Spirituality in MFT Training: Development of the Spiritual Issues in Supervision Scale

As spirituality moves increasingly to the forefront of the body of marriage and family therapy (MFT) literature, many clinicians still find it uncomfortable or difficult to address spirituality in therapy. This study presents a new measure—the Spiritual Issues in Supervision Scale (SISS)—that examines supervisees' perceptions of the degree to which spirituality is addressed in supervision. Researchers distributed the SISS to mental health professionals around the United States who either were receiving supervision currently or had received supervision recently from professionals in their fields or programs. Results indicated that the new instrument has evidence of reliability and validity.     

Examining Spirituality Over Time: Latent Growth Curve and Individual Growth Curve Analyses

SUMMARY

Research on spirituality and religiousness has gained growing attention in recent years; however, most studies have used cross-sectional designs. As research on this topic evolves, there has been increasing recognition of the need to examine these constructs and their effects through the use of longitudinal designs. Beyond repeated-measures ANOVA and OLS regression models, what tools are available to examine these constructs over time? The purpose of this paper is to provide an overview of two cutting-edge statistical techniques that will facilitate longitudinal investigations of spirituality and religiousness: latent growth curve analysis using structural equation modeling (SEM) and individual growth curve models. The SEM growth curve approach examines change at the group level, with change over time expressed as a single latent growth factor. In contrast, individual growth curve models consider longitudinal change at the level of the person. While similar results may be obtained using either method, researchers may opt for one over the other due to the strengths and weaknesses associated with these methods. Examples of applications of both approaches to longitudinal studies of spirituality and religiousness are presented and discussed, along with design and data considerations when employing these modeling techniques.     

Perceptions of Spirituality and Spiritual Care in Occupational Therapy Practice

Occupational therapists view human occupation as active engagement in that which brings meaning to the life of the patient. Spirituality is understood to be one important construct in the creation of meaning in the lives of human beings. This study examined the attitudes toward the use of spiritual care in occupational therapy. The study sample consisted of 310 occupational therapists. Data were collected through the use of a secure web-based survey tool. Analysis was conducted to determine the significance of relationships between several important constructs (e.g., education, theory base, definition of spirituality) and perceptions regarding the use of spiritual care.     

Guidelines to Integrate Spirituality and Spiritual Care in Occupational Therapy Education: A Modified Delphi Study

This modified Delphi study aimed to develop educational guidelines for integrating spirituality and spiritual care into occupational therapy education. The first round comprised a self-administered questionnaire, the second round used a face-to-face workshop, and last round reviewed the developed educational guidelines, which reached the highest agreement and median values greater than 3.25. A panel of 18 comprised occupational therapy educators, clinicians, and nursing experts were recruited. A total of 126 out of 142 items reached the highest agreements from the panel participants, categorized based on the content knowledge-based, importance, skills, ethics, pedagogical approaches, teaching and learning strategies, and assessment of student learning.     

Exploring the Meaning of Spirituality and Spiritual Care in Chinese Contexts: A Scoping Review

Journal of Religion and Health - Spirituality is recognised as a fundamental aspect of health and nursing care. Yet, there are few studies exploring how this concept may be understood outside of...     

The Role of Spirituality in Counseling: Four Theoretical Orientations

Pastoral care and counseling is emerging as an effective and respected practice within the theological, psychological, and counseling professions. However, a survey of contemporary literature reveals a need to demonstrate the role of spirituality in the specific theoretical orientations of psychology and counseling. This article will provide a basic overview and discuss the role of spirituality in each of the four primary psychological theories: psychodynamic, existential/phenomenological, behavioral, and cognitive.     

Diversity and Dance: Exploring the Therapeutic Implications of World Dance

This phenomenological study examined the potential power of world dance as a therapeutic tool. The lived experiences of adult females (N = 16) were explored to understand the purposive essence of dance and subsequent benefits to mental health. Findings revealed 15 themes in total: 11 themes highlighted potential benefits of world dance, such as social support and stress relief, and four themes noted potential obstacles to using world dance as a therapeutic tool, such as access or finances. Implications for using world dance within creative counseling practice are provided.     

Entering the Sacred: Using Motivational Interviewing to Address Spirituality in Counseling

Despite the salience of spirituality in the lives of many clients, counselors are often hesitant to explore spiritual issues in counseling, largely out of a valid concern of imposing values on the client. Motivational interviewing provides a framework within which a counselor can both assess spirituality and facilitate client exploration of spiritual issues without fear of imposing values.     

Aging in Grace: The Spiritual Journey of Henri Nouwen

Henri Nouwen (1932–1996), author of The Wounded Healer and dozens of other books, is best known for his religious meditations and his guides to spiritual development. The Dutch-born priest was also a pioneering religious gerontologist. Early on, Nouwen recognized that the joys and vicissitudes of aging were a relatively unexplored pathway to maturity. This article explores Nouwen's increasing sophistication and candor as he probed the dimensions of aging—his own inner torments and hopes, his relationships with others (particularly his father), and his acceptance of life's finitude. The author, who considers Nouwen a mentor, insinuates his own voice into the conversation to highlight the paradoxical extent to which the particular markers of one's journey define a life ultimately give way to an identity grounded in the commonalities of human existence.     

Spiritual resilience: Understanding the protection and promotion of well-being in the later life

Spirituality is important to a large percentage of the older adult population and serves as a key factor of resilience. Using qualitative research, we conducted and analyzed interviews with 64 participants willing to discuss their experiences with adversity. Participants ranged in age from 52 to 93 with a mean age of 74. For the purposes of this study, we analyzed 46 of the 64 interviews, selecting participants who indicated that spirituality was an important resource for managing hardship. The researchers examined the connections between spirituality and resilience. Using in-depth interviews, we explored the interplay between spirituality and resilience and the importance spirituality plays in dealing with adversity and hardship. A grounded theory analysis of the 46 interviews was performed. Major findings include participants’ use of spirituality as a tool to promote and maintain resilience in late life in five key domains: reliance on relationships, spiritual transformation, spiritual coping, power of belief, and commitment to spiritual values and practices. Results are presented as an interpretation of the participants’ perceptions of their spirituality, and indicate their reliance on spirituality to overcome hardship. In addition, we discuss the connections between spirituality and resilience and how these connections play out in the lives of older adults when considering their generational and cohort status. The roles these two constructs play in the lives of older adults are considered.     

Developing the Good Physician: Spirituality affects the development of virtues and moral intuitions in medical students

The Project on the Good Physician is a national longitudinal study of moral and professional formation of American physicians over the course of medical training. The purpose of this paper is to examine the processes by which spirituality influences the development of three virtues (mindfulness, empathic compassion, and generosity) in medical students as mediated by the moral intuition to care/harm, as well as make predictions as to how this type of study could be generalizable to other populations. Study participants were 563 medical students recruited by the University of Chicago from 24 medical schools across the U.S. (54.7% male, 57% white) who completed measures assessing virtue formation 9 months apart. Path analysis of a cascade model showed that spirituality (but not religiousness) was directly and indirectly related to change in the virtue empathic compassion, and also indirectly related to change in the virtue generosity. Moreover, the moral intuition to care/harm partially mediated the association between spirituality and the virtues of empathic compassion and generosity (but not mindfulness).     

Journeys With People Who Have Dementia: Connecting and Finding Meaning in the Journey

This article begins with a reflective journey with one person who was diagnosed with early onset dementia. It then turns to reflect on the subsequent journey of research with other people who have dementia and where they find meaning in life, through the process of spiritual reminiscence. The article views dementia through a theological lens that sees those who have dementia as people made in God’s image and the implications this has for the lives of those living with dementia and those who care for them. One of the important findings from research conducted in the small group process was that meaning was almost synonymous with relationship and connectedness for participants, just as it is for people who don’t have dementia.     

Changes in the Social Responsibility Attitudes of Engineering Students Over Time

This research explored how engineering student views of their responsibility toward helping individuals and society through their profession, so-called social responsibility, change over time. A survey instrument was administered to students initially primarily in their first year, senior year, or graduate studies majoring in mechanical, civil, or environmental engineering at five institutions in September 2012, April 2013, and March 2014. The majority of the students (57 %) did not change significantly in their social responsibility attitudes, but 23 % decreased and 20 % increased. The students who increased, decreased, or remained the same in their social responsibility attitudes over time did not differ significantly in terms of gender, academic rank, or major. Some differences were found between institutions. Students who decreased in social responsibility initially possessed more positive social responsibility attitudes, were less likely to indicate that college courses impacted their views of social responsibility, and were more likely to have decreased in the frequency that they participated in volunteer activities, compared to students who did not change or increased their social responsibility. Although the large percentage of engineering students who decreased their social responsibility during college was disappointing, it is encouraging that courses and participation in volunteer activities may combat this trend.     

My Soul to Take: A Phenomenology of the Struggle for an Authentic Gay Spirituality

This phenomenological study explored the “coming‐out” experience of 7 gay men who were significantly influenced by conservative Christianity in their formative years and who are living as “out” gay men. Four commonalities were revealed in their experience of this phenomenon: (a) a realization and acceptance of their gay identity, (b) a reckoning that action was required, (c) a rejection of the oppressive religious authority in their lives, and (d) a reorientation in their pursuit of a healthy spirituality. The study includes a review of the relevant literature and recommendations to counselors in addressing the unique needs of spiritually oriented lesbian, gay, bisexual, transgender, and questioning individuals.     

Spirituality and Trauma: The Role of Clergy in the Treatment of Posttraumatic Stress Disorder

An increased awareness of the spiritual aspects of health and illness has recently led to changes in psychiatry residency training as well as hospital accreditation requirements. The spiritual impact of trauma has been an area of particular interest, as trauma evokes certain existential questions and crises. It is estimated that from 5–11% of trauma survivors will go on to develop posttraumatic stress disorder (PTSD). Given the spiritual challenges of the experience of trauma, patients with PTSD could benefit from spiritual assessment and intervention as part of their overall treatment plan, and clergy can be utilized to perform this. The literature exploring the spiritual impact of trauma and the use of clergy in the treatment of trauma survivors is reviewed. The methods used by three chaplains in a residential treatment program for PTSD at one facility are described and discussed. Both the literature and the experiences of the clergy suggest that exploration of trauma-related existential conflicts in patients with PTSD is beneficial. However, there is a notable dearth of controlled scientific studies evaluating the effectiveness of spiritual interventions with this treatment population. The need for controlled studies to verify the usefulness of spiritual assessment and intervention in patients with PTSD is noted, and a more rigorous analysis of how clergy can best serve this treatment population is encouraged.     

Sources of renewal: A qualitative study on the experience and role of leisure in the life of counsellors and psychologists

The purpose of this study was to investigate the experience and role of leisure in the lives of practicing counsellors and psychologists. Qualitative methods involving semi-structured interviews were employed with ten participants, between the ages of 39–55. The findings of the study revealed that: (a) leisure improves the ability of counsellors and psychologists to cope with and improve performance at work, (b) attitude plays an important role in experiencing true leisure, (c) true leisure moments are often described in similar terms as spiritual moments, (d) leisure facilitates meaningful connections with others, (e) leisure in nature facilitates receptivity to spiritual experience, (f) one's choices of leisure and ways of approaching it reveal much about who the person is, and, (g) leisure is a major factor in promoting balance and integration.     

Doctrinal Drift,Dance or Development: How Truth Takes Time in the Life of Communion

In recent ecclesiology, which highlights the value of diversity and dialogue and the difficulty of resolving complex issues, the concept of doctrinal development is sometimes reduced merely to the notion that we cannot be sure of things we once thought we knew. While affirming the need for ecclesial humility and uncertainty, the article insists that a truly questioning church is one that also has hope of arriving, eventually, at answers to history's new questions. Passages from Scripture, Augustine and J.H. Newman are used to show that in recent ecclesiological statements of the Anglican Primates, the World Council of Churches and the Catholic theologian Stan Chu Ilo commenting on the 2014–15 Synods on the Family, an imbalanced vision of a church of only questions – prone to doctrinal drift or ‘dance’ – has supplanted a proper vision of a church of both questions and answers, in which authentic development of doctrine is possible.