Barbados Spiritual Baptists: Social acceptance enhances opportunities for supporting public health

The Spiritual Baptist faith has been present in the Caribbean from about the late nineteenth or early twentieth century. However, the movement only extended to Barbados in 1957 when a Spiritual Baptist preacher, a Barbadian by birth, returned to his native island from Trinidad, where he had been living for several years. The Reverend Granville Williams established the first Spiritual Baptist Church in Barbados and has continued to oversee the church's development since its inception. This article describes the evolution of the church's status over the past 50 years, as seen by both members and non-members of the group, from a marginalized religious group into a settled and accepted denomination. Explication of this transformation phenomenon is also explored through qualitative interviews with Barbadian clergy non-members of the group. The implications of this transformation for the interplay of religion, mental health, and social services in the Caribbean are then discussed.     

Chaplaincy,Cancer, Aged Care and COVID-19

Journal of Religion and Health - Four key topics are explored in this second issue of the Journal of Religion and Health for 2022. Following a condemnation of the Russian invasion of Ukraine, (1)...     

Patients’ expectations for the functional and psychosocial outcomes of orbital decompression surgery for thyroid eye disease: a qualitative study

Patients with appearance-altering conditions may be dissatisfied with the outcomes of reconstructive surgery due to unmet expectations. This study explored patients’ expectations of orbital decompression surgery for thyroid eye disease (TED) and whether these were met. Semi-structured interviews were conducted at two times: (1) in the weeks after patients were listed for decompression surgery and before surgery; (2) up to 12 months after surgery. Thematic analysis was performed for each time point, to identify themes within the data. Fourteen adults with TED were interviewed prior to surgery and five were followed up after surgery. Thematic analyses found: (1) Prior to surgery, patients had formed expectations through online information about the procedure, consultations with physicians, the impact TED had on their lives, and speaking to relevant others. Patients had specific expectations about the procedure, the recovery, post-operative appearance and post-operative vision. (2) After surgery, patients generally felt their appearance and well-being had improved. However, dissatisfaction was linked to unanticipated specific aspects of surgical care, recovery, or appearance. Dissatisfaction can arise from unmet expectations for the outcomes of reconstructive surgery. Physicians should be aware of the processes by which patients form expectations, for example different types and quality of online information. Ensuring that preoperative expectations are realistic could enhance satisfaction after surgery.     

A critical evaluation of coercive persuasion as used in the assessment of cults

An intense controversy regarding new and unpopular religious movements, or cults, continues to involve professionals at the juncture of psychiatry, religion, and the law. As the cults come under increasingly critical scrutiny, the concept most often used for assessing them is that of coercive persuasion. Briefly, such persuasion is seen as a means of psychological manipulation that leaves individuals without the normal control of their own minds. Considering recent pertinent cases and literature, the authors find major weaknesses in this theory. When applied it proves elastic, and it is regularly identified in cults for conduct that, on close examination, is similar to that of established religious groups. The concept of coercive persuasion as a means of thought control fails to pass scientific muster, and it serves poorly as a means of evaluating the connection between alleged harm and the cults. Instead, the authors suggest that a search for an alternative theory might well begin with one based on the individual as competent or not to make a choice regarding religion.     

The Care of the Ultra-Orthodox Jewish Patient

The Ultra-Orthodox Jewish community embraces a system of values and a rigorous behavioral code that are deeply rooted in religious tradition and history. Here we describe some of the unique challenges that stem from the encounter between modern medical practice and the Ultra-Orthodox world. Through examples of clinical and ethical scenarios ranging from prenatal care to end-of-life decisions, we illustrate problems related to observance of age-old practices in a modern hospital setting, balancing acceptance of Divine will with standard risk assessment, reconciliation of patient autonomy with deference to rabbinic authority and fear of stigma associated with mental illness in a traditional society. We also offer a generalizable model where inquiry precedes pre-formulated judgment to help clinicians provide enhanced care for this population.     

Philosophy in the ‘house of stone’: a critical review

Post-colonial African philosophy has emerged as a viable discipline in a number of African countries. In particular, Ghana, Kenya, Uganda, Nigeria and to some extent, Malawi and South Africa, have contributed to the fledging discipline. Although it does not receive prominent coverage, Zimbabwe has witnessed a growing expansion in the teaching of philosophy, as well as in published philosophical reflection. This article provides an overview of the developments of philosophy in Zimbabwe, paying particular attention to the post-colonial period. It surveys the context in which philosophical reflection has taken place in Zimbabwe, alongside highlighting the key themes that have preoccupied practitioners in the field. The article explores some problematic aspects of philosophy in Zimbabwe, and interrogates the possibility (or lack thereof) of locating Zimbabwean philosophy within the broader philosophical traditions such as the analytic and continental traditions.     

Christianity,Family, Students,and COVID-19

Journal of Religion and Health - Four substantial topics are explored in this issue of the Journal of Religion and Health, namely: (1) Christianity, (2) family and faith dynamics, (3) the spiritual...     

Relationship between Trauma and Risky Behavior in Substance-Abusing Parents Involved in a Family Dependency Treatment Court

This exploratory study examined participants in a Family Dependency Treatment Court (FDTC), designed for substance-abusing parents whose children were removed from the home. Twenty-five participants were interviewed one year after FDTC enrollment to assess retrospectively the relationship between trauma history and risky behaviors. Treatment compliance rates were found to be high, and most participants had negative urinalysis results. Qualitative analyses revealed that approximately half of the participants attributed decreases in risky behaviors to the FDTC program. This study increases understanding of the effect of substance abuse and trauma on high-risk behaviors and might help to improve services for substance-abusing parents involved in the child welfare system. Finally, the future success of reducing child abuse and neglect and parental substance use could hinge on the partnership between judicial and substance abuse treatment through FDTCs. Findings from this exploratory pilot study should be replicated with more representative and larger samples.