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The coherence hypothesis assumes that sense of coherence (SOC) explains the positive link between religion/spirituality (R/S) and mental health. The aim of our meta-analysis is to evaluate the evidence for the association between SOC... more
The coherence hypothesis assumes that sense of coherence (SOC) explains the positive link between religion/spirituality (R/S) and mental health. The aim of our meta-analysis is to evaluate the evidence for the association between SOC (sensu Antonovsky) and different aspects of R/S and thus to contribute to the verification of the coherence hypothesis. Eightynine English-and German-language primarily cross-sectional studies with 67,913 participants met the inclusion criteria. The R/S scales of all included studies were subjected to item-by-item qualitative content analysis in order to determine whether scales do actually measure religion or spirituality and which R/S aspects dominated the instrument. Based on this classification, overall and subgroup meta-analyses were conducted using a random effects model. The adjusted effect size between SOC and all positive R/S measures was r+ = .120, 95% CI [.092, .149]. Particularly significant (r+ <-.180 or > .180) were correlations with negative R/S scales (r+ =-.405, 95% CI [-.476,-.333]), R/S instruments measuring primarily positive emotions (r+ = .212, 95% CI [.170, .253]) or meaning-making (r+ = .196, 95% CI [.126, .265]). Both sample characteristics (age, culture, gender, health status, religious affiliation) and study characteristics (e.g., publication year) had a moderating effect on the R/S-SOC connection. The correlation was particularly high in studies from Southern Asia (r + = .226, 95% CI [.156, .297]), the African Islamic cultural value zone (r+ = .196, 95% CI [.106, .285]), and in a small subgroup of Iranian studies (r+ = .194, 95% CI [.117, .271]). The results confirm that R/S and SOC are clearly associated and suggest that there are different religious/spiritual pathways to a strong SOC. The strength of the associations presumably depends not only on individual differences, but also on cultural embeddedness and social plausibility of R/S. Trial registration. PROSPERO registration number: CRD42021240380. https://www.crd.york.ac.uk/prospero/display_record.php?ID = CRD42021240380.
The aim of this study is to explore experiences and perceived effects of the Rosary on issues around health and well-being, as well as on spirituality and religiosity. A qualitative study was conducted interviewing ten Roman Catholic... more
The aim of this study is to explore experiences and perceived effects of the Rosary on issues around health and well-being, as well as on spirituality and religiosity. A qualitative study was conducted interviewing ten Roman Catholic German adults who regularly practiced the Rosary prayer. As a result of using a tangible prayer cord and from the rhythmic repetition of prayers, the participants described experiencing stability, peace and a contemplative connection with the Divine, with Mary as a guide and mediator before God. Praying the Rosary was described as helpful in coping with critical life events and in fostering an attitude of acceptance, humbleness and devotion.
Malika Laabdallaoui, a Muslim psychotherapist with Moroccan roots, talks with Florian Jeserich, lecturer at the Catholic Academy The Wolfsburg, about her psychotherapeutic work with Muslim clients. It becomes clear that dealing with this... more
Malika Laabdallaoui, a Muslim psychotherapist with Moroccan roots, talks with Florian Jeserich, lecturer at the Catholic Academy The Wolfsburg, about her psychotherapeutic work with Muslim clients. It becomes clear that dealing with this clientele in a culturally and religiously sensitive way requires two competencies: On the one hand, the curiosity to enter a "foreign" world without prejudice and to accept and understand the (cultural-religious) peculiarities of a person; and on the other hand, the ability to always find what is familiar and unifying in order to counteract "culturalization". In this context, values such as autonomy and independence, concepts of parents and God, or different psychological disorders (anxiety, somatization, trauma, compulsion) are examined. The question of the psychosocial effects of the Corona crisis is also addressed.
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So far, the expanding research landscape on the terrorist attacks of July 22nd has ignored the crucial question that this project squarely addresses, namely how different groups of Norwegians have dealt with the traumatic events in terms... more
So far, the expanding research landscape on the terrorist attacks of July 22nd has ignored the crucial question that this project squarely addresses, namely how different groups of Norwegians have dealt with the traumatic events in terms of religious/spiritual and/or secular reappraisals and meaning-focused coping. The events shattered beliefs and values of many Norwegians and induced the exigency to make sense of the unfathomable mass killings. Commentators said: Norway will never be the same; it has changed forever. But in what
way? From a psychology of religion perspective, our project makes a contribution to answering this question. We explore how Norwegians made sense of July 22nd during the years after the attacks. Major research questions are: How do Norwegians reappraise the meaning of the events? What role do subsequent events (e. g., Breivik’s trial), media discourses, and religious/spiritual or anti-religious/atheist beliefs and values play in these reappraisals? Which religious/spiritual and secular meaning-making mechanisms are employed (if any)? Which of them proved successful in the recent past and which did not? Did the long-term meaning-making process lead to a change of (religious/spiritual) worldviews or to an adaptive consolidation of the (religious/spiritual) meaning systems? In theoretical terms, our Project is informed by transactional stress theory, its application to Religion and spirituality, salutogenesis, and by axioms of assumptive worlds and posttraumatic growth theory. To understand and assess the longterm meaning-making efforts, we make use of a mixed methods design. The qualitative approach comprises semi-structured interviews and focus groups with different sub-populations. The subsequent quantitative study comprises three phases: a) critical analysis and adjustment of existing measurement instruments, b) development and validation
of self-constructed measuring scales, c) a national telephone Survey and statistical analysis. The project will be completed by a follow-up interview study with participants selected on the basis of the survey
Background.The aim of this study was to investigate the nature of the relationships between healers and their clients in Germany. Methods. An interdisciplinary research team performed semistructured interviews with healers and clients... more
Background.The aim of this study was to investigate the nature of the relationships between healers and their clients in Germany.
Methods. An interdisciplinary research team performed semistructured interviews with healers and clients and participatory observation of healing sessions. All interviews were digitally recorded, transcribed, and analyzed using content analysis.
Results. Fifteen healers and sixteen clients were included. The healer-client relationship was described as a profound and unique experience, which brought forth interpersonal and spiritual connections. The healers were seen as rolemodels for healing to occur and Support for being connected spiritually. The clients had to be open-minded and responsible. The importance of the healers’ empathy was emphasized.
Discussion.The relationship between healer and client can be seen as a triangular connection between client, healer, and a transcendent source which is not the case in typical patient-doctor relationships. The spiritual connection is also said to
enhance the empathetic understanding of the healer. The personality and a partner-like attitude of the healer supported the Client in giving a more positive meaning to his life, in reconnecting to his spirituality, and in taking responsibility. Future studies should address the role of spirituality in health care and the development of enduring healer-client relationships.
In an interdisciplinary review of twenty-one German- and English-language intervention studies, the effectiveness of spiritually/religiously based interventions is evaluated statistically by measuring the participants' sense of coherence... more
In an interdisciplinary review of twenty-one German- and English-language intervention studies, the effectiveness of spiritually/religiously based interventions is evaluated statistically by measuring the participants' sense of coherence (SOC). Although Aaron Antonovsky considered a change in the SOC-29 score of no more than (+/-)5 points possible, the intentional modification of the SOC-29 median through religious/spiritual interventions ranges from 3.5 to 21 points. In studies using the SOC-13 questionnaire, the SOC increase ranges from about 2 to 7.5 points. Although it is possible that, for example, small sample sizes and biographical factors skew the statistics, the fact that the experimental groups' SOC score was in all cases higher than the control groups' SOC score strongly suggests that the improvement in SOC can be traced to the religious/spiritual practices. However, there seem to be no difference between the efficacy of spiritually/religiously based interventions and that of secular interventions. Moreover, some studies indicate that an intentionally modified SOC might not be stable over time. After reconsidering why I decided to categorize therapeutic programs such as Mindfulness-Based Stress Reduction (MBSR) as religiously/spiritually based interventions, I propose and criticize an ad hoc model of the SOC-enhancing effect of MBSR. I then discuss the potentials and shortcomings of this segment of research and develop perspectives for methodologically more sophisticated investigations.
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Auf der Grundlage einer empirischen Studie über spirituelle Heiler und ihre Klienten wird ein Beitrag zur religionswissenschaftlichen Religionspsychologie geleistet. Im Sinne des methodologischen Ludismus wird mit psychoanalytischen... more
Auf der Grundlage einer empirischen Studie über spirituelle Heiler und ihre Klienten wird ein Beitrag zur religionswissenschaftlichen Religionspsychologie geleistet. Im Sinne des methodologischen Ludismus wird mit psychoanalytischen Außen- und religiösen Innenperspektiven gespielt, um verschiedene Aspekte der Psychodynamik von Heiler-Klient-Beziehungen in Heilritualen zu erschließen. Dabei kommt dem Körper als Wahrnehmungsinstrument psychischer Prozesse eine besondere Bedeutung zu – zumal das, was aus psychoanalytischer Sicht als ein durch radikale Körper-Empathie ausgelöstes Übertragungs- und Gegenübertragungsgeschehen interpretiert werden kann, aus Sicht der Akteure oft gerade das ausmacht, was als genuin religiöses Moment beschrieben wird. Von radikaler Körper-
Empathie kann dann gesprochen werden, wenn der gemeinsam von Heiler und Klient aufgespannte zwischenleibliche Erfahrungsraum so sehr zusammen geschoben wird, dass sich der Unterschied zwischen eigenen und ichfremden Körperwahrnehmungen zunehmend aufzulösen scheint. Das Konzept der radikalen Körper-Empathie wird in ein psychoanalytisches Gegenübertragungsmodell eingebettet und anhand einer Interviewpassage expliziert. Es zeigt sich, dass radikale Körper-Empathie eine ähnliche Funktion hat wie der von Bion (2013 [1962]) als réverie bezeichnete Bewusstseinszustand des Analytikers: Sie versetzt den Heiler in einen rezeptiven Zustand, der Ich-Grenzen aufweicht und trägt so zur Induktion und Intensivierung von somatischen Übertragungs- und Gegenübertragungsprozessen bei. Aus der Sicht der Akteure hingegen basieren die sich unwillkürlich einstellenden multisensorischen Wahrnehmungen auf den ‚übernatürlichen‘ Fähigkeiten des Heilers. Das Modell müsste aus dieser Perspektive zudem um ein transzendentes Drittes ergänzt werden, das als eigentliche Einflussgröße im Heilungsvorgang angesehen wird.
In den Gesundheitswissenschaften fand das Salutogenesemodell des amerikanisch-israelischen Medizinsoziologen Aaron Antonovsky (1923-1994) weite Verbreitung. Der internationale, anhaltende Erfolg seines stresstheoretischen Modells, das er... more
In den Gesundheitswissenschaften fand das Salutogenesemodell des amerikanisch-israelischen Medizinsoziologen Aaron Antonovsky (1923-1994) weite Verbreitung. Der internationale, anhaltende Erfolg seines stresstheoretischen Modells, das er in den wesentlichen Zügen bereits vor mehr als dreißig Jahren in seiner Monographie Health, Stress, and Coping (1979) erläuterte, lässt sich teils darauf zurückführen, dass es sich hierbei um eine der wenigen ,großen’ Theorien im Bereich der Gesundheitsforschung handelt (Faltermaier 2006). Obgleich vielfach Kritik an Antonovskys Modell geäußert wurde und wird - zum Beispiel wird die Originalität seiner Thesen bezweifelt (Siegrist et al. 1998), das methodische Vorgehen bei der Operationalisierung des zentralen Konstrukts, des Kohärenzgefühls, kritisiert (Becker 1998) und die faktorenstrukturelle und diskrimi- nante Validität der Skala zur Messung des Kohärenzgefühls als Schwachpunkt herausgestellt (Frenz et al. 1993; Geyer 1997) -, bietet es viele Vorteile: Es stellt die vorherrschende, oft einseitig pathogene Orientierung in Theorie und Praxis in Frage; es überwindet eine zu einfach konstruierte Dichotomie zwischen ,Krank- heit’ und , Gesundheit’ und stellt ein Krankheits-Gesundheits-Kontinuum an dessen Stelle; es versteht den beschwerlichen Weg zum Pol der Gesundheit als einen komplexen Stressbewältigungsprozess, in dem die vom sog. Kohärenzgefühl gesteuerte Mobilisierung biologischer, psychischer und soziokultureller Widerstandsressourcen die zentrale Rolle spielt; und - nicht zuletzt: Es bietet dank dieser Vielschichtigkeit einen dehnbaren Rahmen für eine theoriegeleitete, interdisziplinäre Gesundheitsforschung.
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The coherence hypothesis assumes that sense of coherence (SOC) explains the positive link between religion/spirituality (R/S) and mental health. The aim of our meta-analysis is to evaluate the evidence for the association between SOC... more
The coherence hypothesis assumes that sense of coherence (SOC) explains the positive link between religion/spirituality (R/S) and mental health. The aim of our meta-analysis is to evaluate the evidence for the association between SOC (sensu Antonovsky) and different aspects of R/S and thus to contribute to the verification of the coherence hypothesis. Eighty-nine English- and German-language primarily cross-sectional studies with 67,913 participants met the inclusion criteria. The R/S scales of all included studies were subjected to item-by-item qualitative content analysis in order to determine whether scales do actually measure religion or spirituality and which R/S aspects dominated the instrument. Based on this classification, overall and subgroup meta-analyses were conducted using a random effects model. The adjusted effect size between SOC and all positive R/S measures was r+ = .120, 95% CI [.092, .149]. Particularly significant (r+ &lt; -.180 or &gt; .180) were correlations w...
The aim of this study is to explore experiences and perceived effects of the Rosary on issues around health and well-being, as well as on spirituality and religiosity. A qualitative study was conducted interviewing ten Roman Catholic... more
The aim of this study is to explore experiences and perceived effects of the Rosary on issues around health and well-being, as well as on spirituality and religiosity. A qualitative study was conducted interviewing ten Roman Catholic German adults who regularly practiced the Rosary prayer. As a result of using a tangible prayer cord and from the rhythmic repetition of prayers, the participants described experiencing stability, peace and a contemplative connection with the Divine, with Mary as a guide and mediator before God. Praying the Rosary was described as helpful in coping with critical life events and in fostering an attitude of acceptance, humbleness and devotion.
Background. The aim of this study was to investigate the nature of the relationships between healers and their clients in Germany. Methods. An interdisciplinary research team performed semistructured interviews with healers and clients... more
Background. The aim of this study was to investigate the nature of the relationships between healers and their clients in Germany. Methods. An interdisciplinary research team performed semistructured interviews with healers and clients and participatory observation of healing sessions. All interviews were digitally recorded, transcribed, and analyzed using content analysis. Results. Fifteen healers and sixteen clients were included. The healer-client relationship was described as a profound and unique experience, which brought forth interpersonal and spiritual connections. The healers were seen as role models for healing to occur and support for being connected spiritually. The clients had to be open-minded and responsible. The importance of the healers&#39; empathy was emphasized. Discussion. The relationship between healer and client can be seen as a triangular connection between client, healer, and a transcendent source which is not the case in typical patient-doctor relationship...
Spiritual healers in contemporary Germany comprise a heterogeneous and growing group, yet little data exists about them. Therefore, one aim of this study was to learn about which biographical aspects and events were important to the... more
Spiritual healers in contemporary Germany comprise a heterogeneous and growing group, yet little data exists about them. Therefore, one aim of this study was to learn about which biographical aspects and events were important to the process of becoming a healer and which biographical aspects drove clients to consult a healer. The study was based on semi-structured interviews combined with participant observations. All data were recorded digitally, transcribed, entered into the software program MAXQDA and analysed subjected to Content Analysis. In total, 15 healers (nine male, six female) and 16 clients (13 female, three male) were included. According to the healers, a talent for healing can be inborn, inherited or developed through life experiences. Most of the healers experienced a crisis, which prompted their transformation to healers (the wounded healer type). A smaller group became healers mainly out of interest without going through crisis and by focusing on the spiritual attit...
Limited research has been conducted on contemporary spiritual healing in European countries. The aim of this article is to report how German healers and their clients experienced and perceived the outcomes of spiritual healing and which... more
Limited research has been conducted on contemporary spiritual healing in European countries. The aim of this article is to report how German healers and their clients experienced and perceived the outcomes of spiritual healing and which explanations they use to describe the perceived effects. Semistructured interviews and participatory observation was used to collect data from spiritual healers and their clients. Analyses were based on the methodological concept of directed qualitative content analysis. Data was analyzed using MAXQDA software, discussed and reviewed by a multidisciplinary research team consisting of medical anthropologists, medical doctors and a religious studies scholar. In total 15 healers and 16 clients participated in this study, 24 interviews with healers, 20 interviews with clients and 8 participatory observations were analyzed. Healers and clients reported outcomes as positively perceived body sensations, increased well-being, positive emotions and symptomati...
ABSTRACT
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