Using tenets from the Bhagavad Gita in counselling diaspora Hindu older adults: Impact on stress mitigation and improving quality of life

This article reports a study on the impact of a Bhagavad Gita (BG) text-based counselling programme for long-term immigrant diaspora Hindu older adults in the US and UK. Compared with the journal writing sessions, participants of the BG lessons reported lower stress and better quality of life post-test (p ≤ 0.025; Hedges' g = −0.65–0.36). Results of the latent class analyses highlighted complex behaviour patterns in the post-test dataset and foregrounded six classes/subgroups of participants likely to gain most from the BG programme: older adult females, diaspora Hindu older adults with postgraduate-professional qualifications, widowed older adults, those living alone or with other kith-kin, those with above threshold programme compliance (defined as those who attended 13–24 (>50%) BG lessons, and completed 13–24 (>50%) BG homework lessons). Overall, the results of the study endorse the connection between age and religiosity and support a BG text-based counselling programme as a workable strategy for long-term immigrant diaspora Hindu older adults. The BG text provides a firm ethnoculturally grounded counselling approach to work with diaspora Hindu older adult clients, taking cognisance of their intersectional realities. It may help them cope with the dynamics of the modern, traditional, and continuously shifting realities in a foreign milieu.     

Invisible “Others”: Sexual Health Vulnerabilities of Wives of Men who Have Sex with Men

The recent trend in the feminization of the HIV epidemic poses great risk to women, especially to the wives of men who have sex with men (MSM). The objective of the present study was to explore wives’ responses to their husbands’ sexual orientation as well as the factors that influence their sexual health in India. For this research, 15 wives who were aware of their husbands’ sexual orientation and their husbands were interviewed separately using semi-structured in-depth interviews and focus groups. The study explored the social and cultural structures that create gender inequality, which put women married to MSM at sexual health risk. These factors need to be addressed carefully through existing MSM targeted interventions, without breaching the confidentiality of either partner.     

Comparing the effectiveness of behavioral treatment for chemotherapy-induced nausea and vomiting when administered by oncologists, oncology nurses, and clinical psychologists.

Adequate control of side effects during medical treatment of cancer increases patient compliance and quality of life. Antiemetic drugs are not an effective treatment for the one in three cancer patients on chemotherapy who experience anticipatory nausea and vomiting (ANV); the behavioral treatment of systematic desensitization has been found effective for ANV when delivered by clinical psychologists. This study examined the effectiveness of systematic desensitization when delivered by medical personnel versus clinical psychologists. Seventy-two consecutive cancer patients with ANV were randomly assigned to no-treatment control or to systematic desensitization from 5 behaviorally trained clinical psychologists, 6 clinical oncologists, or 10 oncology nurses. The treatment was found effective in reducing anticipatory nausea, anticipatory vomiting, posttreatment nausea, and posttreatment vomiting compared to control patients, with no significant differences in effectiveness found between clinical psychologists and oncology staff. Although medical personnel should not engage patients in psychotherapy or other interventions that cannot be completed successfully, they can treat patients effectively with systematic desensitization and should be encouraged to learn and use this and other behavioral intervention techniques to benefit total patient care.     

Provision of Genetic Services for Hearing Loss: Results from a National Survey and Comparison to Insights Obtained from Previous Focus Group Discussions

Hearing loss is a common sensory deficit and more than 50% of affected individuals have a genetic etiology. The discovery of 40 genes and more than 100 loci involved in hearing loss has made genetic testing for some of these genes widely available. Genetic services for deafness are also being sought more often due to the early identification of hearing loss through newborn screening services. The motivations for pursuing genetic testing, and how genetic services are provided to the client may differ among individuals. Additionally, information obtained through genetic testing can be perceived and used in different ways by parents of deaf children and deaf adults. This study aimed to follow up on focus group studies published earlier with a quantitative survey instrument and assess the preference of consumers for provision of genetic services. We conducted a national survey of hearing and deaf parents of children with hearing loss and of deaf adults. Data was compared and analyzed by hearing status of the participant, their community affiliation and the genetic testing status using nominal logistic regression. Consistent with our focus group results, the survey participants thought that a genetic counselor/geneticist would be the most appropriate professional to provide genetics services. Statistically significant differences were noted in the preferred choice of provider based on the genetic testing status. Parents preferred that genetic evaluation, including testing, occur either immediately at or a few months after the audiologic diagnosis of hearing loss. This data should help providers in clinical genetics keep patient preferences at the helm and provide culturally competent services.     

Menarche: prior knowledge and experience

The purpose of this study was to determine the details of first menstruation and the differences between those who had knowledge of menstruation prior to menarche and those who did not. Information from 305 young women in India was collected regarding menarcheal bleeding pattern, disturbances in normal menstruation, and menarcheal age. Those who had knowledge prior to menarche considered it to be a normal physiological function, while those who did not were "appalled" and "horrified." Those having prior knowledge had a high rate of regularity, lower rate of dysmenorrhea, and earlier onset of menarche. The subjects were unanimous in their desire for more information to be provided prior to menarche.     

Psychological Empowerment and Workforce Agility

Unpredictable, dynamic, and constantly changing environments require an ‘agile organization.’ The notion of an agile workforce has been discussed as critical to creating an agile organization. Despite the increasing recognition that workforce agility is critical to achieve competitiveness, the concept of workforce agility has not yet been systematically studied. The current research has been proposed on the assumption that employee cognition can support agile attitude and behavior. The research has been conceptualized considering psychological empowerment as an important employee cognition capable of promoting workforce agility. Following the Spreitzer, psychological empowerment, in the form of meaningfulness, self-determination, competence, and impact, has been proposed as facilitators of workforce agility. Our result supports the conceptualization implicit in the literature and suggests that psychological empowerment must be considered as an important aspect of an organization’s effort to foster workforce agility. Further, from among the psychological empowerment variables, impact is the most influential variable followed by self-determination, meaning and competence on workforce agility. While the study result agrees with few cognitive theories such as self-determination theory, job characteristics theory, and sense-making theory, the result has important managerial implications.     

The culture of yoga retreats,active followers and peripheral associates of new religious movements: wellness enterprises promoting well-being

ABSTRACT

This paper examines the wellness effects of yoga retreats on Indian guru-led new religious movements’ (NRMs) fellowship. The two-year repeated-measures study included 3658 active followers and 3658 peripheral associates as the comparison group. Two measures assessed wellness: the Flourishing Scale (FS) and the Comprehensive Inventory of Thriving (CIT). Phase 1 scores of both groups were not significantly different. Active followers who attended yoga retreats scored higher at phase 2 on the FS and the CIT than the peripheral associates. Within the active followers’ cohort, women, upper class, Hindus and never married/widowed had higher phase 2 FS and CIT scores. Active followers who attended retreats for meditation and reflection, practiced yoga, prayer and personal study during retreats, and regularly maintained the spiritual routine after retreats, acquired several psychological resources and strengths. Hence, active and serious followers of the Indian guru-led NRMs psychologically gain as a result of experiencing yoga retreats.     

Food,faith, social service and institution building: the Annamrita programme of the Hare Krishna movement in India

Based on fieldwork with the Annamrita programme, a food-based social service of ISKCON or the Hare Krishna movement in India, I look at the intricate connection between food, faith, social service and institution building. Formally known as the ISKCON Food Relief Foundation, the Annamrita programme has partnered with the government’s midday meal scheme for school children. From the point of view of sociology of food and sociology of religion, I propose that food is a cultural, moral and emotional investment for ISKCON. I describe how a faith-based social service through the instrument of food becomes a mode of bridging and institution building. The governmentality of this food service and the sacred public–private partnership is a specific kind of cultural and macroeconomic intervention in a resource-limited setting such as India. Camouflaged and embedded in this programme is an element of cultural hegemony and a Krishna consciousness-governed nationalism, with the ideas of the nation as a sacred land. Krishna is considered as the vanguard of sacralisation and the faith messages of ISKCON inevitably accompany the service package.     

Effect of a spiritual education programme in developing altruism and prosocial behaviour among children

This article reports on a two-year experimental study with 3278 children from schools in 15 countries, who underwent a spiritual education programme (SEP) aimed at enhancing altruism and prosocial behaviour. Results showed that post-test scores of the participant children on the self-report altruism scale and prosocial personality battery were higher than the comparison group, and their own pre-test scores. Participant children from affluent countries, high scorers on self-reported religiosity and spirituality, those who attended six-eight rounds of the SEP and regularly self-practiced, had higher post-treatment scores. Hierarchical regression models showed that self-practice was the most important post-test predictor of altruism and prosocial behaviour.