Experience that exceeds the self.
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126 to 150 of 601Davidson JE, Powers K, Hedayat KM, Tieszen M, Kon AA, Shepard E, Spuhler V, Todres ID, Levy M, Barr J, Ghandi R, Hirsch G, Armstrong D, American College of Critical Care Medicine Task Force 2004-2005, Society of Critical Care Medicine (2007)guidelineMEDLINE-indexed journal, not yet read by usCritical care medicine725 citations Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004-2005.
Objective: To develop clinical practice guidelines for the support of the patient and family in the adult, pediatric, or neonatal patient-centered ICU.
Participants: A multidisciplinary task force of experts in critical care practice was convened from the membership of the American College of Critical Care Medicine (ACCM) and the Society of Critical Care Medicine (SCCM) to include representation from adult, pediatric, and neonatal intensive care units.
Evidence: The task force members reviewed the published literature. The Cochrane library, Cinahl, and MedLine were queried for articles published between 1980 and 2003. Studies were scored according to Cochrane methodology. Where evidence did not exist or was of a low level, consensus was derived from expert opinion.
Consensus process: The topic was divided into subheadings: decision making, family coping, staff stress related to family in…
matched on Spirituality (mesh)
The role of religion and spirituality in mental health.
Purpose of review: There has been increased interest in the relationship between religion and spirituality and mental health in recent years. This article reviews recent research into the capacity of religion and spirituality to benefit or harm the mental health of believers. We also examine the implications this may have for assessment and treatment in psychiatric settings.
Recent findings: Studies indicate that religion and spirituality can promote mental health through positive religious coping, community and support, and positive beliefs. Research also shows that religion and spirituality can be damaging to mental health by means of negative religious coping, misunderstanding and miscommunication, and negative beliefs. Tools for the assessment of patients' spiritual needs have been studied, and incorporation of spiritual themes into treatment has shown some promise.
Summary: Religion…
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A faith-based and cultural approach to promoting self-efficacy and regular exercise in older African American women.
The health benefits of regular exercise are well documented, yet there has been limited success in the promotion of regular exercise in older African American women. Based on theoretical and evidence-based findings, the authors recommend a behavioral self-efficacy approach to guide exercise interventions in this high-risk population. Interventions should be developed that are age appropriate, group delivered in the community, focused on a single behavior, and only include general health education as a secondary purpose. Suggested cultural tailoring of exercise interventions includes addressing beliefs about exercise, focusing on the "possible self," promoting participants as "cultural consultants," and spiritual and religious strategies.
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Cox JL, Gray AJ (2009)reviewMEDLINE-indexed journal, not yet read by usCurrent opinion in psychiatry5 citations Psychiatry for the person.
Purpose of review: This review considers much recent work focused around the Psychiatry for the Person Programme of the World Psychiatric Association. Yet we have also considered the wider medical context, based on recent publications familiar to us in the fields of ethics, religion, spirituality and person-centred medicine as well as 'medicine of the person' as developed by Tournier.
Recent findings: There is an urgent need for evaluative outcome studies of person-centred care, including the narratives of service users, rigorous scientific methods and new conceptual models; and for a reformulation of the bio-psychosocial model to incorporate new knowledge in the neurosciences, philosophy, anthropology, ethics and theology.
Summary: We suggest that a biosocial/psychospiritual (BSPS) approach to relationship-based healthcare should be more actively considered.
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Baetz M, Toews J (2009)reviewMEDLINE-indexed journal, not yet read by usCanadian journal of psychiatry. Revue canadienne de psychiatrie49 citations Clinical implications of research on religion, spirituality, and mental health.
The relation between religion and (or) spirituality (RS), and mental health has shown generally positive associations; however, it is a complex and often emotion-laden field of study. We attempt to examine potential mechanisms that have been proposed as mediators for the RS and mental health relation. We also examine more philosophical areas including patient and physician opinions about inclusion of RS in patient care, and ethical issues that may arise. We review suggested guidelines for sensitive patient inquiry, and opportunities and challenges for education of psychiatrists and trainees. We also study practical ways to incorporate psychospiritual interventions into patient treatment, with specific reference to more common spiritual issues such as forgiveness, gratitude, and altruism.
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Levin J (2009)reviewMEDLINE-indexed journal, not yet read by usExplore (New York, N.Y.)38 citations How faith heals: a theoretical model.
This paper summarizes theoretical perspectives from psychology supportive of a healing effect of faith. First, faith is defined as a congruence of belief, trust, and obedience in relation to God or the divine. Second, evidence for a faith-healing association is presented, empirically and in theory. To exemplify religiously sanctioned affirmation of such a connection, selected passages are cited from the Jewish canon attesting to biblical and rabbinic support for a faith factor in longevity, disease risk, mental health and well-being, disease prevention, and healing. Third, reference to theories of hope, learned optimism, positive illusions, and opening up or disclosure, and to theory and research on psychoneuroimmunology and placebos, demonstrates that contemporary psychology can accommodate a healing power of faith. This is summarized in a typology of five hypothesized mechanisms underl…
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Religion, self-regulation, and self-control: Associations, explanations, and implications.
Many of the links of religiousness with health, well-being, and social behavior may be due to religion's influences on self-control or self-regulation. Using Carver and Scheier's (1998) theory of self-regulation as a framework for organizing the empirical research, the authors review evidence relevant to 6 propositions: (a) that religion can promote self-control; (b) that religion influences how goals are selected, pursued, and organized; (c) that religion facilitates self-monitoring; (d) that religion fosters the development of self-regulatory strength; (e) that religion prescribes and fosters proficiency in a suite of self-regulatory behaviors; and (f) that some of religion's influences on health, well-being, and social behavior may result from religion's influences on self-control and self-regulation. The authors conclude with suggestions for future research.
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Vachon ML (2008)reviewMEDLINE-indexed journal, not yet read by usSeminars in oncology nursing52 citations Meaning, spirituality, and wellness in cancer survivors.
Objectives: To explore the concepts of meaning, spirituality, and wellness in cancer survivors.
Data sources: Review and research articles, books, and personal experience as a nurse psychotherapist and as a cancer survivor.
Conclusion: Cancer survivors often rely on their religious and spiritual beliefs as a way of deriving meaning during their illness experience and survivorship, as well as a way of coping with and coming to terms with the concept of death. The measurement of religion and spirituality in health and cancer survivorship is challenging because of the difficulty in defining terms and in developing ways of measuring the concepts.
Implications for nursing practice: Nurses have the opportunity to explore the meaning of cancer and spirituality in the lives of their patients. Such discussions can allow for the introduction of concepts of wellness including changes in lifestyle h…
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Koenig HG (2008)reviewMEDLINE-indexed journal, not yet read by usThe Journal of nervous and mental disease208 citations Concerns about measuring "spirituality" in research.
Spirituality is increasingly being examined as a construct related to mental and physical health. The definition of spirituality, however, has been changing. Traditionally, spirituality was used to describe the deeply religious person, but it has now expanded to include the superficially religious person, the religious seeker, the seeker of well-being and happiness, and the completely secular person. Instruments used to measure spirituality reflect this trend. These measures are heavily contaminated with questions assessing positive character traits or mental health: optimism, forgiveness, gratitude, meaning and purpose in life, peacefulness, harmony, and general well-being. Spirituality, measured by indicators of good mental health, is found to be correlated with good mental health. This research has been reported in some of the world's top medical journals. Such associations are meanin…
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Exploring the relationship between spirituality, coping, and pain.
There is growing recognition that persistent pain is a complex and multidimensional experience stemming from the interrelationship among biological, psychological, social, and spiritual factors. Chronic pain patients use a number of cognitive and behavioral strategies to cope with their pain, including religious/spiritual forms of coping, such as prayer, and seeking spiritual support to manage their pain. This article will explore the relationship between the experience of pain and religion/spirituality with the aim of understanding not only why some people rely on their faith to cope with pain, but also how religion/spirituality may impact the experience of pain and help or hinder the coping process. We will also identify future research priorities that may provide fruitful research in illuminating the relationship between religion/spirituality and pain.
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Park CL (2007)reviewMEDLINE-indexed journal, not yet read by usJournal of behavioral medicine141 citations Religiousness/spirituality and health: a meaning systems perspective.
The existence of links between religion and spirituality (R/S) and health appear to be firmly established, but much less is known about how these various aspects of R/S are translated into health outcomes. Within a meaning systems framework, this article reviews and integrates findings regarding the many pathways through which R/S may influence physical health and well-being. In particular, evidence for the pathways of body sanctification, meaning in life, social support, health locus of control, health behaviors, positive and negative affect and stress moderation, treatment adherence, and coping is examined. The article concludes with suggestions for future research.
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Galanter M (2006)reviewMEDLINE-indexed journal, not yet read by usThe American journal on addictions25 citations Spirituality and addiction: a research and clinical perspective.
Spirituality is a construct that has recently gained currency among clinicians because of its close association with twelve-step modalities and its perceived role in the promotion of meaningfulness in recovery from addiction. This article draws on studies from physiology, psychology, and cross-cultural sources to examine its nature and its relationship to substance use disorders. Illustrations of its potential and limitations as a component of treatment in spiritually oriented recovery movements like Alcoholics Anonymous, meditative practices, and treatment systems for the dually diagnosed are given.
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Emotional processes, collective behavior, and social movements: A meta-analytic review of collective effervescence outcomes during collective gatherings and demonstrations.
In this article, we review the conceptions of Collective Effervescence (CE) -a state of intense shared emotional activation and sense of unison that emerges during instances of collective behavior, like demonstrations, rituals, ceremonies, celebrations, and others- and empirical approaches oriented at measuring it. The first section starts examining Émile Durkheim's classical conception on CE, and then, the integrative one proposed by the sociologist Randall Collins, leading to a multi-faceted experience of synchronization. Then, we analyze the construct as a process emerging in collective encounters when individuals contact with social ideal and values, referring to the classical work of Serge Moscovici as well as those more recent empirical approaches. Third, we consider CE as a set of intense positive emotions linked to processes of group identification, as proposed by authors of the …
matched on self-transcendence (text), self-transcendent emotion (text)
Bridging me to we: Awe is a conduit to cohesive collectives.
Experiences of awe, frequently elicited by the natural world (but also by art, music, human virtue, among other things), are profound and transformative. We argue that beyond its individual benefits, awe serves a vital social function: It expands an individual's perspective from narrow self-interest to others' needs and collective concerns. We review recent empirical evidence showcasing how awe shifts focus away from the self toward the larger entities one belongs to. These reductions in self-focus are, in turn, associated with systematic shifts in social-cognitive processes key to cohesive collective life: attentiveness to others, prosociality, conformity, and social connectedness. Given its socially-binding functions, awe may help inform solutions to pressing global challenges, including economic inequality, political polarization, and climate change.
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A review of psychological research on kando as an inclusive concept of moving experiences.
We are emotionally moved when we give birth to a child, witness the triumph of an athlete, listen to a beautiful piece of music, and so forth. Such moving experiences have been described as a form of emotion, by terms such as being moved, awe, and kama muta, each of which have been studied as a separate, but interrelated, psychological phenomenon. Japanese people use the term kando to describe these experiences collectively. In this study, we propose that kando should be treated as an umbrella term covering being moved, awe, and kama muta. To this end, we reviewed the literature on kando conducted by Japanese researchers and compared it to relevant concepts, mainly examined in Western countries. We also reviewed the literature on the generative mechanism of kando, and established that emotional and physical reactions are important to determine the degree of kando across the cases with an…
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Schubert E (2022)reviewMEDLINE-indexed journal, not yet read by usInternational journal of environmental research and public health4 citations A Special Class of Experience: Positive Affect Evoked by Music and the Arts.
A positive experience in response to a piece of music or a work of art (hence 'music/art') has been linked to health and wellbeing outcomes but can often be reported as indescribable (ineffable), creating challenges for research. What do these positive experiences feel like, beyond 'positive'? How are loved works that evoke profoundly negative emotions explained? To address these questions, two simultaneously occurring classes of experience are proposed: the 'emotion class' of experience (ECE) and the positive 'affect class' of experience (PACE). ECE consists of conventional, discrete, and communicable emotions with a reasonably well-established lexicon. PACE relates to a more private world of prototypical aesthetic emotions and experiences investigated in positive psychology. After a review of the literature, this paper proposes that PACE consists of physical correlates (tears, racing h…
matched on Awe (keyword), awe (text)
Awe and the Experience of the Sublime: A Complex Relationship.
Awe seems to be a complex emotion or emotional construct characterized by a mix of positive (contentment, happiness), and negative affective components (fear and a sense of being smaller, humbler or insignificant). It is striking that the elicitors of awe correspond closely to what philosophical aesthetics, and especially Burke and Kant, have called "the sublime." As a matter of fact, awe is almost absent from the philosophical agenda, while there are very few studies on the experience of the sublime as such in the psychological literature. The aim of this paper is to throw light on the complex relationship between awe (as understood by psychologists) and the experience of the sublime (as discussed by philosophers). We distinguish seven ways of conceiving this relationship and highlight those that seem more promising to us. Once we have a clearer picture of how awe and the experience of …
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Hendricks PS (2018)reviewMEDLINE-indexed journal, not yet read by usInternational review of psychiatry (Abingdon, England)99 citations Awe: a putative mechanism underlying the effects of classic psychedelic-assisted psychotherapy.
A psychological model of classic psychedelic-assisted psychotherapy informed by contemporary scientific data is presented in this paper. It is suggested that classic psychedelic-occasioned mystical experience is characterized by profound awe, a discrete emotion experienced in the presence of a vast stimulus requiring accommodation of mental structures. Awe, in turn, promotes the small self, a construct that, in the extreme, is analogous to those of unitive experience and ego dissolution. The small self is conceptualized as key to understanding the downstream effects of mystical experience occasioned in the context of classic psychedelic-assisted psychotherapy. With this novel theoretical framework in mind, a number of clinical implications and recommendations are provided so as to advance this incipient field of study.
matched on Awe (keyword), awe (text)
Moving the self and others to do good: The emotional underpinnings of prosocial behavior.
The functioning of social collectives hinges on the willingness of their members to cooperate with one another and to help those who are in need. Here, we consider how such prosocial behavior is shaped by emotions. We offer an integrative review of theoretical arguments and empirical findings concerning how the experience of emotions influences people's own prosocial behavior (intrapersonal effects) and how the expression of emotions influences the prosocial behavior of others (interpersonal effects). We identified research on five broad clusters of emotions associated with opportunity and affiliation (happiness, contentment, hope), appreciation and self-transcendence (gratitude, awe, elevation, compassion), distress and supplication (sadness, disappointment, fear, anxiety), dominance and status assertion (anger, disgust, contempt, envy, pride), and appeasement and social repair (guilt, …
matched on self-transcendence (text), awe (text)
Creating an Indigenous Māori-centred model of relational health: A literature review of Māori models of health.
Aims and objectives: Identify the key concepts, principles and values embedded within Indigenous Māori models of health and wellbeing; and determine how these could inform the development of a Māori-centred relational model of care.
Background: Improving health equity for Māori, similar to other colonised Indigenous peoples globally, requires urgent attention. Improving the quality of health practitioners' engagement with Indigenous Māori accessing health services is one area that could support improving Māori health equity. While the Fundamentals of Care framework offers a promising relational approach, it lacks consideration of culture, whānau or family, and spirituality, important for Indigenous health and wellbeing.
Design and methods: A qualitative literature review on Māori models of health and wellbeing yielded nine models to inform a Māori-centred relational model of care. We fol…
matched on Spirituality (mesh), spiritual wellbeing (text)
Spiritual care in nursing: an overview of the measures used to assess spiritual care provision and related factors amongst nurses.
Background and aim of the work: Spiritual wellbeing has important implications for an individual's health and wellbeing. Whilst the provision of spiritual care and assessment of spiritual needs is a vital part of the nurse's role, literature suggests that nurses do not always engage in spiritual care with their patients or assess their spiritual needs. This review aims to ascertain wider reasons for this inconsistent spiritual care delivery by nurses to their patients.
Methods: A review of the literature was conducted to identify instruments available relating to nursing professionals spiritual care and assessment.
Results: 14 measures relating to spiritual care and assessment were identified covering the key domains of: 'Beliefs and values and attitudes around spiritual care,' 'Frequency of provision or extent to which they provide spiritual care or willingness,' 'Respondents' level of …
matched on Spirituality (mesh), spiritual wellbeing (text)
Spirituality in general practice: a qualitative evidence synthesis.
Background: Although it is now common to see spirituality as an integral part of health care, little is known about how to deal with this topic in daily practice.
Aim: To investigate the literature about GPs' views on their role in spiritual care, and about their perceived barriers and facilitating factors in assessing spiritual needs.
Design: Qualitative evidence synthesis.
Method: The primary data sources searched were MEDLINE, Web of Science, CINAHL, Embase, and ATLA Religion Database. Qualitative studies that described the views of GPs on their role in providing spiritual care, or that described the barriers and facilitating factors they experience in doing so, were included. Quantitative studies, descriptive papers, editorials, and opinion papers were excluded.
Results: Most GPs see it as their role to identify and assess patients' spiritual needs, despite perceived barriers such as…
matched on Spirituality (mesh), spiritual wellbeing (text)
The impacts of institutional child sexual abuse: A rapid review of the evidence.
While awareness of institutional child sexual abuse has grown in recent years, there remains limited understanding of its occurrence and outcomes as a distinct form of abuse. Drawing on research commissioned by the Australian Royal Commission into Institutional Responses to Child Sexual Abuse, this article presents a rapid review of available evidence on the impacts of institutional abuse on victim/survivors. Literature searches identified 75 sources spanning international peer reviewed work and reports to Government that document or quantify the impacts of mostly historical child sexual abuse occurring in religious, educational, sporting and residential or out-of-home care settings. Consistent with child sexual abuse in other contexts, institutional child sexual abuse is found to be associated with numerous, pervasive and connected impacts upon the psychological, physical, social, educa…
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Ren F, Liu W (2026)MEDLINE-indexed journal, not yet read by usBehavioral sciences (Basel, Switzerland) Not All Awe Is Equal: Divergent and Unstable Effects of Positive and Negative Awe on Aggressive Behavior.
Emotions play an important role in shaping aggressive behavior, and understanding their underlying psychological mechanisms is particularly relevant among college students. However, existing research has predominantly focused on reactive aggression, while comparatively less attention has been paid to proactive aggression, which is more instrumental in nature and associated with more severe social consequences. In addition, empirical evidence regarding the valence-specific effects of awe remains limited. The present study aimed to examine the differential effects of positive and negative awe on proactive aggression and to explore the role of empathy as a potential mediating mechanism. A total of 110 college students were randomly assigned to one of three conditions: positive awe, negative awe, or neutral emotion. Awe was induced through video clips depicting natural landscapes. Proactive …
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Mapping the Content Landscape of Self-transcendent Emotional Experiences with Thematic Analysis and Hierarchical Clustering.
Self-transcendent emotions (STEs), including positive and threatening awe, compassion, admiration, elevation, gratitude, and love, expand one's focus beyond the self and foster a sense of connection with something larger (e.g., people, nature, a higher power). Questions remain about the content structure that differentiates or unifies these emotions. We conducted four studies in Brazil, analyzing 1,683 narratives from the general population to clarify the nature and range of STEs in this underrepresented context. Study 1 developed and validated items measuring these emotions in Brazilian Portuguese, particularly critical for awe, as it lacks a direct translation. In Study 2, a bottom-up, qualitative template analysis from participants' narratives yielded an initial coding template with 24 themes. Study 3 refined this template through qualitative coding, producing a final set of 34 unique…
matched on Awe (keyword), self-transcendence (text), self-transcendent emotion (text), awe (text)