Spirituality and the Successful Aging of Older Latinos

Using face‐to‐face interviews and a self‐report questionnaire, the authors investigated the contributions of spirituality and religiosity to the well‐being and levels of depression of 60 Latino adults ages 50 to 84 after controlling for age, health, education, and economic strain. Religiosity and spirituality predicted well‐being; however, increases in well‐being were associated with lower levels of externalizing religiosity and higher levels of spirituality. Economic strain overshadowed all other variables in predicting depression. Thus, 2 factors predicted the psychological health of Latino elders: Economic strain predicted depression, and spiritual health predicted well‐being. Several suggestions for implementing the findings are presented.     

Mental Health and Spirituality in Later Life: Pastoral Approaches

SUMMARY

This chapter proposes a perspective on providing pastoral care for people at risk of, or who have mental health problems in later life. Two major areas of mental health, depression and dementia are explored, examining their impact on older people and strategies to identify risk in depression, and signs indicating need for pastoral intervention in depression and/or dementia. The work from two studies that examine issues for meaning of people, the first for older people living independently and the second in residential care, form the basis of the material presented in this chapter. It is maintained that pastoral interventions may greatly improve quality of life for these people, their families and carers.¹     

Workplace Spirituality and the Selling Organization: A Conceptual Framework and Research Propositions

The past few years have witnessed a proliferation of articles on spirituality and its relevance for business. A growing trend in spirituality research is an emphasis on spirituality in the workplace. Theoretical and empirical support is emerging on how workplace spirituality infl uences both employee and organizational outcomes. However, the sales literature has not yet integrated the dimensions of workplace spirituality into its frameworks. Therefore, drawing on existing theoretical foundations, we propose a conceptual framework that illustrates the role of workplace spirituality in selling organizations. We present relevant testable research propositions, guidelines for future research, and implications for practice.     

The Embodied and Contingent Self in Later Life: A Narrative Understanding

This article examines a narrative understanding of identity and discusses its relevance within the sociocultural contingencies of the postmodern age. Providing an historical overview of understandings of the self, Meador traces the lineage of the self from Augustine through contemporary theories of identity. He focuses on the narrative concept of identity, acknowledging the existence of multiple narratives—those that individuals tell about themselves and those told by others. Finally, he explores the transformative potential available within this context for those in their later years.     

Chronic Illness and the Life Cycle:A Conceptual Framework

This article provides a conceptual framework for thinking about the system created at the interface of chronic illness with the family life cycle. First, a psychosocial typology and time phases of illness schema is described as a necessary, preliminary step to create a common language that bridges the worlds of illness, individual, and family development. This schema organizes similarities and differences between diseases in a manner useful to psychosocial-developmental rather than biomedical inquiry. Then, drawing on several major life-cycle theories in the literature, key concepts (periods of transition, life-structure building and maintaining, centripetality, and centrifugality) are used in a complementary fashion to link these three lines of development. Equipped with these psychosocial languages, consideration is given to transgenerational aspects of illness, loss, and crisis, and the interwoven threads of illness, family, and individual development. Clinical vignettes are provided to highlight this conceptual framework.     

A Primer on Celtic Spirituality With Recommendations for Counseling Practice

Research suggests that expressions of Celtic spirituality are widespread among the U.S. populace (e.g., Pew Research Center, 2014; Sullivan, 2016). Adherents vary in their commitment levels, ranging from informal cultural participants to followers of structured forms of the faith tradition (e.g., Celtic Christianity, Wicca, Paganism). The counseling literature provides scant information on this movement and germane approaches to support clients who identify with this spirituality. To respond to this deficiency, we address the topic by contextualizing Celtic spirituality from definitional, historical, and thematic perspectives. Next, we consider implications for spiritually sensitive counseling practice. We include a case study, exemplifying potential adaptive counseling processes and interventions.     

Values,Life Events,and Health: A Study in a Finnish Rural Community

The relationships between individual values (Schwartz, 1992), life events, and psychological symptoms were analyzed in a general population sample from a Finnish rural community. The design was a cross‐sectional survey. Data were gathered in 1993 (n = 174) and 2007 (n = 226). We investigated whether personal values would predict the number of life events. Results showed that openness to change values was positively and conservation values, negatively related to life events (those over which the individual had certain degree of control, e.g. getting a new job) in 1993. As expected, an increase in the importance of conservation values from 1993 to 2007 weakened the association between values and life events so that in 2007, only stimulation values were related to events. Although no consistent direct relations were found between single values and symptoms, we found that the higher the value congruence between individual and group values, the fewer the reported symptoms, for both time points. This research provided evidence suggesting that life events are also related to one's personal value priorities. Copyright © 2012 John Wiley & Sons, Ltd.     

A review of Evidence‐Based Evaluation of Measures for Assessing Social and Emotional Well‐Being in Indigenous Australians

Addressing low levels of social and emotional well‐being (SEWB) in Indigenous communities has been a national strategic priority for over 10 years and yet progress in assessing the impact of interventions has been slow. One of the key factors limiting the development of evidence‐based practice has been the lack of well‐validated instruments to assess SEWB and how it changes over time as a result of intervention. This article systematically reviews available measures, classifying them in terms of the evidence base that exists to support their use. It is concluded that there is an ongoing need to develop psychometrically sound, comprehensive, culturally appropriate measures to operationalise Indigenous SEWB at a population health, programme evaluation, and clinical level. It is suggested that seven pathways be followed to achieve this goal, including the need to recognise that the gold standard status for Indigenous measurement tools cannot be ascribed based on evidence‐based assessment criteria alone.     

Self and Identity in Later Life: Protecting and Enhancing the Self

Self and identity are central concepts in the social and behavioral sciences for multiple reasons. At least three major research traditions focus on the self. First, sociologists view the self as a primary bridge between social structures and individual attitudes and behaviors, as a mechanism by which social structures and individuals affect and are affected by each other. Second, self and identity are viewed as cornerstones of well-being. Thus, social and behavioral scientists have documented important links between the self and physical and mental health, role performance, the quality of interpersonal relationships, and subjective well-being. Third, the self is conceptualized as a central motivating force in human behavior. Issues as diverse as self-selection into specific environments, defense mechanisms, and the desire and ability to break addictive behaviors have been informed by attention to the motivational force of the self. This latter tradition serves as the conceptual bedrock of this paper. This paper examines three components of the self: self-efficacy, self-esteem, and a sense of authenticity. The first two have received substantial theoretical and empirical attention; the latter, much less. I argue that this unequal distribution of scientific inquiry is a result of too much emphasis on the motivation to protect the self, to the neglect of motivation to enhance the self. I make a case for the particular importance of examining self-enhancement in late life.     

Religiousness,social support and subjective well‐being: An exploratory study among adolescents in an Asian atheist country

Few studies have focused on the relationships among religiousness, social support and subjective well‐being in Chinese adolescent populations. This study tries to fill this gap. Using cluster sampling, we selected two groups: Group A, which included 738 Tibetan adolescents with a formal religious affiliation and represented adolescents from a religious culture, and Group B, which included 720 Han adolescents without a religious affiliation and represented adolescents from an irreligious culture. Structural equation modelling showed that only in Group A did social support mediate (partially) the relationship between religious experience and subjective well‐being; furthermore, the results of a hierarchical regression analysis showed that only in Group A did social support moderate the relationship between religious ideology and subjective well‐being. Possible explanations for the discrepancies between the findings obtained in this study and those obtained in previous studies are discussed.     

God,Purpose in Life,and Mental Well‐Being Among Older Adults

This research note uses mixed methods on data from a nationwide sample of 1,525 Americans age 40 and older to make two theoretical contributions to the literatures on purpose and religion. First, by categorizing open‐ended responses to an item asking “Please describe a few of the things, feelings, ideas, etc. that give you a sense of purpose in your life,” we present a categorization framework to group sources of purpose (SPs) in life. Next, we run multivariate models, using mental well‐being as a dependent measure, which simultaneously enter dummy variables reflecting each of the SPs categories within our framework. We hypothesize no relative differences in the effect that any specific source of purpose category would have on mental well‐being. This prediction is undercut by finding a positive link between mental well‐being and a single SP—citing one's “relationship with God”—although this relationship is noted only among respondents age 60 and older. Beyond this research's theoretical contributions, we offer some practical guidance in arguing that research on SPs, particularly when claiming comprehensiveness or examining mental well‐being, should not preclude religious measures and should consider that SPs may have differing effects between age groups.     

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.     

Multidimensional Assessment of Spirituality/Religion in Patients with HIV: Conceptual Framework and Empirical Refinement

A decade ago, an expert panel developed a framework for measuring spirituality/religion in health research (Brief Multidimensional Measure of Religiousness/Spirituality), but empirical testing of this framework has been limited. The purpose of this study was to determine whether responses to items across multiple measures assessing spirituality/religion by 450 patients with HIV replicate this model. We hypothesized a six-factor model underlying a collective of 56 items, but results of confirmatory factor analyses suggested eight dimensions: Meaning/Peace, Tangible Connection to the Divine, Positive Religious Coping, Love/Appreciation, Negative Religious Coping, Positive Congregational Support, Negative Congregational Support, and Cultural Practices. This study corroborates parts of the factor structure underlying the Brief Multidimensional Measure of Religiousness/Spirituality and some recent refinements of the original framework.     

Profiles of Anticipated Support: Religion's Place in the Composition of Americans’ Emotional Support Networks

In this article we analyze the role of religion in the composition of Americans’ networks of anticipated emotional support. Drawing on data from the National Survey of Religion and Family Life, which contains information on multiple sources of potential emotional support, we use latent class analysis to uncover four different anticipated support profiles, which are organized along two dimensions of variation: religiosity and breadth. We label these profiles religious, secular, broad, and limited. Our analyses demonstrate associations between these anticipated support profiles and a person's gender, family status, age, race, socioeconomic status, and religious involvement. For instance, we find that Catholics are more likely than non‐Catholics to have secular rather than religious support profiles, and African Americans tend to have profiles that are either religious or limited. Finally, we show that these profiles have implications for well‐being. We contribute to research on religion and emotional support by describing how religious and secular sources combine into overall anticipated support profiles. Our conclusion addresses the implications of these findings for current scholarship on religion and emotional support networks.     

Finishing the Story: Aging,Spirituality, and the Work of Culture

ABSTRACT

Society projects its death anxiety onto old age and the aging, who are isolated from generative human contact, with no conversation expected. Any shared, common language atrophies. Broken connection becomes a cultural expectation. Society and the aging lose sight of developmental tasks appropriate to old age. We do not seek or foster last careers devoted to finishing the human story, to completing a sense of meaning about life. Such a last career would raise questions about soul-making and invite awe and wonder at life and death. But no one is called to do such work today, so unfinished cultural business accumulates. We should anoint or commission the aging for their last career because of its significance for them and for culture. When the aging take up such last careers and find themselves immediately confronted with the task of life review, they may discover opportunities for repenting, mythologizing, and sacralizing. The work of culture gets done, and gifts to the future are offered by the aging. The broken circle of conversation is closed, re-connections are made, and human communities, including the worlds of the living and the dead, are made whole.     

Cultural Influences in the Aetiological Beliefs of Saudi Arabian Primary Care Patients About Their Symptoms: The Association of Religious and Psychological Beliefs

Objective To develop a self-report questionnaire to measure the beliefs of Arabic primary care patients about the causes of their physical symptoms; to use this to quantify the beliefs of patients consulting their general practitioners (GPs) in Saudi Arabia; and to test whether patients with psychological problems differ from others in their beliefs, particularly religious and supernatural beliefs. Methods Consecutive patients (N = 224) completed a specially developed aetiological beliefs’ questionnaire. Patients were divided into two groups (cases and non-cases of emotional disorder) according to the GHQ-12. Results Religious and supernatural aspects of culture colour patients’ symptom beliefs: that their symptoms were a test or punishment from Allah’ was the most common belief. Even in non-cases, around half the patients also endorsed nerves and stress as a cause of their physical symptoms. Cases were more likely than non-cases to endorse items related to both religious and psychological factors. Conclusion There is no support for the view that Saudi Arabian patients explain symptoms supernaturally as a way of denying psychological factors. GPs and health professionals in Saudi primary care need to understand what patients believe to be the cause of their problems and to appreciate that religious and psychological beliefs are both very common. GPs should address psychological beliefs and concerns even with those patients who present physical symptoms.     

Spirituality in Older Adults: A Cross-Cultural and Interfaith Perspective

The definition of spirituality poses a variety of problems for the development of theory and research, as well as practical problems for persons interested in promoting the spiritual well-being of older adults. Although any definition of spirituality is problematic, a definition is proposed that comes out of the writer's clinical experience and is relevant to his understanding of the aging process in different cultural and religious contexts. Two case studies are presented to illustrate the relevance of the definition to the experience of older persons from different cultural and religious backgrounds. Reflections on the case studies suggest ways that an appropriately trained advocate might have helped the persons in these illustrations make changes in their situations that might have improved the quality of their lives. Material from the case studies is also used to clarify differences among terms such as spirituality, religion, religiosity, and piety. The paper proposes to be a contribution to a theoretical foundation for studying and working with spirituality in older adults.     

Creativity in the Later Life: Factors Associated with the Creativity of the Chinese Elderly

This study examined a total of 140 elderly Chinese from China and the United States to investigate the relationship between attitude toward aging, daily activities, general health, education, and other demographics and rated creativity as measured by collage making and storytelling. The result of this study shows that creativity declines with age. However, education, general health status, daily activities, and the attitude toward aging are also found to be decisive factors of creativity. The implications of the findings are discussed.