religion, spirituality and faith in the care of torture ... · insearch 1994.spring • carl g....
TRANSCRIPT
![Page 1: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/1.jpg)
Religion, Spirituality and Faith in the Care of Torture Survivors Part 2
Webinar PresentationDr. Marcus M. McKinney
Saint Francis Hospital and Medical CenterHartford, Connecticut
June 17, 2009
![Page 2: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/2.jpg)
Introduction
• Thomas Moore Care of the Soul
1993.Harper
• James Hillman Insearch
1994.Spring
• Carl G. Jung Psychology and Religion:West
and East. 1969.Princeton University Press
• Huguelet
and Koenig Religion and Spirituality in Psychiatry. 2009.Cambridge University
Press
![Page 3: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/3.jpg)
Review
Spirituality: Meaning
Religion: System and Structure
Faith: Belief and Action
![Page 4: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/4.jpg)
Spirit & Soul
![Page 5: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/5.jpg)
Spiritual Assessment
Components
Process
![Page 6: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/6.jpg)
Why make an assessment?
• Swiss Study.2006 (Huguelet, Mohr)
– 1/3 of psychiatrists discussed spiritual issues– NONE of the MD’s initiated the discussion
– Canadian Study.2009 (same results)
![Page 7: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/7.jpg)
Why?
• “No time”
• Concerned they would “offend”• Not Trained• Personally uncomfortable with topic
• Concerned colleagues would disapprove• Not interested
![Page 8: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/8.jpg)
American Psychiatric Guidelines
• In the developmental, psychosocial and socio‐ cultural history domain
• Recommends considering “ What are the patient’s cultural, religious and spiritual
beliefs, and how have these developed or changed over time? ”
![Page 9: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/9.jpg)
Typical Scale of Assessment
• F.I.C.A.– Faith “Is religious faith an important part of your
life”
– Influence “How has faith influenced your life (past and present)?”
– Community “Are you currently a part of a religious or spiritual community?”
– Address Needs “Are there any spiritual needs that you would like me to address?”
![Page 10: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/10.jpg)
Mohr and Huguelet*
• Religious/Spiritual History• Effect of illness upon spirituality/religiousness• Current Beliefs and Practices• Subjective importance of religion in life
• Subjective importance of religion to cope w/illness
• Synergy of religion with psychiatric care
* Religion and Spirituality in Psychiatry. 2009 . Cambridge
University Press page 236
![Page 11: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/11.jpg)
Component 1
Be Human(imperfect, flawed, etc)
Assess YOUR OWN spiritual and religious perspectives on humanity.
Assess the clients perspective on being human.
![Page 12: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/12.jpg)
Component 2
Help the person tell their story
In specifics
![Page 13: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/13.jpg)
Component 3
Assess symbolic aspects of spiritual life
After information gathering (FICA) explore the deeper themes in a persons story that give
meaning.
Example: worth/value, individuality, renewal, reflection, courage, allegiance
![Page 14: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/14.jpg)
Spiritually Implicating Ideas
Courage/Fear
Independence/Community
Allegiance/Betrayal
Honor/Dishonor
Dignity (worth)/Lack of Dignity (worthless)
Valued and Affirmed/Humiliated
![Page 15: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/15.jpg)
Practical Example
It is not uncommon for a person to tell their trauma story and fear they
will “not be believed”
Clearly an opportunity for spiritual assessment:
Belief; Testimony; Validation of things not provable (faith)
![Page 16: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/16.jpg)
Component 4
Assess what (in the specifics) has touched them
Assess how hard it is for them to share these experiences
![Page 17: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/17.jpg)
Component 5
Assess how they relate
‐To You
‐To Family & Friends
Assess How People relate to them
![Page 18: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/18.jpg)
Component 6
Assess any Rituals
Pilgrimage, Rebirth, Baptism
Confession, Relics, Sacred Scripture
Holy Days, Saints, Prayers
Discover the meaning they find in ritual
![Page 19: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/19.jpg)
Dreams & Nightmares
Explore Dreams
Explore Nightmares
(have them journal)
![Page 20: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/20.jpg)
Component 7
How do they cope with pain?
Is there a correlation between spiritual resources and ways to cope?
![Page 21: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/21.jpg)
Component 8
Community Resources
Collaboration
And Liaison
![Page 22: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/22.jpg)
Components
• Be Human
• Invite story specifics• Reflect on Symbolic aspects of story
• What touched them inside (about the experience)?
• Relating• Rituals and Resources• Dreams & Nightmares
• Coping• Community Resources, Collaboration and Liaison
![Page 23: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/23.jpg)
Common Goals in Literature for Spiritual Assessment
• Reduce Stress• Offer Support
• Help a person cope
![Page 24: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/24.jpg)
Process
• Reflect on your own perspective regarding spirituality,
religion and faith
• Get Basic Information (FICA)
• Listen to stories carefully (for themes)
• Become interested in having the person TEACH YOU.
• Journaling
• Invite stories about people they know or admire ‐
see what
touches them.
• Bring to awareness any insights they have for use in daily life
![Page 25: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/25.jpg)
Cross‐Cultural Medicine‐
A Decade Later: Working with Refugee Survivors of Torture Barbara Chester and Neal Holton
West. J. Med. 1992
“Like torture survivors, the health professional assessing and treating these patients needs the courage to imagine.”
![Page 26: Religion, Spirituality and Faith in the Care of Torture ... · Insearch 1994.Spring • Carl G. Jung Psychology and Religion:West and East. 1969.Princeton University Press • Huguelet](https://reader033.vdocuments.mx/reader033/viewer/2022053021/5f85f5f41d86e34c2c3e8efc/html5/thumbnails/26.jpg)
Web Resource
www.pastoralcounselingtraining.com
860‐714‐4183