Abstract
This paper presents a viewpoint concerning the largely neglected clinical relevance of spirituality and religious belief in speech-language pathology (SLP) assessments, interventions and outcomes across the lifespan. An overview of the refereed SLP literature is presented with regard to religion and spirituality. It was found that while there is increasing research with regard to spirituality, health and well-being, there is very little specific to SLP. What is available and clinically relevant, generally relates to holistic care and/or cultural and linguistic diversity. Amidst the health care literature, however, there is a growing number of recommended instruments (for religious/spiritual screening) sensitive to intercultural and interfaith issues that are currently available to medical, nursing, allied health and chaplaincy practitioners. These instruments can also be of value to SLPs to ensure holistic assessments and interventions. It would seem timely for SLPs (and other allied health practitioners) to consider including spiritual screenings/assessments as part of their clinical practice so as to ensure appropriate holistic care. This would also mean undertaking research and including relevant education within tertiary institutions and professional development programs.
Similar content being viewed by others
References
ACSQH. (Australian Commission on Safety and Quality in Healthcare). (2011). Patient and consumer centred care. Sydney: Australian Commission on Safety and Quality in Healthcare. Retrieved 23 June 2013, from http://www.safetyandquality.gov.au/our-work/patient-and-consumer-centred-care/
Anandarajah, G., & Height, E. (2001). Spirituality and medical practice: Using hope questions as a practical tool for spiritual assessment. American Family Physician, 63(1), 81–89.
Ball, J., & Lewis, M. (2005). First nation elders’ and parents’ views on supporting children’s language development. Paper presented at the meeting of the Canadian Association of Speech-Language Pathologists and Audiologists Conference, Regina, SK.
Body, R., & McAllister, L. (2009). Ethics in speech and language therapy. London: Wiley-Blackwell.
Bruce, A., Shields, L., & Molzahn, A. (2011). Language and the (im)possibilities of articulating spirituality. Journal of Holistic Nursing, 29(1), 44–52.
Carey, L. B. (2012). Utility and commissioning of spiritual carers. In M. Cobb, C. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in health care (pp. 397–407). Oxford: Oxford University Press.
Carey, L. B., Aroni, R. A., Edwards, A., Carey-Sargeant, C. L., & Boer, J. (1997). Speech pathology practice: Speech pathologists and the role of chaplains (pp. 38–41). Autumn: Australian Communication Quarterly.
Carey, L. B., & Cohen, J. (2008). Religion, spirituality and health care treatment decisions: The role of chaplains in the Australian clinical context. Journal of Health Care Chaplaincy, 15(1), 25–39.
Carey, L. B., Davoren, R., & Cohen, J. (2009). The sacralization of identity: An interfaith spiritual care paradigm for chaplaincy in a multi-faith context. In D. Schipani & L. Beuckert (Eds.), Interfaith spiritual care: Understandings and practices (pp. 191–217). Ontario: Pandora Press.
Carey-Sargeant, C. L., Carey, L. B., Mathisen, B., & Webb, G. (2012). Holistic practice: Speech language pathologists and spirituality [Keynote Presentation III]. Paper presented at the Lynda R. Campbell Memorial Lecture Series: ATLAS Week Topics in Diversity St. Louis University, Missouri, United States.
Cheng, L. (2009). Creating an optimal language learning environment: A focus on family and culture. Communication Disorders Quarterly, 30(2), 69–76.
Cobb, M., Puchalski, C., & Rumbold, B. (2012). Oxford Textbook of Spirituality in Health Care. Oxford: Oxford University Press.
Durkheim, E. (1915). The elementary forms of the religious life: A study in religious sociology. London: Allen & Unwin.
Eckermann, A. K., Dowd, T., Chong, E., Nixon, L., Gray, R., & Johnson, S. (2010). Bridging cultures in aboriginal health (3rd ed.). Sydney: Churchill Livingstone.
Ehman, J. W., Ott, B. B., Short, T. H., Ciampa, R. C., & Hansen-Flaschen, J. (1999). Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill? Archives of Internal Medicine, 159(15), 1803–1806.
Finn, P., & Cordes, A. (1997). Multicultural identification and treatment of stuttering: A continuing need for research. Journal of Fluency Disorders, 22(30), 219–236.
Fitchett, G. (2002). Assessing spiritual needs: A guide for caregivers. Chicago: Academic Renewal Press.
Hermann, C. P. (2000). Spiritual needs of dying patients: A qualitative study. Oncology Nursing Forum, 28(1), 67–72.
Higgs, J., McAllister, L., & Whiteford, G. (2009). The practice and praxis of professional decision-making. In B. Green (Ed.), Understanding and researching professional practice (pp. 101–120). Rotterdam: Sense Publishers.
Jonk, L., & Enns, C. (2009). Using culturally appropriate methodology to explore Dene mothers’ views on language facilitation. Canadian Journal of Speech Language Pathology & Audiology, 33(1), 33–44.
Kenny, B., Lincoln, M., & Balandin, S. (2010). Experienced speech-language pathologists’ responses to ethical dilemmas: An integrated approach to ethical reasoning. American Journal of Speech Language Pathology, 19(2), 121–134.
Kirsh, B., Dawson, D., Antolikova, S., & Reynolds, L. (2001). Developing awareness of spirituality in occupational therapy students: Are our curricula up to the task? Occupational Therapy International, 8(2), 119–125.
Koenig, H. (2004). Religion, spirituality and medicine: Research findings and implications for clinical practice. Southern Medical Journal, 97(12), 1194–1200.
Koenig, H. (2007). Spirituality in patient care: Why, how, when, and what? (2nd ed.). Philadelphia: Templeton Foundation Press.
Koenig, H., King, V., & Carson, B. (2012). Handbook of religion and health (2nd ed.). New York: Oxford University Press.
Lamberton, H. H. (2004). Introduction: The resurgence of interest in spirituality and health. In S. Sorajjakool & H. H. Lamberton (Eds.), Spirituality, health and wholeness: An introductory guide for health care professionals (pp. 1–11). Binghamton: The Haworth Press.
Larty, E. (1997). In living colour: An intercultural approach to pastoral care and counselling. London: Jessica Kingsley.
Lo, B., Ruston, D., Kates, L. W., Arnold, R. M., Cohen, C. B., Faber-Langendoen, K., et al. (2002). Discussing religious and spiritual issues at the end of life: A practical guide for physicians. JAMA, 287(6), 749–754.
Mathisen, B. (2010). Including spirituality in speech pathology practice: A pilot study of undergraduates. Unpublished manuscript: The University of Newcastle, Newcastle, New South Wales.
Mathisen, B., Carey, L. B., Webb, G., & Carey-Sargeant, C. L. (2009). Spirituality in speech pathology practice: Are we missing something? Paper presented at the meeting of the Speech Pathology Australia National Conference, Adelaide, Australia.
Mathisen, B., & Mathers, M. (2006). Broadening the frontiers of mental health practice. Paper presented at the meeting of the Speech Pathology Australia National Conference, Fremantle, Western Australia.
Mathisen, B., Yates, P., & Crofts, P. (2011). Palliative care curriculum for speech-language pathology students. International Journal of Language & Communication Disorders, 46(3), 273–285.
Maugans, T. A. (1996). The SPIRITual history. Archives of Family Medicine, 5(1), 11–15.
McSwan, D., Ruddell, D., & Searston, I. (2001). A whole community approach to Otitis Media—Reducing its incidence and effects. Townsville: James Cook University.
Mol, H. (1976). Identity and the sacred: A sketch for a new social–scientific theory of religion. Oxford: Blackwell.
Naughton, S. (1999). Starting over at forty-eight: Recovery from brain surgery. Unpublished doctoral dissertation. University of St Thomas, St. Paul, MI.
Nelson, J. (2009). Psychology, religion and spirituality. New York: Springer.
Peiris, D., Brown, A., & Cass, A. (2008). Addressing inequities in access to quality health care for indigenous people. Canadian Medical Association Journal, 179(10), 985–986.
Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., et al. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. Journal of Palliative Medicine, 12(10), 885–904.
Puchalski, C., & Romer, A. L. (2000). Taking a spiritual history allows clinicians to understand patients more fully. Journal of Palliative Medicine, 3(1), 129–137. F.I.C.A. http://smhs.gwu.edu/gwish/clinical/fica/spiritual-history-tool
Rice, R. (2004). Toward a theology of wholeness: A tentative model of whole person care. In S. Sorajjakool & H. Lamberton (Eds.), Spirituality, health and wholeness: An introductory guide for health care professionals (pp. 15–36). Binghamton: The Haworth Press.
Rodriguez, B., & Olswang, L. (2003). Mexican-American and Anglo-American mothers’ beliefs and values about child rearing, education and language impairment. American Journal of Speech Language Pathology, 12(4), 452–462.
Sherry, A., & Vining, C. B. (1999). Native American culture and language. The Bilingual Review, 24(1/2), 193–206.
Silverman, E. M. (2003). Shared connections: Spirituality in clinical practice. ASHA Leader, 8(7), 40.
Sloan, R. P., Bagiella, E., & Powell, T. (1999). Religion, spirituality and medicine. The Lancet, 353(9153), 664–667.
SPA. (Speech Pathology Australia). (2007). Parameters of practice. Melbourne: Speech Pathology Australia Association. Retrieved 2 October, 2013, retrieved from http://speechpathologyaustralia.org.au/library/parameters
SPA. (Speech Pathology Australia). (2010). Competency based occupational standards (CBOS) for speech pathologists entry level. Melbourne: The Speech Pathology Association of Australia Retrieved 2 October, 2013, retrieved from http://speechpathologyaustralia.org.au/library/CBOS
Spillers, C. (2007). An existential framework for understanding the counselling needs of clients. American Journal of Speech Language Pathology, 16(3), 191–197.
Spillers, C. (2011). Spiritual dimensions of the clinical relationship. In R. F. Fourie (Ed.), Therapeutic processes for communication disorders: A guide for students and clinicians (pp. 229–243). East Sussex: Psychology Press.
Stoll, R. (1979). Guidelines for spiritual assessment. American Journal of Nursing, September, 1574–1577.
Sulmasy, D. P. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. Gerontologist, 42(Suppl 3), 24–33.
Tacey, D. (2003). The spirituality revolution: The emergence of contemporary spirituality. Sydney: Harper Collins.
Threats, T. (2010). The ICF and speech-language pathology: Aspiring to a fuller realisation of ethical and moral issues. International Journal of Speech-Language Pathology, 12(2), 87–93.
Watts-Pappas, N., & McLeod, S. (2008). Family-centred practice. In N. Watts-Pappas & S. McLeod (Eds.), Working with families in speech-language pathology (pp. 1–38). San Diego, CA: Plural Publishing.
Watts-Pappas, N., McLeod, S., Mathisen, B., Crais, E., Packman, A., Langevin, M. et al. (2008). Working with families in speech-language pathology for children. Paper presented at the meeting of the American Speech & Hearing Association National Convention, Chicago.
Webb, G. (2012). Strategies to enhance effective service delivery for Aboriginal people: Clinical insights. Journal of Clinical Practice in Speech Language Pathology, 14(1), 31–32.
WHO. (World Health Organization). (2001). International classification of functioning of disability and health. Geneva: World Health Organization.
WHO. (World Health Organization). (2002). International classification of diseases and health related problems (Vol. 10, 3rd ed—Australian modification). Geneva: World Health Organization.
Acknowledgments
The authors wish to thank librarians Annette O’Brien and Wendy Ratcliffe (La Trobe University, Bendigo Campus) for their assistance in the production of this manuscript. Appreciation is also acknowledged to Professor Travis Threats (St. Louis University, Missouri, US), for encouraging the development of this topic as part of the Lynda R. Campbell Memorial Lecture Series: ATLAS Week Topics in Diversity at St. Louis University, and the American Speech-Language-Hearing Association continuing education program for Speech Language Pathologists.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mathisen, B., Carey, L.B., Carey-Sargeant, C.L. et al. Religion, Spirituality and Speech-Language Pathology: A Viewpoint for Ensuring Patient-Centred Holistic Care. J Relig Health 54, 2309–2323 (2015). https://doi.org/10.1007/s10943-015-0001-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10943-015-0001-1