Type | Journal Article |
---|---|
Author | Karen E Adams |
Author | Michael H Cohen |
Author | David Eisenberg |
Author | Albert R Jonsen |
Abstract | Increasing use of complementary and alternative medical (CAM) therapies by patients, health care providers, and institutions has made it imperative that physicians consider their ethical obligations when recommending, tolerating, or proscribing these therapies. The authors present a risk-benefit framework that can be applied to determine the appropriateness of using CAM therapies in various clinical scenarios. The major relevant issues are the severity and acuteness of illness; the curability of the illness by conventional forms of treatment; the degree of invasiveness, associated toxicities, and side effects of the conventional treatment; the availability and quality of evidence of utility and safety of the desired CAM treatment; the level of understanding of risks and benefits of the CAM treatment combined with the patient's knowing and voluntary acceptance of those risks; and the patient's persistence of intention to use CAM therapies. Even in the absence of scientific evidence for CAM therapies, by considering these relevant issues, providers can formulate a plan that is clinically sound, ethically appropriate, and targeted to the unique circumstances of individual patients. Physicians are encouraged to remain engaged in problem-solving with their patients and to attempt to elucidate and clarify the patient's core values and beliefs when counseling about CAM therapies. |
Publication | Annals of Internal Medicine |
Volume | 137 |
Issue | 8 |
Pages | 660-664 |
Date | Oct 15, 2002 |
Journal Abbr | Ann. Intern. Med |
ISSN | 1539-3704 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12379066 |
Accessed | Mon Sep 7 23:30:19 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12379066 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Increasing use of complementary and alternative medical (CAM) therapies by patients, health care providers, and institutions has made it imperative that physicians consider their ethical obligations when recommending, tolerating, or proscribing these therapies. The authors present a risk-benefit framework that can be applied to determine the appropriateness of using CAM therapies in various clinical scenarios. The major relevant issues are the severity and acuteness of illness; the curability of the illness by conventional forms of treatment; the degree of invasiveness, associated toxicities, and side effects of the conventional treatment; the availability and quality of evidence of utility and safety of the desired CAM treatment; the level of understanding of risks and benefits of the CAM treatment combined with the patient’s knowing and voluntary acceptance of those risks; and the patient’s persistence of intention to use CAM therapies. Even in the absence of scientific evidence for CAM therapies, by considering these relevant issues, providers can formulate a plan that is clinically sound, ethically appropriate, and targeted to the unique circumstances of individual patients. Physicians are encouraged to remain engaged in problem-solving with their patients and to attempt to elucidate and clarify the patient’s core values and beliefs when counseling about CAM therapies.
Type | Journal Article |
---|---|
Author | D Aldridge |
Abstract | The natural science base of modern medicine influences the way in which medicine is delivered and may ignore the spiritual factors associated with illness. The history of spirituality in healing presented here reflects the growth of scientific knowledge, demands for religious renewal, and the shift in the understanding of the concept of health within a broader cultural context. General practitioners have been willing to entertain the idea of spiritual healing and include it in their daily practice, or referral network. Recognizing patients' beliefs in the face of suffering is an important factor in health care practice. |
Publication | The British Journal of General Practice: The Journal of the Royal College of General Practitioners |
Volume | 41 |
Issue | 351 |
Pages | 425-427 |
Date | Oct 1991 |
Journal Abbr | Br J Gen Pract |
ISSN | 0960-1643 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/1777299 |
Accessed | Thu Nov 12 17:14:05 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 1777299 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
The natural science base of modern medicine influences the way in which medicine is delivered and may ignore the spiritual factors associated with illness. The history of spirituality in healing presented here reflects the growth of scientific knowledge, demands for religious renewal, and the shift in the understanding of the concept of health within a broader cultural context. General practitioners have been willing to entertain the idea of spiritual healing and include it in their daily practice, or referral network. Recognizing patients’ beliefs in the face of suffering is an important factor in health care practice.
Type | Journal Article |
---|---|
Author | Gowri Anandarajah |
Abstract | PURPOSE: The explosion of evidence in the last decade supporting the role of spirituality in whole-person patient care has prompted proposals for a move to a biopsychosocial-spiritual model for health. Making this paradigm shift in today's multicultural societies poses many challenges, however. This article presents 2 theoretical models that provide common ground for further exploration of the role of spirituality in medicine. METHODS: The 3 H model (head, heart, hands) and the BMSEST models (body, mind, spirit, environment, social, transcendent) evolved from the author's 12-year experience with curricula development regarding spirituality and medicine, 16-year experience as an attending family physician and educator, lived experience with both Hinduism and Christianity since childhood, and a lifetime study of the world's great spiritual traditions. The models were developed, tested with learners, and refined. RESULTS: The 3 H model offers a multidimensional definition of spirituality, applicable across cultures and belief systems, that provides opportunities for a common vocabulary for spirituality. Therapeutic options, from general spiritual care (compassion, presence, and the healing relationship), to specialized spiritual care (eg, by clinical chaplains), to spiritual self-care are discussed. The BMSEST model provides a conceptual framework for the role of spirituality in the larger health care context, useful for patient care, education, and research. Interactions among the 6 BMSEST components, with references to ongoing research, are proposed. CONCLUSIONS: Including spirituality in whole-person care is a way of furthering our understanding of the complexities of human health and well-being. The 3 H and BMSEST models suggest a multidimensional and multidisciplinary approach based on universal concepts and a foundation in both the art and science of medicine. |
Publication | Annals of Family Medicine |
Volume | 6 |
Issue | 5 |
Pages | 448-458 |
Date | 2008 Sep-Oct |
Journal Abbr | Ann Fam Med |
DOI | 10.1370/afm.864 |
ISSN | 1544-1717 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18779550 |
Accessed | Fri Nov 13 19:27:50 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18779550 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Purpose: The explosion of evidence in the last decade supporting the role of spirituality in whole-person patient care has prompted proposals for a move to a biopsychosocial-spiritual model for health. Making this paradigm shift in today’s multicultural societies poses many challenges, however. This article presents 2 theoretical models that provide common ground for further exploration of the role of spirituality in medicine. Methods: The 3 H model (head, heart, hands) and the BMSEST models (body, mind, spirit, environment, social, transcendent) evolved from the author’s 12-year experience with curricula development regarding spirituality and medicine, 16-year experience as an attending family physician and educator, lived experience with both Hinduism and Christianity since childhood, and a lifetime study of the world’s great spiritual traditions. The models were developed, tested with learners, and refined. Results: The 3 H model offers a multidimensional definition of spirituality, applicable across cultures and belief systems, that provides opportunities for a common vocabulary for spirituality. Therapeutic options, from general spiritual care (compassion, presence, and the healing relationship), to specialized spiritual care (eg, by clinical chaplains), to spiritual self-care are discussed. The BMSEST model provides a conceptual framework for the role of spirituality in the larger health care context, useful for patient care, education, and research. Interactions among the 6 BMSEST components, with references to ongoing research, are proposed. Conclusions: Including spirituality in whole-person care is a way of furthering our understanding of the complexities of human health and well-being. The 3 H and BMSEST models suggest a multidimensional and multidisciplinary approach based on universal concepts and a foundation in both the art and science of medicine.
Type | Journal Article |
---|---|
Author | Chittaranjan Andrade |
Author | Rajiv Radhakrishnan |
Abstract | Religious traditions across the world display beliefs in healing through prayer. The healing powers of prayer have been examined in triple-blind, randomized controlled trials. We illustrate randomized controlled trials on prayer and healing, with one study in each of different categories of outcome. We provide a critical analysis of the scientific and philosophical dimensions of such research. Prayer has been reported to improve outcomes in human as well as nonhuman species, to have no effect on outcomes, to worsen outcomes and to have retrospective healing effects. For a multitude of reasons, research on the healing effects of prayer is riddled with assumptions, challenges and contradictions that make the subject a scientific and religious minefield. We believe that the research has led nowhere, and that future research, if any, will forever be constrained by the scientific limitations that we outline. |
Publication | Indian Journal of Psychiatry |
Volume | 51 |
Issue | 4 |
Pages | 247-253 |
Date | 2009 Oct-Dec |
Journal Abbr | Indian J Psychiatry |
DOI | 10.4103/0019-5545.58288 |
ISSN | 1998-3794 |
Short Title | Prayer and healing |
Accessed | Sat Jan 23 13:03:36 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20048448 |
Date Added | Thu Sep 29 09:04:35 2011 |
Modified | Thu Sep 29 09:04:35 2011 |
This article provides a critical analysis of three types of prayer studies on scientific (methodological) and philosophical grounds and concludes that any future research into the effectiveness of prayer in healing will inevitably run up against these problems.
Type | Journal Article |
---|---|
Author | H J Aponte |
Abstract | Today psychotherapists face a challenge quite different from Karl Menninger's early efforts to foster an understanding between the new science of psychiatry and traditional religion. Today the mental health sciences are struggling with the contradictions and conflicts about society's values and spirituality that are currently vexing us all. The challenge today for psychotherapists is how to address values and spirituality professionally, ethically, and usefully in our work. This article looks at the scope of the task of training psychotherapists to work with values and spirituality in today's climate of amorphous values and culture wars. |
Publication | Bulletin of the Menninger Clinic |
Volume | 60 |
Issue | 4 |
Pages | 488-502 |
Date | 1996 |
Journal Abbr | Bull Menninger Clin |
ISSN | 0025-9284 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/9009377 |
Accessed | Thu Nov 12 17:29:20 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 9009377 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Today psychotherapists face a challenge quite different from Karl Menninger’s early efforts to foster an understanding between the new science of psychiatry and traditional religion. Today the mental health sciences are struggling with the contradictions and conflicts about society’s values and spirituality that are currently vexing us all. The challenge today for psychotherapists is how to address values and spirituality professionally, ethically, and usefully in our work. This article looks at the scope of the task of training psychotherapists to work with values and spirituality in today’s climate of amorphous values and culture wars.
Type | Journal Article |
---|---|
Author | Karine Toupin April |
Author | Rishma Walji |
Abstract | This article reviews available evidence on complementary and alternative medicine in pediatric rheumatology. Despite its common use in pediatric rheumatology (34%–92%), there is still uncertainty as to its efficacy and safety. Although results are promising for some treatments such as massage, acupuncture, mind-body interventions (eg, guided imagery and meditative breathing), and some natural health products (eg, calcium supplements and Tripterygium wilfordii), there is a need for high-quality trials investigating the long-term effects and underlying mechanisms of these therapies as well as research on their use in this population of patients. |
Publication | Rheumatic Disease Clinics of North America |
Volume | 37 |
Issue | 1 |
Pages | 85-94 |
Date | February 2011 |
DOI | 10.1016/j.rdc.2010.11.011 |
ISSN | 0889-857X |
Accessed | Tue Mar 15 14:51:57 2011 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 08:56:57 2011 |
Modified | Thu Sep 29 08:56:57 2011 |
Type | Journal Article |
---|---|
Author | John A. Astin |
Abstract | Context.-- Research both in the United States and abroad suggests that significant numbers of people are involved with various forms of alternative medicine. However, the reasons for such use are, at present, poorly understood. Objective.-- To investigate possible predictors of alternative health care use. Methods.-- Three primary hypotheses were tested. People seek out these alternatives because (1) they are dissatisfied in some way with conventional treatment; (2) they see alternative treatments as offering more personal autonomy and control over health care decisions; and (3) the alternatives are seen as more compatible with the patients' values, worldview, or beliefs regarding the nature and meaning of health and illness. Additional predictor variables explored included demographics and health status. Design.-- A written survey examining use of alternative health care, health status, values, and attitudes toward conventional medicine. Multiple logistic regression analyses were used in an effort to identify predictors of alternative health care use. Setting and Participants.-- A total of 1035 individuals randomly selected from a panel who had agreed to participate in mail surveys and who live throughout the United States. Main Outcome Measure.-- Use of alternative medicine within the previous year. Results.-- The response rate was 69%.The following variables emerged as predictors of alternative health care use: more education (odds ratio [OR], 1.2; 95% confidence interval [CI], 1.1-1.3); poorer health status (OR, 1.3; 95% CI, 1.1-1.5); a holistic orientation to health (OR, 1.4; 95% CI, 1.1-1.9); having had a transformational experience that changed the person's worldview (OR, 1.8; 95% CI, 1.3-2.5); any of the following health problems: anxiety (OR, 3.1; 95% CI, 1.6-6.0); back problems (OR, 2.3; 95% CI, 1.7-3.2); chronic pain (OR, 2.0; 95% CI, 1.1-3.5); urinary tract problems (OR, 2.2; 95% CI, 1.3-3.5); and classification in a cultural group identifiable by their commitment to environmentalism, commitment to feminism, and interest in spirituality and personal growth psychology (OR, 2.0; 95% CI, 1.4-2.7). Dissatisfaction with conventional medicine did not predict use of alternative medicine. Only 4.4% of those surveyed reported relying primarily on alternative therapies. Conclusion.-- Along with being more educated and reporting poorer health status, the majority of alternative medicine users appear to be doing so not so much as a result of being dissatisfied with conventional medicine but largely because they find these health care alternatives to be more congruent with their own values, beliefs, and philosophical orientations toward health and life. |
Publication | JAMA |
Volume | 279 |
Issue | 19 |
Pages | 1548-1553 |
Date | May 20, 1998 |
DOI | 10.1001/jama.279.19.1548 |
Short Title | Why Patients Use Alternative Medicine |
URL | http://jama.ama-assn.org/cgi/content/abstract/279/19/1548 |
Accessed | Fri Sep 25 17:55:30 2009 |
Library Catalog | HighWire |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Context.-- Research both in the United States and abroad suggests that significant numbers of people are involved with various forms of alternative medicine. However, the reasons for such use are, at present, poorly understood. Objective.-- To investigate possible predictors of alternative health care use. Methods.-- Three primary hypotheses were tested. People seek out these alternatives because (1) they are dissatisfied in some way with conventional treatment; (2) they see alternative treatments as offering more personal autonomy and control over health care decisions; and (3) the alternatives are seen as more compatible with the patients’ values, worldview, or beliefs regarding the nature and meaning of health and illness. Additional predictor variables explored included demographics and health status. Design.-- A written survey examining use of alternative health care, health status, values, and attitudes toward conventional medicine. Multiple logistic regression analyses were used in an effort to identify predictors of alternative health care use. Setting and Participants.-- A total of 1035 individuals randomly selected from a panel who had agreed to participate in mail surveys and who live throughout the United States. Main Outcome Measure.-- Use of alternative medicine within the previous year. Results.-- The response rate was 69%.The following variables emerged as predictors of alternative health care use: more education (odds ratio [OR], 1.2; 95% confidence interval [CI], 1.1-1.3); poorer health status (OR, 1.3; 95% CI, 1.1-1.5); a holistic orientation to health (OR, 1.4; 95% CI, 1.1-1.9); having had a transformational experience that changed the person’s worldview (OR, 1.8; 95% CI, 1.3-2.5); any of the following health problems: anxiety (OR, 3.1; 95% CI, 1.6-6.0); back problems (OR, 2.3; 95% CI, 1.7-3.2); chronic pain (OR, 2.0; 95% CI, 1.1-3.5); urinary tract problems (OR, 2.2; 95% CI, 1.3-3.5); and classification in a cultural group identifiable by their commitment to environmentalism, commitment to feminism, and interest in spirituality and personal growth psychology (OR, 2.0; 95% CI, 1.4-2.7). Dissatisfaction with conventional medicine did not predict use of alternative medicine. Only 4.4% of those surveyed reported relying primarily on alternative therapies. Conclusion.-- Along with being more educated and reporting poorer health status, the majority of alternative medicine users appear to be doing so not so much as a result of being dissatisfied with conventional medicine but largely because they find these health care alternatives to be more congruent with their own values, beliefs, and philosophical orientations toward health and life.
Type | Journal Article |
---|---|
Author | J A Astin |
Author | A Marie |
Author | K R Pelletier |
Author | E Hansen |
Author | W L Haskell |
Abstract | BACKGROUND: Studies suggest that between 30% and 50% of the adult population in industrialized nations use some form of complementary and/or alternative medicine (CAM) to prevent or treat a variety of health-related problems. METHOD: A comprehensive literature search identified 25 surveys conducted between 1982 and 1995 that examined the practices and beliefs of conventional physicians with regard to 5 of the more prominent CAM therapies: acupuncture, chiropractic, homeopathy, herbal medicine, and massage. Six studies were excluded owing to their methodological limitations. RESULTS: Across surveys, acupuncture had the highest rate of physician referral (43%) among the 5 CAM therapies, followed by chiropractic (40%) and massage (21%). Rates of CAM practice by conventional physicians varied from a low of 9% for homeopathy to a high of 19% for chiropractic and massage therapy. Approximately half of the surveyed physicians believed in the efficacy of acupuncture (51%), chiropractic (53%), and massage (48%), while fewer believed in the value of homeopathy (26%) and herbal approaches (13%). CONCLUSIONS: This review suggests that large numbers of physicians are either referring to or practicing some of the more prominent and well-known forms of CAM and that many physicians believe that these therapies are useful or efficacious. These data vary considerably across surveys, most likely because of regional differences and sampling methods, suggesting the need for more rigorous surveys using national, representative samples. Finally, outcomes studies are needed so that physicians can make decisions about the use of CAM based on scientific evidence of efficacy rather than on regional economics and cultural norms. |
Publication | Archives of Internal Medicine |
Volume | 158 |
Issue | 21 |
Pages | 2303-2310 |
Date | Nov 23, 1998 |
Journal Abbr | Arch. Intern. Med |
ISSN | 0003-9926 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/9827781 |
Accessed | Tue Nov 3 22:47:46 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 9827781 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Background: Studies suggest that between 30% and 50% of the adult population in industrialized nations use some form of complementary and/or alternative medicine (CAM) to prevent or treat a variety of health-related problems. Method: A comprehensive literature search identified 25 surveys conducted between 1982 and 1995 that examined the practices and beliefs of conventional physicians with regard to 5 of the more prominent CAM therapies: acupuncture, chiropractic, homeopathy, herbal medicine, and massage. Six studies were excluded owing to their methodological limitations. Results: Across surveys, acupuncture had the highest rate of physician referral (43%) among the 5 CAM therapies, followed by chiropractic (40%) and massage (21%). Rates of CAM practice by conventional physicians varied from a low of 9% for homeopathy to a high of 19% for chiropractic and massage therapy. Approximately half of the surveyed physicians believed in the efficacy of acupuncture (51%), chiropractic (53%), and massage (48%), while fewer believed in the value of homeopathy (26%) and herbal approaches (13%). Conclusions: This review suggests that large numbers of physicians are either referring to or practicing some of the more prominent and well-known forms of CAM and that many physicians believe that these therapies are useful or efficacious. These data vary considerably across surveys, most likely because of regional differences and sampling methods, suggesting the need for more rigorous surveys using national, representative samples. Finally, outcomes studies are needed so that physicians can make decisions about the use of CAM based on scientific evidence of efficacy rather than on regional economics and cultural norms.
Type | Journal Article |
---|---|
Author | John A. Astin |
Author | Shauna L. Shapiro |
Author | David M. Eisenberg |
Author | Kelly L. Forys |
Abstract | Background: Although emerging evidence during the past several decades suggests that psychosocial factors can directly influence both physiologic function and health outcomes, medicine had failed to move beyond the biomedical model, in part because of lack of exposure to the evidence base supporting the biopsychosocial model. The literature was reviewed to examine the efficacy of representative psychosocial-mind-body interventions, including relaxation, (cognitive) behavioral therapies, meditation, imagery, biofeedback, and hypnosis for several common clinical conditions. Methods: An electronic search was undertaken of the MEDLINE, PsycLIT, and the Cochrane Library databases and a manual search of the reference sections of relevant articles for related clinical trials and reviews of the literature. Studies examining mind-body interventions for psychological disorders were excluded. Owing to space limitations, studies examining more body-based therapies, such as yoga and tai chi chuan, were also not included. Data were extracted from relevant systematic reviews, meta-analyses, and randomized controlled trials. Results: Drawing principally from systematic reviews and meta-analyses, there is considerable evidence of efficacy for several mind-body therapies in the treatment of coronary artery disease (eg, cardiac rehabilitation), headaches, insomnia, incontinence, chronic low back pain, disease and treatment-related symptoms of cancer, and improving postsurgical outcomes. We found moderate evidence of efficacy for mind-body therapies in the areas of hypertension and arthritis. Additional research is required to clarify the relative efficacy of different mind-body therapies, factors (such as specific patient characteristics) that might predict more or less successful outcomes, and mechanisms of action. Research is also necessary to examine the cost offsets associated with mind-body therapies. Conclusions: There is now considerable evidence that an array of mind-body therapies can be used as effective adjuncts to conventional medical treatment for a number of common clinical conditions. |
Publication | Journal of the American Board of Family Practice |
Volume | 16 |
Issue | 2 |
Pages | 131-147 |
Date | March 1, 2003 |
DOI | 10.3122/jabfm.16.2.131 |
Short Title | Mind-Body Medicine |
URL | http://www.jabfm.org/cgi/content/abstract/16/2/131 |
Accessed | Mon Oct 12 11:52:26 2009 |
Library Catalog | HighWire |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Background: Although emerging evidence during the past several decades suggests that psychosocial factors can directly influence both physiologic function and health outcomes, medicine had failed to move beyond the biomedical model, in part because of lack of exposure to the evidence base supporting the biopsychosocial model. The literature was reviewed to examine the efficacy of representative psychosocial-mind-body interventions, including relaxation, (cognitive) behavioral therapies, meditation, imagery, biofeedback, and hypnosis for several common clinical conditions. Methods: An electronic search was undertaken of the MEDLINE, PsycLIT, and the Cochrane Library databases and a manual search of the reference sections of relevant articles for related clinical trials and reviews of the literature. Studies examining mind-body interventions for psychological disorders were excluded. Owing to space limitations, studies examining more body-based therapies, such as yoga and tai chi chuan, were also not included. Data were extracted from relevant systematic reviews, meta-analyses, and randomized controlled trials. Results: Drawing principally from systematic reviews and meta-analyses, there is considerable evidence of efficacy for several mind-body therapies in the treatment of coronary artery disease (eg, cardiac rehabilitation), headaches, insomnia, incontinence, chronic low back pain, disease and treatment-related symptoms of cancer, and improving postsurgical outcomes. We found moderate evidence of efficacy for mind-body therapies in the areas of hypertension and arthritis. Additional research is required to clarify the relative efficacy of different mind-body therapies, factors (such as specific patient characteristics) that might predict more or less successful outcomes, and mechanisms of action. Research is also necessary to examine the cost offsets associated with mind-body therapies. Conclusions: There is now considerable evidence that an array of mind-body therapies can be used as effective adjuncts to conventional medical treatment for a number of common clinical conditions.
Type | Journal Article |
---|---|
Author | Nancy L Atkinson |
Author | Rachel Permuth-Levine |
Abstract | OBJECTIVES To explore perceived benefits, barriers, and cues to action of yoga practice among adults. METHODS Focus groups were conducted with persons who had never practiced yoga, practitioners of one year or less, and practitioners for more than one year. The Health Belief Model was the theoretical foundation of inquiry. RESULTS All participants acknowledged a variety of benefits of yoga. Barriers outweighed benefits among persons who had never practiced despite knowledge of benefits. Positive experiences with yoga and yoga instructors facilitated practice. CONCLUSIONS Newly identified benefits and barriers indicate the need for quantitative research and behavioral trials. |
Publication | American Journal of Health Behavior |
Volume | 33 |
Issue | 1 |
Pages | 3-14 |
Date | 2009 Jan-Feb |
Journal Abbr | Am J Health Behav |
ISSN | 1087-3244 |
Short Title | Benefits, barriers, and cues to action of yoga practice |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18844516 |
Accessed | Mon Mar 28 18:29:00 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18844516 |
Date Added | Thu Sep 29 09:07:00 2011 |
Modified | Thu Sep 29 09:07:00 2011 |
Type | Journal Article |
---|---|
Author | Charlotte Baarts |
Author | Inge Kryger Pedersen |
Abstract | Since the 1960s, in Western societies, there has been a striking growth of consumer interest in complementary or alternative medicine (CAM). In order to make this increased popularity intelligible this paper challenges stereotypical images of users' motives and the results of clinical studies of CAM by exploring bodily experiences of acupuncture, reflexology treatments, and mindfulness training. The study draws on 138 in-depth interviews with 46 clients, client diaries and observations of 92 clinical treatments in order to identify bodily experiences of health and care: experiences that are contested between forces of mastery, control and resistance. We discuss why clients continue to use CAM even when the treatments do not help or even after they have been relieved of their physiological or mental problems. The encounter between the client and CAM produces derivative benefits such as a fresh and sustained sense of bodily responsibility that induces new health practices. |
Publication | Sociology of Health & Illness |
Volume | 31 |
Issue | 5 |
Pages | 719-733 |
Date | Jul 2009 |
Journal Abbr | Sociol Health Illn |
DOI | 10.1111/j.1467-9566.2009.01163.x |
ISSN | 1467-9566 |
Short Title | Derivative benefits |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19392940 |
Accessed | Sat Sep 26 15:14:34 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19392940 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Charlotte Baarts |
Author | Inge Kryger Pedersen |
Abstract | Since the 1960s, in Western societies, there has been a striking growth of consumer interest in complementary or alternative medicine (CAM). In order to make this increased popularity intelligible this paper challenges stereotypical images of users' motives and the results of clinical studies of CAM by exploring bodily experiences of acupuncture, reflexology treatments, and mindfulness training. The study draws on 138 in-depth interviews with 46 clients, client diaries and observations of 92 clinical treatments in order to identify bodily experiences of health and care: experiences that are contested between forces of mastery, control and resistance. We discuss why clients continue to use CAM even when the treatments do not help or even after they have been relieved of their physiological or mental problems. The encounter between the client and CAM produces derivative benefits such as a fresh and sustained sense of bodily responsibility that induces new health practices. |
Publication | Sociology of Health & Illness |
Volume | 31 |
Issue | 5 |
Pages | 719-733 |
Date | Jul 2009 |
Journal Abbr | Sociol Health Illn |
DOI | 10.1111/j.1467-9566.2009.01163.x |
ISSN | 1467-9566 |
Short Title | Derivative benefits |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19392940 |
Accessed | Fri Feb 4 11:21:36 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19392940 |
Date Added | Thu Sep 29 09:06:02 2011 |
Modified | Thu Sep 29 09:06:02 2011 |
Since the 1960s, in Western societies, there has been a striking growth of consumer interest in complementary or alternative medicine (CAM). In order to make this increased popularity intelligible this paper challenges stereotypical images of users’ motives and the results of clinical studies of CAM by exploring bodily experiences of acupuncture, reflexology treatments, and mindfulness training. The study draws on 138 in-depth interviews with 46 clients, client diaries and observations of 92 clinical treatments in order to identify bodily experiences of health and care: experiences that are contested between forces of mastery, control and resistance. We discuss why clients continue to use CAM even when the treatments do not help or even after they have been relieved of their physiological or mental problems. The encounter between the client and CAM produces derivative benefits such as a fresh and sustained sense of bodily responsibility that induces new health practices.
Type | Book |
---|---|
Author | Linda Barnes |
Author | Susan Sered |
Place | Oxford |
Publisher | Oxford University Press |
Date | 2005 |
ISBN | 9780195167955 |
Library Catalog | Open WorldCat |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Throughout much of the modern era, faith healing received attention only when it came into conflict with biomedical practice. During the 1990s, however, American culture changed dramatically and religious healing became a commonplace feature of our society. Increasing numbers of mainstream churches and synagogues began to hold held “healing services” and “healing circles.” The use of complementary and alternative therapies-some connected with spiritual or religious traditions-became widespread, and the growing hospice movement drew attention to the spiritual aspects of medical care. At the same time, changes in immigration laws brought to the United States new cultural communities, each with their own approaches to healing. Cuban santeros, Haitian mambos and oungans, Cambodian Buddhist priests, Chinese herbalist-acupuncturists, and Hmong shamans are only a few of the newer types of American religious healers, often found practicing within blocks of prestigious biomedical institutions. This book offers a richly comprehensive collection of essays examining this new reality. It brings together, for the first time, scholars from a wide variety of disciplinary perspectives to explore the relatively uncharted field of religious healing as understood and practiced in diverse cultural communities in the United States. The book will be an invaluable resource for students of anthropology, religious studies, American studies, and ethnic studies, health care professionals, clergy, and anyone interested in the changing American cultural landscape.
Type | Journal Article |
---|---|
Author | Eran Ben-Arye |
Author | Sonia Karkabi |
Author | Chen Shapira |
Author | Elad Schiff |
Author | Ofer Lavie |
Author | Yael Keshet |
Abstract | <AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The purpose of this study was to examine the use of complementary and alternative medicine (CAM) in a primary care practice in Israel to determine prevalence and patterns of use.</AbstractText> <AbstractText Label="METHODS" NlmCategory="METHODS">Trained research assistants invited all patients attending the administrative, medical, pharmaceutical, or nursing services of 7 clinics in urban and rural areas of northern Israel over a 16-month period, from April 1, 2005, through August 1, 2006, to complete a 13-item written questionnaire about CAM use and beliefs about CAM safety and efficacy. CAM was defined as therapies often referred to as alternative, complementary, natural, or folk/traditional medicine, and which are not usually offered as part of the medical treatment in the clinic, including herbal medicine, Chinese medicine (including acupuncture), homeopathy, folk and traditional remedies, dietary/nutritional therapy (including nutritional supplements), chiropractic, movement/manual healing therapies (including massage, reflexology, yoga, and Alexander and Feldenkrais techniques), mind-body techniques (including meditation, guided imagery, and relaxation), energy and healing therapies, and other naturopathic therapies. The Pearson chi(2) test and multivariate logistic regression were used to assess univariate associations with the odds ratios of CAM use among Arab and Jewish women. A t test was performed to determine whether there were any differences in the continuous variables between the 2 groups.</AbstractText> <AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 3972 consecutive patients who received the questionnaire, 3447 responded; 2139 respondents (62%) were women. Of the female respondents, 2121 reported their religion (1238 respondents [58%] self-identified as being Arab, and 883 [41.6%] as being Jewish). Compared with men, more women used CAM during the previous year (46.4% vs 39.4%; P < 0.001). Women were more likely to use CAM and to be interested in receiving CAM at primary care clinics. Arab women reported less CAM use than Jewish women but were more interested in experiencing CAM, had a higher degree of confidence in CAM efficacy and safety, and more frequently supported the integration of CAM practitioners in primary care clinics.</AbstractText> <AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this study, women visiting primary care clinics in northern Israel used CAM more often than men did. Arab women reported less use of CAM than did Jewish women but also reported greater confidence in CAM efficacy and safety.</AbstractText> |
Publication | Gender Medicine |
Volume | 6 |
Issue | 2 |
Pages | 384-397 |
Date | Jul 2009 |
Journal Abbr | Gend Med |
DOI | 10.1016/j.genm.2009.07.002 |
ISSN | 1878-7398 |
Short Title | Complementary medicine in the primary care setting |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19682666 |
Accessed | Fri Feb 4 11:06:48 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19682666 |
Date Added | Thu Sep 29 09:06:02 2011 |
Modified | Thu Sep 29 09:06:02 2011 |
Type | Journal Article |
---|---|
Author | Eran Ben-Arye |
Author | Elad Schiff |
Author | Khaled Karkabi |
Author | Yael Keshet |
Author | Efraim Lev |
Abstract | Background. Spirituality, as distinct from religiosity, has become a most common term in complementary and alternative medicine (CAM) discourse. The association between religiosity and spirituality in the context of CAM use is a complex one and is worthy of being researched in specific local cultural contexts. Objective. Exploring the association between CAM use and religiosity, in patients with and without diabetes Type 2 attending primary care clinics in Northern Israel. Research design and methods. Research assistants administered a questionnaire developed to assess CAM use in primary care to a convenience sample of patients attending seven primary care clinics. Results. Of the 3742 respondents, 485 (12.9%) reported having Type 2 diabetes. Respondents with diabetes reported more overall CAM use during the previous year (46.9% vs. 42%, P=0.049). A logistic regression model of patients with diabetes Type 2 indicated that CAM use was associated with higher self-assessed religiosity [Exp(B)=1.898, 95% CI for Exp(B) 1.02-3.529, P=0.043]. CAM use among patients with diabetes was also associated more with female gender, higher education, and age under 60. The positive association between CAM use and degree of self-assessed religiosity was further studied in sub-populations of Jewish and Arab patients with diabetes Type 2. A logistic regression model of the Jewish population indicated significant association between CAM use and higher religiosity [Exp(B)=3.668, 95% CI for Exp(B) 1.232-10.922, P=0.02]. Conclusion. Primary care physicians need to be aware of a possible association between religiosity and CAM use in patients with diabetes. Physicians may consider adding questions on CAM and religiosity to routine clinical interviews in order to enrich their dialog with diabetes patients. [ABSTRACT FROM AUTHOR] |
Publication | Ethnicity & Health |
Volume | 16 |
Issue | 1 |
Pages | 1-10 |
Date | February 2011 |
DOI | 10.1080/13557858.2010.510181 |
ISSN | 13557858 |
Library Catalog | EBSCOhost |
Date Added | Thu Sep 29 08:57:14 2011 |
Modified | Thu Sep 29 08:57:14 2011 |
Type | Journal Article |
---|---|
Author | Eran Ben-Arye |
Author | Gil Bar-Sela |
Author | Moshe Frenkel |
Author | Abraham Kuten |
Author | Doron Hermoni |
Abstract | BACKGROUND: Complementary and alternative medicine (CAM) is increasingly being used by patients with cancer. OBJECTIVES: Our aim is to compare the attitudes of cancer patients who use CAM to those of nonusers, on issues of CAM, biopsychosocial considerations, and spiritual needs. METHODS: Questionnaires were administered to patients and medical care providers in a tertiary teaching hospital with a comprehensive cancer center. RESULTS: Forty-nine percent of the study patients reported integrating CAM into their conventional care. Health care providers considered psychological and spiritual needs as major reasons for CAM use, while patients considered the familial-social aspect to be more important. CONCLUSIONS: Cancer patients do not correlate CAM use with spiritual concerns but expect their physicians to attend to spiritual themes. Health care providers involved in oncology cancer care should emphasize spiritual as well as CAM themes. The integration of these themes into a biopsychosocial-spiritual approach may enrich the dialogue between patients and health providers. |
Publication | Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer |
Volume | 14 |
Issue | 2 |
Pages | 147-152 |
Date | Feb 2006 |
Journal Abbr | Support Care Cancer |
DOI | 10.1007/s00520-005-0866-8 |
ISSN | 0941-4355 |
Short Title | Is a biopsychosocial-spiritual approach relevant to cancer treatment? |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16133071 |
Accessed | Fri Nov 13 15:24:24 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16133071 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Background: Complementary and alternative medicine (CAM) is increasingly being used by patients with cancer. Objectives Our aim is to compare the attitudes of cancer patients who use CAM to those of nonusers, on issues of CAM, biopsychosocial considerations, and spiritual needs. Methods: Questionnaires were administered to patients and medical care providers in a tertiary teaching hospital with a comprehensive cancer center. Results: Forty-nine percent of the study patients reported integrating CAM into their conventional care. Health care providers considered psychological and spiritual needs as major reasons for CAM use, while patients considered the familial-social aspect to be more important. Conclusions: Cancer patients do not correlate CAM use with spiritual concerns but expect their physicians to attend to spiritual themes. Health care providers involved in oncology cancer care should emphasize spiritual as well as CAM themes. The integration of these themes into a biopsychosocial-spiritual approach may enrich the dialogue between patients and health providers.
Type | Journal Article |
---|---|
Author | Eran Ben-Arye |
Author | Khaled Karkabi |
Author | Sonia Karkabi |
Author | Yael Keshet |
Author | Maria Haddad |
Author | Moshe Frenkel |
Abstract | The purpose of this cross-cultural study was to evaluate patient perspectives on complementary and alternative medicine (CAM) integration within primary care clinics. It is one of the first multiethnic studies to explore patients' perspectives on the best model for integrating CAM into the conventional care setting. We developed a 13-item questionnaire that addresses issues of CAM use, expectations from the primary care physicians concerning CAM, and attitudes toward CAM integration within a patient's primary care clinic. We constructed the questionnaire with cross-cultural sensitivity concerning the core concepts of CAM and traditional medicine in both the Arab and Jewish communities in northern Israel. Data for statistical analysis were obtained from 3840 patients attending seven primary care clinics. Of the 3713 respondents who were willing to identify their religion, 2184 defined themselves as Muslims, Christians, or Druze and 1529 as Jews. Respondents in the two groups were equally distributed by sex but differed significantly by age, education, self-rated religiosity, and self-reported chronic diseases in their medical background. Respondents in the two groups reported comparable overall CAM use during the previous year, but the Arab respondents reported more use of herbs and traditional medicine. Respondents in both groups stated that their primary expectation from a family physician concerning CAM was to refer them appropriately and safely to a CAM practitioner. Respondents in both groups greatly supported a theoretical scenario of CAM integration into primary medical care. However, Arab respondents were more supportive of the option that non-physician CAM practitioners would provide CAM rather than physicians. |
Publication | Social Science & Medicine (1982) |
Volume | 68 |
Issue | 1 |
Pages | 177-182 |
Date | Jan 2009 |
Journal Abbr | Soc Sci Med |
DOI | 10.1016/j.socscimed.2008.10.004 |
ISSN | 0277-9536 |
Short Title | Attitudes of Arab and Jewish patients toward integration of complementary medicine in primary care clinics in Israel |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18992983 |
Accessed | Mon Mar 28 18:23:36 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18992983 |
Date Added | Thu Sep 29 09:07:00 2011 |
Modified | Thu Sep 29 09:07:00 2011 |
Type | Journal Article |
---|---|
Author | Christoph Benn |
Author | Adnan A Hyder |
Abstract | Inequities in health and health care are one of the greatest challenges facing the international community today. This problem raises serious questions for health care planners, politicians and ethicists alike. The major world religions can play an important role in this discussion. Therefore, interreligious dialogue on this topic between ethicists and health care professionals is of increasing relevance and urgency. This article gives an overview on the positions of Islam and Christianity on equity and the distribution of resources in health care. It has been written in close collaboration and constant dialogue between the two authors coming from the two religions. Although there is no specific concept for the modern term equity in either of the two religions, several areas of agreement have been identified: All human beings share the same values and status, which constitutes the basis for an equitable distribution of rights and benefits. Special provisions need to be made for the most needy and disadvantaged. The obligation to provide equitable health services extends beyond national and religious boundaries. Several areas require intensified research and further dialogue: the relationship between the individual and the community in terms of rights and responsibilities, how to operationalize the moral duty to decrease global inequalities in health, and the understanding and interpretation of human rights in regard to social services. |
Publication | Medicine, Health Care, and Philosophy |
Volume | 5 |
Issue | 2 |
Pages | 181-189 |
Date | 2002 |
Journal Abbr | Med Health Care Philos |
ISSN | 1386-7423 |
Short Title | Equity and resource allocation in health care |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12168993 |
Accessed | Mon Nov 2 13:49:04 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12168993 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Inequities in health and health care are one of the greatest challenges facing the international community today. This problem raises serious questions for health care planners, politicians and ethicists alike. The major world religions can play an important role in this discussion. Therefore, interreligious dialogue on this topic between ethicists and health care professionals is of increasing relevance and urgency. This article gives an overview on the positions of Islam and Christianity on equity and the distribution of resources in health care. It has been written in close collaboration and constant dialogue between the two authors coming from the two religions. Although there is no specific concept for the modern term equity in either of the two religions, several areas of agreement have been identified: All human beings share the same values and status, which constitutes the basis for an equitable distribution of rights and benefits. Special provisions need to be made for the most needy and disadvantaged. The obligation to provide equitable health services extends beyond national and religious boundaries. Several areas require intensified research and further dialogue: the relationship between the individual and the community in terms of rights and responsibilities, how to operationalize the moral duty to decrease global inequalities in health, and the understanding and interpretation of human rights in regard to social services.
Type | Book |
---|---|
Author | Herbert Benson |
Place | New York NY |
Publisher | Scribner |
Date | 1996 |
ISBN | 9780684814414 |
Short Title | Timeless healing |
Library Catalog | Open WorldCat |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
In this book, Dr. Herbert Benson draws on his twenty-five years as a physician and researcher to reveal how affirming beliefs, particularly belief in a higher power, make an important contribution to our physical health. We are not simply nourished by meditation and prayer, but are, in essence, “wired for God.” Combining the wisdom of modem medicine and of age-old faith. Dr. Benson shows how anyone can, with the aid of a caring physician or healer, use their beliefs and other self-care methods to heal over 60 percent of medical problems.
Type | Journal Article |
---|---|
Author | Kirk Bingaman |
Abstract | This article draws on recent neuroscientific research evidence that demonstrates the plasticity and malleability of the human brain to make the case for greater use of contemplative and mindfulness practices in pastoral care and counseling. It explores the negativity bias of the brain as it has evolved and argues that mindful awareness practices have the ability to work against this bias in favor of less fearful and anxious perspectives on life, including interpersonal relationships. Contending for a higher evaluation of Christian practices than beliefs, it specifically targets the doctrine of original sin as a contributor to this negativity bias, and advocates the use of Christian meditative practices, especially the Centering Prayer, as a means to foster brain resculpting that is integral to the experience of becoming aware of oneself as a new creation. [ABSTRACT FROM AUTHOR] |
Publication | Pastoral Psychology |
Volume | 60 |
Issue | 3 |
Pages | 477-489 |
Date | June 2011 |
DOI | 10.1007/s11089-011-0328-9 |
ISSN | 00312789 |
Short Title | The Art of Contemplative and Mindfulness Practice |
Library Catalog | EBSCOhost |
Date Added | Thu Sep 29 08:53:56 2011 |
Modified | Thu Sep 29 08:53:56 2011 |
Type | Journal Article |
---|---|
Author | Mark J Brenner |
Abstract | The use of Zen Buddhist meditation in clinical practice has received specific attention from mental health disciplines in the West. A study was undertaken to examine the influence of a personal practice of Zen on the professional work of clinical social workers. Ten experienced clinical social workers who were long-term Zen practitioners were interviewed. Findings from this qualitative study suggest that Zen meditation has direct application to clinical social work in three areas: (1) cultivating Awareness, (2) enhancing Acceptance, and (3) nurturing Responsibility. This article reports on the findings in the area of Awareness. Awareness increases a social worker's focus on the present moment with the client, providing for a suspension of preconceived ideas about the client. Building on the view that social work is both art and science, the author proposes the use of Zen in the training of clinical social workers. |
Publication | Social Work in Health Care |
Volume | 48 |
Issue | 4 |
Pages | 462-470 |
Date | 2009 May-Jun |
Journal Abbr | Soc Work Health Care |
DOI | 10.1080/00981380802589860 |
ISSN | 0098-1389 |
Short Title | Zen practice |
Accessed | Tue Feb 22 19:14:55 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19396713 |
Date Added | Thu Sep 29 09:07:00 2011 |
Modified | Thu Sep 29 09:07:00 2011 |
Type | Journal Article |
---|---|
Author | Daniel Brown |
Abstract | Western psychological research on positive psychology and Buddhism have recently converged in their emphasis on the development of positive states, like states of excellence and everyday happiness. Yet, these traditions differ in their approaches to positive states, with respect to a state-trait and doing-being distinction. Western scientific research on peak performance emphasizes discontinuous, time-limited peak performance states wherein individuals do things extraordinarily well in sports and in the arts. The Eastern spiritual traditions emphasize continuous excellence of being, in the form of traits or character strengths. In both traditions mental imagery is a key ingredient to excellence training. With respect to everyday happiness, Western psychological research has focused on the role of meaning systems in the transformation of flow states into vital engagement in everyday life, while Buddhism stresses the role of meditation training to gain mastery over all levels of mind that leads to everyday happiness. Rorschach and tachistoscopic research on advanced meditators suggests that advance meditators have gained unusual mastery over states of mind not yet documented in the Western psychological research on positive psychology. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 231-251 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1196/annals.1393.018 |
ISSN | 1749-6632 |
Short Title | Mastery of the mind East and West |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19743557 |
Accessed | Tue Sep 15 01:55:09 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19743557 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Western psychological research on positive psychology and Buddhism have recently converged in their emphasis on the development of positive states, like states of excellence and everyday happiness. Yet, these traditions differ in their approaches to positive states, with respect to a state-trait and doing-being distinction. Western scientific research on peak performance emphasizes discontinuous, time-limited peak performance states wherein individuals do things extraordinarily well in sports and in the arts. The Eastern spiritual traditions emphasize continuous excellence of being, in the form of traits or character strengths. In both traditions mental imagery is a key ingredient to excellence training. With respect to everyday happiness, Western psychological research has focused on the role of meaning systems in the transformation of flow states into vital engagement in everyday life, while Buddhism stresses the role of meditation training to gain mastery over all levels of mind that leads to everyday happiness. Rorschach and tachistoscopic research on advanced meditators suggests that advance meditators have gained unusual mastery over states of mind not yet documented in the Western psychological research on positive psychology.
Type | Journal Article |
---|---|
Author | Alister Bull |
Author | Marjorie Gillies |
Abstract | AIMS: To explore the views of hospitalised school-aged children with complex healthcare needs related to spiritual care. This could help inform national policies and raise awareness of the impact that a stay in an acute paediatric hospital can have on the spiritual needs of some of the children who use the NHS. METHOD: Pictures used in previous (US) studies were used to facilitate story telling, enabling children to talk about concepts that may not have emerged through direct conversation. A convenience sample of five hospitalised children were presented with the pictures one at a time and asked open-ended questions about each picture. Data analysis involved identifying emerging themes from the transcriptions using a grounded theory approach. FINDINGS: The main themes to emerge from the interview data were: the role of the child's relationships with family, friends and healthcare professionals; the impact of the hospital environment on the child; coping with invasive procedures; belief--children's views about their health and belief system. CONCLUSION: There is a need for all healthcare professionals to recognise that children have spiritual needs that can include religious beliefs, and that it is part of their duty of care to attempt to identify and meet such needs. |
Publication | Paediatric Nursing |
Volume | 19 |
Issue | 9 |
Pages | 34-38 |
Date | Nov 2007 |
Journal Abbr | Paediatr Nurs |
ISSN | 0962-9513 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18047170 |
Accessed | Fri Nov 13 18:20:46 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18047170 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
AIMS: To explore the views of hospitalised school-aged children with complex healthcare needs related to spiritual care. This could help inform national policies and raise awareness of the impact that a stay in an acute paediatric hospital can have on the spiritual needs of some of the children who use the NHS. Method: Pictures used in previous (US) studies were used to facilitate story telling, enabling children to talk about concepts that may not have emerged through direct conversation. A convenience sample of five hospitalised children were presented with the pictures one at a time and asked open-ended questions about each picture. Data analysis involved identifying emerging themes from the transcriptions using a grounded theory approach. Findings: The main themes to emerge from the interview data were: the role of the child’s relationships with family, friends and healthcare professionals; the impact of the hospital environment on the child; coping with invasive procedures; belief--children’s views about their health and belief system. Conclusion: There is a need for all healthcare professionals to recognise that children have spiritual needs that can include religious beliefs, and that it is part of their duty of care to attempt to identify and meet such needs.
Type | Journal Article |
---|---|
Author | William C Bushell |
Author | Neil D Theise |
Abstract | The orientation of this volume and the Longevity and Optimal Health: Integrating Eastern and Western Perspectives conference is that there is abundant evidence in the scientific and medical literatures that the diligent practice of certain yoga-meditational regimens can lead to a spectrum of health enhancements, ranging from modest to profound, and that these can be investigated in a scientifically rigorous fashion. This overview will summarize these possibilities regarding improved human longevity, regeneration, and protection of health and serve to introduce the perspectives of conference participants from all of the traditions represented. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 5-19 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1111/j.1749-6632.2009.04959.x |
ISSN | 1749-6632 |
Short Title | Toward a unified field of study |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19735235 |
Accessed | Sat Sep 26 15:43:18 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19735235 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
The orientation of this volume and the Longevity and Optimal Health: Integrating Eastern and Western Perspectives conference is that there is abundant evidence in the scientific and medical literatures that the diligent practice of certain yoga-meditational regimens can lead to a spectrum of health enhancements, ranging from modest to profound, and that these can be investigated in a scientifically rigorous fashion. This overview will summarize these possibilities regarding improved human longevity, regeneration, and protection of health and serve to introduce the perspectives of conference participants from all of the traditions represented.
Type | Journal Article |
---|---|
Author | Wendy Cadge |
Author | Elaine Howard Ecklund |
Abstract | BACKGROUND: Physicians and researchers have recently paid increased attention to prayer in physician-patient interactions. Research focuses more on attitudinal questions about whether physicians and/or patients think prayer is relevant than on actual data about when and how prayer comes up in the clinic and how physicians respond. We focus on pediatric physicians to investigate: 1) how prayer enters clinical contexts and 2) how physicians respond. METHODS: We examined in-depth interviews with 30 academic pediatricians and pediatric oncologists. All of these physicians were employed by the most highly ranked hospitals according to US News and World Report. RESULTS: In close to 100% of cases when the subject of prayer came up in clinical contexts, it was patients and families who raised it. Patients and families mostly talked about prayer in response to a seriously ill or dying child. When it was raised, pediatric physicians responded to prayer by participating; accommodating but not participating; reframing; and directing families to other resources. CONCLUSIONS: Physicians wanted to respect patients and families around the topic of prayer. They negotiated between patient/family requests, the specific situation, and their own comfort levels to respond in one of four ways. Their four responses allowed researchers to generate hypotheses about the independent variables that influence how pediatric physicians respond to prayer. Asking how prayer actually came up in clinical situations rather than how patients and/or physicians thought it should be raised, better informs ongoing conversations about the significance of prayer in physician-patient interactions. |
Publication | Southern Medical Journal |
Volume | 102 |
Issue | 12 |
Pages | 1218-1221 |
Date | Dec 2009 |
Journal Abbr | South. Med. J |
DOI | 10.1097/SMJ.0b013e3181bfac71 |
ISSN | 1541-8243 |
Short Title | Prayers in the clinic |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/20016427 |
Accessed | Mon Dec 28 12:15:08 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20016427 |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Journal Article |
---|---|
Author | W Cadge |
Author | EH Ecklund |
Author | N Short |
Abstract | We investigate how 30 pediatricians and pediatric oncologists who practice and teach at elite medical centers determine whether religion and spirituality are relevant to what Andrew Abbot (1988) calls their professional "jurisdictions." Through in-depth interviews we focus on their everyday interactions with patients and families. We ask: (1) How do they gather information about religion and spirituality and determine when that information is relevant to their professional work? (2) Do they perceive religion and spirituality to be a barrier or a bridge to medical care as they do what Thomas Gieryn (1983) calls "boundary work"? We find that pediatric oncologists more than pediatricians see religion and spirituality as relevant to their professional work, though still largely outside their professional jurisdiction. It is most relevant when families are making medical decisions and in end of life situations. Physicians tend to view religion and spirituality functionally, describing impermeable boundaries in medical decision making situations and more permeable boundaries at the end of life. Physicians view religion and spirituality as a barrier when it impedes medical recommendations and as a bridge when it helps families answer questions medicine inherently cannot. Such findings have implications for a wide range of professionals as they negotiate their jurisdictions, particularly around religion and spirituality, in everyday practice. |
Publication | Social Problems |
Volume | 56 |
Issue | 4 |
Pages | 702-721 |
Date | NOV 2009 |
DOI | 10.1525/sp.2009.56.4.702 |
ISSN | 0037-7791 |
Short Title | Religion and Spirituality |
URL | http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do? product=WOS&search_mode=GeneralSearch&qid=1&… |
Accessed | Wed Dec 2 21:13:11 2009 |
Library Catalog | ISI Web of Knowledge |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Journal Article |
---|---|
Author | Andrea Calvo |
Author | Cristina Moglia |
Author | Antonio Ilardi |
Author | Stefania Cammarosano |
Author | Sara Gallo |
Author | Antonio Canosa |
Author | Enza Mastro |
Author | Anna Montuschi |
Author | Adriano Chiò |
Abstract | Abstract It has been repeatedly shown that religiousness and spirituality have positive effects on quality of life (QoL) and outcome in ALS patients. There are, however, very few data on the impact of religiousness/spirituality on ALS caregivers. We determined the impact of religiousness on caregivers and its correlation with quality of life, depression and anxiety. A total of 75 consecutive ALS patients and their informal caregivers were interviewed using tests evaluating religiousness, depression, anxiety, quality of life and satisfaction with life. Results showed that there was a significant correlation between patients and caregivers' public and total religiousness. Caregivers' private religiousness was related to their age and education level, while their public religiousness was related only to their education level. Caregivers' quality of life was related to their private religiousness and satisfaction with life with their total religiousness. We conclude that religiousness is positively associated with ALS caregivers' quality of life and satisfaction with life, in a measure similar to that observed in ALS patients. Health care professionals caring for ALS patients should consider that the needs of the caregivers include religious/spiritual concerns. |
Publication | Amyotrophic Lateral Sclerosis: Official Publication of the World Federation of Neurology Research Group on Motor Neuron Diseases |
Volume | 12 |
Issue | 3 |
Pages | 168-171 |
Date | May 2011 |
Journal Abbr | Amyotroph Lateral Scler |
DOI | 10.3109/17482968.2011.560947 |
ISSN | 1471-180X |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21348787 |
Accessed | Wed Jun 8 18:30:30 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21348787 |
Date Added | Thu Sep 29 08:54:49 2011 |
Modified | Thu Sep 29 08:54:49 2011 |
Type | Journal Article |
---|---|
Author | James Carmody |
Abstract | A number of issues important to the clinical utility of mindfulness require systematic study. These include the most parsimonious definition of mindfulness for clinical purposes, how mindfulness is best described to be most approachable to patients, and the extent to which mindfulness shares common mechanisms with other mind-body programs. The discussion includes a brief review of the transition of mindfulness from traditional into clinical settings as well as the components commonly contained within clinical descriptions of mindfulness. A model based on facility in the use of attention is proposed, and a description of mechanisms by which attentional skill may lead to the recognition of internal associational processes and account for psychological outcomes is given. Using constructs already familiar to patients, an attention-based conception may also be more accessible to patients than more elaborate descriptions and have greater utility in identifying commonalities that mindfulness training may have with other mind-body programs. |
Publication | Journal of Cognitive Psychotherapy |
Volume | 23 |
Pages | 270-280 |
Date | August 2009 |
DOI | 10.1891/0889-8391.23.3.270 |
URL | http://www.ingentaconnect.com/content/springer/jcogp/2009/00000023/00000003/art00007 |
Accessed | Sat Sep 26 17:03:13 2009 |
Library Catalog | IngentaConnect |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
A number of issues important to the clinical utility of mindfulness require systematic study. These include the most parsimonious definition of mindfulness for clinical purposes, how mindfulness is best described to be most approachable to patients, and the extent to which mindfulness shares common mechanisms with other mind-body programs. The discussion includes a brief review of the transition of mindfulness from traditional into clinical settings as well as the components commonly contained within clinical descriptions of mindfulness. A model based on facility in the use of attention is proposed, and a description of mechanisms by which attentional skill may lead to the recognition of internal associational processes and account for psychological outcomes is given. Using constructs already familiar to patients, an attention-based conception may also be more accessible to patients than more elaborate descriptions and have greater utility in identifying commonalities that mindfulness training may have with other mind-body programs.
Type | Journal Article |
---|---|
Author | Elizabeth Ann Catlin |
Author | Wendy Cadge |
Author | Elaine Howard Ecklund |
Author | Elizabeth A Gage |
Author | Angelika Annette Zollfrank |
Abstract | PURPOSE: Physicians' spiritual and religious identities, beliefs, and practices are beginning to be explored. The objective of this study was to gather descriptive information about personal religion and spirituality from a random sample of academic American pediatricians and to compare this information with similar data from the public. METHOD: In 2005, a Web-based survey of a random sample of 208 pediatrician faculty from 13 academic centers ranked by the US News & World Report as "honor roll" hospitals was conducted. Surveys elicited information about personal beliefs and practices as well as their influence on decisions about patient care and clinical practice. Multiple questions were replicated from the General Social Survey to enable comparisons with the public. Descriptive statistics were generated, and logistic regression analyses were conducted on relevant variables. RESULTS: Nearly 88% of respondents were raised in a religious tradition, but just 67.2% claimed current religious identification. More than half (52.6%) reported praying privately; additional spiritual practices reported included relaxation techniques (38.8%), meditation (29.3%), sacred readings (26.7%), and yoga (19%). The majority of academic pediatricians (58.6%) believed that personal spiritual or religious beliefs influenced their interactions with patients/colleagues. These odds increased 5.1-fold when academic pediatricians attended religious services monthly or more (P < .05). CONCLUSIONS: Compared with the American public, a notably smaller proportion of academic pediatricians reported a personal religious identity. The majority believed spiritual and religious beliefs influenced their practice of pediatrics. Whether secular or faith-based belief systems measurably modify academic pediatric practice is unknown. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 83 |
Issue | 12 |
Pages | 1146-1152 |
Date | Dec 2008 |
Journal Abbr | Acad Med |
DOI | 10.1097/ACM.0b013e31818c64a5 |
ISSN | 1938-808X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19202482 |
Accessed | Mon Nov 9 00:42:00 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19202482 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Purpose: Physicians’ spiritual and religious identities, beliefs, and practices are beginning to be explored. The objective of this study was to gather descriptive information about personal religion and spirituality from a random sample of academic American pediatricians and to compare this information with similar data from the public. Method: In 2005, a Web-based survey of a random sample of 208 pediatrician faculty from 13 academic centers ranked by the US News & World Report as “honor roll” hospitals was conducted. Surveys elicited information about personal beliefs and practices as well as their influence on decisions about patient care and clinical practice. Multiple questions were replicated from the General Social Survey to enable comparisons with the public. Descriptive statistics were generated, and logistic regression analyses were conducted on relevant variables. Results: Nearly 88% of respondents were raised in a religious tradition, but just 67.2% claimed current religious identification. More than half (52.6%) reported praying privately; additional spiritual practices reported included relaxation techniques (38.8%), meditation (29.3%), sacred readings (26.7%), and yoga (19%). The majority of academic pediatricians (58.6%) believed that personal spiritual or religious beliefs influenced their interactions with patients/colleagues. These odds increased 5.1-fold when academic pediatricians attended religious services monthly or more (P < .05). Conclusions: Compared with the American public, a notably smaller proportion of academic pediatricians reported a personal religious identity. The majority believed spiritual and religious beliefs influenced their practice of pediatrics. Whether secular or faith-based belief systems measurably modify academic pediatric practice is unknown.
Type | Journal Article |
---|---|
Author | Joseph M Cervantes |
Abstract | Development of culturally syntonic models for treatment that are consistent with belief systems of ethnically diverse populations is at a beginning stage of evolution. This paper is a step toward laying a new conceptual and psychotherapeutic approach with Latina/o clients, specifically those of Mexican American and Mexican backgrounds. It is argued that a psychospiritual belief system is at the base of these populations, and that a culturally consistent framework must appropriately address theory, skills, and practice. Mestizo spirituality is presented and described, and a review of those forces that have impacted this understanding is offered. Key concepts, therapeutic goals, and relationship assumptions of the model, two case examples, application, and limitations of this framework are provided. Lastly, implications for professional practice are given. (PsycINFO Database Record (c) 2010 APA, all rights reserved). |
Publication | Psychotherapy (Chicago, Ill.) |
Volume | 47 |
Issue | 4 |
Pages | 527-539 |
Date | Dec 2010 |
Journal Abbr | Psychotherapy (Chic) |
DOI | 10.1037/a0022078 |
ISSN | 1939-1536 |
Short Title | Mestizo spirituality |
Accessed | Tue Jan 18 19:05:36 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21198240 |
Date Added | Thu Sep 29 08:58:46 2011 |
Modified | Thu Sep 29 08:58:46 2011 |
Type | Journal Article |
---|---|
Author | C Chan |
Author | P S Ho |
Author | E Chow |
Abstract | Under the division of labor of Western medicine, the medical physician treats the body of patients, the social worker attends to their emotions and social relations, while the pastoral counselor provides spiritual guidance. Body, mind, cognition, emotion and spirituality are seen as discrete entities. In striking contrast, Eastern philosophies of Buddhism, Taoism and traditional Chinese medicine adopt a holistic conceptualization of an individual and his or her environment. In this view, health is perceived as a harmonious equilibrium that exists between the interplay of 'yin' and 'yang': the five internal elements (metal, wood, water, fire and earth), the six environmental conditions (dry, wet, hot, cold, wind and flame), other external sources of harm (physical injury, insect bites, poison, overeat and overwork), and the seven emotions (joy, sorrow, anger, worry, panic, anxiety and fear). The authors have adopted a body-mind-spirit integrated model of intervention to promote the health of their Chinese clients. Indeed, research results on these body-mind-spirit groups for cancer patients, bereaved wives and divorced women have shown very positive intervention outcomes. There are significant improvements in their physical health, mental health, sense of control and social support. |
Publication | Social Work in Health Care |
Volume | 34 |
Issue | 3-4 |
Pages | 261-282 |
Date | 2001 |
Journal Abbr | Soc Work Health Care |
ISSN | 0098-1389 |
Short Title | A body-mind-spirit model in health |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12243428 |
Accessed | Thu Nov 12 21:52:27 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12243428 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Under the division of labor of Western medicine, the medical physician treats the body of patients, the social worker attends to their emotions and social relations, while the pastoral counselor provides spiritual guidance. Body, mind, cognition, emotion and spirituality are seen as discrete entities. In striking contrast, Eastern philosophies of Buddhism, Taoism and traditional Chinese medicine adopt a holistic conceptualization of an individual and his or her environment. In this view, health is perceived as a harmonious equilibrium that exists between the interplay of ‘yin’ and ‘yang’: the five internal elements (metal, wood, water, fire and earth), the six environmental conditions (dry, wet, hot, cold, wind and flame), other external sources of harm (physical injury, insect bites, poison, overeat and overwork), and the seven emotions (joy, sorrow, anger, worry, panic, anxiety and fear). The authors have adopted a body-mind-spirit integrated model of intervention to promote the health of their Chinese clients. Indeed, research results on these body-mind-spirit groups for cancer patients, bereaved wives and divorced women have shown very positive intervention outcomes. There are significant improvements in their physical health, mental health, sense of control and social support.
Type | Journal Article |
---|---|
Author | Kerry H Cheever |
Author | Boyce Jubilan |
Author | Thomas Dailey |
Author | Kathleen Ehrhardt |
Author | Robert Blumenstein |
Author | Christopher J Morin |
Author | Charles Lewis |
Abstract | This study aimed to identify the religious practices and beliefs of surgeons and the relationship between surgeons' locus of control and religiosity. Thirty-five surgeons completed a survey that included items from the Duke University Religion Index, the Salesian Center Intrinsic Religiosity Scale for Clinicians, and Rotter's Locus of Control Scale. Over 68% of sampled surgeons affirmed that their religious beliefs play a part in their practice, 47% attend religious services at least weekly, and 44% pray daily. There was no correlation between locus of control and religiosity. These results challenge the myth of the egocentric, agnostic surgeon. |
Publication | Journal of Religion and Health |
Volume | 44 |
Issue | 1 |
Pages | 67-80 |
Date | 2005 |
Journal Abbr | J Relig Health |
ISSN | 0022-4197 |
Short Title | Surgeons and the spirit |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16285133 |
Accessed | Fri Nov 13 15:30:01 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16285133 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This study aimed to identify the religious practices and beliefs of surgeons and the relationship between surgeons’ locus of control and religiosity. Thirty-five surgeons completed a survey that included items from the Duke University Religion Index, the Salesian Center Intrinsic Religiosity Scale for Clinicians, and Rotter’s Locus of Control Scale. Over 68% of sampled surgeons affirmed that their religious beliefs play a part in their practice, 47% attend religious services at least weekly, and 44% pray daily. There was no correlation between locus of control and religiosity. These results challenge the myth of the egocentric, agnostic surgeon.
Type | Journal Article |
---|---|
Author | Michael S Christopher |
Author | Sukjai Charoensuk |
Author | Brennan D Gilbert |
Author | Timothy J Neary |
Author | Kelly L Pearce |
Abstract | The study and practice of mindfulness is rapidly expanding in Western psychology. Recently developed self-report measures of mindfulness were derived from Western operationalizations and cross-cultural validation of many of these measures is lacking, particularly in Buddhist cultures. Therefore, this study examined the measurement equivalence of the Kentucky Inventory of Mindfulness Skills (KIMS) and Mindful Attention Awareness Scale (MAAS) among Thai (n=385) and American (n=365) college students. Multigroup confirmatory factor analysis models fit to the data revealed that the KIMS lacked configural invariance across groups, which precluded subsequent invariance tests, and although the MAAS demonstrated configural, metric, and partial scalar invariance, there was no significant latent mean MAAS difference between Thais and Americans. These findings suggest that Eastern and Western conceptualizations of mindfulness may have important differences. |
Publication | Journal of Clinical Psychology |
Volume | 65 |
Issue | 6 |
Pages | 590-612 |
Date | Jun 2009 |
Journal Abbr | J Clin Psychol |
DOI | 10.1002/jclp.20580 |
ISSN | 1097-4679 |
Short Title | Mindfulness in Thailand and the United States |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19358288 |
Accessed | Sat Sep 26 15:17:08 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19358288 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
The study and practice of mindfulness is rapidly expanding in Western psychology. Recently developed self-report measures of mindfulness were derived from Western operationalizations and cross-cultural validation of many of these measures is lacking, particularly in Buddhist cultures. Therefore, this study examined the measurement equivalence of the Kentucky Inventory of Mindfulness Skills (KIMS) and Mindful Attention Awareness Scale (MAAS) among Thai (n=385) and American (n=365) college students. Multigroup confirmatory factor analysis models fit to the data revealed that the KIMS lacked configural invariance across groups, which precluded subsequent invariance tests, and although the MAAS demonstrated configural, metric, and partial scalar invariance, there was no significant latent mean MAAS difference between Thais and Americans. These findings suggest that Eastern and Western conceptualizations of mindfulness may have important differences.
Type | Journal Article |
---|---|
Author | Peter A. Clark |
Publication | Journal of Public Health Policy |
Volume | 21 |
Issue | 4 |
Pages | 447-470 |
Date | 2000 |
ISSN | 01975897 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3343283 |
Accessed | Tue Nov 10 01:17:59 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: 2000 / Copyright © 2000 Palgrave Macmillan Journals |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Marc M Cohen |
Author | Stephen Penman |
Author | Marie Pirotta |
Author | Cliff Da Costa |
Abstract | METHODS: Australian general practitioners' (GPs) attitudes toward and use of a range of complementary therapies (CTs) were determined through a self-administered postal survey sent to a random sample of 2000 Australian GPs. The survey canvassed GPs' opinions as to the harmfulness and effectiveness of CTs; current levels of training and interest in further training; personal use of, and use in practice of, CTs; referrals to CT; practitioners; appropriateness for GPs to practice and for government regulation; perceived patient demand and the need for undergraduate education. RESULTS: The response rate was 33.2%. Based on GPs' responses, complementary therapies could be classified into: nonmedicinal and nonmanipulative therapies, such as acupuncture, massage, meditation, yoga, and hypnosis, that were seen to be highly effective and safe; medicinal and manipulative therapies, including chiropractic, Chinese herbal medicine, osteopathy, herbal medicine, vitamin and mineral therapy, naturopathy, and homeopathy, which more GPs considered potentially harmful than potentially effective; and esoteric therapies, such as spiritual healing, aromatherapy, and reflexology, which were seen to be relatively safe yet also relatively ineffective. The risks of CTs were seen to mainly arise from incorrect, inadequate, or delayed diagnoses and interactions between complementary medications and pharmaceuticals, rather than the specific risks of the therapies themselves. CONCLUSIONS: Nonmedicinal therapies along with chiropractic are widely accepted in Australia and can be considered mainstream. GPs are open to training in complementary therapies, and better communication between patients and GPs about use of CTs is required to minimize the risk of adverse events. There is also a need to prioritize and provide funding for further research into the potential adverse events from these therapies and other therapies currently lacking an evidence base. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 11 |
Issue | 6 |
Pages | 995-1004 |
Date | Dec 2005 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2005.11.995 |
ISSN | 1075-5535 |
Short Title | The integration of complementary therapies in Australian general practice |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/16398590 |
Accessed | Mon Nov 9 00:43:27 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16398590 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Methods: Australian general practitioners’ (GPs) attitudes toward and use of a range of complementary therapies (CTs) were determined through a self-administered postal survey sent to a random sample of 2000 Australian GPs. The survey canvassed GPs’ opinions as to the harmfulness and effectiveness of CTs; current levels of training and interest in further training; personal use of, and use in practice of, CTs; referrals to CT; practitioners; appropriateness for GPs to practice and for government regulation; perceived patient demand and the need for undergraduate education. Results: The response rate was 33.2%. Based on GPs’ responses, complementary therapies could be classified into: nonmedicinal and nonmanipulative therapies, such as acupuncture, massage, meditation, yoga, and hypnosis, that were seen to be highly effective and safe; medicinal and manipulative therapies, including chiropractic, Chinese herbal medicine, osteopathy, herbal medicine, vitamin and mineral therapy, naturopathy, and homeopathy, which more GPs considered potentially harmful than potentially effective; and esoteric therapies, such as spiritual healing, aromatherapy, and reflexology, which were seen to be relatively safe yet also relatively ineffective. The risks of CTs were seen to mainly arise from incorrect, inadequate, or delayed diagnoses and interactions between complementary medications and pharmaceuticals, rather than the specific risks of the therapies themselves. Conclusions: Nonmedicinal therapies along with chiropractic are widely accepted in Australia and can be considered mainstream. GPs are open to training in complementary therapies, and better communication between patients and GPs about use of CTs is required to minimize the risk of adverse events. There is also a need to prioritize and provide funding for further research into the potential adverse events from these therapies and other therapies currently lacking an evidence base.
Type | Journal Article |
---|---|
Author | Başak Coruh |
Author | Hana Ayele |
Author | Meredith Pugh |
Author | Thomas Mulligan |
Abstract | OBJECTIVE: Many Americans use religious activity to cope with stressful life events. Our goal was to review systematically the recent medical literature to assess the role of religion in health outcomes. DATA SOURCES: We conducted a comprehensive literature search using MEDLINE to identify studies published in the English language between January 1999 and June 2003 describing the effect of religion on health outcomes. The search strategy used the medical subject headings (MeSH) of religion; religion AND medicine; religion OR intercessory prayer; prayer; prayer therapy; religious rites; faith; medicine, traditional; religiosity; religion AND psychology; and religion AND health. STUDY SELECTION: Religious, but not spiritual, interventions were selected for inclusion. Thus, papers describing interventions such as yoga, meditation, acupuncture, and qigong were excluded. Manuscripts describing randomized controlled trials, clinical trials, and partnerships with faith-based organizations were included. DATA EXTRACTION: We found five randomized controlled trials, four clinical trials, and seven faith-based partnerships that describe the impact of religious intervention on health outcomes. Papers were analyzed by four reviewers using a modified Delphi technique to reach consensus. DATA SYNTHESIS: Religious intervention such as intercessory prayer may improve success rates of in vitro fertilization, decrease length of hospital stay and duration of fever in septic patients, increase immune function, improve rheumatoid arthritis, and reduce anxiety. Frequent attendance at religious services likely improves health behaviors. Moreover, prayer may decrease adverse outcomes in patients with cardiac disease. CONCLUSIONS: Religious activity may improve health outcomes. |
Publication | Explore |
Volume | 1 |
Issue | 3 |
Pages | 186-191 |
Date | May 2005 |
Journal Abbr | Explore (NY) |
DOI | 10.1016/j.explore.2005.02.001 |
ISSN | 1878-7541 |
Short Title | Does religious activity improve health outcomes? |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/16781528 |
Accessed | Mon Nov 2 13:10:58 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16781528 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Objective: Many Americans use religious activity to cope with stressful life events. Our goal was to review systematically the recent medical literature to assess the role of religion in health outcomes. Data sources: We conducted a comprehensive literature search using MEDLINE to identify studies published in the English language between January 1999 and June 2003 describing the effect of religion on health outcomes. The search strategy used the medical subject headings (MeSH) of religion; religion AND medicine; religion OR intercessory prayer; prayer; prayer therapy; religious rites; faith; medicine, traditional; religiosity; religion AND psychology; and religion AND health. Study selection: Religious, but not spiritual, interventions were selected for inclusion. Thus, papers describing interventions such as yoga, meditation, acupuncture, and qigong were excluded. Manuscripts describing randomized controlled trials, clinical trials, and partnerships with faith-based organizations were included. Data extraction: We found five randomized controlled trials, four clinical trials, and seven faith-based partnerships that describe the impact of religious intervention on health outcomes. Papers were analyzed by four reviewers using a modified Delphi technique to reach consensus. Data synthesis: Religious intervention such as intercessory prayer may improve success rates of in vitro fertilization, decrease length of hospital stay and duration of fever in septic patients, increase immune function, improve rheumatoid arthritis, and reduce anxiety. Frequent attendance at religious services likely improves health behaviors. Moreover, prayer may decrease adverse outcomes in patients with cardiac disease. Conclusions: Religious activity may improve health outcomes.
Type | Journal Article |
---|---|
Author | Farr A Curlin |
Author | Kenneth A Rasinski |
Author | Ted J Kaptchuk |
Author | Ezekiel J Emanuel |
Author | Franklin G Miller |
Author | Jon C Tilburt |
Abstract | OBJECTIVE: The aim of this study was to compare religious characteristics of general internists, rheumatologists, naturopaths, and acupuncturists, as well as to examine associations between physicians' religious characteristics and their openness to integrating complementary and alternative medicine (CAM). DESIGN: The design involved a national mail survey. The subjects were internists, rheumatologists, naturopaths, and acupuncturists. MEASURES: Physician outcome measures were use of and attitudes toward six classes of CAM. Predictors were religious affiliation, intrinsic religiosity, spirituality, and religious traditionalism. RESULTS: There was a 65% response. Naturopaths and acupuncturists were three times as likely as internists and rheumatologists to report no religious affiliation (35% versus 12%, p < 0.001), but were more likely to describe themselves as very spiritual (51% versus 20%, p < 0.001) and to agree they try to carry religious beliefs into life's dealings (51% versus 44%, p < 0.01). Among physicians, increased spirituality and religiosity coincided with more personal use of CAM and willingness to integrate CAM into a treatment program. CONCLUSIONS: Current and future integrative medicine will be shaped in part by religious and spiritual characteristics of providers. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 15 |
Issue | 9 |
Pages | 987-994 |
Date | Sep 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0512 |
ISSN | 1557-7708 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19757976 |
Accessed | Sat Sep 26 15:55:27 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19757976 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Farr A Curlin |
Author | Kenneth A Rasinski |
Author | Ted J Kaptchuk |
Author | Ezekiel J Emanuel |
Author | Franklin G Miller |
Author | Jon C Tilburt |
Abstract | Abstract OBJECTIVE: The aim of this study was to compare religious characteristics of general internists, rheumatologists, naturopaths, and acupuncturists, as well as to examine associations between physicians' religious characteristics and their openness to integrating complementary and alternative medicine (CAM). DESIGN: The design involved a national mail survey. The subjects were internists, rheumatologists, naturopaths, and acupuncturists. MEASURES: Physician outcome measures were use of and attitudes toward six classes of CAM. Predictors were religious affiliation, intrinsic religiosity, spirituality, and religious traditionalism. RESULTS: There was a 65% response. Naturopaths and acupuncturists were three times as likely as internists and rheumatologists to report no religious affiliation (35% versus 12%, p < 0.001), but were more likely to describe themselves as very spiritual (51% versus 20%, p < 0.001) and to agree they try to carry religious beliefs into life's dealings (51% versus 44%, p < 0.01). Among physicians, increased spirituality and religiosity coincided with more personal use of CAM and willingness to integrate CAM into a treatment program. CONCLUSIONS: Current and future integrative medicine will be shaped in part by religious and spiritual characteristics of providers. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 15 |
Issue | 9 |
Pages | 987-994 |
Date | Sep 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0512 |
ISSN | 1557-7708 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19757976 |
Accessed | Sat Feb 5 08:57:42 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19757976 |
Date Added | Thu Sep 29 09:06:02 2011 |
Modified | Thu Sep 29 09:06:02 2011 |
Objective: The aim of this study was to compare religious characteristics of general internists, rheumatologists, naturopaths, and acupuncturists, as well as to examine associations between physicians’ religious characteristics and their openness to integrating complementary and alternative medicine (CAM). Design: The design involved a national mail survey. The subjects were internists, rheumatologists, naturopaths, and acupuncturists. Measures: Physician outcome measures were use of and attitudes toward six classes of CAM. Predictors were religious affiliation, intrinsic religiosity, spirituality, and religious traditionalism. Results: There was a 65% response. Naturopaths and acupuncturists were three times as likely as internists and rheumatologists to report no religious affiliation (35% versus 12%, p < 0.001), but were more likely to describe themselves as very spiritual (51% versus 20%, p < 0.001) and to agree they try to carry religious beliefs into life’s dealings (51% versus 44%, p < 0.01). Among physicians, increased spirituality and religiosity coincided with more personal use of CAM and willingness to integrate CAM into a treatment program. Conclusions: Current and future integrative medicine will be shaped in part by religious and spiritual characteristics of providers.
Type | Journal Article |
---|---|
Author | Timothy P. Daaleman |
Author | Larry VandeCreek |
Abstract | In 1995, the SUPPORT (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment) trial stimulated a reexamination of systems of care for seriously ill and dying patients.1 This study has accelerated efforts to improve end-of-life care and has indirectly promoted a rapprochement among religion, spirituality, medicine, and health care.2 The goal of a quality comfortable death is achieved by meeting a patient's physical needs and by attending to the social, psychological, and the now recognized spiritual and religious dimensions of care.3-4 This perspective is highlighted in a recent consensus statement that includes the assessment and support of spiritual and religious well-being and management of spiritual and religious problems as core principles of professional practice and care at the end of life.5 Yet multiple ethical and pragmatic issues arise. For example, should physicians identify patients' spiritual and religious needs and intervene in clinical settings? The roles and responsibilities of patients and physicians in this scenario are unclear. An understanding of religion and spirituality within the context of end-of-life care, quality of life, and patient-clinician interactions may illuminate the problems and potentialities for both patients and clinicians. |
Publication | JAMA |
Volume | 284 |
Issue | 19 |
Pages | 2514-2517 |
Date | November 15, 2000 |
DOI | 10.1001/jama.284.19.2514 |
URL | http://jama.ama-assn.org |
Accessed | Thu Oct 22 16:33:55 2009 |
Library Catalog | HighWire |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
In 1995, the SUPPORT (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment) trial stimulated a reexamination of systems of care for seriously ill and dying patients.1 This study has accelerated efforts to improve end-of-life care and has indirectly promoted a rapprochement among religion, spirituality, medicine, and health care.2 The goal of a quality comfortable death is achieved by meeting a patient’s physical needs and by attending to the social, psychological, and the now recognized spiritual and religious dimensions of care.3-4 This perspective is highlighted in a recent consensus statement that includes the assessment and support of spiritual and religious well-being and management of spiritual and religious problems as core principles of professional practice and care at the end of life.5 Yet multiple ethical and pragmatic issues arise. For example, should physicians identify patients’ spiritual and religious needs and intervene in clinical settings? The roles and responsibilities of patients and physicians in this scenario are unclear. An understanding of religion and spirituality within the context of end-of-life care, quality of life, and patient-clinician interactions may illuminate the problems and potentialities for both patients and clinicians.
Type | Journal Article |
---|---|
Author | Timothy P Daaleman |
Author | Barbara M Usher |
Author | Sharon W Williams |
Author | Jim Rawlings |
Author | Laura C Hanson |
Abstract | PURPOSE: Although spiritual care is a core element of palliative care, it remains unclear how this care is perceived and delivered at the end of life. We explored how clinicians and other health care workers understand and view spiritual care provided to dying patients and their family members. METHODS: Our study was based on qualitative research using key informant interviews and editing analysis with 12 clinicians and other health care workers nominated as spiritual caregivers by dying patients and their family members. RESULTS: Being present was a predominant theme, marked by physical proximity and intentionality, or the deliberate ideation and purposeful action of providing care that went beyond medical treatment. Opening eyes was the process by which caregivers became aware of their patient's life course and the individualized experience of their patient's current illness. Participants also described another course of action, which we termed cocreating, that was a mutual and fluid activity between patients, family members, and caregivers. Cocreating began with an affirmation of the patient's life experience and led to the generation of a wholistic care plan that focused on maintaining the patient's humanity and dignity. Time was both a facilitator and inhibitor of effective spiritual care. CONCLUSIONS: Clinicians and other health care workers consider spiritual care at the end of life as a series of highly fluid interpersonal processes in the context of mutually recognized human values and experiences, rather than a set of prescribed and proscribed roles. |
Publication | Annals of Family Medicine |
Volume | 6 |
Issue | 5 |
Pages | 406-411 |
Date | 2008 Sep-Oct |
Journal Abbr | Ann Fam Med |
DOI | 10.1370/afm.883 |
ISSN | 1544-1717 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18779544 |
Accessed | Fri Nov 13 19:13:24 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18779544 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Purpose: Although spiritual care is a core element of palliative care, it remains unclear how this care is perceived and delivered at the end of life. We explored how clinicians and other health care workers understand and view spiritual care provided to dying patients and their family members. Methods: Our study was based on qualitative research using key informant interviews and editing analysis with 12 clinicians and other health care workers nominated as spiritual caregivers by dying patients and their family members. Results: Being present was a predominant theme, marked by physical proximity and intentionality, or the deliberate ideation and purposeful action of providing care that went beyond medical treatment. Opening eyes was the process by which caregivers became aware of their patient’s life course and the individualized experience of their patient’s current illness. Participants also described another course of action, which we termed cocreating, that was a mutual and fluid activity between patients, family members, and caregivers. Cocreating began with an affirmation of the patient’s life experience and led to the generation of a wholistic care plan that focused on maintaining the patient’s humanity and dignity. Time was both a facilitator and inhibitor of effective spiritual care. Conclusions: Clinicians and other health care workers consider spiritual care at the end of life as a series of highly fluid interpersonal processes in the context of mutually recognized human values and experiences, rather than a set of prescribed and proscribed roles.
Type | Journal Article |
---|---|
Author | S Darwish |
Abstract | There are aspects of the practice of the religion of Islam that have some relevance to receiving dental treatment. This article aims to provide dentists with background knowledge of normal practices which may affect the treatment offered. The author does not attempt to inform the reader about Islam, but to assist the dentist in the management of a Muslim patient. Much of the content of this article describes how to manage a patient who is fasting during the Islamic month of Ramadan. Ramadan takes place this year in early October, lasting for 29 or 30 days. During Ramadan patients may present to dentists with the signs and symptoms described in this article. |
Publication | British Dental Journal |
Volume | 199 |
Issue | 8 |
Pages | 503-531 |
Date | Oct 22, 2005 |
Journal Abbr | Br Dent J |
DOI | 10.1038/sj.bdj.4812807 |
ISSN | 0007-0610 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/16244617 |
Accessed | Mon Nov 2 13:36:24 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16244617 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
There are aspects of the practice of the religion of Islam that have some relevance to receiving dental treatment. This article aims to provide dentists with background knowledge of normal practices which may affect the treatment offered. The author does not attempt to inform the reader about Islam, but to assist the dentist in the management of a Muslim patient. Much of the content of this article describes how to manage a patient who is fasting during the Islamic month of Ramadan. Ramadan takes place this year in early October, lasting for 29 or 30 days. During Ramadan patients may present to dentists with the signs and symptoms described in this article.
Type | Journal Article |
---|---|
Author | Lobsang Dhondup |
Author | Cynthia Husted |
Abstract | An overview of the concept of regeneration in Tibetan medicine is presented with descriptions of detoxification and tonification longevity protocols. The body must be fortified before receiving stronger treatments for regeneration. All disease is brought into balance with understanding of the interplay of the five elements, three humors, and their qualities and locations. The example of multiple sclerosis (MS) is given. The macroscopic three-humor interpretation of MS agrees with the microscopic three-humor description of demyelination, providing a new framework for the understanding and treatment of MS. Treatments for MS and other chronic conditions are based on age, season, time of day, and the individual's three-humor and hot (excess) and cold (deficiency) balance. Treatments to promote regeneration include nutrition, gentle exercise, herbal formulas, accessory therapies such as herbal baths and oils, and meditation. It is built into the theory of Tibetan medicine to have predictions about outcome and distinguish different disease patterns in patients with MS and other disorders. Taking into account daily and seasonal variations coupled with the changing nature of MS, it is critical to frequently evaluate people with MS and other chronic conditions for monitoring and adjustment of treatment for regeneration. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 115-122 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1111/j.1749-6632.2009.04500.x |
ISSN | 1749-6632 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19735245 |
Accessed | Sat Sep 26 15:42:03 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19735245 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
An overview of the concept of regeneration in Tibetan medicine is presented with descriptions of detoxification and tonification longevity protocols. The body must be fortified before receiving stronger treatments for regeneration. All disease is brought into balance with understanding of the interplay of the five elements, three humors, and their qualities and locations. The example of multiple sclerosis (MS) is given. The macroscopic three-humor interpretation of MS agrees with the microscopic three-humor description of demyelination, providing a new framework for the understanding and treatment of MS. Treatments for MS and other chronic conditions are based on age, season, time of day, and the individual’s three-humor and hot (excess) and cold (deficiency) balance. Treatments to promote regeneration include nutrition, gentle exercise, herbal formulas, accessory therapies such as herbal baths and oils, and meditation. It is built into the theory of Tibetan medicine to have predictions about outcome and distinguish different disease patterns in patients with MS and other disorders. Taking into account daily and seasonal variations coupled with the changing nature of MS, it is critical to frequently evaluate people with MS and other chronic conditions for monitoring and adjustment of treatment for regeneration.
Type | Journal Article |
---|---|
Author | Gustav Dobos |
Abstract | In Integrative Medicine (IM) the basic concept is the combination of mainstream with Complementary and Alternative Medicine (CAM) supposably leading to synergistic therapeutic effects. In an extended version the methods of Mind/Body Medicine (MBM) are also added. As this is a new concept, changing the approach towards illness, while adding more instruments to the therapeutic [`]toolbox', IM might represent the beginning of a paradigm shift in modern medicine. The concept of Integrative Medicine is discussed here in detail by reviewing its scope and implications for the practice of medicine. |
Publication | European Journal of Integrative Medicine |
Volume | 1 |
Issue | 3 |
Pages | 109-115 |
Date | October 2009 |
DOI | 10.1016/j.eujim.2009.08.001 |
ISSN | 1876-3820 |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B984N-4X6M9NV-1/2/47c6e5e5e95d6e392e2818a16e2b27ee |
Accessed | Wed Oct 28 23:17:12 2009 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Journal Article |
---|---|
Author | L Dossey |
Publication | Alternative Therapies in Health and Medicine |
Volume | 5 |
Issue | 3 |
Pages | 16-18 |
Date | May 1999 |
Journal Abbr | Altern Ther Health Med |
ISSN | 1078-6791 |
Short Title | Do religion and spirituality matter in health? |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10234862 |
Accessed | Thu Nov 12 19:39:51 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 10234862 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Book |
---|---|
Author | Larry Dossey |
Edition | 1st ed. |
Place | San Francisco |
Publisher | HarperSanFrancisco |
Date | 1999 |
ISBN | 9780062516220 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Andrew Dutney |
Abstract | This chapter describes religion in general before discussing the centrality of its concern for family formation. In light of this, the impact of infertility on religious people is considered. Recognizing religion's cautiously positive attitude towards assisted reproductive technology (ART) as a potential ally in the project of family formation and the relief of infertility, two areas that have caused concern for the religions are discussed: perceived threats to marriage and the sanctity of the human embryo. Throughout the chapter, illustrations are drawn from particular religions, including Christianity, Judaism, Islam, Hinduism and Buddhism. There are striking similarities in their concerns and in the range of their responses to ART. Ways in which medical personnel should take into account the religious dimensions of the experience of infertility in their care for patients are suggested. |
Publication | Best Practice & Research. Clinical Obstetrics & Gynaecology |
Volume | 21 |
Issue | 1 |
Pages | 169-180 |
Date | Feb 2007 |
Journal Abbr | Best Pract Res Clin Obstet Gynaecol |
DOI | 10.1016/j.bpobgyn.2006.09.007 |
ISSN | 1521-6934 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/17110170 |
Accessed | Mon Nov 2 13:33:41 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 17110170 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This chapter describes religion in general before discussing the centrality of its concern for family formation. In light of this, the impact of infertility on religious people is considered. Recognizing religion’s cautiously positive attitude towards assisted reproductive technology (ART) as a potential ally in the project of family formation and the relief of infertility, two areas that have caused concern for the religions are discussed: perceived threats to marriage and the sanctity of the human embryo. Throughout the chapter, illustrations are drawn from particular religions, including Christianity, Judaism, Islam, Hinduism and Buddhism. There are striking similarities in their concerns and in the range of their responses to ART. Ways in which medical personnel should take into account the religious dimensions of the experience of infertility in their care for patients are suggested.
Type | Journal Article |
---|---|
Author | J W Ehman |
Author | B B Ott |
Author | T H Short |
Author | R C Ciampa |
Author | J Hansen-Flaschen |
Abstract | BACKGROUND: Recognizing that many Americans draw on religious or spiritual beliefs when confronted by serious illness, some medical educators have recommended that physicians routinely ask about spirituality or religion when conducting a medical history. The most appropriate wording for such an inquiry remains unknown. OBJECTIVE: To examine patient acceptance of including the following question in the medical history of ambulatory outpatients: "Do you have spiritual or religious beliefs that would influence your medical decisions if you become gravely ill?" METHODS: Self-administered questionnaires were completed by 177 ambulatory adult patients visiting a pulmonary faculty office practice at a university teaching hospital in 1997 (83% response rate). RESULTS: Fifty-one percent of the study patients described themselves as religious and 90% believe that prayer may sometimes influence recovery from an illness. Forty-five percent reported that religious beliefs would influence their medical decisions if they become gravely ill. Ninety-four percent of individuals with such beliefs agreed or strongly agreed that physicians should ask them whether they have such beliefs if they become gravely ill. Forty-five percent of the respondents who denied having such beliefs also agreed that physicians should ask about them. Altogether, two thirds of the respondents indicated that they would welcome the study question in a medical history, whereas 16% reported that they would not. Only 15% of the study group recalled having been asked whether spiritual or religious beliefs would influence their medical decisions. CONCLUSION: Many but not all patients surveyed in a pulmonary outpatient practice welcome a carefully worded inquiry about their spiritual or religious beliefs in the event that they become gravely ill. |
Publication | Archives of Internal Medicine |
Volume | 159 |
Issue | 15 |
Pages | 1803-1806 |
Date | 1999 Aug 9-23 |
Journal Abbr | Arch. Intern. Med |
ISSN | 0003-9926 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10448785 |
Accessed | Thu Nov 12 19:44:07 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 10448785 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Background: Recognizing that many Americans draw on religious or spiritual beliefs when confronted by serious illness, some medical educators have recommended that physicians routinely ask about spirituality or religion when conducting a medical history. The most appropriate wording for such an inquiry remains unknown. Objective: To examine patient acceptance of including the following question in the medical history of ambulatory outpatients: “Do you have spiritual or religious beliefs that would influence your medical decisions if you become gravely ill?” Methods: Self-administered questionnaires were completed by 177 ambulatory adult patients visiting a pulmonary faculty office practice at a university teaching hospital in 1997 (83% response rate). Results: Fifty-one percent of the study patients described themselves as religious and 90% believe that prayer may sometimes influence recovery from an illness. Forty-five percent reported that religious beliefs would influence their medical decisions if they become gravely ill. Ninety-four percent of individuals with such beliefs agreed or strongly agreed that physicians should ask them whether they have such beliefs if they become gravely ill. Forty-five percent of the respondents who denied having such beliefs also agreed that physicians should ask about them. Altogether, two thirds of the respondents indicated that they would welcome the study question in a medical history, whereas 16% reported that they would not. Only 15% of the study group recalled having been asked whether spiritual or religious beliefs would influence their medical decisions. Conclusion: Many but not all patients surveyed in a pulmonary outpatient practice welcome a carefully worded inquiry about their spiritual or religious beliefs in the event that they become gravely ill.
Type | Journal Article |
---|---|
Author | Gary Elkins |
Author | M Hasan Rajab |
Author | Joel Marcus |
Abstract | 82 psychiatric inpatients hospitalized for acute care were interviewed about their use of complementary and alternative medicine (CAM) modalities. The clinical diagnoses of respondents included Depressive Disorder (61%), Substance Abuse (26%), Schizophrenia (9%), and Anxiety Disorders (5%). Analysis indicated that 63% used at least one CAM modality within the previous 12 mo. The most frequently used modality was herbal therapies (44%), followed by mind-body therapies such as relaxation or mental imagery, hypnosis, meditation, biofeedback (30%), and spiritual healing by another (30%). Physical modalities such as massage, chiropractic treatment, acupuncture, and yoga were used by 21% of respondents. CAM therapies were used for a variety of reasons ranging from treatment of anxiety and depression to weight loss. However, most respondents indicated they did not discuss such use with their psychiatrist or psychotherapist. |
Publication | Psychological Reports |
Volume | 96 |
Issue | 1 |
Pages | 163-166 |
Date | Feb 2005 |
Journal Abbr | Psychol Rep |
ISSN | 0033-2941 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15825920 |
Accessed | Mon Nov 9 00:43:34 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 15825920 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
82 psychiatric inpatients hospitalized for acute care were interviewed about their use of complementary and alternative medicine (CAM) modalities. The clinical diagnoses of respondents included Depressive Disorder (61%), Substance Abuse (26%), Schizophrenia (9%), and Anxiety Disorders (5%). Analysis indicated that 63% used at least one CAM modality within the previous 12 mo. The most frequently used modality was herbal therapies (44%), followed by mind-body therapies such as relaxation or mental imagery, hypnosis, meditation, biofeedback (30%), and spiritual healing by another (30%). Physical modalities such as massage, chiropractic treatment, acupuncture, and yoga were used by 21% of respondents. CAM therapies were used for a variety of reasons ranging from treatment of anxiety and depression to weight loss. However, most respondents indicated they did not discuss such use with their psychiatrist or psychotherapist.
Type | Journal Article |
---|---|
Author | Mark R Ellis |
Publication | The Journal of Family Practice |
Volume | 51 |
Issue | 3 |
Pages | 259-260 |
Date | Mar 2002 |
Journal Abbr | J Fam Pract |
ISSN | 0094-3509 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11978237 |
Accessed | Thu Nov 12 21:19:38 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 11978237 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Mark R Ellis |
Author | James D Campbell |
Author | Ann Detwiler-Breidenbach |
Author | Dena K Hubbard |
Abstract | OBJECTIVES: To describe the context in which physicians address patients' spiritual concerns, including their attitudes toward this task, cues to discussion, practice patterns, and barriers and facilitators. STUDY DESIGN: This was a qualitative study using semistructured interviews of 13 family physicians. POPULATION: We selected board-certified Missouri family physicians in a nonrandom fashion to represent a range of demographic factors (age, sex, religious background), practice types (academic/community practice; urban/rural), and opinions and practice regarding physicians' roles in addressing patients' spiritual issues. OUTCOMES MEASURED: We coded and evaluated transcribed interviews for themes. RESULTS: Physicians who reported regularly addressing spiritual issues do so because of the primacy of spirituality in their lives and because of the scientific evidence associating spirituality with health. Respondents noted that patients' spiritual questions arise from their unique responses to chronic illness, terminal illness, and life stressors. Physicians reported varying approaches to spiritual assessment; affirmed that spiritual discussions should be approached with sensitivity and integrity; and reported physician, patient, mutual physician-patient, and situational barriers. Facilitators of spiritual discussions included physicians' modeling a life that includes a spiritual focus. CONCLUSIONS: These physicians differ in their comfort and practice of addressing spiritual issues with patients but affirm a role for family physicians in responding to patients' spiritual concerns. Factors that form a context for discussions of spiritual issues with patients include perceived barriers, physicians' role definition, familiarity with factors likely to prompt spiritual questions, and recognition of principles guiding spiritual discussions. |
Publication | The Journal of Family Practice |
Volume | 51 |
Issue | 3 |
Pages | 249-254 |
Date | Mar 2002 |
Journal Abbr | J Fam Pract |
ISSN | 0094-3509 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11978236 |
Accessed | Thu Nov 12 21:20:23 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 11978236 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Objectives To describe the context in which physicians address patients’ spiritual concerns, including their attitudes toward this task, cues to discussion, practice patterns, and barriers and facilitators. Study Design: This was a qualitative study using semistructured interviews of 13 family physicians. Population: We selected board-certified Missouri family physicians in a nonrandom fashion to represent a range of demographic factors (age, sex, religious background), practice types (academic/community practice; urban/rural), and opinions and practice regarding physicians’ roles in addressing patients’ spiritual issues. Outcomes measured: We coded and evaluated transcribed interviews for themes. Results: Physicians who reported regularly addressing spiritual issues do so because of the primacy of spirituality in their lives and because of the scientific evidence associating spirituality with health. Respondents noted that patients’ spiritual questions arise from their unique responses to chronic illness, terminal illness, and life stressors. Physicians reported varying approaches to spiritual assessment; affirmed that spiritual discussions should be approached with sensitivity and integrity; and reported physician, patient, mutual physician-patient, and situational barriers. Facilitators of spiritual discussions included physicians’ modeling a life that includes a spiritual focus. Conclusions: These physicians differ in their comfort and practice of addressing spiritual issues with patients but affirm a role for family physicians in responding to patients’ spiritual concerns. Factors that form a context for discussions of spiritual issues with patients include perceived barriers, physicians’ role definition, familiarity with factors likely to prompt spiritual questions, and recognition of principles guiding spiritual discussions.
Type | Journal Article |
---|---|
Author | Rebecca Erwin Wells |
Author | Russell S Phillips |
Author | Ellen P McCarthy |
Abstract | Background: Over 40% of adults with common neurological conditions use complementary and alternative medicine, and mind-body therapies are the most commonly used form. Our objective was to describe mind-body use in adults with common neurological conditions. Methods: We compared mind-body use between adults with and without common neurological conditions (regular headaches, migraines, back pain with sciatica, strokes, dementia, seizures or memory loss) using the 2007 National Health Interview Survey of 23,393 sampled American adults. Results: Adults with common neurological conditions used mind-body therapies more frequently than those without (24.5 vs. 16.6%, p < 0.0001); differences persisted after adjustment. Deep breathing exercises, meditation and yoga were used most frequently. Nearly 70% of the adults with common neurological conditions did not discuss their mind-body use with their health care provider. Those with neurological conditions used mind-body therapies more than those without these conditions because of provider recommendation (26 vs. 13%) or because conventional treatments were perceived ineffective (12 vs. 4%) or too costly (7 vs. 2%), respectively. Conclusions: Mind-body therapies are used more frequently among adults with common neurological conditions, more often when conventional treatments were perceived ineffective. More research is warranted on the efficacy of mind-body use for common neurological conditions. |
Publication | Neuroepidemiology |
Volume | 36 |
Issue | 1 |
Pages | 46-51 |
Date | Dec 22, 2010 |
Journal Abbr | Neuroepidemiology |
DOI | 10.1159/000322949 |
ISSN | 1423-0208 |
Accessed | Tue Jan 18 18:46:30 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21196772 |
Date Added | Thu Sep 29 08:58:46 2011 |
Modified | Thu Sep 29 08:58:46 2011 |
Type | Journal Article |
---|---|
Author | Jennifer Farah |
Author | Mary Ann McColl |
Abstract | BACKGROUND: What does it mean to focus on the spiritual in occupational therapy? What interventions would qualify as spiritual modalities? This paper attempts to define the boundaries of what may be considered legitimate uses of spirituality in occupational therapy by using the example of prayer. PURPOSE: The purpose of this paper was to provide an in-depth analysis of the use of prayer in practice. METHOD: Medical and allied health journals were searched using the terms spirituality, spirit, religion, and prayer. Identified articles were synthesized to identify potential advantages and disadvantages of using prayer in therapy. FINDINGS: Prayer can be considered an appropriate occupational therapy intervention so long as four questions can be answered positively. IMPLICATIONS: To answer these questions, guidelines are provided that will lead the therapist through a decision making process to determine the appropriateness of incorporating prayer into any clinical situation. |
Publication | Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie |
Volume | 75 |
Issue | 1 |
Pages | 5-13 |
Date | Feb 2008 |
Journal Abbr | Can J Occup Ther |
ISSN | 0008-4174 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18323360 |
Accessed | Fri Nov 13 18:47:31 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18323360 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Background: What does it mean to focus on the spiritual in occupational therapy? What interventions would qualify as spiritual modalities? This paper attempts to define the boundaries of what may be considered legitimate uses of spirituality in occupational therapy by using the example of prayer. Purpose: The purpose of this paper was to provide an in-depth analysis of the use of prayer in practice. Method: Medical and allied health journals were searched using the terms spirituality, spirit, religion, and prayer. Identified articles were synthesized to identify potential advantages and disadvantages of using prayer in therapy. Findings: Prayer can be considered an appropriate occupational therapy intervention so long as four questions can be answered positively. Implications: To answer these questions, guidelines are provided that will lead the therapist through a decision making process to determine the appropriateness of incorporating prayer into any clinical situation.
Type | Journal Article |
---|---|
Author | Shawn Teresa Flanigan |
Abstract | Some argue faith-based organizations (FBOs) provide desirable moral or spiritual components to health and human service provision, and that services are more effective due to staffs more supportive approach. However, the majority of research has been conducted in the United States, and has focused on the experiences of Christian FBOs. This article examines the benefits that FBO staff in Bosnia and Herzegovina, Lebanon, and Sri Lanka believe religious identity brings to the work of their organizations, based on interviews with more than 100 staff of Buddhist, Catholic, Druze, Orthodox Christian, Protestant Christian, Shiite Muslim, and Sunni Muslim FBOs, as well as secular NGOs. The interview data indicate that staff members from most of the religious traditions included in the study believe the faith orientation of their organization brings benefits to their service provision. However, these perceived benefits differ based on country context. Some of these benefits are similar to those often mentioned in the literature on FBOs in the United States; however, other benefits are quite different than those discussed in the US literature. |
Publication | Journal of Health and Human Services Administration |
Volume | 32 |
Issue | 2 |
Pages | 164-194 |
Date | October 2009 |
Journal Abbr | J Health Hum Serv Adm |
ISSN | 1079-3739 |
Short Title | Staff perceptions of the benefits of religion in health and human services nonprofits |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19803114 |
Accessed | Mon Oct 19 20:17:10 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19803114 |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Journal Article |
---|---|
Author | Kevin J Flannelly |
Author | Kathleen Galek |
Author | George F Handzo |
Abstract | Although a substantial number of studies have documented the spiritual needs of hospitalized patients, few have examined the prevalence of these needs and even fewer have attempted to measure the extent to which they are being met. Since chaplains are the primary providers of spiritual care, chaplains' visits to patients would appear to provide a reasonable proxy for the latter. Based on the limited data available, we estimated the proportion of hospitalized patients who are visited by chaplains. Our analyses yielded a point estimate of 20% (+/- 10%), depending on a number of factors. |
Publication | International Journal of Psychiatry in Medicine |
Volume | 35 |
Issue | 3 |
Pages | 319-323 |
Date | 2005 |
Journal Abbr | Int J Psychiatry Med |
ISSN | 0091-2174 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16480247 |
Accessed | Fri Nov 13 15:41:53 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16480247 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Although a substantial number of studies have documented the spiritual needs of hospitalized patients, few have examined the prevalence of these needs and even fewer have attempted to measure the extent to which they are being met. Since chaplains are the primary providers of spiritual care, chaplains’ visits to patients would appear to provide a reasonable proxy for the latter. Based on the limited data available, we estimated the proportion of hospitalized patients who are visited by chaplains. Our analyses yielded a point estimate of 20% (+/- 10%), depending on a number of factors.
Type | Journal Article |
---|---|
Author | Luke Fortney |
Author | Molly Taylor |
Abstract | Meditation practice in the medical setting is proving to be an excellent adjunctive therapy for many illnesses and an essential and primary means of maintaining holistic health and wellness. Rather than being a fringe or marginal concept, meditation is now widely known and accepted as a beneficial mind-body practice by the general public and in the scientific community. Extensive research shows and continues to show the benefits of meditation practice for a wide range of medical conditions. Further efforts are required to operationalize and apply meditation practice in clinical and medical educational settings in ways that are practical, effective, and meaningful. |
Publication | Primary Care |
Volume | 37 |
Issue | 1 |
Pages | 81-90 |
Date | Mar 2010 |
Journal Abbr | Prim. Care |
DOI | 10.1016/j.pop.2009.09.004 |
ISSN | 1558-299X |
Short Title | Meditation in medical practice |
Accessed | Thu Mar 4 08:42:22 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20188999 |
Date Added | Thu Sep 29 09:04:35 2011 |
Modified | Thu Sep 29 09:04:35 2011 |
Type | Journal Article |
---|---|
Author | Pat Fosarelli |
Abstract | As a physician and pastoral theologian, and in my role as a teacher of medical, nursing, chaplaincy, and theology students, I am often asked (especially when speaking about the needs of seriously ill and dying patients), "Is spiritual care always an important part of medical care? If yes, who should assess the need for it?" Religion is defined as "the service and worship of God or the supernatural; a personal set or institutionalized system of religious attitudes, beliefs, and practices"; and spirituality is defined as "the quality or state of being spiritual" (with spiritual meaning "of or relating to sacred matters").1 In most individuals' estimation, religion tends to be associated with formal practices and rules that connect a person to the sacred. Because spirituality is not usually based on human-made laws of reason or logic, it is often described as the nonlogical or nonrational... |
Publication | Journal of the American Medical Association |
Volume | 300 |
Issue | 7 |
Pages | 836-838 |
Date | August 20, 2008 |
Journal Abbr | JAMA |
DOI | 10.1001/jama.300.7.836 |
URL | http://jama.ama-assn.org.ezproxy.bu.edu |
Accessed | Mon Sep 7 02:29:43 2009 |
Library Catalog | HighWire |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
As a physician and pastoral theologian, and in my role as a teacher of medical, nursing, chaplaincy, and theology students, I am often asked (especially when speaking about the needs of seriously ill and dying patients), “Is spiritual care always an important part of medical care? If yes, who should assess the need for it?” Religion is defined as “the service and worship of God or the supernatural; a personal set or institutionalized system of religious attitudes, beliefs, and practices”; and spirituality is defined as “the quality or state of being spiritual” (with spiritual meaning “of or relating to sacred matters”).1 In most individuals’ estimation, religion tends to be associated with formal practices and rules that connect a person to the sacred. Because spirituality is not usually based on human-made laws of reason or logic, it is often described as the nonlogical or nonrational...
Type | Journal Article |
---|---|
Author | Marc Galanter |
Author | Helen Dermatis |
Author | Nancy Talbot |
Author | Caitlin McMahon |
Author | Mary Jane Alexander |
Abstract | Spirituality is important to many psychiatric patients, and these patients may be moved toward recovery more effectively if their spiritual needs are addressed in treatment. This, however, is rarely given expression in the psychiatric services of teaching hospitals. In order to develop this potential area of improved care, we (1) evaluated the differential attitudes of patients and psychiatric trainees toward the value of spirituality in the recovery process, (2) established a program of group meetings conducted by psychiatric residents and staff where patients can discuss how to draw on their spirituality in coping with their problems, and (3) established related training experiences for psychiatric residents. The results and implications of these three initiatives are presented. |
Publication | Journal of Religion and Health |
Volume | 50 |
Issue | 1 |
Pages | 81-91 |
Date | Mar 2011 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-009-9282-6 |
ISSN | 1573-6571 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19728095 |
Accessed | Mon Apr 4 19:48:36 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19728095 |
Date Added | Thu Sep 29 08:56:31 2011 |
Modified | Thu Sep 29 08:56:31 2011 |
Type | Journal Article |
---|---|
Author | Mary Catherine Gebhardt |
Abstract | The purpose of this phenomenological study was to examine rehabilitation nurses' experiences providing spiritual care. Rehabilitation nurses provide care for patients and their families after life-threatening events and are in a unique position to meet holistic health care needs. Little is written about rehabilitation nurses' perceptions of providing spiritual care. Fourteen rehabilitation nurses self-identified as providing spiritual care and agreed to participate in individual interviews. The interviews focused on the nurses' definition of spiritual care, interventions the nurses perceived as spiritual and their comfort in providing spiritual care. More studies are needed to determine if providing spiritual care improves patient outcomes. Copyright © 2008 John Wiley & Sons, Ltd. |
Publication | Spirituality and Health International |
Volume | 9 |
Issue | 4 |
Pages | 230-240 |
Date | 2008 |
DOI | 10.1002/shi.353 |
URL | http://dx.doi.org/10.1002/shi.353 |
Accessed | Mon Sep 7 10:56:39 2009 |
Library Catalog | Wiley InterScience |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
The purpose of this phenomenological study was to examine rehabilitation nurses’ experiences providing spiritual care. Rehabilitation nurses provide care for patients and their families after life-threatening events and are in a unique position to meet holistic health care needs. Little is written about rehabilitation nurses’ perceptions of providing spiritual care. Fourteen rehabilitation nurses self-identified as providing spiritual care and agreed to participate in individual interviews. The interviews focused on the nurses’ definition of spiritual care, interventions the nurses perceived as spiritual and their comfort in providing spiritual care. More studies are needed to determine if providing spiritual care improves patient outcomes.
Type | Journal Article |
---|---|
Author | Gail Geller |
Author | Ellyn Micco |
Author | Rachel J Silver |
Author | Ken Kolodner |
Author | Barbara A Bernhardt |
Abstract | This paper describes the impact of genetic service providers' personal faith and religious values on their experiences interacting with colleagues and patients. We surveyed 480 clinical geneticists (MDs), genetic counselors (GCs), and genetic nurses randomly selected from their professional associations, and then interviewed a sample of survey respondents. Outcomes included religiosity, coping with distress through spiritual beliefs, and personal value conflicts (PVCs). Two hundred fourteen providers completed the survey out of an estimated 348 eligible (61% response rate). Importance attributed to regular attendance at religious services ranged from 39% (not at all important) to 27% (very important). Reliance on religion and spiritual beliefs as a source of comfort ranged from 48% (never) to 33% (sometimes or often). Religiosity varied by discipline with 58% of nurses thinking regular attendance at religious services was moderately or very important as compared to 47% of GCs and 30% of MDs (P = 0.006). Ten percent of respondents had difficulty reconciling their own faith with being a genetics professional, 14% felt the need to hide their own faith from their colleagues or patients, 7% thought their professional stance was not consistent with their personal values, and 4% felt ostracized by the genetics community because of their personal beliefs. The experience of such PVCs was positively correlated with religiosity (r = 0.35; P < 0.0001). GCs were more likely to experience PVCs than MDs or nurses (P = 0.013). Data from the interviews (N = 54) support these findings. A significant minority of genetic service providers are religiously observant and rely on their religious values to cope with distress. These individuals often experience difficulty reconciling their religious beliefs with the expectations of their profession, and sharing their beliefs with their colleagues and patients. Efforts should be made to prevent or reduce the secrecy surrounding personal faith and religion among genetics professionals. |
Publication | American Journal of Medical Genetics. Part C, Seminars in Medical Genetics |
Volume | 151C |
Issue | 1 |
Pages | 31-40 |
Date | Feb 15, 2009 |
Journal Abbr | Am J Med Genet C Semin Med Genet |
DOI | 10.1002/ajmg.c.30193 |
ISSN | 1552-4876 |
Accessed | Tue Feb 22 19:56:48 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19170100 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Type | Journal Article |
---|---|
Author | Peter Gilbert |
Abstract | Not so long ago Western society assumed that its citizens would get progressively richer and more leisured, and that inequality would not matter. There was also an assumption that health and social care services would simultaneously become more technically proficient and more concerned with a person's dignity and their individual needs. This paper considers this theme, looks at the current state of health and social care and the need to bring a sense of the spiritual back to revivify the service. |
Publication | Mental Health, Religion & Culture |
Volume | 13 |
Issue | 6 |
Pages | 533-546 |
Date | 9/2010 |
Journal Abbr | Mental Hlth., Religion & Culture |
DOI | 10.1080/13674676.2010.488422 |
ISSN | 1367-4676 |
URL | http://www.informaworld.com/openurl? genre=article&… |
Date Added | Thu Sep 29 09:02:29 2011 |
Modified | Thu Sep 29 09:02:29 2011 |
Type | Journal Article |
---|---|
Author | Annemarie Gockel |
Abstract | To respond to calls for qualitative research to compliment quantitative findings, deepen our understanding of spiritual coping, and build theory (Hood & Belzen, 2005; Miller & Kelley, 2005; Pargament, Ano, & Wachholtz, 2005), this pilot study used a narrative method to examine the experience of 12 participants who self-identified as drawing on spirituality for healing. Participants described a 7-step process characterized by (a) openness, (b) shifting to a spiritual perspective, (c) going within, (d) connecting with the sacred, (e) undoing patterns, (f) setting healing intentions, and (g) following their inner guidance to transform experiences of mental and physical illness into experiences of healing. Participants emphasized the role of spirituality in reconstructing positive meanings in the face of crisis, and deconstructing patterns of thought, feeling, behavior, and experience associated with illness. |
Publication | International Journal for the Psychology of Religion |
Volume | 19 |
Issue | 4 |
Pages | 217-230 |
Date | 2009 |
DOI | 10.1080/10508610903143248 |
ISSN | 1050-8619 |
Short Title | Spirituality and the Process of Healing |
URL | http://www.informaworld.com.ezproxy.bu.edu/10.1080/10508610903143248 |
Accessed | Mon Oct 19 21:39:00 2009 |
Library Catalog | Informaworld |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
Type | Journal Article |
---|---|
Author | Christian Gostecnik |
Author | Tanja Repic |
Author | Mateja Cvetek |
Author | Robert Cvetek |
Abstract | On the basis of mechanisms such as projective-introjective identification, basic affect, affect regulation, and repetition compulsion, we shall try to explain the essence of intrapsychic, interpersonal, and relational family dynamics. We will also try to explain how relational connections mutually intertwine in the family system, what sustains them, and why they are created and recreated again and again. It is in this regard that we will also be able to consider the essential salvational process, which occurs precisely on the basis of these mechanisms, that is, those that represent fundamental purification and salvation. Some basic biblical theological concepts are applied. These provide the basis for integrating the psychological and theological domains of family systems. |
Publication | Journal of Religion and Health |
Volume | 48 |
Issue | 4 |
Pages | 496-506 |
Date | Dec 2009 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-008-9215-9 |
ISSN | 1573-6571 |
Short Title | The salvational process in relationships |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19890724 |
Accessed | Mon Dec 28 12:13:39 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19890724 |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Journal Article |
---|---|
Author | D R Graber |
Author | J A Johnson |
Abstract | In recent years, the place of spirituality in organizations has become increasingly discussed and advocated. On a personal level, this may involve achieving personal fulfillment or spiritual growth in the workplace. In the broader sense, spirituality is considered by many to be essential in an organization's interactions with employees, customers, and the community. This article describes a possible role for greater spirituality in healthcare organizations, whose cultures in recent decades have largely excluded spirituality or religiousness. This is the consequence of an analytical, scientific perspective on human health; a reductionist paradigm in biomedical research; and the inevitable bureaucratization occurring in large healthcare organizations. However, in recent decades, numerous scientific articles supporting a connection between faith or religiousness and positive health outcomes have been published. Because individuals seek meaning when experiencing severe illnesses, and humans universally respond to compassion and caring, spirituality among healthcare workers and managers appears highly appropriate. The article describes organizational barriers to the greater inclusion of spirituality in healthcare and presents several approaches to developing a more caring organization. These include eliciting extensive input from all staff and clinicians in identifying core or common values, ethics, and a philosophy of caring. Programs should ensure that the views of nonreligious staff and patients are respected and that clear guidelines are established for the extent and nature of affective or spiritual support for patients. |
Publication | Journal of Healthcare Management / American College of Healthcare Executives |
Volume | 46 |
Issue | 1 |
Pages | 39-50; discussion 50-52 |
Date | 2001 Jan-Feb |
Journal Abbr | J Healthc Manag |
ISSN | 1096-9012 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11216122 |
Accessed | Thu Nov 12 20:46:34 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 11216122 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
In recent years, the place of spirituality in organizations has become increasingly discussed and advocated. On a personal level, this may involve achieving personal fulfillment or spiritual growth in the workplace. In the broader sense, spirituality is considered by many to be essential in an organization’s interactions with employees, customers, and the community. This article describes a possible role for greater spirituality in healthcare organizations, whose cultures in recent decades have largely excluded spirituality or religiousness. This is the consequence of an analytical, scientific perspective on human health; a reductionist paradigm in biomedical research; and the inevitable bureaucratization occurring in large healthcare organizations. However, in recent decades, numerous scientific articles supporting a connection between faith or religiousness and positive health outcomes have been published. Because individuals seek meaning when experiencing severe illnesses, and humans universally respond to compassion and caring, spirituality among healthcare workers and managers appears highly appropriate. The article describes organizational barriers to the greater inclusion of spirituality in healthcare and presents several approaches to developing a more caring organization. These include eliciting extensive input from all staff and clinicians in identifying core or common values, ethics, and a philosophy of caring. Programs should ensure that the views of nonreligious staff and patients are respected and that clear guidelines are established for the extent and nature of affective or spiritual support for patients.
Type | Journal Article |
---|---|
Author | M.C. Gracia |
Abstract | Summary This article provides a theoretical basis and experimental evidence for the following rules: (1) All mental activities involving some level of intelligence ultimately follow the laws of operant conditioning and can exert a long-term control of behaviour only if they regularly provide the midbrain centres with the minimal set of neural rewards that these centres expect (2) Mental activity is always accompanied by a proportional amount of efferent-controlled physiological activity, which may be, for example, voluntary muscular work, but also internal, possibly surreptitious phenomena like inflammation, immune reactions, blood pressure increase, etc. These rules provide an explanation for most [`]civilization' diseases whose ultimate causes are currently unknown or uncontrollable, e.g. cardiovascular troubles, cancer, allergies, auto-immune disorders, non-congenital degenerative diseases, neural dysfunctions including Alzheimer and Parkinson diseases, ALS or multiple sclerosis, emotional troubles including depression, cyclothymic/bipolar disorders, uncontrollable compulsions, etc. Potentially, this explanation also provides a cure for all these diseases as long as there is no accumulation of many of them because, for example, of very advanced age, and only if we are ready to adopt a philosophy of happiness based on moderation and appreciation of the value of life, dignity and empathy, instead of attempting an unlimited accumulation of pleasure, which does not seem neurologically viable. |
Publication | Medical Hypotheses |
Volume | 73 |
Issue | 5 |
Pages | 838-842 |
Date | November 2009 |
DOI | 10.1016/j.mehy.2009.04.048 |
ISSN | 0306-9877 |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6WN2-4WHH77G-1/2/30d9673ee368876963dc29cf8cfe4be8 |
Accessed | Mon Nov 23 21:41:15 2009 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Journal Article |
---|---|
Author | Pehr Granqvist |
Author | Berit Hagekull |
Abstract | The purpose of the present cross-sectional questionnaire study was to construct a comprehensive and reliable scale to assess new age orientation as a continuous individual difference variable. Given large increases in new age orientation in Sweden in recent years, an additional purpose was to test our emotional compensation hypothesis by studying connections of retrospective parental and adult romantic attachment in relation to new age orientation, emotionally-based religiosity, and socialization-based religiosity, as well as to study links between attachment and several aspects of spiritual change. The study group included 193 participants from upper secondary school classes, Christian youth organizations, and new age establishments in Stockholm, Sweden. The new age orientation scale was shown to be unidimensional according to an exploratory factor analysis, and to possess adequate reliability and construct validity. In line with the emotional compensation predictions, new age orientation was directly linked to attachment insecurity and emotionally-based religiosity and inversely related to socialization-based religiosity. Attachment insecurity was also linked to the experience of spiritual changes, whereas most findings pertaining to characteristics of spiritual change did not support predictions. In general, unlike perceived attachment to parents, adult romantic attachment did not display the predicted pattern of results. It was concluded that attachment theory may make an important contribution by highlighting predisposing factors for new age orientation, as representing one aspect of the emotional compensation profile, but that several methodological improvements are necessary in future studies. |
Publication | Journal for the Scientific Study of Religion |
Volume | 40 |
Issue | 3 |
Pages | 527-545 |
Date | Sep., 2001 |
ISSN | 00218294 |
Short Title | Seeking Security in the New Age |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/1388105 |
Accessed | Sun Nov 8 23:32:01 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Sep., 2001 / Copyright © 2001 Society for the Scientific Study of Religion |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
The purpose of the present cross-sectional questionnaire study was to construct a comprehensive and reliable scale to assess new age orientation as a continuous individual difference variable. Given large increases in new age orientation in Sweden in recent years, an additional purpose was to test our emotional compensation hypothesis by studying connections of retrospective parental and adult romantic attachment in relation to new age orientation, emotionally-based religiosity, and socialization-based religiosity, as well as to study links between attachment and several aspects of spiritual change. The study group included 193 participants from upper secondary school classes, Christian youth organizations, and new age establishments in Stockholm, Sweden. The new age orientation scale was shown to be unidimensional according to an exploratory factor analysis, and to possess adequate reliability and construct validity. In line with the emotional compensation predictions, new age orientation was directly linked to attachment insecurity and emotionally-based religiosity and inversely related to socialization-based religiosity. Attachment insecurity was also linked to the experience of spiritual changes, whereas most findings pertaining to characteristics of spiritual change did not support predictions. In general, unlike perceived attachment to parents, adult romantic attachment did not display the predicted pattern of results. It was concluded that attachment theory may make an important contribution by highlighting predisposing factors for new age orientation, as representing one aspect of the emotional compensation profile, but that several methodological improvements are necessary in future studies.
Type | Book |
---|---|
Author | James Griffith |
Place | New York |
Publisher | Guilford Press |
Date | 2010 |
ISBN | 9781606238899 |
Date Added | Thu Sep 29 09:03:07 2011 |
Modified | Thu Sep 29 09:03:07 2011 |
Type | Journal Article |
---|---|
Author | Daniel H Grossoehme |
Author | Judith R Ragsdale |
Author | Christine L McHenry |
Author | Celia Thurston |
Author | Thomas DeWitt |
Author | Larry VandeCreek |
Abstract | OBJECTIVE: The literature suggests that a majority of pediatricians believe that spirituality and religion are relevant in clinical practice, but only a minority gives them attention. This project explored this disparity by relating personal/professional characteristics of pediatricians to the frequency with which they give attention to spirituality and religion. METHODS: Pediatricians (N = 737) associated with 3 academic Midwestern pediatric hospitals responded to a survey that requested information concerning the frequency with which they (1) talked with patients/families about their spiritual and religious concerns and (2) participated with them in spiritual or religious practices (eg, prayer). The associations between these data and 10 personal and professional characteristics were examined. RESULTS: The results demonstrated the disparity, and the analysis identified 9 pediatrician characteristics that were significantly associated with more frequently talking with patients/families about their spiritual and religious concerns. The characteristics included increased age; a Christian religious heritage; self-description as religious; self-description as spiritual; the importance of one's own spirituality and religion in clinical practice; the belief that the spirituality and religion of patients/families are relevant in clinical practice; formal instruction concerning the role of spirituality and religion in health care; relative comfort asking about beliefs; and relative comfort asking about practices. All of these characteristics except pediatrician age were also significantly associated with the increased frequency of participation in spiritual and religious practices with patients/families. CONCLUSIONS: Attention to spiritual and religious concerns and practices are associated with a web of personal and professional pediatrician characteristics. Some characteristics pertain to the physician's personal investment in spirituality and religion in their own lives, and others include being uncomfortable with spiritual and religious concerns and practices. These associations shed light on the disparity between acknowledged spirituality and religion relevancy and inattention to it in clinical practice. |
Publication | Pediatrics |
Volume | 119 |
Issue | 1 |
Pages | e117-123 |
Date | Jan 2007 |
Journal Abbr | Pediatrics |
DOI | 10.1542/peds.2006-0642 |
ISSN | 1098-4275 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17200236 |
Accessed | Fri Nov 13 17:09:43 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 17200236 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Objective: The literature suggests that a majority of pediatricians believe that spirituality and religion are relevant in clinical practice, but only a minority gives them attention. This project explored this disparity by relating personal/professional characteristics of pediatricians to the frequency with which they give attention to spirituality and religion. Methods: Pediatricians (N = 737) associated with 3 academic Midwestern pediatric hospitals responded to a survey that requested information concerning the frequency with which they (1) talked with patients/families about their spiritual and religious concerns and (2) participated with them in spiritual or religious practices (eg, prayer). The associations between these data and 10 personal and professional characteristics were examined. Results: The results demonstrated the disparity, and the analysis identified 9 pediatrician characteristics that were significantly associated with more frequently talking with patients/families about their spiritual and religious concerns. The characteristics included increased age; a Christian religious heritage; self-description as religious; self-description as spiritual; the importance of one’s own spirituality and religion in clinical practice; the belief that the spirituality and religion of patients/families are relevant in clinical practice; formal instruction concerning the role of spirituality and religion in health care; relative comfort asking about beliefs; and relative comfort asking about practices. All of these characteristics except pediatrician age were also significantly associated with the increased frequency of participation in spiritual and religious practices with patients/families. Conclusions: Attention to spiritual and religious concerns and practices are associated with a web of personal and professional pediatrician characteristics. Some characteristics pertain to the physician’s personal investment in spirituality and religion in their own lives, and others include being uncomfortable with spiritual and religious concerns and practices. These associations shed light on the disparity between acknowledged spirituality and religion relevancy and inattention to it in clinical practice.
Type | Journal Article |
---|---|
Author | John Gruzelier |
Abstract | Professionally significant enhancement of music and dance performance and mood has followed training with an EEG-neurofeedback protocol which increases the ratio of theta to alpha waves using auditory feedback with eyes closed. While originally the protocol was designed to induce hypnogogia, a state historically associated with creativity, the outcome was psychological integration, while subsequent applications focusing on raising the theta-alpha ratio, reduced depression and anxiety in alcoholism and resolved post traumatic stress syndrome (PTSD). In optimal performance studies we confirmed associations with creativity in musical performance, but effects also included technique and communication. We extended efficacy to dance and social anxiety. Diversity of outcome has a counterpart in wide ranging associations between theta oscillations and behaviour in cognitive and affective neuroscience: in animals with sensory-motor activity in exploration, effort, working memory, learning, retention and REM sleep; in man with meditative concentration, reduced anxiety and sympathetic autonomic activation, as well as task demands in virtual spatial navigation, focussed and sustained attention, working and recognition memory, and having implications for synaptic plasticity and long term potentiation. Neuroanatomical circuitry involves the ascending mescencephalic-cortical arousal system, and limbic circuits subserving cognitive as well as affective/motivational functions. Working memory and meditative bliss, representing cognitive and affective domains, respectively, involve coupling between frontal and posterior cortices, exemplify a role for theta and alpha waves in mediating the interaction between distal and widely distributed connections. It is posited that this mediation in part underpins the integrational attributes of alpha-theta training in optimal performance and psychotherapy, creative associations in hypnogogia, and enhancement of technical, communication and artistic domains of performance in the arts. |
Publication | Cognitive Processing |
Volume | 10 Suppl 1 |
Pages | S101-109 |
Date | Feb 2009 |
Journal Abbr | Cogn Process |
DOI | 10.1007/s10339-008-0248-5 |
ISSN | 1612-4790 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19082646 |
Accessed | Mon Mar 28 18:18:24 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19082646 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Type | Journal Article |
---|---|
Author | Erminia (Mimi) Guarneri |
Author | Bonnie J. Horrigan |
Author | Constance M. Pechura |
Abstract | Data supporting the efficacy and cost effectiveness of an integrative approach to healthcare comes from three sources: medical research conducted at universities, studies carried out by corporations developing employee wellness programs, and pilot projects run by insurance companies. The integrative approaches being studied place the patient at the center of the care and address the full range of physical, emotional, mental, social, spiritual, and environmental influences that affect a person's health. Most importantly, they promote prevention by engaging the whole person in the attainment of a personalized lifestyle that supports health. A review of the medical, corporate, and payer literature reveals that, to start, immediate and significant health benefits and cost savings could be realized throughout our healthcare system by utilizing three integrative strategies: (1) integrative lifestyle change programs for those with chronic disease, (2) integrative interventions for people experiencing depression, and (3) integrative preventive strategies to support wellness in all populations. |
Publication | EXPLORE: The Journal of Science and Healing |
Volume | 6 |
Issue | 5 |
Pages | 308-312 |
Date | September 2010 |
DOI | 10.1016/j.explore.2010.06.012 |
ISSN | 1550-8307 |
Short Title | The Efficacy and Cost Effectiveness of Integrative Medicine |
Accessed | Sat Sep 11 19:41:30 2010 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 09:02:29 2011 |
Modified | Thu Sep 29 09:02:29 2011 |
Type | Journal Article |
---|---|
Author | Laura C Hanson |
Author | Debra Dobbs |
Author | Barbara M Usher |
Author | Sharon Williams |
Author | Jim Rawlings |
Author | Timothy P Daaleman |
Abstract | OBJECTIVE: Patients and palliative care experts endorse the importance of spiritual care for seriously ill patients and their families. However, little is known about spiritual care during serious illness, and whether it satisfies patients' and families' needs. The objective of this study was to describe spiritual care received by patients and families during serious illness, and test whether the provider and the type of care is associated with satisfaction with care. METHODS: Cross-sectional interview with 38 seriously ill patients and 65 family caregivers about spiritual care experiences. RESULTS: The 103 spiritual care recipients identified 237 spiritual care providers; 95 (41%) were family or friends, 38 (17%) were clergy, and 66 (29%) were health care providers. Two-thirds of spiritual care providers shared the recipient's faith tradition. Recipients identified 21 different types of spiritual care activities. The most common activity was help coping with illness (87%) and the least common intercessory prayer (4%). Half of recipients were very or somewhat satisfied with spiritual care, and half found it very helpful for facilitating inner peace and meaning making. Satisfaction with spiritual care did not differ by provider age, race, gender, role, or frequency of visits. Types of care that helped with understanding or illness coping were associated with greater satisfaction with care. CONCLUSION: Seriously ill patients and family caregivers experience spiritual care from multiple sources, including health care providers. Satisfaction with this care domain is modest, but approaches that help with understanding and with coping are associated with greater satisfaction. |
Publication | Journal of Palliative Medicine |
Volume | 11 |
Issue | 6 |
Pages | 907-914 |
Date | Jul 2008 |
Journal Abbr | J Palliat Med |
DOI | 10.1089/jpm.2008.0008 |
ISSN | 1557-7740 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18715183 |
Accessed | Fri Nov 13 19:10:38 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18715183 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Objective: Patients and palliative care experts endorse the importance of spiritual care for seriously ill patients and their families. However, little is known about spiritual care during serious illness, and whether it satisfies patients’ and families’ needs. The objective of this study was to describe spiritual care received by patients and families during serious illness, and test whether the provider and the type of care is associated with satisfaction with care. Methods: Cross-sectional interview with 38 seriously ill patients and 65 family caregivers about spiritual care experiences. Results: The 103 spiritual care recipients identified 237 spiritual care providers; 95 (41%) were family or friends, 38 (17%) were clergy, and 66 (29%) were health care providers. Two-thirds of spiritual care providers shared the recipient’s faith tradition. Recipients identified 21 different types of spiritual care activities. The most common activity was help coping with illness (87%) and the least common intercessory prayer (4%). Half of recipients were very or somewhat satisfied with spiritual care, and half found it very helpful for facilitating inner peace and meaning making. Satisfaction with spiritual care did not differ by provider age, race, gender, role, or frequency of visits. Types of care that helped with understanding or illness coping were associated with greater satisfaction with care. Conclusion: Seriously ill patients and family caregivers experience spiritual care from multiple sources, including health care providers. Satisfaction with this care domain is modest, but approaches that help with understanding and with coping are associated with greater satisfaction.
Type | Journal Article |
---|---|
Author | Tina M Harris |
Author | Bethany Keeley |
Author | Samantha Barrientos |
Author | Marita Gronnvoll |
Author | Jamie Landau |
Author | Christopher R Groscurth |
Author | Lijiang Shen |
Author | Youyou Cheng |
Author | J David Cisneros |
Abstract | The primary goal of this study was to determine the extent to which religious frameworks inform lay public understandings of genes and disease. Contrary to existing research, there were minimal differences between racial groups. We did, however, observe two patterns in that data that are worthy of discussion. First, because participants were from the south, the finding that participants from both racial groups ascribe to a religious belief system to make sense of their lived experiences is not surprising. Rather, it appears to be reflective of the religious culture that is an integral part of the south and our identity as a nation. A second noteworthy finding is that while a significant number of participants believe that a relationship exists between health status, genes, and religious behaviors, they also recognize that positive health behaviors must also be adopted as a means for staving off disease. In some cases, however, there was a belief that health issues could dissolve or disappear as a result of certain religious behaviors such as prayer. |
Publication | American Journal of Medical Genetics. Part C, Seminars in Medical Genetics |
Volume | 151C |
Issue | 1 |
Pages | 22-30 |
Date | Feb 15, 2009 |
Journal Abbr | Am J Med Genet C Semin Med Genet |
DOI | 10.1002/ajmg.c.30192 |
ISSN | 1552-4876 |
Accessed | Tue Feb 22 19:56:57 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19170099 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Type | Journal Article |
---|---|
Author | R S Hebert |
Author | M W Jenckes |
Author | D E Ford |
Author | D R O'Connor |
Author | L A Cooper |
Abstract | OBJECTIVE: To identify the preferences and concerns of seriously ill patients about discussing religious and spiritual beliefs with physicians. DESIGN: Three focus group discussions with patients who had experienced a recent life-threatening illness. Discussions were audiotaped, transcribed verbatim, and reviewed independently by two investigators to identify discrete comments for grouping into domains. A third investigator adjudicated differences in opinion. Comments were then independently reviewed for relevance and consistency by a health services researcher and a pastoral counselor. SETTING: Academic medical center. PARTICIPANTS: Referred sample of 22 patients hospitalized with a recent life-threatening illness. MEASUREMENTS AND MAIN RESULTS: Almost all of the 562 comments could be grouped into one of five broad domains: 1) religiosity/spirituality, 2) prayer, 3) patient-physician relationship, 4) religious/spiritual conversations, and 5) recommendations to physicians. God, prayer, and spiritual beliefs were often mentioned as sources of comfort, support, and healing. All participants stressed the importance of physician empathy. Willingness to participate in spiritual discussions with doctors was closely tied to the patient-physician relationship. Although divided on the proper context, patients agreed that physicians must have strong interpersonal skills for discussions to be fruitful. Physician-initiated conversation without a strong patient-physician relationship was viewed as inappropriate and as implying a poor prognosis. CONCLUSION: Religion and spirituality are a source of comfort for many patients. Although not necessarily expecting physicians to discuss spirituality, patients want physicians to ask about coping and support mechanisms. This exploratory study suggests that if patients then disclose the importance of spiritual beliefs in their lives, they would like physicians to respect these values. |
Publication | Journal of General Internal Medicine |
Volume | 16 |
Issue | 10 |
Pages | 685-692 |
Date | Oct 2001 |
Journal Abbr | J Gen Intern Med |
ISSN | 0884-8734 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11679036 |
Accessed | Thu Nov 12 21:08:26 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 11679036 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Objective: To identify the preferences and concerns of seriously ill patients about discussing religious and spiritual beliefs with physicians. Design: Three focus group discussions with patients who had experienced a recent life-threatening illness. Discussions were audiotaped, transcribed verbatim, and reviewed independently by two investigators to identify discrete comments for grouping into domains. A third investigator adjudicated differences in opinion. Comments were then independently reviewed for relevance and consistency by a health services researcher and a pastoral counselor. Setting: Academic medical center. Patricipants: Referred sample of 22 patients hospitalized with a recent life-threatening illness. Measurements and Main Results: Almost all of the 562 comments could be grouped into one of five broad domains: 1) religiosity/spirituality, 2) prayer, 3) patient-physician relationship, 4) religious/spiritual conversations, and 5) recommendations to physicians. God, prayer, and spiritual beliefs were often mentioned as sources of comfort, support, and healing. All participants stressed the importance of physician empathy. Willingness to participate in spiritual discussions with doctors was closely tied to the patient-physician relationship. Although divided on the proper context, patients agreed that physicians must have strong interpersonal skills for discussions to be fruitful. Physician-initiated conversation without a strong patient-physician relationship was viewed as inappropriate and as implying a poor prognosis. Conclusion: Religion and spirituality are a source of comfort for many patients. Although not necessarily expecting physicians to discuss spirituality, patients want physicians to ask about coping and support mechanisms. This exploratory study suggests that if patients then disclose the importance of spiritual beliefs in their lives, they would like physicians to respect these values.
Type | Journal Article |
---|---|
Author | J F Hiatt |
Abstract | Contemporary medicine has given little attention to the spiritual dimension of human experience despite its relevance to our fundamental goal of healing. This exploratory work takes the position that this dimension can and should be reintegrated into health care models and practice. After delineating the scope of inquiry and providing some definitions, I draw upon paradigms from psychology and physics to provide a basis for such integration, and then extend the biopsychosocial model to include the spiritual dimension, discussing some ways in which this perspective might affect our thinking about disease and health care. |
Publication | Southern Medical Journal |
Volume | 79 |
Issue | 6 |
Pages | 736-743 |
Date | Jun 1986 |
Journal Abbr | South. Med. J |
ISSN | 0038-4348 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/3715539 |
Accessed | Thu Nov 12 17:04:59 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 3715539 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Contemporary medicine has given little attention to the spiritual dimension of human experience despite its relevance to our fundamental goal of healing. This exploratory work takes the position that this dimension can and should be reintegrated into health care models and practice. After delineating the scope of inquiry and providing some definitions, I draw upon paradigms from psychology and physics to provide a basis for such integration, and then extend the biopsychosocial model to include the spiritual dimension, discussing some ways in which this perspective might affect our thinking about disease and health care.
Type | Journal Article |
---|---|
Author | G J Hilsman |
Abstract | If managed care leaders are able to achieve their goals of enhancing total well-being within a capitated system of care, they must attend to the broad new societal interest in spiritual perspectives and find ways to integrate them into their structure of care. Imaginative and sensitive members of many professions, particularly those who acknowledge the value of spirituality in their own lives and are convinced of its value in healing, will likely spearhead this integrated movement. Promoting individuals' total well-being necessitates an acknowledgement that everyone has a unique personal spirituality that needs to be addressed at times of crisis, such as illness or hospitalization. Further, attention to the spiritual dimensions of problems that result in high healthcare costs, such as violence, alcoholism, and the fear of death, can help reduce those costs. The process of grief also needs to be addressed in healthcare settings, for professionals as well as patients, to enhance understanding, acceptance, and the quality of care. People recover and retain health through a balanced integration of physical, spiritual, and community aspects of their lives. If professional chaplains who have emphasized crisis and acute care in their ministry styles are to contribute to this integrative healing and its adoption into managed care systems, they may need to explore broader frameworks, holistic concepts of healing processes, motivations for self-care, and a personal holistic balance. |
Publication | Health Progress (Saint Louis, Mo.) |
Volume | 78 |
Issue | 1 |
Pages | 43-46 |
Date | 1997 Jan-Feb |
Journal Abbr | Health Prog |
ISSN | 0882-1577 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/10165750 |
Accessed | Thu Nov 12 17:33:18 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 10165750 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
If managed care leaders are able to achieve their goals of enhancing total well-being within a capitated system of care, they must attend to the broad new societal interest in spiritual perspectives and find ways to integrate them into their structure of care. Imaginative and sensitive members of many professions, particularly those who acknowledge the value of spirituality in their own lives and are convinced of its value in healing, will likely spearhead this integrated movement. Promoting individuals’ total well-being necessitates an acknowledgement that everyone has a unique personal spirituality that needs to be addressed at times of crisis, such as illness or hospitalization. Further, attention to the spiritual dimensions of problems that result in high healthcare costs, such as violence, alcoholism, and the fear of death, can help reduce those costs. The process of grief also needs to be addressed in healthcare settings, for professionals as well as patients, to enhance understanding, acceptance, and the quality of care. People recover and retain health through a balanced integration of physical, spiritual, and community aspects of their lives. If professional chaplains who have emphasized crisis and acute care in their ministry styles are to contribute to this integrative healing and its adoption into managed care systems, they may need to explore broader frameworks, holistic concepts of healing processes, motivations for self-care, and a personal holistic balance.
Type | Journal Article |
---|---|
Author | David R Hodge |
Abstract | Research indicates that many social work practitioners are interested in using spiritual interventions in clinical settings. Unfortunately, studies also indicate that practitioners have frequently received minimal training on the topic during their graduate education. Drawing from the evidence-based practice movement, this article develops some guidelines to assist practitioners in using spiritual interventions in an ethical, professional manner that fosters client well-being. These guidelines can be summarized under the following four rubrics: (1) client preference, (2) evaluation of relevant research, (3) clinical expertise, and (4) cultural competency. The article concludes by emphasizing that these overlapping guidelines should be considered concurrently, in a manner that privileges clients' needs and desires in the decision-making process. |
Publication | Social Work |
Volume | 56 |
Issue | 2 |
Pages | 149-158 |
Date | Apr 2011 |
Journal Abbr | Soc Work |
ISSN | 0037-8046 |
Short Title | Using spiritual interventions in practice |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21553578 |
Accessed | Wed Jun 8 18:58:07 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21553578 |
Date Added | Thu Sep 29 08:55:16 2011 |
Modified | Thu Sep 29 08:55:16 2011 |
Type | Journal Article |
---|---|
Author | Cheryl L Holt |
Author | Chastity Roberts |
Author | Isabel Scarinci |
Author | Shereta R Wiley |
Author | Mohamad Eloubeidi |
Author | Martha Crowther |
Author | John Bolland |
Author | Mark S Litaker |
Author | Vivian Southward |
Author | Steven S Coughlin |
Abstract | This study describes the development of a spiritually based intervention to increase colorectal cancer screening through African American churches by framing the health message with spiritual themes and scripture. The intervention development phase consisted of ideas from an advisory panel and core content identified in focus groups. In the pilot-testing phase, prototypes of the intervention materials were tested for graphic appeal in additional focus groups, and content was tested for acceptability and comprehension in cognitive interviews. Participants preferred materials showing a variety of African Americans in real settings, bright color schemes, and an uplifting message emphasizing prevention and early detection. Spiritual themes such as stewardship over the body, being well to serve God, and using faith to overcome fear, were well received. The materials were then finalized for implementation and will be used by community health advisors to encourage screening. |
Publication | Health Communication |
Volume | 24 |
Issue | 5 |
Pages | 400-412 |
Date | Jul 2009 |
Journal Abbr | Health Commun |
DOI | 10.1080/10410230903023451 |
ISSN | 1532-7027 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19657823 |
Accessed | Fri Nov 13 20:11:11 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19657823 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This study describes the development of a spiritually based intervention to increase colorectal cancer screening through African American churches by framing the health message with spiritual themes and scripture. The intervention development phase consisted of ideas from an advisory panel and core content identified in focus groups. In the pilot-testing phase, prototypes of the intervention materials were tested for graphic appeal in additional focus groups, and content was tested for acceptability and comprehension in cognitive interviews. Participants preferred materials showing a variety of African Americans in real settings, bright color schemes, and an uplifting message emphasizing prevention and early detection. Spiritual themes such as stewardship over the body, being well to serve God, and using faith to overcome fear, were well received. The materials were then finalized for implementation and will be used by community health advisors to encourage screening.
Type | Journal Article |
---|---|
Author | Linda A. Hunter |
Author | Mark A. Yarhouse |
Abstract | Human beings are uniquely created with varying degrees of biological, psychological, sociological, and spiritual differences. Research suggests that many clients bring spiritual issues and concerns to counseling and request religiously accommodating interventions often in the form of prayer, scripture reading or referral to scripture, assurances of forgiveness by God, or forgiveness of self or others. These heightened requests from clients for religiously accommodating interventions must be matched by the clinician's heightened sensitivity to the disclosure of religious views, cultural diversity, and religious diversity through use of an advanced informed consent. This article will examine the ethical considerations in the use of religiously-congruent interventions through a more in-depth analysis of one specific approach to religiously accommodating interventions, i.e., Theophostic Prayer Ministry. It closes with suggestions for expanded informed consent when assisting clients requesting religiously accommodating interventions. [ABSTRACT FROM AUTHOR] |
Publication | Journal of Psychology & Christianity |
Volume | 28 |
Issue | 2 |
Pages | 159-166 |
Date | Summer2009 2009 |
ISSN | 07334273 |
Library Catalog | EBSCOhost |
Date Added | Thu Sep 29 09:07:00 2011 |
Modified | Thu Sep 29 09:07:00 2011 |
Type | Journal Article |
---|---|
Author | J Jacob |
Author | E Jovic |
Author | MB Brinkerhoff |
Abstract | Employing data from a mailed survey of a sample of ecologically and spiritually aware respondents (N = 829), the study tests the hypothesized relationship between ecologically sustainable behavior (ESB) and subjective well-being (SWB). The proposed link between ESB and SWB is the spiritual practice of mindfulness meditation (MM). In multiple regression equations ESB and MM independently explain statistically significant amounts of variance in SWB, indicating, for at least the study's sample, that there can be a relationship between personal and planetary well-being. The inter-relationships among SWB, ESB and MM suggest that for specific segments of the general population (e.g., the spiritually inclined) there may not necessarily be an insurmountable conflict between an environmentally responsible lifestyle and personal quality of life. The research reported here also points to the potential for meditative/mindful experiences to play a prominent role in the explanation of variance in SWB, a direction in QoL studies recently highlighted by several researchers (Layard 2005, pp. 189-192; Nettle 2005, pp. 153-160; Haidt 2006). |
Publication | Social Indicators Research |
Volume | 93 |
Issue | 2 |
Pages | 275-294 |
Date | SEP 2009 |
DOI | 10.1007/s11205-008-9308-6 |
ISSN | 0303-8300 |
Short Title | Personal and Planetary Well-being |
URL | http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do? product=WOS&search_mode=GeneralSearch&qid=1&… |
Accessed | Sun Nov 1 10:14:29 2009 |
Library Catalog | ISI Web of Knowledge |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
Type | Journal Article |
---|---|
Author | G D Jacobs |
Abstract | Several hundred peer-reviewed studies in the past 20 years have shown that the relaxation response and mind-body interventions are clinically effective in the treatment of many health problems that are caused or made worse by stress. Recent studies show that mind-body interventions may improve prognosis in coronary heart disease and can enhance immune functioning. It is hypothesized that mind-body interventions reduce sympathetic nervous system activation and increase parasympathetic nervous system activity, and thereby restore homeostasis. Researchers have also concluded that cognitive therapy is as effective, and possibly more effective than antidepressant medication in the treatment of major depression. This report provides an overview of some studies that have shown a beneficial role of the relaxation response and cognitive restructuring in the treatment of headaches, insomnia, and cardiovascular disorders. Studies to date suggest that mind-body interventions are effective and can also provide cost savings in patient treatment. It is also clear, however, that mind-body therapies are not panaceas, and should be used in conjunction with standard medical care. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 7 Suppl 1 |
Pages | 93-101 |
Date | 2001 |
Journal Abbr | J Altern Complement Med |
ISSN | 1075-5535 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/11822640 |
Accessed | Tue Sep 8 18:22:10 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 11822640 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Several hundred peer-reviewed studies in the past 20 years have shown that the relaxation response and mind-body interventions are clinically effective in the treatment of many health problems that are caused or made worse by stress. Recent studies show that mind-body interventions may improve prognosis in coronary heart disease and can enhance immune functioning. It is hypothesized that mind-body interventions reduce sympathetic nervous system activation and increase parasympathetic nervous system activity, and thereby restore homeostasis. Researchers have also concluded that cognitive therapy is as effective, and possibly more effective than antidepressant medication in the treatment of major depression. This report provides an overview of some studies that have shown a beneficial role of the relaxation response and cognitive restructuring in the treatment of headaches, insomnia, and cardiovascular disorders. Studies to date suggest that mind-body interventions are effective and can also provide cost savings in patient treatment. It is also clear, however, that mind-body therapies are not panaceas, and should be used in conjunction with standard medical care.
Type | Journal Article |
---|---|
Author | Brick Johnstone |
Abstract | The Spirituality and Health Research Project of the MU Center on Religion and the Professions is investigating the relationships that exist among religion, spirituality, and health for persons with heterogeneous medical conditions. Pilot studies indicate that spirituality and congregational support are related to health outcomes, but religious practices are not. Additional research indicates that spiritual experiences are related to diminished right parietal functioning (through meditation/ prayer or brain injury), which is associated with decreased sense of the self. Implications for health professionals are discussed. |
Publication | Missouri Medicine |
Volume | 106 |
Issue | 2 |
Pages | 141-144 |
Date | 2009 Mar-Apr |
Journal Abbr | Mo Med |
ISSN | 0026-6620 |
Short Title | Spirituality, religion and health outcomes research |
Accessed | Tue Feb 22 19:14:48 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19397115 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Type | Journal Article |
---|---|
Author | Mini M Jose |
Abstract | Compassion is a language that is understood across cultures, religions, and nations. Being compassionate and empathetic is a basic responsibility of health care providers responding to disasters. Compassion and empathy cannot be operationalized unless providers show culturally competent, ethically right, and spiritually caring behavior. In addition to being accepting of cultures other than their own, providers must read literature and familiarize themselves with the predominant cultures of the affected population. Ethically right decision making is essentially an act of balancing the risks and benefits to the entire society. Spiritual care is an important dimension of total health, and therefore recognition and resolution of the spiritual needs of disaster victims is an essential role of health care providers. Disaster management is teamwork and therefore requires that health care providers draw on the expertise and support of other team members; coordinating efforts with local religious, social governmental organizations, and NGOs to deal with the intangible effects of the cultural and spiritual impact of a disaster and to prevent further demoralization of the affected community is imperative. Disasters occur, and the only thing that can ameliorate their devastating effects is to improve disaster preparedness and respond collectively and courageously to every catastrophic event. |
Publication | Critical Care Nursing Clinics of North America |
Volume | 22 |
Issue | 4 |
Pages | 455-464 |
Date | Dec 2010 |
Journal Abbr | Crit Care Nurs Clin North Am |
DOI | 10.1016/j.ccell.2010.09.001 |
ISSN | 1558-3481 |
Accessed | Tue Jan 18 18:58:47 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21095554 |
Date Added | Thu Sep 29 08:58:46 2011 |
Modified | Thu Sep 29 08:58:46 2011 |
Type | Journal Article |
---|---|
Author | Allan M Josephson |
Abstract | Developing scientifically sound and clinically meaningful case formulations is so challenging that it may verge on becoming a "lost art." Pressures (scientific, economic, and cultural) remain that prevent child and adolescent psychiatrists from getting a complete understanding of the patient and family. Including a strong consideration of data related to religion, spirituality, and worldview may seem only to complicate an already arduous task. The clinician who includes these factors in treatment is faced with decisions of when to discuss these issues, how to discuss them and in what depth, and finally, when to refer to a religious/spiritual professional. Nonetheless, the importance of these factors in the lives of many children and families leaves no option but to address them as directly as possible. It is well worth the effort and, in many cases, will open new areas for clinical improvement in patients. |
Publication | Child and Adolescent Psychiatric Clinics of North America |
Volume | 13 |
Issue | 1 |
Pages | 71-84 |
Date | Jan 2004 |
Journal Abbr | Child Adolesc Psychiatr Clin N Am |
ISSN | 1056-4993 |
Short Title | Formulation and treatment |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/14723301 |
Accessed | Tue Nov 3 01:25:19 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 14723301 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Several hundred peer-reviewed studies in the past 20 years have shown that the relaxation response and mind-body interventions are clinically effective in the treatment of many health problems that are caused or made worse by stress. Recent studies show that mind-body interventions may improve prognosis in coronary heart disease and can enhance immune functioning. It is hypothesized that mind-body interventions reduce sympathetic nervous system activation and increase parasympathetic nervous system activity, and thereby restore homeostasis. Researchers have also concluded that cognitive therapy is as effective, and possibly more effective than antidepressant medication in the treatment of major depression. This report provides an overview of some studies that have shown a beneficial role of the relaxation response and cognitive restructuring in the treatment of headaches, insomnia, and cardiovascular disorders. Studies to date suggest that mind-body interventions are effective and can also provide cost savings in patient treatment. It is also clear, however, that mind-body therapies are not panaceas, and should be used in conjunction with standard medical care.
Type | Book |
---|---|
Editor | Allan M Josephson |
Editor | John R Peteet |
Edition | 1st ed |
Place | Washington, DC |
Publisher | American Psychiatric Pub., Inc |
Date | 2004 |
ISBN | 1585621048 |
Library Catalog | library.bu.edu Library Catalog |
Call Number | WM 420 H23655 2004 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This refreshing new work is a practical overview of religious and spiritual issues in psychiatric assessment and treatment. 11 distinguished contributors assert that everyone has a worldview and that these religious and spiritual variables can be collaborative partners of science, bringing critical insight to assessment and healing to treatment. Unlike other works in this field, which focus primarily on spiritual experience, this clearly written volume focuses on the cognitive aspects of belief—and how personal worldview affects the behavior of both patient and clinician. Informative case vignettes and discussions illustrate how assessment, formulation, and treatment principles can be incorporated within different worldviews, including practical clinical information on major faith traditions and on atheist and agnostic worldviews. This well-organized text sheds much-needed light on an area too often obscure to many clinicians, fostering a balanced integration of religion and spirituality in mental health training and practice. Bridging several disciplines in a novel way, this thought-provoking volume will find a diverse audience among mental health care students, educators, and professionals everywhere who seek to better integrate the religious and spiritual aspects of their patients’ lives into assessment and treatment.
Type | Journal Article |
---|---|
Author | Michael B King |
Author | Harold G Koenig |
Abstract | The ne ed to take account of spirituality in research and health services provision is assuming ever greater importance. However the field has long been hampered by a lack of conceptual clarity about the nature of spirituality itself. We do not agree with the sceptical claim that it is impossible to conceptualize spirituality within a scientific paradigm. Our aims are to 1) provide a brief over-view of critical thinking that might form the basis for a useful definition of spirituality for research and clinical work and 2) demystify the language of spirituality for clinical practice and research. |
Publication | BMC Health Services Research |
Volume | 9 |
Pages | 116 |
Date | July 2009 |
Journal Abbr | BMC Health Serv Res |
DOI | 10.1186/1472-6963-9-116 |
ISSN | 1472-6963 |
Accessed | Fri Sep 18 18:31:58 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19594903 |
Date Added | Thu Sep 29 09:06:02 2011 |
Modified | Thu Sep 29 09:06:02 2011 |
Type | Book |
---|---|
Editor | Harold G Koenig |
Editor | Harvey Jay Cohen |
Place | Oxford |
Publisher | Oxford University Press |
Date | 2002 |
ISBN | 0195143604 |
Short Title | The Link Between Religion and Health |
Library Catalog | library.bu.edu Library Catalog |
Call Number | QP356.47 .L56 2002 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This book is the first to present new medical research establishing a connection between religion and health and to examine the implications for Eastern and Western religious traditions and for society and culture. The distinguished list of contributors examine a series of psychoneuroimmunology (PNI) topics that relate to religious faith and behavior. PNI studies the relationships between mental states and the nervous, endocrine, and immune systems. Among the issues it focuses upon are how mental states, in general, and belief states, in particular, affect physical health. The contributors argue that religious involvement and belief can affect certain neuroendocrine and immune mechanisms, and that these mechanisms, in turn, susceptibility to cancer and recovery following surgery. This volume is essential reading for those interested in the relationship between religion and health.
Type | Book |
---|---|
Author | Harold G. Koenig |
Author | Michael E. McCullough |
Author | David B. Larson |
Publisher | Oxford University Press |
Date | 2001-01-11 |
ISBN | 0195118669 |
Library Catalog | Amazon.com |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This handbook reviews and discusses the extensive research on the relationships between religion and a variety of mental and physical health outcomes, including depression, anxiety, heart disease, hypertension, stroke, cancer, and immune system dysfunction. It critiques 1,200 separate studies and ranks them according to their methodology and results.
Type | Journal Article |
---|---|
Author | Diana Koszycki |
Author | Kelley Raab |
Author | Fahad Aldosary |
Author | Jacques Bradwejn |
Abstract | This pilot trial evaluated the efficacy of a multifaith spiritually based intervention (SBI) for generalized anxiety disorder (GAD). Patients meeting DSM-IV criteria for GAD of at least moderate severity were randomized to either 12 sessions of the SBI (n=11) delivered by a spiritual care counselor or 12 sessions of psychologist-administered cognitive-behavioral therapy (CBT; n=11). Outcome measures were completed at baseline, post-treatment, and 3-month and 6-month follow-ups. Primary efficacy measures included the Hamilton Anxiety Rating Scale, Beck Anxiety Inventory, and Penn State Worry Questionnaire. Data analysis was performed on the intent-to-treat sample using the Last Observation Carried Forward method. Eighteen patients (82%) completed the study. The SBI produced robust and clinically significant reductions from baseline in psychic and somatic symptoms of GAD and was comparable in efficacy to CBT. A reduction in depressive symptoms and improvement in social adjustment was also observed. Treatment response occurred in 63.6% of SBI-treated and 72.3% of CBT-treated patients. Gains were maintained at 3-month and 6-month follow-ups. These preliminary findings are encouraging and suggest that a multifaith SBI may be an effective treatment option for GAD. Further randomized controlled trials are needed to establish the efficacy of this intervention. (c) 2010 Wiley Periodicals, Inc. J Clin Psychol: 66(4):1-12, 2010. |
Publication | Journal of Clinical Psychology |
Volume | 66 |
Issue | 4 |
Pages | 430-441 |
Date | Feb 8, 2010 |
Journal Abbr | J Clin Psychol |
DOI | 10.1002/jclp.20663 |
ISSN | 1097-4679 |
Short Title | A multifaith spiritually based intervention for generalized anxiety disorder |
Accessed | Thu Mar 4 09:02:25 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20143382 |
Date Added | Thu Sep 29 09:04:19 2011 |
Modified | Thu Sep 29 09:04:19 2011 |
After a multifaith spiritually based intervention was applied to patients suffering generalized anxiety disorder, a reduction in depressive symptoms and improvement in social adjustment was observed.
Type | Journal Article |
---|---|
Author | Mary Jo Kreitzer |
Author | Cynthia R Gross |
Author | On-anong Waleekhachonloet |
Author | Maryanne Reilly-Spong |
Author | Marcia Byrd |
Abstract | PURPOSE: This article describes a factor analysis of a 22-item version of the Serenity Scale, a tool that measures spirituality and well-being. METHOD: A sample of 87 participants, enrolled in a National Institutes of Health-funded clinical trial examining the impact of mindfulness-based stress reduction on symptom management post-solid organ transplantation, completed the abbreviated instrument. FINDINGS: Exploratory factor analysis yielded three subscales: acceptance, inner haven, and trust. The Serenity Scale was positively associated with positive affect and mindful awareness and inversely related to negative affect, anxiety, depression, health distress and transplant-related stress. CONCLUSIONS: Serenity, a dimension of spirituality that is secular and distinct from religious orientation or religiosity, shows promise as a tool that could be used to measure outcomes of nursing interventions that improve health and well-being. IMPLICATIONS: Spirituality is recognized as being an essential component of holistic nursing practice. As nurses expand their use of spiritual interventions, it is important to document outcomes related to nursing care. The Serenity Scale appears to capture a dimension of spirituality, a state of acceptance, inner haven and trust that is distinct from other spirituality instruments. |
Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
Volume | 27 |
Issue | 1 |
Pages | 7-16 |
Date | Mar 2009 |
Journal Abbr | J Holist Nurs |
DOI | 10.1177/0898010108327212 |
ISSN | 0898-0101 |
Short Title | The brief serenity scale |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19176898 |
Accessed | Tue Sep 15 00:03:06 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19176898 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Purpose: This article describes a factor analysis of a 22-item version of the Serenity Scale, a tool that measures spirituality and well-being. Method: A sample of 87 participants, enrolled in a National Institutes of Health-funded clinical trial examining the impact of mindfulness-based stress reduction on symptom management post-solid organ transplantation, completed the abbreviated instrument. Findings: Exploratory factor analysis yielded three subscales: acceptance, inner haven, and trust. The Serenity Scale was positively associated with positive affect and mindful awareness and inversely related to negative affect, anxiety, depression, health distress and transplant-related stress. Conclusions: Serenity, a dimension of spirituality that is secular and distinct from religious orientation or religiosity, shows promise as a tool that could be used to measure outcomes of nursing interventions that improve health and well-being. Implications: Spirituality is recognized as being an essential component of holistic nursing practice. As nurses expand their use of spiritual interventions, it is important to document outcomes related to nursing care. The Serenity Scale appears to capture a dimension of spirituality, a state of acceptance, inner haven and trust that is distinct from other spirituality instruments.
Type | Journal Article |
---|---|
Author | Daniel J Kruger |
Author | Yvonne Lewis |
Author | Erin Schlemmer |
Abstract | This study reports the use of a community-based health survey to share local health information with faith leaders. Geographical information systems software identified survey respondents within 2 km (1.25 miles) of places of worship. Results were tabulated for the community surrounding each place of worship and were compared with city- and county-level data. Faith leaders were presented with community-specific reports describing the health attributes of residents who lived in the surrounding area, in order to assist with the identification issues of concern and opportunities to develop health ministries to address these issues. Faith leaders were encouraged to share this information with members of their faith community and develop means of obtaining additional information on the people of interest. We believe that engaging faith leaders with neighborhood-specific health information will be critical in providing an understanding of the importance of their voice in improving health outcomes of their faith community, the surrounding neighborhood, and the community at large. Our goal is to empower faith leaders to understand personal and community health issues and to act as a conduit for health-related information and health promotion at a local level. Church health teams developed an HIV and sexually transmitted infection prevention program for African American adolescents and young adults. |
Publication | Health Promotion Practice |
Volume | 11 |
Issue | 6 |
Pages | 837-844 |
Date | Nov 2010 |
Journal Abbr | Health Promot Pract |
DOI | 10.1177/1524839908328995 |
ISSN | 1524-8399 |
Short Title | Mapping a message for faith leaders |
Accessed | Tue Feb 22 19:58:48 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19168891 |
Date Added | Thu Sep 29 09:07:00 2011 |
Modified | Thu Sep 29 09:07:00 2011 |
Type | Journal Article |
---|---|
Author | Alfred Laengler |
Author | Claudia Spix |
Author | Georg Seifert |
Author | Sven Gottschling |
Author | Norbert Graf |
Author | Peter Kaatsch |
Abstract | INTRODUCTION: Few studies have been conducted to date on the prevalence of use of complementary and alternative treatment methods (CAMs) in paediatric oncology, and those that have been conducted are often not representative. We therefore decided to study a representative sample of children with cancer in the German population. PATIENTS AND METHODS: The study took the form of a retrospective survey amongst all parents whose children were first diagnosed with a disease covered by the German Childhood Cancer Registry in 2001. The primary objectives of the survey were to establish the prevalence of use of CAM and the factors related to its use. RESULTS: Of the 1595 questionnaires sent out, 1063 (67%) could be evaluated. 35% of the responders had used CAM. The most frequently used methods were homeopathy, dietary supplements and anthroposophic medicine including mistletoe therapy. Factors which increased the probability of using CAM were the previous use of CAM, higher social status and poor prognosis of the child's disease. The most frequently named reasons for use of CAM were physical stabilisation, strengthening the immune system and improving the chance of cure. Whilst the sources of information about CAM were in most cases not doctors, 71% of users had nevertheless spoken to a doctor about using CAM. The effects of the CAM perceived by the parents were for the most part positive. 89% of the users reported that they would recommend CAM to other parents. CONCLUSIONS: CAMs are administered alongside standard therapy to 35% of children with cancer in Germany, usually by the parents. Prospective studies on the effects and side-effects of the most frequently used methods are urgently needed, and paediatric oncologists should have sufficient knowledge of CAM to enable them to advise parents professionally and competently about these treatments, too. |
Publication | European Journal of Cancer |
Volume | 44 |
Issue | 15 |
Pages | 2233-2240 |
Date | Oct 2008 |
Journal Abbr | Eur. J. Cancer |
DOI | 10.1016/j.ejca.2008.07.020 |
ISSN | 1879-0852 |
Short Title | Complementary and alternative treatment methods in children with cancer |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18809313 |
Accessed | Mon Nov 9 00:56:58 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18809313 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Introduction: Few studies have been conducted to date on the prevalence of use of complementary and alternative treatment methods (CAMs) in paediatric oncology, and those that have been conducted are often not representative. We therefore decided to study a representative sample of children with cancer in the German population. Patients and Methods: The study took the form of a retrospective survey amongst all parents whose children were first diagnosed with a disease covered by the German Childhood Cancer Registry in 2001. The primary objectives of the survey were to establish the prevalence of use of CAM and the factors related to its use. Results: Of the 1595 questionnaires sent out, 1063 (67%) could be evaluated. 35% of the responders had used CAM. The most frequently used methods were homeopathy, dietary supplements and anthroposophic medicine including mistletoe therapy. Factors which increased the probability of using CAM were the previous use of CAM, higher social status and poor prognosis of the child’s disease. The most frequently named reasons for use of CAM were physical stabilisation, strengthening the immune system and improving the chance of cure. Whilst the sources of information about CAM were in most cases not doctors, 71% of users had nevertheless spoken to a doctor about using CAM. The effects of the CAM perceived by the parents were for the most part positive. 89% of the users reported that they would recommend CAM to other parents. Conclusions: CAMs are administered alongside standard therapy to 35% of children with cancer in Germany, usually by the parents. Prospective studies on the effects and side-effects of the most frequently used methods are urgently needed, and paediatric oncologists should have sufficient knowledge of CAM to enable them to advise parents professionally and competently about these treatments, too.
Type | Journal Article |
---|---|
Author | Walter L Larimore |
Author | Michael Parker |
Author | Martha Crowther |
Abstract | Most of the rhetoric decrying the incorporation of basic and positive spiritual care into clinical practice is not based on reliable evidence. We briefly review the current evidence, which demonstrates that (a) there is frequently a positive association between positive spirituality and mental and physical health and well being, (b) most patients desire to be offered basic spiritual care by their clinicians, (c) most patients censure our professions for ignoring their spiritual needs, (d) most clinicians believe that spiritual interventions would help their patients but have little training in providing basic spiritual assessment or care, (e) professional associations and educational institutions are beginning to provide learners and clinicians information on how to incorporate spirituality and practice, and (j) anecdotal evidence indicates that clinicians having received such training find it immediately helpful and do apply it to their practice. We point out the reasons that much more research is needed, especially outcome-based, clinical research on the effects of these spiritual interventions by clinicians. We conclude that the evidence to date demonstrates trained or experienced clinicians should encourage positive spirituality with their patients and that there is no evidence that such therapy is, in general, harmful. Further, unless or until there is evidence of harm from a clinician's provision of either basic spiritual care or a spiritually sensitive practice, interested clinicians and systems should learn to assess their patients' spiritual health and to provide indicated and desired spiritual intervention. Clinicians and health care systems should not, without compelling data to the contrary, deprive their patients of the spiritual support and comfort on which their hope, health, and well-being may hinge. |
Publication | Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine |
Volume | 24 |
Issue | 1 |
Pages | 69-73 |
Date | 2002 |
Journal Abbr | Ann Behav Med |
ISSN | 0883-6612 |
Short Title | Should clinicians incorporate positive spirituality into their practices? |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12008796 |
Accessed | Thu Nov 12 21:26:00 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12008796 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Most of the rhetoric decrying the incorporation of basic and positive spiritual care into clinical practice is not based on reliable evidence. We briefly review the current evidence, which demonstrates that (a) there is frequently a positive association between positive spirituality and mental and physical health and well being, (b) most patients desire to be offered basic spiritual care by their clinicians, (c) most patients censure our professions for ignoring their spiritual needs, (d) most clinicians believe that spiritual interventions would help their patients but have little training in providing basic spiritual assessment or care, (e) professional associations and educational institutions are beginning to provide learners and clinicians information on how to incorporate spirituality and practice, and (j) anecdotal evidence indicates that clinicians having received such training find it immediately helpful and do apply it to their practice. We point out the reasons that much more research is needed, especially outcome-based, clinical research on the effects of these spiritual interventions by clinicians. We conclude that the evidence to date demonstrates trained or experienced clinicians should encourage positive spirituality with their patients and that there is no evidence that such therapy is, in general, harmful. Further, unless or until there is evidence of harm from a clinician’s provision of either basic spiritual care or a spiritually sensitive practice, interested clinicians and systems should learn to assess their patients’ spiritual health and to provide indicated and desired spiritual intervention. Clinicians and health care systems should not, without compelling data to the contrary, deprive their patients of the spiritual support and comfort on which their hope, health, and well-being may hinge.
Type | Journal Article |
---|---|
Author | R E Lawrence |
Author | F A Curlin |
Abstract | BACKGROUND: Patient autonomy has been promoted as the most important principle to guide difficult clinical decisions. To examine whether practising physicians indeed value patient autonomy above other considerations, physicians were asked to weight patient autonomy against three other criteria that often influence doctors' decisions. Associations between physicians' religious characteristics and their weighting of the criteria were also examined. METHODS: Mailed survey in 2007 of a stratified random sample of 1000 US primary care physicians, selected from the American Medical Association masterfile. Physicians were asked how much weight should be given to the following: (1) the patient's expressed wishes and values, (2) the physician's own judgment about what is in the patient's best interest, (3) standards and recommendations from professional medical bodies and (4) moral guidelines from religious traditions. RESULTS: Response rate 51% (446/879). Half of physicians (55%) gave the patient's expressed wishes and values "the highest possible weight". In comparative analysis, 40% gave patient wishes more weight than the other three factors, and 13% ranked patient wishes behind some other factor. Religious doctors tended to give less weight to the patient's expressed wishes. For example, 47% of doctors with high intrinsic religious motivation gave patient wishes the "highest possible weight", versus 67% of those with low (OR 0.5; 95% CI 0.3 to 0.8). CONCLUSIONS: Doctors believe patient wishes and values are important, but other considerations are often equally or more important. This suggests that patient autonomy does not guide physicians' decisions as much as is often recommended in the ethics literature. |
Publication | Journal of Medical Ethics |
Volume | 35 |
Issue | 4 |
Pages | 214-218 |
Date | Apr 2009 |
Journal Abbr | J Med Ethics |
DOI | 10.1136/jme.2008.027565 |
ISSN | 1473-4257 |
Short Title | Autonomy, religion and clinical decisions |
Accessed | Tue Feb 22 19:29:54 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19332575 |
Date Added | Thu Sep 29 09:07:00 2011 |
Modified | Thu Sep 29 09:07:00 2011 |
Type | Journal Article |
---|---|
Author | Robert T Lawrence |
Author | Dwight W Smith |
Publication | The Journal of Family Practice |
Volume | 53 |
Issue | 8 |
Pages | 625-631 |
Date | Aug 2004 |
Journal Abbr | J Fam Pract |
ISSN | 0094-3509 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15298832 |
Accessed | Fri Nov 13 12:59:20 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 15298832 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Karen Lawson |
Publication | Word & World |
Volume | 30 |
Issue | 1 |
Pages | 71-80 |
Date | 2010 |
Date Added | Thu Sep 29 09:03:48 2011 |
Modified | Thu Sep 29 09:03:48 2011 |
Type | Journal Article |
---|---|
Author | Jeff Levin |
Abstract | Over the past two decades, researchers have successfully accumulated lots of data pointing to a salutary impact of religious involvement. But progress in the religion and health field has been inhibited by the relative lack of attention to important conceptual and theoretical issues. This paper asserts that until we focus as much on the latter as on the former, this field will remain marginalized and thus ineffective in contributing to understandings of the determinants of health and healing. Careful attention to the how and why of a religion-health connection is imperative for bringing this research into the mainstream of biomedicine. |
Publication | Journal of Religion and Health |
Volume | 48 |
Issue | 4 |
Pages | 482-495 |
Date | Dec 2009 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-008-9212-z |
ISSN | 1573-6571 |
Short Title | Restoring the spiritual |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19890723 |
Accessed | Mon Dec 28 12:13:41 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19890723 |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Book |
---|---|
Author | Jeffrey Levin |
Place | New York |
Publisher | J. Wiley |
Date | 2001 |
ISBN | 9780471355038 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Jeff Levin |
Abstract | After years of marginality, research on religion and health is entering the academic mainstream. Scholarship on this topic has evolved into a large, productive field. As in any emerging field, there are competing visions for what the field should be about and what research questions should be pursued. Different opinions exist as to which constructs should be researched. Words like religion, spirituality, faith, and prayer, and health, healing, medicine, and healthcare, imply different things. The study of their various interconnections can thus take myriad forms. This article argues for a welcoming approach open to the widest range of research subjects. |
Publication | Journal of Religion and Health |
Volume | 48 |
Issue | 2 |
Pages | 125-145 |
Date | Jun 2009 |
Journal Abbr | J Relig Health |
DOI | 10.1007/s10943-009-9243-0 |
ISSN | 1573-6571 |
Short Title | "And let us make us a name" |
Accessed | Tue Feb 22 19:34:55 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19291406 |
Date Added | Thu Sep 29 09:07:00 2011 |
Modified | Thu Sep 29 09:07:00 2011 |
Type | Journal Article |
---|---|
Author | Jeff Levin |
Abstract | This study identifies a significant health effect of a loving relationship with God. Based on work by Sorokin, an eight-item scale was developed and validated to assess what he termed religious love: the feeling of loving and being loved by God. Using a sample of 205 family practice outpatients, hierarchical OLS regression was used to investigate the effect of this construct on a standard self-rating of health. Several sets of factors were hypothesized to mediate the relationship between religious love and self-rated health: religious involvement, social resources, psychological resources, objective health status, and sociode-mographic factors. These effects were controlled for in six successive models. In the end, despite controlling for effects of 15 variables and scales that accounted for nearly 40% of the variance in self-rated health, the statistically significant association between religious love and self-rated health at baseline (β =.33, p <.001) remained strong, significant, and only marginally affected (β =.24, p < .05). These findings provide evidence that loving and being loved by God exerts a positive influence on perceptions of health. |
Publication | Review of Religious Research |
Volume | 42 |
Issue | 3 |
Pages | 277-293 |
Date | March 2001 |
ISSN | 0034673X |
Short Title | God, Love, and Health |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3512570 |
Accessed | Fri Sep 25 12:07:00 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Mar., 2001 / Copyright © 2001 Religious Research Association, Inc. |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This study identifies a significant health effect of a loving relationship with God. Based on work by Sorokin, an eight-item scale was developed and validated to assess what he termed religious love: the feeling of loving and being loved by God. Using a sample of 205 family practice outpatients, hierarchical OLS regression was used to investigate the effect of this construct on a standard self-rating of health. Several sets of factors were hypothesized to mediate the relationship between religious love and self-rated health: religious involvement, social resources, psychological resources, objective health status, and sociode-mographic factors. These effects were controlled for in six successive models. In the end, despite controlling for effects of 15 variables and scales that accounted for nearly 40% of the variance in self-rated health, the statistically significant association between religious love and self-rated health at baseline (β =.33, p <.001) remained strong, significant, and only marginally affected (β =.24, p < .05). These findings provide evidence that loving and being loved by God exerts a positive influence on perceptions of health.
Type | Journal Article |
---|---|
Author | Torsten Liem |
Abstract | Summary Differences and points of contact between osteopathy and yoga as regards their history and practical application are outlined. Both seek to promote healing. Yoga seeks the attainment of consciousness; osteopathy aims for providing support to health. One fundamental difference is the personal involvement of the individual in yoga. Teacher and student alike are challenged to re-examine the attitudes of mind they have adopted toward their lives. Osteopathy generally involves a relatively passive patient while the osteopath is active in providing treatment. Practical examples are used to highlight points of contact between yoga and osteopathy. The text includes a discussion of the importance of physicality and a description of ways of using it in healing processes. Furthermore, processes of attaining consciousness are outlined. Possible reductionist misconceptions in yoga and osteopathy are also pointed out. Fundamental attitudes and focus that complement each other are presented, taking the concept of stillness as a particular example. |
Publication | Journal of Bodywork and Movement Therapies |
Volume | 15 |
Issue | 1 |
Pages | 92-102 |
Date | January 2011 |
DOI | 10.1016/j.jbmt.2009.11.001 |
ISSN | 1360-8592 |
Accessed | Tue Feb 15 18:59:27 2011 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 08:57:52 2011 |
Modified | Thu Sep 29 08:57:52 2011 |
Type | Journal Article |
---|---|
Author | Joseph Loizzo |
Abstract | This overview surveys the new optimism about the aging mind/brain, focusing on the potential for self-regulation practices to advance research in stress-protection and optimal health. It reviews recent findings and offers a research framework. The review links the age-related biology of stress and regeneration to the variability of mind/brain function found under a range of conditions from trauma to enrichment. The framework maps this variation along a biphasic continuum from atrophic dysfunction to peak performance. It adopts the concept of allostatic load as a measure of the wear-and-tear caused by stress, and environmental enrichment as a measure of the use-dependent enhancement caused by positive reinforcement. It frames the dissociation, aversive affect and stereotyped reactions linked with stress as cognitive, affective and behavioral forms of allostatic drag; and the association, positive affect, and creative responses in enrichment as forms of allostatic lift. It views the human mind/brain as a heterarchy of higher intelligence systems that shift between a conservative, egocentric mode heightening self-preservation and memory and a generative, altruistic mode heightening self-correction and learning. Cultural practices like meditation and psychotherapy work by teaching the self-regulation of shifts from the conservative to the generative mode. This involves a systems shift from allostatic drag to allostatic lift, minimizing wear-and-tear and optimizing plasticity and learning. For cultural practices to speed research and application, a universal typology is needed. This framework includes a typology aligning current brain models of stress and learning with traditional Indo-Tibetan models of meditative stress-cessation and learning enrichment. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 186-198 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1196/annals.1393.006 |
ISSN | 1749-6632 |
Short Title | Optimizing learning and quality of life throughout the lifespan |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19743554 |
Accessed | Sat Sep 26 15:39:23 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19743554 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This overview surveys the new optimism about the aging mind/brain, focusing on the potential for self-regulation practices to advance research in stress-protection and optimal health. It reviews recent findings and offers a research framework. The review links the age-related biology of stress and regeneration to the variability of mind/brain function found under a range of conditions from trauma to enrichment. The framework maps this variation along a biphasic continuum from atrophic dysfunction to peak performance. It adopts the concept of allostatic load as a measure of the wear-and-tear caused by stress, and environmental enrichment as a measure of the use-dependent enhancement caused by positive reinforcement. It frames the dissociation, aversive affect and stereotyped reactions linked with stress as cognitive, affective and behavioral forms of allostatic drag; and the association, positive affect, and creative responses in enrichment as forms of allostatic lift. It views the human mind/brain as a heterarchy of higher intelligence systems that shift between a conservative, egocentric mode heightening self-preservation and memory and a generative, altruistic mode heightening self-correction and learning. Cultural practices like meditation and psychotherapy work by teaching the self-regulation of shifts from the conservative to the generative mode. This involves a systems shift from allostatic drag to allostatic lift, minimizing wear-and-tear and optimizing plasticity and learning. For cultural practices to speed research and application, a universal typology is needed. This framework includes a typology aligning current brain models of stress and learning with traditional Indo-Tibetan models of meditative stress-cessation and learning enrichment.
Type | Journal Article |
---|---|
Author | Sara E Luckhaupt |
Author | Michael S Yi |
Author | Caroline V Mueller |
Author | Joseph M Mrus |
Author | Amy H Peterman |
Author | Christina M Puchalski |
Author | Joel Tsevat |
Abstract | PURPOSE: To assess primary care residents' beliefs regarding the role of spirituality and religion in the clinical encounter with patients. METHOD: In 2003, at a major midwestern U.S. teaching institution, 247 primary care residents were administered a questionnaire adapted from that used in the Religion and Spirituality in the Medical Encounter Study to assess whether primary care house officers feel they should discuss religious and spiritual issues with patients, pray with patients, or both, and whether personal characteristics of residents, including their own spiritual well-being, religiosity, and tendency to use spiritual and religious coping mechanisms, are related to their sentiments regarding spirituality and religion in health care. Simple descriptive, univariate, and two types of multivariable analyses were performed. RESULTS: Data were collected from 227 residents (92%) in internal medicine, pediatrics, internal medicine/pediatrics, and family medicine. One hundred four (46%) respondents felt that they should play a role in patients' spiritual or religious lives. In multivariable analysis, this sentiment was associated with greater frequency of participating in organized religious activity (odds ratio [OR] 1.55, 95% confidence interval [CI] 1.20-1.99), a higher level of personal spirituality (OR 1.05, 95% CI 1.02-1.08), and older resident age (OR 1.11, 95% CI 1.02-1.21; C-statistic 0.76). In general, advocating spiritual and religious involvement was most often associated with high personal levels of spiritual and religious coping and with the family medicine training program. Residents were more likely to agree with incorporating spirituality and religion into patient encounters as the gravity of the patient's condition increased (p < .0001). CONCLUSIONS: Approximately half of primary care residents felt that they should play a role in their patients' spiritual or religious lives. Residents' agreement with specific spiritual and religious activities depended on both the patient's condition and the resident's personal characteristics. |
Publication | Academic Medicine: Journal of the Association of American Medical Colleges |
Volume | 80 |
Issue | 6 |
Pages | 560-570 |
Date | Jun 2005 |
Journal Abbr | Acad Med |
ISSN | 1040-2446 |
Short Title | Beliefs of primary care residents regarding spirituality and religion in clinical encounters with patients |
URL | http://www.ncbi.nlm.nih.gov/pubmed/15917361 |
Accessed | Fri Nov 13 15:10:09 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 15917361 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Purpose: To assess primary care residents’ beliefs regarding the role of spirituality and religion in the clinical encounter with patients. Method: In 2003, at a major midwestern U.S. teaching institution, 247 primary care residents were administered a questionnaire adapted from that used in the Religion and Spirituality in the Medical Encounter Study to assess whether primary care house officers feel they should discuss religious and spiritual issues with patients, pray with patients, or both, and whether personal characteristics of residents, including their own spiritual well-being, religiosity, and tendency to use spiritual and religious coping mechanisms, are related to their sentiments regarding spirituality and religion in health care. Simple descriptive, univariate, and two types of multivariable analyses were performed. Results: Data were collected from 227 residents (92%) in internal medicine, pediatrics, internal medicine/pediatrics, and family medicine. One hundred four (46%) respondents felt that they should play a role in patients’ spiritual or religious lives. In multivariable analysis, this sentiment was associated with greater frequency of participating in organized religious activity (odds ratio [OR] 1.55, 95% confidence interval [CI] 1.20-1.99), a higher level of personal spirituality (OR 1.05, 95% CI 1.02-1.08), and older resident age (OR 1.11, 95% CI 1.02-1.21; C-statistic 0.76). In general, advocating spiritual and religious involvement was most often associated with high personal levels of spiritual and religious coping and with the family medicine training program. Residents were more likely to agree with incorporating spirituality and religion into patient encounters as the gravity of the patient’s condition increased (p < .0001). Conclusions: Approximately half of primary care residents felt that they should play a role in their patients’ spiritual or religious lives. Residents’ agreement with specific spiritual and religious activities depended on both the patient’s condition and the resident’s personal characteristics.
Type | Journal Article |
---|---|
Author | David S. Ludwig |
Author | Jon Kabat-Zinn |
Abstract | Mindfulness refers to a meditation practice that cultivates present moment awareness. In the past 30 years, interest in the therapeutic uses of mindfulness has increased, with more than 70 scientific articles on the topic published in 2007. Meditation practices, including mindfulness, have come to the attention of neuroscientists investigating consciousness and affect regulation through mental training and to psychotherapists interested in personal development and interpersonal relationships. In this Commentary, we define mindfulness, consider possible mechanisms, explore clinical applications, and identify challenges to the field. |
Publication | Journal of the American Medical Association |
Volume | 300 |
Issue | 11 |
Pages | 1350-1352 |
Date | September 17, 2008 |
Journal Abbr | JAMA |
DOI | 10.1001/jama.300.11.1350 |
URL | http://jama.ama-assn.org |
Accessed | Mon Sep 7 23:54:27 2009 |
Library Catalog | HighWire |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Mindfulness refers to a meditation practice that cultivates present moment awareness. In the past 30 years, interest in the therapeutic uses of mindfulness has increased, with more than 70 scientific articles on the topic published in 2007. Meditation practices, including mindfulness, have come to the attention of neuroscientists investigating consciousness and affect regulation through mental training and to psychotherapists interested in personal development and interpersonal relationships. In this Commentary, we define mindfulness, consider possible mechanisms, explore clinical applications, and identify challenges to the field.
Type | Journal Article |
---|---|
Author | Frederic Luskin |
Abstract | This paper explores the clinical use of transformative practices that arose from the varied religious traditions of the world. Examples include prayer, meditation, mantra, affirmation, tai chi, and yoga. The purpose of these practices was to lead the practitioner to long term spiritual transformation toward an enhanced awareness of spirit, and a corresponding diminishment of identification with the mental and physical aspects of life. Unfortunately, the vagueness of the definition of transformation demonstrates that it is a broad and diffuse multidimensional concept difficult to quantify and resistant to rigorous research. However, these spiritual practices, offered as interventions separate from their spiritual tradition, have begun to be evaluated to document their effect on psychological and physical well-being. Currently, there are a number of well-designed studies that attest to the health-enhancing and suffering-reducing benefits derived from religiously transformative practices. There also is research, although sporadic and mostly on forgiveness, slowly emerging to show that prosocial positive emotion skills can be taught, and when measured, demonstrate benefit. Randomized trials of transformative practices are needed to help all levels of the health care system focus their attention on the manifestations and effect of the care delivered. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 10 Suppl 1 |
Pages | S15-23 |
Date | 2004 |
Journal Abbr | J Altern Complement Med |
ISSN | 1075-5535 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15630819 |
Accessed | Mon Nov 9 00:44:20 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 15630819 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This paper explores the clinical use of transformative practices that arose from the varied religious traditions of the world. Examples include prayer, meditation, mantra, affirmation, tai chi, and yoga. The purpose of these practices was to lead the practitioner to long term spiritual transformation toward an enhanced awareness of spirit, and a corresponding diminishment of identification with the mental and physical aspects of life. Unfortunately, the vagueness of the definition of transformation demonstrates that it is a broad and diffuse multidimensional concept difficult to quantify and resistant to rigorous research. However, these spiritual practices, offered as interventions separate from their spiritual tradition, have begun to be evaluated to document their effect on psychological and physical well-being. Currently, there are a number of well-designed studies that attest to the health-enhancing and suffering-reducing benefits derived from religiously transformative practices. There also is research, although sporadic and mostly on forgiveness, slowly emerging to show that prosocial positive emotion skills can be taught, and when measured, demonstrate benefit. Randomized trials of transformative practices are needed to help all levels of the health care system focus their attention on the manifestations and effect of the care delivered.
Type | Journal Article |
---|---|
Author | Charles D MacLean |
Author | Beth Susi |
Author | Nancy Phifer |
Author | Linda Schultz |
Author | Deborah Bynum |
Author | Mark Franco |
Author | Andria Klioze |
Author | Michael Monroe |
Author | Joanne Garrett |
Author | Sam Cykert |
Abstract | OBJECTIVE: To determine patient preferences for addressing religion and spirituality in the medical encounter. DESIGN: Multicenter survey verbally administered by trained research assistants. Survey items included questions on demographics, health status, health care utilization, functional status, spiritual well-being, and patient preference for religious/spiritual involvement in their own medical encounters and in hypothetical medical situations. SETTING: Primary care clinics of 6 academic medical centers in 3 states (NC, Fla, Vt). PATIENTS/PARTICIPANTS: Patients 18 years of age and older who were systematically selected from the waiting rooms of their primary care physicians. MEASUREMENTS AND MAIN RESULTS: Four hundred fifty-six patients participated in the study. One third of patients wanted to be asked about their religious beliefs during a routine office visit. Two thirds felt that physicians should be aware of their religious or spiritual beliefs. Patient agreement with physician spiritual interaction increased strongly with the severity of the illness setting, with 19% patient agreement with physician prayer in a routine office visit, 29% agreement in a hospitalized setting, and 50% agreement in a near-death scenario (P <.001). Patient interest in religious or spiritual interaction decreased when the intensity of the interaction moved from a simple discussion of spiritual issues (33% agree) to physician silent prayer (28% agree) to physician prayer with a patient (19% agree; P <.001). Ten percent of patients were willing to give up time spent on medical issues in an office visit setting to discuss religious/spiritual issues with their physician. After controlling for age, gender, marital status, education, spirituality score, and health care utilization, African-American subjects were more likely to accept this time trade-off (odds ratio, 4.9; confidence interval, 2.1 to 11.7). CONCLUSION: Physicians should be aware that a substantial minority of patients desire spiritual interaction in routine office visits. When asked about specific prayer behaviors across a range of clinical scenarios, patient desire for spiritual interaction increased with increasing severity of illness setting and decreased when referring to more-intense spiritual interactions. For most patients, the routine office visit may not be the optimal setting for a physician-patient spiritual dialog. |
Publication | Journal of General Internal Medicine |
Volume | 18 |
Issue | 1 |
Pages | 38-43 |
Date | Jan 2003 |
Journal Abbr | J Gen Intern Med |
ISSN | 0884-8734 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12534762 |
Accessed | Thu Nov 12 23:05:25 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12534762 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Objective: To determine patient preferences for addressing religion and spirituality in the medical encounter. Design: Multicenter survey verbally administered by trained research assistants. Survey items included questions on demographics, health status, health care utilization, functional status, spiritual well-being, and patient preference for religious/spiritual involvement in their own medical encounters and in hypothetical medical situations. Setting: Primary care clinics of 6 academic medical centers in 3 states (NC, Fla, Vt). Patients/Patricipants: Patients 18 years of age and older who were systematically selected from the waiting rooms of their primary care physicians. Measurements and main results: Four hundred fifty-six patients participated in the study. One third of patients wanted to be asked about their religious beliefs during a routine office visit. Two thirds felt that physicians should be aware of their religious or spiritual beliefs. Patient agreement with physician spiritual interaction increased strongly with the severity of the illness setting, with 19% patient agreement with physician prayer in a routine office visit, 29% agreement in a hospitalized setting, and 50% agreement in a near-death scenario (P <.001). Patient interest in religious or spiritual interaction decreased when the intensity of the interaction moved from a simple discussion of spiritual issues (33% agree) to physician silent prayer (28% agree) to physician prayer with a patient (19% agree; P <.001). Ten percent of patients were willing to give up time spent on medical issues in an office visit setting to discuss religious/spiritual issues with their physician. After controlling for age, gender, marital status, education, spirituality score, and health care utilization, African-American subjects were more likely to accept this time trade-off (odds ratio, 4.9; confidence interval, 2.1 to 11.7). Conclusion: Physicians should be aware that a substantial minority of patients desire spiritual interaction in routine office visits. When asked about specific prayer behaviors across a range of clinical scenarios, patient desire for spiritual interaction increased with increasing severity of illness setting and decreased when referring to more-intense spiritual interactions. For most patients, the routine office visit may not be the optimal setting for a physician-patient spiritual dialog.
Type | Journal Article |
---|---|
Author | Victoria Maizes |
Author | David Rakel |
Author | Catherine Niemiec |
Abstract | Integrative medicine has emerged as a potential solution to the American healthcare crisis. It provides care that is patient centered, healing oriented, emphasizes the therapeutic relationship, and uses therapeutic approaches originating from conventional and alternative medicine. Initially driven by consumer demand, the attention integrative medicine places on understanding whole persons and assisting with lifestyle change is now being recognized as a strategy to address the epidemic of chronic diseases bankrupting our economy. This paper defines integrative medicine and its principles, describes the history of complementary and alternative medicine (CAM) in American healthcare, and discusses the current state and desired future of integrative medical practice. The importance of patient-centered care, patient empowerment, behavior change, continuity of care, outcomes research, and the challenges to successful integration are discussed. The authors suggest a model for an integrative healthcare system grounded in team-based care. A primary health partner who knows the patient well, is able to addresses mind, body, and spiritual needs, and coordinates care with the help of a team of practitioners is at the centerpiece. Collectively, the team can meet all the health needs of the particular patient and forms the patient-centered medical home. The paper culminates with 10 recommendations directed to key actors to facilitate the systemic changes needed for a functional healthcare delivery system. Recommendations include creating financial incentives aligned with health promotion and prevention. Insurers are requested to consider the total costs of care, the potential cost effectiveness of lifestyle approaches and CAM modalities, and the value of longer office visits to develop a therapeutic relationship and stimulate behavioral change. Outcomes research to track the effectiveness of integrative models must be funded, as well as feedback and dissemination strategies. Additional competencies for primary health partners, including CAM and conventional medical providers, will need to be developed to foster successful integrative practices. Skills include learning to develop appropriate healthcare teams that function well in a medical home, developing an understanding of the diverse healing traditions, and enhancing communication skills. For integrative medicine to flourish in the United States, new providers, new provider models, and a realignment of incentives and a commitment to health promotion and disease management will be required. |
Publication | Explore (New York, N.Y.) |
Volume | 5 |
Issue | 5 |
Pages | 277-289 |
Date | 2009 Sep-Oct |
Journal Abbr | Explore (NY) |
DOI | 10.1016/j.explore.2009.06.008 |
ISSN | 1878-7541 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19733814 |
Accessed | Tue Oct 27 09:02:08 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19733814 |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Journal Article |
---|---|
Author | Jun J Mao |
Author | Peter F Cronholm |
Author | Emma Stein |
Author | Joseph B Straton |
Author | Steven C Palmer |
Author | Frances K Barg |
Abstract | PURPOSE: Spirituality is an important component of the cancer experience. This study aims to assess characteristics of spiritual health following a cancer diagnosis, and evaluate the relationship between spiritual change and the use of complementary and alternative medicine (CAM) among a population-based cohort of cancer survivors. METHOD: A mailed, cross-sectional survey was completed by 614 cancer survivors identified through the Pennsylvania Cancer Registry. All subjects were 3 to 4.5 years postdiagnosis. Relationships between various characteristics of spiritual health and CAM use were examined, along with clinical and sociodemographic factors. RESULTS: Although large proportions of individuals reported that having cancer had positively affected their spiritual well-being (eg, 40.3% experienced highly positive spiritual changes, 68% felt a high sense of purpose, 75.9% reported being very hopeful), some individuals experienced negative spiritual change (36.1%) and continued to experience high levels of uncertainty (27.2%). In multivariate analyses, those survivors who felt spiritual life became more important (adjusted odds ratio [AOR] = 1.92, 95% confidence interval (CI) = 1.21-3.04, P = .006), or experienced positive changes resulting from the cancer experience (AOR = 1.99, 95% CI = 1.26-3.15, P = .003), were more likely to use CAM than those who stated otherwise. CONCLUSIONS: Having cancer affects many different aspects of spiritual well-being, both positively and negatively. Positive changes and increased spiritual importance appear to be associated with the use of CAM. Prospective research is needed to test whether integrating CAM into conventional cancer care systems will facilitate positive, spiritually transformative processes among diverse groups of cancer survivors. |
Publication | Integrative Cancer Therapies |
Volume | 9 |
Issue | 4 |
Pages | 339-347 |
Date | Dec 2010 |
Journal Abbr | Integr Cancer Ther |
DOI | 10.1177/1534735410387419 |
ISSN | 1552-695X |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/21106614 |
Accessed | Tue Jan 18 18:59:42 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21106614 |
Date Added | Thu Sep 29 08:58:46 2011 |
Modified | Thu Sep 29 08:58:46 2011 |
Type | Journal Article |
---|---|
Author | Thomas S. Mars |
Author | Hilary Abbey |
Abstract | Background Mindfulness may be viewed as a supra-cognitive state of consciousness focussed on the decentred, objective and compassionate observation of transient mental and physical phenomena that may be attained through meditation practices. Mindfulness meditation is thought to be beneficial in the management of various physical and mental health conditions.Objective To assess the effectiveness of mindfulness meditation practice as a healthcare intervention.Methods Systematic computerised and hand literature searches for randomised controlled trials and evaluation using methodological quality criteria.Results The higher quality studies analysed in this review have demonstrated replicated statistically significant improvements in spirituality and positive health measures and decreases in depressive relapse, depressive recurrence and psychological distress.Conclusions Despite the lack of specific, reliable and validated mindfulness measures, mindfulness shows potential as a positive healthcare intervention and continued investigation is warranted. Further research using improved methodology and utilising specific mindfulness outcome measures in trials with long-term follow up, larger populations and a wider demographic range is recommended. |
Publication | International Journal of Osteopathic Medicine |
Volume | 13 |
Issue | 2 |
Pages | 56-66 |
Date | June 2010 |
DOI | 10.1016/j.ijosm.2009.07.005 |
ISSN | 1746-0689 |
Short Title | Mindfulness meditation practise as a healthcare intervention |
Accessed | Wed Jul 7 17:11:22 2010 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 09:04:02 2011 |
Modified | Thu Sep 29 09:04:02 2011 |
Type | Journal Article |
---|---|
Author | Todd Maugans |
Author | William Wadland |
Abstract | The purpose of this preliminary study was to investigate the role that religion plays in the practice of family medicine. Both physicians and adult patients without age restrictions were surveyed. The following issues were addressed in both groups: 1. Personal religious beliefs and practices 2. The physician's right and responsibility to address religious issues with patients 3. The importance of religious factors in the establishment and maintenance of the physician-patient relationship 4. The circumstances under which physicians should and actually are addressing religious issues with patients Methods A cross-sectional sample of the entire (N = 146) active membership of the Vermont Academy of Family Physicians was surveyed using a 31-item self-administered questionnaire, which was distributed by mail. The instrument included dichotomous variables, Likert scales, and narrative responses. Many questions concerning religious beliefs were modeled after those used by national pollsters. [1-5] The questionnaire was piloted, revised, and distributed in two mailings 6 weeks apart with telephone follow-up used to assess nonresponse. |
Publication | Journal of Family Practice |
Date | February 1991 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
The purpose of this preliminary study was to investigate the role that religion plays in the practice of family medicine. Both physicians and adult patients without age restrictions were surveyed. The following issues were addressed in both groups: 1. Personal religious beliefs and practices, 2. The physician’s right and responsibility to address religious issues with patients, 3. The importance of religious factors in the establishment and maintenance of the physician-patient relationship, and 4. The circumstances under which physicians should and actually are addressing religious issues with patients. Methods: A cross-sectional sample of the entire (N = 146) active membership of the Vermont Academy of Family Physicians was surveyed using a 31-item self-administered questionnaire, which was distributed by mail. The instrument included dichotomous variables, Likert scales, and narrative responses. Many questions concerning religious beliefs were modeled after those used by national pollsters. [1-5] The questionnaire was piloted, revised, and distributed in two mailings 6 weeks apart with telephone follow-up used to assess nonresponse.
Type | Journal Article |
---|---|
Author | Caitlin McElroy-Cox |
Abstract | Complementary and alternative medicine (CAM) is a diverse group of health care practices and products that fall outside the realm of traditional Western medical theory and practice and that are used to complement or replace conventional medical therapies. The use of CAM has increased over the past two decades, and surveys have shown that up to 44% of patients with epilepsy are using some form of CAM treatment. This article reviews the CAM modalities of meditation, yoga, relaxation techniques, biofeedback, nutritional and herbal supplements, dietary measures, chiropractic care, acupuncture, Reiki, and homeopathy and what is known about their potential efficacy in patients with epilepsy. |
Publication | Current Neurology and Neuroscience Reports |
Volume | 9 |
Issue | 4 |
Pages | 313-318 |
Date | Jul 2009 |
Journal Abbr | Curr Neurol Neurosci Rep |
ISSN | 1534-6293 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19515284 |
Accessed | Mon Nov 9 00:53:34 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19515284 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Complementary and alternative medicine (CAM) is a diverse group of health care practices and products that fall outside the realm of traditional Western medical theory and practice and that are used to complement or replace conventional medical therapies. The use of CAM has increased over the past two decades, and surveys have shown that up to 44% of patients with epilepsy are using some form of CAM treatment. This article reviews the CAM modalities of meditation, yoga, relaxation techniques, biofeedback, nutritional and herbal supplements, dietary measures, chiropractic care, acupuncture, Reiki, and homeopathy and what is known about their potential efficacy in patients with epilepsy.
Type | Journal Article |
---|---|
Author | Caitlin McElroy-Cox |
Abstract | Complementary and alternative medicine (CAM) is a diverse group of health care practices and products that fall outside the realm of traditional Western medical theory and practice and that are used to complement or replace conventional medical therapies. The use of CAM has increased over the past two decades, and surveys have shown that up to 44% of patients with epilepsy are using some form of CAM treatment. This article reviews the CAM modalities of meditation, yoga, relaxation techniques, biofeedback, nutritional and herbal supplements, dietary measures, chiropractic care, acupuncture, Reiki, and homeopathy and what is known about their potential efficacy in patients with epilepsy. |
Publication | Current Neurology and Neuroscience Reports |
Volume | 9 |
Issue | 4 |
Pages | 313-318 |
Date | Jul 2009 |
Journal Abbr | Curr Neurol Neurosci Rep |
ISSN | 1534-6293 |
Accessed | Sat Sep 26 15:45:42 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19515284 |
Date Added | Thu Sep 29 09:05:38 2011 |
Modified | Thu Sep 29 09:05:38 2011 |
Type | Journal Article |
---|---|
Author | D D McKee |
Author | J N Chappel |
Abstract | Spirituality is an important aspect of health care that is not often addressed in modern day primary medical practice. Controversy surrounds the role of spiritual issues in medical practice. Some of this stems from confusing spirituality with religion. This paper distinguishes between spiritual and religious issues and reviews the history of these issues in medicine, the growing medical literature in this area, and some practical guidelines for the practicing physician. The authors conclude that, when appropriate, spiritual issues should be addressed in patient care since they may have a positive impact on patient health and behavior, and recommend that the medical model be expanded to a biopsychosocial-spiritual one. The guidelines developed by the American Psychiatric Association provide a useful model for the practicing physician to follow. More research is needed in this area, but the authors conclude that enough is already known to support the inclusion of spiritual issues in medical education. |
Publication | The Journal of Family Practice |
Volume | 35 |
Issue | 2 |
Pages | 201, 205-208 |
Date | Aug 1992 |
Journal Abbr | J Fam Pract |
ISSN | 0094-3509 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/1645114 |
Accessed | Thu Nov 12 17:12:24 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 1645114 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Spirituality is an important aspect of health care that is not often addressed in modern day primary medical practice. Controversy surrounds the role of spiritual issues in medical practice. Some of this stems from confusing spirituality with religion. This paper distinguishes between spiritual and religious issues and reviews the history of these issues in medicine, the growing medical literature in this area, and some practical guidelines for the practicing physician. The authors conclude that, when appropriate, spiritual issues should be addressed in patient care since they may have a positive impact on patient health and behavior, and recommend that the medical model be expanded to a biopsychosocial-spiritual one. The guidelines developed by the American Psychiatric Association provide a useful model for the practicing physician to follow. More research is needed in this area, but the authors conclude that enough is already known to support the inclusion of spiritual issues in medical education.
Type | Book |
---|---|
Editor | G.P. McKenny |
Editor | J.R. Sande |
Series | Theology and Medicine |
Publisher | Springer |
Date | 2010-12-09 |
ISBN | 904814292X |
Library Catalog | Amazon.com |
Date Added | Thu Sep 29 08:58:46 2011 |
Modified | Thu Sep 29 08:58:46 2011 |
Type | Journal Article |
---|---|
Author | Michael R McVay |
Abstract | Medical science has achieved impressive accomplishments in the diagnosis and treatment of human disease. However, the emphasis on science and technology has created a generation of physicians who find it difficult to relate to their patients about their suffering. Time constraints and economic pressures also add to the challenge of giving meaningful time to patients. Patients want to talk to their physician about their concerns, but surveys indicate that this is not being accomplished. Medical educators are developing curricula to teach how care can be given compassionately. This article reviews the importance of addressing spiritual care in medicine. Spirituality is defined and the spiritual history is explained. Research on the role of spirituality in health care is also reviewed. The role of the physician as a healer, attending to mind, body and spirit is encouraged. |
Publication | South Dakota Journal of Medicine |
Volume | 55 |
Issue | 11 |
Pages | 487-491 |
Date | Nov 2002 |
Journal Abbr | S D J Med |
ISSN | 0038-3317 |
Short Title | Medicine and spirituality |
URL | http://www.ncbi.nlm.nih.gov/pubmed/12449590 |
Accessed | Thu Nov 12 22:55:55 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12449590 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Medical science has achieved impressive accomplishments in the diagnosis and treatment of human disease. However, the emphasis on science and technology has created a generation of physicians who find it difficult to relate to their patients about their suffering. Time constraints and economic pressures also add to the challenge of giving meaningful time to patients. Patients want to talk to their physician about their concerns, but surveys indicate that this is not being accomplished. Medical educators are developing curricula to teach how care can be given compassionately. This article reviews the importance of addressing spiritual care in medicine. Spirituality is defined and the spiritual history is explained. Research on the role of spirituality in health care is also reviewed. The role of the physician as a healer, attending to mind, body and spirit is encouraged.
Type | Journal Article |
---|---|
Author | Giuseppina Messina |
Author | Stefania Anania |
Author | Claudia Bonomo |
Author | Laura Veneroni |
Author | Antonietta Andreoli |
Author | Francesca Mameli |
Author | Chiara Ortolina |
Author | Paola De Fabritiis |
Author | Maria Gaffuri |
Author | Francesco Imbesi |
Author | Egidio Moja |
Abstract | BACKGROUND It has been shown that the pineal gland plays a fundamental role in mediating either the spiritual perception or the anticancer immunity by stimulating the endogenous production of anticancer cytokine interleukin (IL)-2. OBJECTIVE The present study was performed to evaluate the impact of a spiritual approach consisting of Kriya Yoga program alone or in association with melatonin (MLT) or low-dose IL-2 plus MLT on the survival time in a group of metastatic cancer patients with life expectancy less than 1 year. MATERIALS AND METHODS A case-control study was carried out in 240 patients (M/F: 146/94; median age: 62 years, range: 34-71, suffering from non-small-cell lung cancer or gastrointestinal tumors) who were subdivided into 6 groups of 40 patients, treated with supportive care alone as a control group, supportive care plus Yoga, MLT alone, MLT plus Yoga, inteleukin-2 plus MLT, or IL-2 plus MLT plus Yoga. RESULTS The best results in terms of increased survival time were obtained by the association between neuroimmunotherapy with MLT plus IL-2 and Yoga program (2 years), which was significantly longer with respect to that achieved by supportive care alone, Yoga alone, or IL-2 plus MLT alone (1 year). CONCLUSIONS This study would suggest that a spiritual therapeutic approach may improve the survival time of untreatable metastatic solid tumor patients. |
Publication | International Journal of Yoga |
Volume | 4 |
Issue | 1 |
Pages | 33-38 |
Date | Jan 2011 |
Journal Abbr | Int J Yoga |
DOI | 10.4103/0973-6131.78181 |
ISSN | 0973-6131 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21654973 |
Accessed | Wed Jul 13 18:15:27 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21654973 |
Date Added | Thu Sep 29 08:53:56 2011 |
Modified | Thu Sep 29 08:53:56 2011 |
Type | Journal Article |
---|---|
Author | Geoff Morgan |
Abstract | The Mental Capacity Act (2005) and the amendments to the Mental Health Act (1983) in 2007-which came into effect in 2007 and 2009, respectively, in England and Wales-made it a statutory duty for the NHS and local authorities to refer to advocacy services. This is part of a growth in advocacy which coincides with an increase in literature on mental health and spirituality. Independent advocates and spiritual care coordinators (or chaplains) provide expressions of advocacy. For Independent Mental Capacity Advocates, social, cultural and spiritual factors are influential. Research involved a literature review on the history of advocacy and interviews with over 30 advocates, chaplains and service users and subsequent grounded theory analysis. The attested “rediscovery of the spiritual dimension in health and social care” was supported by overlaps in the practices of advocates and chaplains. This highlighted shortcomings around the professionalisation of advocacy in relation to culture and spirituality. |
Publication | Mental Health, Religion & Culture |
Volume | 13 |
Issue | 6 |
Pages | 625-636 |
Date | 9/2010 |
Journal Abbr | Mental Hlth., Religion & Culture |
DOI | 10.1080/13674676.2010.488435 |
ISSN | 1367-4676 |
URL | http://www.informaworld.com/openurl? genre=article&… |
Date Added | Thu Sep 29 09:02:29 2011 |
Modified | Thu Sep 29 09:02:29 2011 |
Type | Book |
---|---|
Author | Glendon Moriarty |
Place | Downers Grove Ill. |
Publisher | IVP Academic |
Date | 2010 |
ISBN | 9780830838851 |
Date Added | Thu Sep 29 09:03:07 2011 |
Modified | Thu Sep 29 09:03:07 2011 |
Type | Journal Article |
---|---|
Author | P S Mueller |
Author | D J Plevak |
Author | T A Rummans |
Abstract | Surveys suggest that most patients have a spiritual life and regard their spiritual health and physical health as equally important. Furthermore, people may have greater spiritual needs during illness. We reviewed published studies, meta-analyses, systematic reviews, and subject reviews that examined the association between religious involvement and spirituality and physical health, mental health, health-related quality of life, and other health outcomes. We also reviewed articles that provided suggestions on how clinicians might assess and support the spiritual needs of patients. Most studies have shown that religious involvement and spirituality are associated with better health outcomes, including greater longevity, coping skills, and health-related quality of life (even during terminal illness) and less anxiety, depression, and suicide. Several studies have shown that addressing the spiritual needs of the patient may enhance recovery from illness. Discerning, acknowledging, and supporting the spiritual needs of patients can be done in a straightforward and noncontroversial manner. Furthermore, many sources of spiritual care (e.g., chaplains) are available to clinicians to address the spiritual needs of patients. |
Publication | Mayo Clinic Proceedings. Mayo Clinic |
Volume | 76 |
Issue | 12 |
Pages | 1225-1235 |
Date | Dec 2001 |
Journal Abbr | Mayo Clin. Proc |
ISSN | 0025-6196 |
Short Title | Religious involvement, spirituality, and medicine |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11761504 |
Accessed | Thu Nov 12 21:05:00 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 11761504 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Surveys suggest that most patients have a spiritual life and regard their spiritual health and physical health as equally important. Furthermore, people may have greater spiritual needs during illness. We reviewed published studies, meta-analyses, systematic reviews, and subject reviews that examined the association between religious involvement and spirituality and physical health, mental health, health-related quality of life, and other health outcomes. We also reviewed articles that provided suggestions on how clinicians might assess and support the spiritual needs of patients. Most studies have shown that religious involvement and spirituality are associated with better health outcomes, including greater longevity, coping skills, and health-related quality of life (even during terminal illness) and less anxiety, depression, and suicide. Several studies have shown that addressing the spiritual needs of the patient may enhance recovery from illness. Discerning, acknowledging, and supporting the spiritual needs of patients can be done in a straightforward and noncontroversial manner. Furthermore, many sources of spiritual care (e.g., chaplains) are available to clinicians to address the spiritual needs of patients.
Type | Journal Article |
---|---|
Author | Hanyu Ni |
Author | Catherine Simile |
Author | Ann M. Hardy |
Publication | Medical Care |
Volume | 40 |
Issue | 4 |
Pages | 353-358 |
Date | Apr., 2002 |
ISSN | 00257079 |
Short Title | Utilization of Complementary and Alternative Medicine by United States Adults |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3767839 |
Accessed | Sun Nov 8 23:19:04 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Apr., 2002 / Copyright © 2002 Lippincott Williams & Wilkins |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Kathryn A O'Connell |
Author | Suzanne M Skevington |
Abstract | Measures of quality of life have not conventionally or routinely included concepts of spirituality, religion, or existential wellbeing. Although spirituality has been seen as irrelevant, or difficult to measure, a growing body of peer-reviewed articles point to a positive and important relationship between spiritual beliefs and other domains of quality of life in health. Following a discussion of current theoretical issues surrounding the inclusion of these generic concepts, we select and review seven quality-of-life assessments in health that provide a spiritual and/or religious dimension, and evaluate each in psychometric terms. Such information could be useful to clinicians working in chronic illness, surgery and terminal care, who seek concept clarification before using an assessment that includes a spiritual domain. |
Publication | Chronic Illness |
Volume | 3 |
Issue | 1 |
Pages | 77-87 |
Date | Mar 2007 |
Journal Abbr | Chronic Illn |
ISSN | 1742-3953 |
Short Title | To measure or not to measure? |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18072699 |
Accessed | Fri Nov 13 18:22:18 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18072699 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Measures of quality of life have not conventionally or routinely included concepts of spirituality, religion, or existential wellbeing. Although spirituality has been seen as irrelevant, or difficult to measure, a growing body of peer-reviewed articles point to a positive and important relationship between spiritual beliefs and other domains of quality of life in health. Following a discussion of current theoretical issues surrounding the inclusion of these generic concepts, we select and review seven quality-of-life assessments in health that provide a spiritual and/or religious dimension, and evaluate each in psychometric terms. Such information could be useful to clinicians working in chronic illness, surgery and terminal care, who seek concept clarification before using an assessment that includes a spiritual domain.
Type | Journal Article |
---|---|
Author | D C Obalum |
Author | C N Ogo |
Abstract | BACKGROUND Osteoarthritis (OA), a chronic degenerative disease of synovial joints is characterised by pain and stiffness. Aim of treatment is pain relief. Complementary and alternative medicine (CAM) refers to practices which are not an integral part of orthodox medicine. AIMS AND OBJECTIVES To determine the pattern of usage of CAM among OA patients in Nigeria. PATIENTS AND METHODS Consecutive patients with OA attending orthopaedic clinic of Havana Specialist Hospital, Lagos, Nigeria were interviewed over a 6- month period st st of 1 May to 31 October 2007 on usage of CAM. Structured and open-ended questions were used. Demographic data, duration of OA and treatment as well as compliance to orthodox medications were documented. RESULTS One hundred and sixty four patients were studied.120 (73.25%) were females and 44(26.89%) were males. Respondents age range between 35-74 years. 66(40.2%) patients used CAM. 35(53.0%) had done so before presenting to the hospital. The most commonly used CAM were herbal products used by 50(75.8%) of CAM users. Among herbal product users, 74.0% used non- specific local products, 30.0% used ginger, 36.0% used garlic and 28.0% used Aloe Vera. Among CAM users, 35(53.0%) used local embrocation and massage, 10(15.2%) used spiritual methods. There was no significant difference in demographics, clinical characteristics and pain control among CAM users and non-users. CONCLUSION Many OA patients receiving orthodox therapy also use CAM. Medical doctors need to keep a wary eye on CAM usage among patients and enquire about this health-seeking behaviour in order to educate them on possible drug interactions, adverse effects and long term complications. |
Publication | The Nigerian Postgraduate Medical Journal |
Volume | 18 |
Issue | 1 |
Pages | 44-47 |
Date | Mar 2011 |
Journal Abbr | Niger Postgrad Med J |
ISSN | 1117-1936 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/21445112 |
Accessed | Mon Apr 4 19:40:12 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21445112 |
Date Added | Thu Sep 29 08:56:31 2011 |
Modified | Thu Sep 29 08:56:31 2011 |
Type | Journal Article |
---|---|
Author | Stacey L Oke |
Author | Kevin J Tracey |
Abstract | The body's first defense against invading pathogens or tissue injury is the innate immune system. Since excessive immune responses can be damaging, anti-inflammatory mechanisms function to control the pro-inflammatory response and prevent injury. The cholinergic anti-inflammatory pathway is a neural mechanism that suppresses the innate inflammatory response. Knowledge concerning innervation of the immune system offers a unique opportunity to explore previously unrecognized techniques to treat disease. It also enables consideration of the neurological basis of complementary and alternative medical therapies, such as meditation and acupuncture. This evolving area of research has implications for the pathogenesis of chronic inflammatory conditions including inflammatory bowel disease, rheumatoid arthritis, type 2 diabetes, and other conditions of excessive cytokine release. |
Publication | Annals of the New York Academy of Sciences |
Volume | 1172 |
Pages | 172-180 |
Date | Aug 2009 |
Journal Abbr | Ann. N. Y. Acad. Sci |
DOI | 10.1196/annals.1393.013 |
ISSN | 1749-6632 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19743552 |
Accessed | Sat Sep 26 15:39:56 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19743552 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
The body’s first defense against invading pathogens or tissue injury is the innate immune system. Since excessive immune responses can be damaging, anti-inflammatory mechanisms function to control the pro-inflammatory response and prevent injury. The cholinergic anti-inflammatory pathway is a neural mechanism that suppresses the innate inflammatory response. Knowledge concerning innervation of the immune system offers a unique opportunity to explore previously unrecognized techniques to treat disease. It also enables consideration of the neurological basis of complementary and alternative medical therapies, such as meditation and acupuncture. This evolving area of research has implications for the pathogenesis of chronic inflammatory conditions including inflammatory bowel disease, rheumatoid arthritis, type 2 diabetes, and other conditions of excessive cytokine release.
Type | Journal Article |
---|---|
Author | Ranzaburo Otori |
Publication | Monumenta Nipponica |
Volume | 19 |
Issue | 3/4 |
Pages | 254-274 |
Date | 1964 |
ISSN | 00270741 |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/2383172 |
Accessed | Tue Oct 13 00:14:30 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: 1964 / Copyright © 1964 Sophia University |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | John Paley |
Abstract | Aims and objectives. To assess the claim that conceptualisations of religion and spirituality should be grounded in theology, and acknowledge the global resurgence of religion.Background. Although there is widespread agreement in the nursing literature that 'spirituality' is a broader concept than 'religion,' and should be understood generically, this approximate consensus has occasionally been challenged. A recent paper by Barbara Pesut and colleagues argues that the generic view not only empties spirituality of powerful religious symbols and narratives, but underestimates the continuing social influence of religion, and its resurgence on a global scale. Accordingly, these authors suggest three principles for conceptualising spirituality and religion in health care, one of which is that conceptualisations should be grounded in philosophical and theological thinking, and should not ignore the global resurgence of religion.Method. Critical review.Conclusion. The Pesut principle privileges theology, disregarding other disciplines which theorise religion. Arguably, it privileges specifically Christian theology, the history of which suggests a politics of orthodoxy and an epistemology of authority and obedience. The global resurgence of religion is not, in fact, global, as the industrialised countries have experienced a marked shift towards secular-rational values; and the postindustrial phase of development is associated with self-expression values, which represent a challenge not merely to religious institutions (arguably an affirmation of 'spirituality') but to traditional elites and structures of all kinds. Finally, religion 'resurgent' is not an attractive model for health care, since many of its most obvious manifestations are incompatible with the ideology of health professionals.Relevance to clinical practice. In the secular societies of Europe, if not North America, there should be no expectation that nurses provide spiritual care. It is a requirement of the great separation between civil order and religion that the health services, as a public space, should remain thoroughly secular. |
Publication | Journal of Clinical Nursing |
Volume | 18 |
Issue | 14 |
Pages | 1963-1974 |
Date | 2009 |
DOI | 10.1111/j.1365-2702.2009.02780.x |
URL | http://dx.doi.org/10.1111/j.1365-2702.2009.02780.x |
Accessed | Mon Sep 7 02:21:46 2009 |
Library Catalog | Wiley InterScience |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Aims and objectives: To assess the claim that conceptualisations of religion and spirituality should be grounded in theology, and acknowledge the global resurgence of religion. Background. Although there is widespread agreement in the nursing literature that ‘spirituality’ is a broader concept than ‘religion,’ and should be understood generically, this approximate consensus has occasionally been challenged. A recent paper by Barbara Pesut and colleagues argues that the generic view not only empties spirituality of powerful religious symbols and narratives, but underestimates the continuing social influence of religion, and its resurgence on a global scale. Accordingly, these authors suggest three principles for conceptualising spirituality and religion in health care, one of which is that conceptualisations should be grounded in philosophical and theological thinking, and should not ignore the global resurgence of religion. Method: Critical review. Conclusion: The Pesut principle privileges theology, disregarding other disciplines which theorise religion. Arguably, it privileges specifically Christian theology, the history of which suggests a politics of orthodoxy and an epistemology of authority and obedience. The global resurgence of religion is not, in fact, global, as the industrialised countries have experienced a marked shift towards secular-rational values; and the postindustrial phase of development is associated with self-expression values, which represent a challenge not merely to religious institutions (arguably an affirmation of ‘spirituality’) but to traditional elites and structures of all kinds. Finally, religion ‘resurgent’ is not an attractive model for health care, since many of its most obvious manifestations are incompatible with the ideology of health professionals. Relevance to clinical practice: In the secular societies of Europe, if not North America, there should be no expectation that nurses provide spiritual care. It is a requirement of the great separation between civil order and religion that the health services, as a public space, should remain thoroughly secular.
Type | Journal Article |
---|---|
Author | Hedley G Peach |
Abstract | Greater participation in religious activities is associated with better health outcomes. In the US, most inpatients have religious needs, but physicians address them only occasionally and infrequently refer patients to clergy. US medical students are learning to do spiritual assessments and integrate the findings into patient management, which may reverse this. Religion does not play a central role in the lives of Australians as it does for US citizens. Research is required to better understand the spirituality of Australians, its relationship to health and the benefit, cost and acceptability of doctors enquiring into spirituality compared with spiritual advisers and counsellors. |
Publication | The Medical Journal of Australia |
Volume | 178 |
Issue | 2 |
Pages | 86-88 |
Date | Jan 20, 2003 |
Journal Abbr | Med. J. Aust |
ISSN | 0025-729X |
Short Title | Religion, spirituality and health |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/12526730 |
Accessed | Mon Nov 2 02:25:04 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 12526730 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Greater participation in religious activities is associated with better health outcomes. In the US, most inpatients have religious needs, but physicians address them only occasionally and infrequently refer patients to clergy. US medical students are learning to do spiritual assessments and integrate the findings into patient management, which may reverse this. Religion does not play a central role in the lives of Australians as it does for US citizens. Research is required to better understand the spirituality of Australians, its relationship to health and the benefit, cost and acceptability of doctors enquiring into spirituality compared with spiritual advisers and counsellors.
Type | Journal Article |
---|---|
Author | Barbara Pesut |
Author | Marsha Fowler |
Author | Elizabeth J Taylor |
Author | Sheryl Reimer-Kirkham |
Author | Richard Sawatzky |
Abstract | AIMS: To discuss some of the challenges of conceptualising spirituality and religion for healthcare practice. BACKGROUND: With the growing interest in spirituality in healthcare, has come the inevitable task of trying to conceptualise spirituality, a daunting task given the amorphous nature of spirituality, the changing understandings of spirituality among individuals and the diverse globalised society within which this task is taking place. Spirituality's relationship to religion is a particularly challenging point of debate. DESIGN: Critical review. CONCLUSIONS: Three social and historical conditions - located in the context of Western thought - have contributed to current conceptualisations of spirituality and religion: the diminishment of the social authority of religion as a result of the Enlightenment focus on reason, the rise of a postmodern spirituality emphasising spiritual experience and current tensions over the ideological and political roles of religion in society. The trend to minimise the social influence of religion is a particular Western bias that seems to ignore the global megatrend of the resurgence of religion. Current conceptualisations are critiqued on the following grounds: that they tend to be ungrounded from a rich history of theological and philosophical thought, that a particular form of elitist spirituality is emerging and that the individualistic emphasis in recent conceptualisations of spirituality diminishes the potential for societal critique and transformation while opening the door for economic and political self interest. RELEVANCE TO CLINICAL PRACTICE: Constructing adequate conceptualisations of spirituality and religion for clinical practice entails grounding them in the wealth of centuries of philosophical and theological thinking, ensuring that they represent the diverse society that nursing serves and anchoring them within a moral view of practice. |
Publication | Journal of Clinical Nursing |
Volume | 17 |
Issue | 21 |
Pages | 2803-2810 |
Date | Nov 2008 |
Journal Abbr | J Clin Nurs |
DOI | 10.1111/j.1365-2702.2008.02344.x |
ISSN | 1365-2702 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18665876 |
Accessed | Tue Nov 3 01:23:20 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18665876 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
AIMS: To discuss some of the challenges of conceptualising spirituality and religion for healthcare practice. Background: With the growing interest in spirituality in healthcare, has come the inevitable task of trying to conceptualise spirituality, a daunting task given the amorphous nature of spirituality, the changing understandings of spirituality among individuals and the diverse globalised society within which this task is taking place. Spirituality’s relationship to religion is a particularly challenging point of debate. Design: Critical review. Conclusions: Three social and historical conditions - located in the context of Western thought - have contributed to current conceptualisations of spirituality and religion: the diminishment of the social authority of religion as a result of the Enlightenment focus on reason, the rise of a postmodern spirituality emphasising spiritual experience and current tensions over the ideological and political roles of religion in society. The trend to minimise the social influence of religion is a particular Western bias that seems to ignore the global megatrend of the resurgence of religion. Current conceptualisations are critiqued on the following grounds: that they tend to be ungrounded from a rich history of theological and philosophical thought, that a particular form of elitist spirituality is emerging and that the individualistic emphasis in recent conceptualisations of spirituality diminishes the potential for societal critique and transformation while opening the door for economic and political self interest. Relevance to clinical practice: Constructing adequate conceptualisations of spirituality and religion for clinical practice entails grounding them in the wealth of centuries of philosophical and theological thinking, ensuring that they represent the diverse society that nursing serves and anchoring them within a moral view of practice.
Type | Journal Article |
---|---|
Author | Judith J Petry |
Author | Robert Finkel |
Abstract | BACKGROUND: Patients who include a complementary and alternative medicine (CAM) practitioner in their health care represent a small percentage of the population identified as CAM users. Their choice may be motivated by intangible personality or worldview characteristics. OBJECTIVE: A prospective study was designed to determine if a patient's choice of conventional or alternative health care practitioner was related to total score on an instrument for scaling psychospiritual characteristics. DESIGN: A sequential convenience sample of patients attending five different health care practices in New England. SETTING: A family practitioner (FP) who uses CAM. (1) A FP clearly not identified with CAM. (3) A chiropractor. (4) A naturopath, and (5) A homeopath. OUTCOME MEASURES: Total scores on the Spiritual Involvement and Beliefs Scale (SIBS), plus item scores of five separate questions and two factors. RESULTS: With 210 respondents, SIBS scores in Practice 2 were significantly lower than in practice 1 (p = 0.004), 3 (p = 0.001), 4 (p = 0.018), and 5 (p = 0.02). This pattern remained over the five question scores and two factors. CONCLUSION: Patients who chose a physician associated with CAM, or an alternative practitioner (chiropractor, naturopath, or homeopath) for their direct health care scored higher on a psychospiritual testing instrument (SIBS) than those who chose a conventional physician. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 10 |
Issue | 6 |
Pages | 939-945 |
Date | Dec 2004 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2004.10 .939 |
ISSN | 1075-5535 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/15673987 |
Accessed | Tue Nov 10 01:38:58 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 15673987 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Background: Patients who include a complementary and alternative medicine (CAM) practitioner in their health care represent a small percentage of the population identified as CAM users. Their choice may be motivated by intangible personality or worldview characteristics. Objective: A prospective study was designed to determine if a patient’s choice of conventional or alternative health care practitioner was related to total score on an instrument for scaling psychospiritual characteristics. Design: A sequential convenience sample of patients attending five different health care practices in New England. Setting: A family practitioner (FP) who uses CAM. (1) A FP clearly not identified with CAM. (3) A chiropractor. (4) A naturopath, and (5) A homeopath. Outcome measures: Total scores on the Spiritual Involvement and Beliefs Scale (SIBS), plus item scores of five separate questions and two factors. Results: With 210 respondents, SIBS scores in Practice 2 were significantly lower than in practice 1 (p = 0.004), 3 (p = 0.001), 4 (p = 0.018), and 5 (p = 0.02). This pattern remained over the five question scores and two factors. Conclusion: Patients who chose a physician associated with CAM, or an alternative practitioner (chiropractor, naturopath, or homeopath) for their direct health care scored higher on a psychospiritual testing instrument (SIBS) than those who chose a conventional physician.
Type | Journal Article |
---|---|
Author | Thomas G Plante |
Abstract | Professional and scientific psychology appears to have rediscovered spirituality and religion during recent years, with a large number of conferences, seminars, workshops, books, and special issues in major professional journals on spirituality and psychology integration. The purpose of this commentary is to highlight some of the more compelling ethical principles and issues to consider in spirituality and psychology integration with a focus on psychotherapy. This commentary will use the American Psychological Association's (2002) Ethics Code and more specifically, the RRICC model of ethics that readily applies to various mental health ethics codes across the world. The RRICC model highlights the ethical values of respect, responsibility, integrity, competence, and concern. Being thoughtful about ethical principles and possible dilemmas as well as getting appropriate training and ongoing consultation can greatly help the professional better navigate these challenging waters. |
Publication | Journal of Clinical Psychology |
Volume | 63 |
Issue | 9 |
Pages | 891-902 |
Date | Sep 2007 |
Journal Abbr | J Clin Psychol |
DOI | 10.1002/jclp.20383 |
ISSN | 0021-9762 |
Short Title | Integrating spirituality and psychotherapy |
URL | http://www.ncbi.nlm.nih.gov/pubmed/17674403 |
Accessed | Fri Nov 13 17:51:41 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 17674403 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Professional and scientific psychology appears to have rediscovered spirituality and religion during recent years, with a large number of conferences, seminars, workshops, books, and special issues in major professional journals on spirituality and psychology integration. The purpose of this commentary is to highlight some of the more compelling ethical principles and issues to consider in spirituality and psychology integration with a focus on psychotherapy. This commentary will use the American Psychological Association’s (2002) Ethics Code and more specifically, the RRICC model of ethics that readily applies to various mental health ethics codes across the world. The RRICC model highlights the ethical values of respect, responsibility, integrity, competence, and concern. Being thoughtful about ethical principles and possible dilemmas as well as getting appropriate training and ongoing consultation can greatly help the professional better navigate these challenging waters.
Type | Book |
---|---|
Author | Christina Puchalski |
Author | Betty Ferrell |
Publisher | Templeton Press |
Date | 2010-05-01 |
ISBN | 159947350X |
Short Title | Making Health Care Whole |
Library Catalog | Amazon.com |
Date Added | Thu Sep 29 09:04:35 2011 |
Modified | Thu Sep 29 09:04:35 2011 |
Type | Journal Article |
---|---|
Author | C Pulchaski |
Author | B Ferrell |
Author | R Virani |
Author | S Otis-Green |
Author | P Baird |
Author | J Bull |
Author | H Chochinov |
Author | G Handzo |
Author | H Nelson-Becker |
Author | M Prince-Paul |
Author | K Pugliese |
Author | D Sulmasy |
Abstract | A Consensus Conference sponsored by the Archstone Foundation of Long Beach, California, was held February 17-18, 2009, in Pasadena, California. The Conference was based on the belief that spiritual care is a fundamental component of quality palliative care. This document and the conference recommendations it includes builds upon prior literature, the National Consensus Project Guidelines, and the National Quality Forum Preferred Practices and Conference proceedings. |
Publication | Journal of Palliative Medicine |
Volume | 12 |
Issue | 10 |
Pages | 855-904 |
Date | October 2009 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
A Consensus Conference sponsored by the Archstone Foundation of Long Beach, California, was held February 17-18, 2009, in Pasadena, California. The Conference was based on the belief that spiritual care is a fundamental component of quality palliative care. This document and the conference recommendations it includes builds upon prior literature, the National Consensus Project Guidelines, and the National Quality Forum Preferred Practices and Conference proceedings.
Type | Journal Article |
---|---|
Author | Nicola Reavley |
Author | Julie F. Pallant |
Abstract | This paper describes the initial development of a scale to assess the effects of meditation. The scale consists of two sections: Experiences During Meditation (EOM-DM) and Effects of Meditation in Everyday Life (EOM-EL). Scale evaluation on 236 participants involved factor analysis, reliability and validity analysis. The EOM-DM scale had five subscales: Cognitive effects, Emotional effects, Mystical experiences, Relaxation and Physical discomfort. The physical, emotional, expanded consciousness and cognitive item groups of the EOM-EL were analysed separately. Each scale had a single factor structure whereas analysis of the EOM-EL-cognitive scale identified four factors: Social relations, Cognitive ability, Non-judgemental acceptance and Behaviours and habits. Construct validity was explored by assessing correlations with existing measures: Mindful Attention Awareness Scale, FACIT Spiritual wellbeing subscale and POMS-Short Form. Although further development is required, the scale showed adequate psychometric properties and may be useful for clinicians and researchers to improve understanding of the effects of meditation practices. (PsycINFO Database Record (c) 2009 APA, all rights reserved) (from the journal abstract) |
Publication | Personality and Individual Differences |
Volume | 47 |
Issue | 6 |
Pages | 547-552 |
Date | October 2009 |
DOI | 10.1016/j.paid.2009.05.007 |
ISSN | 0191-8869 |
URL | http://search.ebscohost.com.ezproxy.bu.edu/login.aspx? direct=true&db=psyh&AN=2009-10749-005&… |
Accessed | Sat Sep 26 17:31:31 2009 |
Library Catalog | EBSCOhost |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This paper describes the initial development of a scale to assess the effects of meditation. The scale consists of two sections: Experiences During Meditation (EOM-DM) and Effects of Meditation in Everyday Life (EOM-EL). Scale evaluation on 236 participants involved factor analysis, reliability and validity analysis. The EOM-DM scale had five subscales: Cognitive effects, Emotional effects, Mystical experiences, Relaxation and Physical discomfort. The physical, emotional, expanded consciousness and cognitive item groups of the EOM-EL were analysed separately. Each scale had a single factor structure whereas analysis of the EOM-EL-cognitive scale identified four factors: Social relations, Cognitive ability, Non-judgemental acceptance and Behaviours and habits. Construct validity was explored by assessing correlations with existing measures: Mindful Attention Awareness Scale, FACIT Spiritual wellbeing subscale and POMS-Short Form. Although further development is required, the scale showed adequate psychometric properties and may be useful for clinicians and researchers to improve understanding of the effects of meditation practices.
Type | Journal Article |
---|---|
Author | Lesley Rees |
Author | Andrew Weil |
Publication | BMJ: British Medical Journal |
Volume | 322 |
Issue | 7279 |
Pages | 119-120 |
Date | Jan. 20, 2001 |
ISSN | 09598138 |
Short Title | Integrated Medicine |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/25465997 |
Accessed | Tue Nov 10 01:29:03 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Jan. 20, 2001 / Copyright © 2001 BMJ Publishing Group |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Rachel Naomi Remen |
Abstract | Integrative medicine has been defined in several ways. For some it is a discipline that combines such approaches to the resolution of disease as acupuncture and homeopathy, meditation and imagery with more familiar and accepted health practices, such as surgery, pediatrics, and oncology. For others it is about cultivating awareness and sensitivity beyond symptoms to the mental, emotional, and spiritual needs of the patient. But, integrative medicine is more than the weaving together of techniques, or understanding the intimate interaction of the mental, emotional, and spiritual dimensions of human experience. It is about rethinking the task of medicine and the infrastructure of relationships and beliefs that have limited its power to serve all people. |
Publication | Hematology/Oncology Clinics of North America |
Volume | 22 |
Issue | 4 |
Pages | 767-773, x |
Date | Aug 2008 |
Journal Abbr | Hematol. Oncol. Clin. North Am |
DOI | 10.1016/j.hoc.2008.04.001 |
ISSN | 0889-8588 |
Short Title | Practicing a medicine of the whole person |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18638701 |
Accessed | Mon Nov 9 00:58:09 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18638701 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Integrative medicine has been defined in several ways. For some it is a discipline that combines such approaches to the resolution of disease as acupuncture and homeopathy, meditation and imagery with more familiar and accepted health practices, such as surgery, pediatrics, and oncology. For others it is about cultivating awareness and sensitivity beyond symptoms to the mental, emotional, and spiritual needs of the patient. But, integrative medicine is more than the weaving together of techniques, or understanding the intimate interaction of the mental, emotional, and spiritual dimensions of human experience. It is about rethinking the task of medicine and the infrastructure of relationships and beliefs that have limited its power to serve all people.
Type | Journal Article |
---|---|
Author | George W. Rosenfeld |
Abstract | <p><br/>Historically ignored or "treated," clients' religious beliefs are being incorporated into psychotherapy because they influence client and therapist thinking and have potential to heal and harm. This paper examines how professional codes of ethics and research on religion-friendly therapeutic interventions and on helpful and harmful religious beliefs and practices provide direction in dealing with religious matters in psychotherapy. Ethical codes emphasize self-determination, beneficence, and nonmaleficence, which lead to different treatment decisions depending on how they are prioritized. The informed consent process and motivational interviewing have potential to ethically reduce harm and maximize benefits from the client's religious beliefs.</p> |
Publication | Professional Psychology: Research and Practice |
Volume | 42 |
Issue | 2 |
Pages | 192-199 |
Date | April 2011 |
DOI | 10.1037/a0022742 |
ISSN | 0735-7028 |
URL | http://www.sciencedirect.com/science/article/B6X00-52SJV98-7/2/f1491dfe1a0cb81b6b1593950a674de0 |
Accessed | Mon May 9 19:23:51 2011 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 08:55:49 2011 |
Modified | Thu Sep 29 08:55:49 2011 |
Type | Journal Article |
---|---|
Author | George W Rosenfield |
Abstract | The 2 main roles of the psychotherapist involve identifying and understanding the client's problems/strengths and treating problems. Suggestions are offered to guide addressing or avoiding religious beliefs in both roles. Types of religious beliefs that contribute to distress, particularly for youth, are identified and treatment options are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved). |
Publication | Psychotherapy (Chicago, Ill.) |
Volume | 47 |
Issue | 4 |
Pages | 512-526 |
Date | Dec 2010 |
Journal Abbr | Psychotherapy (Chic) |
DOI | 10.1037/a0021176 |
ISSN | 1939-1536 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/21198239 |
Accessed | Tue Jan 18 19:05:39 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21198239 |
Date Added | Thu Sep 29 08:58:46 2011 |
Modified | Thu Sep 29 08:58:46 2011 |
Type | Journal Article |
---|---|
Author | Michael Roth |
Author | Juan Lin |
Author | Mimi Kim |
Author | Karen Moody |
Abstract | BACKGROUND: Pediatric oncology patients commonly use complementary and alternative medicine (CAM), yet approximately only 50% of these patients discuss CAM with their oncologist. OBJECTIVE: The aim of this study is to assess barriers to CAM communication in pediatric oncology. DESIGN/METHODS: A 33-question survey was sent via electronic mail to 358 pediatric oncologists in the United States. RESULTS: Ninety pediatric oncologists completed the survey. Ninety-nine percent of pediatric oncologists think it is important to know what CAM therapies their patients use. However, less than half of pediatric oncologists routinely ask their patients about CAM. This is primarily because of a lack of time and knowledge. Many physicians think some forms of CAM may improve quality of life, such as massage (74%) and yoga (57%). Over half of physicians thought that dietary supplements, herbal medicine, special diets, vitamins, and chiropractic might be harmful to patients. CONCLUSIONS: Pediatric oncologists believe it is important to know which CAM therapies their patients use; however, they are not asking about them owing to lack of time and knowledge. To improve communication about CAM, increased physician education is needed. In addition, physicians should identify patients using potentially harmful CAM therapies. Furthermore, CAM research in pediatric oncology should focus on those modalities physicians believe may improve patient quality of life. |
Publication | Journal of Pediatric Hematology/Oncology |
Volume | 31 |
Issue | 3 |
Pages | 177-182 |
Date | Mar 2009 |
Journal Abbr | J. Pediatr. Hematol. Oncol |
DOI | 10.1097/MPH.0b013e3181984f5a |
ISSN | 1536-3678 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19262243 |
Accessed | Mon Sep 28 23:55:13 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19262243 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Background: Pediatric oncology patients commonly use complementary and alternative medicine (CAM), yet approximately only 50% of these patients discuss CAM with their oncologist. Objective: The aim of this study is to assess barriers to CAM communication in pediatric oncology. DESIGN/Methods: A 33-question survey was sent via electronic mail to 358 pediatric oncologists in the United States. Results: Ninety pediatric oncologists completed the survey. Ninety-nine percent of pediatric oncologists think it is important to know what CAM therapies their patients use. However, less than half of pediatric oncologists routinely ask their patients about CAM. This is primarily because of a lack of time and knowledge. Many physicians think some forms of CAM may improve quality of life, such as massage (74%) and yoga (57%). Over half of physicians thought that dietary supplements, herbal medicine, special diets, vitamins, and chiropractic might be harmful to patients. Conclusions: Pediatric oncologists believe it is important to know which CAM therapies their patients use; however, they are not asking about them owing to lack of time and knowledge. To improve communication about CAM, increased physician education is needed. In addition, physicians should identify patients using potentially harmful CAM therapies. Furthermore, CAM research in pediatric oncology should focus on those modalities physicians believe may improve patient quality of life.
Type | Journal Article |
---|---|
Author | Stephen M. Saunders |
Author | Melissa L. Miller |
Author | Melissa M. Bright |
Abstract | There is increasing recognition of the importance of identifying and perhaps incorporating into psychological services the spiritual and religious beliefs and practices (SRBP) of patients. Research suggests that psychologists are reluctant to address the SRBP of their patients, because they are unsure how to do so without contravention of ethical standards. Moreover, numerous approaches have been published and promoted, and psychologists may feel overwhelmed by the profusion of advice. We organize the suggested approaches into four categories and place them on a continuum, and we discuss the ethical concerns related to each. At one end is spiritually avoidant care, which entails the attempt to avoid conversations with patients about their SRBP. Given the importance of these issues to psychological health and to understanding the patient, this approach is untenable. At the other end of the continuum, spiritually directive psychotherapy is characterized by an explicit attempt to maintain or change the SRBP of patients. Spiritually integrated psychotherapy entails utilizing SRBP to ameliorate patients' emotional distress. We suggest that psychologists should at least engage in spiritually conscious care, which we characterize as the explicit assessment of the general importance of SRBP to the patient, its influence on the presenting problem, and the potential of SRBP as a resource to help recovery. Specific suggestions are presented for how spiritually conscious care might be implemented. Finally, the need for better training in both basic and specific competencies needed to address patients' SRBP is reviewed. (PsycINFO Database Record (c) 2010 APA, all rights reserved). (from the journal abstract) |
Publication | Professional Psychology: Research and Practice |
Volume | 41 |
Issue | 5 |
Pages | 355-362 |
Date | October 2010 |
DOI | 10.1037/a0020953 |
ISSN | 0735-7028 |
Date Added | Thu Sep 29 08:59:59 2011 |
Modified | Thu Sep 29 08:59:59 2011 |
Type | Journal Article |
---|---|
Author | S J Schuster |
Abstract | A contemporary health system seeks to overcome the excesses and shortcomings of the medical model by integrating wholistic concepts and practices into the medical care it provides. Established on the grounds of an acute care hospital as one of its departments, the Franciscan Wholistic Health Center's (FWHC) goal-explicit spirituality and the involvement of FWHC staff in their own as well as their client's spiritual development-distinguishes it from other efforts. |
Publication | Nursing Management |
Volume | 28 |
Issue | 6 |
Pages | 56-59; quiz 60 |
Date | Jun 1997 |
Journal Abbr | Nurs Manage |
ISSN | 0744-6314 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/9325917 |
Accessed | Thu Nov 12 17:35:27 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 9325917 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
A contemporary health system seeks to overcome the excesses and shortcomings of the medical model by integrating wholistic concepts and practices into the medical care it provides. Established on the grounds of an acute care hospital as one of its departments, the Franciscan Wholistic Health Center’s (FWHC) goal-explicit spirituality and the involvement of FWHC staff in their own as well as their client’s spiritual development-distinguishes it from other efforts.
Type | Journal Article |
---|---|
Author | Stephan A. Schwartz |
Author | Larry Dossey |
Abstract | All research domains are based upon epistemological assumptions. Periodic reassessment of these assumptions is crucial because they influence how we interpret experimental outcomes. Perhaps nowhere is this reassessment needed more than in the study of prayer and intention experiments. For if positive results from this field of research are sustained, the reality of nonlocal consciousness must be confronted. This paper explores the current status of healing and intention research, citing a number of major studies and using the “Study of the Therapeutic Effects of Intercessory Prayer (STEP) in Cardiac Bypass Surgery Patients: A Multicenter Randomized Trial of Uncertainty and Certainty of Receiving Intercessory Prayer” as a case study of this line of research. The paper argues that the dose-dependent model typical of drug trials, and adopted for use in the STEP and other studies, is not the optimal model for intention-healing research, and critiques this approach in detail, citing apposite research from which we draw our recommendations and conclusions. The paper suggests that the usual assumptions concerning blindness and randomization that prevail in studies using the pharmacological model must be reappraised. Experimental data suggest that a nonlocal relationship exists among the various individuals participating in a study, one which needs to be understood and taken seriously. We argue that it is important to account for and understand the role of both local and nonlocal observer effects, since both can significantly affect outcome. Research is presented from an array of disciplines to support why the authors feel these issues of linkage, belief, and intention are so important to a successful, accurate, and meaningful study outcome. Finally, the paper offers suggestions for new lines of research and new protocol designs that address these observer-effect issues, particularly the nonlocal aspects. The paper finally suggests that if these effects occur in intention studies, they must necessarily exist in all studies, although in pharmacological studies they are often overshadowed by the power of chemical and biological agents. |
Publication | EXPLORE: The Journal of Science and Healing |
Volume | 6 |
Issue | 5 |
Pages | 295-307 |
Date | September 2010 |
DOI | 10.1016/j.explore.2010.06.011 |
ISSN | 1550-8307 |
Short Title | Nonlocality, Intention, and Observer Effects in Healing Studies |
Accessed | Sat Sep 11 19:41:19 2010 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 09:02:29 2011 |
Modified | Thu Sep 29 09:02:29 2011 |
Type | Journal Article |
---|---|
Author | Shauna L Shapiro |
Abstract | As the field of psychology continues to expand and evolve, one fruitful avenue of exploration has been the integration of mindfulness into psychological theory and practice. Mindfulness is defined as the awareness that arises out of intentionally attending in an open and discerning way to whatever is arising in the present moment. Two decades of empirical research have generated considerable evidence supporting the efficacy of mindfulness-based interventions across a wide range of clinical and nonclinical populations, and these interventions have been incorporated into a variety of health care settings. Still, there are many unanswered questions and potential horizons to be investigated. This special issue endeavors to assist in this exploration. It presents a combination of articles concerning aspects of clinical and scientific integration of mindfulness within psychotherapy and psychoeducational settings. This commentary attempts to highlight the main findings of the featured articles as well as elucidate areas for future inquiry. Taken as a whole, the volume supports the importance and viability of the integration of mindfulness into psychology, and offers interesting and meaningful directions for future research. |
Publication | Journal of Clinical Psychology |
Volume | 65 |
Issue | 6 |
Pages | 555-560 |
Date | Jun 2009 |
Journal Abbr | J Clin Psychol |
DOI | 10.1002/jclp.20602 |
ISSN | 1097-4679 |
Accessed | Tue Feb 22 19:27:34 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19340826 |
Date Added | Thu Sep 29 09:07:00 2011 |
Modified | Thu Sep 29 09:07:00 2011 |
Type | Book |
---|---|
Author | Anson Shupe |
Place | New Brunswick N.J. |
Publisher | Transaction Publishers |
Date | 2010 |
ISBN | 9781412813488 |
Date Added | Thu Sep 29 09:04:35 2011 |
Modified | Thu Sep 29 09:04:35 2011 |
Type | Journal Article |
---|---|
Author | Erica M S Sibinga |
Author | Kathi J Kemper |
Abstract | Interest in, practice of, and research about a variety of meditation forms for children and youth is growing. Thus far, the evidence supports the feasibility and acceptability of numerous meditative practices, including mindfulness practices, TM, RR, yoga, and tai chi. A number of well-controlled studies support the use of meditation for blood pressure reduction. In addition, research suggests that meditative practices are associated with improvements in attention, behavior, and psychological functioning in children and youth. More rigorous comparative effectiveness research in larger, diverse pediatric populations is needed to be confident that these results are related specifically to the instruction and practice of meditative practices and to tailor recommendations to specific patients. Despite the desirability of additional research, meditation is a very safe practice, with a variety of approaches that can suit diverse unique needs, values, and preferences. Clinicians should use similar approaches and considerations in referring pediatric patients for meditation training as for other complementary therapies and therapists such as massage and acupuncture. |
Publication | Pediatrics in Review / American Academy of Pediatrics |
Volume | 31 |
Issue | 12 |
Pages | e91-103 |
Date | Dec 2010 |
Journal Abbr | Pediatr Rev |
DOI | 10.1542/pir.31-12-e91 |
ISSN | 1526-3347 |
Short Title | Complementary, holistic, and integrative medicine |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/21123509 |
Accessed | Tue Jan 18 19:05:28 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21123509 |
Date Added | Thu Sep 29 08:58:27 2011 |
Modified | Thu Sep 29 08:58:27 2011 |
Type | Journal Article |
---|---|
Author | Jennifer L Simpson |
Author | Kimberly Carter |
Abstract | This study used phenomenology to explore the experience of Muslim women through descriptions of their encounters with health care providers in a rural area. Participants (N = 7) were eligible for inclusion if the foreign-born woman had lived in the area for at least 2 years, had interaction with a health care provider within the last 6 months, and was able to articulate her experience either in English or through a interpreter. Data were recorded, transcribed, coded, and analyzed for the emergence of reoccurring themes, employing decision trails. Constant comparative analysis was used to promote the integrity of the data. Three themes were identified: (1) perceived power of the provider, (2) religiously defined gender relations, and (3) being a stranger in the U.S. healthcare system. Education of the Muslim patient and the provider is needed to increase health care satisfaction and use by rural Muslim women. |
Publication | Journal of Transcultural Nursing |
Volume | 19 |
Issue | 1 |
Pages | 16-23 |
Date | Jan 2008 |
Journal Abbr | J Transcult Nurs |
DOI | 10.1177/1043659607309146 |
ISSN | 1043-6596 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18165422 |
Accessed | Mon Nov 9 01:12:35 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18165422 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This study used phenomenology to explore the experience of Muslim women through descriptions of their encounters with health care providers in a rural area. Participants (N = 7) were eligible for inclusion if the foreign-born woman had lived in the area for at least 2 years, had interaction with a health care provider within the last 6 months, and was able to articulate her experience either in English or through a interpreter. Data were recorded, transcribed, coded, and analyzed for the emergence of reoccurring themes, employing decision trails. Constant comparative analysis was used to promote the integrity of the data. Three themes were identified: (1) perceived power of the provider, (2) religiously defined gender relations, and (3) being a stranger in the U.S. healthcare system. Education of the Muslim patient and the provider is needed to increase health care satisfaction and use by rural Muslim women.
Type | Journal Article |
---|---|
Author | David H Smith |
Abstract | Health is an intrinsic value that Christians should respect, but it is not the highest value. Christians should be willing to jeopardize their own health for the health of others, and should repudiate any idea that genetic problems are the result of sin. Rather, sin leads us to make genetic problems harder to live with than they should be. |
Publication | American Journal of Medical Genetics. Part C, Seminars in Medical Genetics |
Volume | 151C |
Issue | 1 |
Pages | 77-80 |
Date | Feb 15, 2009 |
Journal Abbr | Am J Med Genet C Semin Med Genet |
DOI | 10.1002/ajmg.c.30199 |
ISSN | 1552-4876 |
Accessed | Tue Feb 22 19:57:40 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19170084 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Type | Journal Article |
---|---|
Author | Nana Smith |
Author | Alex Weymann |
Author | Francisco A. Tausk |
Author | Joel M. Gelfand |
Abstract | Background Patients with psoriasis often inquire about complementary and alternative medicine in an effort to do everything possible to control the disease.Objective We sought to review the clinical trial literature regarding complementary and alternative medicine for the treatment of psoriasis.Methods We conducted qualitative systematic review of randomized, clinical trials.Results Although many randomized controlled trials were found, both the results and the quality of the studies varied.Limitations The main limitations were the relatively low quality of studies (as assessed by Jadad scores), lack of inclusion of unpublished studies, and the fact that only one author determined inclusion of studies and assignment of Jadad scores.Conclusion There is a large body of literature in regard to complementary and alternative medicine for the treatment of psoriasis. More work is necessary before these modalities should be recommended to our patients. |
Publication | Journal of the American Academy of Dermatology |
Volume | 61 |
Issue | 5 |
Pages | 841-856 |
Date | November 2009 |
DOI | 10.1016/j.jaad.2009.04.029 |
ISSN | 0190-9622 |
Short Title | Complementary and alternative medicine for psoriasis |
URL | http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6WM8-4WXXV37-3/2/86fd5b1a427cc1eb59b823c687578c2f |
Accessed | Mon Nov 23 20:56:35 2009 |
Library Catalog | ScienceDirect |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
Type | Journal Article |
---|---|
Author | Jill Snodgrass |
Abstract | This article presents a theoretical approach to a spiritually integrated cognitive behavioral therapy for older adults, by formulating a modified style of assessment, formulation, beginning therapy, cognitive restructuring, behavior modification, and termination. |
Publication | Journal of Religion, Spirituality & Aging |
Volume | 21 |
Issue | 3 |
Pages | 219 |
Date | July 2009 |
DOI | 10.1080/15528030902803913 |
ISSN | 1552-8030 |
Short Title | Toward Holistic Care |
URL | http://www.informaworld.com/10.1080/15528030902803913 |
Accessed | Sat Sep 26 17:15:16 2009 |
Library Catalog | Informaworld |
Date Added | Thu Sep 29 09:06:02 2011 |
Modified | Thu Sep 29 09:06:02 2011 |
Type | Book |
---|---|
Author | John W Spencer |
Author | Joseph J Jacobs |
Place | St. Louis |
Publisher | Mosby |
Date | 1999 |
ISBN | 0815129890 |
Short Title | Complementary/Alternative Medicine |
Library Catalog | library.bu.edu Library Catalog |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This comprehensive, evidence-based resource examines current clinical research on complementary and alternative medicine. It includes updated material and new chapters on legal and ethical issues; integration of clinical practice; and medical training with complementary, alternative and evidence-based medicine. A useful reference for physicians, healthcare providers and scientists.
Type | Journal Article |
---|---|
Author | Len Sperry |
Abstract | Like many psychological topics, psychotherapy that is sensitive to spiritual issues can be viewed from both materialist and postmaterialist perspectives. After a brief discussion of some scientific and philosophical considerations distinguishing materialist and postmaterialist views, a 4-level model of consciousness and its theoretical and practice implications for spirituality sensitive psychotherapy is described. Well-being therapy, which reflects a postmaterialist perspective, is described and illustrated with case material. (PsycINFO Database Record (c) 2010 APA, all rights reserved). (from the journal abstract) |
Publication | Psychology of Religion and Spirituality |
Volume | 2 |
Issue | 1 |
Pages | 46-56 |
Date | February 2010 |
DOI | 10.1037/a0018549 |
ISSN | 1941-1022 |
Short Title | Psychotherapy sensitive to spiritual issues |
Accessed | Sat Mar 6 10:24:39 2010 |
Library Catalog | EBSCOhost |
Date Added | Thu Sep 29 09:04:35 2011 |
Modified | Thu Sep 29 09:04:35 2011 |
Type | Book |
---|---|
Author | Bob Stahl |
Place | Oakland, Calif. |
Publisher | New Harbinger Publications |
Date | 2010 |
ISBN | 9781572247086 |
Date Added | Thu Sep 29 09:03:48 2011 |
Modified | Thu Sep 29 09:03:48 2011 |
Type | Journal Article |
---|---|
Author | Rainer Stange |
Author | Robert Amhof |
Author | Susanne Moebus |
Abstract | OBJECTIVE: To generate valid data on attitudes about complementary and alternative medicine (CAM) as well as patterns of use in a large stochastic sample of general practitioner physicians and specialists. DESIGN: Cross-sectional survey in a large random sample of 516 German outpatient care physicians with qualifications in 13 medical fields representative of a basic population of 118,085 statutory health insurance physicians. MATERIALS AND METHODS: Telephone interviews with 36 wide-ranging questions about CAM attitudes and preferred techniques were conducted in November and December 2005 as part of a national healthcare survey. RESULTS: In our sample, 51% were in favor of CAM use (26% were very much in favor, 25% were in favor). The methods most frequently prescribed (combining answers for "very often" and "at times") were physical therapy (71%), phytomedicine (67%), exercise (63%), nutrition and dieting (62%), massage (61%), relaxation techniques (55%), followed by more typical CAM interventions such as homeopathy (38%), acupuncture (37%), and traditional Chinese medicine (18%). Primary care physicians were significantly more inclined to use CAM than were specialists. No striking differences were observed with respect to gender or age. CONCLUSIONS: This survey demonstrates a broader acceptance and practice of CAM by physicians than hitherto believed. Methods traditionally known as "natural medicine" were more frequently used than more typical CAM procedures. Further research should focus on physicians' differing motivations and observed results. |
Publication | Journal of Alternative and Complementary Medicine (New York, N.Y.) |
Volume | 14 |
Issue | 10 |
Pages | 1255-1261 |
Date | Dec 2008 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0306 |
ISSN | 1557-7708 |
Short Title | Complementary and alternative medicine |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19123879 |
Accessed | Mon Nov 9 00:55:31 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19123879 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Objective: To generate valid data on attitudes about complementary and alternative medicine (CAM) as well as patterns of use in a large stochastic sample of general practitioner physicians and specialists. Design: Cross-sectional survey in a large random sample of 516 German outpatient care physicians with qualifications in 13 medical fields representative of a basic population of 118,085 statutory health insurance physicians. Materials and Methods: Telephone interviews with 36 wide-ranging questions about CAM attitudes and preferred techniques were conducted in November and December 2005 as part of a national healthcare survey. Results: In our sample, 51% were in favor of CAM use (26% were very much in favor, 25% were in favor). The methods most frequently prescribed (combining answers for “very often” and “at times”) were physical therapy (71%), phytomedicine (67%), exercise (63%), nutrition and dieting (62%), massage (61%), relaxation techniques (55%), followed by more typical CAM interventions such as homeopathy (38%), acupuncture (37%), and traditional Chinese medicine (18%). Primary care physicians were significantly more inclined to use CAM than were specialists. No striking differences were observed with respect to gender or age. Conclusions: This survey demonstrates a broader acceptance and practice of CAM by physicians than hitherto believed. Methods traditionally known as “natural medicine” were more frequently used than more typical CAM procedures. Further research should focus on physicians’ differing motivations and observed results.
Type | Journal Article |
---|---|
Author | Daniel P Sulmasy |
Abstract | Interest in the relationship between spirituality, religion, and clinical care has increased in the last 15 years, but clinicians need more concrete guidance about this topic. This article defines spirituality and religion, identifies the fundamental spiritual issues that serious illness raises for patients, and argues that physicians have a moral obligation to address patients' spiritual concerns. Religions often provide patients with specific moral guidance about a variety of medical issues and prescribe rituals that are important to patients. Religious coping can be both positive and negative, and it can impact patient care. This article provides concrete advice about taking a spiritual history, ethical boundaries, whether to pray with patients, and when to refer patients to chaplains or to their own personal clergy. |
Publication | Chest |
Volume | 135 |
Issue | 6 |
Pages | 1634-1642 |
Date | Jun 2009 |
Journal Abbr | Chest |
DOI | 10.1378/chest.08-2241 |
ISSN | 1931-3543 |
Accessed | Tue Feb 22 18:58:26 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19497898 |
Date Added | Thu Sep 29 09:07:00 2011 |
Modified | Thu Sep 29 09:07:00 2011 |
Type | Journal Article |
---|---|
Author | Ruth A Tanyi |
Author | Monica McKenzie |
Author | Cynthia Chapek |
Abstract | PURPOSE: To investigate how primary care family practice providers incorporate spirituality into their practices in spite of documented barriers. DATA SOURCES: A phenomenological qualitative design was used. Semi-structured interviews were conducted with three physicians, five nurse practitioners, and two physician assistants. CONCLUSIONS: Five major theme clusters emerged: (1) discerning instances for overt spiritual assessment; (2) displaying a genuine and caring attitude; (3) encouraging the use of existing spiritual practices; (4) documenting spiritual care for continuity of care; (5) managing perceived barriers to spiritual care. IMPLICATIONS FOR PRACTICE: Findings support that patients' spiritual needs can be addressed in spite of documented barriers. Techniques to assist providers in providing spiritual care are discussed and directions for future research are suggested. |
Publication | Journal of the American Academy of Nurse Practitioners |
Volume | 21 |
Issue | 12 |
Pages | 690-697 |
Date | Dec 2009 |
Journal Abbr | J Am Acad Nurse Pract |
DOI | 10.1111/j.1745-7599.2009.00459.x |
ISSN | 1745-7599 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19958420 |
Accessed | Mon Dec 28 14:53:56 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19958420 |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Journal Article |
---|---|
Author | Carl Thoresen |
Author | Alex Harris |
Abstract | Abstract In this article, we familiarize readers with some recent empirical evidence about possible associations between religious and/or spiritual (RS) factors and health outcomes. In considering this evidence, we believe a healthy skepticism is in order. One needs to remain open to the possibility that RS-related beliefs and behaviors may influence health, yet one needs empirical evidence based on well-controlled studies that support these claims and conclusions. We hope to introduce the dismissing critic to suggestive data that may create tempered doubt and to introduce the uncritical advocate to issues and concerns that will encourage greater modesty in the making of claims and drawing of conclusions. We comment on the following questions: Do specific RS factors influence health outcomes? What possible mechanisms might explain a relation, if one exists? Are there any implications for health professionals at this point in time ? Recommendations concern the need to improve research designs and measurement strategies and to clarify conceptualizations of RS factors. RS factors appear to be associated with physical and overall health, but the relation appears far more complex and modest than some contend. Which specific RS factors enhance or endanger health and well-being remains unclear. |
Publication | Annals of Behavioral Medicine |
Volume | 24 |
Issue | 1 |
Pages | 3-13 |
Date | February 01, 2002 |
DOI | 10.1207/S15324796ABM2401_02 |
Short Title | Spirituality and health |
URL | http://dx.doi.org.ezproxy.bu.edu/10.1207/S15324796ABM2401_02 |
Accessed | Mon Oct 12 18:03:00 2009 |
Library Catalog | SpringerLink |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
In this article, we familiarize readers with some recent empirical evidence about possible associations between religious and/or spiritual (RS) factors and health outcomes. In considering this evidence, we believe a healthy skepticism is in order. One needs to remain open to the possibility that RS-related beliefs and behaviors may influence health, yet one needs empirical evidence based on well-controlled studies that support these claims and conclusions. We hope to introduce the dismissing critic to suggestive data that may create tempered doubt and to introduce the uncritical advocate to issues and concerns that will encourage greater modesty in the making of claims and drawing of conclusions. We comment on the following questions: Do specific RS factors influence health outcomes? What possible mechanisms might explain a relation, if one exists? Are there any implications for health professionals at this point in time ? Recommendations concern the need to improve research designs and measurement strategies and to clarify conceptualizations of RS factors. RS factors appear to be associated with physical and overall health, but the relation appears far more complex and modest than some contend. Which specific RS factors enhance or endanger health and well-being remains unclear.
Type | Journal Article |
---|---|
Author | Jon C. Tilburt |
Author | Farr A. Curlin |
Author | Ted J. Kaptchuk |
Author | Brian Clarridge |
Author | Dragana Bolcic-Jankovic |
Author | Ezekiel J. Emanuel |
Author | Franklin G. Miller |
Abstract | Background Little is known about whether federally funded complementary and alternative medicine (CAM) research is translating into clinical practice. We sought to describe the awareness of CAM clinical trials, the ability to interpret research results, the acceptance of research evidence, and the predictors of trial awareness among US clinicians. Methods We conducted a cross-sectional mailed survey of 2400 practicing US acupuncturists, naturopaths, internists, and rheumatologists. Results A total of 1561 clinicians (65%) responded. Of the respondents, 59% were aware of at least 1 major CAM clinical trial; only 23% were aware of both trials. A minority of acupuncturists (20%), naturopaths (25%), internists (17%), and rheumatologists (33%) were "very confident" in interpreting research results (P < .001). Fewer acupuncturists (17%) and naturopaths (24%) than internists (58%) and rheumatologists (74%) rated the results of randomized controlled trials as "very useful" (P < .001). Twice as many internists (53%) and rheumatologists (64%) rated patient preferences as "least important" compared with acupuncturists (27%) and naturopaths (31%) (P < .001). In multivariate analyses, for clinicians aware of at least 1 trial, male sex (odds ratio [OR], 1.30 [95% confidence interval {CI}, 1.05-1.62]), prior research experience (OR, 1.45 [95% CI, 1.13-1.86]), institutional or academic practice setting (ORs, 1.98 [95% CI, 1.01-3.91], and 1.23 [95% CI, 0.73-2.09], respectively), and rating randomized trials as "very useful" (OR, 1.46 [95% CI, 1.12-1.91]) (P < .001) for clinical decision making were positively associated with CAM trial awareness. Acupuncturists, naturopaths, and internists (ORs, 0.15 [95% CI, 0.10-0.23], 0.15 [95% CI, 0.09-0.24], and 0.18 [95% CI, 0.12-0.28], respectively) were all similarly less aware of CAM trial results compared with rheumatologists. Conclusion For clinical research in CAM to achieve its social value, concerted efforts must be undertaken to train clinicians and improve the dissemination of research results. |
Publication | Archives of Internal Medicine |
Volume | 169 |
Issue | 7 |
Pages | 670-677 |
Date | April 13, 2009 |
DOI | 10.1001/archinternmed.2009.49 |
Short Title | Alternative Medicine Research in Clinical Practice |
URL | http://archinte.ama-assn.org/cgi/content/abstract/169/7/670 |
Accessed | Mon Sep 21 15:42:25 2009 |
Library Catalog | HighWire |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Background Little is known about whether federally funded complementary and alternative medicine (CAM) research is translating into clinical practice. We sought to describe the awareness of CAM clinical trials, the ability to interpret research results, the acceptance of research evidence, and the predictors of trial awareness among US clinicians. Methods We conducted a cross-sectional mailed survey of 2400 practicing US acupuncturists, naturopaths, internists, and rheumatologists. Results A total of 1561 clinicians (65%) responded. Of the respondents, 59% were aware of at least 1 major CAM clinical trial; only 23% were aware of both trials. A minority of acupuncturists (20%), naturopaths (25%), internists (17%), and rheumatologists (33%) were “very confident” in interpreting research results (P < .001). Fewer acupuncturists (17%) and naturopaths (24%) than internists (58%) and rheumatologists (74%) rated the results of randomized controlled trials as “very useful” (P < .001). Twice as many internists (53%) and rheumatologists (64%) rated patient preferences as “least important” compared with acupuncturists (27%) and naturopaths (31%) (P < .001). In multivariate analyses, for clinicians aware of at least 1 trial, male sex (odds ratio [OR], 1.30 [95% confidence interval {CI}, 1.05-1.62]), prior research experience (OR, 1.45 [95% CI, 1.13-1.86]), institutional or academic practice setting (ORs, 1.98 [95% CI, 1.01-3.91], and 1.23 [95% CI, 0.73-2.09], respectively), and rating randomized trials as “very useful” (OR, 1.46 [95% CI, 1.12-1.91]) (P < .001) for clinical decision making were positively associated with CAM trial awareness. Acupuncturists, naturopaths, and internists (ORs, 0.15 [95% CI, 0.10-0.23], 0.15 [95% CI, 0.09-0.24], and 0.18 [95% CI, 0.12-0.28], respectively) were all similarly less aware of CAM trial results compared with rheumatologists. Conclusion For clinical research in CAM to achieve its social value, concerted efforts must be undertaken to train clinicians and improve the dissemination of research results.
Type | Journal Article |
---|---|
Author | Thelma K Toni-Uebari |
Author | Baba Pd Inusa |
Abstract | ABSTRACT: BACKGROUND: Sickle cell disease (SCD) is now the most common genetic condition in the world including the UK with an estimate of over 12,500 affected people and over 300 new births per year. Blood transfusion therapy plays a very important role as a disease-modifying strategy in severe SCD e.g. primary and secondary stroke prevention and other acute life-threatening complications such as acute chest infections and acute multi-organ failure. Blood transfusion, however, carries a number of risks including alloimmunisation. There is the need to increase the level of awareness and education about SCD and also to increase blood donation drive among affected communities. These communities are mostly ethnic minority populations who are recognised to have poor access to health care services. Due to the strong impact of religion on these populations, faith organisations may provide potential access for health promotion and interventions. METHODS: A literature search was conducted to find studies published between 1990-2008 aimed at examining the influence of religious leaders and faith organisations in health, with particular reference to haemoglobinopathies. RESULTS: Eleven studies were reviewed covering a variety of health interventions. The findings suggest that involvement of religious leaders and faith organisations in health related interventions improved the level of acceptance, participation and positive health outcomes within the faith communities. CONCLUSION: Religious leaders and faith organisations have the potential to influence health education, health promotion and positive health outcomes amongst members of their faith community. They also provide potential access to at-risk populations for increasing awareness about SCD, encouraging health service utilization and ethnic blood donor drives. |
Publication | BMC Blood Disorders |
Volume | 9 |
Pages | 6 |
Date | 2009 |
Journal Abbr | BMC Blood Disord |
DOI | 10.1186/1471-2326-9-6 |
ISSN | 1471-2326 |
Short Title | The role of religious leaders and faith organisations in haemoglobinopathies |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19682389 |
Accessed | Tue Oct 27 09:59:09 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19682389 |
Date Added | Thu Sep 29 09:04:55 2011 |
Modified | Thu Sep 29 09:04:55 2011 |
Type | Journal Article |
---|---|
Author | Helane Wahbeh |
Author | Siegward-M Elsas |
Author | Barry S. Oken |
Abstract | Objective: Half of the adults in the United States use complementary and alternative medicine with mind-body therapy being the most commonly used form. Neurology patients often turn to their physicians for insight into the effectiveness of the therapies and resources to integrate them into their care. The objective of this article is to give a clinical overview of mind-body interventions and their applications in neurology. Methods: Medline and PsychInfo were searched on mind-body therapies and neurologic disease search terms for clinical trials and reviews and published evidence was graded. Results: Meditation, relaxation, and breathing techniques, yoga, tai chi, and qigong, hypnosis, and biofeedback are described. Mind-body therapy application to general pain, back and neck pain, carpal tunnel syndrome, headaches, fibromyalgia, multiple sclerosis, epilepsy, muscular dysfunction, stroke, aging, Parkinson disease, stroke, and attention deficit-hyperactivity disorder are reviewed. Conclusions: There are several conditions where the evidence for mind-body therapies is quite strong such as migraine headache. Mind-body therapies for other neurology applications have limited evidence due mostly to small clinical trials and inadequate control groups. |
Publication | Neurology |
Volume | 70 |
Issue | 24 |
Pages | 2321-2328 |
Date | June 10, 2008 |
DOI | 10.1212/01.wnl.0000314667.16386.5e |
Short Title | Mind-body interventions |
URL | http://www.neurology.org/cgi/content/abstract/70/24/2321 |
Accessed | Sat Sep 26 14:45:52 2009 |
Library Catalog | HighWire |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Objective: Half of the adults in the United States use complementary and alternative medicine with mind-body therapy being the most commonly used form. Neurology patients often turn to their physicians for insight into the effectiveness of the therapies and resources to integrate them into their care. The objective of this article is to give a clinical overview of mind-body interventions and their applications in neurology. Methods: Medline and PsychInfo were searched on mind-body therapies and neurologic disease search terms for clinical trials and reviews and published evidence was graded. Results: Meditation, relaxation, and breathing techniques, yoga, tai chi, and qigong, hypnosis, and biofeedback are described. Mind-body therapy application to general pain, back and neck pain, carpal tunnel syndrome, headaches, fibromyalgia, multiple sclerosis, epilepsy, muscular dysfunction, stroke, aging, Parkinson disease, stroke, and attention deficit-hyperactivity disorder are reviewed. Conclusions: There are several conditions where the evidence for mind-body therapies is quite strong such as migraine headache. Mind-body therapies for other neurology applications have limited evidence due mostly to small clinical trials and inadequate control groups.
Type | Journal Article |
---|---|
Author | Linda J. Waite |
Author | Evelyn L. Lehrer |
Abstract | In the United States, married people have better outcomes on a variety of measures of well-being than do single persons. People who participate in religious activities show similar advantages relative to those who have no religious involvement. This article presents a comparative analysis of these two social institutions: marriage and religion. A critical review of the literature on how religious involvement and being married affect a range of child and adult outcomes provides evidence of generally positive effects. Religion and marriage have an impact on many of the same domains of life, and there are remarkable similarities in the mechanisms through which they exert an influence. |
Publication | Population and Development Review |
Volume | 29 |
Issue | 2 |
Pages | 255-275 |
Date | Jun., 2003 |
ISSN | 00987921 |
Short Title | The Benefits from Marriage and Religion in the United States |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/3115227 |
Accessed | Fri Sep 25 12:08:53 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Jun., 2003 / Copyright © 2003 Population Council |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
In the United States, married people have better outcomes on a variety of measures of well-being than do single persons. People who participate in religious activities show similar advantages relative to those who have no religious involvement. This article presents a comparative analysis of these two social institutions: marriage and religion. A critical review of the literature on how religious involvement and being married affect a range of child and adult outcomes provides evidence of generally positive effects. Religion and marriage have an impact on many of the same domains of life, and there are remarkable similarities in the mechanisms through which they exert an influence.
Type | Journal Article |
---|---|
Author | Sandra A Weiland |
Abstract | Integration of the spiritual domain into the nursing plan of care positively influences health and wellness. Applying nursing theory to practice reinforces the advanced practice nurse's (APN's) responsibility to integrate spiritual care into the critical care environment. Indeed, all nurses have an obligation to integrate spiritual care because the focus of nursing care is beneficence. Moreover, the focus of APN care is not curing, but healing. Healing can be assisted by entering into the patient's suffering to help reconstruct life plans and facilitate realizing meaning from the despair of illness even while facing extreme adversity and death. This article describes spiritual care of the critically ill adult patient and the role that the APN must, can, and should take to assimilate spiritual care into care of these patients and their families. |
Publication | Critical Care Nursing Quarterly |
Volume | 33 |
Issue | 3 |
Pages | 282-291 |
Date | 2010 Jul-Sep |
Journal Abbr | Crit Care Nurs Q |
DOI | 10.1097/CNQ.0b013e3181ecd56d |
ISSN | 1550-5111 |
Short Title | Integrating spirituality into critical care |
Accessed | Wed Jul 7 09:55:04 2010 |
Library Catalog | NCBI PubMed |
Extra | PMID: 20551743 |
Date Added | Thu Sep 29 09:03:48 2011 |
Modified | Thu Sep 29 09:03:48 2011 |
Type | Book |
---|---|
Author | Anna van Wersch |
Author | Mark Forshaw |
Author | Tina Cartwright |
Publisher | Open University Press |
Date | 2009-10-01 |
ISBN | 0335220118 |
Library Catalog | Amazon.com |
Date Added | Thu Sep 29 09:05:21 2011 |
Modified | Thu Sep 29 09:05:21 2011 |
Type | Journal Article |
---|---|
Author | Margaret White |
Author | Marja Verhoef |
Abstract | BACKGROUND: The role of spirituality in patients' use of complementary and alternative medicine (CAM) approaches to cancer management has hardly been explored. Objective: To explore the role of spirituality in cancer management by men with prostate cancer who have declined conventional treatment and are using CAM. METHODS: This qualitative analysis is part of a longitudinal study to assess decision making by men with prostate cancer who decline conventional treatment and use CAM. In-depth interviews were conducted at study entry (n = 29). Themes were presented to participants in focus groups to further explore and validate the interview results. For a subset of participants (n = 10), spirituality emerged as an important theme; therefore, we conducted a secondary analysis of the interview data of these men to explore the role of spirituality in cancer management and decision making. RESULTS: Spirituality appeared to influence all aspects of the cancer experience. Most participants intensified their use of spiritual practice after a diagnosis of prostate cancer. These practices included spiritual ceremonies, indigenous healing, prayer, meditation, and use of spiritual imagery. Themes related to the role of spirituality in cancer management include beliefs about Western medicine, the role of spiritual beliefs in treatment decision making, the use of spiritual imager y and metaphor in healing, and the impact of cancer on spirituality. The discussion of these themes draws on quotes and case examples, illustrating how spirituality influenced study participants' response to diagnosis, treatment decision making, and cancer care. Two case examples provide a more in-depth understanding of how some participants incorporated spiritual imagery and metaphor into treatment decision making and cancer care. Ways in which cancer influenced spirituality are also discussed. Having prostate cancer appeared to influence their spirituality by strengthening their links with a spiritual community, increasing feelings of gratitude toward life, and improving personal relationships. Relevance: These findings indicate that spiritual beliefs and practices may play an important role in the formation of treatment choices for some patients. Health care providers need to be aware of and address patient concerns about how conventional treatment may conflict with their spiritual beliefs and practices. Further research and medical education is needed on spirituality and prostate cancer. |
Publication | Integrative Cancer Therapies |
Volume | 5 |
Issue | 2 |
Pages | 117-122 |
Date | Jun 2006 |
Journal Abbr | Integr Cancer Ther |
DOI | 10.1177/1534735406288084 |
ISSN | 1534-7354 |
Short Title | Cancer as part of the journey |
URL | http://www.ncbi.nlm.nih.gov/pubmed/16685076 |
Accessed | Fri Nov 13 15:49:26 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 16685076 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Background: The role of spirituality in patients’ use of complementary and alternative medicine (CAM) approaches to cancer management has hardly been explored. Objective: To explore the role of spirituality in cancer management by men with prostate cancer who have declined conventional treatment and are using CAM. Methods: This qualitative analysis is part of a longitudinal study to assess decision making by men with prostate cancer who decline conventional treatment and use CAM. In-depth interviews were conducted at study entry (n = 29). Themes were presented to participants in focus groups to further explore and validate the interview results. For a subset of participants (n = 10), spirituality emerged as an important theme; therefore, we conducted a secondary analysis of the interview data of these men to explore the role of spirituality in cancer management and decision making. Results: Spirituality appeared to influence all aspects of the cancer experience. Most participants intensified their use of spiritual practice after a diagnosis of prostate cancer. These practices included spiritual ceremonies, indigenous healing, prayer, meditation, and use of spiritual imagery. Themes related to the role of spirituality in cancer management include beliefs about Western medicine, the role of spiritual beliefs in treatment decision making, the use of spiritual imager y and metaphor in healing, and the impact of cancer on spirituality. The discussion of these themes draws on quotes and case examples, illustrating how spirituality influenced study participants’ response to diagnosis, treatment decision making, and cancer care. Two case examples provide a more in-depth understanding of how some participants incorporated spiritual imagery and metaphor into treatment decision making and cancer care. Ways in which cancer influenced spirituality are also discussed. Having prostate cancer appeared to influence their spirituality by strengthening their links with a spiritual community, increasing feelings of gratitude toward life, and improving personal relationships. Relevance: These findings indicate that spiritual beliefs and practices may play an important role in the formation of treatment choices for some patients. Health care providers need to be aware of and address patient concerns about how conventional treatment may conflict with their spiritual beliefs and practices. Further research and medical education is needed on spirituality and prostate cancer.
Type | Journal Article |
---|---|
Author | K Wilson |
Author | L D Lipscomb |
Author | K Ward |
Author | W H Replogle |
Author | K Hill |
Abstract | Prayer and spirituality have been shown to have a significant impact on several health variables. Additionally, studies have shown that patients think prayer is important to their health. Very little research, however, has been done to determine primary care physicians' opinions regarding prayer and spirituality as it pertains to healthcare. We surveyed primary care physicians in Mississippi to assess their use of prayer in medical practice. Ninety-one percent of respondents considered prayer an important treatment modality, but 50.6% rarely or never discussed prayer with patients. Most who excluded prayer from clinical practice did so to avoid imposing their beliefs upon patients. A majority of primary care physicians in Mississippi recognize prayer as an important psychosocial variable in assessing and treating patients, but many are hesitant to incorporate this variable into the doctor-patient encounter. |
Publication | Journal of the Mississippi State Medical Association |
Volume | 41 |
Issue | 12 |
Pages | 817-822 |
Date | Dec 2000 |
Journal Abbr | J Miss State Med Assoc |
ISSN | 0026-6396 |
Short Title | Prayer in medicine |
URL | http://www.ncbi.nlm.nih.gov/pubmed/11125643 |
Accessed | Thu Nov 12 20:42:15 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 11125643 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Prayer and spirituality have been shown to have a significant impact on several health variables. Additionally, studies have shown that patients think prayer is important to their health. Very little research, however, has been done to determine primary care physicians’ opinions regarding prayer and spirituality as it pertains to healthcare. We surveyed primary care physicians in Mississippi to assess their use of prayer in medical practice. Ninety-one percent of respondents considered prayer an important treatment modality, but 50.6% rarely or never discussed prayer with patients. Most who excluded prayer from clinical practice did so to avoid imposing their beliefs upon patients. A majority of primary care physicians in Mississippi recognize prayer as an important psychosocial variable in assessing and treating patients, but many are hesitant to incorporate this variable into the doctor-patient encounter.
Type | Journal Article |
---|---|
Author | Terri A. Winnick |
Abstract | This research examines trends in coverage of complementary and alternative medicine (CAM) in five prestigious medical journals during a period of intense reorganization within medicine (1965-1999). Content analysis of a sample of documents (N=102) shows the medical profession responded to the growth of CAM in three distinct phases. During each phase, changes in the medical marketplace-such as relaxed medical licensing, the development of managed care, rising consumerism, and the establishment of the Office of Alternative Medicine-influenced the type of response in the journals. From the late 1960s to the early 1970s, during the condemnation phase, authors ridiculed, exaggerated the risks, and petitioned the state to contain CAM. In the reassessment phase (mid-1970s through early 1990s), increased consumer utilization of CAM prompted concern, and authors pondered whether patient dissatisfaction and shortcomings in conventional care contributed to this trend. Throughout the 1990s, in the integration phase, struggles to outlaw CAM were abandoned, physicians began learning to work around or administer CAM, and the subjugation of CAM to scientific scrutiny became the primary means of control. This analysis demonstrates the evolutionary process of professionalization, a process in which dominance is sustained through adaptation to structural change. |
Publication | Social Problems |
Volume | 52 |
Issue | 1 |
Pages | 38-61 |
Date | Feb., 2005 |
ISSN | 00377791 |
Short Title | From Quackery to "Complementary" Medicine |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/4488108 |
Accessed | Tue Nov 10 01:16:01 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Feb., 2005 / Copyright © 2005 University of California Press |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This research examines trends in coverage of complementary and alternative medicine (CAM) in five prestigious medical journals during a period of intense reorganization within medicine (1965-1999). Content analysis of a sample of documents (N=102) shows the medical profession responded to the growth of CAM in three distinct phases. During each phase, changes in the medical marketplace-such as relaxed medical licensing, the development of managed care, rising consumerism, and the establishment of the Office of Alternative Medicine-influenced the type of response in the journals. From the late 1960s to the early 1970s, during the condemnation phase, authors ridiculed, exaggerated the risks, and petitioned the state to contain CAM. In the reassessment phase (mid-1970s through early 1990s), increased consumer utilization of CAM prompted concern, and authors pondered whether patient dissatisfaction and shortcomings in conventional care contributed to this trend. Throughout the 1990s, in the integration phase, struggles to outlaw CAM were abandoned, physicians began learning to work around or administer CAM, and the subjugation of CAM to scientific scrutiny became the primary means of control. This analysis demonstrates the evolutionary process of professionalization, a process in which dominance is sustained through adaptation to structural change.
Type | Book |
---|---|
Author | Leonard A. Wisneski |
Author | Lucy Anderson |
Edition | 2 |
Publisher | CRC |
Date | 2009-06-25 |
ISBN | 1420082906 |
Library Catalog | Amazon.com |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Interactions between the body and the mind/emotions are now a well-established fact of medical research in the field of psychoneuroimmunology. The Scientific Basis of Integrative Medicine lays out the scientific underpinnings for the mind-body connection, documenting the numerous interactions of the endocrine, immune, nervous, and stress systems that so profoundly impact human functioning. The authors propose a unified theory of human functioning, called integral physiology, which combines important Western biological knowledge with Eastern medical traditions of healing. Unique aspects of the text include the elucidation of the pineal as the master gland-the transducer of environmental information into neuronal and hormonal communication within the body. In addition, the authors assert that there must be a hormonal cascade for the relaxation response, paralleling the well-known hormonal elaboration of the stress response, and then provide a review of some of the hormones involved in this response. The Scientific Basis of Integrative Medicine is the first book to elaborate on the cutting-edge field of subtle energy medicine. The authors propose a theory of the physiology of spirituality-or in medical terms, a theory of how subtle energy impacts physical and mental/emotional functioning. Subtle energy medicine recognizes energy modalities that can beneficially affect the body, while acknowledging the importance of experiences traditionally called “intuitive” or “spiritual.” It broadens awareness of how our bodies are both hard wired and hormonally designed to permit interactions with subtle energy. This medical textbook has been written in a unique, conversational style that incorporates both technical and scientific information, and anecdotal stories.
Type | Journal Article |
---|---|
Author | Monica L Woll |
Author | Daniel B Hinshaw |
Author | Timothy M Pawlik |
Abstract | Spiritual and religious concerns often become of central importance in the care of surgical oncology patients confronted with their mortality. Unfortunately, surgeons are often ill prepared or reluctant to address the spiritual and religious needs of their patients. In this article, working definitions of spirituality versus religiosity will be developed in the context of the three largest monotheistic religions in America: Christianity, Islam, and Judaism. Disease, dying, and death will be explored with respect to these faiths and examples of how to address religious beliefs in practical clinical settings will be given. Finally, specific suggestions will be made for surgeons to better understand, empathize with, and address the needs of their seriously ill patients in a holistic manner. |
Publication | Annals of Surgical Oncology |
Volume | 15 |
Issue | 11 |
Pages | 3048-3057 |
Date | Nov 2008 |
Journal Abbr | Ann. Surg. Oncol |
DOI | 10.1245/s10434-008-0130-9 |
ISSN | 1534-4681 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/18773242 |
Accessed | Mon Nov 2 13:23:32 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18773242 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Spiritual and religious concerns often become of central importance in the care of surgical oncology patients confronted with their mortality. Unfortunately, surgeons are often ill prepared or reluctant to address the spiritual and religious needs of their patients. In this article, working definitions of spirituality versus religiosity will be developed in the context of the three largest monotheistic religions in America: Christianity, Islam, and Judaism. Disease, dying, and death will be explored with respect to these faiths and examples of how to address religious beliefs in practical clinical settings will be given. Finally, specific suggestions will be made for surgeons to better understand, empathize with, and address the needs of their seriously ill patients in a holistic manner.
Type | Journal Article |
---|---|
Author | V C N Wong |
Abstract | A cross-sectional survey of the use of CAM by children was undertaken in the Duchess of Kent Children's Hospital in Hong Kong (March-December 2006). A questionnaire survey concerning the use of CAM was administered to chief caretakers (only the mothers) who accompanied children with neurodevelopmental disabilities followed up in our Neurodevelopmental paediatrics clinics. Four hundred and thirty agreed for interview of which 98 (22.8%) had Autism Spectrum Disorder (ASD). CAM was used in 40.8% for ASD and 21.4% of non-ASD (p < 0.001). We describe the profile of use of CAM in ASD in this part A paper. The three most common type of CAM use was Acupuncture (47.5%), Sensory Integration (42.5%), and Chinese Medicine (30%). About 76.9% of interviewees expected CAM to augment conventional treatment. Although 47.5% used both conventional western medicine and CAM, only 22.4% disclosed the use of CAM to Doctors. The following factors were significantly related to CAM use: father's job and mother's religion. Our frequency of CAM used in children with ASD was lower in Canada (52%) and USA (74%, 92%). The main CAM use in western culture was biological-based therapy whereas acupuncture was the most common CAM used in our locality. |
Publication | Journal of Autism and Developmental Disorders |
Volume | 39 |
Issue | 3 |
Pages | 454-463 |
Date | Mar 2009 |
Journal Abbr | J Autism Dev Disord |
DOI | 10.1007/s10803-008-0644-9 |
ISSN | 1573-3432 |
Short Title | Use of complementary and alternative medicine (CAM) in autism spectrum disorder (ASD) |
URL | http://www.ncbi.nlm.nih.gov/pubmed/18784992 |
Accessed | Mon Mar 28 18:29:00 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 18784992 |
Date Added | Thu Sep 29 09:06:18 2011 |
Modified | Thu Sep 29 09:06:18 2011 |
Type | Book |
---|---|
Author | Stephen G Wright |
Place | London |
Publisher | Wiley |
Date | 2005 |
ISBN | 1861564686 |
Library Catalog | library.bu.edu Library Catalog |
Call Number | RT85.2 .W75 2005 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
This is a scholarly exploration of the subject of spirituality and health and is relevant to all health care practitioners and those who support them. Drawing on the author’ s rich personal experience in the field, his previously published material on the subject in professional journals and a wide range of research and other relevant literature, the book explores a diverse range of themes relevant to the everyday work of the health care practitioner. Is spirituality of any relevance to the work of carers? How is it best integrated? How do we address the spiritual needs of health care staff? What are the implications for leadership, professional boundaries, education, health care knowledge and practices?
Type | Journal Article |
---|---|
Author | Cecilia Wu |
Author | Wendy Weber |
Author | Leila Kozak |
Author | Leanna J Standish |
Author | Jeff G Ojemann |
Author | Richard G Ellenbogen |
Author | Anthony M Avellino |
Abstract | OBJECTIVES: Use of complementary and alternative medicine (CAM) by the U.S. population increased significantly in the past 2 decades. To maximize a patient's recovery from a neurosurgical procedure, it is critical that neurosurgeons be aware of the benefits and potential adverse complications of CAM therapies. The survey's purpose was to assess the current patterns of CAM utilization by neurosurgery patients and neurosurgeon knowledge of CAM therapies among Washington State Association of Neurological Surgeons (WSANS) members. METHODS: Members of the WSANS were surveyed in 2005. The survey was sent via e-mail and the data were anonymously collected using an online survey tool, Catalyst WebQ. RESULTS: The majority of responses (79%) stated that their neurosurgery practice was > or =75% adults. Acupuncture, herbs, massage therapy, prayer, and yoga were the most common CAM treatments patients used or discussed with their neurosurgeon. Fifty percent (50%) of neurosurgeons discussed the use of acupuncture among their colleagues. Concerning prayer and spirituality, 38% of the surveyed neurosurgeons stated that > or =25% of their patients have disclosed that they pray for their health; 42% stated that spirituality and prayer may affect neurosurgery outcome; and 38% stated that they pray for their patients. Overall, 63% of surveyed neurosurgeons stated that CAM treatments have a role in neurosurgery. CONCLUSIONS: The use of CAM may influence neurosurgical care; and the role of spirituality and prayer should be further explored. Because CAM utilization is ubiquitous, open discussion and familiarity with CAM treatments are becoming increasingly important in the field of neurosurgery. |
Publication | Journal of Alternative and Complementary Medicine |
Volume | 15 |
Issue | 5 |
Pages | 551-555 |
Date | May 2009 |
Journal Abbr | J Altern Complement Med |
DOI | 10.1089/acm.2008.0427 |
ISSN | 1557-7708 |
URL | http://www.ncbi.nlm.nih.gov/pubmed/19450166 |
Accessed | Fri Nov 13 20:03:45 2009 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19450166 |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Objectives Use of complementary and alternative medicine (CAM) by the U.S. population increased significantly in the past 2 decades. To maximize a patient’s recovery from a neurosurgical procedure, it is critical that neurosurgeons be aware of the benefits and potential adverse complications of CAM therapies. The survey’s purpose was to assess the current patterns of CAM utilization by neurosurgery patients and neurosurgeon knowledge of CAM therapies among Washington State Association of Neurological Surgeons (WSANS) members. Methods: Members of the WSANS were surveyed in 2005. The survey was sent via e-mail and the data were anonymously collected using an online survey tool, Catalyst WebQ. Results: The majority of responses (79%) stated that their neurosurgery practice was > or =75% adults. Acupuncture, herbs, massage therapy, prayer, and yoga were the most common CAM treatments patients used or discussed with their neurosurgeon. Fifty percent (50%) of neurosurgeons discussed the use of acupuncture among their colleagues. Concerning prayer and spirituality, 38% of the surveyed neurosurgeons stated that > or =25% of their patients have disclosed that they pray for their health; 42% stated that spirituality and prayer may affect neurosurgery outcome; and 38% stated that they pray for their patients. Overall, 63% of surveyed neurosurgeons stated that CAM treatments have a role in neurosurgery. Conclusions: The use of CAM may influence neurosurgical care; and the role of spirituality and prayer should be further explored. Because CAM utilization is ubiquitous, open discussion and familiarity with CAM treatments are becoming increasingly important in the field of neurosurgery.
Type | Journal Article |
---|---|
Author | Arkadi Yakirevitch |
Author | Lev Bedrin |
Author | Lela Migirov |
Author | Michael Wolf |
Author | Yoav P Talmi |
Abstract | <AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The worldwide interest in the use of complementary and alternative medicine (CAM) has been established in multiple surveys. Chronic rhinosinusitis (CRS) is often an unremitting disease with frequent troubling relapses, and despite wide use of endoscopic sinus surgery, conventional medicine may have a smaller contribution than expected. Because of prevalent use of CAM among patients, it is important that physicians acquire basic knowledge of this subject. We studied the prevalence of CAM use among CRS patients in Israel.</AbstractText> <AbstractText Label="DESIGN" NlmCategory="METHODS">Use of CAM was evaluated in a cohort of consecutive adult patients with CRS.</AbstractText> <AbstractText Label="SETTING" NlmCategory="METHODS">An outpatient clinic in a tertiary medical centre.</AbstractText> <AbstractText Label="METHODS" NlmCategory="METHODS">Patients were asked to fill out an anonymous questionnaire containing demographic data and data pertaining to allergy, traditional medical and surgical treatment use of CAM, and modalities used.</AbstractText> <AbstractText Label="RESULTS" NlmCategory="RESULTS">Ninety patients were included. Nineteen of them (21%) reported CAM use. This included herbal medicine, vitamins, homeopathy, acupuncture, massage, reflexology, yoga, and chiropractics. There was a tendency, although not statistically significant, for patients with allergy and a history of sinus surgery to use CAM.</AbstractText> <AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The prevalence of CAM use among patients with CRS in Israel is high and may correlate with the presence of allergies and a history of sinus surgery.</AbstractText> |
Publication | Journal of Otolaryngology - Head & Neck Surgery |
Volume | 38 |
Issue | 4 |
Pages | 517-520 |
Date | Aug 2009 |
Journal Abbr | J Otolaryngol Head Neck Surg |
ISSN | 1916-0216 |
URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19755095 |
Accessed | Fri Feb 4 10:47:05 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 19755095 |
Date Added | Thu Sep 29 09:05:38 2011 |
Modified | Thu Sep 29 09:05:38 2011 |
Type | Journal Article |
---|---|
Author | Laura A Young |
Abstract | Over the past decade, there has been an increasing interest in meditation as a mind-body approach, given its potential to alleviate emotional distress and promote improved well being in a variety of populations. The overall purpose of this review is to provide the practicing rheumatologist with an overview of mindfulness and how it can be applied to Western medical treatment plans to enhance both the medical and psychological care of patients. |
Publication | Rheumatic Diseases Clinics of North America |
Volume | 37 |
Issue | 1 |
Pages | 63-75 |
Date | Feb 2011 |
Journal Abbr | Rheum. Dis. Clin. North Am |
DOI | 10.1016/j.rdc.2010.11.010 |
ISSN | 1558-3163 |
Short Title | Mindfulness meditation |
Accessed | Sun Feb 13 10:35:33 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21220086 |
Date Added | Thu Sep 29 08:57:35 2011 |
Modified | Thu Sep 29 08:57:35 2011 |
Type | Journal Article |
---|---|
Author | Laura A Young |
Abstract | Over the past decade, there has been an increasing interest in meditation as a mind-body approach, given its potential to alleviate emotional distress and promote improved well being in a variety of populations. The overall purpose of this review is to provide the practicing rheumatologist with an overview of mindfulness and how it can be applied to Western medical treatment plans to enhance both the medical and psychological care of patients. |
Publication | Rheumatic Diseases Clinics of North America |
Volume | 37 |
Issue | 1 |
Pages | 63-75 |
Date | Feb 2011 |
Journal Abbr | Rheum. Dis. Clin. North Am |
DOI | 10.1016/j.rdc.2010.11.010 |
ISSN | 1558-3163 |
Short Title | Mindfulness meditation |
Accessed | Tue Mar 15 14:29:26 2011 |
Library Catalog | NCBI PubMed |
Extra | PMID: 21220086 |
Date Added | Thu Sep 29 08:57:14 2011 |
Modified | Thu Sep 29 08:57:14 2011 |
Type | Journal Article |
---|---|
Author | Catherine Zollman |
Author | Andrew Vickers |
Publication | British Medical Journal |
Volume | 319 |
Issue | 7214 |
Pages | 901-904 |
Date | Oct. 2, 1999 |
ISSN | 09598138 |
Short Title | ABC of Complementary Medicine |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/25185967 |
Accessed | Mon Nov 9 00:29:21 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Oct. 2, 1999 / Copyright © 1999 BMJ Publishing Group |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |
Type | Journal Article |
---|---|
Author | Catherine Zollman |
Author | Andrew Vickers |
Publication | British Medical Journal |
Volume | 319 |
Issue | 7223 |
Pages | 1486-1489 |
Date | Dec. 4, 1999 |
ISSN | 09598138 |
Short Title | ABC of Complementary Medicine |
URL | http://www.jstor.org.ezproxy.bu.edu/stable/25186547 |
Accessed | Mon Nov 9 00:29:37 2009 |
Library Catalog | JSTOR |
Extra | ArticleType: primary_article / Full publication date: Dec. 4, 1999 / Copyright © 1999 BMJ Publishing Group |
Date Added | Sat Oct 1 15:01:20 2011 |
Modified | Sat Oct 1 15:01:20 2011 |