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5 - Spirituality and cultural psychiatry

from Part I - Theoretical background

Published online by Cambridge University Press:  11 August 2009

By
Kate M. Loewenthal
Edited by
Dinesh Bhugra  and
Kamaldeep Bhui
Kate M. Loewenthal
Affiliation:
Psychology Department Royal Holloway University of London Egham Surrey TW20 0EX UK
Dinesh Bhugra
Affiliation:
Institute of Psychiatry, London
Kamaldeep Bhui
Affiliation:
Barts & The London, Queen Mary School of Medicine and Dentistry
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Summary

EDITORS' INTRODUCTION

Spirituality and religion are core aspects of people's identity in several cultures. This identity allows them to seek help from folk or social sectors and, eventually, from professional sectors. Both spirituality and religion play an important role in shaping an individual's beliefs and behaviours, which may or may not be culturally sanctioned. Clinicians often avoid exploring the patient's spiritual and religious beliefs because of the fear of upsetting them or not being certain as to how to handle them. There are key issues between spirituality and psychiatry, which include those of boundary, those of defining normality or deviance and uncertainty about the role of the other side.

In this chapter, Loewenthal raises four issues that reflect the relationship between psychiatry and spirituality. The first of these is differentiation between religiosity and spirituality. The role of spirituality within psychiatry, differentiation of spiritual and cultural factors and the universalism of these factors are the other issues which Loewenthal addresses in her chapter. There is no doubt that contents of delusions can be influenced by religious factors, but equally managing distress using rituals sanctioned by religions is important in assessment and management. The question of gender and age needs to be addressed further. Anecdotal evidence indicates that females and older people are more religious in their outlook. Religious and spiritual factors also influence help-seeking behaviours. In exclusive religious groups, religious and spiritual resources within the group may be perceived as and followed as providing effective relief from psychological distress. It is obvious that religious and spiritual factors will influence referral and may also reduce stigma.

Type
Chapter
Information
Textbook of Cultural Psychiatry , pp. 59 - 71
Publisher: Cambridge University Press
Print publication year: 2007

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References

Bentall, R. P. & Beck, A. (2004). Madness Explained: Psychosis and Human Nature. Harmondsworth: Penguin.
Bhugra, D. (ed.) (1996). Psychiatry and Religion: Context, Consensus, and Controversies. London: Routledge.
Bhugra, D. (2002). Self-concept: Psychosis and attraction of new religious movements. Mental Health, Religion and Culture, 5, 239–252.Google Scholar
Bhui, K. & Bhugra, D. (2002). Explanatory models for mental distress: implications for clinical practice and research. British Journal of Psychiatry, 181, 6–7.Google Scholar
Broch, H. B. (2001). The villagers' reactions towards craziness: an Indonesian example. Transcultural Psychiatry, 38, 275–305.Google Scholar
Brown, L. B. (1987). The Psychology of Religious Belief. London: Academic Press.
Campion, J. & Bhugra, D. (1998). Religious and indigenous treatment of mental illness in South India – a descriptive study. Mental Health, Religion and Culture, 1, 21–30.Google Scholar
Cinnirella, M. & Loewenthal, K. M. (1999). Religious and ethnic group influences on beliefs about mental illness: A qualitative interview study. British Journal of Medical Psychology, 72, 505–524.Google Scholar
Cochrane, R. (1993). Women and depression. In The Health Psychology of Women, ed. Niven, C. A. & Carroll, D.. Switzerland: Harwood Press.
Crossley, J. P. & Salter, D. P. (2005). A question of finding harmony: a grounded theory study of clinical psychologists' experience of addressing spiritual beliefs in therapy. Psychology and Psychotherapy: Theory Research and Practice, 78, 295–314.Google Scholar
Cunin, B., Cunin, B. & Cunin, S. (1992). Psychotherapy with Orthodox Jewish patients: On clarifying distortions and conflicts. Journal of Psychology and Judaism, 16.Google Scholar
Davies, M. F., Griffiths, M. & Vice, S. (2001). Affective reactions to auditory hallucinations in psychotic, evangelical and control groups. British Journal of Clinical Psychology, 40, 361–370.Google Scholar
Dein, S. (2002). Transcultural psychiatry. British Journal of Psychiatry, 181, 535–536.Google Scholar
Fabrega, H. Jr., Lopez-Ibor, J. J. Jr., Wig, N. N.et al. (2000). Culture, spirituality and psychiatry. Current Opinion in Psychiatry, 13, 525–530.Google Scholar
Fernando, S. (2005). Multicultural mental health services: projects for minority ethnic communities in England. Transcultural Psychiatry, 42, 420–436.Google Scholar
Foskett, J. (ed.) (2004). User-led research on spiritual issues in psychiatry. Special Section, Mental Health Religion and Culture, 7, 1–58.Google Scholar
Freud, S. (1907). Obsessive actions and religious practices. In Collected Papers, 1907/1924. London: Hogarth Press.
Freud, S. (1927). The Future of an Illusion. London: Hogarth Press.
Freud, S. (1928). Totem and Taboo: Resemblances between the Psychic Lives of Savages and Neurotics. New York: Dodd.
Freud, S. (1930). Civilisation and its Discontents. London: Hogarth Press.
Freud, S. (1939). Moses and Monotheism. London: Hogarth Press and the Institute of Psychoanalysis.
Gartner, J., Hermatz, M., Hohmann, A. & Larson, D. (1990). The effect of patient and clinician ideology on clinical judgement: a study of ideological countertransference. Special issue: Psychotherapy and religion. Psychotherapy, 27, 98–106.Google Scholar
Greenberg, D. (1987). The behavioural treatment of religious compulsions. Journal of Psychology and Judaism, 11, 41–47.Google Scholar
Greenberg, D. & Witztum, E. (2001). Sanity and Sanctity: Mental Health Work among the Ultra-Orthodox in Jerusalem. New Haven and London: Yale University Press.
Helminiak, D. A. (1996). A scientific spirituality: the interface of psychology and theology. International Journal for the Psychology of Religion, 6, 1–20.Google Scholar
Hinton, D. E., Hufford, D. J. & Kirmayer, L. (2005). Culture and sleep paralysis. Transcultural Psychiatry, 42, 5–10.Google Scholar
Ineichen, B. (1991). Schizophrenia in British AfroCaribbeans: two debates confused? International Journal of Social Psychiatry, 37, 227–232.Google Scholar
Janes, K. (2005). Clinical psychologists' appraisals of referral letters describing clients with symptoms of psychosis with and without a religious component. DClinPsych, Royal Holloway, University of London.
Joseph, S., Linley, P. A. & Maltby, J. (eds.) (2006). Mental Health, Religion and Culture. Special Issue: Positive Psychology and Religion.
Kendler, K. S., Gardner, C. O. & Prescott, C. A. (1997). Religion, psychopathology, and substance use and abuse: A multimeasure, genetic-epidemiologic study. American Journal of Psychiatry, 154, 322–320.Google Scholar
King, M. & Dein, S. (1998). The spiritual variable in psychiatric research. Psychological Medicine, 28, 1259–1262.Google Scholar
King-Spooner, S. & Newnes, C. (eds.) (2001). Spirituality and Psychotherapy. Ross-on-Wye: PCCS Books.
Koenig, H. G. (ed.) (1990). Handbook of Religion and Mental Health. San Diego: Academic Press.
Koenig, H. B., McCullough, M. E. & Larson, D. B. (2001). Handbook of Religion and Health. Oxford: Oxford University Press.
Kroll, J. & Bachrach, B. (1982). Visions and psychopathology in the Middle Ages. Journal of Nervous and Mental Diseases, 190, 41–49.Google Scholar
Levav, I., Kohn, R., Dohrenwend, B. P.et al. (1993). An epidemiological study of mental disorders in a 10-year cohort of young adults in Israel. Psychological Medicine, 23, 691–707.Google Scholar
Levav, I., Kohn, R.Golding, J. & Weismann, M. M. (1997). Vulnerability of Jews to affective disorders. American Journal of Psychiatry, 154, 941–947.Google Scholar
Lewis, C. A. (1998). Cleanliness is next to Godliness: religiosity and obsessiveness. Journal of Religion and Health, 37, 49–61.Google Scholar
Lewis, C. A. (2001). Cultural stereotypes of the effects of religion on mental health. British Journal of Medical Psychology, 74, 359–367.Google Scholar
Lipsedge, M. (1996). Religion and madness in history. In Psychiatry and Religion: Context, Consensus, and Controversies, ed. Bhugra, D.. London: Routledge.
Littlewood, R. & Lipsedge, M. (1981a). Some social and phenomenological characteristics of psychotic immigrants. Psychological Medicine, 11, 289–302.Google Scholar
Littlewood, R. & Lipsedge, M. (1981b). Acute psychotic reactions in Caribbean-born patients. Psychological Medicine, 11, 303–318.Google Scholar
Littlewood, R. & Lipsedge, M. (1997). Aliens and Alienists: Ethnic Minorities and Psychiatry, 3rd ed. London: Oxford University Press.
Loewenthal, K. M. (1999). Religious issues and their psychological aspects. In Cross Cultural Mental Health Services: Contemporary Issues in Service Provision, ed. Bhui, K. & Olajide, D.. London: W.B. Saunders.
Loewenthal, K. M. (2000). A Short Introduction to the Psychology of Religion. Oxford: Oneworld.
Loewenthal, K. M. (2005). Strictly Orthodox Jews and their relations with psychiatry and psychotherapy. Transcultural Psychiatry Section World Psychiatric Association Newsletter, 23(1), 20–24.Google Scholar
Loewenthal, K. M. (2006). Religion, Culture and Mental Health. Cambridge: Cambridge University Press.
Loewenthal, K. M. & Rogers, Brooke M. (2004). Culture sensitive support groups: how are they perceived and how do they work? International Journal of Social Psychiatry, 50, 227–240.Google Scholar
Loewenthal, K. M. & Cinnirella, M. (1999). Beliefs about the efficacy of religious, medical and psychotherapeutic interventions for depression and schizophrenia among different cultural–religious groups in Great Britain. Transcultural Psychiatry, 36, 491–504.Google Scholar
Loewenthal, K. M. & Cinnirella, M. (2003). Religious issues in ethnic minority mental health with special reference to schizophrenia in Afro-Caribbeans in Britain: a systematic review. In Main Issues in Mental Health and Race, ed. Ndegwa, D. & Olajide, D.. London: Ashgate.
Loewenthal, K. M., Cinnirella, M., Evdoka, G. & Murphy, P. (2001). Faith conquers all? Beliefs about the role of religious factors in coping with depression among different cultural–religious groups in the UK. British Journal of Medical Psychology, 74, 293–303.Google Scholar
Loewenthal, K. M., Goldblatt, V, Gorton, T.et al. (1995). Gender and depression in Anglo-Jewry. Psychological Medicine, 25, 1051–1063.Google Scholar
Loewenthal, K. M., Goldblatt, V., Gorton, T.et al. (1997a). The costs and benefits of boundary maintenance: Stress, religion and culture among Jews in Britain. Social Psychiatry and Psychiatric Epidemiology, 32, 200–207.Google Scholar
Loewenthal, K. M., Goldblatt, V., Gorton, T.et al. (1997b). The social circumstances of anxiety and its symptoms among Anglo-Jews. Journal of Affective Disorders, 46, 87–94.Google Scholar
Loewenthal, K. M., MacLeod, A. K, Goldblatt, V., Lubitsh, G. & Valentine, J. D. (2000). Comfort and joy: religion, cognition and mood in individuals under stress. Cognition and Emotion, 14, 355–374.Google Scholar
Loewenthal, K. M., MacLeod, A. K., Cook, S., Lee, M. J. & Goldblatt, V. (2003a). Beliefs about alcohol among UK Jews and Protestants: do they fit the alcohol-depression hypothesis? Social Psychiatry and Psychiatric Epidemiology, 38, 122–127.Google Scholar
Loewenthal, K. M., MacLeod, A. K., Cook, S., Lee, M. J. & Goldblatt, V. (2003b). Drowning your sorrows? Attitudes towards alcohol in UK Jews and Protestants: a thematic analysis. International Journal of Social Psychiatry, 49, 204–215.Google Scholar
Maltby, J., Lewis, C. A. & Day, L. (1999). Religious orientation and psychological well-being: the role of the frequency of personal prayer. British Journal of Health Psychology, 4, 363–378.Google Scholar
Maton, K. I. (1989). The stress-buffering role of spiritual support: cross-sectional and prospective investigations. Journal for the Scientific Study of Religion, 28, 310–323.Google Scholar
Miller, A. (1984). Endorsement of Amsel, A. Rational Irrational Man. New York: Feldheim.
Peters, E., Day, S., McKenna, J. & Orbach, G. (1999). Delusional ideas in religious and psychiatric populations. British Journal of Clinical Psychology, 38, 83–96.Google Scholar
Neeleman, J & Persaud, (1995). Why do psychiatrists neglect religion? British Journal of Medical Psychology, 68, 169–78.Google Scholar
Paloutzian, R. F. (1996). Invitation to the Psychology of Religion. (Second edition). Massachusetts: Allyn and Bacon.
Pargament, K. (1997). The Psychology of Religion and Coping. New York: Guilford Press.
Pargament, K. & Tarakeshwar, N. (eds.) (2005). Spiritually integrated psychotherapy. Special Issue: Mental Health Religion and Culture, 8, 155–238.
Paykel, E. S. (1991). Depression in women. British Journal of Psychiatry, 158, 22–29.Google Scholar
Pfeifer, S. (1994). Belief in demons and exorcism in psychiatric patients in Switzerland. British Journal of Medical Psychology, 67, 247–58.Google Scholar
Roskes, E. J., Dixon, L. & Lehman, A. (1998). A survey of the views of trainees in psychiatry regarding religious issues. Mental Health Religion and Culture, 1, 45–56.Google Scholar
Seligman, M. (2002). Authentic Happiness. New York: Free Press.
Sembhi, S. & Dein, S. (1998). The use of traditional Asian healers by Asian psychiatric patients in the UK: a pilot study. Mental Health, Religion and Culture, 1, 127–134.Google Scholar
Shams, M. & Jackson, P. R. (1993). Religiosity as a predictor of well-being and moderator of the psychological impact of unemployment. British Journal of Medical Psychology, 66, 341–352.Google Scholar
Speck, P. (1998). Spiritual issues in palliative care. In Oxford Textbook on Palliative Care, 2nd edn. New York: Oxford University Press.
Srinivasan, T. N. & Thara, R. (2001). Beliefs about causation of schizophrenia: do Indian families believe in supernatural causes? Social Psychiatry and Psychiatric Epidemiology, 36, 134–140.Google Scholar
Thomas, C. S., Stone, K., Osborn, M. & Thomas, P. F. (1993). Psychiatric morbidity and compulsory admission among UK-born Europeans, Afro-Caribbeans and Asians in central Manchester. British Journal of Psychiatry, 163, 91–99.Google Scholar
Wilson, W. P. (1997). Religion and psychoses. In Religion and Mental Health, ed. Koenig, H., pp. 161–174. San Diego: Academic Press.
Wulff, (1997). Psychology of Religion: Classic and Contemporary. 2nd edn. New York: Wiley.
Yorston, G. (2001). Mania precipitated by meditation: a case report and literature review. Mental Health, Religion and Culture, 4, 209–214.Google Scholar
Yossifova, M. & Loewenthal, K. M. (1999). Religion and the judgement of obsessionality. Mental Health, Religion and Culture, 2, 145–152.Google Scholar
Zinnbauer, B. J., Pargament, K. I., Cole, B.et al. (1997). Religion and spirituality: Unfuzzying the fuzzy. Journal for the Scientific Study of Religion, 36, 549–564.Google Scholar

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