Indian Health Care Professionals’ Attitude Towards Spiritual Healing and Its Role in Alleviating Stigma of Psychiatric Services

Persons with mental illnesses in India and rest of developing world continue to consult religious/spiritual (R/S) healers or traditional, complementary and alternative medicine (TCAM) professionals prior to seeking psychiatric services that are devoid of spiritual components of care. We aim to understand TCAM and allopathic professionals’ perspectives on patients’ R/S needs within mental health services, cross-sectional study was conducted at five TCAM and two allopathic tertiary care hospitals in three different Indian states; 393 participants completed RSMPP, a self-administered, semi-structured survey questionnaire. Perspectives of TCAM and allopathic health professionals on role of spirituality in mental health care were compared. Substantial percentage, 43.7 % TCAM and 41.3 % allopathic, of participants believe that their patients approach R/S or TCAM practitioners for severe mental illness; 91.2 % of TCAM and 69.7 % of allopaths were satisfied with R/S healers (p = 0.0019). Furthermore, 91.1 % TCAM and 73.1 % allopaths (p = 0.000) believe that mental health stigma can be minimized by integrating with spiritual care services. Overall, 87 % of TCAM and 73 % of allopaths agreed to primary criterion variable: ‘spiritual healing is beneficial and complementary to psychiatric care.’ A quarter of allopaths (24.4 %) and 38 % of TCAM physicians reportedly cross-refer their grieving patients to religious/TCAM healer and psychiatrist/psychologist, respectively; on logistic regression, significant (p < 0.05) predictors were clinical interactions/references to r/s healers. Providing spiritual care within the setup of psychiatric institution will not only complement psychiatric care but also alleviate stigma against mental health services. Implications on developing spiritual care services like clinical chaplaincy are discussed.     

Referrals to chaplains: The role of religion and spirituality in healthcare settings

Given the increasing importance of understanding how healthcare workers interact with the principal person designated to meet patients’ spiritual needs— the chaplain— the current study provides an inter-disciplinary perspective of the role of chaplains (and spirituality) in patients’ emotional, physical, and spiritual health. The study surveyed a randomly selected national sample of hospital directors in four disciplines: medicine (n?=?278), nursing (n?=?230), social services (n?=?229), and pastoral care (n?=?470). Participants rated the importance of referring patients to chaplains for four different areas: pain/depression, anxiety/anger, treatment issues, and loss/death/meaning. Results revealed significant differences in referral patterns for type of hospital, professional discipline, the hospital's religious affiliation, and self-reported spirituality. Results are discussed in relation to historical views of spirituality and religion within the different disciplines.     

On the relationship between visual imagery and visual perception: Evidence from priming studies

Two priming experiments using a perceptual identification task were conducted to explore the functional and representational overlap between visual imagery and visual perception. The first experiment included a study phase in which primes were either perceived or imaged objects and a perceptual identification test task in which targets were parts of studied and non-studied objects. Imagery primed identification when subjects were instructed to count the parts of the imaged objects in the study phase but not when they were instructed to focus on the global shape of the imaged objects. This result suggests that imagery involves perceptual representations identical to those involved in perception. It also suggests that the representational overlap between imagery and perception depends on the type of images generated, as some images may consist in global shapes only, whereas others may consist in detailed, multi-part shapes. In the second experiment, we used whole objects as target stimuli which provided subjects with more information to identify masked targets and thereby reduced top-down processing. Priming from imagery fell beneath significance, suggesting that this sort of priming is elicited in a large part by a transfer of top-down processes from study to test.     

Extending Role Congruity Theory of Prejudice to Men and Women With Sex-Typed Mental Illnesses

We tested role congruity theory, which states that prejudice arises from an incongruity between group stereotypes and role characteristics, by assessing prejudice toward men and women with a masculine or feminine mental illness. Across two studies, participants acting as a vocational counselor rated the suitability of each target individual in each role. Men and individuals with a masculine sex-typed illness were more suitable for agentic roles, whereas women and individuals with a feminine sex-typed illness were more suitable for communal roles. In addition, sex and mental illness sex-type were better predictors of prejudice than evaluations of the group.     

英国本科医学教育培养目标的嬗变——基于《明日的医生》报告的解读

英国医学总会在1993年、2003年和2009年先后出版了三份《明日的医生》报告,为本科医学教育提供了综合性框架,指导本科医学课程设计和评价体系的形成.从知识、技能、医学伦理和职业道德三个层面,比较英国本科医学教育人才培养目标的嬗变,发现其要求不断趋于全面、细化、深入.并进一步分析了政治、多元文化、国家医疗政策、医学领域自身及医学教育内部等诸因素对英国本科医学教育的影响,以期为我国的本科医学教育提供借鉴.     

Episcopal Measure of Faith Tradition: A Context-Specific Approach to Measuring Religiousness

Precise measurement of religiousness remains a vexing problem. In addition to relying almost exclusively on self-report, existing measures of religiousness pay little attention to the specific context of religious belief, and this may override distinctive norms of particular faith traditions and potentially confound the conclusions drawn from such research. To address these limitations, the authors describe a modified form of narrative content analysis that could eventually sort respondents into distinct theological traditions. A pilot test among Episcopalians demonstrates encouraging reliability (kappa 0.74, 95% LCI 0.47, P < 0.0002), and tests for convergent and discriminate validity suggest that the context of religious belief is both relevant and insufficiently assessed by the existing paradigm of religious measurements. If validated in a religiously diverse sample, this approach could be combined with existing, context-free measures of religiousness to generate more meaningful findings.     

Typologies of Religiousness/Spirituality: Implications for Health and Well-Being

The purpose of this study was to develop empirically based typologies of religiousness/spirituality (R/S) and to determine whether the typologies were related to health and well-being. The study used a nationally representative sample of adults (N = 1,431). Using latent profile analysis, typologies were derived based on religious service attendance, prayer, positive religious coping, and daily spiritual experiences. Multivariate statistical tests were used to examine cluster differences in health and well-being. A four-class model was identified: highly religious, moderately religious, somewhat religious, and minimally religious or non-religious. The four classes were distinctively different in psychological well-being, in that the highly religious class was most likely to be happy and satisfied with finances and least likely to be psychologically distressed.     

Mental Disorders, Religion and Spirituality 1990 to 2010: A Systematic Evidence-Based Review

Religion/spirituality has been increasingly examined in medical research during the past two decades. Despite the increasing number of published studies, a systematic evidence-based review of the available data in the field of psychiatry has not been done during the last 20 years. The literature was searched using PubMed (1990–2010). We examined original research on religion, religiosity, spirituality, and related terms published in the top 25 % of psychiatry and neurology journals according to the ISI journals citation index 2010. Most studies focused on religion or religiosity and only 7 % involved interventions. Among the 43 publications that met these criteria, thirty-one (72.1 %) found a relationship between level of religious/spiritual involvement and less mental disorder (positive), eight (18.6 %) found mixed results (positive and negative), and two (4.7 %) reported more mental disorder (negative). All studies on dementia, suicide, and stress-related disorders found a positive association, as well as 79 and 67 % of the papers on depression and substance abuse, respectively. In contrast, findings from the few studies in schizophrenia were mixed, and in bipolar disorder, indicated no association or a negative one. There is good evidence that religious involvement is correlated with better mental health in the areas of depression, substance abuse, and suicide; some evidence in stress-related disorders and dementia; insufficient evidence in bipolar disorder and schizophrenia, and no data in many other mental disorders.     

Psychometric Properties of the Persian Version of the Duke University Religion Index (DUREL): A Study on Muslims

The aim of this study was translation and validation of the Duke University Religion Index in Iranian Muslims. The study was performed in two stages. In the first stage, 1,762 college students from Qazvin city with an average age of 21.2 years participated in the study. In the second phase, 796 college students with an average age of 23.7 were recruited from Tehran. A demographic questionnaire, Santa Clara Strength Faith questionnaire (SCSORF), and Duke Religion Index (DUREL) were administered. Cultural adaptation of these measures was performed by a forward–backward translation technique. Test–retest reliability and intraclass correlation coefficients (ICC) were used for assessing reliability. Convergent validity was measured by Spearman correlation between DUREL and SCSORF. Explanatory and confirmatory factor analyses (EFA and CFA) evaluated the factor structure. Results showed that the scale is reliable. Cronbach’s alpha ranged from 0.866 to 0.921 and ICC ranged from 0.937 to 0.991. Correlations between DUREL and SCSORF were also strong (ranging from 0.62 to 0.79). Results obtained from CFA and EFA confirmed one-dimension for the DUREL. Thus, the DUREL appears to be a proper measure for assessing religiosity among Iranian Muslims. Further testing of the scale among minorities and those with special health-related conditions is suggested.     

儿童社会认识论:儿童对信息提供者的选择性信任

个体掌握的知识很多来自于他人的传授。从4岁起,儿童就意识到不同的信息提供者在可靠性上存在差异。他们根据与提供者间的熟悉程度、提供者过往陈词的准确性、以及来自他人的线索等策略对于信息提供者的可靠性进行评估,从而决定谁更值得信任。未来关于儿童对于信息提供者选择性信任的研究应从扩展探究的知识领域、对于信息提供者其他特征的操纵、以及潜在文化差异检验等方面进行。