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Finding Spirits in Spirituality: What are We Measuring in Spirituality and Health Research?

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Abstract

What are we asking when we ask about spirituality? When research subjects check survey boxes for “religiosity” and “spirituality” measures on health surveys, those of us who use them often assume that these responses indicate a relationship with—or reaction against—normative, conventional, Protestant-shaped religious practice and experience. We present a qualitative interview study of 13 low-income mothers with a history of depression, analyzing their descriptions of spiritual and religious coping practices. On the basis of a focused analysis of four mother’s narratives, we argue that conventional survey answers may frequently hide more than they reveal about people’s cultural, religious, and idiosyncratic experiences with ghosts, spirits, magic, and haunting presences that are relevant, sometimes integral, to illness and healing. We demonstrate that listening to participants’ narratives challenges researchers’ unconsciously normative assumptions and ought to help us reshape our understanding of the ways spirituality and religion influence health in a hyperdiverse society.

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Notes

  1. The items are as follows:

    • Item 22. I've been trying to find comfort in my religion or spiritual beliefs.

    • Item 27. I've been praying or meditating.

References

  • Ammerman, N. T. (Ed.). (2006). Everyday religion: Observing modern religious lives. New York: Oxford University Press.

    Google Scholar 

  • Barnes, L. L. (1998). The psychologizing of Chinese healing practices in the United States. Culture, Medicine and Psychiatry, 22(4), 413–443.

    Article  CAS  PubMed  Google Scholar 

  • Barnes, L. L. (2003). Spirituality and religion in health care. In J. A. Bigby (Ed.), Cross-cultural medicine (pp. 237–267). Philadelphia: American College of Physicians.

    Google Scholar 

  • Campesino, M., & Schwartz, G. E. (2006). Spirituality among Latinas/os implications of culture in conceptualization and measurement. ANS. Advances in Nursing Science, 29(1), 69.

    Article  PubMed  PubMed Central  Google Scholar 

  • Capperis, S., Ellen, I. G., & Karfunkel, B. (2015). Renting in America’s largest cities—CapOneNYUFurmanCenter__NationalRentalLandscape_MAY2015.pdf. May 28. http://furmancenter.org/files/CapOneNYUFurmanCenter__NationalRentalLandscape_MAY2015.pdf.

  • Carver, C. S. (1997). You want to measure coping but your protocol’ too long: CONSIDER the brief cope. International Journal of Behavioral Medicine, 4(1), 92. doi:10.1207/s15327558ijbm0401_6.

    Article  CAS  PubMed  Google Scholar 

  • Chatters, L. M., Taylor, R. J., Bullard, K. M., & Jackson, J. S. (2008). Spirituality and subjective religiosity among African Americans, caribbean blacks, and non-hispanic whites. Journal for the Scientific Study of Religion, 47(4), 725–737. doi:10.1111/j.1468-5906.2008.00437.x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cho, G. M. (2008). Haunting the Korean diaspora: Shame, secrecy, and the forgotten war. Minnesota: University of Minnesota Press.

    Google Scholar 

  • Csordas, T. J. (1988). Elements of charismatic persuasion and healing. Medical Anthropology Quarterly, 2(2), 121–142. doi:10.1525/maq.1988.2.2.02a00030.

    Article  Google Scholar 

  • Feinberg, E., Stein, R., Diaz-Linhart, Y., Egbert, L., Beardslee, W., Hegel, M. T., et al. (2012). Adaptation of problem-solving treatment for prevention of depression among low-income, culturally diverse mothers. Family & Community Health, 35(1), 57–67. doi:10.1097/FCH.0b013e3182385d48.

    Article  Google Scholar 

  • Fetzer Institute/National Institute of Aging Working Group. (1999). Multidimensional measurement of religiousness/spirituality for use in health research. http://fetzer.org/resources/multidimensional-measurement-religiousnessspirituality-use-health-research.

  • Germond, P., & Cochrane, J. R. (2010). Healthworlds: conceptualizing landscapes of health and healing. Sociology, 44(2), 307–324. doi:10.1177/0038038509357202.

    Article  Google Scholar 

  • Good, M.-J. D. V., & Hannah, S. D. (2015). ‘Shattering culture’: Perspectives on cultural competence and evidence-based practice in mental health services. Transcultural Psychiatry, 52(2), 198–221. doi:10.1177/1363461514557348.

    Article  PubMed  Google Scholar 

  • Goodman, L. A., Corcoran, C., Turner, K., Yuan, N., & Green, B. L. (1998). Assessing traumatic event exposure: general issues and preliminary findings for the stressful life events screening questionnaire. Journal of Traumatic Stress, 11(3), 521–542. doi:10.1023/A:1024456713321.

    Article  CAS  PubMed  Google Scholar 

  • Gordon, A. F. (2008). Ghostly matters: Haunting and the sociological imagination. Minnesota: University of Minnesota Press.

    Google Scholar 

  • Hall, D. E., Koenig, H. G., & Meador, K. G. (2004). Conceptualizing‘religion’: How language shapes and constrains knowledge in the study of religion and health. Perspectives in Biology and Medicine, 47(3), 386–401.

    Article  PubMed  Google Scholar 

  • Hallowell, A. I. (1960). Ojibwa ontology, behavior, and world view. New York: Columbia University Press.

    Google Scholar 

  • Hill, P. C. (2014). Measurement assessment and issues in the psychology of religion and spirituality. In R. F. Paloutzian & C. L. Park (Eds.), Handbook of the psychology of religion and spirituality (2nd ed., pp. 48–74). New York: The Guilford Press.

    Google Scholar 

  • Hill, P. C., & Edwards, E. (2013). Measurement in the psychology of religiousness and spirituality: Existing measures and new frontiers. In K. I. Pargament, J. J. Exline, & J. W. Jones (Eds.), APA handbook of psychology, religion, and spirituality vol. 1: Context, theory, and research (pp. 51–77). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Hood, R. W. (2003). The relationship between religion and spirituality. In A. L. Greil & D. Bromley (Eds.), Defining religion: Investigating the boundaries between the sacred and secular religion and the social order (Vol. 10). Amsterdam, Netherlands: Elsevier Science.

    Google Scholar 

  • Jenkins, J. H. (2015). Extraordinary conditions: Culture and experience in mental illness (1). US: University of California Press. http://site.ebrary.com/lib/alltitles/docDetail.action?docID=11085798.

  • Ladd, K. L., & Spilka, B. (2002). Inward, outward, and upward: cognitive aspects of prayer. Journal for the Scientific Study of Religion, 41(3), 475–484. doi:10.1111/1468-5906.00131.

    Article  Google Scholar 

  • Lecrubier, Y., Sheehan, D. V., Weiller, E., Amorim, P., Bonora, I., Harnett Sheehan, K., et al. (1997). The mini international neuropsychiatric interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. European Psychiatry, 12(5), 224–231. doi:10.1016/S0924-9338(97)83296-8.

    Article  Google Scholar 

  • Löwe, B., Kroenke, K., & Gräfe, K. (2005). Detecting and monitoring depression with a two-item questionnaire (PHQ-2). Journal of Psychosomatic Research, 58(2), 163–171. doi:10.1016/j.jpsychores.2004.09.006.

    Article  PubMed  Google Scholar 

  • MASSACHUSETTS HEAD START ASSOCIATION. (2016). Accessed August 31. http://www.massheadstart.org/eligibility-faqs.php.

  • Mitchem, S. Y. (2007). African American folk healing. New York: New York University Press.

    Google Scholar 

  • Nichter, M. (2010). Idioms of distress revisited. Culture, Medicine and Psychiatry, 34(2), 401–416. doi:10.1007/s11013-010-9179-6.

    Article  PubMed  Google Scholar 

  • Oman, D. (2014). Defining religion and spirituality. In R. F. Paloutzian & C. L. Park (Eds.), Handbook of the psychology of religion and spirituality (2nd ed., pp. 23–47). New York: The Guilford Press.

    Google Scholar 

  • Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being, and quality of life. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research, and therapy (pp. 224–237). New York NY: Wiley Interscience.

    Google Scholar 

  • Pargament, K. I., Koenig, H. G., & Perez, L. M. (2000). The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology, 56(4), 519–543. doi:10.1002/(SICI)1097-4679(200004)56:4<519:AID-JCLP6>3.0.CO;2-1.

    Article  CAS  PubMed  Google Scholar 

  • Pargament, K. I., Mahoney, A., Exline, J. J., Jones, J. W., & Shafranske, E. P. (2013). Envisioning an integrative paradigm for the psychology of religion and spirituality. In K. Pargament, J. J. Exline, & J. W. Jones (Eds.), APA handbook of psychology, religion, and spirituality vol. 1: Context, theory, and research. Washington, DC: American Psychological Association.

    Google Scholar 

  • Piedmont, R. L. (1999). Does spirituality represent the sixth factor of personality? Spiritual transcendence and the five-factor model. Journal of Personality, 67, 985–1013.

    Article  Google Scholar 

  • QSR. (2014). NVivo qualitative data analysis software for mac (Version 10). Burlington, MA: QSR International (Americas) Inc.

  • Sheldrake, P. (1998). Spirituality and history: Questions of interpretation and method (2nd ed.). NY: Orbis Books.

    Google Scholar 

  • Shweder, R. A., & Bourne, E. J. (1984). Does the concept of the person vary cross-culturally? In R. A. Shweder & R. A. LeVine (Eds.), Culture theory: Essays on mind, self, and emotion (pp. 158–199). Cambridge [Cambridgeshire]; New York: Cambridge University Press.

    Google Scholar 

  • Tsang, J., & McCullough, M. E. (2003). Measuring religious constructs: A hierarchical approach to construct organization and scale selection. In S. J. Lopez & C. R. Snyder (Eds.), Positive psychological assessment: A handbook of models and measures (pp. 345–360). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Worthington, E. L., Jr., Wade, N. G., Hight, T. L., Ripley, J. S., McCullough, M. E., Berry, J. W., et al. (2003). The religious commitment inventory—10: Development, refinement, and validation of a brief scale for research and counseling. Journal of Counseling Psychology, 50(1), 84–96. doi:10.1037/0022-0167.50.1.84.

    Article  Google Scholar 

  • Zinnbauer, B. J., Pargament, K. I., & Scott, A. B. (1999). Emerging meanings of religiousness and spirituality: Problems and prospects. Journal of Personality, 67, 889–919.

    Article  Google Scholar 

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Correspondence to Lance D. Laird.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Laird, L.D., Curtis, C.E. & Morgan, J.R. Finding Spirits in Spirituality: What are We Measuring in Spirituality and Health Research?. J Relig Health 56, 1–20 (2017). https://doi.org/10.1007/s10943-016-0316-6

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  • DOI: https://doi.org/10.1007/s10943-016-0316-6

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