Acceptability and Cultural Fit of Spiritual Self-Schema Therapy for Puerto Rican Women with Addiction Disorders: Qualitative Findings

We present findings on the (1) acceptability of Spiritual Self-Schema (3-S) therapy with Puerto Rican women and (2) fit with women's cultural, gender, literacy, clinical, and religious backgrounds. 3-S is a well-documented efficacious intervention for substance use and HIV risk behaviors. Participants were 13 urban, low-income Puerto Rican women in a residential treatment program in a large Northeastern city.

Findings from therapy session videotapes, focus groups, and clinician memos indicate high acceptability and fit of 3-S therapy for Puerto Rican women. However, lack of fit in several areas indicates the need for modification of specific aspects of 3-S for Latinas.     

SPIRITUALITY FOR NATURALISTS

Abstract The views of eleven writers who develop a naturalized spirituality, from Baruch Spinoza and George Santayana to Sam Harris, André Comte‐Sponville, Ursula Goodenough, and Sharon Welch and others are presented. Then the writer's own theory is developed. This is a pluralistic notion of sacredness, an adjective referring to unmanipulable events of overriding importance. The difficulties in using traditional religious words, such as God and spiritual are addressed.     

POSSIBILITIES AND LIMITS OF MEDICAL SCIENCE: DEBATES OVER DOUBLE‐BLIND CLINICAL TRIALS OF INTERCESSORY PRAYER

Abstract. This article traces the intellectual history of scientific studies of intercessory prayer published in English between 1965 and the present by focusing on the conflict and discussion they prompted in the medical literature. I analyze these debates with attention to how researchers articulate the possibilities and limits medical science has for studying intercessory prayer over time. I delineate three groups of researchers and commentators: those who think intercessory prayer can and should be studied scientifically, those who are more skeptical and articulate the limits of science around this topic, and those who focus primarily on the pragmatic applications of this knowledge. I analyze these contests as examples of what Thomas Gieryn calls “epistemic authority” as medical researchers engage in what he describes as “boundary‐work” or “the discursive attribution of selected qualities to scientists, scientific methods, and scientific claims for the purposes of drawing a rhetorical boundary between science and some less authoritative residual non‐science.” (Gieryn 1999, 4 (Gieryn 1999, 4)).     

EcoWellness: The Missing Factor in Holistic Wellness Models

A growing body of multidisciplinary literature has delineated the benefits that natural environments have on physical and mental health. Current wellness models in counseling do not specifically address the impact of nature on wellness or how the natural world can be integrated into counseling. The concept of EcoWellness is presented as the missing link in wellness models and counseling. Integrating EcoWellness in counseling provides new and potentially powerful interventions to enhance wellness across the life span.     

Applying Buddhist Practices to Recovery: What I Learned From Skiing With a Little Buddha Wisdom

The author describes how 5 Buddhist practices—enlightenment, compassion, acceptance, mindfulness/meditation, and the spiritual community—can serve as a foundation for an integrated recovery model that incorporates numerous perspectives from the 12‐step program of Alcoholics Anonymous. An application of the model illustrates how it is applied to real‐life recovery.     

Religion and Family Relational Health: An Overview and Conceptual Model

This paper presents a review of research addressing religion and family relational health. Strengths of the extant data include the correlation of three dimensions of religious experience (religious practices, religious beliefs, and religious community) with certain aspects of mother–child, father–child, and marital relationships and specific connections between the three dimensions of religious experience and family relationships are identified. Key weaknesses in the research at present include a paucity of research examining the hows, whys, and processes involved behind identified religion–family correlations and a lack of data on non-nuclear families, families of color, interfaith families, and non-Christian religions including Judaism and Islam. Implications for clinical practice and recommendations for future research are offered. Loren Marks is an Assistant Professor of Family, Child, and Consumer Sciences in the School of Human Ecology at Louisiana State University. He and his research collaborator, David Dollahite of BYU, have conducted extensive qualitative research with over 125 Christian, Jewish, Mormon, and Muslim families to examine the interfaces between religion, individual development, and family relationships.     

Handling Spirituality/Religion in Professional Training: Experiences of a Sample of Muslim Psychology Students

With increasing research interest in the relationship between spirituality/religion and mental health, the present study uses semi-structured interviews on a select group of Muslim students to explore their understanding and handling of spirituality in a secular training programme. Their understanding of spirituality, its perceived role in therapy and their training experiences are subjected to qualitative analysis using the framework approach (Ritchie & Spencer, 1994. In A. Bryman & R.G. Burgess (Eds), Analysing Qualitative Data. London: Routledge). All five participants perceived spirituality as central to human functioning. Probes into their training experience uncovered issues of bias against religious applicants, apprehension about demonstrating religious commitment, fear of punishment for compromising religious integrity, better rapport with Muslim patients but general uncertainty about handling spiritual issues in therapy, and a strong desire for the integration of spirituality/religion in the program.Cynthia Joan Patel, M.A., is a Lecturer in the School of Psychology at the University of Kwazulu-Natal, Westville Campus, Durban, South Africa. She is a Registered Counselling and Research Psychologist with the Health Professions Council of South Africa). Her research interests include women and religion, attitudes toward abortion, and the meaning of work in women’s lives. Armas E. E. Shikongo, M.A., is a Lecturer in the Department of Psychology at the University of Namibia. His research area is the psychology of spirituality.     

Mind, Body, and Spirit: Family Physicians’ Beliefs, Attitudes, and Practices Regarding the Integration of Patient Spirituality into Medical Care

This study used a qualitative approach to explore family physicians’ beliefs, attitudes, and practices regarding the integration of patient spirituality into clinical care. Participants included family medicine residents completing training in the Southwest USA. The qualitative approach drew upon phenomenology and elements of grounded-theory. In-depth interviews were conducted with each participant. Interviews were recorded, transcribed and coded using grounded-theory techniques. Four main themes regarding physicians’ attitudes, beliefs, and practices were apparent from the analyses; (1) nature of spiritual assessment in practice, (2) experience connecting spirituality and medicine, (3) personal barriers to clinical practice, and (4) reflected strengths of an integrated approach. There was an almost unanimous conviction among respondents that openness to discussing spirituality contributes to better health and physician–patient relationships and addressing spiritual issues requires sensitivity, patience, tolerance for ambiguity, dealing with time constraints, and sensitivity to ones “own spiritual place.” The residents’ voices in this study reflect an awareness of religious diversity, a sensitivity to the degree to which their beliefs differ from those of their patients, and a deep respect for the individual beliefs of their patients. Implications for practice and education are discussed.Michael M. Olson, Ph.D., is a member of the Department of Family Medicine, University of Texas Medical Branch in Galveston.M. Kay Sandor, Ph.D., R.N., is in the School of Nursing.Victor Sierpina, M.D., is in the Department of Family Medicine.Harold Vanderpool, Ph.D., Th.M., represents the Institute for Medical Humanities at the university and Patricia Dayao, M.A., is a graduate student there.Funding for this study provided in part by the John G. and Marie Stella Kenedy Foundation and the George Washington Institute for Spirituality and Health/John Templeton Foundation. Correspondence to Michael M. Olson, mmolson@utmb.edu.     

ALL ANIMALS MATTER: MARC BEKOFF'S CONTRIBUTION TO CONSTRUCTIVE CHRISTIAN THEOLOGY

Abstract. Along with Jane Goodall, Mark Bekoff proposes that religion can join science in recognizing that animals have minds of their own; that humans can humbly imagine themselves inside these minds, all the while recognizing their independent integrity; and that, as creatures with psyches, animals deserve respect and care. In his various writings Bekoff offers many hints of what a theology of animal minds might look like and how it might be part of a more comprehensive theology of respect and care for the community of life. Process or Whiteheadian theology offers a way of appreciating Bekoff's insights, linking them with the ecojustice movement, showing how they can be linked with various themes in evolutionary biology, and developing a threefold approach to animal well‐being: cosmological, ethical, and spiritual. In so doing, process thought shows how the practice of science, particularly as expressed in cognitive theology, involves a marriage of empathy and observation, which represents science and spirituality at their best.     

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.