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At least 19 recordsLinked to original sources

A community study of formal pastoral counseling activities of the clergy.

Although the clergy have been identified as a major community mental health resource, few epidemiologic studies of clergy practices have been conducted. The authors report a comprehensive survey of the counseling activities of clergy groups serving south-central Connecticut. They found that the clergy were a heterogeneous counseling group and that the counseling activities of many were extremely limited, although all were experienced with "troubled individuals". In recent years pastoral counselors have separated from their parishes and emerged as a psychotherapy profession. In contrast, certain parish-based clergy, especially the black clergy, have functioned as a major mental health resource to communities with limited access to professional mental health care.

Affective Symptoms

Mental health training and consultation: a model for liaison with clergy.

A chaplain, a psychiatrist, and a social worker developed a program to train clergy in more effective mental health case management, counseling, and referral skills, and to sensitize mental health center professionals to the work of the clergy in mental health. The program consists of 12 two-hour meetings conducted by a clinician and a chaplain once a week. In the first four meetings, clergy are trained to use a self-report personal-data kit with individuals presenting with emotional problems. In the next eight meetings, clergy make case presentations that are used as a basis for consultation and group discussion. The project has established a firm basis for collaboration between clergy and mental health center staff in providing care.

Community Mental Health Services

Clergy consultation as a community mental health program.

The authors describe the planning, development, implementation, and results of a consultation program to the clergy as part of an agency's community mental health service. The paper focuses on the four main program goals of (1) revitalizing a local association for the clergy, (2) developing the clergy's pastoral skills, (3) increasing community supports for mental health, and (4) developing a counseling service sponsored by the local clergy for community residents.

Clergy

Parish clergy and the aged: examining stereotypes.

Hypotheses concerning clergymen's enjoyment of their pastoral contacts with older parishioners are examined using data from a national probability sample of 654 American Baptist parish ministers. The hypotheses test the ideas that ministers do not enjoy pastoral contacts with the elderly and that these contacts reflect the clergymen's ageist preferences and concern with instrumental over expressive values. The findings suggest that: (1) the majority of the clergy studied do not seem to have an aversion to ministering to older people; while not among the most enjoyable of their activities "ministering to the aged" clearly is not among the least enjoyable either; (2) there is some support for the view that clergy respond to the elderly in an ageist manner; comparing activities involving different age groups, the clergy prefer the young and adults to the aged; (3) those clergy who share with the elderly an interest in expressive activities are more likely to enjoy ministering to the aged.

Aged

A survey of general practitioners' attitudes to the involvement of clergy in patient care.

A questionnaire was sent to a sample of general practitioners in the Avon health district asking whether they perceived a role for the clergy in patient care. Doctors were questioned about both their theoretical attitudes to and practical involvement of clergy in relation to some 20 specific concerns of patients (for example, bereavement, divorce, depression, chronic illness) and to explain from a series of options their reasons for referring or failing to refer patients to clergy. The responses of the 228 respondents showed that they perceived a significant role for the clergy in theory which was not matched in practice. The reasons for the gap between theory and practice are analysed and discussed and suggestions are made as to how the positive responses may be more effectively developed towards improving patient care.

Attitude of Health Personnel

Moral beliefs of physicians, medical students, clergy, and lay public concerning AIDS.

A questionnaire was developed to assess religiously based moral beliefs about acquired immunodeficiency syndrome. The questionnaire was administered to a group of primarily black physicians, a selection of freshman medical students, two groups of clergy representing contrasting philosophical orientations, a group of young urban black and white attendees of a black cultural event, and two groups of older whites from rural Tennessee who were attending health fairs. Other attitudes about acquired immunodeficiency syndrome and related issues were also assessed. Results showed that 40% to 70% of rural whites strongly endorsed the idea that acquired immunodeficiency syndrome is a product of "divine intervention" or "divine retribution." More than half attributed the epidemic to a fulfillment of biblical prophecy. Two of five conservative clergy strongly agreed with the idea of divine intervention, whereas only one in 20 liberal clergy concurred. Approximately one in 10 physicians endorsed these propositions. The responses of freshman medical students were strikingly similar to those of physicians, except that less than half as many believed acquired immunodeficiency syndrome represents the fulfillment of a biblical prophecy. Physicians were remarkably similar to rural whites and conservative clergy in their distrust of the experts concerning the potential contagion of human immunodeficiency virus. When responses to several key items on the questionnaire were combined to create a measure of "conservatism," mean total scores differentiated all groups in the manner predicted. We conclude that religiously based moral beliefs about acquired immunodeficiency syndrome can have dangerous implications for the treatment of its victims by society and its caregivers.(ABSTRACT TRUNCATED AT 250 WORDS)

Acquired Immunodeficiency Syndrome

The role of the clergy in community mental health service: a critical assessment.

Efforts to expand mental health manpower have taken three major directions: (1) increased use of consultation, (2) creating entirely new roles, and (3) offering training to persons engaged in roles or occupations presumably at strategic points of contact between the public and the mental health system (clergy, police, hairdressers, and bartenders). In this paper the role of modern clergy is examined along several dimensions in order to provide a more rational basis for determining their true potential as mental health service extenders or gatekeepers. Role aspects examined are: public acceptance, approachability, community stature, role separation, and professional identity. Clergy seem to be both appropriate and available as mental health resources.

Clergy

Psychosocial and spiritual care in hospice: differences between nursing, social work, and clergy.

A chart review of the most recent home visits from nursing, social work, and clergy to 37 home hospice patients indicated that all but two psychosocial and spiritual issues examined were addressed by hospice staff on home visits. Spirituality and, secondly, death anxiety were the most frequently discussed variables. Clergy addressed more spiritual issues than the other two professions, and social work addressed more psychosocial issues than the other two professions. These findings underscore the important roles that clergy and social work play on the hospice team, and imply that hospice should make a renewed commitment to psychosocial and spiritual care.

Clergy

Marriage and family therapists and the clergy: a need for clinical collaboration, training, and research.

This article calls for greater collaboration between clergy and marriage and family therapists. It spells out the reasons for potential collaboration and suggests some specific ways it can occur. Marriage and family therapists acknowledge the highest rates of religious involvement of any mental health profession, placing them in a unique position to be involved in the continuing education of clergy. There is a clear need for research to understand how marriage and family therapists and clergy can more effectively work together. The dearth of research, training, and collaboration between the two vocations is all the more unfortunate given the clear evidence of the importance of religion in the personal lives of the clients we serve.

Adaptation, Psychological

Mental health values of clergy: effects of open-mindedness, religious affiliation, and education in counseling.

Multivariate analyses of variance indicated that both religious affiliation and education in counseling of 44 Episcopal and 51 Catholic clergy had over-all effects on their scores on the Mental Health Values Questionnaire. In separate univariate analyses, significant effects were found on six of eight mental health value subscales. On all subscales in which significant interactions occurred, much of the variance was found among the clergy who were least well educated in counseling. As education in counseling increased, perceptions of mental health values became more consistent between affiliations. Mental health values of clergy were similar to those of a sample of psychotherapists, with Self-acceptance and Good Interpersonal Relations being the highest scored values for both groups.

Catholicism

Research note: the response of the clergy to spouse abuse in a suburban county.

An attempt was made to study the response of religious organizations to spouse abuse in a suburban county in the state of Maryland. Clergy members representing a variety of denominations from 143 churches and synagogues were surveyed. The presence of an ongoing problem-oriented discussion group as part of clergy functions was positively related to the identification of spouse abuse. More than half of the responding clerics acknowledged the need to improve efforts in addressing spouse abuse. Victim reticence to seek help, and lack of information about state law, legal options, and programs for spouse abusers were identified as major factors hampering response. Recommendations are made to improve linkages between the clergy and other involved community groups.

Attitude

State prison clergy counselor role self-perceptions.

The effectiveness of state prison clergy counselors is, in part, due to the function of the individuals in their fulfillment of roles. The following research was conducted to find out the specific variables associated with state prison clergy counselor role self-perceptions. It examined those variables considered most important to the clergy counselors in self-perceptions based on role expectations and role performance. Results indicated self-perceived variables of pastoral, advisor, reality, insight, and development, respectively.

Clergy

Nature and sources of the clergy's involvement with mentally retarded persons and their families.

The variety of services provided by clergy on behalf of mentally retarded persons and their families was investigated. Rating scales, administered during semi-structured interviews, were used with a diverse sample of 40 pastors to explore: services already provided; willingness to undertake other services; felt competence to provide the services on a comprehensive list; suggestions for dividing the responsibility for each service among parents, clergy, and secular professionals. The data displayed a wide range of services provided by the sample as a whole, revealed substantial individual differences, and showed clear preferences for some areas of service over others. Involvement in a given area was strongly associated with feelings of competence but not feelings of responsibility. Relationships with secular specialists and prospects for enhancing the clergy's involvement were discussed.

Adult

Posttraumatic stress, mental health professionals, and the clergy: a need for collaboration, training, and research.

This article addresses the need for improved clergy-mental health professional collaboration in the assessment and treatment of posttraumatic stress disorder (PTSD). Tens of millions of North Americans with personal problems seek the counsel of clergy. There is an absence of research on the function of clergy as helpers with the traumatized and on the psychological dynamics of religious coping among the traumatized. Psychological trauma presents the mental health and religious communities with unique opportunities to work together in the best interest of those they serve.

Community Health Planning

Rethinking boundary ambiguity from an ecological perspective: stress in Protestant clergy families.

Family researchers have virtually ignored the families of clergy as a population of interest. Their unique social ecology, however, can offer a profitable case study in family stress. The genesis of Boss's (1977, 1987) boundary ambiguity construct will be reviewed and critiqued. Bronfenbrenner's (1979) approach will then be applied to the boundary problems of clergy families. It is argued that an ecological analysis of boundary ambiguity in clergy families will lead to a higher-order understanding of the construct itself.

Adult

Unique contributions of churches and clergy to community mental health.

Good principles and practices of community mental health have been demonstrated by religious communities and leaders within these communities for many years. Using Caplan's model of primary-secondary-tertiary prevention, this paper articulates the unique and cooperative contributions of present-day religious institutions and personnel to the total community mental health endeavor. The validity of church's and clergy's involvement is supported by research data and is consistent with the social-psychological models of conceptualizing emotional problems. Consultation from mental health professionals can aid churches and clergy to actualize even more fully their contributions to community mental health.

Clergy