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Exploring the spiritual needs of clients in therapeutic community treatment. PD DDr . Human-Friedrich Unterrainer Center for Integrative Addiction Research (CIAR), Grüner Kreis Society, Vienna Karl-Franzens-University, Graz Austria. 30th anniversary of the Grüner Kreis Society:

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exploring the spiritual needs of clients in therapeutic community treatment

Exploring the spiritual needs of clients in therapeutic community treatment

PD DDr. Human-Friedrich Unterrainer

Center for Integrative Addiction Research (CIAR), Grüner Kreis Society, Vienna

Karl-Franzens-University, Graz

Austria

slide2

30th anniversary of the Grüner Kreis Society:

2013 Conference on

„Addiction & Spirituality“

www.a-research.info

content
Content:
  • Bio-psycho-socio-spiritual model of health and illness
  • Dimensions of Religious/Spiritual Well-Being (RSWB) in relation to personality and subjective well-being
  • RSWB dimensions in addictive diseases
  • Conclusions
bio psycho socio spiritual model of health and lllness
Bio-psycho-socio-spiritual model of health and lllness
  • The bio-psycho-social model of health and disease, first proposed by Engel (1977), includes different aspects of health and illness such as biological, psycho-social and socio-economic factors.
  • Specifically, on evaluating relevant literature in this field of research, it can be concluded that this model – though comprehensive in principle – disregards a variety of facets which may also play a crucial role in health and illness.
  • For instance, this model does not consider religiosity and spirituality which can be assumed to be important in health and subjective well-being.
the concept of religious spiritual well being rswb unterrainer ladenhauf huber 2002
The concept of Religious/Spiritual Well-Being (RSWB)(Unterrainer, Ladenhauf, & Huber, 2002)

Hope

Godimage

Spiritual

Forgiveness

Bio-Psycho-Social

AcceptanceofMortality

Rituals/ Symbols

a definition for religious spiritual well being rswb can be given as
A definition for “Religious/Spiritual Well-Being” (RSWB) can be given as…

…“the ability to experience and integrate meaning and purpose in existence through a connectedness with self, others or a power greater than oneself.”

dimensions of rswb 89 item examples
Dimensions of RSWB (α=.89) / Item examples :
  • General Religiosity (α=.94) “My faith gives me a feeling of security”
  • Connectedness (α=.80) “I have experienced the feeling of being absorbed into something greater”
  • Forgiveness (α=.86) ”There are things which I cannot forgive”(coded reversely)
  • Experiences of Sense and Meaning (α=.73) “I have experienced true (authentic) feelings”
  • Hope Immanent (α=.81) “I view the future with optimism”
  • Hope Transcendent (α=.75) “I often think about the fact that I will have to leave behind my loved ones” (coded reversely)
slide9

 RSWB-dimensions were found to be substantially related with personality factors and varying indicators of mental health.

slide10

Religious/ Spiritual Well-Being

Extraversion

Neuroticism

Psychoticism

MagicalThinking

slide17

A male (19 y), college student whose first year was being seriously compromised after severe, 18-month, poly drug misuse, was treated with 11 sessions including a 2-month follow-up of neurofeedback combined with short-term psychodynamic psychotherapy.

  • The combined treatment was found to be highly effective with the student who learned to deal with feelings of anhedonia and alienation. There was no relapse during the follow-up phase.
slide19

Dimensions of Religious/Spiritual Well-Being (RSWB) were found to be substantially decreased in addictive patients.

  • Nevertheless, RSWB dimensions such as Hope or Forgiveness were confirmed as important resources for substance dependent in-patients.
  • Overall, our research suggests that therapeutic intervention programs focusing on building a positive and meaningful personal framework, akin to that of a religious/spiritual orientation, may contribute to positive outcomes in addiction treatment.
  • Longitudinal research is recommended in order to further elucidate the role of spirituality in addiction treatment.
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