spiritual suffering
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2021 ◽  
Author(s):  
◽  
Keri Lawson-Te Aho

<p>Māori suicide is theorised as an outcome of the wounding of the indigenous spirit as a result of complex trauma birthed during colonisation. The spirit is theorised as the place where trauma and suffering take root in whakapapa (kinship). Whakapapa is theorised as the mechanism by which spiritual affliction is transferred inter-generationally manifesting in physical outcomes within and between generations. Māori suicide is interpreted as the physical manifestation of spiritual wounds and spiritual wounding requires responses that ameliorate and heal spiritual suffering at the source. Therapies for soul healing are framed in context of indigenous self determination. This creates space to privilege healing traditions housed within cultural worldviews, practices and knowledge(s). This assumes an ability to reclaim traditional healing knowledge that works at a spiritual level. Whakapapa is theorised as the pathway by which profound healing of the wounded spirit can be achieved. In this research, connection to whakapapa and a full consciousness of the divine (mauri) inside all indigenous peoples that connects us with each other provides a source of healing of the spirit through balancing the spiritual and physical elements of human existence. In order to test the relationship between historical trauma and the outcomes of spiritual suffering 182 years of history were researched in one discrete tribal group. Using whānau narratives three major trauma acts were identified. The whānau identified historical trauma as having contemporary outcomes and consequences for whakapapa/kinship relationships. They found the analysis of historical trauma to be empowering, bringing forth revelation knowledge and explaining inter-generational suffering. The explanatory power of historical trauma/soul and spiritual wounding made sense to them experientially, intuitively and intellectually.  This PhD recommends healing methods (and pathways) for indigenous professionals and para-professionals working with extensive trauma in their communities. Trauma narratives are reframed as imperatives and opportunities for spiritual/soul healing.</p>


2021 ◽  
Author(s):  
◽  
Keri Lawson-Te Aho

<p>Māori suicide is theorised as an outcome of the wounding of the indigenous spirit as a result of complex trauma birthed during colonisation. The spirit is theorised as the place where trauma and suffering take root in whakapapa (kinship). Whakapapa is theorised as the mechanism by which spiritual affliction is transferred inter-generationally manifesting in physical outcomes within and between generations. Māori suicide is interpreted as the physical manifestation of spiritual wounds and spiritual wounding requires responses that ameliorate and heal spiritual suffering at the source. Therapies for soul healing are framed in context of indigenous self determination. This creates space to privilege healing traditions housed within cultural worldviews, practices and knowledge(s). This assumes an ability to reclaim traditional healing knowledge that works at a spiritual level. Whakapapa is theorised as the pathway by which profound healing of the wounded spirit can be achieved. In this research, connection to whakapapa and a full consciousness of the divine (mauri) inside all indigenous peoples that connects us with each other provides a source of healing of the spirit through balancing the spiritual and physical elements of human existence. In order to test the relationship between historical trauma and the outcomes of spiritual suffering 182 years of history were researched in one discrete tribal group. Using whānau narratives three major trauma acts were identified. The whānau identified historical trauma as having contemporary outcomes and consequences for whakapapa/kinship relationships. They found the analysis of historical trauma to be empowering, bringing forth revelation knowledge and explaining inter-generational suffering. The explanatory power of historical trauma/soul and spiritual wounding made sense to them experientially, intuitively and intellectually.  This PhD recommends healing methods (and pathways) for indigenous professionals and para-professionals working with extensive trauma in their communities. Trauma narratives are reframed as imperatives and opportunities for spiritual/soul healing.</p>


2021 ◽  
Vol 27 (9) ◽  
pp. 464-470
Author(s):  
Pilaiporn Sukcharoen ◽  
Nanchatsan Sakunpong

Background: Nursing students form part of the healthcare team who care for patients who are living with a terminal illness and facing physical and spiritual suffering. However, there is a lack of suitable indicators to measure a nurse's spirituality when they are providing palliative care. Aim: To develop a way of measuring the spirituality of nurses who provide palliative care. Method: The participants consisted of 312 third-and fourth-year nursing students of two nursing colleges from southern and central Thailand. Finding: The 12-item Spirituality in Palliative Care Scale had the reliability of .804. The measurement model was consistent with the empirical data and had unidimensional quality (X2=50.94, df=45, p-value=0.25, root mean square error of approximation (RMSEA)=0.044, Single Resolution Mechanism Regulation (SRMR)=0.044, Adjusted Goodness of Fit Index (AGFI)=0.95, Corporate Finance Institute (CFI)=0.97, goodness of fit (GFI)=0.97). The items' factor loadings were in between .48 and .84. Conclusion: The spirituality in palliative care scale can measure nursing students' spirituality in palliative care and nursing educators can use the measurement to support nursing students to develop greater awareness of spirituality in palliative care.


2021 ◽  
pp. 1063-1071
Author(s):  
Susan McClement ◽  
Genevieve Thompson ◽  
Jamie Penner

The focus of palliative care is the whole person, including biopsychosocial, cultural, and spiritual dimensions of patient needs. The burgeoning literature examining the topic of spirituality within healthcare in general, and within palliative care in particular, underscores the notion that attending to patients’ spiritual care needs is a vital part of providing optimal palliative care. Yet healthcare providers frequently report that they feel ill equipped to provide spiritual care at the end of life and wrestle with many questions and uncertainties: What is spirituality? Why is it important? What is spiritual suffering? Who should provide spiritual care? How is a spiritual assessment conducted? What are some spiritual interventions for end of life care? What are some future research directions in the area of spiritual care? Answers to these questions form the basis of this chapter.


2021 ◽  
Vol 30 (1) ◽  
pp. 34-39
Author(s):  
Dean Anderson ◽  
Joanna De Souza

Death rituals, such as the ritual of prayer, can offer cultural comfort to people who are grieving the loss of their own life or that of another. This article explores the meaning of ritual, how rituals are structured and how prayer rituals are used at the end of life from a cross-cultural perspective. Facing death can be a challenge to a person's sense of identity and their understanding of their world around them, beginning a process of spiritual suffering. Prayer rituals can help maintain a sense of control and identity during this time of crisis, offering comfort, meaning and structure. Despite varying outward appearances, prayer rituals from different cultures follow similar structures that can be deconstructed, allowing nurses to decipher their meaning and deepen the quality of care they provide to the dying person and those left behind.


2020 ◽  
Vol 4 (82) ◽  
pp. 7-23
Author(s):  
Myroslav Savchyn

The semantic characteristics of the postmodern worldview and its mostly destructive influence on the state of solving the existing problems of psychological science are analyzed at the methodological level. In this worldview, the image of the world is seen as a multidimensional, heterogeneous, mosaic formation, and culture is seen as a sphere of manifestation of the ecstasy of communication; emphasis is placed on the dynamics of processes and no attention is paid to stable modes; the order is sought in chaos, which somehow helps to maintain a sense of stability of the system in a deficit of order, the opposite processes of structuring and chaos are reflected and the idea of multiplicity of beauty is developed. In the bosom of this worldview, life is seen as a text, and communication (dialogue) as a key moment in the personality’s social existence, the contextuality (dependence on socio-cultural influences) of human’s everyday life is proclaimed, procedures of controlling the discourses are characterized, which is caused by “linguistic turn”, concentration of considerations on the texts. It is noted that postmodern ideology actually declares a taboo on science, objectivity in the world cognition, because imitation is attributed to reality itself, the possibility of constructing a systematized theory and philosophy is denied, the network principle of knowledge organization is proposed, and to ensure its “objectivity” it is proposed to abandon the category of subject in order to get rid of the subjectivity of cognition, which seems to be manifested in the adherence to values and meanings of cognitive activity, and to define the structure of cognition the concept of “epistem” is operated, which characterizes the structure of historically variable cognition. In general, in the postmodern worldview it is promoted to achieve objectivity through dialogue, communication, and convention, when intersubjectivity is a criterion of truth, and methodological progress is associated with interdisciplinarity and transdisciplinarity. In this worldview dimension, against the background of nihilism, the personality is considered as dynamic, flowing, changeable, polyphonic, not rigidly determined, emancipated structurally, and without a stabilizing core (spiritual Self, gender, Self-concept), individually unique is exaggeratedly interpreted, that one which is not combined with universal and neutral in relation to objective values (for example, amoralism). Freedom is misinterpreted as permissiveness, even in the field of self-realization and self-creation. The postmodernist idea of narrative as a textual interpretation of the world, one’s personality and one’s life is analyzed. It is argued that there can be different relationships between the processes of real life and narration, because a person is able to live fully without resorting to narration. It is noted that postmodernism neglects the stabilizing phenomena of the human’s inner world, the eternal meanings of life (creation of faith, love, good and the fight against evil, the spread of authentic freedom and responsibility, hope, happy moments, healing states of humility and repentance for unworthy deeds, spiritual understanding of suffering). It is argued that due to the focus on the spiritual in his inner world and life, personality constructively overcomes chaos, organizes worries, thoughts, intentions, she has great hope, realizes great life goals, finds authentic meanings of being and then she really feels happy. The spiritual Self makes us stronger, allows us to act intelligently in conditions of uncertainty, the pressure of complex problems allows us to overcome stressful situations, to benefit from our own spiritual suffering.


2020 ◽  
pp. 003022282095218
Author(s):  
Frédérique Drillaud ◽  
Camille Saussac ◽  
Florence Keusch ◽  
Danièle Lafaye ◽  
Hélène Bely ◽  
...  

The WHO has included the spiritual dimension in its definition of palliative care since 1990, but this dimension is frequently confused with notions of religion. Yet, the spiritual suffering experienced by palliative care patients is primarily a matter of existential suffering. The objective of this study was to examine the ways in which the existential dimension was manifested in the experiences of those present in a palliative care unit. This anthropological monograph was conducted in a palliative care unit in a French University Hospital. The existential dimension appears to reside in the connections between individuals and the proximity of death appears to shed new light on the meaning of life. The mirror effect of death on life, could serve to encourage greater appreciation of the value of our connections with others, and the desire to take care of others, which offers new insight into forms of solidarity and social organisation.


Author(s):  
J. Gregory Hobelmann ◽  
Michael R. Clark

Chronic debilitating pain causes physical, emotional, cognitive, and spiritual suffering. Chronic pain is frequently associated with psychiatric comorbidities, such as affective and anxiety disorders, further enhancing the suffering and functional disability of patients with pain. For much of the past three decades, treatment for pain has focused on the physical aspect of pain with little attention to emotional, cognitive, and spiritual maladies. We aim to describe comprehensive rehabilitation programs that take into consideration the entire patient. While the concept is not novel, comprehensive programs became nearly extinct for many years because of a variety of factors. Possibly the most innovative concept in pain medicine is the re-emergence of these programs, along with a variety of newer treatment modalities.


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