific explanation. When such research illuminates, it can also shed light onto the “So what?” In order to ensure an appraisal of qualitative inquiry congruent with its paradigmatic premises, we suggest the “Illumination Test,” met when findings foster rich understanding of phenomena, resulting in a reflective “aha!”     

Exploring Traumas in the Development of Talent: What Are They,What Do They Do,and What Do They Require?

It has recently been argued that performers benefit from trauma (i.e., memorable challenges) during development. To deepen knowledge in this area, we explored perceived traumas in the development of 20 senior-international performers with a multimethods, temporal-based design. Results showed that perceived traumas were primarily sports based, recognized from onset of investment, associated with immediately negative but ultimately positive impact, and negotiated through skills that were brought to, rather than generated by, these experiences. The findings provide an interesting contrast to messages in other early trauma-focused research and promote focus on the process and mechanisms of responding to and recovering from traumatic experiences.     

Research in education: What influence on policy and practice?

This paper is set in a context where increased emphasis is being placed on the “consumer’s” role in research. It discusses the limitations of “knowledge base” approaches, which aim to deliver the findings of educational research to practitioners and policymakers. The tensions between what these consumers expect of research and what it can, in fact, offer are explored, and the conditions under which effective communication can be established are outlined and exemplified. It is argued, however, that the processes of such communication, if they are to establish the necessary engagement of consumers with researchers, will have to take account of the ways in which consumers are motivated and able to acquire new knowledge. In conclusion, it is argued that if the engagement is unsuccessful and the consumers are unconvinced of the value and validity of research findings for policy and practice, then researchers’ ideas will take a back seat in the debate about what is to count as high-quality work that should be funded. The function of research as the critical extension of knowledge may then be replaced by enquiry that comes up with the results the customer wants. Her current research interests are in the relationships among policy, practice and research, teachers’ thinking, provision for children with special educational needs and gender in education. Her best known recent book, with Donald McIntyre, isMaking Sense of Teaching (Open University Press).     

Lived Religion and Family Therapy: What Does Spirituality Have to Do with It?

This review examines fundamental and methodological issues concerning the cross-disciplinary efforts of family therapists to involve spirituality in their clinical practice. Training requirements, challenges, and limitations are discussed. It is suggested that the construct lived religion is the best starting point for this work. Lived religion is a term that addresses the real, lived, experiential, and intimate dimensions of our religious life. It is also tied to a variety of academic disciplines that can guide and deepen thought. Significant problems and limitations are identified with the term spirituality. It is suggested that if clinicians continue to prefer spirituality as a construct, that it be seen as a form or expression of lived religion. This way the links to various discipliines are maintained and idiosyncratic efforts will be minimized. Methods that attempt to integrate spirituality and family therpay are also found to be lacking. For nearly a half century American divinity schools have developed various co-relational methods which foster more respectful and productive discourse calling for the goals and objectives of mental health and religion to be equally value and maintained. In this way the piftalls of reductionism, or oversimplification, and anti-institutional bias can be lessened.     

What's the Story?: Spirituality and Writing

What is spirituality? As in other papers (Gearon, 1995, cf Wright, 1996; Gearon, 1996, 1997), I maintain here that spirituality may be defined as our relationship with ultimate reality. Spirituality is thus inevitably, by this definition, always metaphysical (Gearon, 1995, again, cf. Wright, 1996, but also Wright, 1997). I want to develop this theme here by contending that such notions of ultimate reality are determined, themselves defined, by texts, that spirituality today, in literate societies, is defined by writing.

Developing this intentionally provocative idea of spirituality's ultimate definition and determination by writing, particularly through notions of narrative and text, this paper provides a critical examination of the place of the literary form in contemporary debate on spirituality in education. Marking out the contentious territory of various interdisciplinary boundaries – some more disputed than others – an attempt is made to parallel the problems centring on our understanding of spirituality with problems associated with the interpretation of texts. By way of an open conclusion, designed as with the main body of the paper to stimulate debate, these albeit brief considerations will be set within the more specific concerns of ‘Engaging the Curriculum – A Theological Programme’, (Thatcher, 1995; Markham, 1996, 1997, 1997a; Gearon, 1997a, 1997b, and, forthcoming, 1998, 1998a), a major project to promote an interdisciplinary awareness of spiritual and theological issues in the curriculum in a genuinely international context. (The bulletin and now journal of the project is, beyond the UK, circulated in Australia, Canada, India, Ireland, Israel, Japan, the Philippines, the United States, amongst other countries.)     

Spirituality in Occupational Therapy: Do We Practice What We Teach?

This mixed-method study examined the responses of 97 occupational therapists on the subject of spirituality in occupational therapy practice. The inclusion of spirituality into the Occupational Therapy Practice Framework (2008) implies that clinicians address spirituality as a component of client-centered practice. This research revealed a gap between education, theory, and practice as evidenced in the quantitative and qualitative data. Although occupational therapy is intended to be holistic, therapists require a more complete understanding of what spirituality is and what the role of the occupational therapist is when addressing spirituality in evaluation or treatment. The discussion of this research provides information for future occupational therapy educators and educational programs as they seek to incorporate the construct of spirituality into curricula.     

Spirituality in Counseling: What Do Counseling Students Think About It?

The author discusses students' reactions to 4 seminars. 1‐hour each, on the topic of spirituality in counseling. Students were enrolled in a master's‐level counseling program, Several issues emerged that have implications for the training of counselors on spiritual issues, including students' level of comfort with discussing spiritual issues, the difficulty of defining spirituality, client and counselor readiness to explore spirituality, and training issues in the area of spirituality.     

Commentary: What is the Meaning and Utility of the Psychopathy Concept?

The concept and measurement of psychopathy in young people is discussed with respect to five key issues: (1) the respective merits of self-reports and ratings by others; (2) whether callous/unemotional (CU) features may be more appropriately tapped by physiological measures; (3) the possible utility of genetic studies; (4) the distinctiveness of CU from other risk factors for antisocial behavior; and (5) the homogeneity of CU as a construct.     

Commentary Research on gene–environment interdependence: Honing the tools and examining the angles

The insightful overview by Sir Michael Rutter (this issue) on gene–environment interdependence comes about 10 years after the breakthrough Science publications on gene–environment interactions (G×E) involving the MAOA and 5-HTT genes by Caspi et al. (2002 Caspi, A., McClay, J., Moffitt, T. E., Mill, J., Martin, J.Craig, I. W. 2002. Role of genotype in the cycle of violence in maltreated children. Science, 297: 851–854. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar], 2003 Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W.Harrington, H. 2003. Influence of life stress on depression: Moderation by a polymorphism in the 5-HTT gene. Science, 301: 386–389. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Since then, a field of research has burgeoned that has produced replications as well as intriguing new evidence of gene–environment interdependence. At the same time, however, the field has witnessed a growing scepticism about the relevance of studying gene–environment interactions and has seen replication failures (see Duncan & Keller, 2011 Duncan, L. E. and Keller, M. C. 2011. A critical review of the first 10 years of candidate gene-by-environment interaction research in psychiatry. American Journal of Psychiatry, 168: 1041–1049. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Risch et al., 2009 Risch, N., Herell, R., Lehner, T., Liang, K.-Y., Eaves, L.Hoh, J. 2009. Interaction between the serotonin transporter gene (5-HTTLPR), stressful life events, and risk of depression: A meta-analysis. Journal of the American Medical Association, 301: 2462–2471. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Against this backdrop, we comment and elaborate on several of the key issues raised by Rutter, and suggest some directions for future research on G×E. Specifically, we discuss (1) replication issues; (2) the crucial role of experiments in understanding gene–environment interdependence; (3) current unknowns with regard to differential susceptibility; and (4) clinical and practical implications of G×E research.     

Trends in the Scientific Study of Religion, Spirituality, and Health: 1965–2000

The present study examined the degree to which interest in religion, spirituality, and health has changed in psychology and the behavioral sciences over the past few decades. To accomplish this, searches were conducted on the PsycINFO database between the years 1965 and 2000. Three basic searches were conducted combining the word “health” with the following search terms: 1. (religion OR religious OR religiosity) NOT (spiritual OR spirituality); 2. (spiritual OR spirituality) NOT (religion OR religious OR religiosity); and 3. (religion OR religious OR religiosity) AND (spiritual OR spirituality). The rate per 100,000 articles was then calculated for each of the three search-terms: religion, spirituality, religion and spirituality. A significant upward trend across years was found for the rate of articles dealing with spirituality, r(34) = .95, p<.001, and religion and spirituality, r(34) = .86, p<.001. A significant downward trend was found for articles that only addressed religion, r(34) = −.64, p<.001. The consequences of these trends are discussed.Dr. Andrew J. Weaver is a United Methodist minister and clinical psychologist. He is the Associate Publisher of Zion’s Herald, an independent religious journal founded in 1823 and is co-author of numerous professional and popular articles and eleven books. His recent book titles include Counseling Survivors of Traumatic Events and Reflections on Grief and Spiritual Growth.Dr. Kenneth I. Pargament is professor of clinical psychology at Bowling Green State University. Dr. Pargament has published over 100 articles on the meanings of religion and spirituality, the vital role of religion in coping with stress and trauma, perceptions of sacredness in life, and psychospiritual treatment. He is author of The Psychology of Religion and Coping: Theory, Research, Practice.Dr. Kevin J. Flannelly has been the Associate Director of Research at The Health Care Chaplaincy since 2001. Dr. Flannelly has published more than 100 studies in various areas of psychology and he has worked in the field of religion, spirituality and health since 1996. He recently published a review and analysis of the methodological quality of research on religion and health in the Southern Medical Journal.Julia Oppenheimer is a Ph.D. student at the University of Oregon, studying child development and clinical practice in the Clinical Psychology program. She has conducted research on the etiology and treatment of anxiety disorders, as well as publishing a number of studies on religion and mental health. Her current research on the development of children’s self-perceptions of personality is funded by a National Science Foundation Graduate Research Award. Correspondence to Dr. Kevin J. Flannelly, kflannelly@healthcarechaplaincy.org.     

Why Don't People Change? What Stops Them from Changing? An Integrative Commentary on the Special Issue on Resistance

This commentary discusses the four papers from the vantage point of a cognitive-developmental view. Psychotherapeutic change involving changes in core cognitive structures is seen as threatening an individual's personal sense of identity as well as security and safety needs. Core cognitive constructs are laid down early via the principle of covariation of events and form the basis of our tacit knowledge base. Subsequent changes in this tacit knowledge is difficult because the core cognitive constructs act like a mental filter to screen in confirming data and screen out disconfirming data. Ambiguous stimuli tend to be interpreted on the basis of preexisting cognitive constructs, even when the match between event and interpretation is not ideal. Several suggestions are given for increasing the probability of changes occurring in core cognitive constructs.