The Psychospiritual Dynamics of Adult Survivors of Abuse

The authors discuss the challenges of treating adult survivors of physical, emotional, and sexual abuse, and specifically how the relationship with God can psychologically promote healing or maintain an abusive cycle. With this population, it is critical that clinicians understand the dynamic bonding process between abuser and survivor and how this “bonded” relationship is typically transferred to God. The authors detail a theory of psychospiritual bonding between abuser and survivor and survivor and God and provide implications for treatment.     

Spirituality and the Current Adjustment of Adult Survivors of Childhood Sexual Abuse

We explore the role of spirituality in the current adjustment of adult survivors of childhood sexual abuse (CSA). A sample of 101 men and women survivors of CSA completed questionnaires on spirituality (relationship with God or higher power), person factors (blame attributions, self-acceptance, hope), and current adjustment (mood, personal growth, resolution of the abuse). Results indicated that relationship with a benevolent God or higher power is related to the experience of less negative mood and a greater sense of personal growth and resolution of the abuse. Also, relationship with a higher power is related to other person factors such as self-acceptance and hope. Relationship with a benevolent God appears to have an indirect link to depressive mood and resolution of abuse through the mediating pathways of hope and self-acceptance. In contrast, relationship with God appears to have a more direct association to the outcome of personal growth for these survivors .     

The Parent–Child Relationship as an Archetype for the Relationship Between God and Humanity in Genesis

This article explores the idea that the relationship between a parent and developing child may serve as an archetype for understanding the changing relationship between God and humanity in Genesis. With Adam, Abraham, Jacob, and Joseph representing successive stages of human development, the narrative structure of Genesis is said to portray the relationship between God and humanity as changing in a way that parallels a parent's changing relationship with his or her children across their growth toward psychological integration. This changing relationship with God, which starts out with a symbiotic union with the divine, progresses through separation and individuation, and culminates in reintegration with God, may offer a Biblical approach to psychological growth and healing, as well as a theoretical conceptualization for both the parental and mutable nature of God.     

Transference and covenant in pastoral care

Transference raises issues in pastoral care which covenant addresses. Through transference one tames the terrors of life and death. Transference also provides a basis for healing in pastoral relationships. Transference must be managed so that it does not result in idolatry but rather points the helpee beyond attachment to the minister and toward dependence upon God. Covenant provides theological guidance for transcending transference. This covenant involves the pastor-helpee relationship, commitment to God as a third party, and accountability to the covenant community.This article was presented in an earlier version as the Spring Faculty Lecture at Southeastern Baptist Theological Seminary on March 1, 1979.     

Spirituality and Sexual Abuse: Issues and Dilemmas for Survivors

Abstract

Sexual abuse profoundly affects survivors to the extent that they are unable to maintain previously held viewpoints or ways of being, including those relating to their spirituality. Certainly the experience has considerable potential to complicate the spiritual lives of survivors. For Christian survivors, this may include how they perceive and relate to both themselves and God as well as affect participation in sacraments such as eucharist and reconciliation. Spiritual traditions often promote the embracing of silence, but this may be problematic for survivors who have been silenced and unable to give expression to their experiences. Similarly, socialization resulting in beliefs that Christians should always forgive and/or never be angry needs to be overcome. While negotiating these pitfalls may result in explorations of spirituality being even less straightforward for survivors of sexual abuse than it is for others, a transformative spirituality within a Christian framework can be realized.     

Spirituality,Self‐Representations,and Attachment to Parents: A Longitudinal Study of Roman Catholic College Seminarians

The author used an attachment theory framework to explore relationships between early attachment to parents and seminarians' later self‐representations and relationship with God. Attachment to mother was a key variable in predicting seminarians' level of self‐esteem and internalized shame as well as the quality of their relationship with God. This study suggests that a secure relationship with God may, over time, have a moderating effect on low self‐esteem. Furthermore, an individual's style of early attachment to mother may influence the quality of later spiritual experiences in relation to God. Implications for counseling are discussed from the perspective of attachment theory.     

Sources of “relational homes”: a qualitative study of cancer survivors’ perceptions of emotional support

The aim of this article is to shed light on the different ways in which a group of Danish cancer survivors fulfil their need of emotional support. The study comprised participant observation at a Danish cancer rehabilitation centre, individual semi-structured interviews and focus group interviews with course participants. The analytical process combined the inductive approach of interpretative phenomenological analysis with a deductive theoretical strategy. Key concepts from Robert D. Stolorow's existential-phenomenological trauma theory were used as interpretative framework. Findings suggest that cancer survivors’ perception of emotional support is captured by the theoretical concept a “relational home,” understood here as a supportive and caring environment. A relational home may include different dimensions in various situations and contexts, including an existential and metaphysical dimension in which God/a higher power may provide emotional support similar to that obtained in human relationships.     

Good God?!? Lamentations as a Model for Mourning the Loss of the Good God

This article will address the devastating psychological and social effects due to the loss of one's primary love-object, namely God in the case of faith communities and religious individuals. By using Melanie Klein's Object Relations Theory (Klein in Envy and gratitude and other works 1946/1963. The Free Press, New York, 1975a) as a way to enter the text of Lamentations, I will articulate an alternative reading that can serve as a model for Pastors and Educators to use when walking with individuals and communities through unspeakable losses. I will argue that Lamentations may be used as a tool for naming confounding depression and anxiety that stems from a damaged introjected object (one's personal God). This tool may provide individuals and communities a framework for placing anger and contempt upon God in order to re-assimilate this loved yet hated object, eventually leading toward healing and restoration of the self.     

The relationship between forgiveness and history of suicide attempt

The sentiment of forgiveness in relationship to suicide attempts/completions has been mostly examined through studies of suicide notes and the experiences of survivors and therapists – not attempters. In a cross-sectional sample of 304 consecutive primary care patients, we examined sentiments about forgiveness using the Forgiveness Scale, comparing those individuals with versus without past suicide attempts. According to findings, individuals with past suicide attempts (N?=?55; 19.1%) evidenced significantly lower composite scores on the Forgiveness Scale. As for individual items, compared to participants without past suicide attempts, those with past suicide attempts were significantly less believing of forgiveness by others, were less likely to forgive themselves, and to a lesser degree, were less forgiving of others. There were no between-group differences with regard to confession of wrongdoing or existential forgiveness by God. Findings may offer some salient avenues of therapeutic inquiry and endeavour in the psychological healing of individuals with past suicide attempts.     

Growth: A Journey from Experience to Higher Perception Among Iranian Muslim CPR Survivors

Several studies have been conducted among cardiopulmonary resuscitation (CPR) survivors. Some studies have shown that positive and negative experiences coexist. Emotional distress and psychopathology in CPR survivors are related to the urgent need to make growth. Understanding the meaning of CPR survivors’ lived experiences of growth may facilitate their growth. The aim of the study was to illuminate the meaning of CPR survivor’s lived experiences of growth in southeast Iran. A qualitative design using a phenomenological hermeneutic approach influenced by Ricoeur was used in 12 CPR survivors. Three main themes emerged including: (1) opening up a new horizon in the meaning of life, (2) opening up a new horizon in the meaning of interpersonal connections and (3) opening up a new horizon in the meaning of God and spirituality. The interpreted comprehensive understanding conveyed a meaning that CPR survivors’ experience of growth seems to be like opening the doors of perception to the higher reality. The finding may assist other CPR survivors to learn from participants in this study. Exposure to suitable narratives under health care provider supervision could develop profound learning. Training sessions with an emphasis on meditation education and how to use connecting to God in the adaptation process may approve the quality of life of CPR survivors.

     

Integrating Religious Resources Within a General Model of Stress and Coping: Long-Term Adjustment to Breast Cancer

The purpose of the present cross-sectional study was to explore the role of religious resources in long-term adjustment to breast cancer. A sample of fifty-two survivors was assessed on indices of religious resources (e.g., image of God), nonreligious resources (e.g., cognitive appraisal) and emotional and spiritual well-being. Results indicated that both relationship with God/God image and religious coping behaviour were related to the nonreligious mediator variables of cognitive appraisal and coping in response to the current cancer situation. Various experiences of relationship with God (e.g., Presence) were related to more positive appraisals of the current cancer situation as well as to the greater use of the nonreligious coping behaviour of focusing on the positive. In contrast, religious coping behaviours demonstrated more complex associations with cognitive appraisal and nonreligious coping factors. The same coping behaviour, for example religious avoidance, could be related to both positive and negative appraisals of the cancer situation. Finally, religious resources, but not nonreligious resources predicted emotional and spiritual well-being for these long-term breast cancer survivors.     

Illness theodicies in the New Testament

The New Testament writers advocate or at least mention six different religious explanations for the origin of sickness. First, Satan may thus victimize the innocent. Second, God may send sickness as a punishment for the sufferer's sins. Third, God may send sickness to punish one's parents' sins. Fourth, God may so punish one's own sins committed in a previous life. Fifth, God may inflict illness in order to show his power by subsequent healing. Sixth, God may inflict illness in order to show his power by sustaining the sufferer through the illness instead of healing it.     

Integrating Divine Attachment Theory and the Enneagram to Help Clients of Abuse Heal in Their Images of Self,Others, and God

For victims of childhood abuse, healing their unconscious images of themselves, others, and God is of utmost importance in therapeutic work. Addressing the healing from both a scientific and a spiritual-contemplative approach is ideal in the context of spiritually integrated psychotherapy. Combining the frameworks of divine attachment theory and the Enneagram can help abused clients on their journey towards holistic healing in a way that addresses both the scientific and soulful dimensions of their deep unconscious wounds. This integration has the potential to heal multiple aspects of wounding, including unconscious images of clients, their offenders, and God. It also has the potential to dignify clients by showing how their unique God-given personality has a finite correspondence to God’s very own infinite personality and by outlining potential points of existential connection between aspects of their personality traits and the personality traits of the eternal God. Finally, clients can also grow in empathy and compassion for their abusers, which will help in the process of forgiveness.     

Spirituality,health care,and bioethics

This article explores the relationship of spirituality to health care and bioethics in terms of the need and efforts of people to make sense of their lives in the face of illness, injury, or impending death. Moving beyond earlier associations with specific religious traditions, spirituality has come to designate the way in which people can integrate their experiences with their sense of ultimate meaning and related values. The holistic model of health care also affirms that one should not simply treat a body in pain, but respond to the suffering of the whole person within his or her full life. A narrative emphasis in ethics also maintains that ethical decisions occur within the framework of interacting life-stories, each of which embodies a certain core vision and set of values. In each instance it is the life stories of people, their lived narratives, that provide a common thread. The telling of these stories and the discernment of the lived spirituality they contain may assist persons in the process of achieving understanding, making decisions, and finding purpose in the experience of illness, injury, or disability.Maureen Muldoon, Ph.D., is Associate Professor in the Department of Religious Studies, University of Windsor, Windsor, Ontario, and Norman King, Ph.D., is Professor in the same department.     

Two Biblical Motifs of Divine Violence as Resources for Meaning-Making in Engaging Self-Blame and Rage after Traumatization

This theoretical essay addresses issues related to employing spiritually integrated therapeutic dialogue with trauma survivors for whom the Bible is a significant source of meaning-making. The discussion focuses on two common biblical motifs that involve violent depictions of God: one that construes the suffering of God’s people as divine punishment and one that imagines divine violence as a consequence enacted upon those who violate God’s people. It is argued that these motifs can function as symbolic representations with a capacity to facilitate interpretation of traumatic experience in an adaptive manner. Psychological insights into the effects of trauma, and recovery from those effects, reveal an adaptive functionality for biblical motifs that depict the subject’s suffering as divine punishment and that imagine divine violence being carried out upon those who violate the subject. Understanding that functionality, in turn, offers a resource for engaging in spiritually integrated therapeutic dialogue with trauma survivors.     

Issues and Insights: Working With God: Managing Conservative Christian Beliefs That May Interfere With Counseling

Counselors who work with conservative Christians may ask how to respect a client's values when “God” seems to be saying something contrary to what the counselor believes is in the client's best interests. In a managed care era of decreasing choice about one's counselor, referral of such clients to a conservative Christian counselor is not always an option. “Working with God” when counseling conservative Christian clients requires counselors to understand conservative Christian beliefs. This article portrays conservative Christianity as a culture and articulates conservative Christian beliefs that may challenge the counseling process, suggesting options within the framework of these beliefs.     

A Theology of the Cross for South Africa

This article seeks to investigate in what ways the Lutheran theologia crucis - when brought into dialogue with the South African historical-political context - can be of epistemological as well as pastoral significance for the people of South Africa. South Africa is a nation in the process of coming to terms with a traumatic past of violence, oppression, suffering and injustice. In order for healing and reconciliation to occur, people must find some kind of meaning in the story of the past, and indeed must find the seeds of hope and new beginnings in this story. This article argues that the story of South Africa can be likened to a story of the cross, and that the God of South Africans can be identified as the God of the cross, the Deus absconditus who is mysteriously and paradoxically revealed in suffering and injustice. In identifying the God of the cross as their God, and seeing their story as a story of the cross, South Africans may also anticipate theirs to be(come) a story of the resurrection and of new life.     

The value of observing an autopsy in clergy and pastoral care education

The value of observing an autopsy for clergy and students training to provide pastoral care is that it raises consciousness about death and dying, assists in the participants' healing from loss, provides resources for ministering to the bereaved, builds a network with other professionals responding to death and dying, and evokes viscerally-generated insights into theological questions concerning body and soul, life after death, and concepts of God in relation to death and bereavement.     

Survivor Insight: A Study of Family,Friend, and Community Response to Interpersonal Violence

The purpose of this study was to examine the perspectives of survivors of trauma concerning their family, friend, and community responses to their trauma. Using a community-based, participatory action framework, a measure was developed and distributed to 351 randomly drawn survivors of interpersonal violence. The majority of participants indicated that they were never or rarely helped or protected at the time they first experienced the trauma. Several significant correlations were found between participants’ perceptions of their own healing and the responses of people in their lives. Many respondents also indicated that people do not know how to help survivors heal and that the general public does not understand how trauma affects people. The results are discussed within the framework of developing supports for trauma survivors that include trauma-informed family, friends, and community. Questions for further research and implications for professional practice and trauma-informed communities are discussed.