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Daniel Moerman presents an innovative and enlightening discussion of human reaction to the meaning of medical treatment. Traditionally, the effectiveness of medical treatments is attributed to specific elements, such as drugs or surgical procedures, but many things happen in medicine which simply cannot be accounted for in this way. The same drug can work differently when presented in different colours; drugs with widely advertised names can work better than the same drug without the name; inert drugs (placebos, dummies) often have dramatic effects on people (the 'placebo effect'); and effects can vary hugely among different European countries where the 'same' medical condition is understood differently, or has different meanings. This is true for surgery as well as for internal medicine. This lively 2002 book reviews and analyses these matters in lucid, straightforward prose, guiding the reader through a very complex body of literature, leaving nothing unexplained but avoiding any over-simplification.

Praise for the Previous Edition: \"...represents an act of passion for the profession...The work's value comes from its integration of scientific, creative, and spiritual philosophies as a core context for the complex nurse-patient interaction involved in the promotion of a healing environment...Recommended.\" --Choice At the center of.

Wisdom from the field is presented in a series of reflections from multiple areas of practice. For all nurses and nursing students, the book offers practical application strategies for integrating the nursing process with the nurse's presence and a framework for personal and professional development.

A study of American attempts to come to terms with the legacy of the Vietnam War, this book highlights the central role played by Vietnam veterans in shaping public memory of the war. Tracing the evolution of the image of the Vietnam veteran from alienated dissenter to traumatized victim to noble warrior, Patrick Hagopian describes how efforts to commemorate the war increasingly downplayed the political divisions it spawned in favor of a more unifying emphasis on honoring veterans and promoting national “healing.”

Inpatient medical settings lack evidence-based spiritually integrated interventions to address patient care needs within a pluralistic religious landscape. To address this gap, CCSH[TM] (Compassion-Centered Spiritual Health) was developed to leverage the skillsets of healthcare chaplains to improve patient outcomes through spiritual consultation. Here, we report the results of a randomized, wait-list controlled, pre-registered (NCT03529812) study that evaluated the impact of CCSH on patient-reported depression and explored putative mediators of CCSH's effects. Chaplain residents were randomized to be trained in CCSH as part of their clinical pastoral education (CPE) residency in the fall (n = 8) or spring semester (n = 8). After fall training, all residents provided spiritual consultations with hospitalized patients (n = 119; n = 54 seen by CCSH-trained chaplains). Those not yet trained to deliver CCSH provided a traditional consult. Patients' pre-consult distress was measured using the National Comprehensive Cancer Network Distress Thermometer, and post-consult depression was measured using the Hospital Anxiety and Depression Scale (HADS). Consults were audio-recorded and transcribed verbatim, and we conducted linguistic analyses using LIWC 2015 software to quantify chaplain linguistic behavior. These data suggest that CCSH decreases patient depression among inpatients, in part due to CCSH-trained chaplains' use of more inclusive, confident, and other-oriented language. We connect these findings with current understandings of effective clinical linguistic behavior and reflect on what this work may mean for integrated spiritual health care.

Inpatient medical settings lack evidence-based spiritually integrated interventions to address patient care needs within a pluralistic religious landscape. To address this gap, CCSH[TM] (Compassion-Centered Spiritual Health) was developed to leverage the skillsets of healthcare chaplains to improve patient outcomes through spiritual consultation. Here, we report the results of a randomized, wait-list controlled, pre-registered (NCT03529812) study that evaluated the impact of CCSH on patient-reported depression and explored putative mediators of CCSH's effects. Chaplain residents were randomized to be trained in CCSH as part of their clinical pastoral education (CPE) residency in the fall (n = 8) or spring semester (n = 8). After fall training, all residents provided spiritual consultations with hospitalized patients (n = 119; n = 54 seen by CCSH-trained chaplains). Those not yet trained to deliver CCSH provided a traditional consult. Patients' pre-consult distress was measured using the National Comprehensive Cancer Network Distress Thermometer, and post-consult depression was measured using the Hospital Anxiety and Depression Scale (HADS). Consults were audio-recorded and transcribed verbatim, and we conducted linguistic analyses using LIWC 2015 software to quantify chaplain linguistic behavior. These data suggest that CCSH decreases patient depression among inpatients, in part due to CCSH-trained chaplains' use of more inclusive, confident, and other-oriented language. We connect these findings with current understandings of effective clinical linguistic behavior and reflect on what this work may mean for integrated spiritual health care.

University students’ spiritual wellbeing has been shown to be associated with quality, satisfaction, and joy of life. This study tested the relationship between spiritual wellbeing and symptoms of psychological disorders (i.e., depression, anxiety and stress) among Chinese university students in Hong Kong. Cross-sectional data were collected from N = 500 students (aged 17–24; 279 women). The participants were asked to complete the Spiritual Health and Life-Orientation Measure (SHALOM) to evaluate the status of their spiritual wellbeing in the personal and communal, environmental, and transcendental domains, and the Depression, Anxiety and Stress Scale-21 (DASS-21) to assess their emotional states of depression, anxiety and stress. All domains of spiritual wellbeing were negatively associated with psychological distress. Hierarchical Multiple Regression showed that together the three domains of spirituality explained 79.9%, 71.3% and 85.5% of the variance in students’ depression, anxiety and stress respectively. The personal and communal domain of spiritual wellbeing was the strongest predictor of psychological distress.

Background Faith healing at Sufi shrines holds enduring cultural and spiritual significance in Pakistan. Despite advancements in biomedical healthcare, many individuals, particularly in rural and underserved areas, continue to seek healing through shrine-based practices. This persistence reflects a complex integration of spirituality with health-seeking behavior, influenced by cultural beliefs, socioeconomic constraints, and limited access to formal healthcare services. This study investigates the socio-demographic and economic factors influencing visitation to the Makhdoom Sakhi Syedi Mossani shrine, explores the motivations behind faith healing, and examines the ceremonial and symbolic practices employed in the healing process. Methods We used an exploratory qualitative design based on grounded theory principles. We conducted in-depth interviews (IDIs), focus group discussions (FGDs), and participant observation with purposively selected shrine visitors. The FGDs and IDIs were conducted in the local language, Urdu, using a semi-structured interview guide and were audio-recorded with the participants' consent. Data collection continued until thematic saturation was achieved and was subsequently analyzed using NVivo software version 14. Data analysis was conducted using a consensual approach to identify themes and sub-themes. Results Ten IDIs and Four FGDs with a diverse group of participants, including native residents, visitors, devotees, caretakers, religious leaders, and key informants. This diversity allowed us to capture a well-rounded understanding of the phenomenon under investigation. Faith healing practices were found to be shaped by an interplay of factors, including low educational attainment, economic hardship, cultural belief systems, and distrust or inaccessibility of formal medical care. Participants frequently employed mixed treatment approaches, combining biomedical and spiritual practices. Conclusion Shrine-based faith healing in rural Pakistan reflects a culturally embedded, pragmatic response to economic hardship, healthcare inaccessibility, and spiritual belief systems. Rather than opposing biomedicine, such practices represent adaptive strategies where spiritual and medical approaches coexist. These findings highlight the need for culturally responsive healthcare interventions that integrate spiritual worldviews with improved access to formal services. The study underscores the need for culturally responsive health interventions that respect traditional belief systems while promoting accessible and effective medical care, particularly for marginalized populations.