{"title":"Spiritually integrated psychotherapy","authors":"M. Costa, D. Rosmarin","doi":"10.1093/med/9780198846833.003.0023","DOIUrl":"https://doi.org/10.1093/med/9780198846833.003.0023","url":null,"abstract":"There is growing recognition that it is important to understand how spirituality is related to mental health and distress, and how it can be integrated into psychotherapy. Spiritually integrated psychotherapy (SIP) involves the adaptation of secular psychotherapies in order to be more culturally sensitive and client-centred to spiritually and religiously inclined clients. Literature shows that SIPs are at least as effective as conventional psychotherapy for treating different mental disorders, and cognitive behavioural therapy (CBT) is the most widely investigated clinical modality that has been adapted to include spiritual content. The objective of this chapter is to describe the adaptation of traditional CBT techniques by integrating spirituality to enhance cognitive restructuring, behavioural activation, coping, psychoeducation, and to facilitate greater motivation for treatment. Several practical examples are given, including the use of meditation and prayer in the treatment process.","PeriodicalId":377096,"journal":{"name":"Spirituality and Mental Health Across Cultures","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129764995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Differentiating spiritual experiences from mental disorders","authors":"Leonardo Machado, A. Moreira-Almeida","doi":"10.1093/med/9780198846833.003.0006","DOIUrl":"https://doi.org/10.1093/med/9780198846833.003.0006","url":null,"abstract":"It is not uncommon for patients with mental disorders to have symptoms with religious or spiritual (R/S) contents, and, on the other hand, spiritual experiences often involve psychotic-like phenomena. This frequently creates difficulties in differentiating between a non-pathological R/S experience and a mental disorder. Clinical differentiation between a non-pathological R/S experience and a mental disorder with R/S content brings risks in both extremes: to pathologize normal R/S experience (promoting iatrogenic suffering) or neglecting pathological symptoms (delaying proper treatment). In order to mitigate these risks, this chapter will gather the best current scientific evidence and propose clinical guidelines to help the distinction between R/S experiences and mental disorders with R/S content. Scientific studies in people who have spiritual experiences should be encouraged, especially investigations of the phenomenology, neurobiology, precipitants, and outcomes in order to enlarge the empirical base needed to advance the criteria for this differential diagnosis.","PeriodicalId":377096,"journal":{"name":"Spirituality and Mental Health Across Cultures","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133048056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Religion and spirituality in prevention and promotion in mental health","authors":"A. Braam","doi":"10.1093/med/9780198846833.003.0021","DOIUrl":"https://doi.org/10.1093/med/9780198846833.003.0021","url":null,"abstract":"The role religion and spirituality (R/S) can play in the promotion and prevention of mental health is not strictly defined, and the influence of culture is probably decisive. Aspects of R/S can be tentatively conceived of as epidemiological factors sometimes associated with better or poorer mental health (as is clear for at least one aspect—that is, religious struggle). Three main targets of prevention are suggested: (1) to consider how R/S may contribute to mental hygiene and educate accordingly, (2) to address religious struggle and positive elements of R/S in people with mental problems, and foster the therapeutic alliance and compliance, and (3) to prevent associated disabilities in those with mental disorders, and consider R/S as a field in need of care, with special attention to how R/S relates to existential concerns and the recovery process.","PeriodicalId":377096,"journal":{"name":"Spirituality and Mental Health Across Cultures","volume":"96 26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130010943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spirituality and end-of-life experiences: Meeting the spiritual needs of the dying","authors":"P. Fenwick, B. P. Mosqueiro","doi":"10.1093/med/9780198846833.003.0025","DOIUrl":"https://doi.org/10.1093/med/9780198846833.003.0025","url":null,"abstract":"Most patients in palliative care report that it is very important to receive health care that is respectful, compassionate, and culturally sensitive to their spiritual needs. Providing spiritual care to people approaching the end of life and understanding that their mental and spiritual experiences constitutes a key aspect to providing a more effective treatment and quality of life at this moment. End-of-life experience (ELE) provide comfort, and represents a source of spirituality and meaning to the dying. Spiritual experiences also give hope, meaning, and strength to family members and healthcare professionals dealing with terminal conditions and suffering. This chapter reviews the scientific evidence about ELEs and discusses the potential clinical implications of these experiences to healthcare practice. Different patients’ vignettes are presented to illustrate and provide practical guidance to understanding and addressing ELE and spiritual care in end-of-life care settings.","PeriodicalId":377096,"journal":{"name":"Spirituality and Mental Health Across Cultures","volume":"207 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123499428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Lucchetti, R. Damiano, A. L. Lucchetti, Mario Fernando Prieto Peres
{"title":"Evidence for the influence of religiosity and spirituality on mental health","authors":"G. Lucchetti, R. Damiano, A. L. Lucchetti, Mario Fernando Prieto Peres","doi":"10.1093/med/9780198846833.003.0008","DOIUrl":"https://doi.org/10.1093/med/9780198846833.003.0008","url":null,"abstract":"Over the past few decades, research about the impact of religion and spirituality (R/S) on health has grown considerably. Mental health was a major area of focus in this field, producing solid evidence for the impact of R/S on quality of life, wellness, depression, anxiety, substance use disorder, and other mental health issues. To date, a large number of studies have been conducted showing that R/S beliefs and practices have an impact on mental health, albeit positive or negative. New studies have sought to elucidate how these findings can have an impact on clinical practice and R/S interventions have been proposed. It is also noteworthy that studies are currently deepening our understanding of the mechanisms underlying R/S effects, and attempting to adapt R/S values, virtues, and practices to a secular world. This chapter aims to discuss these studies further, highlighting the scientific evidence, proposed mechanisms, and possible interventions supporting the relationship between R/S and mental health.","PeriodicalId":377096,"journal":{"name":"Spirituality and Mental Health Across Cultures","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127708022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}