Religion and psychotherapy--ethics, civil liberties, and clinical savvy: a critique.
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A case of fatal cardiac tamponade due to myxedema pericarditis is reported. The woman, a 54-year-old Christian Scientist, had never sought medical care and died at home. The pericardial sac occupied most of the thorax and contained 2,270 mL of fluid. A thick, shaggy, fibrinous exudate on the pericardium contained abundant cholesterol clefts typical of chronic effusion and myxedema. Thyroid function tests on postmortem blood revealed profound hypothyroidism, and the thyroid was atrophied, with the histologic appearance of primary atrophic thyroiditis. Pericardial effusion is common in myxedema, but cardiac tamponade is rare, only 13 cases being previously reported, none of which was fatal.
A cross-sectional national telephone survey was used to determine whether Christian Scientists (N = 230), a religious group that uses mind/body (including spiritual) healing, self-report more or less illness than non-Christian Scientists (N = 589). The primary outcome measure was the proportion of Christian Scientists and non-Christian Scientists that, during the previous 12 months: a) experienced any of 13 common medical conditions or symptoms; and b) used conventional medicine, unconventional medicine, and mind/body (including spiritual) healing. Fewer Christian Scientists experienced an illness or symptom than non-Christian Scientists (73% vs. 80%, respectively, p = .05). A multivariate analysis showed that Christian Scientists were less likely to have experienced illness than non-Christian Scientists (odds ratio [OR] .66, 95% confidence interval [CI] .44 to .99, p = .04). Similar proportions of Christian Scientists and non-Christian Scientists used some type of conventional medicine (74% vs. 78%, respectively), although Christian Scientists were less likely to take prescription medications than non-Christian Scientists (p = .034). Although use of unconventional medicine was similar in both groups (52% vs. 45%), more Christian Scientists than non-Christian Scientists used at least one type of mind/body medicine (67% vs. 42% p < .00001), notably special religious services and spiritual healing. Additional studies are needed to determine whether there are health benefits associated with the use of conventional and unconventional medicine in combination with mind/body (including spiritual) healing.
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Our study, unique in its use of medical records as well as self-report data, was conducted to ascertain the extent to which Christian Scientists used a medical facility and whether or not such use was related to the experience of psychologic stress. Their use of medical facilities was found to be low, and it was positively related to stress.
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Health education at times can conflict with the cultural, religious, and ethnic backgrounds of students. This article examines the dilemma by using the religious teachings of Judaism to illustrate conflicts that can arise. Other cultures, religions, and ethnic origins are discussed, and some dilemmas health educators face with these groups are described. Suggestions for health educators are offered to prevent health instruction from leading to conflict between home and school concerning cultural, religious, and ethnic values.
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OBJECTIVE: To evaluate deaths of children from families in which faith healing was practiced in lieu of medical care and to determine if such deaths were preventable. DESIGN: Cases of child fatality in faith-healing sects were reviewed. Probability of survival for each was then estimated based on expected survival rates for children with similar disorders who receive medical care. PARTICIPANTS: One hundred seventy-two children who died between 1975 and 1995 and were identified by referral or record search. Criteria for inclusion were evidence that parents withheld medical care because of reliance on religious rituals and documentation sufficient to determine the cause of death. RESULTS: One hundred forty fatalities were from conditions for which survival rates with medical care would have exceeded 90%. Eighteen more had expected survival rates of >50%. All but 3 of the remainder would likely have had some benefit from clinical help. CONCLUSIONS: When faith healing is used to the exclusion of medical treatment, the number of preventable child fatalities and the associated suffering are substantial and warrant public concern. Existing laws may be inadequate to protect children from this form of medical neglect.
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The Latin translations of major Arabian texts have largely contributed to the rise of medical sciences in christian Western during the middle age. Among the pharmacologist Andalusian erudites who have been translated into Latin language, for example by Gerard de Crémone, Al-Zahrâwî (Albucasis) and Ibn Wâfid are references. Al-Zahrâwî has written about materia medica in several books included in his thirty volume's encyclopaedia: al-tasrif. Ivn Wâfid has given to the medical world two remarkable treatises: a really formuler kitâb al-wisâd fî-l-tibb though a book of the simple drugs, kitâb fî al-adwiya al-mufrada.
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