Spirituality in Disability and Illness

Spirituality appears with increasing frequency in the research literature, and a paradigm involving mind-body-spirit interaction is emerging. The relationship of spirituality to disability and illness is at the center of a growing body of knowledge. A comprehensive literature review supported spirituality as coping method among individuals experiencing a variety of illnesses including hypertension, pulmonary disease, diabetes, chronic renal failure, surgery, rheumatoid arthritis, multiple sclerosis, HIV/AIDS, polio and addictive illnesses. Additionally, spirituality is a resource when dealing with critical illness as well as terminal illness and end of life issues, and it is utilized by both patients, and family members. Discussion of research findings, implications for health care practice and future research is also presented.     

The Strength to Cope: Spirituality and Faith in Chronic Disease

The lifelong management of a chronic condition requires considerable mental fortitude and commitment in social adjustment and adherence to medical advice. In examining strategies of adaptation, we draw on ethnographic research, including interviews with 69 people with type 2 diabetes and/or cardiovascular disease. We explore how they incorporate spirituality into their self-management routines, with positive impact on their health and wellbeing, and highlight the role of spiritual practices in supporting people with chronic conditions mentally, physically and socially, so encouraging personal responsibility for one’s health and wellbeing.     

信仰理性·认知理性·反思理性--理性"天然合法性"的根据何在

人类文明的发展,经过了"信仰理性"、"认知理性"的支配阶段后,将进入一个"人性自主一反思理性"的时代.在已往的历史中,理性并没有真正握有自主权,它更多地充当了一种工具化的角色.信仰理性是"本性在外"的理解方式,理智理性是"本性对外"的理解方式,二者均未达到人性的自主.反思理性作为理性的自我反省,是向生成自身的那个人性根基的回归.理性的"天然合法性"的根据即在理性自身.反思理性使"理性自洁"的功能得以发挥,它一定能够解决理性自身造成的问题."反思理性"将成为新世纪人类文明的主导理性.     

What I Look Like: College Women, Body Image, and Spirituality

Despite public acknowledgment of the importance of spiritual development, little has been written globally on female young adults’ personal views of their spiritual values and body image. This article briefly presents the findings of a pilot study that explored female college students’ reflections on body image and spirituality. Responses from participants showed that (1) many students are interested in faith and spiritual development; (2) body dissatisfaction affects those women who viewed themselves as spiritual (92%) as well as those who said they were free thinkers (49%). Nevertheless, religion and spiritual values seemed to confer some behavioral protection. Implications for educational programs that will address the spiritual dimension of learning are discussed.     

Cognitive and Behavioral Changes Arising From Spirituality

Journal of Religion and Health - This article aims to explore the concept of spiritual transformation and address the question, ‘How does spirituality bring about changes in cognition and...     

Relationships Among Spirituality, Religious Practices, Personality Factors, and Health for Five Different Faith Traditions

To determine: (1) differences in spirituality, religiosity, personality, and health for different faith traditions; and (2) the relative degree to which demographic, spiritual, religious, and personality variables simultaneously predict health outcomes for different faith traditions. Cross-sectional analysis of 160 individuals from five different faith traditions including Buddhists (40), Catholics (41), Jews (22), Muslims (26), and Protestants (31). Brief multidimensional measure of religiousness/spirituality (BMMRS; Fetzer in Multidimensional measurement of religiousness/spirituality for use in health research, Fetzer Institute, Kalamazoo, 1999); NEO-five factor inventory (NEO-FFI; in Revised NEO personality inventory (NEO PI-R) and the NEO-five factor inventory (NEO-FFI) professional manual, Psychological Assessment Resources, Odessa, Costa and McCrae 1992); Medical outcomes scale-short form (SF-36; in SF-36 physical and mental health summary scores: A user??s manual, The Health Institute, New England Medical Center, Boston, Ware et al. 1994). (1) ANOVAs indicated that there were no significant group differences in health status, but that there were group differences in spirituality and religiosity. (2) Pearson??s correlations for the entire sample indicated that better mental health is significantly related to increased spirituality, increased positive personality traits (i.e., extraversion) and decreased personality traits (i.e., neuroticism and conscientiousness). In addition, spirituality is positively correlated with positive personality traits (i.e., extraversion) and negatively with negative personality traits (i.e., neuroticism). (3) Hierarchical regressions indicated that personality predicted a greater proportion of unique variance in health outcomes than spiritual variables. Different faith traditions have similar health status, but differ in terms of spiritual, religious, and personality factors. For all faith traditions, the presence of positive and absence of negative personality traits are primary predictors of positive health (and primarily mental health). Spiritual variables, other than forgiveness, add little to the prediction of unique variance in physical or mental health after considering personality. Spirituality can be conceptualized as a characterological aspect of personality or a distinct construct, but spiritual interventions should continue to be used in clinical practice and investigated in health research.     

Religiosity and Spirituality: A Psychometric Evaluation of the Santa Clara Strength of Religious Faith Questionnaire

The Santa Clara Strength of Religious Faith Questionnaire (SCSORF) was administered to 124 undergraduate college students attending a private Catholic university and the result was compared to measures of spirituality, religious behavior, religious coping, and affect. The present study found that the SCSORF was strongly related to spirituality, in particular, seeking support from one's spirituality. However, the SCSORF was not correlated with an openness to new spiritual experiences. The SCSORF was also related to religious behavior and religious coping. The SCSORF was not related to affect, indicating that scores on the SCSORF were not affect-dependent. Results from this study provide additional evidence that the SCSORF is a reliable and valid measure of religious faith.     

Baptism,Faith and Severe Cognitive Impairment in Some Medieval Theologies

Thirteenth‐century theologians believed that grace and theological virtues count as created habits, infused by God. They held that this belief placed them in a stronger position to give an account of the grace given to those with severe cognitive impairments than those who denied such habits. Aquinas argued that the faith infused in baptism, in the case of those who lack reason, nevertheless needs to be supplemented by other church members' actual occurrent assent to the Christian faith. Duns Scotus gives reasons to deny this, and thus defends a view of church membership that avoids any kind of non‐mutual dependence in this context.     

But for the Grace of God: Abortion and Cognitive Disability,Luck and Moral Status

Many theories of moral status that are intended to ground pro-choice views on abortion tie full moral status to advanced cognitive capabilities. Extant accounts of this kind are inconsistent with the intuition that the profoundly cognitively disabled have full moral status. This paper improves upon these extant accounts by combining an anti-luck condition with Steinbock’s stratification of moral status into two levels. On the resulting view, a being has full moral status if and only if (1) she has moral status and (2) (a) has had advanced cognitive capacities, (b) has the potential to develop such capacities, or (c) would have had such capacities were it not for luck. I argue that modal accounts of luck provide a non-speciesist basis for attributing the lack of advanced cognitive capacities in humans to luck without doing the same for non-human animals.     

Disability as Abject: Kristeva,Disability, and Resistance

In this essay, I develop an account of disability exclusion that, though inspired by Julia Kristeva, diverges from her account in several important ways. I first offer a brief interpretation of Kristeva's essays “Liberty, Equality, Fraternity and … Vulnerability” and “A Tragedy and a Dream: Disability Revisited” and, using this interpretation, I assess certain criticisms of Kristeva's position made by Jan Grue in his “Rhetorics of Difference: Julia Kristeva and Disability.” I then argue that Kristeva's concept of abjection, especially as developed by Sara Ahmed and Tina Chanter, offers important insights into disability oppression; Ahmed's and Chanter's contributions improve upon Kristeva's account. Understanding disability as abject helps to explain both resistances to interacting with disabled others and ways to resist disability oppression. Finally, I argue that understanding disability as abject is preferable to recent deployments of Lacanian theory in disability studies and that this account is compatible with social models of disability.     

Ritualistic,Theistic, and Existential Spirituality: Initial Psychometric Qualities of the RiTE Measure of Spirituality

An expanded model to conceptualize sacred human experiences is discussed wherein the term Spirituality is broadened to include: (1) Ritualistic Spirituality, (2) Theistic Spirituality, and (3) Existential Spirituality. However, a measure incorporating this expanded model does not yet exist. A 67-item self-report questionnaire was developed and data were collected from 1,301 undergraduate students. A series of factor analytic procedures yielded a three-factor structure consistent with the guiding theoretical model and refinement produced three 10-item subscales. Evidence for construct validity and sound psychometric properties was indicative of a reliable, valid, and unique tool to assess the multidimensional nature of spirituality.     

Functional Disability in Mild Cognitive Impairment: A Systematic Review and Meta-Analysis

Accumulating evidence suggests that the pre-dementia syndrome mild cognitive impairment (MCI) is characterized by decrements in instrumental activities of daily living (IADL). The current review was a quantitative synthesis of the available literature to objectively characterize IADL disability in MCI while clarifying inconsistencies in findings across studies. It was hypothesized that individuals with MCI would display significantly greater functional impairment relative to cognitively intact controls. Candidate moderators specified a priori included functional assessment approach, MCI subtype, depressive symptoms, and language conducted. Online databases (PubMed/MEDLINE and PsycINFO) and reference lists were searched to identify peer-reviewed publications assessing IADL in MCI compared to normal aging. A total of 151 effect sizes derived from 106 studies met inclusionary criteria (N?=?62,260). Random effects models yielded a large overall summary effect size (Hedges’ g?=?0.76, 95 % confidence interval: 0.68???0.83, p?<?.001) confirmed in multi-level analyses adjusted for nesting of effect sizes within studies (g?=?0.78, 95 % confidence interval: 0.69???0.87). Functional assessment strategy and MCI subtype were significant moderators of effect size, whereas depressive symptoms and language were not. Results convincingly demonstrate that MCI is associated with significant difficulties in the performance of complex everyday tasks. It appears that functional decline, like cognitive decline, exists on a continuum from healthy aging to dementia onset. Implications for clinical practice and research priorities are discussed.     

Stage of Chronicity and Cognitive Correlates of Pain-Related Disability

The present research examined the functional relations between the different dimensions of catastrophic thinking and pain-related disability, as a function of stage of chronicity. In the present study, 150 patients with chronic pain were grouped to form 3 different levels of chronicity: Group A (6 months to 2 years, n = 44); Group B (2-4 years, n = 55); and Group C (more than 4 years, n = 51). The 3 subscales of the Pain Catastrophizing Scale (Rumination, Magnification, Helplessness) were used as predictors of disability. Disability was assessed with the Pain Disability Index and pain was assessed with the McGill Pain Questionnaire. For Group A, regression analysis revealed that none of the PCS subscales predicted disability beyond the variance accounted for by sex, age and pain. Rumination was a significant predictor of disability in Group B, and both rumination and helplessness predicted disability in Group C. These findings provide preliminary evidence that stage of chronicity is an important moderator of psychological vulnerability for pain-related disability. Discussion addresses how the impact of pain management programs might be increased by tailoring interventions to specific patient needs.