Short‐term cognitive‐behavioral treatment in multicultural primary care of patients with longstanding backache

The efficacy of cognitive‐behavioral therapy in multi‐cultural primary care patients with longstanding backache is not evaluated. The purpose of this study was to investigate the outcome of a four weekly‐treatment given by primary care physicians regarding pain‐related worry, depression and severe pain and to determine which social, clinical or gender factors were associated with outcome.The study group consisted of 245 patients in consecutive order from 19 countries, 18 to 45 years, entering rehabilitation program because of longstanding backache. Prevalences of pain‐related worry and depression and severe pain was counted and compared before and after. Logistic regression was used to calculate the odds (OR; 95% CI) for persistent pain‐related worry and/or persistent depression and severe pain (VAS ≥ 50). The prevalences of pain‐related worry and depression were both significantly lower after treatment (pain‐related worry 83% before vs. 38% after; depression 43% before vs. 31% after). Also the number of patients scoring ≥ 50 VAS was a little, but significantly, fewer (68% vs. 61%). Use of interpreter doubled the risk of having persistent pain‐related worry (OR 2.1; 95% CI 1.1–4.1) but the risk was not significant regarding persistent depression (OR 1.8; 0.6‐5.4). The rating of VAS rating ≥ 50 after treatment was twice as high, OR 2.3 (95% CI 1.1–4.6) in the 38–45 year old age group. To conclude, a focus on pain ideas reduced pain‐related worry and depression in these patients with various sociocultural backgrounds and longstanding backache.     

Big Gods and other watcher mechanisms in the formation of large groups

Norenzayan's effort to integrate genetic and cultural evolution is a welcome advance over previous efforts, as is the attention he devotes to different levels of analysis from cognitive mechanisms to large group interactions. The scope of Norenzayan's argument, however, is bound to leave many scholars of religion feeling uneasy. The content of his model, which is most likely over specified, will need further testing in light of historical evidence. Comparison of Big Gods with Robert Bellah's Religion in Human Evolution (2011) highlights some of the choices Norenzayan made in designing his model and suggests ways it could be elaborated. Historians of religion who would like to help test his model could keep an eye out for ‘watcher mechanisms’ that might play more of a role than ‘moralizing Big Gods’ in some traditions and, thus, potentially offer an alternative route to large, anonymous, yet stable groups.     

Is history important for a historical argument in religious studies?

This review article addresses the historical argument of Norenzayan's Big Gods. It questions the claim that there is enough historical evidence to support the thesis that gods, who are observing human behaviour from high, enable societies to grow beyond the stage of face-to-face groups.     

The Relationship Between Trajectories of Family/Cultural Stressors and Depression and Suicidal Ideation Among Substance Using Mexican-American Adults

We used an intersectional minority stress perspective to examine the association between family/cultural stress and mental health among substance-using Mexican-Americans. Employing a unique longitudinal sample of 239 socioeconomically disadvantaged, non-injecting heroin-using Mexican-Americans from San Antonio, Texas, we examined how culturally relevant stressors are related to depression and suicidal ideation. First, we identified depression and suicidal ideation prevalence rates for this disadvantaged sample. Second, we determined how cultural stress is experienced over time using stress trajectories. Third, we evaluated how family/cultural stressors and stress trajectories are related to depression and suicidal ideation outcomes. Results showed high rates of baseline depression (24 %) and suicidal ideation (30 %). We used latent class growth analysis to identify three primary stress trajectories (stable, high but decreasing, and increasing) over three time points during 1 year. We found that the increasing stressors trajectory was associated with higher rates of depression and suicidal ideation, and that stress trajectories had unique relationships with mental illness. We also showed that baseline stressors, sum stressors, and high but decreasing stressors maintained positive associations with mental illness after controlling for baseline depression. Our results highlight the importance of focusing on within-group, culturally specific stressors and addressing both operant and cumulative stressors in the study of mental health for marginalized populations and suggest the importance of early intervention in minimizing stressors.     

Voices of African Traditional Healers: Cultural Context and Implications for the Practice of Counselling in Sub-Saharan Africa

The healing paradigm implicit in many sub-Saharan African cultures is embedded in African cosmology, and thus the recognition of this is essential for understanding Traditional African Healing practices and implementing collaborative counselling practices. To this end, this article focuses on the cultural importance, or voice, of traditional healers in sub-Saharan Africa. The current article uses an ethnographic approach to analyse systematically the cultural context of indigenous healing practices in sub-Saharan Africa. The anthropological importance of Traditional Healing practitioners, the context of healing, and the changing legal and ethical status of Traditional Healers are addressed as pivotal in furthering the development of this crucial, yet under utilized resource. The authors propose that such cultural understanding is highly relevant to the work of professional counselors.     

Chinese Christianity in international perspective: some remarks on ecclesiology and fundamental concepts engaging East and West

ABSTRACT

In Chinese legislation on the Church as well as in the theological debate in China and, the concepts of religion and Christianity predominate, depending, from a historical perspective, on the influence of nineteenth-century philosophical and theological ideas from the West, conveyed by socialist political theory, by the weak ecclesiology in missionary societies operatingin China before 1949, and influential theologians setting the scene. The idea of Sinicisation contributed to the perpetuation of the nineteenth-century ideas of religion and Christianity in China. Today, however, there are signs of change. The churches in the accelerating multi-modernity in China wishto clarify what is unique for the Christian Church. Sometimes, however, what is characteristic of the Church in China is also characteristic of the Church in many other places in the world.     

One mosque and the negotiation of German Islam

In the last half century (pious) Muslims and their communities have become integral parts of German cities. They are creative cultural producers and religiously inspired urban citizens. Mosques are central nodes in urban Muslim religious and cultural geographies where believers negotiate pious identities and lifeworlds, configure pious public personae and modes of civic participation. In this paper I introduce the Al-Nour Mosque as a unique node in the religious and cultural geography of the southern German state capital of Stuttgart. I examine this mosque as an urban space where individual and communal religiosities and religious cultures are discussed, formulated, tested and practised. My central question is how urban culture and religion are negotiated in the context of a mosque community. I argue that urban culture and religion are negotiated not only in mainstream public spaces or established churches but also in invisible places like mosques. Based on several years of ethnographic fieldwork in Stuttgart, I analyse the creative role of the Al-Nour Mosque in the construction of religious subjectivities, negotiations of urban religiosities and religiously inspired urban cultures. Analysing exemplary events, activities, cultural and religious negotiations in the Al-Nour Mosque, I demonstrate that places like the Al-Nour Mosque are dynamic elements of the urban religious and cultural geography.     

Physical,Psychological and Social Adaptation of African American Nuns to Their Religious Communities as They Age: Implications for Aging in Place

ABSTRACT

This study examined the association between health status, stress, depression, satisfaction with the relationship with the religious community, alienation from significant persons, racial/cultural identity and “aging in place,” as measured by length of time in the same religious community, for a purposive sample of 72 African American nuns. Aging in place was significantly associated with perceptions of better health status, less stress and depression and greater satisfaction with relationships with the religious community. However, the study also found that the longer the nuns lived in their respective communities, the less racially/culturally identified they became. These findings underscore the need for finding ways to keep nuns in their religious communities as they age and to provide avenues of racial/cultural expression for African American nuns.