Challenges of Being Simultaneously Gay or Lesbian and Spiritual and/or Religious: A Narrative Perspective

The purpose of this article is to describe the struggle that gays and lesbians face as they incorporate their sexual orientation and identity within the context of an existing religious or spiritual identity. An overview of the religious and spiritual context that makes individuals unique will be followed by how the narrative perspective can help individuals who identify themselves as gay or lesbian with their struggle for identity. Finally, new narrative directions will be suggested for marriage and family therapists and their work with gays and lesbians who are confronted with these issues.     

An Exploration of Spirituality and Sexuality in Men Who Identify as Gay and Were Raised in a Conservative Christian Faith

Abstract

Growing up in a conservative faith can affect the lives of gay men. The influence of early religious training can have an impact on the emotional, sexual, and even physical lives of those who belong to sexual minorities. The messages people hear from religiously employed individuals (i.e. teachers and pastors) can cause deep wounds that last a lifetime. The collision of their sexual and spiritual identities impacts their lives, and can lead to difficulty. Some struggle with their religion, and many struggle to find a community that fully embraces both identities. Researchers sought to explore the process through which seven men navigated the process of identity formation and integration for their sexual and spiritual selves specifically through the lens of being raised Seventh-day Adventist and identifying as gay men. The in-depth interviews provided the data for the study, which is aimed to improve the outcome for the education of counselors who will inevitably work with members of the LGBTQ+?community.     

Step Two: What Do You Want the Older Adult Ministry Program to Accomplish?

SUMMARY

What is the purpose for an older adult ministry within a congregation? It is not a program but a process of spiritual care, spiritual development, and spiritual formation as older adults are confronted with challenges to their spiritual perspectives due to the changes inherent in the process of aging. The experience of aging is a teacher that can be denied only with great peril to the person. Various views of aging as a spiritual journey are shared. The support and guiding of the spiritual perspectives of older adults is the core purpose for an older adult ministry in a congregation. This central purpose must be overtly expressed through the writing of a mission statement for older adult ministry that will be a yardstick not only for evaluating present ministries but also for guiding their future efforts. A simple, easy-to-use method of developing a mission statement is shared.     

Exploring religious and/or spiritual identities: part 1 – assessing relationships with health

ABSTRACT

There is considerable debate about the distinction between being religious and being spiritual. It is time to move beyond this issue to an examination of the health-related implications of being religious and/or spiritual. Three health outcomes are used in this study: self-rated health, depressive symptoms, and alcohol use. The data are from a large nationwide random probability survey of adults of all ages who reside in the United States (N?=?2,876–2,883). Four self-identified categories of religiousness/spirituality are examined: religious and spiritual, spiritual only, not religious/not spiritual, and religious only. Tests are performed to see if membership in each category offsets the noxious effects of lifetime trauma on the health-related outcomes. A clear pattern emerges from the data. Lifetime trauma is associated with less favourable health ratings, more symptoms of depression, and greater alcohol consumption. However, these relationships are substantially stronger among people who say they are religious only.     

Continuity,Spiritual Growth,and Coping in Later Adulthood

SUMMARY

Continuity of values, lifestyles, and relationships combines with spiritual growth in later life to provide most people a sense of direction and adequate resources for coping with changes that occur with aging. Being able to recognize threads of continuity and to perceive benefit from one's inner life are significant predictors of being able to maintain life satisfaction in the face of negative aspects of aging. Data from a 20-year longitudinal study are used to provide details.     

Czech version of Spiritual Health Questionnaire development: a research note

ABSTRACT

The Czech Republic is one of the most secularised societies, while atheistic and spiritual values are increasingly acknowledged and practiced. This research note has two objectives. First, we provide cultural and societal background of a development of the Spiritual Health Questionnaire. Second, the paper discusses empirical approach to the development of a battery of scales designed to systematically assess spiritual health for future spirituality research aimed at the Czech population and beyond.     

Religion as Moderator of the Sense of Control–Health Connection: Gender Differences

ABSTRACT

Objectives. Sense of personal control is a key marker of successful aging, yet little is known about its relation to religiousness and personal adversity among older adults. This study investigated the relation between two different religious orientations, a church-centered religiousness and a non-church-based spiritual seeking, sense of control, physical health, and gender in late adulthood.

Methods. The participants consisted of a community sample of men and women (N = 156) in their late sixties and mid-seventies who were born in the San Francisco Bay Area. Three-way ANOVAs were used to test in separate analyses, the effects of religiousness and spiritual seeking on sense of control among men and women who were either in good or poor physical health.

Results. Both religiousness and spiritual seeking buffered women, but not men, against loss of sense of control due to poor physical health. The buffering effect of religiousness and spiritual seeking was associated with different psychological characteristics: high life satisfaction for religiousness and engagement in life review for spiritual seeking. For men, the absence of a buffering effect of either religiousness or spiritual seeking was associated with disengagement from involvement in daily activities.

Discussion. Our findings highlight (1) the importance of employing multidimensional models of religion in studying its effect on psychosocial functioning in late adulthood and (2) the possibility that men and women who are high in religiousness and spiritual seeking regulate their sense of control using different adaptive strategies.     

Knowledge Is Political

Boyle, Mary. Schizophrenia, a Scientific Delusion? London: Rout‐ledge. First published in 1990. Paperback, 1993.     

Proleptic Sexual Love: God's Promiscuity Reflected in Christian Polyamory

Abstract

Goss acknowledges the value of pair-bonded relationships to the Christian community but wants to explore the ethical and theological space for envisioning Christians whose erotic lives fall outside monogamous relationships. He takes seriously Elizabeth Stuart's suggestion that the restoration of an eschatological paradigm for rethinking queer sexual relationships. Goss claims that Christ becomes the paradigm for multi-partnered relationships in spiritual encounters within religious communities and perhaps a means for rethinking non-monogamous relationships.     

There Is But One Love We Share

SUMMARY

The spiritual void of our culture, the dependency that maintains the isolation, and gives rise to the violence that permeates from individual to personal relationships to national policy, is examined. As an antidote, the article explores development of inner lives of awareness and connectedness with all that exists that begins with each person, leads to the qualities that are the groundwork for peaceful relationships. Special emphasis is given to the moral responsibility of clinicians who hope to be serving others.     

Religious issues in diagnosis: The V-Code and beyond

This paper addresses the issues around considering clients' religious and spiritual functioning as a matter of client diversity. Such issues may be under appreciated by many clinicians. The introduction of a religious and spiritual problem V-Code (V62.89) into the DSM-IV provided a significant accommodation of client religious and spiritual functioning in contemporary psychodiagnostics. The V-Code allows for explicit identification of a non-pathological religious or spiritual focus in treatment. The nature of and history of the V-Code's inclusion in DSM-IV is briefly reviewed. The strengths and limitations of the V-Code for raising clinician awareness of the religious and spiritual domain of client functioning is discussed and illustrated by a number of case examples. The V-Code approach is contrasted with Hathaway's (2003) clinically significant religious impairment concept. Both are viewed as making complementary contributions to a religiously and spiritually sensitive clinical practice.     

Ethical Issues in Intergenerational Equity

ABSTRACT

Family systems theory illumines the way in which family interactions influence the spirituality of each member of an aging family. Five spiritual tasks of the aging family are: facing mortality, defining the shape and limits of love and fidelity, struggling with the meaning of evil and suffering, seeking forgiveness and reconciliation, and giving and receiving a spiritual legacy. Professionals who work with families are encouraged to help families explore their spiritual concerns, work toward small and immediate changes with families as they address spiritual issues, listen for and affirm the family's spiritual resources, and support the enactment of family rituals and ceremonies.     

Authentic Humor as an Expression of Spiritual Maturity

SUMMARY

Erikson's understanding of ego integrity and Fowler's depiction of conjunctive faith provide theoretical insights into the holistic nature of spiritual maturity. In order to ground the theory in the actual experience of aging persons, this paper demonstrates, how authentic humor represents an expression of spiritual maturity. Authentic humor can articulate the trust, hope and the faith of elders who maintain a sense of meaning and wholeness despite the changes, losses and suffering which often accompany the aging process. Persons who possess the resource of authentic humor experience the paradoxicalities of aging without yielding to despair.     

Le processus d’intervention en santé au travail : éclairer les enjeux de l’action par un exercice de formalisation de l’activité

IntroductionThe quality of action in occupational health requires attention to its dynamic, for example analysing the activity of the intervenant consultant: what he manages to do in his activity and the obstacles he encounters.ObjectiveThis article proposes to feed the knowledge on the intervention from a qualitative approach and centered on the intervention process.MethodUsing the case study, the article shows the real of the intervention, its obstacles and the adjustments it imposes. The case studied is in a journal.ResultsThis intervention process shows the effects of variation caused by lack of accession and support from management and the trade unions, the difficulty of passing from knowledge to action.ConclusionThe difficulties have a function of revelation which the evaluation of the effects of an intervention can take into account.     

The puzzle of transparency and how to solve it

ABSTRACT

According to the transparency approach, achievement of self-knowledge is a two-stage process: first, the subject arrives at the judgment ‘p’; second, the subject proceeds to the judgment ‘I believe that p.’ The puzzle of transparency is to understand why the transition from the first to the second judgment is rationally permissible. After revisiting the debate between Byrne and Boyle on this matter, I present a novel solution according to which the transition is rationally permissible in virtue of a justifying argument that begins from a premise referring to the mental utterance that is emitted in the course of judging ‘p.’     

Spiritual Dimension of Human Sexuality

SUMMARY

The quest for spiritual maturity may be likened to a spiritual odyssey. This paper represents research concerning the spiritual dimension of human sexuality. Diminishment and loss are givens of the senior years. Loss is exacerbated in relationships defined by fidelity and commitment.

Four headings outline the paper; an extensive bibliography supports and documents the essays. End to Innocence: we are next. Common parlance dwells on myths of aging, while (here are distinct realities of aged sexuality. Loneliness can be devastating; there must be more creative societal responses to the human condition of old and alone. Love Revisited: read, sexual desire and love. Historical perspective re-examines eros and agape, literature, which is bigger than life, is a much neglected resource – and an illuminating one. When confronting mystery, the poet and novelist may provide the language we need to comprehend the phenomenon of love (and grace). Human Sexuality and Spirituality; Hebrew-Christian and Eastern religions (Taoism and Tantric Sex) have somewhat to say in terms of sexuality and spiritual pilgrimage. Acquiescence: human values of touching, intimacy, friendship, and vulnerability must be considered.     

The psychodynamics of forensic mental health nursing

Abstract

The aim of this paper is to clarify some important interpersonal dynamics that underpin forensic patients’ presentations within the clinical environment, in a way that is accessible to nurses. The world of forensic mental health nursing is often difficult to describe to those who have not experienced first hand prolonged clinical contact with patients at the therapeutic interface of secure services. Even then, the characteristic, intense emotional phenomena that tend to arise out of interpersonal relationships with patients and colleagues is not easy to articulate. Yet, for those of us who consider our professional identity to be one of “forensic mental health nurse,” it seems important to find a way to put words to what appears to occupy a large component of our working lives. More importantly, if we can develop a way to make sense of the way our work makes us feel and the way we can find ourselves relating to others within our professional roles, we will be in a better position to harness our energy and enthusiasm in the service of supporting forensic patients towards effective care and treatment pathways. Of course, forensic patients are supported through services with or without a framework for articulating emotional and interpersonal experiences. However, this frequently occurs in the context of significant struggle. For patients, this struggle is often characterized by difficulty communicating what their needs are, and for nurses this struggle is often characterized by feeling emotionally overwhelmed by their task of providing containing, therapeutic relationships for patients whose interpersonal needs are not clear to them. This article will use case examples to describe some of the complex interpersonal and emotional challenges faced by forensic nurses, and explain how a psychodynamic framework could support nursing practice in each of the case examples.     

The ‘frame’ as a container for the erotic transference – A case study

Abstract

This paper discusses various aspects of the psychotherapeutic frame, and explores the importance of maintaining the boundaries of the frame especially when an erotic transferential relationship is present. Many now agree that erotic transference and counter-transference occur in most therapeutic relationships, and yet it is something that therapists often struggle to work with effectively. The author acknowledges her own difficulties in working with erotic transferences and demonstrates why the adherence to the frame is especially significant in these circumstances. A case study is used to illustrate the difficulties of working with the erotic transference within the constructs of a frame and short-term therapy, and how the author's own counter-transference affected the therapy as well as how this was dealt with in supervision.     

The experience of chronic illness: Issues of loss and adjustment

Abstract

The impact of a long-term illness creates a pervasive dilemma for individuals in regard to maintaining both emotional and social well-being. Dealing with the medical ramifications of illness may be only one small part of the challenge. Too often, a number of personal losses are encountered in addition to functional limitations. Chronic illness may affect an individual's sense of self-worth, relationships with family and friends, and future goals and plans. The acceptance of these losses and adaptation to the illness are shaped in part by the meaning the individual ascribes to the event. It is further influenced by societal reactions and interactions with others. Unfortunately, persons with chronic illness often find themselves alone in their struggle to adapt. The purpose of this article is to discuss the issues relevant to such persons and to identify ways in which counseling can facilitate this difficult process.