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Spiritual Care

Zeitschrift für Spiritualität in den Gesundheitsberufen

Editor-in-Chief: Frick, Eckhard / Peng-Keller, Simon

Ed. by Aberer, Elisabeth / Bischoff, Alexander / Büssing, Arndt / Eschmann, Holger / Hefti, René / Klein, Constantin / Maidl, Lydia / Mayr, Beate / Roser, Traugott / Utsch, Michael / Zwingmann, Christian

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Religiöse Patienten und säkulare Therapeuten – ein ethisch-professionelles Spannungsfeld

Religious patients and secular therapists – an ethico-professional area of conflict

Samuel Pfeifer
Published Online: 2016-12-10 | DOI: https://doi.org/10.1515/spircare-2016-0123

Zusammenfassung

Für viele Menschen ist eine Psychotherapie von Ängsten besetzt. Dabei spielen individuelle Befürchtungen und subkulturelle Vorbehalte eine große Rolle. Die Frage der Akzeptanz und der Werte sind gerade für den religiösen Patienten von wesentlicher Bedeutung. Die Forschung hat gezeigt, dass Psychotherapie nicht völlig wertfrei sein kann. Obwohl sich Therapeuten in andere Lebensentwürfe einzufühlen versuchen, können sie ihren eigenen Standort nie ganz verlassen. Dies bewirkt in der Beziehung ein anstrengendes Netz von Gegenübertragung und Werte-Abwägungen. Therapie wird zur Kunst, sich im Diskurs auf eine gemeinsame Definition der Veränderung zu einigen und zu überprüfen, wo bisherige Leitlinien sich als dysfunktional erweisen und modifiziert werden müssen. Der Artikel gibt einen Überblick über die möglichen Themen und zeigt Leitlinien für die Arbeit mit religiösen Patienten auf.

Abstract

Seeking help through psychotherapy is associated with anxieties in many people, individual fears and subcultural reservations playing a major role. Questions of acceptance and values are of particular importance to religious patients. Research has shown that psychotherapy can never be completely value-free. Although therapists try to empathize with unfamiliar psychodynamics in their patients, they will never be able to completely leave their own sociocultural background. This causes a strenuous network of countertransference and value considerations. Therapy becomes an art of discourse in order to reach an agreement about change and coping with the client. Together, therapist and client will have to examine, where personal patterns and guidelines (including religious ones) can be dysfunctional and may have to be modified. The article gives an overview of the issues and ethical guidelines for therapy with religious patients.

Schlüsselwörter: Psychotherapie; Religion; Psychopathologie; Werte; Ethik

Keywords: Psychotherapy; Religion; Psychopathology; Values; Ethics

Literatur

  • Baars BJ (2003) The double life of B. F. Skinner: Inner conflict, dissociation, and the scientific taboo against consciousness. Journal of Consciousness Studies 10:5–25.Google Scholar

  • Barnett JE, Johnson WB (2011) Integrating spirituality and religion into psychotherapy: Persistent dilemmas, ethical issues, and a proposed decision-making process. Ethics & Behavior 21:147–164.CrossrefGoogle Scholar

  • Bergin A, Jensen J (1990) Religiosity of psychotherapists: A national survey. Psychotherapy 27:3–7.CrossrefGoogle Scholar

  • Bilgrave D, Deluty R (1998) Religious beliefs and therapeutic orientations of clinical and counseling psychologists. Journal for the Scientific Study of Religion 37:329–349.Google Scholar

  • Bilu Y, Witztum E (1993) Working with Jewish Ultra-Orthdox patients: Guidelines for a culturally sensitive therapy. Culture Medicine and Psychiatry 17:197–233.CrossrefGoogle Scholar

  • Bilu Y, Witztum E (1995) Between sacred and medical realities: culturally sensitive therapy with jewish ultra-orthodox patients. Science in Context 8:159–173.CrossrefGoogle Scholar

  • Borras L, Mohr S, Brandt PY, Gilliéron C, Eytan A, Huguelet P (2007) Religious beliefs in schizophrenia: their relevance for adherence to treatment. Schizophrenia Bulletin 33:1238–1246.CrossrefGoogle Scholar

  • Bucher A (2014) Psychologie der Spiritualität. Weinheim: Beltz.Google Scholar

  • Collins KA, Westra HA, Dozois DJ, Burns DD (2004) Gaps in accessing treatment for anxiety and depression: challenges for the delivery of care. Clinical Psychology Review 24:583–616.CrossrefGoogle Scholar

  • Dein S (2004) Working with patients with religious beliefs. Advances in Psychiatric Treatment 10:287–294.Google Scholar

  • Edwards S, Tinning L, Brown JS, Boardman J, Weinman J (2007) Reluctance to seek help and the perception of anxiety and depression in the United Kingdom: a pilot vignette study. Journal of Nervous and Mental Disease 195:258–261.Google Scholar

  • Ellis A (1980) Psychotherapy and atheistic values: A response to A. E. Bergins „Psychotherapy and religious values“. Journal of Consulting and Clinical Psychology 48:635–639.Google Scholar

  • Ellis A (1985) The case against religion: A psychotherapist´s view. And: The case against religiosity. Austin, TX: American Atheist Press.Google Scholar

  • Exline JJ, Pargament KI, Grubbs JB, Yali AM (2014) The religious and spiritual struggles scale. Development and initial validation. Psychology of Religion and Spirituality 6:208–222.Google Scholar

  • Exline JJ, Rose ED (2013) Religious and spiritual struggles. In Paloutzian RF, Park CL (Hg.) Handbook of the psychology of religion and spirituality. New York: Guilford. 315–330.Google Scholar

  • Freund H (2014) Verhaltenstherapie und Spiritualität. Spiritual Care 3:128–139.Google Scholar

  • Frick E, Riedner C, Fegg M, Hauf S, Borasio GD (2006) A clinical interview assessing cancer patients’ spiritual needs and preferences. European Journal of Cancer Care 15:238–243.CrossrefGoogle Scholar

  • Greenberg D, Witztum E (1991) Problems in the treatment of religious patients. American Journal of Psychotherapy 45:554–565.Google Scholar

  • Griffith J (2013) Religion hilft, Religion schadet: Wie der Glaube unsere Gesundheit beeinflusst. Darmstadt: Wissenschaftliche Buchgesellschaft.Google Scholar

  • Grosse Holtforth M (2001) Was möchten Patienten in ihrer Therapie erreichen? – Die Erfassung von Therapiezielen mit dem Berner Inventar für Therapieziele (BIT). Verhaltenstherapie und Psychosoziale Praxis 33:241–258.Google Scholar

  • Hill PC, Pargament KI, Hood RW, McCullough ME, Swyers JP, Larson DB, Zinnbauer BJ (2000). Conceptualizing religion and spirituality: Points of commonality, points of departure. Journal for the Theory of Social Behaviour 30:51–77.CrossrefGoogle Scholar

  • Hofmann L, Walach H (2011). Spirituality and religiosity in psychotherapy – A representative survey among German psychotherapists. Psychotherapy Reasearch 21:179–192.CrossrefGoogle Scholar

  • Huber S (2008). Kerndimensionen, Zentralität und Inhalt. Ein interdisziplinäres Modell der Religiosität. Journal für Psychologie 16(3):1–17.Google Scholar

  • Islam F, Campbell RA (2014) „Satan has afflicted me!“ Jinn-possession and mental illness in the Qur’an. Journal of Religion and Health 53:229–243.Google Scholar

  • Islam Religion Page (2015) Depression vs. Contentment: An Islamic perspective (online). (Zitierdatum: 21.01.2016), abrufbar unter http://www.ezsoftech.com/akram/depression.asp.

  • Kizilhan JI (2015) Religion, Kultur und Psychotherapie bei muslimischen Migranten. Psychotherapeut 60:426–432.CrossrefGoogle Scholar

  • Laabdallaoui M, Rüschoff I (2010) Umgang mit muslimischen Patienten. Bonn: Psychiatrie-Verlag.Google Scholar

  • Mohr D, Hart SL, Howard I, Julian L, Vella L, Catledge C, Feldman MD (2006) Barriers to psychotherapy among depressed and nondepressed primary care patients. Annals of Behavioral Medicine 32:254–258.CrossrefGoogle Scholar

  • Narramore B (1994) Dealing with religious resistance in psychotherapy. Journal of Psychology and Theology 22:249–258.Google Scholar

  • Paukert AL, Phillips LL, Cully JA, Romero C, Stanley MA (2011) Systematic review of the effects of religion-accommodative psychotherapy for depression and anxiety. Journal of Contemporary Psychotherapy 41:99–108.CrossrefGoogle Scholar

  • Peteet JR (2012) Spiritually integrated treatment of depression: a conceptual framework. Depression Research and Treatment. Depression Research and Treatment.http://dx.doi.org/10.1155/2012/124370.Crossref

  • Pfeifer S (2009) Wenn der Glaube zum Konflikt wird. Wege zur inneren Heilung. Basel: Brunnen.Google Scholar

  • Pfeifer S (2014) Das Gebet – Psychodynamik, Wirksamkeit, Therapie. In: Utsch M, Bonelli R, Pfeifer S (Hg.). Psychotherapie und Spiritualität. Mit existenziellen Konflikten und Transzendenzfragen professionell umgehen. Berlin: Springer.Google Scholar

  • Plante TG (2007) Integrating spirituality and psychotherapy: ethical issues and principles to consider. Journal of Clinical Psychology 63:891–902.CrossrefGoogle Scholar

  • Popovsky MA (2010). Special issues in the care of ultra-orthodox Jewish psychiatric in-patients. Transcultural Psychiatry 47:647–672.CrossrefGoogle Scholar

  • Post BC (2010). Religious and spiritual issues in group counseling: Clients’ beliefs and preferences of university counseling center clients and therapists (online). Iowa State University: Graduate Theses and Dissertations, (Zitierdatum 28.02.2016), abrufbar unter http://lib.dr.iastate.edu/cgi/viewcontent.cgi?article=3981&context=etd.

  • Prins MA, Verhaak PF, Bensing JM, van der Meer K (2008) Health beliefs and perceived need for mental health care of anxiety and depression – the patients’ perspective explored. Clinical Psychology Review 28:1038–1058.CrossrefGoogle Scholar

  • Propst LR, Ostrom R, Watkins P, Dean T, Mashburn D. (1992) Comparative efficacy of religious and nonreligious cognitive-behavioral therapy for the treatment of clinical depression in religious individuals. Journal of Consulting and Clinical Psychology 60:94–103.Google Scholar

  • Rezapour H, Zapp M (2011) Muslime in der Psychotherapie. Ein kultursensibler Ratgeber. Göttingen: Vandenhoeck & Ruprecht.Google Scholar

  • Rose E, Westefeld J, Ansley T (2001) Spiritual issues in counseling: Clients’ beliefs and preferences. Journal of Counseling Psychology 48:61–71.CrossrefGoogle Scholar

  • Rowan K & Dwyer K (2015) Demonic possession and deliverance in the diaspora: phenomenological descriptions from Pentecostal deliverees. Mental Health, Religion & Culture 18:440–455.Google Scholar

  • Scheppers E, van Dongen E, Dekker J, Geertzen J, & Dekker, J (2006). Potential barriers to the use of health services among ethnic minorities: A review. Family Practice 23:325−348.CrossrefGoogle Scholar

  • Shafranske E (2000) Religious involvement and professional practices of psychiatrists and other mental health professionals. Psychiatric Annals 30:525–532.CrossrefGoogle Scholar

  • Siddle R, Haddock G, Tarrier N, Faragher EB (2002) Religious delusions in patients admitted to hospital with schizophrenia. Social Psychiatry and Psychiatric Epidemiology 37:130–138.CrossrefGoogle Scholar

  • Skinner BF (1987) What Religion means to me (online). Scientific Mindfulness, (Zitierdatum 3.1.2016), abrufbar unter: http://www.scientificmindfulness.com/2010/03/skinner-on-religion.html.

  • Smith DP, Orlinsky DE (2004) Religious and spiritual experience among psychotherapists. Psychotherapy: Theory, Research, Practice, Training 41:144–151.Google Scholar

  • Spero MH (1981) Countertransference in religious therapists of religious patients. American Journal of Psychotherapy 35:565–575.Google Scholar

  • The Christian Post (2016) Seeking Treatment for Depression Doesn’t Mean You Lack Faith (online). CP Living, (Zitierdatum 21.01.2016), abrufbar unter http://www.christianpost.com/news/seeking-treatment-for-depression-doesnt-mean-you-lack-faith-44943/.

  • Walker DF, Moon GW (2011) Prayer. In: Aten JD, McMinn MR, Worthington EL (Hg.) Spiritually oriented interventions for counseling and psychotherapy. Washington DC: American Psychological Association. 139–168.Google Scholar

  • Westman AS, Brackney BE, Bylsky NC (1992) Religious beliefs are socialized in the same way as are other beliefs. Psychological Report 70:1107–1110.Google Scholar

  • Will H (2014) Vom Niedergang der Weltanschauungen. Freuds Atheismus im Kontext betrachtet. Psyche – Zeitschrift für Psychoanalyse 68:1–30.Google Scholar

  • Worthington EE (1988) Understanding the values of religious clients: a model and its application to counseling. Journal Counseling Psychology 35:166–174.CrossrefGoogle Scholar

  • Zeiger M, Lewis JE (1998) The spiritually responsible therapist: Religious material in the psychotherapeutic setting. Psychotherapy: Theory, Research, Practice, Training 35:415–424.Google Scholar

  • Zwingmann C, Moosbrugger (Hg.) (2004) Religiosität: Messverfahren und Studien zu Gesundheit und Lebensbewältigung. Neue Beiträge zur Religionspsychologie. Münster: Waxmann.Google Scholar

About the article

Published Online: 2016-12-10

Published in Print: 2017-01-01


Citation Information: Spiritual Care, Volume 6, Issue 1, Pages 21–29, ISSN (Online) 2365-8185, ISSN (Print) 2193-3804, DOI: https://doi.org/10.1515/spircare-2016-0123.

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