Nonreligious coping and religious coping as predictors of expressed emotion in relatives of patients with schizophrenia

Expressed emotion (EE) is a measure of the amount of criticism and emotional over involvement expressed by a key relative towards a relative with a disorder or illness. Research has established that living in a high EE environment, which is characterised by increased levels of critical and emotionally exaggerated communication, leads to a poorer prognosis for patients with a mental illness when compared to low EE environments. Despite evidence that EE is a strong predictor of the course of the illness, there continue to be questions concerning why some family members express excessive levels of high EE attitudes about their mentally ill relatives while others do not. Based on indirect evidence from previous research, the current study tested whether religious and nonreligious coping serve as predictors of EE. A sample of 72 family members of patients with schizophrenia completed an EE interview, along with questionnaires assessing situational nonreligious coping and religious coping. In line with the hypotheses, results indicated that nonreligious coping predicted EE. Specifically, less use of adaptive emotion-focused coping predicted high EE. Also consistent with predictions, maladaptive religious coping predicted high EE above and beyond nonreligious coping.     

Referrals to chaplains: The role of religion and spirituality in healthcare settings

Given the increasing importance of understanding how healthcare workers interact with the principal person designated to meet patients’ spiritual needs— the chaplain— the current study provides an inter-disciplinary perspective of the role of chaplains (and spirituality) in patients’ emotional, physical, and spiritual health. The study surveyed a randomly selected national sample of hospital directors in four disciplines: medicine (n?=?278), nursing (n?=?230), social services (n?=?229), and pastoral care (n?=?470). Participants rated the importance of referring patients to chaplains for four different areas: pain/depression, anxiety/anger, treatment issues, and loss/death/meaning. Results revealed significant differences in referral patterns for type of hospital, professional discipline, the hospital's religious affiliation, and self-reported spirituality. Results are discussed in relation to historical views of spirituality and religion within the different disciplines.     

“I want to pray and I don’t want to pray”: expressive individualism and prayer

This article reports on a study of the relationship between expressive individualism, an important characteristic of individualistic cultures, and different varieties of prayer. Four dimensions of expressive individualism (autonomy, setting oneself apart from others, personal development, and the expression of emotions) and four types of prayer (petitionary, religious, meditative, and psychological) were distinguished. Data were collected from participants in internet forums on Christian religiosity (N?=?158); they were asked to complete questionnaires about expressive individualism and prayer. The relationship between expressive individualism and prayer was found to be an ambivalent one, and one that is negatively dominated by autonomy. After eliminating the effect of autonomy, two patterns remain visible, both of them characterised by a positive connection to religiosity. Setting oneself apart from others is associated with petitionary and religious prayer; personal development with meditative and psychological prayer. The explanation of this concealed longing for religion is sought in the pressure resulting from expressive individualism as a way of life.     

Revelation,delusion or disillusion: subjective interpretation of religious and spiritual experiences in bipolar disorder

The objective of this study is to explore the interpretation of religious and spiritual experiences during mania, depression and recovery, from the perspective of bipolar clients and to inquire into their expectations of treatment in relation to these experiences. For this purpose, a qualitative pilot study is designed, which includes interviews with 10 outpatients of Altrecht, a Dutch mental health institution. The meaning of religious and spiritual experiences and the question of their authenticity proved to be an important theme for the participants. The support of spirituality for illness management was brought to the fore, as well as the temporary lack of this support during depression by some participants. Participants considered it desirable that more attention be paid to the topic during treatment, and to establish better cooperation between spiritual counsellors of the institution and other professionals. Thus, a more existential or hermeneutical approach towards religious experiences in relation to bipolar disorder would be a desirable contribution to standard treatment. The exact outlines of such an approach demand more empirical research.     

“Heaven and Hell on Earth” A critical discourse analysis of religious terms in Norwegian autobiographies describing personal experience of mental health problems

This article explores the use of religious terms in six Norwegian autobiographies written between 1925 and 2005 by people who themselves have been patients in the mental health services. Through a critical discourse analysis, we discuss the functions of religious discourse in the texts and its position in contrast to the medical discourse predominant in today's mental health services. It was found that religious (predominantly Christian) terms were used to varying degrees in all autobiographies as a means to capture the immensity and inherent ambivalence characteristic of mental health problems. Despite the “medical turn” in professional mental health discourse, there is no clear evidence of a decrease in the use of religious terms from the oldest to the most recent text. We propose that professional mental health workers to a larger extent take into account the religious dimension in therapy, and reflect on its larger historical and sociocultural context.     

Hope and positive religious coping as predictors of social justice commitment

The present study tested a theoretical model of dispositional hope and positive religious coping as unique predictors of social justice commitment over and above impression management in a sample of graduate students (N?=?214) in helping professions at an Evangelical Protestant university in the USA. This empirical study utilised a cultural psychology approach with a theoretical framework developed from (a) an earlier cultural psychology study of hope and social justice using the social philosophies of Martin Luther King, Jr, Cornel West, and Paulo Freire and (b) several liberation and Pietistic theologians. Results supported the discriminant validity hypothesis with dispositional hope and positive religious coping each predicting social justice commitment over and above a measure of spiritual impression management. Implications are considered for contextually sensitive training and future empirical and interdisciplinary research on social justice commitment.     

Religion and the crisis in Ukraine

This article investigates religious nationalism in the Russian–Ukrainian conflict, which has appeared in political and popular rhetoric and has been expressed through violence. From the Tsarist era, Kyiv and Crimea have featured centrally in Russian national mythology as the cradle(s) of Russian Christianity. This nationalist conception of space persisted after political borders changed with the collapse of the Soviet Union, as has the Russian Orthodox Church's historic jurisdiction in Ukraine. As a result, Russian Orthodox believers retain a special affinity for Kyiv and Crimea, and many Ukrainian citizens have looked to Moscow for matters of faith. Subjects of inquiry include religious nationalism, the baptism of Slavic Prince Vladimir (Volodymyr), Orthodox holy places in Crimea and Ukraine, Patriarch Kirill's Russian World concept, and religious violence in Ukraine and Crimea.     

Sibling rivalry at work; from family to groups

Sibling relationships are ambivalent. They are full of love and hate, and therefore, our most basic wish cannot simply be to get rid of our siblings. Many of the conflicts we find ourselves in, either with friends or within institutions, may need a complex and subtle understanding of sibling dynamics. The famous Controversial Discussions that nearly destroyed the Institute of Psychoanalysis in the early forties could be partly attributed to the unacknowledged and unconscious dynamics of the sibling transferences that swirled around Melanie Klein, Anna Freud and Freud. One of the tasks of therapists is to explore how we all must live within a society, with our contemporaries. This difficulty involves observing that sometimes in therapy we are part of the nursery quarrel itself, rather than superior. And so in adult sibling conflict within an institution, there may be a need for an outside moderator, like a parent, to sort out the quarrel; for when sibling passions are revived at work or in the consulting room, they can knock one sideways with the unmeditated quality of the encounter.     

‘Teshuvah baskets’ in the Israeli teshuvah market

As opposed to the approach that makes a dichotomous distinction between ‘rigid religiosity’ and ‘soft religiosity’, I would like to point to a reality in which these boundaries are blurred. I shall do so by examining the case of the religious revival movement in Israel (the ‘teshuvah movement’), which offers a broad range of teshuvah styles, out of which hozrim beteshuvah (penitents) select ‘teshuvah baskets’, which they fill and pack themselves, according to their own personal preferences. These ‘teshuvah baskets’ are dynamic, in that their owners can fill, empty and modify their contents, while they conduct an ongoing critical ‘market survey’. This dynamism creates a reality, accompanied by a discourse, which continuously blurs the symbolic boundaries separating the various types of religious ‘supply’ sources. It demonstrates how practices and beliefs related to ‘soft religiosity’ are expressed also by those participating in what is generally referred to as ‘rigid religiosity’.