Depression in Women with Heart Disease: The Importance of Social Role Performance and Spirituality

Compared with men, women are more likely to experience depression, and depression increases risk of morbidity and mortality in individuals with heart disease. Psychosocial interventions have been developed for depressed patients with heart disease; however, women's experience of chronic disease differs from men's and women may benefit from interventions tailored to address their difficulties. Spirituality and social roles have been related to depressive symptoms in other populations. To identify the relationship between depression and spirituality and social role performance (i.e., role concerns, role rewards and confidence in ability to fulfill roles) in women with heart disease, we assessed depressive symptoms, spirituality, social role functioning and medical history in 125 women with heart disease. After controlling for age and severity of medical conditions, spirituality, role confidence and role concerns were significantly associated with depressive symptoms. Consideration of spirituality and aspects of social role performance may be important when developing psychosocial interventions for depressed women with heart disease.     

Religiosity and Spirituality: Influence on Quality of Life and Perceived Patient Self-Efficacy among Cardiac Patients and Their Spouses

The purpose of this study was to determine the influence of spirituality, religiosity, and religious coping on quality of life and self-efficacy among couples following a first time cardiac event. There was no significant association between measures for spirituality and religiosity and couples’ ratings for quality of life and self-efficacy. Negative forms of religious coping were associated with lower levels of quality of life and decreased confidence in the patient’s ability to perform physical tasks. Spouses’ measures for quality of life, self-efficacy, spirituality, religiosity, and religious coping were associated with patients’ measures for the same study variables. Joan F. Miller, RN, Ph.D., is Assistant Professor of Nursing, Bloomsburg University, Bloomsburg, Pennsylvania 17815 and Director of the Bloomsburg University Nursing Wellness Center. The author gives special thanks to Timothy R. McConnell, Ph.D., and Troy A. Klinger, M.S., for their research support and helpful feedback.     

Ministers’ Perceptions of Depression: A Model to Understand and Improve Care

While depression is a significant worldwide health problem, fewer than half of individuals seek care. Faith-based communities may play an important role in improving the knowledge of and linkage to depression care. Focus groups of Caucasian and African-American clergy were conducted to explore these issues. Using a grounded theory approach five themes emerged, including explanatory models of depression, barriers and facilitators to care, and recommendations for involving religious communities. A model of depression care pathways was constructed that integrates secular and spiritual approaches. The findings highlight the need for targeted interventions to build trust between clergy and mental health professionals. Teresa L. Kramer, Ph.D., is Chief Psychologist and Associate Professor of Psychiatry in the College of Medicine, University of Arkansas for Medical Sciences in Little Rock. She has conducted research in child, adolescent and adult mental health assessment, outcomes, and quality of care. Her current research on adolescent depression is funded through a Research Career Development Award from the National Institute of Mental Health. She is currently developing faith-based programs to educate ministers and their congregations about depression-related illness. Dean Blevins, Ph.D., teaches in the Department of Psychiatry, College of Medicine, at the university and is associated with the Center for Mental Health & Outcomes Research, Central Arkansas Veterans Healthcare System, and the South Central Mental Illness, Research, and Clinical Center in Little Rock. Terri L. Miller, Ph.D., also teaches in the Department of Psychiatry. Martha Phillips, Ph.D., is at the Department of Human Services in Little Rock. Vanessa Davis and Billy Burris are employed at the Division of Behavioral Health Services, also in Little Rock.     

Religion as schedule-induced behavior

In this article, I argue that a class of religious behaviors exists that is induced, for prepared organisms, by specific stimuli that are experienced according to a response-independent schedule. Like other schedule-induced behaviors, the members of this class serve as minimal units out of which functional behavior may arise. In this way, there exist two classes of religious behavior: nonoperant schedule-induced behaviors and operant behaviors. This dichotomy is consistent with the distinction insisted upon by religious scholars and philosophers between "graceful" and "effortful" religious behaviors. Embracing the distinction allows an explanation of many aspects of religious experience and behavior that have been overlooked or disregarded by other scientific approaches to religion.     

‘Foolishness to Greeks’: Plantinga and the Epistemology of Christian Belief

A central theme in the Christian contemplative tradition is that knowing God is much more like ‘unknowing’ than it is like possessing rationally acceptable beliefs. Knowledge of God is expressed, in this tradition, in metaphors of woundedness, darkness, silence, suffering, and desire. Philosophers of religion, on the other hand, tend to explore the possibilities of knowing God in terms of rational acceptability, epistemic rights, cognitive responsibility, and propositional belief. These languages seem to point to very different accounts of how it is that we come to know God, and a very different range of critical concepts by which the truth of such knowledge can be assessed. In this paper, I begin to explore what might be at stake in these different languages of knowing God, drawing particularly on Alvin Plantinga’s epistemology of Christian belief. I will argue that his is a distorted account of the epistemology of Christian belief, and that this has implications for his project of demonstrating the rational acceptability of Christian faith for the 21st century.

The rise of the child's voice; the silencing of the spiritual voice

In recent years the notion of the child's voice has gained prominence, particularly influenced by the United Nations Convention on the Rights of the Child (UNCRC) in 1989 which outlined rights for children on an international scale. Many countries, including the UK, subsequently legislated for the child's voice to be heard in a variety of arenas including the education system. Despite the concept of the child's voice now being firmly established within schools in England, this paper argues that one aspect of their voice is not being heard: their spiritual voice. Drawing on evidence from research, this paper proposes that a variety of factors have culminated in a tendency towards a silencing of the child's spiritual voice. It argues that this silencing is an important one which should be acknowledged and rectified if educators in all schools are to treat the concept of the whole child seriously, and fully value their well‐being.     

Introducing the concept of spirit injury in education‐to‐work transitions

This paper introduces the topic of spiritual injury and the possible influences and relationships it might share with education‐to‐work transitions of young adults. Students of both dominant and minority cultural backgrounds were interviewed to gain a detailed understanding of how perceptions of transitions came about. Further, I sought to understand what role spirituality and experiences of spirit injury have in the decision‐making processes.     

Science,spirituality and truth: acknowledging difference for spiritual dialogue and human well‐being

This article seeks to explain why spiritual education must be clear about the nature of spiritual knowledge and truth and how it differs from the knowledge and truth generated by science. The author argues this is important in order that spirituality and science are equally valued, and in order that spiritual pedagogy appropriately reflects the nature of spiritual truth in the context of spiritual diversity and commitment. Based on these arguments, and inspired both by the ideas of inter‐faith dialogue and the philosophy of Michael Bakhtin, the author then suggests a dialogical approach to spiritual pedagogy for spiritual development and wellbeing. The article suggests education will best enhance human wellbeing if it is positive about the contributions of both science and spirituality, and if it promotes understanding of spiritual difference and commitment.     

The Relationship Between Religious Coping Style and Anxiety over Breast Cancer in African American Women

In this study, we investigated the relationship between religious coping style and anxiety related to breast cancer and the use of mammography in a sample of African American women. We also assessed the relationship of breast cancer anxiety to related variables such as church affiliation and attendance, church teachings on health, and acceptance of those teachings.