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Como caminho multimetódico e interdisciplinar, os trabalhos que se encontram reunidos no presente volume trazem a perspectiva de pesquisadores com ampla experiência em suas áreas de investigação, tendo como eixo catalizador: a) a compreensão do fenômeno religioso como via de aproximação da realidade humana, especialmente no que se refere ao aspecto da saúde, b) a ênfase na religião como forma de construção de sentidos individuais e sociais, e, por último, c) um olhar que privilegia as realidades radicais da existência humana, isto é, o liame entre viver e morrer, a vida e a morte em seu copertencimento.
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A proposta deste artigo é analisar excertos extraídos do livro Poesias, de Joaquim José Oliveira Freitas – conhecido simplesmente por Seu Freitas – com enfoque nos aspectos ligados ao seu simbolismo, ressaltando características essenciais para a compreensão da religião como fornecedora de sentido e, sobretudo, como forma de expressão de uma experiência fundamental – quiçá, a experiência religiosa. Para tanto, procura-se identificar e extrair do conjunto das 208 poesias fragmentos que permitam uma articulação com o aspecto religioso, seja explicitamente posto ou, mesmo, tangencialmente presente. Na primeira parte do texto a discussão sobre o sentido é auxiliada por autores do campo da antropologia da religião e da teologia. Em seguida, após contextualizar autor e obra, as categorias conceituais conquistadas são revisitadas à luz do material de Seu Freitas. Enfim, assumindo uma posição liminar entre discussão científica e tributo, o texto também pretende contribuir na ampliação do alcance do legado de um autor da cultura popular brasileira cuja expressão artística ainda permanece relativamente ignorada.
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In Brazil the relationship between religiosity/spirituality and health has been mainly studied by medicine and nursing. There are few studies on the behavior and beliefs of health professionals and chaplains. This study aims to find out how the dimension of religiosity/spirituality is understood and integrated (or not) by health professionals and chaplains in health care in a hospital in Curitiba-PR. The research method is a quantitative survey, cross-sectional and descriptive. The applied instrument consists of a questionnaire with 35 closed questions and 1 semi-structured question. Participants are n = 100 health professionals: nurses, technicians and nursing assistants, psychologists, social workers, physiotherapists, phonoaudiologists, pharmacists, clinical nutritionists and chaplains. The results indicate that most of these professionals believe that religiosity/spirituality affects health outcomes and they believe it is important to be aware of this relationship. However, only few of them report that they integrate spirituality into their care practice as they lack (in) formation on these issues. We conclude that theology can contribute to a theoretical reflection on spirituality and health, and also to the training of these professionals about the subject, in collaboration with other disciplines.
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The State of the Science in Spirituality and Palliative Care was convened to address the current landscape of research at the intersection of spirituality and palliative care and to identify critical next steps to advance this field of inquiry. Part II of the SOS-SPC report addresses the state of extant research and identifies critical research priorities pertaining to the following questions: 1) How do we assess spirituality? 2) How do we intervene on spirituality in palliative care? And 3) How do we train health professionals to address spirituality in palliative care? Findings from this report point to the need for screening and assessment tools that are rigorously developed, clinically relevant, and adapted to a diversity of clinical and cultural settings. Chaplaincy research is needed to form professional spiritual care provision in a variety of settings, and outcomes assessed to ascertain impact on key patient, family, and clinical staff outcomes. Intervention research requires rigorous conceptualization and assessments. Intervention development must be attentive to clinical feasibility, incorporate perspectives and needs of patients, families, and clinicians, and be targeted to diverse populations with spiritual needs. Finally, spiritual care competencies for various clinical care team members should be refined. Reflecting those competencies, training curricula and evaluation tools should be developed, and the impact of education on patient, family, and clinician outcomes should be systematically assessed.
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The State of the Science in Spirituality and Palliative Care was convened to address the current landscape of research at the intersection of spirituality and palliative care and to identify critical next steps to advance this field of inquiry. Part I of the SOS-SPC two-part series focuses on questions of 1) What is spirituality? 2) What methodological and measurement issues are most salient for research in palliative care? And 3) What is the evidence relating spirituality and health outcomes? After describing current evidence we make recommendations for future research in each of the three areas of focus. Results show wide variance in the ways spirituality is operationalized and the need for definition and conceptual clarity in research in spirituality. Furthermore, the field would benefit from hypothesis-driven outcomes research based on a priori specification of the spiritual dimensions under investigation and their longitudinal relationship with key palliative outcomes, the use of validated measures of predictors and outcomes, and rigorous assessment of potential confounding variables. Finally, results highlight the need for research in more diverse populations.
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p> RESUMO Victor Frankl criou uma escola de psicologia que evidencia a vontade de sentido como motivação primária do ser humano, a logoterapia. A perda dessa vontade de sentido seria causa de neuroses pessoais e do que ele chama neurose coletica, caracterizada pelo vazio existencial. Na origem de vários distúbios psicológicos atuais se encontra esse vazio existencial, a ser enfrentado no processo psicoterapêutico em vista de uma vida mais saudável psiquicamente. A logoterapia de Frankl traz abordagem original da relação psicologia e religião, ultrapassando visões psicológicas mais negativas da religião. A dimensão espiritual do ser humano se encontra no seu próprio incosciente e sua repressão também se mostra neurotizante. O presente artigo avalia a pertinência da proposta de Frankl sobre a relação espiritualidade e saúde. Em um momento de exploração religiosa da fragilidade emocional das pessoas, sua aborgam oferece pistas excelentes para uma compreensão mais consistente da complexa relação entre espiritualide e saúde. </p
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Background: Spiritual well-being is an important dimension of quality of life (QOL) and is a core component of quality oncology and palliative care. In this analysis, we aimed to describe spiritual well-being outcomes in a National Cancer Institute (NCI)-supported Program Project that tested the effectiveness of an interdisciplinary palliative care intervention in lung cancer patients and their family caregivers (FCGs). Methods: Patients undergoing treatments for NSCLC and their FCGs were enrolled in a prospective, quasi-experimental study. Patients and FCGs in the intervention group were presented at interdisciplinary care meetings and received four educational sessions that included one session focused on spiritual well-being. Spiritual well-being for patients was measured using the FACIT-Sp-12, and FCG spiritual well-being was measured using the COH-QOL-FCG spiritual well-being subscale. Multivariate analysis of covariance was undertaken for subscale and item scores at 12 weeks, controlling for baseline, by religious affiliations (yes or no) and group assignment. Results: Religiously affiliated patients reported better scores in the Faith subscale and items on finding strength and comfort in faith and spiritual beliefs compared to non-affiliated patients. Non-affiliated patients had better scores for feeling a sense of harmony within oneself. By group, patients who received the intervention had significantly better scores for the Meaning/Peace subscale. Conclusions: Our findings support the multidimensionality of spiritual well-being that includes constructs such as meaning and faith for lung cancer patients and FCGs with or without religious affiliations. Palliative care interventions should include content that targets the spiritual needs of both patients and FCGs. Copyright © 2015 John Wiley & Sons, Ltd.