The spirituality of people with late-stage dementia: a review of the research literature,a critical analysis and some implications for person-centred spirituality and dementia care

If spirituality is fundamental to personhood, it must be as integral to the life of a person with dementia as to any other person. In this paper, the author uses a three-stage process to explore the features, meanings and significance of spirituality in late-stage dementia. First, a critical literature review is undertaken to evaluate the present state of research and its methodological limitations. The second stage of the argument comprises a critical analysis of the available models of how spirituality may persist beyond the loss of cognitive and communicative capacity, leading the elucidation of two dimensions to spirituality (duration over time and the role of social space) that can sometimes be overlooked. Finally, these findings are brought to bear on wider questions of how person-centred spiritual care may be offered to people with dementia and the role of shared social values in building spiritual resilience.     

Poor,Rural Women: Spirituality,Religion, and Wellness Across the Life Span

Researchers have suggested strategies in the spiritual domain for improving wellness. This study explored relationships among spirituality, religiosity, and wellness for poor, rural women in early adulthood, early–middle adulthood, and middle–later adulthood. Implications for evidence‐based strategies to improve wellness for poor, rural women across the life span are provided.     

Generation to Generation: Passing on Religious and Spiritual Beliefs and Practices

Many families face difficulties in maintaining healthy relationships. Past research has identified that religious and/or spiritual beliefs and practices can enhance family well-being. Research has also shown that religious and/or beliefs and practices can shape the aging process. Yet there exists little information on the methods through which religious and/or spiritual beliefs are passed on to future generations. This study utilized Eriksonian conceptual ideas, and grounded theory methods to conduct interviews with 13 older adults on the process through which religious and/or spiritual beliefs are passed on to children and grandchildren. Ideas are discussed for practitioners based on study findings.     

Exploring the Relationship Between Religious Coping and Spirituality Among Three Types of Collegiate Substance Abuse

Religion and spirituality are protective factors against collegiate substance abuse; however, considering the variance among different types of drug abuse is important. We investigated religious coping and spirituality in relation to hazardous drinking, marijuana use, and psychostimulant use. Results indicated that positive religious coping and several dimensions of spirituality protect against hazardous drinking and marijuana use. Furthermore, differences in religious coping and spirituality may not exist between groups of psychostimulant users.     

Lost in Eden: Dementia From Paradise

I look at dementia from an eschatological perspective through personal experience as I supported my husband through his journey into Alzheimer’s disease. Building on the notion of a monastic garden, I draw from the contemplatives to understand my own “kairos” moment that changed my perspective on the way church and other providers offer care. Comparing the church to a garden, I argue that people with dementia are priest-bearing sacraments in whose faces God is seen. Looking into the faces of those with dementia, these priests shepherd us to recognize our illusions about life calling us to greater humility.     

“I Am Still With You”: Dementia and the Christian Wayfarer

Persons with dementia suffer not only from neuropathology but also from cultural norms that exalt agency, privilege rationality, equate worth with capacity, and discourage disability and dependence. In Christian theological context, however, these are faulty assumptions that harm people with dementia. Christian tradition affirms, rather, that humans are integrated, whole-person, embodied souls on a journey to God; dependent on others and on God; and endowed by God with intrinsic worth that is unrelated to capacities. Four theological parameters—creation, participation, lament, and song—enable resistance to prevalent toxic social norms and promote faithful Christian re-membering of people with dementia.     

Bridging Science and Religion: How Health‐Care Workers as Storytellers Construct Spiritual Meanings

Contrary to the notion that medical science has supplanted religious understandings of human suffering, recent research suggests that health‐care workers like nurses can still portray their confrontations with illness and death in spiritual terms through storytelling. However, scholars have yet to systematically analyze the rhetorical devices used to construct spiritual meanings. Drawing on a symbolic interactionist perspective, we theorize that front‐line health professionals can deploy various rhetorical devices to infuse their workplace interactions with a spiritual significance. We also propose novel fuzzy set analysis techniques for determining which configurations of devices are most important in developing spiritual meanings. This approach was illustrated by examining 173 stories elicited from nurses at a nonsectarian, teaching hospital about encounters at work that significantly impacted their understanding of spirituality. Consistent with our expectations, the way in which nurses tell stories about their experiences not only shapes whether they attach spiritual significance to them, but whether they perceive spirituality and medicine to be compatible. We discuss the implications of our findings for future research on lived religion, conflicting identities, and institutional boundaries.     

Who Is This God of Whom You Speak? Counseling Students' Concept of God

Many clients bring a belief in God or a Higher Power into counseling sessions. What is less clear, however, is how counselors conceptualize “god,” which may affect how spirituality is integrated in the counseling process. To explore this question, the authors conducted a concept map study of god images among counseling students. Results suggest that students harbor broad and diverse conceptualizations of god, which may affect the counseling process.     

Acceptance and Commitment Therapy as a Spiritually Integrated Psychotherapy

This article presents acceptance and commitment therapy (ACT) as a spiritually integrated therapeutic modality. ACT is a value‐driven therapy that involves facilitating transcendence of physical, mental, and emotional experience to alleviate human suffering; as such, ACT shares common ground with the domain of spirituality. Approached as a spiritually integrated therapy, ACT can help clients to access spiritual resources and create life meaning as well as aid in the resolution or transformation of spiritual struggles. Given that spiritual struggles, in particular, can have a significant impact on mental health and well‐being, this article provides guidance in how ACT can address such struggles.     

Dialogue Between Science and Spirituality: Informational Therapies

Every action, specifically the therapeutic act, is determined by our mental state: love and compassion. Positive thinking, which must lead us in our research and our acts, is based on the fact that therapeutic results are determined by a treatment of the entire human being: “Body–Mind–Spirit,” which is outstretched, according to tradition, on the four levels of consciousness: Plan 7: Body; Plan 6: Metabolism; Plan 5: Mental; Plan 4: Information (Spirituality). Within the context of a chronic condition, homeopathy practice and the use of differentiations factors have been an example of the possible patient's transformation (a journey toward the health state) and of the dialogue between science and spirituality.