LearnWell.org  Online Continuing Education in Health and Ethics, 24/7

 

  NURSES & PHARMACISTS | COUNSELORS | LVNs | DENTAL

 

all courses | accreditation | help | resources | about us | home

 

 

Health & Spirituality: Help or Harm

 
 Course Number  LWH305
 Objectives At the end of this course, you will discriminate between helpful and harmful 1. caring, 2. praying, 3. worshipping and 4. forgiving.
 Credit Hours and Fee  3.0 CE Credit Hours with a fee of $24.00
 Instructor  Rudolf Klimes, PhD (Indiana University), MPH (Johns Hopkins University); Adjunct Professor at Folsom Lake College, Folsom CA.

Explore this course for free. Or study this web-site for an approved (RN-CEP 11430, MFT- PCE 39) 3-hours Continuing Education Certificate for counselors, social workers, nurses and other human service professionals (0.3 CEUs) and take the 12-question multiple-choice test at the bottom of this page.   If you scored 75% or above, your CE certificate will be printed out right then on your printer 24/7. You may retake the test within a week once for free. If you paid by mistake or paid double, we refund the payment within 3 days. If you have difficulty printing your certificate, click here.

Caring Praying Worshipping Forgiving

Spirituality is a two-edged sword. While it is an agent of health to many, it can be misused and become a source of harm. At times, spirituality may help the recipient while harming the giver. Here we mainly examine spirituality as it effects the helper.

Spirituality is the sensitivity or attachment to religious values, or to things of the spirit as opposed to material or worldly interests. (from Merriam-Webster's Collegiate Dictionary, 10th ed, and Oxford English Dictionary, 2nd ed).

 

 Questions for Self-study: Study the below page in depth and submit only the quiz at the end. Follow some links but be sure not to get lost.

true.gif (899 bytes) false.gif (899 bytes) Spirituality is always helpful in health.

true.gif (899 bytes) false.gif (899 bytes) Generally, religion is good medicine.

true.gif (899 bytes) false.gif (899 bytes) Spirituality cannot be studies scientifically.

true.gif (899 bytes) false.gif (899 bytes) USA government institutions cannot study spirituality.

"Thou hast made us for thyself," says St. Augustine of Hippo, "and the heart never rests until it finds its rest in thee." God created us to be spiritual beings, people who seek after something beyond ourselves to give life meaning and purpose. The apostle Paul preaching to the Greek seekers on Mars Hill explained, "From one ancestor he made all nations to inhabit the whole earth, and he allotted the times of their existence and the boundaries of the places where they would live, so that they would search for God and perhaps grope for him and find him--though indeed he is not far from each one of us. For 'in him we live and move and have our being'; as even some of your own poets have said, 'For we too are his offspring'" Acts 17:26-28. Source: Nurses Christian Fellowship.

1. Does Caring Help? 

1.1 Is caring for you a source of comfort?  Yes___, No___, Explain __________

1.2 Does your caring meet your spiritual needs? Yes___, No___, Explain __________

1.3 Is your caring an expression of your life purpose? Yes?___, No___, Explain____________

Spirituality Can Help Buffer Stress and Depression  Source: ICIHS/NIHS

Subject Experts:David B. Larson, MD, M.S.P.H., president, National Institute for Healthcare Research April 6, 1999 Washington -- Recent scientific research has found an unlikely ally in battling the effects of stress and depression - spirituality.

Several studies conducted in the past few years have found that spirituality and religion may help buffer the effects of stress and depression, as well as help medically ill patients overcome bouts of depression.

•Researchers studying a sample population of 2,730 drawn from the Alameda County Study - a long-term research project of health and mortality - found that people who both attend religious services and participate in other activities through their place of worship receive protection from the stress of financial burdens, health issues and other problems. Interestingly, the researchers also found that participation in organized religion did nothing to buffer the effects of family stresses, and may actually worsen depressive effects. Researchers hypothesize that because family cohesiveness and harmony is especially prized by those who are organizationally religious, family tensions such as abuse and marital problems may very well trigger depression in these people. This finding, however, is not enough to discount religion's roll in preventing and overcoming depression.

• In a study of nearly 600 severely ill hospital patients aged 55 and older, researchers measured 47 ways of coping and discovered patients who sought a connection with a benevolent God as well as support from clergy and church members were less depressed and rated their quality of life as higher, even after taking into account how severe their diagnosis. The researchers also found that patients who gave spiritual support to others, by praying for them or encouraging their faith, also faired better emotionally.

• Another recent study conducted at Duke University revealed more striking results. In the first study to examine the role of religion in recovering from depression, researchers followed 87 patients aged 60 or older who were diagnosed with depressive disorder after being admitted to the hospital for a physical illness. They discovered that religion can help people recover from depression. In fact, the more spiritual the patient, the more quickly he or she recovered!

The link between depression and spirituality has even been found to cross the generational gap. In a study of 60 mothers and 151 children, researchers found that the daughters of women who considered religion to be highly important were 60 percent less likely to have a major depressive disorder at the 10 year follow-up. The study also found that women for whom religion was highly important were 81 percent less likely to have major depression at the follow-up.

According to David B. Larson, MD, president of the National Institute for Healthcare Research "a person's religious beliefs can be an important factor in assisting them to avoid or overcome depression." Source: ICIHS/NIHS

 2. Does Caring Harm?

2.1 Is caring for you a source of stress? Yes___, No___, Explain __________

2.2 Is caring for you a duty that you do reluctantly? Yes___, No___, Explain___________

2.3 Are you burning out? Yes___, No___, Explain____________

A great deal of sensitivity is required in the care of individuals. Care that is not welcome or understood may cause harm.

3. Does Praying Help?

3.1 Is praying for you a source of comfort? Yes___, No___, Explain __________

3.2 Does your praying meet your spiritual needs? Yes___, No___, Explain __________

3.3 Does your praying give you strength from an outside source? Yes___, No,____. Explain_____________

"Confess your transgressions one to another, and pray one for another, that you may be healed. The effective, fervent prayer of a righteous man avails much." James 5:16.  Almost 3,000 years ago, the prophet Isaiah declared, “Those who wait for the Lord shall renew their strength, they shall mount up with wings like eagles, they shall run and not be weary, they shall walk and not faint” Is 40:31.

"Should we continue to pray for healing, even if it doesn't always work? Of course we should. The purpose of prayer is not to manipulate God into giving us what we want. It is the language of relationship-a dependent, family relationship with God. We don't give our kids everything they ask for, because we know it would not be good for them. Sometimes the answer is a flat-out no. Sometimes it is later. At other times we challenge them to demonstrate the responsibility to handle the desired privilege or to work for the money to buy the coveted item. However, we definitely want our children to keep talking to us, to tell us what they hope for and dream of doing. Through it all, we provide guidance and encouragement. God wants the same from us. He wants us to get beyond enduring the trials to developing character. That's hard work, but, if anything, parenthood has given me a great deal of sympathy for God's side of the process." Source Nurses Christian Fellowship.

 4. Does Praying Harm?

4.1 Is praying for you a source of stress? Yes___, No___, Explain __________

4.2 Is praying for you a duty that you do reluctantly? Yes___, No___, Explain___________

4.3 While praying, do you neglect the regular expected activities? Yes__, No__, Explain____________

The Pharisee stood and prayed thus with himself, "God, I thank you  that I am not like other men- extortioners, unjust, adulterers..." Every one who exalts himself will be humbled... Luke 18: 11-14. 

 5. Does Worshipping Help?

5.1 Is worshipping for you a source of comfort? Yes___, No___, Explain __________

5.2 Does your worshipping meet your spiritual needs? Yes___, No___, Explain __________

6.3 Does your praying give you peace from an outside source? Yes___, No,____. Explain_____________

Attending religious services lowers risk of death by 28 percent, Source: ICIHS/NIHS

Older Americans' chances of living longer are stretched by 28 percent when they attend religious meetings each week - even after considering key health and social factors which also could lengthen lives - found a new study published in this month's Journal of Gerontology.

"The risk of dying for frequent attenders was 46 percent lower than for those attending less often," commented researcher Dr. Harold G. Koenig. After adjusting for other health and social factors that could help foster longer lives, frequent attenders were still 28 percent less likely to have died.

The study also found that religious attenders were physically healthier, had more social support and lived healthier lifestyles than less frequent attenders.

The study, supported by the National Institute on Aging, surveyed a random sample of nearly 4,000 seniors aged 64 and older to see if attending religious services had any bearing on living longer. It confirmed findings of a 28-year-long study on the west coast of over 5,200 people that found the risk of earlier death sank 23 percent among persons who often attended religious services.

The seniors were interviewed every year for up to six years to track death rates and links with health, social and religious factors. Health practices such as cigarette smoking and alcohol use - as well as age, gender, education and chronic health conditions - also were taken into account.

Death rates among this sample were relatively high during the six years - 30 percent - which provided "substantial power for examining predictors of survival," the researchers noted. Attending religious services stood out as a significant factor that predicted longer lives.

The link was strongest for women, who, after controlling for other factors, had a 35 percent lower risk of death, compared to a 17 percent lower risk for men. When accounting for this difference, the researchers cited other studies which have found women are more likely than men to pray, to rate religion as important in their lives and to depend on religion to cope, which perhaps conveys greater health benefits than merely attending religious services.

Why might attending religious services help add years to one's life? "Religious attendance is related to lower rates of depression, anxiety, and stress. A strong religious faith reinforced by active religious participation may help persons to cope with life stressors, particularly physical health problems later in life. Lower rates of depression, like higher social support, may translate into stronger immune systems and better defenses against disease," the researchers commented.

"Past studies have linked religious attendance with lower blood pressure, fewer strokes, and better compliance with taking medicines and following doctors orders, which also can contribute to longer lives," added Dr. David B. Larson, president of the National Institute for Healthcare Research and co-author of the study.

Subject Experts: David B. Larson, M.D., M.S.P.H., president, National Institute for Healthcare Research;
Harold G. Koenig, M.D., M.H.Sc., geriatric psychiatrist and director of the Center for Aging at Duke University,
Source: ICIHS/NIHS

 6. Does Worshipping Harm?

6.1 Is worshipping for you a source of stress? Yes___, No___, Explain __________

6.2 Is worshipping for you a duty that you do reluctantly? Yes___, No___, Explain___________

6.3 While worshipping, do you focus mainly on yourself? Yes__. No, Explain_________

And they worshipped the Dragon... Rev 13:1

7. Does Forgiving Help?

7.1 Is forgiving for you a source of comfort? Yes___, No___, Explain __________

7.2 Does your forgiving meet your spiritual needs? Yes___, No___, Explain __________

7.3 Does your forgiving clarify your relationships? Yes___, No,____. Explain_____________

Forgiveness Therapy Helps Parents Cope With Child's Suicide,  Source: ICIHS/NIHS

When a child dies by their own hand in suicide, parents' grief over the loss of a child can be compounded by anger at the child for committing such an act and burdensome guilt in themselves for failing to prevent it. A promising therapy focusing on forgiveness may offer hope to these suffering parents.

Teen suicide and its aftermath remain a staggering problem in the U.S. which has reached double the rates of adolescent suicide of any other industrialized nation, according to the U.S. Center for Disease Control and Prevention. Between 1970 and 1990 the rate of suicide among U.S. teens more than tripled, becoming the second leading cause of death, outstripped only by accidents.

Along with suicide prevention, a critical need for effective programs to deal with the psychological trauma of the surviving relatives of suicide victims has become the focus of recent research.

Drs. Radhi H. Al-Mabuk and William R. Downs of the Center for the Study of Adolescents at the University of Northern Iowa document a particularly promising approach for helping parents whose teens committed suicide. Shown effective in treating persons with other psychological trauma, this program focuses on teaching parents to "forgive" their dead child, breaking the cycle of emotionally trapping themselves in the event. Michael McCullough, Ph.D., of the National Institute for Healthcare Research (NIHR), has done extensive research on the role of forgiveness in mental health. "Dr. Al-MabukĖs theories about the role of forgiveness in coping with suicide are consistent with recent studies emphasizing the unique role forgiveness may play in counseling and psychotherapy." he says.

Following a child's suicide, a parent often does not confront the hurtful event, the researchers explain, instead setting up defenses to avoid dealing with the pain. But over time the parent often becomes angry, even hateful toward the dead child, yet also feels deep shame. They often continually relive the hurtful event over and over, held hostage by their feelings.

In forgiveness therapy, the therapists first help the parent face and release their anger toward the dead child and an "unjust" world. The parents are helped to realize their own coping strategies arenĖt working so they can decide whether to choose to work on forgiving their child.

Steps toward forgiveness include developing empathy for the child and the childĖs suffering, accepting the pain that was unfairly placed on them, and seeing their own imperfections as well as their child's so they can forgive. This creates an internal, emotional release.

"Forgiveness is important in diminishing anger, guilt, anxiety, depression, and resolving physical complications," as well as increasing hope and self-esteem, note the researchers.

Reference: Al-Mabuk, Radhi H., and Downs, William R. (1996). "Forgiveness Therapy with Parents of Adolescent Suicide Victims." Journal of Family Psychotherapy 7(2): 21-39. Source: ICIHS/NIHS

 8. Does Forgiving Harm?

8.1 Is forgiving for you a source of stress? Yes___, No___, Explain __________ 

8.2 Is forgiving for you a duty that you do reluctantly? Yes___, No___, Explain___________

8.3 Do you pardon all consequences of all evil behaviors? Yes?__, No___, Explain________ 

Forgiveness, according to the www.forgiver.net is defined as the process in which one person renounces resentment about an offense and is freed to extend good will to the offender. A form of forgiveness in which the person does not renounce resentment about an offense may be harmful.


Library: CHID, Taking a spiritual history, Spirituality and health coursesSpirituality basic slides, www.forgiveness.orgMind/Body Med Institute,

Christianity: The religion stemming from the life, teachings, and death of Jesus Christ: the religion that believes in God as the Father Almighty who works redemptively through the Holy Spirit for men's salvation and that affirms Jesus Christ as Lord and Savior who proclaimed to man the gospel of salvation. (From Webster, 3d ed)

 

 Now take the Test 

Study this web-site for 3 hours for an approved (RN-CEP 11430, MFT- PCE 39) 3-hours Continuing Education Certificate (0.3 CEUs).  Click here for the self-correcting test & online payment, and 2) receive your certificate immediately online. All is online, nothing by post-mail. 

 


After you finished this course, consider taking a related course.

 Š 1994-2006,  LearnWell Resources, Inc, a California nonprofit public benefit 501(c)(3) corporation, PO Box 944, Camino CA 95709. Updated December 23, 2006  privacy  feedback  email us  login