The journey through spiritual crisis
Download
1 / 28

The Journey - PowerPoint PPT Presentation


  • 390 Views
  • Updated On :

The Journey Through Spiritual Crisis. Helping Children and Families Find Hope. Presenters: Margo Richardson, Chaplain; Ann Romanczuk, Chaplain; Suzanne Owens-Pike, Lead Chaplain at HCMC. HCMC Pediatric Traumatic Brain Injury Program. Medical Co-directors: Andrew Kiragu, MD

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The Journey ' - arleen


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
The journey through spiritual crisis l.jpg

The Journey Through Spiritual Crisis

Helping Children and Families

Find Hope

Presenters: Margo Richardson, Chaplain; Ann Romanczuk, Chaplain; Suzanne Owens-Pike, Lead Chaplain at HCMC


Hcmc pediatric traumatic brain injury program l.jpg
HCMC Pediatric TraumaticBrain Injury Program

Medical Co-directors: Andrew Kiragu, MD

Armantina Espinosa, MD

Program Coordinator/Social Services:

Kary Lehman, LGSW

612-873-2680

Specialists: audiologist, chaplain, child life, dietician, interpreter, neuropsychologist, neurosurgeon, opthamalogist, intensivist, neurologist, nurses, occupational therapist, resident physicians, physical therapists, social worker, speech language pathologist


The obstacle course l.jpg
The Obstacle Course

  • Coming Apart

  • Waiting and Hoping

  • Repairing

  • Resilience



Traumatic reactions l.jpg
Traumatic Reactions

Family

  • Overwhelming fear and anxiety

    crying, screaming, pleading

    talking, running, unfocused

  • Anger, confusion, denial

    blaming, controlling, distrusting

  • Shutting down and withdrawal


Spiritual agony l.jpg
Spiritual Agony

  • Why is God allowing this to happen?

  • Why am I being punished?

  • Will God answer my prayer to heal my child?

  • Will God punish the person who did this?

  • What did I do to cause this? If only I had . . . Can things be put right again?


Helping the family in crisis l.jpg
Helpingthe family in crisis

  • Physical – offer presence, help with phoning, water, chairs, clothing, tissues

  • Emotional – “I will help you get through this.” Non-anxious, quiet presence that reassures

  • Mental – listen to and normalize their experience, provide information, get them answers to their questions about loved one’s condition

  • Spiritual/Religious – offer prayer if family desires, ritual items of meaning, offer to phone their faith leader


Developmental stages and spirituality l.jpg
Developmental Stagesand Spirituality



We love you you are our precious child l.jpg
“We love you!You are ourprecious child!”


Stages of crisis coping l.jpg
Stages of Crisis Coping

Old Normal

New Normal

(Nieuwenhuizen, 2008)


Decision making l.jpg
Decision-Making

  • “We’re not sure what will happen when we extubate him. Do you want us to re-intubate him if that happens?”

  • “We can’t wean her off the vent. She will need a tracheostomy and a peg for tube feeding. We need your consent.”

  • “We predict he will have deficits.”


We will do whatever it takes to get our son back l.jpg
“We will do whateverit takes to get our son back.”


Guilt and forgiveness l.jpg
Guilt and Forgiveness

  • “I can’t remember, but maybe it was my fault.”

    Forgiveness of self

  • Letting go of blame

    Forgiveness of others


Iii repairing spiritual concepts l.jpg
III. Repairing:Spiritual Concepts

  • Relationship to Self

    Hope Faith

    Purpose in Life Strength

    Meaning in Life Idealism

    Part of Self that is Inviolable

    From McColl et al, “Spiritual Issues Associated with Traumatic-Onset Disability.” In Disability and Rehabilitation, 2000


Spiritual concepts l.jpg
Spiritual Concepts

  • Relationship to others and the world

    Tolerance for others

    Unity with others

    Sense of belonging

    Sacredness of life


Spiritual concepts17 l.jpg
Spiritual Concepts

  • Relationship to Greater Power

    Unconditional love

    Trust

    Transcendence

    Belief or faith that one is not alone

    Spiritual practices


Integration l.jpg
Integration

Greater

Power

Others

Self


Slide19 l.jpg

Spirituality and Disabilityfrom McColl, et al


Ongoing struggles l.jpg
Ongoing Struggles

  • Grief

    “partial death” & prolonged mourning

  • Relationships

    accepting the new me; burying the old me

  • Others’ ignorance and prejudice

    bullying at school

    (Zinner, 1997)


The will to meaning l.jpg
The Will to Meaning

  • Broken in an uncaring world?

    isolation

    giving up

    no solutions

  • I will survive!

    faith

    spiritual coping

    making a way



Slide23 l.jpg
Hope

  • The expectation of Joy

    (there’s a pony in here somewhere)

  • Optimism

    (good things can happen; the future is open)


Agency l.jpg
Agency

  • “I’ve got the power!” (Snap, 1990)

  • Locus of Control (Peleg, et al, 2009)

    external-fosters dependency, helplessness, blaming, seeking control of others, fear

    internal-fosters confidence, hope, spiritual center of value, seeking control of self, trust


Creating the work arounds l.jpg
Creating the Work-Arounds

  • Problem-focused coping

    stop-and-think alternatives

  • Emotion-focused coping

    humor

    self acceptance

    (Peleg et al., 2009)


Living in the present planning the future l.jpg
Living in the PresentPlanning the Future

  • “I know we can make it if we try, yes we can, can”

    The Pointer Sisters

  • Child-centered

  • Lived spiritual experience and beliefs of child are primary

  • Accepting deficits and planning for support

(Miller, 2006)


Keep on keeping on l.jpg
Keep on Keeping On

“Now let us begin. Now let us rededicate ourselves to the long . . . but beautiful struggle for a new world.” ~ Rev. Dr. Martin Luther King, Jr.


References l.jpg
References

Dawson, Deirdre R. et al. “Return to Productivity Following Traumatic Brain Injury: Cognitive, Psychological, Physical, Spiritual, and Environmental Correlates.” Disability and Rehabilitation, 29(4):301-313, 2007.

Frankl, Viktor. The Will to Meaning. New York: Penguin Books, 1969.

Johnstone, Brick et al. “Relationships among Spiritual Beliefs, Religious Practises, Congregational Support and Health for Individuals with TBI.” Brain Injury, 23(5):411-419, 2009.

Macauley, Robert, MD. “Spirituality in Childhood.” from course at University of Vermont Medical School, 2007.

McColl, Mary Ann et al. “Spiritual Issues Associated With Traumatic Onset of Disability.” Disability and Rehabilitation, 22(12):555-564, 2000.

Miller, Lisa. “Spirituality, Health and Medical Care of Children and Adolescents.” Southern Medical Journal, 99(10): 1164-1165, 2006.

Nieuwenhuizen, Louis. “Psychospiritual Symptoms in Times of Crisis.” Chaplaincy Today, 24(2):3-13, 2008.

Peleg, Gil et al. “Hope, Dispositional Optimism and Severity of Depression Following TBI.” Brain Injury, 23(10):800-808, 2009.

Zinner, Ellen S. et al. “Grief Reactions of Mothers of Adolescents and Young Adults with TBI.” Archives of Clinical Neuropsychology, 12(5):435-447, 1997.


ad