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Spirituality as a Determinant of Health for those with Disabilities

Published online by Cambridge University Press:  27 August 2015

Kieren Faull*
Affiliation:
Queen Elizabeth Hospital, Rotorua, New Zealand
Thomas J. Kalliath
Affiliation:
University of Waikato, Hamilton, New Zealand
*
Queen Elizabeth Hospital, PO Box 1342, Rotorua, New Zealand. Email: research@qehospital.co.nz
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Abstract

Disability is commonly viewed as permanent loss of physical, cognitive and social aspects of self. Rehabilitation interventions are aimed to return the individual to full health by either restoration of past physical, cognitive or social capabilities or strengthening aspects of self to counter such loss. However, rehabilitation interventions do not result in a complete return to past physical, mental or social health. Does this mean that people with disability can never be healthy? Or does it indicate that our perception and definition of health does not reflect the essence of health? We argue that when people with disability redefine themselves in terms other than levels of physical, social and cognitive functioning, good health is an attainable goal. We discuss evidence that suggests why spirituality could be a primary determinant of health.

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Articles
Copyright
Copyright © Cambridge University Press 2001

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References

Akkasilpa, S., Minor, M., Goldman, D., Magder, L. S., & Petri, M. (2000). Association of coping responses with fibromyalgia tender points in patients with systemic lupus erythematosus. The journal of Rheumatology, 27(3), 671674.Google ScholarPubMed
Ballard, K. (1994). Disability, family, uihanau and society. Palmerston North: Dunmore Press.Google Scholar
Benjamin, S., Morris, S., McBeth, J., Macfarlane, G. J., Silman, A. J. (2000). The association between chronic widespread pain and mental disorder: A population-based study. Arthritis and Rheumatism, 43(3), 561567.3.0.CO;2-O>CrossRefGoogle ScholarPubMed
Broderick, J. E. (2000). Mind-body medicine in rheumatologic disease. Rheumatic Disease Clinics of North America, 26(1), 161175.CrossRefGoogle ScholarPubMed
Breakwell, G. M. (1983). Threatened identities. Chichester: John Wiley & Sons.Google Scholar
Cohen, S., & Williamson, G. M. (1991), Stress and infectious disease in humans. PsychologtcalBulletin, 109, 524.Google ScholarPubMed
Collins, M. (1998). Occupational therapy and spirituality: reflecting in quality of experience in therapeutic interventions. British Journal of Occupational Therapy, 61 (06 6), 280283.CrossRefGoogle Scholar
Cwikel, J. (1999). Different strokes for different folks: Is one standard of disability possible? Disability and Rehabilitation, 21(8) 379381.CrossRefGoogle ScholarPubMed
Dejong, G., Batavia, A. I., Griss, R. (1989). America's neglected health minority: Working-age people with disabilities. Millbank Quarterly, 67(2) 311351.CrossRefGoogle Scholar
Do Rozario, L. D. (1997). Spirituality in the lives of people with disability and chronic illness: A creative paradigm of wholeness and reconstitution. Disability and Rehabilitation, 19(10) 427434.CrossRefGoogle ScholarPubMed
Durie, M. H. (1994). Whaiora: Maori health development. Auckland: Oxford University Press.Google Scholar
Dyson, J., Cobb, M., Forman, D. (1997). The meaning of spirituality: A literature review. Journal of Advanced Nursing, 26 11831188.CrossRefGoogle ScholarPubMed
Egan, M., & Delaat, M. (1994). Considering spirituality in occupational health practice. Canadian Journal of Occupational Therapy, 61(2) 95101.CrossRefGoogle Scholar
Fitzgerald, J. (1997). Reclaiming the whole:Self, spirit and society. Disability and Rehabilitation, 19(10) 407413.CrossRefGoogle ScholarPubMed
Fratiglioni, L., Wang, H-X., Ericsson, K., Maytan, M., & Winblad, B. (2000). Influence of social network on occurrence of dementia: A community-based longitudinal study. The Lancet, 355 13161319.CrossRefGoogle ScholarPubMed
Frese, M. (1985). Stress at work and psychosomatic complaints: A causal interpretation. Journal of Applied Psychology, 70 314328.CrossRefGoogle ScholarPubMed
Fuhrer, M. J., Rintala, D. H.Hart, K. A., Clearman, R., & Young, M. E. (1992). Relationship of life satisfaction to impairment, disability and handicap among persons with spinal cord injury living in the community. Archives of Physical and Medical Rehabilitation, 73 552557.Google ScholarPubMed
Fuhrer, M. J. (1994). Subjective wellbeing: Implications for medical rehabilitation outcomes and models of disablement. American Journal of Physical Medicine and Rehabilitation, 73(5) 358364.CrossRefGoogle ScholarPubMed
Gregory, R. J. (1998). Ten years on and more: Establishing programmes of rehabilitation education: The New Zealand case. Disability and Rehabilitation, 20(10) 385390.CrossRefGoogle ScholarPubMed
Idler., E. L., & Kasl, S. V. (1997). Religion among disabled and nondisabled persons 1: Cross-sectional patterns in health practices, social activities and wellbeing. Journal of Gerontology, 52B(6), 294305.CrossRefGoogle Scholar
James, W. (1890). The principles of psychology. New York: Henry Holt & Company.Google Scholar
Jemmott, J. B., & Magloire, K. (1988). Academic stress, social support, and secretory immunoglobulin A. Journal of Personality and Social Psychology, 55 803810.CrossRefGoogle ScholarPubMed
Jones, P. B. B., & Faull, K. (1999). Arthritis: A spiritual journey. Arthritis Care and Research, 12(6) 367368.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Joslyn, E. (1999). Disability and health-care expenditure data: a wide range of user experience is more important than standard definitions of disability. Disability and Rehabilitation, 21(8) 382384.CrossRefGoogle Scholar
Kazanjian, M. A. (1997). The spiritual and psychological explanations for loss experience. The Hospice Journal, 12(1) 1727.CrossRefGoogle ScholarPubMed
Koenig, H. G., Hays, J. C., George, L. K, Blazer, D. G., Larson, D. B., & Landerman, L. R. (1997). Modelling the cross-sectional relationships between religion, physical health, social support and depressive symptoms. The American Journal of Geriatric Psychiatry, 5(2) 131144.CrossRefGoogle ScholarPubMed
Kriegsman, D. M., & Deeg, D. J. H. (1999). Implications of alternative definitions of disability beyond health care expenditure. Disability and Rehabilitation, 21(8) 388391.CrossRefGoogle Scholar
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.Google Scholar
Matthews, D. A. (2000). Prayer and spirituality. Rheumatic Disease Clinics of North America, 26(1) 177188.CrossRefGoogle ScholarPubMed
Max, W., Rice, D. P., & Trupin, L. (1996). Medical expenditures for people with disabilities. Disability Statistics Abstract, 12 14.Google Scholar
Mehlman, M. J., & Neuhauser, D. (1999). Alternative definitions of disability: Changes in a dichotomous v continuous system. Disability and Rehabilitation, 21(8), 385387.Google Scholar
Ministry of Health (1999). Our health, our future: Hauora pakari, koiora roa. Wellington, New Zealand: Ministry of Health.Google Scholar
Moss, R. B., Moss, H. B., & Peterson, R. (1989). Microstress, mood and natural killer-cell activity. Psychosomatico, 30, 270283.Google ScholarPubMed
Moustakas, C. E. (1956). The self: Explorations of personal growth. NY: Harper & Row.Google Scholar
Munford, R. (1995). A position of marginalisation or inclusion? The experiences of women with disabilities. New Zealand Journal of Disability Studies, 1, 2959.Google Scholar
National Health Standing Committee (1998). The social, cultural and economic determinants of health in New Zealand: Action to improve health. Wellington, New Zealand: Ministry of Health.Google Scholar
Oulette-Kobasa, S. C., & Pucetti, M. C. (1983). Personality and social resources in stress resistance. Journal of Personality and Social Psychology, 45, 836850.Google Scholar
Pargament, K. I.,& Hahn, J. (1986). God and the just world: Causal and coping attributions to God in health situations. Journal of the Scientific Study of Religion, 25(2), 193207.CrossRefGoogle Scholar
Pargament, K. L. (1997). The psychology of religion and coping: Theory, practice and research. New York: Guilford Press.Google Scholar
Park, C. L., & Cohen, L. H. (1993). Religious and nonreligious coping with the death of a friend. Cognitive Therapy and Research, 17(6), 561577.CrossRefGoogle Scholar
Pettit, G. A. (1988). Changes of heart: The role of love and will in illness and wellness: part 3. New Zealand Medical Journal, 101, 573574.Google Scholar
Pere, R. T. (1997). Te wheke: A celebration of infinite wisdom. Wairoa, New Zealand: Ao Ako Global Learning New Zealand Ltd.Google Scholar
Rice, D. P, Max, W., & Trupin, L. (1992). Medical expenditures for people with disabilities and disabling comorbidity. American Journal of Public Health, 82, 739741.CrossRefGoogle ScholarPubMed
Scheier, M. F., & Carver, C.S. (1988). Perspective on personality. Boston: Allyn and Bacon.Google Scholar
Selway, D. & Ashman, A. F. (1998). Disability, religion and health: A literature review in search of the spiritual dimensions of disability. Disability and Society, 13(3), 429439.CrossRefGoogle Scholar
Sen, K., & Bonita, R. (2000). Global health status: Two steps forward, one step back. The Lancet, 356, 577582.CrossRefGoogle ScholarPubMed
Sloan, R. P, Bagiella, E., Powell, T. (1999). Religion, spirituality and medicine. The Lancet, 353, 664667.CrossRefGoogle ScholarPubMed
Taylor, S. E. (1991). Health psychology (2nd ed.) New Yotk: McGraw-Hill.Google Scholar
Tepper, S., Sutton, J., Beatty, P., & Dejong, G. (1997). Alternative definitions of disability: Relationship to health-care expenditure. Disability and Rehabilitation, 19(12), 556558.CrossRefGoogle Scholar
Varian, K. (1991). Research, education and public policy in the field of women with disabilities: With a focus on the use of qualitative analysis techniques in rheumatoid arthritis. Dunedin, Otago Medical School: Department of General Practice.Google Scholar
Vash, C. L. (1981). The psychology of disability. New York: Springer Publishing Company.Google Scholar
Weaver, A. J., Flannelly, L. T, Flannelly, K. J, Koenig, H. G., & Larson, D. B. (1998). An analysis of research on religious and spiritual variables in three major mental health nursing journals, 1991–1995. Issues in Mental Health Nursing, 19, 263276.Google ScholarPubMed
World Health Organisation (1980). International Classification of Impairments, Disabilities and Handicaps. A manual of classification relating to the consequences of disease. Geneva: World Health Organisation.Google Scholar
World Health Organisation (1997). International Classification of Impairments, Activities and Participation. A manual of dimensions of disablement and functioning. Beta I draft for field trials. Geneva: World Health Organisation.Google Scholar