The Role of Religion and Spirituality in Medical Patients in Germany

Using the new developed SpREUK questionnaire (version 1.0b), we examined how German patients (n = 129) with cancer, multiple sclerosis and other diseases view the impact of spirituality and religiosity (SpR) on their health and how they cope with illness. Patients with both a religious and spiritual attitude (32%) had significantly higher values in the sub-scales dealing with the search for meaningful support, and the stabilizing effects of SpR than patients without such attitudes (20%), while patients with a non-spiritual religious attitude (35%) had lower perception of the beneficial effects of their SpR and had significantly lower scores in the search for meaningful support sub-scale. Just half of the non-spiritual religious group and 42% of religious patients are convinced that finding an access to a spiritual source has a positive influence on their illness.     

Spiritual Beliefs and Barriers Among Managed Care Practitioners

Purpose: Ninety percent of American adults believe in God and 82% pray weekly. A majority wants their physicians to address spirituality during their health care visit. However, clinicians incorporate spiritual discussion in less than 20% of visits. Our objectives were to measure clinician beliefs and identify perceived barriers to integrating spirituality into patient care in a statewide, primary care, managed care group. Methods: Practitioners completed a 30-item survey including demographics and religious involvement (DUREL), spirituality in patient care (SPC), and barriers (BAR). We analyzed data using frequencies, means, standard deviations, and ANOVA. Findings: Clinicians had a range of religious denominations (67% Christian, 14% Jewish, 11% Muslim, Hindu or Buddhist, 8% agnostic), were 57% female and 24% had training in spirituality. Sixty-six percent reported experiencing the divine. Ninety-five percent felt that a patients spiritual outlook was important to handling health difficulties and 68% percent agreed that addressing spirituality was part of the physicians role. Ninety-five percent of our managed care group noted 8lack of time as an important barrier, lack of training was indicated by 69%, and 21% cited fear of response from administration. Conclusions: Managed care practitioners in a time constrained setting were spiritual themselves and believed this to be important to patients. Respondents indicated barriers of time and training to implementing these beliefs. Comparing responses from our group to those in other published surveys on clinician spirituality, we find similar concerns. Clinician education may overcome these barriers and improve ability to more fully meet their patients expressed needs regarding spirituality and beliefs.*This material has previously been presented as an abstract at the Culture and End of Life Conference, Association of Medical Colleges Spirituality, Kansas City, MO, September 12–14, 2002.Project supported by the Foundation for Spirituality in Medicine, Baltimore, MD     

A Review of Spiritual and Religious Measures in Nursing Research Journals: 1995--1999

Background: A series of systematic reviews has revealed relatively high levels of interest in religion and spirituality in different nursing specialties, but not in general nursing research journals. Purpose: To identify the extent to which spirituality and religiousness were measured in all quantitative and qualitative research articles published in Research in Nursing and Health, Nursing Research, Advances in Nursing Science (ANS), and Image: The Journal of Nursing Scholarship from 1995 to 1999. Methods: A full-text search was conducted of ANS and Image using the Ovid search system. Nursing Research and Research in Nursing and Health were hand searched for spiritual/religious measures. Characteristics of selected studies, the measures taken, and their uses were coded for data analysis. Results: A total of 564 research studies were identified, of which 67 (11.9%) included at least one measure of spirituality or religiousness. A significant difference was found between the percentage of qualitative and quantitative studies that contained measures of these concepts. Of the 119 qualitative studies, 23 (19.3%) contained a measure of religion or spirituality, compared to 44 of the 445 (9.9%) quantitative studies. Nominal indicators of religious affiliation were the most commonly used measures in the quantitative studies and measures of religion and spirituality were rarely used in the analyses. Although only a few quantitative or qualitative studies intended to focus on religion or spirituality, these themes often emerged spontaneously in the qualitative research. Conclusions: Research in Nursing and Health, Advances in Nursing Science, Nursing Research, and Image: The Journal of Nursing Scholarship all published research measuring spirituality and religiousness during the time-period studied. The rate at which spirituality and religion appeared in these nursing research articles is substantially higher than that found in most fields outside of nursing. Even more frequent inclusion of spiritual and religious variables and richer measures of spirituality and religiousness would help to increase the available scientific information on the role of spirituality and religion in nursing care.     

Mel Gibson’s Big Gamble: <Emphasis Type="Italic">The Passion of Christ</Emphasis>

Mel Gibsons film is a creative reworking of opportunities provided by migrating to Australia as a boy and a life-long desire to be reconciled to his father, Hutton Gibson. If the film is read as a study in psychology and biography, then biblical and theological critiques, along with contemporary politically correct stances towards what Gibson did, can be set temporarily aside in search of a larger trajectory of meaning implicit in the film. The embodied nature of the film, along with other violent films in which Gibson starred in the past three decades, points to wellsprings of power in the blood. Violence becomes an idiom of reconciliation with authority. Gibsons relationship to his father plays a major role in such a reading of the film. A continuous reconciliation with his father is evident not only in thematic continuities over the course of Mel Gibsons professional acting career and starring roles. It also structures the directors construction of Christs Passion. A desire not to be forsaken gives rise to this idiosyncratic and controversial film, itself a cinematic statement about Gibsons own personal spiritual torment.Richard A. Hutch is Director of Studies of the Faculty of Arts and Reader in Religion and Psychological Studies in the School of History, Philosophy, Religion, and Classics at the University of Queensland in Brisbane, Australia 4072.     

Religion, Spirituality, and Health Service Use by Older Hospitalized Patients

Background: Religious and spiritual beliefs and practices are common among medical inpatients, and may impact length of hospital stay (LOS) and other health services (HSU) during hospitalization. Methods: 812 consecutively admitted patients age 50 or over to Duke University Medical Center were assessed. Measures of religiousness and spirituality included religious TV/radio (RTV), self-rated religiousness (SRR), observer-rated spirituality (ORS), and daily spiritual experiences (DSE). The primary outcome was LOS. Results: RTV and SRR predicted longer LOS, whereas ORS and DSE predicted shorter LOS (p 0.05). Effects of RTV onLOS were stronger among women, but explained by worse health status. The effects of DSE on LOS were stronger among non-whites. Among those reporting high DSE, diagnostic tests and total procedures also tended to be less common. Conclusions: Religious activities, attitudes, and spiritual experiences are weak predictors of LOS and HSU during hospitalization. Whether the prediction is positive or negative depends on the religious or spiritual characteristic.     

On the Relation Between Religiosity and the Endorsement of Conspiracy Theories: The Role of Political Orientation

Religious and conspiracy beliefs share the feature of assuming powerful forces that determine the fate of the world. Correspondingly, they have been theorized to address similar psychological needs and to be based on similar cognitions, but there exist little authoritative answers about their relationship. We delineate two theory-driven possibilities. If conspiracy theories and religions serve as surrogates for each other by fulfilling similar needs, the two beliefs should be negatively correlated. If conspiracy and religious beliefs stem from the same values and cognitions, this would speak for a positive correlation that might be diminished—for example—by controlling for shared political ideologies. We approached the question with a meta-analysis (N = 10,242), partial correlations from large Christian-dominated datasets from Germany, Poland, and the United States (N = 12,612), and a preregistered U.S. study (N = 500). The results indicate that the correlations between religiosity and conspiracy theory endorsement were positive, and political orientation shared large parts of this covariance. Correlations of religiosity with the more need-related conspiracy mentality differed between countries. We conclude that similarities in the explanatory style and ideologies seem to be central for the relation between intrinsic religiosity and endorsing conspiracy theories, but psychological needs only play a minor role.     

IDENTITY AND THE BRAIN: THE BIOLOGICAL BASIS OF OUR SELF

This article reviews the neuroscientific understanding of the self and personal identity, focusing on various elements of inclusivity and exclusivity as well as engaging religious and spiritual perspectives. We will also consider how the identity is comprised of biological, social, and ideological or spiritual aspects, and how they are interconnected. We will consider how the brain helps us to construct and maintain our representation of the self and what happens when we have self-transcendent experiences. Such an evaluation will have implications for understanding the intersection between consciousness and the self. This information will be helpful from both the psychological and spiritual perspective for understanding human identity.     

Parent-like spokesperson for campaigning an anti-plastic straw movement to young adults: Is it effective?

Parental communication is still relatively meaningful in Asian families with hierarchical, vertical, and authoritative relationships. Meanwhile, children's pro-environmental behaviour in emerging Asian nations tends to be passive, leading to a need for intervention from the closest parties, often the parent, whose familial role in green communication has not been examined. This study uses social learning theory to examine the interplay of parent-like spokespeople and message appeals in affecting young adults' cognitive and emotional responses, which is expected to influence the ad liking and believability of green advertisements and switching intention to green products, such as eco-friendly straws. A laboratory experiment was conducted with 240 subjects. The results showed that the frame of a father-like figure conveying a hope appeal generated the greatest enthusiasm and argument quality for young adults. Mother-like figures speaking a fearful message frame were the best generator for young adults' anger and threat appraisal. Ad liking was significantly impacted only by a mother-like spokesperson who spoke a fearful appeal mediated by anger and a father-like spokesperson who delivered a hope appeal mediated by argument quality. Young adults' willingness to switch to eco-friendly straws was indirectly influenced by the interaction effect of a mother-like spokesperson and fear appeal type mediated by ad believability.     

Spirituality and intentions to engage in Covid-19 protective behaviours

Accumulating evidence points to spirituality as a belief system that contributes to low trust in science, with self-identified spiritual individuals reporting high levels of unwarranted scepticism towards science in general and vaccination specifically. We investigated whether self-identified spirituality also predicts intentions to engage with Covid-19 protective measures during the pandemic. In Studies 1–3 (N = 774), we asked participants to report their spirituality and desire to be vaccinated against Covid-19 shortly after the first vaccine rollout. In Studies 2–3, we included measures of scepticism towards and intentions to comply with Covid-19 prevention measures (handwashing, wearing face coverings, distancing). As expected, stronger self-reported spirituality involved lower desire to be vaccinated, controlling for various worldview and demographic variables. Yet, we found no evidence for spirituality to predict scepticism towards other Covid-19 preventative behaviours or intentions to engage with them. Our findings corroborate and extend previous literature on science rejection, demonstrating that spirituality is uniquely involved in vaccine rejection.     

Sexuality as an Integral Part of the Church's Being and Mission

The article draws on the experience of being part of the Reference Group on Human Sexuality and other debates on sexuality in the World Council of Churches to discuss the “Message of the 11th Assembly.” It makes explicit how issues of sexuality have been avoided and how they ground the understanding of theological perspectives and the church's being and mission. Finally, it presents alternatives to reclaim sexuality and make the movement of reconciliation grounded in a transformative and queer spirituality more concrete and truthful to people's lives – a sexy movement.