Spiritual Health and Outcomes in Muslim ICU Patients: A Nationwide Cross-Sectional Study

The aim of the present study is to describe how religiosity and spirituality affect the psychiatric morbidity of Muslim intensive care unit (ICU) patients. We conducted a prospective nationwide cross-sectional study of ICU patients discharged from 45 medical centers spanning 31 proivinces in Iran. Adults (age ≥ 18 years) admitted to the ICU and treated with invasive mechanical ventilation were eligible. Nine validated survey tools were administered to detect direct and indirect associations between spiritual health (SH) and depression, anxiety, and post-traumatic disorder. The Hospital Anxiety and Depression Scale (HADS), Impact of Event Scale—Revised (IES-R), Post-Traumatic Stress Syndrome 14 question (PTSS-14) quality-of-life (QoL), and quality of patient to physician or nurse communication (PP-QoC and PN-QoC) scales were modeled through two mediators by structural equation modeling (SEM). Sex, ICU type, LOS, and APACHE II score were added in the independent variable list. 338 eligible patients were discharged from the ICUs during the study period. 56 were excluded (clinical status), and 282 were administered the survey. 278 returned it, with 272 complete and 6 partial responses. SH displayed no direct or indirect association to QoL. SH was indirectly associated with decreased depression and anxiety (B = ? 0.081, p < 0.05) via PP-QoC mediator. Both direct and indirect positive associations were observed between SH and IES-R (B = 0.293, p < 0.05; via PP-QoC) and PTSS-14 scores (B = 0.267, p < 0.001; via PP-QoC). Medical ICU location was associated with decreased PTSS-14 scores via the same mediator. In this survey of Muslim ICU patients treated with invasive mechanical ventilation, SH correlated with decreased depression and anxiety, but paradoxically increased post-traumatic stress. The most influential mediator was patient–physician quality-of-communication.     

Two facets of self-knowledge: cross-cultural development of measures in Iran and the United States

Self-knowledge is an ideal not only within psychological theory and practice but also within the religious and philosophical foundations of many cultures. In 6 studies conducted in Iran and the United States, the authors sought to construct and to validate scales for measuring two facets of self-knowledge. Experiential self-knowledge was defined as an ongoing sensitivity to the self in the present. Reflective self-knowledge was described in terms of personal efforts to integrate experience within self-schemas developed in the past. Thirteen-item experiential self-knowledge and reflective self-knowledge scales were created by the authors using samples of Iranian and American university students. A confirmatory factor analysis verified this 2-factor structure in a second study, and these results were replicated in a 3rd study. Correlations with a broad array of self-report variables established the two scales as valid measures of adjustment. Both displayed adequate test-retest reliability. Correlations with peer reports suggested that the two factors had behavioral implications in both cultures. Reflective self-knowledge proved to be as important as educational abilities in predicting the academic performance of Americans who were motivated to attend class. Experiential self-knowledge and reflective self-knowledge also interacted to predict better grades. In short, the experiential self-knowledge and reflective self-knowledge scales operationalized cross-cultural personality processes that deserve additional research attention.     

Revolutions, Samurai, and Reductons: The Parodoxes of Change and Continuity in Iran and Japan

This paper assesses policies for managing cultural diversity in Iran and Japan, with particular focus on the treatment of women as a cultural minority. Following social reducton theory, the distinction between rates of cultural change at macro- and microlevels is highlighted. It is argued that macro political and economic changes have taken place fairly rapidly, but micro changes in everyday social practices have changed much more slowly. The latter, it is argued, are structured by social reducton systems, which can act to slow down societal change. This insight is used to cast light on the situation of women and other minorities in North America.     

ATTITUDES AND BEHAVIOR TOWARD HUMAN RIGHTS ACROSS DIFFERENT CONTEXTS: THE ROLE OF RIGHT-WING AUTHORITARIANISM,POLITICAL IDEOLOGY,AND RELIGIOSITY*

Three studies were carried out to examine attitudes and behavior toward human rights. ‘Universal’ human rights implies that there should be cross-situational consistency in attitudes and behavior toward human rights. An alternative interpretation is that attitudes and behavior toward human rights may shift across contexts, as a function of ideology. We reasoned that Canadian subjects would be more critical of the human rights records of Soviet and the Third World societies, and thus show stronger support for human rights in these than in Canadian society. Hypothesis two predicted that right-wing political ideology and support for human rights would be negatively correlated in contexts Canada and Third World, but not in the Soviet context; hypothesis three predicted the same pattern of associations between religiosity and support for human rights. Hypothesis four predicted that authoritarians, because of their fundamental opposition to individual liberties, would oppose human rights in all contexts. Study 1 involved 155 students expressing attitudes toward a range of human rights issues. Study 2 involved 74 Pro-Life supporters expressing attitudes on human rights, as well as on abortion. Study 3 involved a behavioral measure of support for human rights among 450 students. The findings generally supported hypotheses one and four, and provided some support for hypotheses two and three. The results seem to provide further evidence of an association between ideology and moral reasoning.     

Afterlife Motivation Scale: Correlations With Maladjustment and Incremental Validity in Iranian Muslims

In a previous study of Iranian Muslims, two scales measuring religious commitments based on a desire to avoid hell and to reach heaven predicted maladjustment. The responding of Iranian university students in this investigation revealed that these two forms of desire could be reduced to a single factor that was adequately operationalized in a brief six-item instrument. This Afterlife Motivation Scale displayed strong internal consistency and correlated positively with the extrinsic personal, extrinsic social, and intrinsic religious orientations and with nearness to God, depression, anxiety, and death anxiety. Multiple regression analyses indicated that this scale recorded a specific form of religious psychological functioning that could not be reduced to more general intrinsic and extrinsic forms of religiousness. This brief instrument could be useful in future efforts to better understand one way in which heaven and hell might be meaningful for Iranian and perhaps other Muslims and for followers of other religious traditions.     

Diversity and Complexity of Religion and Spirituality in Iran: Relationships With Self-Compassion and Self-Forgiveness

This study examined religious-spiritual types in Iran by comparing seminary and university students on self-compassion, self-forgiveness, and other measures of religious and psychological functioning. Islamic seminarians (N = 198) more frequently self-identified as both religious and spiritual or as religious only. University students (N = 302) more commonly described themselves as spiritual only or as neither spiritual nor religious. The both religious and spiritual type was highest in religious commitment, self-compassion, and psychological adjustment, with the neither religious nor spiritual type tending to score lowest. The religious-only type displayed the lowest self-forgiveness. Seminarians were also lower in self-forgiveness, but otherwise higher than university students in their mental health. In correlations, self-compassion was compatible, but self-forgiveness was incompatible with Muslim commitments. Muslim spirituality moderated Muslim attitude relationships. These data documented the diversity and complexity of religion, spirituality, and perspectives on the self in Iranian Muslims.     

The ubiquity of common method variance: The case of the Big Five

The factor structures of the International Personality Item Pool (IPIP) and NEO-FFI Big Five questionnaires were examined via confirmatory factor analyses. Analyses of IPIP data for five samples and NEO data for one sample showed that a CFA model with three method bias factors, one influencing all items, one influencing negatively worded items, and one influencing positively worded items fit the data significantly better than models without method factors or models with only one method factor . With the method factors estimated, our results indicated that the Big Five dimensions may be more nearly orthogonal than previously demonstrated. Implications of the presence of method variance in Big Five scales are discussed.     

Ethnic differences in endorsement of the Protestant work ethic: the role of ethnic identity and perceptions of social class

The authors examined ethnic differences in endorsement of the Protestant work ethic (PWE; M. Weber, 1905) among Black (n = 96) and White (n = 149) college students and tested whether differences in ethnic identity and perceptions of social class mediated the relationship between ethnicity and the endorsement of PWE values. Blacks were higher in levels of ethnic identity, more likely to see themselves as working or middle class, and less likely to endorse the PWE. Only perceptions of social class partially mediated the relationship between ethnicity and PWE values. The authors concluded that perception of social class is an important construct that might influence the cultural psychology of different ethnic groups. The authors recommended further research involving PWE and other cultural variables.     

Shunyata,A Philosophical Endeavor Against Assured Philosophical Method in Realizing Truth and Existence and Establishing Perfection of Wisdom Through Non-dual Experience

Journal of Indian Council of Philosophical Research - Madhyamaka defines existence in self-being. There is interdependency between all beings and the human mind. Everything is empty from...