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INFLUENCE of RELIGION in HEALING. Ronny Tri Wirasto. LEARNING OBJECTIVES. To understand the role of religion in all aspects of health care: preventive, curative and rehabilitative. Physician and religious issues.
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INFLUENCE of RELIGION in HEALING Ronny Tri Wirasto
LEARNING OBJECTIVES • To understand • the role of religion in all aspects of health care: preventive, curative and rehabilitative.
Physician and religious issues • Today many psychiatrist and physician discuss about religious and spiritual in psychiatry and illnesses • Psychiatrists and physician are now beginning to recognize the importance of religious and spiritual beliefs as a potential source of strength to many patients dealing with the stress of mental illness and physical illness
Physician and religious issues • By knowing a spiritual history and understand a patients belief, values and religious culture. Psychiatrists and physician become equipped to evaluate whether these beliefs are helping or hindering the patient • Question asked can included : whether they are currently active in church or mosque or other religious services
Physician and religious issues • In a study published in journal of family Practice, 77 % of 203 inpatients surveyed said physicians should consider patient’s spiritual needs • 37 % wanted their physicians to discuss religious beliefs them more frequently, and nearly one in two wanted their physician to pray with them .
Physician and religious issues • A national poll conducted by USA Weekend found that 63 % of those surveyed felt that physicians should talk inpatients about their spiritual faith, while 10 % of their doctors had done so • Up to now many psychiatrists and physician remain unaware of the central role religious faith might play in helping patients deal with serious illness
Physician and religious issues • One study at duke Univ. Medical center found that 44 % of hospitalized medical patients indicated that religious beliefs were the most important factor in coping with their illness, but only 9 % of physicians agreed • A survey of 30 psychiatric patients with diagnoses including schizophrenia, bipolar disorder , unipolar depression, schizoaffective disorder, and personality disorder found 57 % attended religious services and prayed at least daily
Physician and religious issues • A substantial 83 % felt that spiritual belief had a positive impact on their illness through the comfort it provided and the feeling of being cared for and not being alone it fostered. • However 38 % expressed discomfort with mentioning their spiritual or religious concerns to their therapist • A 1997 survey showed that 68 % f psychiatric patients and 72 % of medical patients relied on religion as a source of strength • Only 10 % of psychiatric patients and 2 % of medical patients indicated not deal at all.
Physician and religious issues • The study found that 88 % of the psychaitric patients and 76 % of the medical patients reported having those or more specific religious needs while hospitalized. Those include : • The need to know god’s presence (84 % of psych pat, and 83 % of med pat) • The need for prayer (80 % psych pat and 88 % med. Patients) • The need for a visit from a chaplain to pray with them (65 % psy pat. 66 % medical patients)
Physician and religious issues • For to often these religious issues have been neglected • A growing number of research studies are religious commitment may be a source of strengh in prevention of , coping with and recovery from serious illness • Study in 1998 found that the greater the instrinsic religious experience , the faster patients recovered from depression • They defined instrinsic (religious) as the extent to which a person views their religious beliefs as one of the major motivating forces in their decisions and behavior
Physician and religious issues • For every 10 points increase in the intrinsic religiousity score , which range from 10 to 50 , there was a 70 % increase in speed of remission • Religious beliefs and behaviors may lead to faster resolution of some types of depression
The WHO quality of life domains • Physical health • Psychological health • Level of independence • Social relationships • Environment • Spirituality, religion and personal beliefs
IN POPULATION 20 %---------------60 %-----------------20 % MH MD MH = MENTAL HEALTH MD = MENTAL POPULATION
Practice of Holistic Medicine • Holistic is defined as pertaining to all aspects of human nature – physical, mental, emotional, and spiritual. • To approach health holistically is to consider the mind, emotions, spirit and entire body when addressing the health of a person, not just the area that is manifesting the symptoms.
Practice of Holistic Medicine • The underlying foundation and prerequisite for true healing is compassion for the patient, and consideration of all aspects of the patient’s nature, including the family, culture, spiritual and community.
Spiritual care and medical treatment • Until recently the health professions have largely followed a medical model, which seeks to treat patients by focusing on medicines and surgery, and gives less importance to beliefs and to faith -- in healing, in the physician and in the doctor-patient relationship
Spiritual care and medical treatment • This reductionism or mechanistic view of patients as being only a material body is no longer satisfactory • Patients and physicians have begun to realize the value of elements such as faith, hope and compassion in the healing process.
Questions of spirituality • What is spirituality • How does it relate to religion • What is the distinction between healing and cure, and how may this be relevant to multidisciplinary medical practice • How has spirituality been researched
Questions of spirituality • What are some of the findings • How may a person’s spiritual needs be assessed • What knowledge skills and attitudes pertaining to spirituality can be taught • Could they benefit clinicians as well as patients
Spiritual • Beyond the mind-body connection, there is a source of inspiration that you can access. This is your spiritual connection. • Working with spirits means reaching beyond your understanding of your own limits to access a greater healing power. • You can bring this healing power into your life and your patient’s healing. • It can take the form of prayer, inspiration, intuition or insight.
To work with spirit • It is not necessary to subscribe to a particular religion in order to work with spirit. • You can explore your own beliefs about what spirit means to you. • Intuition, gut feelings, hunches, meditation, and prayer are only a few of many spiritual processes.
To work with spirit • When you pay to attention to these gifts, you can increase your awareness of your patient’s health condition and gain important insights to help you and your parenting decision.
To access spiritual • You can help your patient to access their spiritual connection by teaching them to pray, discussing your beliefs, reading spiritual books, attending church or mosque, helping others in need, creating rituals, attuning to the moon and the seasons, and taking walks in nature.
To access spiritual • Nature is a potent healing force and an essential part of the healing process. • Meditation is suitable for patient and can be as simple as observing or counting breaths. • Teaching patient prayer or meditation trains them to tune in to their spiritual lives and to notice the many ways in which they are blessed.
Benefits of spiritual care • Improved self-control, self-esteem and confidence • Recovery facilitated, both by promoting the healthy, grieving of loss and through maximizing personal potential
Benefits of spiritual care • Relationship improved - with self, others and with God • A sense of meaning, resulting in renewed hope and peace of mind, enabling people to accept and live with their problems
Spiritual values • Kindness, compassion, generosity • tolerance, patience, honesty • creativity, joy, humility • wisdom
Spiritual skills • being able to create a still, peaceful state of mind (as in meditation or pray) • being able to stay mentally focused in the present, remaining alert and attentive • developing above-average levels of empathy, discernment and courage
Spiritual skills • having the capacity to witness and endure distress while sustaining an attitude of hope • being self-reflective and honest with oneself, especially about areas of ignorance, also when angry, afraid or in doubt • having an above-average level of being able to give without feeling drained • being able to grieve appropriately and let go
RELIGIOUS APPROACH • For illness patients, religious approach is certainly needed as early as possible soon after the diagnosis or even since the suspicion of the probability of illness detection. • Religious approach is needed because principally people are religious creatures who always have faith.
RELIGIOUS APPROACH • In fact to solve the problem only with science and knowledge alone evidently cannot provide satisfaction and cannot make peaceful mind. • Although the science and technology growing up very fast, they cannot solve various problems in this life. • Quantitative concept has never given people satisfaction
Religion in modernization era • It seems that religion gets behind science and knowledge since in describing natural circumstances, science is considered tough in excluding what is not true out of his body and replace it with something new from time to time. • It even appears more clearly in modernization era in which dependency on religion is getting less.
Religion in modernization era • Modernization itself frequently bring negative impacts to social life like frustration. • Those condition make people pay greater attention to religion. • Disappointment, insecurity, and mental emptiness resulting from modern life style make people seek for something strong and everlasting to hold on with in order that they get protected and feel peacful
Religion as guidelines • Human beings need guidelines and certainty since logic have failed to satisfy them. • In finding peace of mind, a lot of people return to religion and perform religious services. • Many people feel that by performing religious services properly and seriously, they have provided themselves with a very strong spirit power which provides a calm feeling, peaceful and assured mind.
Religion as guidelines • The feeling of peace that the patients feel may have significant therapeutic value to reduce mental tension. • The patients will feel the effect of the therapeutic value resulting from a very serious religious service which is the manifestation of a sincere dedication from human beings to the God, that they mentally and physically accept the glory of the God and promise to be always obedient and faithful to the God.
Homeostasis condition • Sincere dedication will present homeostasis condition to the patients, therefore, treating patients with mental and physical illness do need religious approach in order that they can achieve homeostasis condition.
Homeostasis condition • Correlation between religious obedience and health condition have not been studied and reported by medical experts whereas actually in medical practice, religious approach is always employed even though only in the form of pray.
Religion and general health status • It was reported that in general religious obedience plays a role of protection against the probability of uterus cancer, cervix cancer, other cancers, intestinal colitis, enteritis, cardiovascular disease, hypertension and stroke.
Religion and general health status • It was also reported that there are close association between religious obedience and general health status, general mortality, rate of morbidity and mortality in some religious leaders.
Religion and general health status • In general those who are obedient in performing religious services will be able to overcome their illness in better way. • They will have shorter period of recovery process. • Religious obedience will also prevent people from committing suicide.
7 MECHANISMS THAT MAY LINK RELIGIOUS INVOLVEMENT TO POSITIVE HEALTH OUTCOMES • 1. REGULATION OF INDIVIDUAL LIFESTYLES AND HEALTH BEHAVIORS • 2.PROVISION OF SOCIAL RESOURCES • 3.PROMOTION OF POSITIVE SELF-PERCEPTIONS • 4.PROVISION OF SPECIFIC COPING RESOURCES • 5.GENERATION OF OTHER POSITIVE EMOTIONS • 6. PROMOTION OF HEALTH BELIEFS • 7.OTHER HYPOTHESIZED MECHANISMS
A Holistic point of view • The holistic approach to health does not reject conventional medicine, but is a sensible, complete form of healing that considers your patient’s entire picture of health and uses the best and most appropriate options for healing.
A Holistic point of view • It is a process of strengthening every system of the mind-body and allowing your patient’s natural healing potential to flourish. Many of the chronic health problems that affect patient will respond best when addressed from a holistic point of view.
Practice integrative • Doctors who practice integrative or holistic medicine establish healing partnerships with their patients and emphasize prevention and self care. • They consider the patient’s thoughts, feelings and beliefs when prescribing treatment.
Practice integrative • They may incorporate one or several therapies into their practices and/or work in partnership with other practitioners either through referrals or by working directly with them. • More and more medical doctors are aligning with integrative medicine and you may be able to do that.
The role of parent in holistic health care • Finding a holistic doctor can be important, but good health really begins at home with breastfeeding, good nutrition, quality food, a non-toxic environment natural remedies to strengthen immunity, and mental emotional and spiritual nurturing.
The role of parent in holistic health care • Parents are the coordinators of holistic health care for the family. • Parents know their child’s body, mind, emotions, and spirit better than anyone else. • By carefully assessing their children in each of those area, they can prioritize their needs and focus on what may be diminishing their health.
Curing and healing • It is important to acknowledge that there is a difference between curing and healing. • Curing means the elimination of symptoms or signs of a disease. • Treatment with drugs, surgery, herbs, or other methods may cure you by relieving the symptoms of discomfort, pain, or disease. • However, unless the underlying pattern of dysfunction is stopped, the symptoms may recur
Healing • Healing goes deeper than curing, and occurs when the root cause is overcome and the systems of the mind-body, including emotions and spirit, are strong and vital. • Although health care professionals can help facilitate healing, the ability to heal ultimately comes from within.
Conventional health care • The current system of conventional health care can be enormously frustrating and lacking in real answers for patient diagnosed with chronic health problems. • Visits to the doctor may result in drug prescriptions with which you may not feel comfortable. • The medication may keep the symptoms in check, but what you really want is for your patient to completely heal and reclaim health and vitality.