scholarly journals Religion and spirituality in clinical practice

2015 ◽  
Vol 21 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Christopher C. H. Cook
Keyword(s):  
Clinical Practice ◽  
Good Practice ◽  
Evidence Base ◽  
Psychiatric Practice ◽  
Religion And Spirituality ◽  
Professional Boundaries ◽  
Spirituality And Religion

SummarySpirituality and religion have assumed importance in psychiatric practice in recent years because of both a growing evidence base and the desire of patients that such matters should be better addressed as an aspect of their care. However, there has been controversy regarding interpretation of the evidence base and issues of good practice, notably about defining appropriate professional boundaries. A sensitive and patient-focused clinical enquiry is therefore needed to discover whether and how spiritual/religious concerns are important to patients and, if they are, how they might most appropriately be addressed in treatment. Many of the concerns of patients and professionals regarding spirituality overlap with the recovery agenda and so are easily addressed implicitly and without need to impose the language of spirituality or religion. However, for some patients, transcendent concerns that are not a part of this agenda are easily overlooked.

scholarly journals Praying with a patient constitutes a breach of professional boundaries in psychiatric practice

2011 ◽  
Vol 199 (2) ◽  
pp. 94-98 ◽  
Author(s):  
Rob Poole ◽  
Christopher C. H. Cook
Keyword(s):  
Religious Beliefs ◽  
General Medical Council ◽  
Psychiatric Practice ◽  
Spiritual Needs ◽  
Medical Council ◽  
Religion And Spirituality ◽  
Professional Boundaries

SummaryThe extent to which religion and spirituality are integrated into routine psychiatric practice has been a source of increasing controversy over recent years. While taking a patient's spiritual needs into account when planning their care may be less contentious, disclosure to the patient by the psychiatrist of their own religious beliefs or consulting clergy in the context of treatment are seen by some as potentially harmful and in breach of General Medical Council guidance. Here, Professor Rob Poole and Professor Christopher Cook debate whether praying with a patient constitutes a breach of professional boundaries in psychiatric practice.

Principles of integrating religion and spirituality in mental health care and the World Psychiatric Association’s position statement

2021 ◽  
pp. 309-324
Author(s):  
Christopher C.H. Cook ◽  
Alexander Moreira-Almeida
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Mental Health Professionals ◽  
Positive Impact ◽  
Good Practice ◽  
Well Being ◽  
Position Statement ◽  
Religion And Spirituality ◽  
The World ◽  
Practice Teaching

Research shows that spirituality and religion are important influences upon mental well-being and may play an important part in recovery from mental disorders. The addressing of these concerns in clinical practice raises important questions concerning good practice and professional boundaries, which various national psychiatric associations, and the World Psychiatric Association (WPA) have addressed in part by way of professional guidelines and policies. This chapter presents a commentary on, and discusses the practical implications for clinical practice, teaching, research, and public health of the seven proposals made in the WPA position statement on religion and psychiatry. For these proposals to have a positive impact upon clinical practice it is important that knowledge and awareness of them should be enhanced globally amongst psychiatrists and other mental health professionals, and that they become a focus of constructive and critical professional debate.

scholarly journals Spirituality, secularity and religion in psychiatric practice: Commentary on … Spirituality and religion in psychiatric practice

2010 ◽  
Vol 34 (5) ◽  
pp. 193-195 ◽  
Author(s):  
Christopher C. H. Cook
Keyword(s):  
Charles Taylor ◽  
Evidence Base ◽  
Faith Communities ◽  
Psychiatric Practice ◽  
Spiritual Practices ◽  
Clinical Consultation ◽  
Closed World ◽  
Spirituality And Religion ◽  
Treatment Plans ◽  
Secular Age

SummarySpirituality and religion, in our secular age, are subject to what Charles Taylor calls ‘closed world structures’ which make disbelief in transcendence appear incontrovertible when in fact, rationally speaking, it is not. It is arguably an effect of these closed world structures on psychiatric practice that excludes from the clinical consultation spiritual matters which patients themselves wish to discuss with their psychiatrist. In fact, the evidence base suggests that spirituality and religion should be routinely assessed in psychiatric practice and that the possible beneficial influence on outcome of spiritual practices and faith communities should be considered when formulating treatment plans.

scholarly journals A Delphi Study Investigating Clinicians’ Views on Access to, Delivery of, and Adaptations of MBCT in the UK Clinical Settings

Mindfulness ◽  
2021 ◽  
Author(s):  
Kate Williams ◽  
Samantha Hartley ◽  
Peter Taylor
Keyword(s):  
Delphi Study ◽  
Good Practice ◽  
Evidence Base ◽  
Clinical Settings ◽  
Training Support ◽  
Decision Making Processes ◽  
Complex Decision Making ◽  
Complex Decision ◽  
The Uk ◽  
Clinical Populations

Abstract Objectives Mindfulness-based cognitive therapy (MBCT) is a well-evidenced relapse-prevention intervention for depression with a growing evidence-base for use in other clinical populations. The UK initiatives have outlined plans for increasing access to MBCT in clinical settings, although evidence suggests that access remains limited. Given the increased popularity and access to MBCT, there may be deviations from the evidence-base and potential risks of harm. We aimed to understand what clinicians believe should be best clinical practice regarding access to, delivery of, and adaptations to MBCT. Methods We employed a two-stage Delphi methodology. First, to develop statements around best practices, we consulted five mindfulness-based experts and reviewed the literature. Second, a total of 59 statements were taken forward into three survey rating rounds. Results Twenty-nine clinicians completed round one, with 25 subsequently completing both rounds two and three. Forty-four statements reached consensus; 15 statements did not. Clinicians agreed with statements regarding sufficient preparation for accessing MBCT, adherence to the evidence-base and good practice guidelines, consideration of risks, sufficient access to training, support, and resources within services, and carefully considered adaptations. The consensus was not reached on statements which reflected a lack of evidence-base for specific clinical populations or the complex decision-making processes involved in delivering and making adaptations to MBCT. Conclusions Our findings highlight the delicate balance of maintaining a client-centred and transparent approach whilst adhering to the evidence-base in clinical decisions around access to, delivery of, and adaptations in MBCT and have important wide-reaching implications.

scholarly journals Spirituality review on mental health and psychiatric nursing

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2323-2333 ◽  
Author(s):  
Gabriel Lavorato Neto ◽  
Larissa Rodrigues ◽  
Diego Alexandre Rozendo da Silva ◽  
Egberto Ribeiro Turato ◽  
Claudinei José Gomes Campos
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Psychiatric Nursing ◽  
Clinical Approach ◽  
Theoretical Problem ◽  
Human Being ◽  
Research Education ◽  
Professional Boundaries ◽  
Mesh Terms ◽  
Spirituality And Religion

ABSTRACT Objective: Gather the concepts, theories and interventions about spirituality, its nature and functions in mental health and psychiatric nursing. Method: A literature review proceeded on February 2016. It has integrated 214 studies published until December 2015 by crossing Spirituality and Psychiatric Nursing mesh terms in databases. Results: Conceptualization about spirituality and religion, their complexity in nursing research, education, and clinical approach; their functions to human being correlated to the purpose of life, transcendental connections, and support in mental health; the professional boundaries in address to spirituality in mental health scenery, and a descriptive literature recommendations and a instruments catalog. Conclusions: Spirituality in nursing mental health and psychiatry remains a theoretical problem, and has a clinical mischaracterized approach; recently publications try to promote a human and holistic trend in the practice, as a challenge to lead the current circumstances to valid nursing bases.

scholarly journals Boundary violation and sexual exploitation in psychiatry and psychotherapy: a review

2004 ◽  
Vol 10 (4) ◽  
pp. 312-320 ◽  
Author(s):  
Sameer P. Sarkar
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Empirical Study ◽  
Sexual Exploitation ◽  
Professional Roles ◽  
Professional Boundaries ◽  
Boundary Violation ◽  
Psychotherapeutic Practice ◽  
The Subject ◽  
Sexual Boundary Violations

In psychiatric and psychotherapeutic practice, ‘boundaries' delineate the personal and the professional roles and the differences that should characterise the interpersonal encounters between the patient/client and the professional. Boundaries are essential to keep both parties safe. The author outlines the various types of boundary violation that can arise in clinical practice, their consequences (both clinical and legal), how professionals can avoid them and how health care institutions might respond, should they occur. He concentrates on sexual boundary violations, because these have been the subject of most empirical study.

scholarly journals The Evolving Role of Catheter Ablation in Patients With Heart Failure and AF

2019 ◽  
Vol 8 (1) ◽  
pp. 47-53
Author(s):  
Sandeep Prabhu ◽  
Wei H Lim ◽  
Richard J Schilling
Keyword(s):  
Heart Failure ◽  
Clinical Practice ◽  
Catheter Ablation ◽  
Patient Group ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Evidence Base ◽  
Patients With Heart Failure ◽  
Recent Developments

AF and heart failure are emerging epidemics worldwide. Several recent trials have provided a growing evidence base for the benefits of catheter ablation in this patient group, which are yet to be universally adopted in clinical practice guidelines. This paper provides a summary of recent developments in this field and provides pragmatic advice to the treating physician regarding the appropriate role of catheter ablation in the overall management of patients with comorbid AF and heart failure.

scholarly journals Implementation—The Missing Link in the Research Translation Pipeline: Is It Any Wonder No One Ever Implements Evidence-Based Practice?

2018 ◽  
Vol 32 (9) ◽  
pp. 751-761 ◽  
Author(s):  
Elizabeth A. Lynch ◽  
Brigit M. Chesworth ◽  
Louise A. Connell
Keyword(s):  
Clinical Practice ◽  
Stroke Rehabilitation ◽  
Evaluation Research ◽  
Well Being ◽  
Professional Associations ◽  
Evidence Base ◽  
Care Practice ◽  
Research Translation ◽  
Evidence Based ◽  
Rehabilitation Research

Despite the exponential growth in the evidence base for stroke rehabilitation, there is still a paucity of knowledge about how to consistently and sustainably deliver evidence-based stroke rehabilitation therapies in clinical practice. This means that people with stroke will not consistently benefit from research breakthroughs, simply because clinicians do not always have the skills, authority, knowledge or resources to be able to translate the findings from a research trial and apply these in clinical practice. This “point of view” article by an interdisciplinary, international team illustrates the lack of available evidence to guide the translation of evidence to practice in rehabilitation, by presenting a comprehensive and systematic content analysis of articles that were published in 2016 in leading clinical stroke rehabilitation journals commonly read by clinicians. Our review confirms that only a small fraction (2.5%) of published stroke rehabilitation research in these journals evaluate the implementation of evidence-based interventions into health care practice. We argue that in order for stroke rehabilitation research to contribute to enhanced health and well-being of people with stroke, journals, funders, policy makers, researchers, clinicians, and professional associations alike need to actively support and promote (through funding, conducting, or disseminating) implementation and evaluation research.

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