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Spiritual issues in psychiatric care.

This article differentiates between the concepts of spirituality and religion and analyzes the strengths and weaknesses of the research findings related to spirituality, religion, and mental health. To discuss the importance of clarifying values and becoming self-aware in relation to implementing spiritual and religious interventions. The components of spiritual assessment are presented as well as spiritual coping practices and interventions the nurse might use when working with clients. Review of literature from MEDLINE, CINAHL, and current texts. Spirituality and religion are too often neglected foci of psychiatric mental health assessment and intervention. In order to maximize therapeutic effectiveness, nurses should be aware that for many patients spirituality is a critical life factor. Accordingly, they should screen patients and strive to meet patient needs for spiritual expression, while recognizing that there are important boundary and ethical issues in psychiatric mental health settings.

Adaptation, Psychological↗

The challenge of ritualistic child abuse.

Survivors of ritual abuse have endured physical and psychosexual trauma typically compounded by mind-altering drugs. Some abused children have never known a trustworthy adult to protect them from harm. Children often cope with the anxiety and terror of abuse through psychological defenses such as denial, self-hypnosis, and dissociation, but more extreme responses such as self-mutilation or multiple personalities may occur. Reports of ritual abuse of children are so shocking and bizarre that professionals initially respond with confusion and disbelief (Cozolino, 1989). Nurses need to assess clues and detect symbols of abuse in drawings or flashbacks, to build trust, and to monitor their attitudes and countertransference. Nurses are in a critical position to detect and begin healing wounds of ritual abuse.

Adolescent↗

To cure, to care, or to heal.

Healing is an unfulfilled potential in the current healthcare system. Although illness is a ritual that necessitates the social support of natural networks and healers, the organization of hospitals impedes support and healing. In this article, the authors analyze the ritual of illness, the hospital as a technological bureaucracy, social networks, and social support, and make recommendations for action by nurses who identify themselves as healers.

Caregivers↗

Role, ritual, and the grynnflnk.

While cohabitation among middle-class youth has been increasing, there has been little exploration of the influence of this change on the extended kin system. This paper examines the formal recognition of cohabitation, via role change and ritual, and introduces terminology to describe a relationship heretofore unaccounted for in our vocabulary.

Ceremonial Behavior↗

Belief in demons and exorcism in psychiatric patients in Switzerland.

Belief in demons as the cause of mental health problems is a well-known phenomenon in many cultures of the world. However, there is little literature on this phenomenon in Protestant subcultures of the West. The author conducted a systematic investigation of the prevalence of this attribution in 343 mainly Protestant out-patients of a psychiatric clinic in Switzerland, who described themselves as religious. Of these, 129 (37.6 per cent) believed in the possible causation of their problems through the influence of evil spirits, labelling this as 'occult bondage' or 'possession'. One hundred and four patients (30.3 per cent) sought help through ritual 'prayers for deliverance' and exorcism. Prevalence of such practices was significantly related to diagnosis (p < .01) and to church affiliation (p < .005). Patients in charismatic free churches suffering from anxiety disorders and schizophrenia reported the highest rate of exorcistic rituals (70 per cent), and patients with adjustment disorders from traditional state churches the lowest (14 per cent). The various forms and functions of these healing rituals are described. Although many patients subjectively experienced the rituals as positive, outcome in psychiatric symptomatology was not improved. Negative outcome, such as psychotic decompensation, is associated with the exclusion of medical treatment and coercive forms of exorcism.

Adult↗

Features associated with speaking in tongues (glossolalia).

Reports of the frequency, context, associated behaviours, feelings and meaning associated with glossolalia were collected from three groups of informants: speakers (N = 14, who practised glossolalia), witnesses (N = 15, who had witnessed but had never practised glossolalia), and controls (N = 16, who had neither witnessed nor practised glossolalia). All informants were practising Christians. Speakers reported glossolalia as a regular, daily, private activity, usually accompanying mundane activities, as a special form of prayer associated with calm, pleasant emotions. By contrast, witnesses and controls were more likely to describe glossolalia as an exceptional activity, usually occurring in the religious group, and associated with excitement. The views of witnesses were closer to those of speakers than were the views of controls. It is suggested that there may be two types of glossolalia, of which one is more likely to be associated with psychopathology.

Adult↗

Zombification.

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Ceremonial Behavior↗