Spiritual Exercises in Augustine’s Confessions

Confessions, the narrative of Augustine’s spiritual journey, has been a source of inspiration to readers through many centuries. It addresses the universal striving of the individual towards a ‘way of living’ characterized by internal coherence and an experience of the transcendent. Augustine, using a method of inquiry and engagement, guides the reader through some fundamental exercises: remembering one’s story; facing inner restlessness; entering into dialogue with God; ordering of human love; centering in Christ; participating in a community of faith; living as a pilgrim. Together, they constitute a didactic instrument for the spiritual development of his readers. This paper reconstructs that central purpose in a coherent and practical model.     

Children with Asthma and Their Families’ Viewpoints on Spiritual and Psychological Resources in Adaptation with the Disease

Recognition of the spiritual and psychological needs of children and their families with chronic asthma disease may be helpful in a successful coping with their problems in order to control over the condition. In a qualitative content analysis study, nine children with moderate to severe asthma and 10 parents were studied in order to discover the resources of compatibility of them. The participants were chosen purposefully and they were asked some semi-structure questions about their experiences. The spiritual and psychological experiences of the participants were divided into two main categories as follows: (1) contrive to religious-belief consisting of three sub-categories known as “religious rituals, believe in a divine predestination, and Islamic-based patience,” and (2) psycho-intellectual management that includes the five sub-categories of “psycho-intellectual attention, maintaining family’s mental peace, reduction in negative burden of disease, satisfaction from optimal treatment, and matching internal desires with disease conditions.” It is recommended that heath care providers by reinforcing parent’s and children’s religious and spiritual backgrounds and according to child’s cognitive development at this age provide a suitable foreground through necessary instructions for children and their families in order to spiritual growth and suitable adaptation with disease.     

Poetry for the Uninitiated: Dannie Abse’s “X-Ray” in an Undergraduate Medicine and Literature Class

I recently taught an upper-division Honors class in Medicine and Literature with students ranging from a pre-physician’s assistant student and nursing student to English, French, History, and Technical Writing majors. The common thread connecting these students initially was their self-described fear of and helplessness with poetry. However, as the semester drew to a close, their class discussion and journals revealed not only increased comfort with poetry but also a preference for it. The information and insight they got from poetry, they said, were the reason they took a medical humanities course in the first place and commented that the poetry we read provoked more substantial “medicine and literature” discussions than prose. Poetry provides a good starting place to analyze complex human relationships, and the focus on language and form levels the intellectual playing field: students are all unfamiliar with how to do it and are learning a new skill together. This could be accomplished, of course, with a literary short story, but for the diverse population of students in this class, the brevity of poetry made it all the more appealing.     

Religious and Spiritual Values and Moral Commitment in Marriage: Untapped Resources in Couples Counseling?

The authors investigated the relationship between religious and spiritual values and moral commitment in marriage to further inform marriage and family counselors about the nature of committed relationships. Using a qualitative research design, they examined individuals' perceptions of moral commitment in their marriage and how their religious and spiritual values influence those perceptions. Narrative text was analyzed through an iterative process, involving constant comparison of emerging themes, and 6 categories materialized. Findings build on existing knowledge regarding the importance of moral commitment to marital health specifically as it relates to the counseling profession.     

Literature and the Expressions of Being in Merleau-Ponty’s Unpublished Course Notes

In this article I examine Merleau-Ponty’s understanding of the relation between literature, being and perception. I focus especially on two of Merleau-Ponty’s courses at Collège de France: the first course, Le monde sensible et le monde de l’expression, and the unpublished course Sur le problème de la parole. In the former Merleau-Ponty presents a new understanding of perception, according to which being is expressed in perception through the style of movement of the perceived phenomenon. In the latter he advances a notion of literary writing as an expression of the being that is itself expressed to us in perception. Through a reading of Proust’s work, he discusses how the literary writer makes his experience expressive by means of a stylization of what is experienced. Hence, literature expresses perception through an enhancement of the expressiveness that it already contains. This capacity of literature will be the main focus of my investigation.     

Afterword: Elaborating Health and Medicine’s Publics

This essay argues that medical and health humanists interested in the rhetorical work of publics can extend their research by attending to embodiment and infrastructure. In addition to discussing how such strategies are illustrated in the essays appearing in this special issue, I relate them to the rhetorical study of personal health records (PHRs) as described in consumer-directed arguments. I conclude by posing two questions to health and medical humanists: “How do discursive constructions of publics and more specific instantiations of embodied experiences mutually shape each other?” and “What do the infrastructures of health and medical users look like and involve in their enactment?”     

Disambiguating Information and Memory Resources in Children’s Processing of Italian Relative Clauses

We investigated the role of number agreement on verb and of animacy in the comprehension of subject and object relative clauses in 51 monolingual Italian-speaking children, mean age 9:33, tested through a self-paced listening experiment with a final comprehension question. A digit span test and a listening span test were also administered to examine the role of memory in comprehension. Subject relative clauses were easier to comprehend than object relative clauses; animacy of the relative clause head improved comprehension of object relative clauses; memory, as measured by the digit span test, modulates comprehension of object relative clauses, both with animate and inanimate heads, as shown in response accuracy. Although all children process number agreement morphology on the verb, only some perform a correct reanalysis, as shown by the accuracy measures. We argue that number agreement disambiguation is particularly taxing for children, as it provides a negative symptom in the sense of Fodor and Inoue (J Psycholinguist Res 29(1):25–36, 2000) and reanalysis requires them to hold two dependencies in memory.     

Hick’s Theory of Religion and the Traditional Islamic Narrative

This article considers the traditional Islamic narrative in the light of the theory of religion espoused by John Hick (1922–2012). We see how the Islamic narrative changes on a Hickean understanding of religion, particularly in the light of the ‘bottom-up’ approach and trans-personal conception of the religious ultimate that it espouses. Where the two readings of Islam appear to conflict, I suggest how they can be reconciled. I argue that if Hick’s theory is incompatible with Islamic belief, then this incompatibility does not manifest itself at the level of belief in the narrative.     

Agents of Reform?: Children’s Literature and Philosophy

Children’s literature was first published in the eighteenth century at a time when the philosophical ideas of Jean-Jacques Rousseau on education and childhood were being discussed. Ironically, however, the first generation of children’s literature (by Maria Edgeworth et al) was incongruous with Rousseau’s ideas since the works were didactic, constraining and demanded passive acceptance from their readers. This instigated a deficit or reductionist model to represent childhood and children’s literature as simple and uncomplicated and led to children’s literature being overlooked and its contribution to philosophical discussions being undermined. Although Rousseau advocates freeing the child to develop, he does not feel that reading fiction promotes child development, which is a weakness in an otherwise strong argument for educational reform. Yet, rather ironically, the second generation of children’s writers, from Lewis Carroll onwards, more truly embraced Rousseau’s broader philosophical ideas on education and childhood than their predecessors, encouraging and freeing readers to imagine, reflect and actively engage in ontological enquiry. The emphasis had changed with the child being embraced in education and society as active participant rather than passive or disengaged recipient. Works deemed to be seminal to the canon of children’s literature such as Alice’s Adventures in Wonderland, Peter Pan and The Chronicles of Narnia challenge readers to work through conflicts many of which can be identified retrospectively as exhibiting postmodern characteristics. By exploring moral and spiritual dilemmas in their writing, Carroll, Barrie and Lewis’s works can be regarded as contributing to discussions on theodical postmodernism. The successes of The Lord of the Rings and Narnia films suggest that there is an interest in exploring moral dilemmas, fulfilling a need (perhaps for tolerance and understanding) in society at large. Children’s literature has an almost divine power to restore, to repair and to heal, all characteristics of theodical postmodernism but differing from the more widely held conception of postmodernism which pulls apart, exacerbates and exposes. Children’s literature therefore offers a healthy and constructive approach to working through moral dilemmas. In their deconstruction of childhood, these authors have brought children’s literature closer to aspects of enquiry traditionally found in the domain of adult mainstream literature. As the boundaries between childhood and adulthood become more fluid, less certain, debate is centring around whether the canon of children’s literature itself has become redundant or meaningless since there are no longer any restrictions on which subjects can be treated in children’s literature. Despite the fact that children’s literature clearly engages with difficult issues, it continues to be left out of the critical equation, not given serious attention, disregarded as simplistic and ignored in contemporary philosophical discussions concerning morality, postmodernism and the future of childhood. With children’s literature coming closer to mainstream literature, and exhibiting prominent features of postmodernism, however, it is only a matter of time before philosophical discussions actively engage with children’s literature and recognise its contribution to the resolution and reconciliation of ontological dilemmas. When this occurs, philosophy and children’s literature will re-engage, enriching contemporary investigations of existence, ethics and knowledge and fruitfully developing thought in these areas. This paper aims to contribute to this process.

Parenting Practices,Parenting Style,and Children’s School Achievement

This study, drawing on data from the 2002 Survey of Approaches to Educational Planning (SAEP), examined the predictive effects of parenting practices and parenting style on children’s school achievement, and the predictive effects of parental expectations and parental beliefs on parenting style for 6,626 respondents with children aged 5–18 years in Canada. Hierarchical multiple regression analyses, after controlling for family socioeconomic status (SES), revealed the substantial positive predictive effects of family SES, parental encouragement, parental expectations, and parental beliefs on children’s school achievement. In contrast, parental monitoring had a substantial negative predictive effect on children’s school achievement in the context of other variables. Although parental expectations were not related to parenting style, parental beliefs were positively associated with both parental encouragement and parental monitoring—the two dimensions of authoritative parenting style.     

Children’s Psychosocial Problems Presenting in a Family Medicine Practice

Primary care physicians have an important role in identifying, treating, and referring children with psychosocial problems. However, there is a limited literature describing whether and how family physicians address psychosocial problems and why parents may not discuss children’s problems with physicians. The current study examined how family physicians address psychosocial problems and reasons that parents do not discuss children’s psychosocial problems with physicians. Results indicated that there are a variety of reasons involving parents, their perceptions of physicians, and the number of psychosocial problems reported, that may lead to fewer discussions of psychosocial problems.     

The Religious and Social Principles of Patients’ Rights in Holy Books (Avesta, Torah, Bible, and Quran) and in Traditional Medicine

Health protection and promotion in healthy people and restoring patients’ health have been the most important themes in medicine and health throughout our history. Therefore, discussion of different aspects of patients’ rights includes implementation of these objectives by the medical community, including physicians, nurses, pharmacists, etc., and the people in charge of health affairs. The principal objective of our research is the study of medical ideology and the approaches of our ancestors in relation to different aspects of patients’ rights. To study the different ideologies of traditional medicine in relation to patients’ rights, appropriate data were extracted from the original resources of traditional medicine and from religious books. By means of library research we studied these resources in addition to electronic versions of the Alhavi book (by Rhazes), the Kamel-al-Sanaah (by Ahvazi), the Canon of Medicine (by Avicenna), the Zakhireye Khawrazmshahi (by Jorjani), the Avesta, the Torah, the Bible, the Quran, and many other resources, and, finally, after searching, gathering, and encoding the findings, analyzed them qualitatively for thematic content. The holy Avesta book clearly insists on the competence of physicians and setting the appointment fee in accordance with peoples’ income. The Old Testament (holy Torah) warned government officials who did not observe patients’ rights. In the four gospels (holy Bible) the importance of treatment and taking care of the patient is stressed. After the emergence of Islam, medical students, before beginning the principal courses, had to study Islamic jurisprudence, ethics, logic sciences, natural sciences, geometry, astrology, calculus, and similar courses so that after purifying their soul they could enter the saintly profession of physicians. The holy Quran refers to saving the life of a human irrespective of social class, race, and religion, and insists on exemption of patients from physical activity, including the physical aspects of prayer. In these resources, some warnings are offered in relation to fake drugs, the lack of awareness of some physicians, the need for complete preparedness of medical society, and the need to manufacture appropriate drugs and offer a suitable medical service. This information is to familiarize medical and health authorities and persons receiving health services. According to the evidence available about traditional medicine, there was no specific difference between public and professional ethics, public and professional rights, or rights and ethics—ethics were no different from rights nor rights from ethics. So ethics are similar to the soul in the body of rights, and rights are similar to the litter of ethics, and they have developed in parallel with each other. Traditional medicine is community-based and preservation of the health of healthy people is given priority over the treatment of patients; there is insistence that “health rights” has wider scope than “patients’ rights”. It can be stated that health rights in Iran both before and after the emergence of Islam have been based on guidance from divine religions, observation of humanist ethics, passing suitable courses in the basic sciences, and an introduction to the practical piety of our ancestors, in addition to the syllabus of medical and health education.     

Nursing Students’ Perception Levels of Spirituality and Spiritual Care in Turkey

Journal of Religion and Health - The present study was conducted to determine nursing students’ perception levels of spirituality and spiritual care and the factors affecting these levels....     

Traditional Confucianism in modern China: Ma Yifu’s ethical thought

Modern neo-Confucianism is studied at two levels, one is at the historical level and the other at the academic level. Modern neo-Confucianism at the historical level was developed in the modern context, but its basic content belongs to the traditional Confucianism or the study of Confucian classics. Modern neo-Confucianism at the academic level recognizes both the deficiencies of the traditional Confucianism and rationality of western learning, and dedicates itself to the modernization of Confucianism. Though Ma Yifu’s moral philosophy is developed in the context of modern Chinese culture, it fails to deal with the problem of modern transformation of Confucian ethical values and its content still belongs to the traditional Confucianism. So it should be labeled as the modern neo-Confucianism in the historical sense. In this paper, the author makes a systematic exploration and an evaluation of Ma Yifu’s ethical thought. __________ Translated from Lunlixue Yanjiu 伦理学研究 (Studies in Ethics), Vol. 18, 2005 (4) by Yang Xu     

Fathers’ Emotional Resources and Children’s Socioemotional and Behavioral Adjustment Among Children with Learning Disabilities

This study examined a cumulative model of risk/protective factors at the individual level (child’s sense of coherence; attachment with father) and family level as manifested by fathers’ emotional resources (fathers’ negative/positive affect; attachment avoidance/anxiety), to explain socioemotional adjustment among children age 8–12 years with or without learning disabilities (LD). Participants were 205 father–child dyads: 107 fathers and their children with LD; 98 fathers and their non-LD children. Preliminary analyses indicated significant group differences on all child measures. Path analysis revealed high fit between the theoretical model and empirical findings; moreover, the model’s components revealed partially different patterns of relations for the two populations. Thus, the current study suggested the potentially important role of fathers’ positive and negative affect and fathers’ avoidant and anxious attachment for children’s socioemotional and behavioral adjustment and children’s mediating variables. Discussion focused on understanding the value of these fathers’ emotional factors and their children’s characteristics for well-adjusted functioning.     

Why Teach Literature and Medicine? Answers from Three Decades

In this essay, I look back at some of the earliest attempts by the first generation of literature-and-medicine scholars to answer the question: Why teach literature and medicine? Reviewing the development of the field in its early years, I examine statements by practitioners to see whether their answers have held up over time and to consider how the rationales they articulated have expanded or changed in the following years and why. Greater emphasis on literary criticism, narrative ethics, narrative theory, and reflective writing has influenced current work in the field in ways that could not have been foreseen in the 1970s. The extraordinary growth of interest and work in the field nationally and, especially since 1996, internationally has included practitioners in many additional areas such as disability studies, film studies, therapeutic writing, and trauma studies. Along with the emergence of narrative medicine, this diverse community of scholars and practitioners—affiliated more through their use of narrative methodologies than the teaching of literature—makes the perennial challenge of evaluation and assessment even more complicated.     

Spiritual care in psychiatry: Professionals’ views

In this study we explored the views of Mental Health professionals and general practitioners (GPs) regarding spiritual care and the effect of personal and cultural background on their views. Data were collected through anonymous questionnaires posted to hospital nursing and medical staff at Hollins Park Hospital, Warrington, UK, and to all GPs within the hospital catchments area. Forty-five percent of GPs, 33% of psychiatrists, and 76% of nursing staff (p < 0.05) felt strongly that human beings are made up of spirit as well as body. More nurses felt that spiritual care is equally as important as other forms of care (52%) compared with psychiatrists (33%) and GPs (29%). A higher percentage of nursing than medical staff had previous training in this area and were more likely than medical staff to consider themselves appropriate to give spiritual advice. A total of 20% of GPs and 33% of psychiatric staff stated the need for training in this area and GPs especially felt they lacked time. Professionals’ views are influenced by cultural and religious backgrounds, with significantly more non-UK born respondents feeling strongly that human beings all have a spiritual component. Many doctors do not consider spiritual care has a role for them to be involved in and many feel too pressured in daily life to take this on. Nurses are more inclined to take a holistic approach to care in this respect. Some people with mental health problems have spiritual care needs and we should be aware of this as an important facet to therapy.