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Medical AI and Human Dignity: A Catholic Normative Ethical Framework in Light of Magnifica Humanitas. 医疗人工智能与人类尊严:天主教在人道主义光辉下的规范伦理框架。
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-10-01 Epub Date: 2026-08-14 DOI: 10.1007/s10943-026-02759-3
Anton Heinrich L Rennesland, Joshua Cedric Aquino Gundayao
{"title":"Medical AI and Human Dignity: A Catholic Normative Ethical Framework in Light of Magnifica Humanitas.","authors":"Anton Heinrich L Rennesland, Joshua Cedric Aquino Gundayao","doi":"10.1007/s10943-026-02759-3","DOIUrl":"10.1007/s10943-026-02759-3","url":null,"abstract":"<p><p>Artificial intelligence (AI) is rapidly reshaping healthcare through advances in prediction and personalization, yet these developments also raise questions that are not merely technical but also are moral and religious. This article offers a normative framework for Catholic engagement with medical AI in light of Leo XIV's Magnifica Humanitas (2026). Drawing on the encyclical's critique of the \"Babel Syndrome,\" we argue that medical AI is dehumanizing in two principal ways: first, through an idolatry of optimization that reduces the person to a data source; and second, through an illusion of algorithmic perfection that treats vulnerability and finitude as technical defects to be overcome. In response, we propose a roadmap grounded in Catholic social teaching and structured around three principles: non-substitution, algorithmic transparency and accountability, and solidarity with the preferential option for the poor. We further show how these principles deepen and reinterpret the bioethical principles of autonomy, beneficence and non-maleficence, and justice in AI-mediated care. Finally, we draw out concrete implications for healthcare institutions and relevant stakeholders. Rather than rejecting AI, we argue that Catholic healthcare ethics should further uphold the alignment of technological innovation to the dignity of the human person, the common good, and the healing vocation of medicine.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":"4245-4264"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Healing the Moral Self: Al-Ghazālī's Psychology of the Heart and Moral Injury, with Implications for Muslim Mental Health and Spiritual Care in Indonesia. 治愈道德自我:Al-Ghazālī的心脏和道德伤害的心理,与暗示穆斯林的心理健康和精神护理在印度尼西亚。
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-09-30 DOI: 10.1007/s10943-026-02804-1
Ade Kosasih, Iyus Yosep, Undang Ahmad Darsa, Rohman Hikmat, Muntazhar Nur Syabana, Roxsana Devi Tumanggor
{"title":"Healing the Moral Self: Al-Ghazālī's Psychology of the Heart and Moral Injury, with Implications for Muslim Mental Health and Spiritual Care in Indonesia.","authors":"Ade Kosasih, Iyus Yosep, Undang Ahmad Darsa, Rohman Hikmat, Muntazhar Nur Syabana, Roxsana Devi Tumanggor","doi":"10.1007/s10943-026-02804-1","DOIUrl":"https://doi.org/10.1007/s10943-026-02804-1","url":null,"abstract":"<p><p>Moral injury refers to enduring moral, relational, existential, and spiritual suffering that may follow experiences perceived as violating deeply held moral commitments. This philosophical and conceptual study examines whether the moral psychology of Abū Ḥāmid Al-Ghazālī (1058-1111) can provide a complementary framework for understanding moral wounding and spiritual repair, with Indonesia treated as a context of potential application rather than an empirically validated setting. The analysis uses purposive conceptual synthesis and close reading of selected books of Iḥyā' 'Ulūm al-Dīn, especially The Marvels of the Heart, On Disciplining the Soul, On Repentance, Fear and Hope, and On Vigilance and Self-Examination, in dialogue with contemporary scholarship on moral injury, Islamic psychology, religion, and spiritual care. The synthesis suggests that moral injury can be interpreted, within a Ghazālian anthropology, as a disturbance in the moral orientation of the qalb involving responsibility, self-condemnation, alienation, and rupture in relationships with God, self, and community. Spiritual repair is conceptualized as an iterative movement among truthful moral recognition, proportionate responsibility, nadam, tawba, reparative action, divine mercy, renewed rajā', and relational reintegration. In Indonesia, the framework has potential relevance because religious and spiritual meanings remain salient in mental healthcare and Ghazālian moral-spiritual ideas retain resonance within some pesantren settings. The framework is hypothesis-generating: it is not proposed as a substitute for psychological treatment or as a clinical protocol, but as a culturally and theologically grounded vocabulary for future research and carefully assessed spiritually integrated care among Muslim populations.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Short Spirituality Scale Grounded in the Bhagavad Gita: Development and Validation in India. 以《博伽梵歌》为基础的短期灵性尺度:在印度的发展和验证。
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-09-27 DOI: 10.1007/s10943-026-02805-0
Kiran Bhagwandas, Latha Satish, Jayaraman Mahadevan
{"title":"A Short Spirituality Scale Grounded in the Bhagavad Gita: Development and Validation in India.","authors":"Kiran Bhagwandas, Latha Satish, Jayaraman Mahadevan","doi":"10.1007/s10943-026-02805-0","DOIUrl":"https://doi.org/10.1007/s10943-026-02805-0","url":null,"abstract":"<p><p>Spirituality is increasingly recognized for its association with emotional and physical health. However, many existing measures conflate it with general well-being or religiosity, making it difficult to examine spirituality as a distinct construct. The present study introduces the Short Spirituality Scale (SSS) to address this problem. It consists of a ten-item spirituality measure grounded in the Bhagavad Gita's four paths of spiritual growth-karma (selfless action), jñāna (discernment), dhyāna (meditation), and bhakti (devotion). Textual analysis, expert input, and cognitive interviewing were used to develop the items to enhance clarity, inclusiveness, and cultural sensitivity. Although items were written to represent the four yogic paths, psychometric analyses consistently supported a stable two-factor structure-Acceptance of Divine Presence and Abidance in the Absolute. Exploratory (N = 204) and confirmatory (N = 277) factor analyses showed strong model fit. Reliability analyses demonstrated good internal consistency, high test-retest stability, and moderate inter-rater agreement. Validity testing (N = 417) found that higher spirituality correlated with better life satisfaction and flourishing. Higher spirituality scores were also negatively associated with burnout, depression, stress, anxiety, and neuroticism, supporting strong concurrent, convergent, divergent, and discriminant validity. Preliminary percentile-based reference values from an adult sample (N = 1,682) provide age- and gender-specific interpretation. The SSS fills a critical methodological gap by offering one of the few spirituality measures grounded in a coherent philosophical framework rather than fragmented or atheoretical item pools. It assesses spirituality as an orientation toward transcendence rather than as well-being and is potentially useful in mental health practice, public health programs, and spiritual care.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Spiritual Interventions on Sleep Quality Among Patients with Chronic Diseases: A Systematic Review of Interventional Studies. 精神干预对慢性疾病患者睡眠质量的影响:介入研究的系统综述
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-09-25 DOI: 10.1007/s10943-026-02798-w
Vahid Yousofvand, Samaneh Nikchereh, Roghayeh Esmaieli, Azam Shirinabadi Farahani, Saeideh Azizi Mahkooyeh
{"title":"The Effects of Spiritual Interventions on Sleep Quality Among Patients with Chronic Diseases: A Systematic Review of Interventional Studies.","authors":"Vahid Yousofvand, Samaneh Nikchereh, Roghayeh Esmaieli, Azam Shirinabadi Farahani, Saeideh Azizi Mahkooyeh","doi":"10.1007/s10943-026-02798-w","DOIUrl":"https://doi.org/10.1007/s10943-026-02798-w","url":null,"abstract":"<p><p>The present study aimed to systematically examine the available evidence regarding the effects of spiritual interventions on sleep quality among patients with chronic diseases. This systematic review was conducted in accordance with the PRISMA 2020 guidelines. PubMed, Web of Science, Scopus, Embase, ScienceDirect, Google Scholar, Magiran, and the Scientific Information Database (SID) were searched systematically from inception to May 26, 2026, with no time restrictions. Eligible studies included randomized controlled trials, controlled clinical trials, and quasi-experimental studies that investigated the effects of spiritual, religious, or spiritual care-based interventions on sleep quality among adults with chronic physical diseases. Study identification, screening, and selection were independently performed by two researchers, and the methodological quality of the included studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. A total of 3739 records were identified, and six studies involving 478 participants (239 in the intervention group and 239 in the control group) were included in the systematic review; four were randomized controlled trials and two were quasi-experimental studies. The studies were conducted between 2014 and 2025 in Iran and Indonesia and included patients with coronary artery disease, stroke, multiple sclerosis, and chronic kidney disease undergoing hemodialysis. The interventions included structured spiritual care, culturally and locally adapted spiritual care, theory-based spiritual care, religious interventions, and religious relaxation. Sleep quality was assessed in all studies using the Pittsburgh Sleep Quality Index (PSQI). Overall, the findings indicated that spiritual interventions were associated with improved sleep quality compared with control groups. However, differences in disease characteristics, participant characteristics, intervention content, number and duration of sessions, and methods of program delivery limited direct comparisons across studies. Based on the available evidence, spiritual interventions may be considered a complementary approach to the care of patients with chronic diseases and the management of sleep-related problems.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disordered Eating Pathology in Ultra-Orthodox and Secular Women in Israel: An Exploration of Age, Religious Affiliation, and Marital Status. 以色列极端正统和世俗妇女的饮食失调病理:年龄、宗教信仰和婚姻状况的探索。
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-09-24 DOI: 10.1007/s10943-026-02750-y
Yael Latzer, Atara Sternbuch, Amanda Jowell, Ayelet Guttman, Sarah L Weinberger-Litman
{"title":"Disordered Eating Pathology in Ultra-Orthodox and Secular Women in Israel: An Exploration of Age, Religious Affiliation, and Marital Status.","authors":"Yael Latzer, Atara Sternbuch, Amanda Jowell, Ayelet Guttman, Sarah L Weinberger-Litman","doi":"10.1007/s10943-026-02750-y","DOIUrl":"https://doi.org/10.1007/s10943-026-02750-y","url":null,"abstract":"<p><p>This cross-sectional study investigates the level of Disordered Eating Pathology (DEP) in Ultra-Orthodox and secular women in Israel. It explores the interaction between age, marital status, and religious affiliation, while controlling for Body Mass Index (BMI) and self-esteem. Participants included 1060 Israeli Jewish women ranging in age from 18 to 73. 679 identified as Ultra-Orthodox and 381 identified as Secular. No main effect was found for religious affiliation. However, a significant interaction between age and affiliation was observed. Among secular women, older age groups were associated with lower levels of DEP compared to younger age groups. In contrast, among Ultra-Orthodox women, while young-adults showed lower DEP levels than the youngest group, middle-aged groups showed higher DEP levels than the young-adults. Marital status was predictive of lower DEP scores independent of religious affiliation or other factors. These results may help in understanding the development of DEP in other traditionally oriented subcultures that are undergoing similar periods of cultural transition with increased exposure to and interaction with Western secular values.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measurement of Spiritual Fitness Among Healthcare Professionals in Türkiye: Psychometric Properties of the Turkish Version of the SOCOM Spiritual Fitness Scale. 土耳其医疗保健专业人员的精神健康测量:土耳其版SOCOM精神健康量表的心理测量特性。
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-09-23 DOI: 10.1007/s10943-026-02796-y
Arzu Bulut, Yaşar Demir
{"title":"Measurement of Spiritual Fitness Among Healthcare Professionals in Türkiye: Psychometric Properties of the Turkish Version of the SOCOM Spiritual Fitness Scale.","authors":"Arzu Bulut, Yaşar Demir","doi":"10.1007/s10943-026-02796-y","DOIUrl":"https://doi.org/10.1007/s10943-026-02796-y","url":null,"abstract":"<p><p>Spirituality and spiritual fitness are important protective resources for healthcare professionals because they may give meaning to clinical practice, support ethical decision-making, and strengthen psychological resilience. This study aimed to adapt the SOCOM Spiritual Fitness Scale into Turkish and evaluate its psychometric properties among healthcare professionals in Türkiye. This cross-sectional validation study was conducted with healthcare professionals in the Black Sea Region of Türkiye. Of the 500 survey forms distributed, 408 were returned, yielding a response rate of 81.6%. After excluding 18 forms that did not meet the inclusion criteria, the final analyses were conducted with data from 390 participants. The scale adaptation process included forward-backward translation and cognitive interviews in accordance with international adaptation standards. Confirmatory factor analysis supported the original three-factor structure and yielded acceptable-to-good fit indices (RMSEA = 0.066, CFI = 0.961). Internal consistency was high (Cronbach's α = 0.95), and convergent validity was supported by positive correlations with the meaning in life subdimensions. Measurement invariance analyses indicated equivalence across gender, age, and occupational groups. In conclusion, the SFS-HP appears to be a valid and reliable instrument for assessing spiritual fitness among healthcare professionals in Türkiye and for producing comparable scores across different subgroups.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Construction and Validation of the Critical Religious Thinking Scale for Pakistani University Students. 巴基斯坦大学生批判性宗教思维量表的编制与验证。
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-09-22 DOI: 10.1007/s10943-026-02774-4
Safia Yasmeen, Saba Ghayas, Sadia Niazi
{"title":"Construction and Validation of the Critical Religious Thinking Scale for Pakistani University Students.","authors":"Safia Yasmeen, Saba Ghayas, Sadia Niazi","doi":"10.1007/s10943-026-02774-4","DOIUrl":"https://doi.org/10.1007/s10943-026-02774-4","url":null,"abstract":"<p><p>The purpose of this research paper was to construct and validate a critical religious thinking scale for the university students in Pakistan. The convenient sampling technique was used to collect data from the sample. The scale was developed in three studies. Study 1 consisted of three phases. Phase 1 consists of construct conceptualization through literature review, semi-structured interviews, 2 focus group discussions, initial item pool generation through thematic analysis, and review of the item pool through a committee approach. Phase 2 constitutes a pilot study to assess the accuracy of initial phase direction by analyzing data of N = 108 university students through SPSS-22. Phase 3 consists of exploratory factor analysis on data of N = 511 university students. The result of exploratory factor analysis revealed a unidimensional factor structure of the critical religious thinking scale, which consisted of 8 items with 50.28% total variance (α = .89). Study 2 consisted of confirmatory factor analysis, which was run on N = 300 data from university students. CFA result indicates good model fit indices and confirms the unidimensional structure obtained through EFA. In study 3, the convergent and divergent validity of the scale was established on an independent sample of N = 204 university students to ensure the psychometric soundness of the scale. The results show evidence of convergent validity as peace of mind, curiosity and exploration, and self-efficacy had a significant positive correlation with critical religious thinking among university students, and divergent validity as status consumption had a non-significant relationship with critical religious thinking among university students. Furthermore, the gaps, recommendations, and practical implications of this paper were also debated.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Spiritual Burnout Scale: Development and Psychometric Validation of a Measure of Spiritual Resource Depletion in Türkiye. 精神倦怠量表:<s:1>基耶族精神资源耗竭量表的开发与心理计量学验证。
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-09-21 DOI: 10.1007/s10943-026-02801-4
Nesrullah Okan, Osman Hatun, Füsun Ekşi, Halil Ekşi, Nihat Köse
{"title":"The Spiritual Burnout Scale: Development and Psychometric Validation of a Measure of Spiritual Resource Depletion in Türkiye.","authors":"Nesrullah Okan, Osman Hatun, Füsun Ekşi, Halil Ekşi, Nihat Köse","doi":"10.1007/s10943-026-02801-4","DOIUrl":"https://doi.org/10.1007/s10943-026-02801-4","url":null,"abstract":"<p><p>Spirituality is widely recognized as a resource for meaning-making and coping, yet comparatively little attention has been devoted to the progressive depletion of spiritual resources. The present study aimed to develop and provide initial psychometric validation of the spiritual burnout scale (SBS), a theoretically grounded instrument assessing spiritual meaning loss and spiritual exhaustion. Four independent samples of university students in Türkiye were used for principal component analysis (PCA; n = 342), confirmatory factor analysis (CFA; n = 195), criterion-related validity (n = 57), and test-retest reliability (n = 47). PCA identified a 16-item, two-factor structure, and CFA supported the proposed model (χ<sup>2</sup>/df = 2.86, CFI = .961, TLI = .947, IFI = .962, RMSEA = .074). Convergent validity was supported by satisfactory average variance extracted and composite reliability values, whereas evidence for discriminant validity was less conclusive for spiritual exhaustion. Criterion-related validity showed the expected overall pattern of negative associations with spiritual integrity and spiritual psychological robustness, although the association between spiritual exhaustion and spiritual integrity was not statistically significant. Internal consistency was excellent for spiritual meaning loss (α = .940), spiritual exhaustion (α = .907), and the total scale (α = .944). Test-retest reliability over a 15-day interval was satisfactory (r = .798, p < .001). These findings provide initial support for the reliability and structural validity of SBS scores among university students in Türkiye. Because two items refer directly to inner peace, future studies should examine their possible overlap with mental health and closely related psychosocial measures.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Spiritual Dimension of Palliative Care Patients and Their Caregivers in a Compassionate Community in Two Brazilian Favelas1: A Mixed-Methods Study. 在两个巴西贫民窟富有同情心的社区中,姑息治疗患者及其护理人员的精神维度:一项混合方法研究。
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-09-20 DOI: 10.1007/s10943-026-02784-2
Marcela Teixeira de Souza, Marluci Andrade Conceição Stipp, Maria Gefé da Rosa Mesquita, José Luís Guedes Dos Santos, Antônio Marcos Tosoli Gomes, Alexandre Ernesto Silva, Liana Amorim Corrêa Trotte
{"title":"The Spiritual Dimension of Palliative Care Patients and Their Caregivers in a Compassionate Community in Two Brazilian Favelas<sup>1</sup>: A Mixed-Methods Study.","authors":"Marcela Teixeira de Souza, Marluci Andrade Conceição Stipp, Maria Gefé da Rosa Mesquita, José Luís Guedes Dos Santos, Antônio Marcos Tosoli Gomes, Alexandre Ernesto Silva, Liana Amorim Corrêa Trotte","doi":"10.1007/s10943-026-02784-2","DOIUrl":"https://doi.org/10.1007/s10943-026-02784-2","url":null,"abstract":"<p><p>Spirituality is a key dimension of palliative care, contributing to well-being, supporting adjustment to illness, and serving as an important coping resource for patients and caregivers. In socially vulnerable settings, compassionate community initiatives may facilitate the integration of spiritual care and help mitigate the effects of limited access to health and social resources. This study aimed to describe spirituality-related attitudes and religiosity and to explore how patients receiving palliative care and their caregivers understood and experienced these within a compassionate community in two Brazilian favelas. A convergent parallel mixed-methods design was used. The sample included 29 participants, consisting of patients receiving palliative care and their caregivers. Quantitative data were collected using the Attitudes Related to Spirituality Scale and the Duke Religiosity Index, and qualitative data were obtained through semi-structured interviews. Statistical analyses were conducted using R, and qualitative data were analyzed through a combined lexical statistical approach and inductive content analysis. The findings showed ARES scores near the upper end of the scale, reflecting strong endorsement of spirituality-related attitudes, along with predominantly high non-organizational and intrinsic religiosity. Organizational religiosity was predominantly low. Qualitative accounts described prayer, connection with God, family relationships, nature, and meaning-making as important aspects of participants' experiences of illness and caregiving. The integrated findings showed that spiritual and religious practices were experienced as sources of comfort, support, and meaning within conditions of social vulnerability. These findings reinforce the relevance of considering spiritual needs in palliative care and contribute to understanding spirituality and religiosity in community-based palliative care in socially vulnerable settings.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond Filipino Resilience: A Conceptual Analysis of Spiritual Survival, Religious Meaning-Making, and Post-Disaster Health. 超越菲律宾复原力:精神生存、宗教意义创造和灾后健康的概念分析。
IF 2.2 1区 哲学
Journal of Religion & Health Pub Date : 2026-09-18 DOI: 10.1007/s10943-026-02800-5
Omar R Manlapas, Jomar S Tianio, Leenil A Ocampo
{"title":"Beyond Filipino Resilience: A Conceptual Analysis of Spiritual Survival, Religious Meaning-Making, and Post-Disaster Health.","authors":"Omar R Manlapas, Jomar S Tianio, Leenil A Ocampo","doi":"10.1007/s10943-026-02800-5","DOIUrl":"https://doi.org/10.1007/s10943-026-02800-5","url":null,"abstract":"<p><p>Disaster recovery in the Philippines is narrated through resilience, yet praise for endurance may obscure grief, health needs, unequal support, and institutional responsibility. This conceptual article develops the Critical Filipino Spiritual Resilience Framework through integrative conceptual analysis, comparison with adjacent constructs, and synthesis of the Meaning-Making Model and Social-Ecological Resilience Theory. Spiritual survival is proposed as the relationally situated process through which disaster-affected persons and communities preserve, contest, or reconstruct sacred or spiritually significant meaning, relational connection, moral agency, and reasons for continuing amid loss. It may include prayer, hope, lamentation, doubt, anger, religious struggle, silence, and protest without requiring uninterrupted faith, rapid adaptation, optimism, or post-traumatic growth. The framework organizes recovery through four interacting analytical domains: personal meaning reconstruction, family and community support, religious-symbolic resources, and structural and institutional conditions. Critical spiritual recovery alignment describes the multidimensional and changing configuration through which these domains reinforce, compensate for, or conflict with one another. Supportive alignment may facilitate physical, psychological, relational, functional, and spiritual recovery. Temporary compensation may preserve immediate survival while services are restored, but its significance depends on duration, adequacy, sustainability, inclusiveness, burden distribution, coordination, and institutional response. Critical misalignment becomes more evident when communal or religious resources repeatedly substitute for public provision, exclude marginalized survivors, or conceal institutional neglect. Dignified recovery is proposed as a normative outcome domain involving safety, health, material security, relational care, agency, equitable participation, and accountable institutions. The framework offers a justice-sensitive and empirically testable broader account of post-disaster health without romanticizing Filipino resilience.</p>","PeriodicalId":48054,"journal":{"name":"Journal of Religion & Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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