Spiritual Dissonance – application to provider and patient care
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Dr John Fisher |
There is increasing acceptance that the spiritual dimension of humans influences health, especially mental health. But, many people equate the spiritual with religion; others do not. The four domains model of spiritual health/well-being will be presented, with reference to the quality of relationships people have with themselves, others, nature and/or God (PhD, University of Melbourne, 1998).
Over the last ten years, I have developed several spiritual well-being (SWB) measures based on this model. These measures differ from nearly 190 other psychometric measures of spirituality in that they ask each person for her/his ‘ideals’, which are compared with ‘lived experiences’, i.e., each person becomes the standard against which s/he is assessed.
Spiritual dissonance has been posited as a marked difference between the ideals and lived experience in each of these four domains of SWB. Doctors, nurses and teachers with high levels of spiritual dissonance perceive that less help is provided for their clients. This has implications for the caregivers and their clients. Case studies will also show how spiritual dissonance relates to ‘happiness’ and provides insight into young people ‘of concern’ (EdD, University of Ballarat, 2009)
Recorded at: The Annual Australian College of Psychological Medicine conference
Ballarat, Australia; 5-7 June 2009
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John Fisher
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Dr John Fisher
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Dr John Fisher is the Research Manager, Palliative Care, Ballarat Health Services, and also a Senior Fellow in the School of Rural Health, University of Melbourne. John has over forty years experience in teaching and research in science, education, religious studies, psychology and spirituality. John has published extensively and is on the editorial boards of three spirituality and religious journals.
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