A narrative review: arguments for a collaborative approach in mental health between traditional healers and clinicians regarding spiritual beliefs

This review explores the possibility of a more collaborative approach between mental health clinicians and traditional healers, from a clinical psychology perspective, for clients with spiritual beliefs. Spiritual beliefs are incorporated into the identity and functioning of clients within a cultural context and prevalence rates reveal this is not uncommon. It is argued that working collaboratively would address many access difficulties to mental health services and support is generated through a number of studies and case reports in the United Kingdom, worldwide and across cultures. This approach appears to be in accordance with current theories of acculturation. The problems in the current system when working non-collaboratively are also explored. Counter arguments and pragmatic difficulties of collaboration have been discussed. Research in the United Kingdom is limited and it is suggested that more research is needed in the field. Pragmatic solutions are suggested to stimulate discussion.     

Spiritually based parenting workshop: An outcome study

The present study observed the effects of one spiritually based parenting workshop: Parent and Family Healing. A repeated-measures design using before, after, and 3-week follow-up revealed that in the sample of 65 parents, Parent and Family Healing significantly lowered parents’ stress and negative affect, and increased their parental efficacy and parental satisfaction. These effects were all maintained at the 3-week follow-up. The workshop also significantly increased parents’ positive affect, but this change was not maintained 3 weeks following the workshop. Spirituality level did not change significantly over the course of the workshop or at follow-up, despite the workshop being spiritually based. Participants rated all the spiritual components of the workshop as between somewhat and very helpful. Finally, parents’ free-response answers revealed very positive opinions about the workshop, its effects, and the spiritual approach taken.     

Predictors of spiritual struggles: an exploratory study

The purpose of the current study was to identify factors that predict spiritual struggles. It was hypothesised that factors from religious (e.g., God image, attachment to God, church attitudes, religious history), personal (e.g., neuroticism, pessimism, trait anger), social (e.g., social support, loneliness), and situational (e.g., negative appraisals) domains may predispose people to spiritual struggles during times of distress. Participants (309 undergraduate students) filled out questionnaires measuring relevant constructs and a two-step hierarchical multiple regression equation was generated separately for each of the four domains. Upon identifying significant predictors from each of the four domains, a final hierarchical regression equation revealed that: (1) more negative appraisals of a stressful situation, (2) an insecure ambivalent attachment to God, and (3) neuroticism significantly predicted unique variance in spiritual struggles beyond the effects of relevant religious variables, thus generally supporting the hypothesis that spiritual struggles are complex phenomena that stem from multiple factors.     

A study of posttraumatic spiritual transformation and forgiveness among victims of significant interpersonal offences

Forgiveness and spiritual transformation, both gain and decline, may follow being victimised. The purpose of this study was to investigate the role of forgiveness in posttraumatic spiritual transformation following interpersonal offences. One hundred forty-six participants who had been “significantly wronged” by another person completed measures of event-related distress, forgiveness, and spiritual transformation. Results showed that spiritual growth was positively related to the personal importance of religion. Event-related distress and unforgiveness were positively correlated with spiritual decline. Regression analyses revealed that forgiveness did not uniquely account for a significant amount of the variance in spiritual growth after controlling for demographic variables, religious and spiritual importance, and event-related distress. Rather, religious and spiritual importance accounted for a significant amount of variance in spiritual growth. Unforgiveness uniquely predicted spiritual decline. This study suggests a complex relationship between spiritual transformation and forgiveness. Results are discussed within the context of implications for clinicians and researchers alike.     

Palliative-care professionals' experiences of unusual spiritual phenomena at the end of life

Research literature has highlighted unusual phenomena occurring at the end of life. Palliative-care professionals often feel ill-prepared in managing these and in talking to patients and family members about them. This study aimed to explore the meanings and interpretations ascribed to these phenomena by palliative-care professionals. Eight participants were interviewed, and interpretative phenomenological analysis used to identify themes within their accounts. Four themes emerged from the analysis: (1) Who are we to say what's out there?: a connection with something beyond what can be seen; (2) It opened up conversations: the experience of talking about unusual experiences; (3) It knocked me sideways: managing the emotional impact of these experiences; and (4) The fact that she was so accepting made it easier: the value of acceptance in relation to unusual experiences. These findings are discussed within the context of existing literature and implications for palliative-care professionals are discussed.     

Two Objections to Moran’s Transparency Account

Abstract

Gareth Evans and others have argued that our intentional attitudes are transparent to facts in the world. This suggests we can know them by looking outwards to the world rather than inwards to our minds. Richard Moran uses this idea of transparency in his account of self-knowledge. Critics have objected to his account on several counts. For example, Jonathan Way has argued that irrational attitudes can give ordinary self-knowledge when they are not transparent and that there are rational attitudes that are not transparent. I argue here that these objections fail because Way does not fully consider the two different kinds of self-knowledge, ‘ordinary’ and evidence-based, that differentiate the two stances that Moran claims a subject can have towards his attitudes. It is the differences between these two stances and the implications of these that motivate Moran’s account, rather than whether the formed attitude is rational or irrational, as long as the subject avows it from the deliberative stance, focuses on the attitude’s object and conforms to the transparency condition as Moran sets this out.     

Authority in Relationships

Abstract

Authority consists in having standing to make a claim on another person’s actions. Authority comes in degrees: persons have the authority to make moral demands on each other, but if they participate in close relationships, such as friendships or love relationships, their authority over each other is greater, compared to the authority of strangers to make demands, as participants in personal relationships can demand more from each other than can strangers. This paper discusses the phenomenon of a relationship-dependent greater authority on a conceptual level. It thereby fills a gap in the literature on the proper theory of authority: while being a common part of our moral practice, relationship-dependent authority has mostly been neglected in this context. It is even doubtful whether the most influential contemporary accounts of authority can accommodate it. As will be argued, neither Joseph Raz’s service conception nor Stephen Darwall’s second-personal conception of authority are able to. The triggering-reasons account of authority, as recently developed by David Enoch, is better suited in this regard: according to this conception, relationship-dependent authority stems from special conditional reasons that are implied by relationships and that can be triggered by the authoritative demands of their participants.     

Relationship Between Mother,Father, and Peer Attachment and Empathy With Moral Authority

We explored the relationship between mother, father, and peer attachment security, empathy, and moral authority in order to clarify certain problems of previous empirical research on such relationships. A sample of 202 Persian-speaking undergraduate students completed questionnaires pertaining to these constructs. The results revealed that mother and father attachment were significantly correlated with family, society welfare, and equality sources of moral authority, whereas peer attachment security was related only to society welfare and equality sources of moral authority. Out of the empathy subscales, only empathic concern was associated with moral authority sources. Empathic concern was also related to mother, father, and peer attachment, whereas perspective taking was correlated with mother and peer attachment. The combination of empathic concern and mother, father, and peer attachment predicted significant amount of variance of “principle source of moral authority” (including society welfare and equality sources). Findings support existence of a strong relationship between attachment security and the content of moral thought of adolescents, and findings redress an empirical imbalance in research literature on the relation of attachment and morality.     

Catholic Priests' Knowledge of Pastoral Codes of Conduct in the United States

This exploratory study investigated Catholic priests' knowledge and perceptions of pastoral codes of conduct and their perceptions about the processes for reporting misconduct. Overall, respondents understood that they had to breach confidentiality when parishioners divulged a threat to harm self or others or when there was an allegation of misconduct involving a colleague. Fewer respondents understood that information received in spiritual counseling or spiritual direction must be maintained confidentially. Respondents were aware that their codes of pastoral conduct offered guidance about engaging in dual relationships (i.e., friendships with parishioners), but most respondents included parishioners in their circles of friends.     

South African Muslim Psychologists' Perceptions of Mental Illness

This study explored perceptions of mental illness in a sample of 10 female Muslim psychologists in a South African city to determine the influences of religion (and Islam specifically) on their understanding of the aetiology and treatment of mental illness. Participants responded to a semi-structured interview. The data from the interviews were thematically analyzed. Four themes emerged from the analysis: mental illness as maladaptive coping, religion as a resource for wellbeing, influences of personal religiosity on therapy and openness to collaborative treatment