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Hindu and Buddhist children, adolescents, and families.

The language of psychotherapy that focuses on the individual may be problematic for Hindu and Buddhist families. The focus on child and adolescent development as a separation-individuation process that moves the child into an independent life with individual goals may run contrary to family cultural values and to the Hindu and Buddhist views of interconnectedness. For the Hindu family, however, when therapy can be seen as being compatible with an evolution toward the higher self and is consistent with the shared sense of family belonging, the goals can be complementary. With the fundamental views in Buddhism that suffering derives from emotional and conceptual misunderstandings and from the resultant actions, and that change is necessary to relieve that suffering, therapy and practice may share goals. The spiritual teachings can work alongside the therapeutic work, and the improved functioning is also spiritual growth.

Acculturation↗

Between wonder and doubt: psychoanalysis in the goal-free zone.

This paper examines the experiential dimensions of wonder and doubt as one way to articulate the creative and growth-promoting tensions between the medical/scientific model and the spiritual/mystical model. Both forms of experience, it is argued, function as necessary elements in a psychotherapy that integrates psychoanalysis and spiritual praxes. Fundamental differences between the medical/scientific model and the spiritual/mystical models are examined. The notion of the gap serves to illustrate these diametrically opposed, albeit compatible and necessary, points of view. The multifaceted layers of movement between Buddhism and psychoanalysis typify interacting dynamics between the two disciplines and provide a focal point for discussion. The paper then explores parallels between the Zen Buddhist notion of "Satori" as explicated in the writings of D. T. Suzuki and Wilfred Bion's notion of "O." Theoretical aspects of the discussion provide a backdrop for exploring clinical experience regarding the relationship between acceptance and change, the clinical relevance of the Buddhist notions of "gaining idea" and "basic goodness." The author also explores relationships between presence as actuality and ideal; knowing and not knowing; wonder and doubt. Clinical material supports the theoretical aspects of the discussion.

Adult↗

Chinese values, health and nursing.

PURPOSE: To describe the roots of Chinese values, beliefs and the concept of health, and to illustrate how these ways have influenced the development of health care and nursing among Chinese in the Republic of China (ROC) and the People's Republic of China (PRC). Scope. Based on the literature and direct observation in the PRC and ROC, this is an introduction to Chinese philosophies, religion, basic beliefs, and values with a special meaning for health and nursing. Chinese philosophies and religion include Confucian principles, Taoism, theory of "Yin" and "Yang", and Buddhism. Beliefs and values include the way of education, practice of acupuncture, herbal treatments and diet therapy. How people value traditional Chinese medicine in combination with western science, and the future direction of nursing and nursing inquiry are also briefly addressed. CONCLUSION: Chinese philosophies and religions strongly influence the Chinese way of living and thinking about health and health care. Nurses must combine information about culture with clinical assessment of the patient to provide cultural sensitive care. A better way may be to combine both western and Chinese values into the Chinese health care system by negotiating between the traditional values while at the same time, respecting an individual's choice. The foundation of China's philosophical and aesthetic tradition, in combination with western science is important to the future advancement of nursing research that will be beneficial to the Republics, Asia, and the world.

Attitude to Health↗

Stressors and coping methods among chronic haemodialysis patients in Hong Kong.

The purpose of the study was to determine the stressors and coping methods of chronic haemodialysis patients in Hong Kong. Relationships among treatment-related stressors, coping methods and length of time on haemodialysis were explored. Fifty subjects completed the Haemodialysis Stressor Scale (HSS) and Jalowiec Coping Scale (JCS). Results revealed that limitation of fluid was the most frequently identified stressor, followed by limitation of food, itching, fatigue and cost. The most common coping methods are 'accepted the situation because very little could be done', followed by 'told oneself not to worry because everything would work out fine' and 'told oneself that the problem was really not that important.' It was found that the traditional philosophies of the Chinese--Confucianism, Buddhism, and Taoism--share an approach to the understanding and management of life stressors as different from that adopted by Western philosophies. The findings of this study can further facilitate nurse practitioners in providing support, information, and alternative solutions when assisting patients in coping with long-term haemodialysis.

Activities of Daily Living↗

The social situation in Thailand: the impact on elderly people.

Most Thai people are Buddhists who believe in the concept of repayment for their parents' goodness and usually live with their parents. Currently, a growing number of older Thai people, as well as the changing Thai society, is affected by the need for more health-care services and social support. The intention of this paper is to describe the social situations in Thailand that impact on support for Thai people aged 60 years and older. The paper covers demographic change, socio-economic change, family structure, Buddhism and the health of elderly people. The information presented is based on socio-economic knowledge and former research studies, and is intended to be used as the basis for better nursing care and health-care services in Thailand.

Aged↗

Perceptions of depression among elderly Thai immigrants.

Because little is known about elderly Thai immigrants' conceptualization of depression, a qualitative descriptive research study was conducted to explore their perception of depression. Semi-structured individual face-to-face interviews were performed with a purposeful sampling of ten men and ten women aged 60 years and older at participants' homes or Thai Buddhist temples. The results revealed that depression was defined as feeling disappointment and pressure in the mind and included symptoms of isolation, heart pounding, and dissatisfaction. Coping strategies comprised practicing Buddhism and acceptance. Gender differences existed and reflected cultural expectations for men and women. These findings provide a foundation for developing culturally sensitive health care.

Adaptation, Psychological↗

Spiritual bonds to the dead in cross-cultural and historical perspective: comparative religion and modern grief.

Contemporary spirituality within continuing bonds with the dead is placed into the comparative context of Western Christianity and Japanese Buddhism. Throughout history, humans have maintained interaction with two kinds of dead: ancestors and sacred dead, the first characterized by symmetrical relationships and the second by asymmetrical. Continuing bonds are deeply connected with, and are often in conflict with, bonds to the nation and (in the West) to God. In this framework, the authors find that continuing bonds in the present function within the private sphere and have very limited functions within the larger society, resemble traditional bonds with the sacred dead, and, at this time, offer a mild critique of the values and lifestyles on which consumer capitalism is based.

Attitude to Death↗

Disability in an eastern religious context: historical perspectives.

Disability in the past of eastern religions has attracted little formal or comparative scrutiny. A range is sketched here of historical data, viewpoints and attitudes on disability in Hinduism, Buddhism and Islam, which continue to influence the thoughts of half the world's population. Approaches for more detailed studies are suggested, moving towards such global measures for understanding, remediating and accommodating disability as would be more appropriate and acceptable to the non-western majority. Popular notions associated with disabilities in these religions are discussed.

Asia↗

Religious beliefs and practice, and alcohol use in Thai men.

Buddhism, the Thai state religion, teaches that use of intoxicants should be avoided. Nonetheless, many Thai people drink alcohol, and a proportion are alcohol-dependent or hazardous or harmful drinkers. This study examines the relationship between Buddhist upbringing and beliefs and alcohol use disorders in Thai men. Three groups, comprising 144 non/infrequent/light drinkers, 77 hazardous/ harmful drinkers and 91 alcohol dependents were interviewed regarding their early religious life and current religious practices and beliefs. No protective association was shown between early religious life and later alcohol use disorders; indeed, having lived as a boy in a temple for a period was commoner in those with adult alcohol problems. Few subjects reported frequent involvement in current religious activities (9, 8 and 6% in the non/infrequent/light drinkers, hazardous/harmful drinkers, and alcohol dependents respectively). Hazardous/harmful drinkers [odds ratio (OR) = 0.4, 95% confidence interval (CI) = 0.2-0.9] and alcohol dependents (OR = 0.5, 95% CI = 0.2-0.9) were less likely to report being moderately to strongly religious, than were non/infrequent/light drinkers. Understanding the association between religious beliefs and drinking behaviour can potentially assist in the development of prevention and treatment programmes.

Adult↗

Bioethics in Thailand: the struggle for Buddhist solutions.

The Thai concern for bioethics has been stimulated by the departure of Thai medicine from its long tradition through the introduction of Western medical models. Bioethics is now being taught to Thai medical students emphasizing moral insights and principles found within Thai culture. These are to a large extent Buddhist themes. Veracity is always a duty for people in general and medical personnel in particular. Falsehoods and deception cannot be morally justified simply on the grounds that we think it is good for another. Buddhism also prohibits killing. The doctrine of kamma holds that joys and sorrows are the result of one's own past actions. Kamma must run its course or will be manifest in a future life. Mercy-killing also violates the Buddhist psychology. A physician who kills subconsciously transfers his aversion to suffering to the one who embodies the suffering. Buddhist justice is understood in terms of impartiality and equal treatment. Compassion goes beyond justice to self-giving and self-denial. It is central to the path to the attainment of highest human fulfillment.

Advisory Committees↗

Words of Tohkaku Wada: medical heritage in Japan.

The origins of Japan's medical ideas, which are deeply rooted in its religion, culture and history, are not widely understood in medical societies of other countries. We have taken up the task of summarising this tradition here so that some insight can be gained into the unique issues that characterise the practice of medicine in Japan. We borrow from the sayings of Tohkaku Wada, a medical philosopher of late eighteenth-century Japan, for a look at Japanese medical tradition. Wada's medical thought was very much reflective of the Buddhism, Zen, and swordsmanship that informed eighteenth-century philosophy in Japan. His central concepts were "chu" and "sei", that is, complete and selfless dedication to the patient and the practice of medicine. This paper explores Wada's thought, explaining it mainly from the standpoint of Japanese traditional culture.

Buddhism↗

Current therapies and the ancient East.

Current therapies, their theories and techniques ebb and flow in popularity, but there is a residue of basic principles and practices which remain. Much of this useful residue has been present in ancient Eastern religions and philosophies. This article compares the content of several current theories of individual, group, and family therapies to seed ideas in ancient Taoist, Zen, Confucian, yoga, and Buddhist source materials. Gestalt, existential, psychoanalytic, transactional analysis, cognitive-behavioral and family therapy concepts are traced to these ancient precursors. Illustrative examples are presented such as satori (flash of insight), koans (insight riddles), parables, yanas (exercises), rituals, and written teachings. The article concludes with the Four Noble Truths and the 8-fold path of Buddhism, given 2500 years ago but very timely to contemporary problems of life adjustment and a useful guide to counseling and therapy.

Buddhism↗

Training psychotherapists in attributes of "mind" from Zen and psychoanalytic perspectives, Part I: Core principles, emptiness, impermanence, and paradox.

This paper outlines the principles of a conceptual foundation for an innovative approach to the training of the modern psychotherapist, using certain technical and philosophical percepts found in the practice of Zen, divorced from its usual role as a form of Buddhism and/or a religious belief. A set of core principles derived from Zen and embedded in psychoanalytic theory are listed. Specific values are embodied in the day to day practice of the psychotherapist. The first of these values is the understanding of the true nature of emptiness in relation to the self and the non-Cartesian universe. Then the concept of impermanence and the centrality of paradox to the practice of Zen and psychotherapy is described. The basis of this approach to the education of the psychotherapist is grounded in the assumption that the usual training format with its focus on training in technical skills, with personal treatment being an additional requirement for many psychodynamic therapists, is insufficient for a complete educational experience. The training of the mind itself is an often forgotten and yet essential component of the training process.

Buddhism↗

Change: a central concern of nursing.

The purpose of this paper is to explore the concept of change. More precisely, considering insights from Buddhism, existential philosophy, and modern developmental thought, this paper will discuss two aspects of change: (a) change as a fundamental, inevitable aspect of life, and (b) change as a process of risking to choose. The discussion includes an analysis of the correspondence of the concept with four nursing frameworks, and some implications for nursing theory, research, and practice.

Buddhism↗

The healing Buddha.

The iconography of the healing Buddha embraces two healing traditions, symbolized by the healing stone lapis lazuli from Central Asia and by the myrobalan fruit from the ayurvedic medicine of ancient India. The first mention of the healing Buddha is in Buddhist texts of the first century BC, and the earliest extant icons date from the fourth century AD. This suggests the cult of the healing Buddha was a relatively late development in the history of Buddhism. Worshippers sought his help in alleviating spiritual, mental and physical suffering, as well as for medical cures. In China followers believed he was also a cosmic Buddha, to whom one appealed for longevity and protection from disasters. This form of faith-based healing remains vibrant in China, Japan and Tibet to this day.

Buddhism↗

The last 48 hours of life: a case study of symptom control for a patient taking a Buddhist approach to dying.

Caring for a patient dying of cancer can, at times, be extremely difficult. Sarah was 39 years old when she died, survived by her husband and two children aged 6 and 4 years. During the weeks leading up to her death, Sarah held extensive discussions with family and the multidisciplinary team. Her goal was to live the remainder of her last few hours as comfortable as possible and to die a "peaceful death". Terminal care is an important phase of life, one in which individuals have the right to expect quality of care to ensure that their death occurs with dignity. Sarah practised Buddhism on a daily basis. Issues of spirituality, serenity and peacefulness in dying were very important to her to ensure a good rebirth.

Adult↗

Worry and intrinsic/extrinsic religious orientation among Buddhist (Thai) and Christian (Canadian) elderly persons.

An investigation of the relationship between Allport's concept of religious orientation and worry was conducted with samples (N = 104) of elderly Buddhist Thais and Christian Canadians. Participants ranged in age between sixty-five and ninety years old (mean = 71). A multiple regression analysis revealed that overall for both Buddhists and Christians an intrinsic orientation toward religion was associated with lesser worry. Furthermore, an extrinsic orientation among Buddhists, in contrast to Christians, was found to be linked to greater worry. These results were discussed in the context of the practice and beliefs of Buddhism and Christianity.

Aged↗

Wat Thamkrabok: a Buddhist drug rehabilitation program in Thailand.

Since 1959 Wat Thamkrabok, a Buddhist monastery in Thailand, has been conducting a drug addiction rehabilitation program which claims a 70% success rate. The program is known for its use of unconventional methods, such as inducing vomiting to relieve "cravings" for drugs, herbal saunas, strict discipline, an emphasis on Buddhism, and a sacred vow to never again use drugs. This is a descriptive study based on observations and interviews (mostly with foreigners) made at the monastery. While it was not possible to evaluate claims of success, there were several interesting aspects of the program which emerged. Vomiting was reported to be effective in reducing "craving," and participants seemed to have a positive regard for the program, but there were some serious concerns raised about health risks and the coercive nature of the program.

Adult↗