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Introduction
Professor for Anthropological Psychology at Munich School of Philosophy (HFPH), head of the research Centre ‘Spiritual Care’ at the Technical University of Munich (TUM)’s University Hospital rechts der Isar, chairman of the Internationalen Gesellschaft für Gesundheit und Spiritualität and editor of the Journal Spiritual Care.
Specialist for psychosomatic medicine and psychiatry, psychoanalyst, Jesuit and priest.
Skills and Expertise
Additional affiliations
June 2015 - present
Position
- Head Research Centre Spiritual Care
Description
- www.spiritualcare.de
June 2010 - May 2015
April 1988 - present
Publications
Publications (240)
Zusammenfassung
Hintergrund: Spiritualität am Arbeitsplatz wird international im Managementbereich zunehmend diskutiert. Die Sichtweise von Führungskräften im Gesundheitswesen ist aber noch kaum erforscht, obwohl Spiritualität und Spiritual Care (SC) in diesem Setting aufgrund der Versorgung von verletzlicher Klientel noch relevanter als in anderen...
Zusammenfassung
Hintergründe: Bisher in der Spiritual Care (SC) Forschung angewandte Maßnahmen ermöglichen es, Spiritualität, spirituelle Bedürfnisse und persönliches Wachstum von einzelnen Studierenden bzw. Schulungsteilnehmer/-innen zu messen und zu verstehen. Die Herausforderungen und Veränderungen auf Gruppen- und Organisationsebene werden jedo...
Modern healthcare research has only in recent years investigated the impact of health care workers’ religious and other values on medical practice, interaction with patients, and ethically complex decision making. So far, only limited international data exist on the way such values vary across different countries. We therefore established the NERSH...
To understand if GPs’ spiritual competence, their personal spirituality and attitude towards enquiring about spirituality in practice interrelate, we conducted a cross-sectional survey of 30 German GPs regarding issues of SC. We found correlations between GPs’ personal spirituality, their spiritual competence and their attitudes towards SC. The abi...
Introduction: There is a gap in healthcare literature related to the spiritual competence of physicians and nurses practicing in South Asian Muslim communities. To fill that gap, the Spiritual Care Competence Questionnaire (SCCQ) was applied which was developed to address multi-professional spiritual care competences. Materials and Methods: A cross...
This systematic review synthesises the available evidence regarding the European understanding of workplace spirituality (definitions), the importance of spirituality and religion (evidence) as well as spiritual leadership (meaning and practice) in for-profitorganizations. The search for eligible studies was conducted in OPAC Plus, SCOPUS, Science...
Background:
Self-efficacy is decisive for the quality of life of elderly, multimorbid people. The hypothesis that patients' self-efficacy can be strengthened by the targeted reinforcement of individual spirituality, social activity, and self-care was tested with a complex intervention.
Methods:
A non-blinded, exploratory, cluster-randomized, con...
Zusammenfassung In diesem Beitrag der Zeitschrift für Psychodrama und Sozio-metrie setzt sich der Autor mit den Grundlagen der Selbsterfahrung auseinander. "Selbsterfahrung" ist ein reflexives Nominalkompositum, das aus dem Intensifika-tor "selbst-" und dem nominalisierten Verbum "erfahren" zusammengesetzt ist. Das semantische Feld des Kompositums...
Background:
The "Holistic Care Program for Elderly Patients to Integrate Spiritual Needs, Social Activity and Self-Care into Disease Management in Primary Care" (HoPES3) examines the implementation of a spiritual history (SH) as part of a multifaceted intervention in German general practices. While the effectiveness of the interventions was evalua...
Background:
Religiosity and/or spirituality (R/S) of physicians have been reported to inform behavior regarding religiosity and spirituality in clinical practice (R/S-B). Our aim was to study this association.
Methods:
Building upon a large international data pool of physician values we performed network and systematic literature searches using...
Studies on the psychodynamics of Chronic Orofacial Pain Disorder Objectives: Psychodynamic factors play an important role in its emergence and development of Chronic Orofacial Pain Disorder (COP), which is also known as Chronic Primary Orofacial Pain. This factors form the basis for differentiated psychotherapy. Methods: Seven female and two male p...
Zusammenfassung
Der Verlauf der religiösen Bewältigung bei einer lebensbedrohlichen Krankheit ist noch weitgehend unbekannt. Religiöse Phantasien bestimmen den Inhalt dieser Bewältigung. Modellhaft wird dies bei der HIV-Infektion vor Einführung der antiretroviralen Kombinationstherapie untersucht.
105 HIV-infizierte Männer und Frauen (55 Homosexuel...
We aimed to validate the Spanish version of the Spiritual Care Competence Questionnaire (SCCQ) in a sample of 791 health care professionals from Spanish speaking countries coming principally from Argentina, Colombia, Mexico and Spain. Exploratory factor analysis pointed to six factors with good internal consistency (Cronbach’s alpha ranging from 0....
About one third of Europe’s elderly population takes ≥5 drugs. Polypharmacy increases their risk of adverse drug reactions. To ensure drug safety, innovative approaches are needed. The aim of this cross-sectional study was to explore the relationship between psychosocial factors and medication-related beliefs and behaviors. Medication lists of 297...
Background
In order to facilitate better international and cross-cultural comparisons of health professionals (HPs) attitudes towards Religiosity and/or Spirituality (R/S) using individual participant data meta-analysis we updated the NERSH Data Pool.
Methods
We performed both a network search, a citation search and systematic literature searches...
Vorab online veröffentlicht ■.■.■■ Die Bezeichnung "Tunnel" für einen unterirdischen, röh-renförmig angelegten Verkehrsweg ist mit "Tonne" (großes Fass) verwandt und kam aus dem Englischen zu uns. "Licht am Ende des Tunnels" drückt ähnlich wie der "Silberstreif am Horizont" die Hoffnung aus, dass der Weg in Dunkel-heit und Einengung bald ins Helle...
Background:
This study presents a concept for training general practitioners (GPs) in taking a spiritual history. In the same workshop, medical assistants (MAs) were trained in counselling elderly, chronically ill patients on social activities and home remedies. After the training, GPs and MAs will apply the acquired skills in their practices with...
Background
In order to facilitate better international and cross-cultural comparisons of health professionals (HPs) attitudes towards Religiosity and/or Spirituality (R/S) we updated the NERSH Data Pool.
Methods
We performed both a network search, a citation search and systematic literature searches to find new surveys.
Results
We found six new s...
In emergency rooms, the efforts of the hospital staff are necessarily patient-centered, while the concerns of relatives who accompany the patients are not in the primary focus. Consequently, relatives may wait for the patients and their needs to be addressed, or they may accompany the patients waiting, while their own fear and worries and their own...
Spiritual needs in this essay are considered both ubiquitous and symbolically present in potentially all human realities and, maybe more importantly, as religiously under-determined. In such a phenomenological sense, spiritual needs have been captured poetically by Ingeborg Bachmann: “In everything there is too little”. With philosophical anthropol...
Existential or spiritual concerns are especially important for older people and those faced with their fragility and mortality. In most cases, the elderly have to deal with their worries and needs alone, as several perceive low interest in their concerns. This chapter describes which spiritual needs were of relevance for the elderly living in retir...
Persons treated in emergency departments of hospitals perceive a specific form of stress, as they are often unaware about the significance of their symptoms, what these may mean to their life, and how they can be treated. While patients are waiting for information, health professionals have to care for several persons at the same time, have to stab...
Zusammenfassung
Fragestellung
Viele medizinische Fakultäten laden zu Erinnerungs- und Dankfeiern im Anschluss an den Kursus der Makroskopischen Anatomie ein. Im Hinblick auf eine bio-psycho-sozio-spirituell orientierte Aus-, Fort- und Weiterbildung untersucht die vorliegende Studie implizite Gefühle und Gedanken von Medizinstudierenden während der...
The amount of research concerned with the values of health professionals (HPs) is steadily growing. Around the world HPs face similar challenges when patients express their existential and spiritual views. How HPs engage these views, and the degree of embedment into consultations, differ across cultures. Today, more than ever before, researchers in...
Die Begriffe ›Abwehr‹ und ›Bewältigung‹ lassen sich am besten im Kontext des Stress-Modells einführen und voneinander abgrenzen. ›Stress‹ ist der psychosomatische Fachbegriff, den die Umgangssprache am häufigsten verwendet. Ursprünglich bezeichnet dieses Konzept eine unspezifische Belastungsreaktion des Organismus mit den Stadien Alarm, Widerstand...
Eine Seele haben heißt: lebendig sein. Angesichts des Todes fragen Menschen von jeher: Wo bleibt, wohin geht die Seele? Wer über das Sterben redet, spricht auch darüber, was es heißt: mit Leib und Seele lebendig sein. »Spiritual Care« ist die spirituelle Antwort auf die Fragen, die uns die vielen Abschiede unseres Lebens stellen – und am Ende der A...
Zusammenfassung
Spiritualität und religiöses Coping bei lebensbedrohlichen Krankheiten finden zunehmendes wissenschaftliches und praktisches Interesse im Sinne des Spiritual Care. Widersprüchlich sind allerdings die Aussagen über die Effekte dieser Bewältigungsform. Am Modell der HIV-Infektion als einer lebensbedrohlichen Krankheit in der Zeit vor...
Authenticity is a chimerical concept: Its social normativity is rooted in the enactment of an idealized, aesthetified self without shadow. The truth of the “true-self” is not confirmed by moral standards but by an interaction of self-representation and social mirroring. It is a “selfie” admired by others. Conversely, the hidden and often devaluated...
Zusammenfassung
Hintergrund: Forschung zeigt, dass der Einsatz von Spiritual Care nicht nur durch Zeit- und Ressourcenknappheit erschwert wird, sondern auch durch einen Mangel an Aus- und Weiterbildung sowie durch das bei Gesundheitsfachpersonen vorherrschende Gefühl von Inkompetenz in diesem Bereich. Im deutschen Sprachraum existiert wenig Forschu...
https://doi.org/10.5771/9783748910589
Proactively addressing religious and spiritual (r/s) issues has a strong intervention effect on patients, which is generally more important than the detailed content of spiritual screenings and assessments. When asked about r/s needs or problems, patients may feel bothered, surprised, annoyed, or, conversely, satisfied, supported, acknowledged in t...
Background:
Just as the World Psychiatric Association (WPA) and other national psychiatric societies, the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) has published a position statement about religiosity and spirituality in psychiatry and psychotherapy, in which it demands patient orientation and spiritual competency...
Zusammenfassung
Spiritual Care bleibt auch in Zeiten der Pandemie des Coronavirus ein wesentlicher Bestandteil der Betreuung kritisch kranker und sterbender Patienten und ihrer Familienangehörigen. Angesichts gesteigerter Sicherheitsbestimmungen mit eingeschränktem Zugang und erheblichen Belastungen für alle Mitarbeitenden im Gesundheitswesen müsse...
Zusammenfassung
Medizinische und politische Autoritäten behandeln die COVID-19-induzierte Ungewissheit durch Containment-Maßnahmen wie Social Distancing, Quarantäne, Abschirmung vulnerabler Populationen. Über diese abwehrende Bedeutung hinaus betrifft das englische Wort “to contain” den Menschen in seiner psycho-sozio-spirituellen Dimension: Wie „c...
Zusammenfassung
Wissenschaftliche Communities bemühen sich um Konsensusdefinitionen von Basiskonzepten, die der empirischen Forschung zu Grunde liegen. In der Forschung über Spiritualität und Spiritual Care können etic-Daten (erhoben durch operationalisierte Methoden) und idiosynkratische, stark subjektive emic-Daten unterschieden werden. Interessa...
Background
Spiritual needs (spN) are important for human beings—independently of religious affiliation. They can be a resource for coping with stressful situations, e.g., those triggered by the acute onset of a disease. Emergency rooms are hospital departments with high medical performance which may cause a particular insecurity among emergency pat...
Research to date has shown that health professionals often practice according to personal values, including values based on faith, and that these values impact medicine in multiple ways. While some influence of personal values are inevitable, awareness of values is important so as to sustain beneficial practice without conflicting with the values o...
Zusammenfassung
Nach Balboni & Balboni fördert die säkulare Medizin mit ihrer Spiritualität der Immanenz das einflussreiche und weitgehend unbewusste Modell einer apersonalen und technokratischen Heilkunde, welche die spirituelle Suche von Patienten und Gesundheitsberufen vernachlässigt. Die Gegenüberstellung differierender Systemlogiken von Seelso...
Was ist gemeint, wenn von „Missbrauch“ die Rede ist? Die Metapher des Schattens von C. G. Jung kann dazu beitragen, die Dynamik des geistlichen wie sexuellen Missbrauchs in der katholischen Kirche besser zu verstehen.
The celibacy of Roman Catholic priests, in contrast to a single lifestyle, implies an existential choice for spiritual reasons as a conscious motivation. Nevertheless, several of them struggle with celibacy life style and some experience phases of spiritual dryness. So far it is unclear which role priestly celibacy may play in this context. We ther...
Objective:
Teaching about spirituality and health is recommended by the American Association of Medical Colleges and partially implemented in some US medical schools as well as in some faculties of other countries. We systematically surveyed Medical School Associate Deans for Student Affairs (ADSAs) in three German-speaking countries, assessing bo...
Zusammenfassung: Hintergrund: In diesem Beitrag wird erstmals im deutschen Sprachraum ein Fragebogen zur Erfassung von Spiritual Care-Kompetenzen (SCCQ) vali-diert. Fragestellung: Welche Reliabilität und welche fak-torielle Struktur hat der SCCQ? Methode: Querschnittserhe-bung (N=717, 74 % Frauen, 65 % katholisch). Statistische Methoden: Interne Ko...
Das Begriffspaar immanent vs. transzendent charakterisiert N. Luhmann zufolge das Religionssystem und unterscheidet es von anderen gesellschaftlichen Teilsystemen, z. B. von der Medizin (Binary gesund vs. krank). Die abrahamitischen Religionen Judentum, Christentum, Islam denken Gott transzendent, verschieden von der Immanenz. E. Levinas wählt den...
Background:
Observational studies indicate that religious values of physicians influence clinical practice. The aim of this study was to test prior hypotheses of prevalence of this influence using a meta-analysis design.
Methods:
Based on a systematic literature search we performed individual participant data meta-analysis (IPDMA) on data based...
Zusammenfassung des Hintergrunds, der Forschungsfragen, des Studienprotokolls und vorläufigen Ergebnisse der Untersuchung.
Background:
Strategies to improve the care of elderly, multimorbid patients frequently focus on implementing evidence-based knowledge by structured assessments and standardization of care. In Germany, disease management programs (DMPs), for example, are run by general practitioners (GPs) for this purpose. While the importance of such measures is u...
Zusammenfassung
Hintergrund: In diesem Beitrag wird erstmals im deutschen Sprachraum ein Fragebogen zur Erfassung von Spiritual Care-Kompetenzen (SCCQ) validiert. Fragestellung: Welche Reliabilität und welche faktorielle Struktur hat der SCCQ? Methode: Querschnittserhebung (N=717, 74 % Frauen, 65 % katholisch). Statistische Methoden: Interne Konsis...
La notion clinique d’alexithymie désigne littéralement l’absence de mot pour l’expression de l’humeur (a-lexis-thymie). Elle est composée de quatre traits : 1. l’incapacité à exprimer verbalement les émotions ou les sentiments, 2. la limitation de la vie imaginaire, 3. la tendance à recourir à l’action pour éviter ou résoudre les conflits, 4. la de...
Background: The purpose of this study was to contribute to the analysis of older people’s Meaning in Life and the implications of dwelling in residential and nursing homes. The transition from one’s private home to a residential or nursing care facility is a challenge for many older people. An individualized (not standardized) approach to meaning i...
To identify and investigate coping mechanisms and other factors which may impact upon the psychosomatic symptoms of aging German Roman Catholic priests. A cross-sectional study was conducted among 499 aging German Roman Catholic priests with standardized questionnaires: Brief Symptom Inventory, Coping Inventory Stressful Situations, and Religious C...
Research has shown that spiritual coping is essential for palliative care patients in enhancing quality of life and that attachment patterns affect the emotional well-being of the terminally ill. This is the first study evaluating how spiritual coping and attachment are associated in palliative care patients. Four different attachment patterns-secu...