Abstract
The concept of “letting go” or relinquishing control has a long intellectual history, including the earliest Taoist writings, long-standing religious traditions, modern conceptualizations of religious coping, and current psychological control theory. This paper briefly traces the ancient roots of “letting go,” with an emphasis on Stoic philosophers, and plants it firmly in current control theory and religious coping research, with a focus on its more modern conceptualization, that of secondary control. Presenting the theoretical perspective, which is grounded in religious conceptions of control of outcomes integrated with modern control theory in psychology, is the main goal of this paper. However, the theoretical integration is bolstered by some initial descriptive findings based on cancer patients and survivors. This integration of religious coping and psychological theory has important implications for testing the utility of personal control and God-referenced control as ways to cope with the uncertainties of a serious illness such as cancer. Finally, the theory and descriptive findings lay the groundwork for future empirical studies and the development of counseling interventions.
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References
Adler, N. E., Boyce, T., Chesney, M. A., Cohen, S., Folkman, S., Kahn, R. L., et al. (1994). Socioeconomic status and health. The challenge of the gradient. American Psychologist, 49(1), 15–24.
Ajzen, I. (2002). Perceived behavioral control, self-efficacy, locus of control, and the Theory of Planned Behavior. Journal of Applied Social Psychology, 32, 665–683.
Akdere, M., Russ-Eft, D., & Eft, N. (2006). The Islamic worldview of adult learning in the workplace: Surrendering to God. Advances in developing human resources, 8(3), 355–363.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.
Bergner, M., Bobbitt, R. A., Pollard, W. E., Martin, B. P., & Gilson, B. S. (1976). The sickness impact profile: Validation of a health status measure. Medical Care, 14(1), 57–67.
Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research, 68(6), 539–544. doi:10.1016/j.jpsychores.2009.10.005.
Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4(1), 92–100. doi:10.1207/s15327558ijbm0401_6.
Carver, C. S., & Scheier, M. F. (1998). On the self-regulation of behavior. New York: Cambridge University Press.
Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., et al. (1993). The Functional Assessment of Cancer Therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 570–579.
Clements, A., & Ermakova, A. (2012). Surrender to God and stress: A possible link between religiosity and health. Psychology of Religion and Spirituality, 4(2), 93–107. doi:10.1037/a0025109.
Davies, O. (1994). Meister Eckhardt: Selected readings. London: Penquin.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75. doi:10.1207/s15327752jpa4901_13.
Freund, A. M., & Baltes, P. B. (2007). Toward a theory of successful aging: Selection, optimization, and compensation. In R. Fernández-Ballesteros (Ed.), Geropsychology: European perspectives for an aging world (pp. 287–290). Ashland, OH: Hogrefe & Huber Publishers.
Gall, T. L., Guirguis-Younger, M., Charbonneau, C., & Florack, P. (2009). The trajectory of religious coping across time in response to the diagnosis of breast cancer. Psycho-Oncology, 18(11), 1165–1178. doi:10.1002/pon.1495.
Hadot, P. (2002). What is ancient philosophy?. Cambridge: Harvard Press.
Han, P. K. J., Klein, W. M. P., & Arora, N. (2011). Varieties of uncertainty in health care: A conceptual taxonomy. Medical Decision Making, 31(6), 828–838. doi:10.1177/0272989X11393976.
Hathaway, W. L., & Pargament, K. I. (1991). The religious dimensions of coping: Implications for prevention and promotion. Prevention in Human Services, 9, 65–92.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
Hebert, R., Zdaniuk, B., Schulz, R., & Scheier, M. (2009). Positive and negative religious coping and well-being in women with breast cancer. Journal of Palliative Medicine, 12(6), 537–545. doi:10.1089/jpm.2008.0250.
Heidegger, M. (1996). Being and time (translated by Joan Stambaugh). Albany, NY: State University of New York Press.
Heitzmann, C. A., Merluzzi, T. V., Roscoe, J. A., Jean-Pierre, P., Kirsh, K. L., & Passik, S. D. (2011). Assessing self-efficacy for coping with cancer: Development and psychometric analysis of the brief version of the Cancer Behavior Inventory (CBI-B). Psycho-Oncology, 20, 302–312.
Heschel, A. J. (1976). God in search of man: A philosophy of Judaism. London: Macmillan.
Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality. Implications for physical and mental health research. American Psychologist, 58(1), 64–74.
Holland, J. C., Passik, S., Kash, K. M., Russak, S. M., Gronert, M. K., Sison, A., et al. (1999). The role of religious and spiritual beliefs in coping with malignant melanoma. Psycho-Oncology, 8(1), 14–26.
Jenkins, R. A., & Pargament, K. I. (1995). Religion and spirituality as resources for coping with cancer. Journal of Psychosocial Oncology, 13, 51–74.
Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8(2), 163–190.
Koenig, H. G., King, D. E., & Carson, V. B. (2012). Handbook of religion and health, 2edn. New York, NY: Oxford University Press.
Marlatt, G. A., & Kristeller, J. L. (1999). Mindfulness and meditation. In W. R. Miller (Ed.), Integrating spirituality in treatment (pp. 67–84). Washington, DC: American Psychological Association Books.
Masters, K., & Wallston, K. (2005). Canonical correlation reveals important relations between health locus of control, coping, affect and values. Journal of Health Psychology, 10(5), 719–731. doi:10.1177/1359105305055332.
Merluzzi, T. V., & Nairn, R. C. (1999). Adulthood and aging: Transitions in health and health cognitions. In T. L. Whitman, T. V. Merluzzi, & R. D. White (Eds.), Life-span perspectives on health and illness (pp. 189–206). Hillsdale, NJ: Erlbaum.
Merluzzi, T. V., Nairn, R. C., Hedge, K., Sanchez, M. A., & Dunn, L. (2001). Self-efficacy for coping with cancer: Revision of the Cancer Behavior Inventory (version 2.0). Psycho-Oncology, 10, 206–217. doi:10.1002/pon.511.abs.
Merluzzi, T. V., Philip, E. J., & Heitzmann, C. A. (2016a). Development and validation of the Distress Screening Schedule. Working paper—University of Notre Dame, Laboratory for Psycho-oncology Research.
Merluzzi, T. V., Philip, E. J., Heitzmann Ruhf, C. A., Liu, H., Yang, M., & Conley. (2016b). Self-efficacy for coping with cancer: Revision of the Cancer Behavior Inventory (version 3.0). Manuscript submitted for publication.
Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health. An emerging research field. American Psychologist, 58(1), 24–35.
Morling, B., & Evered, S. (2006). Secondary control reviewed and defined. Psychological Bulletin, 132(2), 269–296. doi:10.1037/0033-2909.132.2.269.
Nairn, R. C., & Merluzzi, T. V. (2003). The role of religious coping in adjustment to cancer. Psycho-Oncology, 12(5), 428–441.
Newport, F. (2011). More than 9 in 10 Americans Continue to Believe in God. Retrieved Dec 10th, 2015, from http://www.gallup.com/poll/147887/americans-continue-believe-god.aspx
Nygard, M. (2006). The Muslim concept of surrender to God. Word and World, 16(2), 158–168.
Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, and practice. New York: Guilford.
Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy–Spiritual Well-being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24, 49–58.
Phelps, A. C., Maciejewski, P. K., Nilsson, M., Balboni, T. A., Wright, A. A., Paulk, M. E., et al. (2009). Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer. JAMA, 301(11), 1140–1147. doi:10.1001/jama.2009.341.
Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality. Linkages to physical health. American Psychologist, 58(1), 36–52.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.
Rothbaum, F., Weisz, J. R., & Snyder, S. S. (1982). Changing the world and changing the self: A two process model of perceived control. Journal of Personality and Social Psychology, 42, 5–37.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78.
Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychology, 22(5), 487–497. doi:10.1037/0278-6133.22.5.487.
Sherman, A. C., & Simonton, S. (2001). Religious involvement among cancer patients: Association with adjustment and quality of life. In T. G. Plante & A. C. Sherman (Eds.), Faith and health: Psychological perspectives (pp. 164–194). New York, NY: Guilford.
Skinner, E. A. (1996). A guide to constructs of control. Journal of Personality and Social Psychology, 71(3), 549–570.
Thune-Boyle, I. C., Stygall, J. A., Keshtgar, M. R., & Newman, S. P. (2006). Do religious/spiritual coping strategies affect illness adjustment in patients with cancer? A systematic review of the literature. Social Science & Medicine (1982), 63(1), 151–164.
Wallston, K., Malcarne, V., Flores, L., Hansdottir, I., Smith, C., Stein, M., et al. (1999). Does God determine your health? The God locus of health control scale. Cognitive Therapy and Research, 23(2), 131–142. doi:10.1023/A:1018723010685.
Weatherhead, L. D. (2011). The will of God. Nashville, TN: Abingdon Press.
Welton, G., Adkins, A. G., Ingle, S., & Dixon, W. (1996). God control: The fourth dimension. Journal of Psychology and Theology, 24(1), 13.
Wong McDonald, A., & Gorsuch, R. (2000). Surrender to God: An additional coping style? Journal of Psychology and Theology, 28(2), 149.
Wrosch, C., Miller, G., Scheier, M., & de-Pontet, S. B. (2007). Giving up on unattainable goals: Benefits for health? Personality Social Psychology Bulletin, 33(2), 251–265. doi:10.1177/0146167206294905.
Acknowledgements
Research upon which this paper is based was supported by Grants from the National Cancer Institute (CA094914, T.V. Merluzzi; T32CA009461, E.J. Philip). The authors wish to thank the following colleagues for their critical analysis of this manuscript: Steve Fredman, Niels Hvidt, Karla Cruise, Kenneth Garcia, Tarek Dika, and Karen White.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the American Psychological Association and the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individuals included in this study.
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Merluzzi, T.V., Philip, E.J. “Letting Go”: From Ancient to Modern Perspectives on Relinquishing Personal Control—A Theoretical Perspective on Religion and Coping with Cancer. J Relig Health 56, 2039–2052 (2017). https://doi.org/10.1007/s10943-017-0366-4
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DOI: https://doi.org/10.1007/s10943-017-0366-4