“Allah will decide my life and death”: Religion and spirituality among populations at risk for HIV in Malaysia

ABSTRACT

We examined the influence of religion and spirituality on HIV risk contexts through in-depth interviews with men who have sex with men (n = 10) and female commercial sex workers (n = 10) in Malaysia. Using a grounded theory approach, five themes emerged from the interviews: (a) religion encourages caring for health, (b) health is influenced by a higher power, (c) prayer is a conduit to health assistance, (d) stigma is compounded by religion but it does not limit one’s spirituality, and (e) religion is not but should be incorporated into HIV campaigns. Incorporation of spirituality in service provision and addressing stigma is warranted.     

Spirituality in Social Work: A Survey of Students at South African Universities

Academic discourse related to spirituality has proliferated globally. The rationale for its inclusion in social work education rests on the premise that spirituality is a critical strength in social work practice. This paper explores this aspect and highlights empirical research related to the inclusion of spirituality in training. It does this within the context of a SA study that was undertaken to explore the views of students with regard to the role of religion and spirituality in practice and the extent to which South African curricula considers religion and spirituality. The research was conducted by distributing questionnaires to final year social work students at schools of social work (N = 21); 342 completed surveys were returned yielding a response of 47%. The findings revealed high levels of religiosity or spirituality amongst students, a gap in the curriculum on spirituality and support for its inclusion in social work education.     

Religion,spirituality & chronic illness: A scoping review and implications for health care practitioners

ABSTRACT

While the influence of institutional religion has decreased over the last 40–50 years, research suggests that a substantial proportion of those not attending religious services continue to engage in religious and spiritual practices on their own and refer to religion as a very important aspect in their lives, and as linked to more positive health outcomes, particularly for those living with chronic conditions. This article provides a scoping review to not only highlight the research that views religion and spirituality as valuable tools for coping with chronic illness conditions, but also to highlight research that explores those who may experience some religious/spiritual doubts or a gradual loss of religiosity or spirituality with the diagnosis of chronic conditions. Regardless of a clinician’s beliefs, the authors argue that some awareness training of the value of religion and spirituality for some patients, can be beneficial. In a society facing an increasing plurality of faiths, this is deemed to be an invaluable discussion. In the end, clinical implications will be discussed.     

How Rehabilitation Professionals Define the Concepts of Spirituality and Religion When Working with Individuals with Disabilities

ABSTRACT

Recently, some helping professionals have called for the inclusion of spirituality and religion in practice. This has created an important debate. As a result, it has become apparent that individual educators and practitioners are unclear about what is meant by these concepts as they relate to practice. This study utilized in-depth interviews to understand the essential meanings that fifteen rehabilitation professionals assigned to the concepts of spirituality and religion in their practices with individuals with disabilities. Two essential themes developed for spirituality, and three developed for religion. Implications for the future use of these concepts in practice are discussed.     

Religion,Spirituality, and Career Development in African American College Students: A Qualitative Inquiry

The authors explored through semistructured interviews the interrelationships of religion, spirituality, and career development in a sample of 12 African American undergraduate students. Using consensual qualitative research methodology (C. E. Hill, B. J. Thompson, & E. N. Williams, 1997), they identified 6 primary domains or themes related to these students' experiences in this regard, including (a) degree of identification as religious and/or spiritual, (b) parents' influence on religious and spiritual beliefs, (c) roles of religion and spirituality in participants' career development, (d) challenges in dealing with academic and career‐related issues, (e) religious and spiritual strategies to deal with academic and career‐related challenges, and (f) indicators of success in future career or occupation.     

Spirituality and social work practice at historically Black colleges and universities

ABSTRACT

In 2011 the Council on Social Work Education Religion and Spirituality Work Group was organized “to promote social workers’ knowledge, values, and skills for ethical and effective practice that takes into account the diverse expressions of religion and spirituality among clients and their communities.” In this article we discuss how the mission, charters, and goals of historically Black colleges and universities (HBCUs) addressed the domains of religion and spirituality from their inception. More specifically, the focus of this discussion is the epistemology of spirituality and religion at HBCUs from historical and contemporary perspectives. Content on the exploration of the related themes, religion and spirituality, as manifested in the curriculum, cultural milieu, and social environment of HBCUs will be described. Additionally, we document the role and influence of the African American community, church, and political insurgency. These forces, coupled with the inability or unwillingness of established social service agencies and other social institutions to address issues of inequality and marginalization of African Americans, influenced the essence of the content offered in HBCU schools of social work. Spirituality, advocacy for material aid, and critical race theory are themes that were prevalent in HBCUs curriculum. Finally we show that this “unique HBCU curriculum” was brought about primarily by environmental factors such as racism, segregation, and financial uncertainty, leading to what Du Bois referred to as a double-consciousness.     

Milieus and Mixed Methods

In the literature on religion and secularity, scholars often use mono-method strategies, either quantitative or qualitative, in order to identify broad social groups – “milieus” or “social aggregates” and thus gain better understanding of the great diversity of religious beliefs and practices in a given population. This paper identifies different validity problems of such studies and claims that mixed methods may be used in order to better address these problems. By combining representative surveys with semi-standardized interviews, large scale groups (e.?g. milieus) can be described and some of their inner workings explained in a more valid way. The article shows the steps of such a mixed methods research strategy, arguing for (a) a common central question in a realist philosophical framework (b) nested qualitative and quantitative samples with relatively large n on the qualitative side, (c) an integrated data collection on the level of items and leading questions, (d) abductive-iterative data analysis, and (e) an addressing of validity issues with the help of mixed methods. Two nested mixed methods studies are used to exemplify these research strategies: one on religion and spirituality in Switzerland and one on the “evangelical milieu” in Switzerland.     

Studies of resilience among youth experiencing homelessness: A systematic review

This article systematically reviews studies exploring resilience among youth experiencing homelessness. We searched eight databases, and 21 articles fit the inclusion criteria and represented four methodologies: qualitative (n = 7, 33.3%), survey and secondary data analysis (n = 8, 38.1%), quantitative (n = 4, 19.1%), and mixed-method (n = 2, 9.5%) designs. Studies indicate that youth experiencing homelessness rely on informal social networks for survival, and that spirituality, mental health, and creativity are associated with enhanced coping. More experimental and intervention studies are necessary to support evidence-based resilience practices. Additionally, researchers need to exercise more self-awareness about how stereotypical pejorative paradigms may constrain innovative, strengths-based scholarship.     

African American Digital Practices: Mobile E-Health and Residential Segregation

We ask two questions about the relationship between race, using mobile phones for e-health, and living in segregated neighborhoods: Are racial differences associated with using mobile phones for e-health, especially as they relate to African Americans? Is living in segregated neighborhoods associated with changes in mobile phone usage? We merge the National Trends Survey (HINTS) conducted by the National Cancer Institute, for information on e-health, and the US 2010 project, for the necessary measures of residential segregation. Multilevel models (Level 1 N = 2,023, Level 2 N = 183) produced two major conclusions. First, African Americans exhibit unique “digital practices” vis-à-vis e-health, such that they use e-health to share personal diagnostic information less than whites but use e-health for more practical, logistical uses than do whites. Second, residential segregation is associated with digital practices; however, considering racial differences in where people live does not reduce racial differences in e-health patterns.     

The Social Environmental Elements of Resilience Among Vulnerable African American/Black Men Who Have Sex With Men

Resilience theory has been suggested as a strong framework for research on HIV prevention among men who have sex with men (MSM). Among this population, literature indicates that African American/Black MSM are particularly vulnerable to health and social disparities associated with HIV transmission risk. Conceptualizing resilience as a part of one’s social environment, this qualitative study investigates the specific elements of resilience, and the associated contexts and relationships, among a sample of 21 substance-using African American/Black MSM. Data indicate that (1) elements contributing to resilience are multiple and co-occurring, including inner strengths, social relationships, diversity of experience, religion/spirituality, altruism, and creativity; (2) as an element of resilience, social support was experienced differently among men who did and did not have supportive relationships with other gay and bisexual men, which has implications for social service provision and intervention approaches; and (3) diversity of experiences and relationships is an important influencing factor on expressions of resilience. Social services or interventions that facilitate the development of these elements of resilience will likely be especially beneficial for vulnerable African American/Black MSM.     

Blessed assurance: The role of religion and spirituality in Alzheimer's disease caregiving and other significant life events

Increasing attention in the scientific literature is being given to the relationships among religion, spirituality, and overall well-being. Moreover, research has repeatedly identified religion and spirituality as significant coping resources throughout the life course. For this study, a group of 20 Catholic and Protestant older adults were interviewed; half were caregivers of a spouse with Alzheimer's disease and half were noncaregivers. The informants were asked about their views on religion, spirituality, and how they integrated their faith into their lives. Qualitative analysis identified several themes reinforcing previous work that has shown religion and spirituality are important dimensions to the human experience. All of the informants had integrated religious and spiritual beliefs and practices into their lives to help make sense out of stressful situations. The findings underscore the need for further scientific inquiry that examines how religion and spirituality promote healthy adaptation to significant life events.     

Religiousness/Spirituality and Subjective Well-Being Among Rural Elderly Whites,African Americans,and Native Americans

SUMMARY

Little attention has been paid to subjective well-being among non-White elderly in rural areas where medical resources and financial support are deficient. The present study assessed a rural community sample of 215 elderly comprising 85 Caucasians, 75 African Americans, and 55 Native Americans, to examine roles of spirituality/religiousness on their subjective well-being. This study found ethnic differences in the reliance on religiosity/spirituality and a significant association between dimensions of religiousness/spirituality and subjective well-being among all ethnic rural elderly groups. The results of the study suggest that health providers, social workers, and faith communities need to provide rural elderly with religious and spiritual support in order to enhance their life satisfaction and lessen their emotional distress.     

Working with Narratives

ABSTRACT

This article will discuss healing across cultures and describe narrative practice as a means of access to coping strategies in African American folk beliefs and traditional healing practices. Four elements were found in empirical research on folk healing among African Americans: spirituality, ritual, the power of words, and dreams. These culture-specific healing elements often emerge as themes in personal narratives about coping in response to stress, crisis, and trauma. Viewing healing elements as themes is a useful framework for construing meanings from clients' experiences of stress, trauma, and crisis and coping strategies embedded in folk beliefs and traditional healing practices.

Additionally, the author presents a structured interview questionnaire for identifying folk healing themes, illustrates narrative practice as an approach for integrating folk beliefs and healing practices, and discusses implications for clinical training.     

Race,Socioeconomic Status,and Self-Esteem: The Impact of Religiosity

This research examines two factors that have an impact on the self-esteem of African Americans and whites: religion and socioeconomic status (SES). Using data from the National Survey of Families and Households, we find that for whites, belief in the Bible (i.e., that it is the literal word of God) and self-identifying as fundamentalist were significant predictors of self-esteem. For African Americans, belief in the Bible and being Catholic were significant predictors of self-esteem. However, the association between belief in the Bible and self-esteem was stronger for African Americans than whites. SES was positively associated with self-esteem for both groups. The interactions between SES and the measures of religiosity reveal a greater impact on self-esteem for lower SES respondents. This was especially true for African Americans. These findings are discussed in light of the resource compensation hypothesis.     

The Contribution of Social Behavior to Diabetes and Obesity: Do Health Behaviors Matter in the African‐American Community?

The obstacles experienced by those who are overweight and suffering from associated ailments are immense. This literature review evaluates the health behaviors and the socio‐structural barriers among African‐Americans that contribute to the high prevalence of obesity and diabetes. These include behaviors of African‐Americans that contribute to diabetes such as diet behavior, social behaviors, as well as behaviors that manifest in socioeconomic status. This assessment will be used to provide insights as they pertain to African‐Americans, cultural beliefs and practices, and their impact on the development of diabetes. This review illustrates that many of the aforementioned behaviors are embedded within and are shaped by broader social structures. This literature offers policy recommendations to assist in the elimination of health disparities specifically within the African‐American community.     

Personal Religiosity and Spirituality Associated with Social Work Practitioners' Use of Religious-Based Intervention Practices

Abstract

Social workers (N = 221) in the Southeastern USA responded to survey questions measuring 3 outcome variables, attitude toward religion in social work, the appropriateness of 15 religious-based interventions, utilization of these practices, and 3 dimensions of spirituality: spiritual experiences (spirituality), religious practices (organized religiosity), and religious affiliation. Attitude was generally favorable, and more than half of the interventions were judged appropriate and utilized by over 50% of the respondents. Beyond identifying with no religion, which predicted lower outcome scores, high spirituality strongly predicted attitude and utilization, whereas extrinsic organized religiosity was unimportant. A process model utilizing path analysis suggested that personal spirituality increases utilization resulting in corresponding perceptions of appropriateness and attitude toward religion in practice. More research was recommended on (1) utilization prevalence in other and diverse samples, and (2) the efficacy of religious-based practice.     

Integrating Spirituality,Faith, and Social Justice in Social Work Practice and Education: A Pilot Study

Abstract

Significant progress has been made toward incorporating spiritual and religious diversity into professional discourse. The extent to which the profession is complying with its ethical standards that address religion, however, remains largely unexamined. Consequently, this study explores the relationship between conceptualizations of (1) spirituality, (2) religion, and (3) the nature of the relationship between spirituality and religion, and perceptions of the profession's level of ethical compliance. The results of this exploratory study indicate that perceptions of ethical compliance are generally unrelated to how respondents conceptualized either spirituality or the nature of the relationship between spirituality and religion. A more nuanced picture emerged with religion, with respondents who defined religion in personally constructed terms, without reference to the transcendent, reporting higher levels of ethical compliance, while those who defined religion in terms of community, reported lower levels of ethical compliance.     

Religious and Spiritual Dimensions of the Vietnamese Dementia Caregiving Experience

This paper focuses on the role of religion and spirituality in dementia caregiving among Vietnamese refugee families. In-depth qualitative interviews were conducted with nine Vietnamese caregivers of persons with dementia, then tape-recorded, transcribed, and analyzed for emergent themes. Caregivers related their spirituality/religion to three aspects of caregiving: (1) their own suffering, (2) their motivations for providing care, and (3) their understanding of the nature of the illness. Key terms or idioms were used to articulate spiritual/religious dimensions of the caregivers' experience, which included sacrifice, compassion, karma, blessings, grace and peace of mind. In their narratives, the caregivers often combined multiple strands of different religions and/or spiritualities: Animism, Buddhism, Taoism, Confucianism and Catholicism. Case studies are presented to illustrate the relationship between religion/spirituality and the domains of caregiving. These findings have relevance for psychotherapeutic interventions with ethnically diverse populations.