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...     

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.     

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.     

Contextualization of Survey Data: What Do We Gain and Does It Matter?

Survey research designs that integrate contextual data have become more prevalent in recent decades, presumably to enable a more refined focus on the person as the unit of analysis and a greater emphasis on interindividual differences due to social forces and contextual conditions. This article reviews varied approaches to contextualizing survey data and examines the value of linking two data sources to respondent information: interviewer ratings and neighborhood information (measured via census tracts). The utility of an integrative approach is illustrated with data from the Health and Retirement Study. The results reveal modest gains by using a contextualized approach but also demonstrate that neglecting contextual factors may lead to misdirected substantive conclusions, especially for older racial and ethnic minorities. To enhance the ecological validity of survey data, investigators should select theoretically-meaningful contextual data for specific research questions and consider cross-level interactions.     

How Should We Remember Vatican II?

What happened at Vatican II and the significance of its decisions is strongly contested in the Church today. There is a struggle over the memory of the Council. It is suggested that two hermeneutics are in use, continuity versus discontinuity. On the one hand, it is said that privileging the 'event' of the Council as the interpretative key for reading its documents leads to an ideological distortion and introduces discontinuity with tradition. On the other hand, it is held that the continuity thesis plays down the real changes the Council introduced and, while unexceptional as a theological principle, it is being deployed as a polemical ideology, restricting necessary change. This article distinguishes between theological principle and experience in relation to continuity/discontinuity. It argues that the event of the Council is to be found as much in its effects in the Church at large as what took place in Rome. It analyses the phenomenology of change at both levels and concludes that the tensions between the need for continuity and the impulses of discontinuity need to be recognised and worked with rather than repressed.     

Creative Cognition and Psychosis Vulnerability: What’s the Difference?

Evidence from experimental psychology provides unequivocal support for enhanced creativity among individuals who are prone to psychotic and mood disorders. At the same time, there is strong epidemiological evidence for greater incidence of creative achievement among those diagnosed with bipolar disorder (but not schizophrenia). This review examines the evidence for common factors predisposing an individual to creativity and psychosis, as well as factors that distinguish the capacity for creative achievement from the creative potential that may be inherent in psychosis vulnerability. Factors implicated as common to creative potential and psychosis vulnerability include enhanced divergent thinking, reduced latent inhibition and preattentive filtering mechanisms; on the other hand, greater cognitive flexibility, motivation, and openness to experience tend to be associated with creative achievement, but not psychosis. This evidence is considered with respect to the utility of tailored vocational interventions to effectively harness creative potential, which may be useful for young individuals in the early stages of illness or their unaffected family members.     

Aging and Spatial Navigation: What Do We Know and Where Do We Go?

Spatial navigation is a complex cognitive skill that is necessary for everyday functioning in the environment. However, navigational skills are not typically measured in most test batteries assessing cognitive aging. The present paper reviews what we know about behavioral differences between older and younger adults in navigational skill and reviews the putative neural mechanisms that may underlie these behavioral differences. Empirical studies to date clearly identify navigation as an aspect of cognitive function that is vulnerable to the aging process. The few functional and structural neuroimaging studies that speak to neurological correlates of these age-related differences point to the hippocampus, parahippocampal gyrus, posterior cingulate gyrus (retrosplenial cortex), parietal lobes and pre-frontal cortex as structures critically involved in age effects on navigation. Outstanding issues in the field are addressed and productive avenues of future research are suggested. Among these outstanding issues include the necessity of performing longitudinal studies and differentiating between hippocampal and extra-hippocampal contributions to aging in navigation. The field may also be advanced by empirical assessment of navigational strategies and investigations into the multisensory nature of navigation including assessing the relative contributions of visual, vestibular, and proprioceptive function to age differences in navigational skill.     

Integrity and Honesty Testing: What Do We Know? How Do We Use It?

This selective review of integrity and honesty testing addresses two primary questions: ‘What do we know about honesty testing?’ and ‘How do we use what we know?’ Up-to-date information about test reliability, validity, and construct definition from recent reviews of the research literature in the USA is presented and interpreted. Relationships to other selection devices and personality measures are discussed, as well as how integrity tests fit into a multiple assessment selection system.     

Empirically Supported Treatments and Efficacy Trials: What Steps Do We Still Need to Take?

The Task Force on the Promotion and Dissemination of Psychological Procedures sought to identify scientifically supported treatments in order to espouse their use and improve client outcomes in therapy. Nevertheless, the gap between scientists and practitioners persists, and there still remain some limitations to the manner in which this goal is carried out. The criteria specifying whether a treatment qualifies as empirically supported are too lenient. The research used in the search for empirically supported treatments does not take into account the full literature base. Efficacy trials provide practitioners with limited information. This paper proposes means through which the field can improve its search for scientifically supported treatments. Alterations to the criteria that assess empirically supported treatments, greater research transparency and external validity, and collaboration between investigators and clinicians will allow the field of clinical psychology to better answer the question, “How can we most successfully treat this client?”     

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.)     

What Are We to Think about Thought Experiments?

Arguments from thought experiment ask the reader to imagine some hypothetical, sometimes exotic, often fantastic, scenario for the sake of illustrating or countering some claim. Variously characterized as mental experimentation, imaginary cases, and even crazy cases, thought experiments figure into both scientific and philosophical arguments. They are often criticized for their fictive nature and for their lack of grounding. Nevertheless, they are common especially in arguments in ethics and philosophy of mind. Moreover, many thought experiments have spawned variations that attempt to both affirm and refute their original arguments. These emended thought experiments exhibit a variety of styles, details, and embellishments. A rhetorical analysis of these variations suggests a reciprocal influence between the arguers' selection of details and their philosophical commitments. I offer examples of this relationship from the variations on John Searle's Chinese Room thought experiment and Judith Thomson's unconscious violinist thought experiment.     

Salvation and Suicide: What Does Islamic Theology Say?

Abstract : The Islamic soteriological doctrine advocates good deeds and God's mercy as the pre‐requisites for human salvation. This article introduces these two important dimensions of the Muslim belief of salvation. In contemporary settings it addresses some of the motives behind the spate of suicide bombings by Muslims and argues that taking one's own life is totally forbidden in Islam. The moving notion that suicide bombing is an open door to salvation is, therefore, untenable. Whatever the mitigating factors, there is no legitimacy in Islamic Law (shariah) to the crime of suicide or the derived terrorism.     

What Does Diffusion Tensor Imaging Reveal About the Brain and Cognition in Fetal Alcohol Spectrum Disorders?

Over the past 5 years, Diffusion Tensor Imaging (DTI) has begun to provide new evidence about the effects of prenatal alcohol exposure on white matter development. DTI, which examines microstructural tissue integrity, is sensitive to more subtle white matter abnormalities than traditional volumetric MRI methods. Thus far, the available DTI data suggest that white matter microstructural abnormalities fall on a continuum of severity in Fetal Alcohol Spectrum Disorder (FASD). Abnormalities are prominent in the corpus callosum, but also evident in major anterior-posterior fiber bundles, corticospinal tracts, and cerebellum. These subtle abnormalities are correlated with neurocognitive deficits, especially in processing speed, non-verbal ability, and executive functioning. Future studies using larger samples, increasingly sophisticated DTI methods, and additional functional MRI connectivity measures will better characterize the full range of abnormalities in FASD. Ultimately, these measures may serve as indices of change in future longitudinal studies and in studies of interventions for FASD.