Chapter 3- Lecture

Question 1

What are the stereotypes of spirituality?

Answer 1

A defense mechanism
A form of denial
Passive, avoidant way of coping with tragedies

Question 2

How is spirituality used as a defense mechanism?

Answer 2

It is a strategy to avoid anxiety

Question 3

How is spirituality used as a form of denial?

Answer 3

You deny the objective facts of illness

Question 4

How is spirituality used as a passive, avoidant way of coping with tragedies?

Answer 4

Deferring to God “He will take care of me.”

Question 5

What are the five positive spiritual coping strategies

Answer 5

Forgiveness
Seeking spiritual support
Collaborative coping
Spiritual Connections
Benevolent spiritual reappraisals

Question 6

What is forgiveness?

Answer 6

Desiring forgiveness from God and letting go of anger towards others.

Question 7

What is seeking spiritual support?

Answer 7

Seeking love and care from God

Question 8

What is collaborative coping?

Answer 8

God is an active partner supporting with coping

Question 9

What is spiritual connections?

Answer 9

Seeking a stronger connection with God

Question 10

What is benevolent spiritual reappraisals

Answer 10

Positive interpretations of the event as holding a spiritual lesson or benefit

Question 11

Positive and negative approaches to spiritual coping have _______

Answer 11

Different implications for how well people recover from the event.

Question 12

What are the five negative spiritual coping strategies?

Answer 12

Spiritual discontent
Punishing God Reappraisals
Interpersonal spiritual discontent
Demonic reappraisals
Reappraisals of God's power

Question 13

What is spiritual discontent?

Answer 13

Questioning God’s love

Question 14

What is punishing God reappraisals?

Answer 14

Interpreting event as a punishment from God

Question 15

What is interpersonal spiritual discontent?

Answer 15

Conflicts with a religious community or spiritual abandonment

Question 16

What is demonic reappraisals?

Answer 16

Interpreting the event as the work of the devil

Question 17

What is reappraisals of God’s power?

Answer 17

Considering that God may not be all powerful

Question 18

When can spiritual coping go wrong?

Answer 18

When individuals are unable to INTEGRATE the various aspects of their spiritual lives

Question 19

What are the seven forms of disintegration in the flow of coping?

Answer 19

Wrong direction
Wrong road
Against the stream
Undifferentiated or one-sided spirituality
Fragmented spirituality
Inflexible spirituality
Insecure spiritual attachment

Question 20

What is wrong direction?

Answer 20

Destinations, goals, purposes in one’s life are not well integrated.

Question 21

What is an example of wrong direction?

Answer 21

Other values in life are excluded in pursuit of rigid spiritual ones

Question 22

What is wrong road?

Answer 22

Well-integrated values and direction in life but methods taken are not integrated with other behaviors

Question 23

What is an example of wrong road?

Answer 23

Illness comes from God not genetics or other factors

Question 24

What is against the stream?

Answer 24

Lack of integration does not lie within the individual, but between an individual and his/her religious system.

Question 25

What is an example of against the stream?

Answer 25

Participating in an act that goes against the values of the religious community

Question 26

What is undifferentiated or one-sided spirituality?

Answer 26

Pursuing one narrow aspect of one's faith which hinders the individual's ability to produce a variety of coping responses

Question 27

What is fragmented spirituality?

Answer 27

A gap between what one says, does, and believes produce unstable support in times of stress

Question 28

What is inflexible spirituality?

Answer 28

Fundamentalism which affects a persons ability to adapt to new modes of coping. Inflexible spiritual standards may compound problems

Question 29

What is insecure spiritual attachment?

Answer 29

Feelings of alienation from the sacred and mistrust of God's presence during difficult times.

Question 30

What are the clinical implications of spiritual coping?

Answer 30

By intervening, more positive spiritual coping strategies can be suggested and the patient can better adjust.

Question 31

What three questions can you ask to understand a little more of the patient's spiritual history?

Answer 31

1. Is spirituality or religion important to you? 2. Are there ways that your spirituality (religion) has been helpful to you as you have coped with your illness (trauma)? 3) Do you have any spiritual questions or challenges that are causing you concern?