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1.
Adv Mind Body Med ; 35(2): 4-13, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33620331

RESUMO

Aim: The purpose of this article is to enhance our understanding of prayer healing by studying a case which was described as a 'remarkable healing' by a medical assessment team at the Amsterdam University Medical Centre (UMC) in the Netherlands. Method: This retrospective, case-based study of prayer healing investigated numerous reported healings using both medical files and patient narratives. A medical assessment team evaluated the associated medical files, as well as any experiential data. The instances of healing could be classified as 'remarkable' or 'unexplained.' Experiential data were obtained by qualitative, in-depth interviews. The study was transdisciplinary in nature, involving medical, psychological, theological, and philosophical perspectives. The object was to understand such healings within the broader framework of the science-religion debate. Results: We present the case of a female patient, born in 1959, with Parkinson disease who experienced instantaneous, nearly complete healing in 2012 after intercessory prayer. At that point the disease was at an advanced stage, rapidly progressive, with major debilitating symptoms. High doses of oral medication were required. Following this healing there was no recurrence of her former symptoms, while the remaining symptoms continued to improve. She regained all of her capacities at work, as well as in daily life. The medical assessment team described her recovery as 'remarkable.' The patient reported that she had always 'lived with God,' and that at a point when she had given up hope, 'life was given back to her.' This recovery did not make her immune to other illnesses and suffering, but it did strengthen her belief that God cares about human beings. Conclusion: This remarkable healing and its context astonished the patient, her family, and her doctors. The clinical course was extraordinary, contradicting data from imaging studies, as well as the common understanding of this disease. This case also raised questions about medical assumptions. Any attempt to investigate such healings requires the involvement of other disciplines. A transdisciplinary approach that includes experiential knowledge would be helpful. Against the background of the science-religion debate, we feel that the most helpful approach would be one of complementarity and dialogue, rather than stoking controversy.


Assuntos
Cura pela Fé , Doença de Parkinson/terapia , Espiritualidade , Feminino , Humanos , Pessoa de Meia-Idade , Doença de Parkinson/psicologia , Religião e Medicina
2.
Pediatrics ; 146(Suppl 1): S81-S85, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32737238

RESUMO

Jahi McMath's story has been an important reference in medicine and ethics as the landscape of the understanding of death by neurologic criteria is shifting, with families actively questioning the once-firm criterion. Palliative care providers have a role in seeking understanding and collaborating with families and clinical teams to navigate the many challenges that arise when a medical team has determined that a child has died, and their parents disagree. In this case-based narrative discussion we consider the complexity of the family experience of brain death.


Assuntos
Morte Encefálica/diagnóstico , Família , Cuidados Paliativos , Religião e Medicina , Adolescente , Cura pela Fé/psicologia , Feminino , História do Século XXI , Humanos , Comportamento Materno , Exame Neurológico , Relações Profissional-Família , Prognóstico
3.
Lancet ; 396(10251): 612-622, 2020 08 29.
Artigo em Inglês | MEDLINE | ID: mdl-32861306

RESUMO

BACKGROUND: Traditional and faith healers (TFH) provide care to a large number of people with psychosis in many sub-Saharan African countries but they practise outside the formal mental health system. We aimed to assess the effectiveness and cost-effectiveness of a collaborative shared care model for psychosis delivered by TFH and primary health-care providers (PHCW). METHODS: In this cluster-randomised trial in Kumasi, Ghana and Ibadan, Nigeria, we randomly allocated clusters (a primary care clinic and neighbouring TFH facilities) 1:1, stratified by size and country, to an intervention group or enhanced care as usual. The intervention included a manualised collaborative shared care delivered by trained TFH and PHCW. Eligible participants were adults (aged ≥18 years) newly admitted to TFH facilities with active psychotic symptoms (positive and negative syndrome scale [PANSS] score ≥60). The primary outcome, by masked assessments at 6 months, was the difference in psychotic symptom improvement as measured with the PANSS in patients in follow-up at 3 and 6 months. Patients exposure to harmful treatment practices, such as shackling, were also assessed at 3 and 6 months. Care costs were assessed at baseline, 3-month and 6-month follow-up, and for the entire 6 months of follow-up. This trial was registered with the National Institutes of Health Clinical Trial registry, NCT02895269. FINDINGS: Between Sept 1, 2016, and May 3, 2017, 51 clusters were randomly allocated (26 intervention, 25 control) with 307 patients enrolled (166 [54%] in the intervention group and 141 [46%] in the control group). 190 (62%) of participants were men. Baseline mean PANSS score was 107·3 (SD 17·5) for the intervention group and 108·9 (18·3) for the control group. 286 (93%) completed the 6-month follow-up at which the mean total PANSS score for intervention group was 53·4 (19·9) compared with 67·6 (23·3) for the control group (adjusted mean difference -15·01 (95% CI -21·17 to -8·84; 0·0001). Harmful practices decreased from 94 (57%) of 166 patients at baseline to 13 (9%) of 152 at 6 months in the intervention group (-0·48 [-0·60 to -0·37] p<0·001) and from 59 (42%) of 141 patients to 13 (10%) of 134 in the control group (-0·33 [-0·45 to -0·21] p<0·001), with no significant difference between the two groups. Greater reductions in overall care costs were seen in the intervention group than in the control group. At the 6 month assessment, greater reductions in total health service and time costs were seen in the intervention group; however, cumulative costs over this period were higher (US $627 per patient vs $526 in the control group). Five patients in the intervention group had mild extrapyramidal side effects. INTERPRETATION: A collaborative shared care delivered by TFH and conventional health-care providers for people with psychosis was effective and cost-effective. The model of care offers the prospect of scaling up improved care to this vulnerable population in settings with low resources. FUNDING: US National Institute of Mental Health.


Assuntos
Cura pela Fé/organização & administração , Medicina Tradicional Africana , Atenção Primária à Saúde/organização & administração , Transtornos Psicóticos/terapia , Adulto , Análise por Conglomerados , Análise Custo-Benefício , Feminino , Gana , Humanos , Colaboração Intersetorial , Masculino , Pessoa de Meia-Idade , Nigéria , Resultado do Tratamento , Adulto Jovem
4.
Arch. argent. pediatr ; 118(4): 240-: I-244, II, agosto 2020.
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-1118480

RESUMO

Introducción. Las poblaciones indígenas están atravesando profundos cambios en su estilo de vida que afectan la salud y la manera en que tratan sus enfermedades. El objetivo del estudio fue determinar los itinerarios terapéuticos que las madres qom siguen cuando perciben que sus hijos están enfermos.Población y métodos. Se trabajó en la comunidad periurbana de Namqom, en la provincia de Formosa, con un grupo de madres con niños pequeños, quienes fueron entrevistadas en sus hogares hasta lograr saturación. El estudio siguió un diseño exploratorio cualitativo, basado en un modelo conceptual de creencias de salud.Resultados. Los itinerarios terapéuticos elegidos por 16 madres qom incluyeron el uso de remedios caseros, la sanación bíblica/religiosa, la sanación por curanderos y la visita al centro de salud provincial. El itinerario para seguir, por lo general, depende de la caracterización que hace la madre de los síntomas como naturales (con origen biológico) o no naturales (relacionados con brujería). Los diferentes métodos no son necesariamente incompatibles y, muchas veces, se usan como complementarios. Tanto la confianza en la efectividad como el temor a las consecuencias juegan un papel importante en la selección del tratamiento. Estos resultados son de extrema utilidad para mejorar el diálogo entre la comunidad y el centro de salud. Resulta prioritario promover una mejor coordinación entre diferentes agentes de salud en comunidades indígenas en transición.Conclusiones. Los resultados de este estudio permitieron describir los itinerarios terapéuticos elegidos y, consecuentemente, se puso en evidencia la marcada presencia del pluralismo médico en esta comunidad


Introduction. Indigenous peoples are undergoing profound lifestyle changes that affect their health and the way they manage their diseases. The objective of this study was to determine the therapeutic itineraries followed by Qom mothers whenever they perceive their children are sick.Population and methods. The study was done in the Namqom peri-urban community, in the province of Formosa, with a group of mothers with young children interviewed at their houses until achieving saturation. The study followed an exploratory, qualitative design based on a conceptual health belief model.Results. The therapeutic itineraries selected by 16 Qom mothers included using home remedies, biblical/faith healing, healers, and visiting the provincial health center. In general, the itinerary depends on how the mother characterizes disease symptoms: natural (biological cause) or unnatural (sorcery-related). The different methods are not necessarily incompatible and, many times, are used as complementary. Both reliability on effectiveness and fear of consequences play an important role on treatment selection. These results are extremely helpful to improve the dialog between the community and the health center. It is necessary to promote an improved coordination among the different health care agents working in transitioning indigenous communities.Conclusions. The results of this study described selected therapeutic itineraries and, as a consequence, evidenced the strong presence of pluralistic medical systems in this community


Assuntos
Humanos , Povos Indígenas , Serviços de Saúde do Indígena , Terapêutica , Cura pela Fé , Medicina Tradicional , Mães
5.
J Relig Health ; 59(1): 1-18, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30315480

RESUMO

Previous research has associated prayer practices with positive health outcomes, but few studies have examined: (a) the perceptions of prayer in relation to perceptions of the efficacy of conventional medicine, and (b) whether the perceptions of prayer efficacy differ based on illness type, context of prayer, and whether prayer is for the self or someone else. The current study surveyed 498 emerging adults at a public university. Conventional medicine was perceived as more effective for alleviating health concerns overall, but participants perceived prayer as most effective when performed in a group setting for someone else. Individuals perceived prayer as more effective than conventional medicine when they reported greater religious activity, lower health locus of control, and higher spiritual locus of control.


Assuntos
Cura pela Fé , Religião e Medicina , Espiritualidade , Adolescente , Adulto , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
6.
J Relig Health ; 59(4): 1913-1924, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30771141

RESUMO

Previous studies show that elements of spirituality, including prayer and religious services, may contribute to reductions in harmful alcohol use. The objective of this study was to assess the acceptability of prayer as a component of emergency department (ED) interventions for risky alcohol use. A 12-question multiple-choice questionnaire was developed, piloted, and refined by the study team. The questionnaire included questions about current beliefs and attitudes toward prayer and assessed interest in various means of delivering prayer or prayer support for reducing alcohol use. The questionnaire was administered to a consecutive sample of 111 patients recruited from the 12-month follow-up of a parent RCT study on reducing alcohol use among injured ED patients (ReDIAL). To qualify for the parent study, participants needed an ASSIST v3.0 alcohol score ≥ 11. 90 participants (81%) consented to answer questions about prayer. The participating sample was 38% female and 29% nonwhite; mean age was 36 years. Of these participants, 64% reported that they currently pray; of those, 88% reported praying daily or weekly; 79% agreed that prayer helps with coping in difficult times; 68% agreed that prayer could assist in achieving difficult goals; and 48% agreed that prayer helps reduce alcohol use. Interest in various means of utilizing prayer to reduce alcohol use was assessed in all participants (regardless of whether they currently prayed or not): 45% were interested in having others pray for them to reduce alcohol use; 40% were interested in receiving text reminders to pray; 42% were interested in receiving text messages with specific prayers to use; and 47% were interested in receiving text messages that someone was praying for them. 33.3% of the entire sample stated that they would attend services if provided information on spiritual or religious groups in the community. The incorporation of prayer in alcohol interventions was considered acceptable by a proportion of our sample of risky alcohol users, even those who do not currently use prayer as a resource in their lives. Given the promising data on ED patients' perceptions of the significance and acceptability of spiritual practices in reducing alcohol use, prayer may emerge as a useful adjunctive tool in future ED interventions for alcohol use disorders.


Assuntos
Serviço Hospitalar de Emergência , Cura pela Fé , Espiritualidade , Adaptação Psicológica , Adulto , Serviço Hospitalar de Emergência/estatística & dados numéricos , Cura pela Fé/psicologia , Feminino , Humanos , Masculino , Inquéritos e Questionários
7.
J Relig Health ; 59(1): 365-380, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31054062

RESUMO

The goal of this study was to assess the effect of intercessory prayer in the psychological, spiritual and biological scores of breast cancer patients who are undergoing radiotherapy. Double-blind RCT comprising a sample of 31 participants (15 in the Control Group and 16 in the Intervention Group). Data collection was performed in three time points (T0, T1 and T2). Significant changes have been identified in the intra-group analysis, concerning the decrease in spiritual distress score; negative religious/spiritual coping prevailed, while the total religious/spiritual coping increased between the posttest T2 to T0. Intercessory prayer was effective in religious and spiritual scores.


Assuntos
Adaptação Psicológica , Amilases/metabolismo , Neoplasias da Mama/psicologia , Neoplasias da Mama/radioterapia , Depressão/psicologia , Cura pela Fé/psicologia , Espiritualidade , Adulto , Ansiedade , Neoplasias da Mama/metabolismo , Método Duplo-Cego , Cura pela Fé/estatística & dados numéricos , Feminino , Humanos , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Qualidade de Vida , Religião e Medicina , Terapias Espirituais/métodos , Terapias Espirituais/psicologia , Resultado do Tratamento
8.
J Relig Health ; 59(2): 920-927, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30218372

RESUMO

The development of heart disease, followed by the pacemaker implantation, has reduced the quality and psychological problems for patients. Thus, the present study was conducted to determine the effect of prayer on the quality of life and the psychological status of patients with permanent pacemaker. This is a quasi-experimental study in which 75 patients were assigned to experimental and control groups. Religious intervention was conducted for the experimental group, including the Tavasol prayer and four recommended (mustahab) remembrances in 7 sessions. Before and after the intervention, the patients were provided with the quality of life questionnaire and psychological status. Then, the questionnaires were analyzed using descriptive and analytical tests. Before intervention, there was no difference between quality of life status and psychological status of patients, but after intervention, their quality of life increased and their psychological status improved significantly. The implementation of religious intervention based on prayer positively affects the quality of life and psychological status of patients; thus, implementing this intervention is necessary for patients.


Assuntos
Cardiopatias , Marca-Passo Artificial/psicologia , Qualidade de Vida/psicologia , Religião , Espiritualidade , Cura pela Fé , Humanos , Religião e Medicina , Inquéritos e Questionários
9.
J Relig Health ; 59(2): 796-803, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29992473

RESUMO

Healthcare practitioners are increasingly aware that patients may utilize faith-based healing practices in place of conventional medicine based on their spiritual and/or religious understandings of health and illness. Therefore, elucidating the ontological understandings of patients utilizing such religion-based treatments may clarify why patients and clinicians have differing understandings of 'who' heals and 'what' are means for healing. This paper describes an Islamic ontological schema that includes the following realms: Divine existence; spirits/celestial beings; non-physical forms/similitudes; and physical bodies. Ontological schema-based means of healing include conventional medicine, religion-based means (e.g., supplication, charity, prescribed incantations/amulets), and active adoption of Islamic virtues (e.g., reliance on God [tawakkul] and patience [sabr]). An ontological schema-based description of causes and means of healing can service a more holistic model of healthcare by integrating the overlapping worlds of religion and medicine and can support clinicians seeking to further understand and assess patient responses and attitudes toward illness and healing.


Assuntos
Cura pela Fé , Islamismo , Religião e Medicina , Humanos , Virtudes
10.
Med. hist ; 40(1): 22-38, 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-193633

RESUMO

El fenómeno del pluralism médico o asistencial era una realidad a lo largo de los siglos XVII y XVIII, así como en periodos anteriores y posteriores. La combinación de remedios terapéuticos de fundamentación diversa se ha planteado como una práctica cotidiana frecuente entre aquellas personas que debían hacer frente a la enfermedad, una dinámica ya estudiada por la historiografía a través de fuentes muy variadas. No obstante, los procesos de canonización han sido menos utilizados y trabajados para analizar esa diversificación de recursos asistenciales, por lo que en este trabajo buscamos poner en valor dicha documentación a partir de un caso de estudio concreto: el de la religiosa valencia Sor Josefa María de Santa Inés, mejor conocida como Beata Inés de Benigànim. Durante su vida a lo largo del siglo XVII y tras su muerte fue protagonista de numerosas intervenciones curativas interpretadas de numerosas intervenciones curativas interpretadas como prodigiosas, una faceta en la que también observamos la participación de médicos, cirujanos y otros recursos de carácter creencial


The phenomenon of medical or healthcare pluralism was a fact throughout the 17th and 18th centuries, as well as previous and posterior periods. The combination of therapeutic remedies of diverse basis was taken as daily practice among the people who had to face the disease, a dynamic already studied through historiography from various sources. However, the canonization processes have been less used and studied to analyses this diversification in healthcare resources, thus in this work we are looking to evaluate said documentation from a specific case study: that of the Valencian nun Sister Josefa Maria de Santa Inés, better known as Beatus Inés de Benigànim. During her life in the 17th century, and after her death, she was the protagonist of numerous healing procedures interpreted as prodigious, a facet in which the participation of physicians, surgeons and other belief-related resources can be observed


Assuntos
Humanos , História do Século XVII , História do Século XVIII , História da Medicina , Religião e Medicina , Cura pela Fé/história
11.
BMC Pregnancy Childbirth ; 19(1): 514, 2019 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-31864320

RESUMO

BACKGROUND: Paucity of data on state-wide maternal mortality in Nigeria hampers planning, monitoring and evaluation of the impact of interventions. The Confidential Enquiry into Maternal Deaths in Ondo State was initiated to overcome this problem. This study aimed to compare trends of maternal mortality ratios, causes of deaths, geographical distribution and other associated factors in 12-monthly reports of the Confidential Enquiry into Maternal Deaths in Ondo State. METHODS: Notification forms were distributed throughout the State to focal persons and medical records officers at community and facility levels, respectively. Maternal deaths, as defined in the International Classification of Diseases 10th version, were recorded prospectively over 3 years from 1st June 2012 to 30th May, 2015. Forms were submitted, collated and data analysed by a multidisciplinary review committee. RESULTS: Reported numbers of maternal deaths (and maternal mortality ratios) were 114 (253 per 100,000 births), 89 (192) and 81 (170), respectively per year, indicating a 33% reduction in maternal mortality ratio over the course of the study period. Assuming that the confidential enquiry process was the only intervention at the time aimed at reducing maternal mortality, simple linear regression with a correlation coefficient of 0.9314, showed a relationship though the difference in the values were not statistically significant (95% CI = - 184.55 to 101.55, p = 0.169). Postpartum haemorrhage and eclampsia were the leading causes of deaths. CONCLUSION: There was a trend of reduction in maternal mortality ratio during the period of study with postpartum haemorrhage as the major cause of death. The positive association between the confidential enquiry reports and maternal mortality ratios make us recommend that our model be adopted in other states and at the federal level.


Assuntos
Causas de Morte , Mortalidade Materna/tendências , Adolescente , Adulto , Eclampsia/mortalidade , Cura pela Fé , Feminino , Humanos , Modelos Lineares , Nascimento Vivo/epidemiologia , Tocologia , Nigéria/epidemiologia , Hemorragia Pós-Parto/mortalidade , Gravidez , Cuidado Pré-Natal/estatística & dados numéricos , Sepse/mortalidade , Ruptura Uterina/mortalidade , Adulto Jovem
13.
Cult Med Psychiatry ; 43(4): 613-635, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31729688

RESUMO

This paper explores the ways in which mental health workers think through the ethics of working with traditional and faith healers in Ghana. Despite reforms along the lines advocated by global mental health, including rights-based legislation and the expansion of community-based mental health care, such healers remain popular resources for treatment and mechanical restraint and other forms of coercion commonplace. As recommended in global mental health policy, mental health workers are urged to form collaborations with healers to prevent human rights abuses and promote psychiatric alternatives for treatment. However, precisely how such collaborations might be established is seldom described. This paper draws on ethnographic research to investigate how mental health workers approach working with healers and the moral imagination which informs their relationship. Through an analysis of trainee mental health workers' encounters with a Prophet and his patients, the paper reveals how mental health workers attempt to negotiate the tensions between their professional duty of care, their Christian faith, and the authority of healers. I argue that, rather than enforcing legal prohibitions, mental health workers seek to avoid confrontation and manouver within existing hierarchies, thereby preserving sentiments of obligation and reciprocity within a shared moral landscape and established forms of sociality.


Assuntos
Serviços Comunitários de Saúde Mental , Cura pela Fé , Pessoal de Saúde , Violações dos Direitos Humanos/prevenção & controle , Colaboração Intersetorial , Transtornos Mentais/terapia , Religião e Medicina , Adulto , Gana , Humanos
14.
Afr J Prim Health Care Fam Med ; 11(1): e1-e5, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-31368321

RESUMO

BACKGROUND: For many people in African countries, various forms of health care are utilised for the treatment of illness. This pluralistic nature of health seeking includes the use of indigenous, faith and allopathic medicines for care. AIM: In this article, our aim was to gain insight into the existing knowledge on indigenous and faith healing in Ghana, with a particular focus on mental health care. We first examine the reported mental health beliefs and practices of Ghanaian alternative healers. Following this, we look at the use and purported preference for non-biomedical mental health care by patients. METHODS: Relevant literature was examined to explore the beliefs, practices and use of non-biomedical mental health care systems in GhanaResults: Evidence for the use and preference for non-biomedical mental health care is largely anecdotal. Similarly, the mental health beliefs of alternative healers have been documented in various small-scale studies. However, such information is important if mental health services in Ghana are to be improved. CONCLUSION: Integration of the different healthcare systems must be built on knowledge of beliefs and methods. A clearer understanding of the work of non-biomedical healers is important if appropriate recommendations are to be made for collaboration between biomedical and non-biomedical systems in Ghana.


Assuntos
Cura pela Fé/métodos , Serviços de Saúde do Indígena , Medicina Tradicional Africana/métodos , Serviços de Saúde Mental , Cultura , Gana , Humanos
15.
Afr J Prim Health Care Fam Med ; 11(1): e1-e5, 2019 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-31368322

RESUMO

BACKGROUND: Health seeking in many African countries typically involves making use of multiple healing systems, including indigenous and faith systems, as well as biomedical healthcare systems. These different systems have co-existed for many years in Africa, including in Ghana. AIM: In this article, we examine the formalising processes that non-biomedical healthcare in Ghana has undergone in postcolonial times. We first present a brief historical analysis of the process of organising indigenous medical systems into formal bodies. We then conclude by exploring collaborative efforts that have been undertaken between biomedical and non-biomedical health systems in Ghana. METHOD: A historical analysis of formalised indigenous healing systems in Ghana was done through an examination of relevant literature. RESULTS: Formal groups of indigenous healers in Ghana who are organised into specific categories have undergone various transformations over the years. Evidence also exists of collaborative programmes developed with traditional healers in Ghana, although these have been largely for primary health partnerships. With regard to mental health collaborations, attempts at integration have been generally unsuccessful, with various factors identified as hindering successful partnerships. CONCLUSION: Indigenous healing is an important component of healthcare in Ghana. Collaboration between the different healthcare systems can be strengthened through accurate understandings of how key stakeholders are situated (and indeed situate themselves) in the conversation.


Assuntos
Cura pela Fé/organização & administração , Serviços de Saúde do Indígena/organização & administração , Colaboração Intersetorial , Medicina Tradicional Africana , Serviços de Saúde Mental/organização & administração , Cura pela Fé/métodos , Gana , Humanos
16.
Int J Soc Psychiatry ; 65(6): 527-538, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31277557

RESUMO

BACKGROUND: The clinical pathways for treating mental illness have received global attention. Several empirical studies have been undertaken on treatment pathways in Ghana. No study, however, has systematically reviewed the literature related to the pathways of mental health treatment in Ghana. AIM: This article aims to identify the pathways used to treat mental illnesses; examine the evidence about the possibility of collaboration between biomedical, faith and traditional healing pathways; and draw attention to the barriers hindering such collaboration. METHODS: A search of the published literature was conducted using Medline, Embase, PsycINFO, CINAHL (EBSCO), Web of Science and Scopus databases. The search was limited to the articles that were published in English and released between 2000 and June 2018. The review synthesises both qualitative and quantitative data. RESULTS: The findings showed that mental illnesses in Ghana are treated using a mixture of biomedical and faith-based and traditional healing services. Faith and traditional healing pathways are typically used as a preliminary source of cultural assessment before seeking biomedical treatment. There is an increasing desire for collaboration between biomedical, faith and traditional healing pathways. However, several individual factors (attitude or stigma, the perceived efficacy of treatment and differences in the treatment process) and health system factors (a lack of policy and regulation, a limited number of biomedical service providers, limited financial support and geographical isolation of services) jointly contribute to barriers precluding establishing such collaboration. CONCLUSION: This review recommends that policies, regulations, educational support and financial incentives should be developed to facilitate collaboration between biomedical, faith and traditional healing service provision.


Assuntos
Cura pela Fé , Acesso aos Serviços de Saúde , Medicina Tradicional , Transtornos Mentais/terapia , Serviços de Saúde Mental , Atitude Frente a Saúde , Gana , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto
17.
Indian J Med Ethics ; 4(2): 134-139, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31271367

RESUMO

A communication in the January 2018 issue of the British Journal of Psychiatry detailed a clinical trial on persons with mental illness (PWMI), some of whom were in chains in a prayer camp setting in Ghana. The camp's advertised mission statement was to "set free those held captive by Satan" through its "ministry of fasting and prayer". This article considers the potential ethical problems raised by the clinical trial on chained PWMI against the background of Ghanaian ethnoanthropological beliefs. It highlights two significant categories of ethical issues: first, those associated with standard psychiatric practice in the treatment of persons with severe mental illness (specifically, the issue of informed consent and the use of physical restraint and seclusion in psychiatric practice); and second, issues pertaining to the study under discussion (specifically, issues of study methodology and the principle of equipoise; biological determinism as against the multifactorial paradigm of mental illness/practice, implied or assumed; misalignment between the research methodology, results, and the underlying aim of the study, bordering on epistemology and pragmatism/values; and finally, the association of the trial researchers with the practice of chaining). This article, in highlighting the ethical issues raised by the clinical trial in question, attempts to suggest what Ghanaian healthcare professionals, policymakers, and the national government can do (and how) to institute workable, enforceable measures towards ending the practice of chaining PWMI in Ghana.


Assuntos
Transtornos Mentais , Psiquiatria , Cura pela Fé , Gana , Humanos , Índia
19.
Infez Med ; 27(2): 198-211, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31205047

RESUMO

In past centuries, epidemics, the scourge of humankind, caused pain, anger, uncertainty of the future, social as well as economic disorder and a significant impact on their victims, involving also their spiritual sphere. The latter effect led to undoubted effects on participation in the religious and social life of communities. The custom of preparing artistic votive expressions has been lost in the mists of time and evidence of ex voto gifts, offered by believers to pagan gods, has been found in prehistoric archaeological sites. Furthermore, several finds from the Ancient Greek and Roman worlds may be observed in our museums. These remains are generally ceramic and metal artifacts, reproducing limbs and other body parts which had been healed. These elements, according to the belief of those making the offerings, had benefited from the miraculous intervention of a thaumaturgical deity. With the advent of Christianity, some pre-existing religious practices were endorsed by the new religion. Believers continued to demonstrate their gratitude in different ways either to miracle-working saints or to the Virgin Mary, because they thought that, thanks to an act of faith, their own health or that of a family member would benefit from the direct intervention of the divine entities to whom they had prayed. In the Ancient Greek world, it was believed that the god Asclepius could directly influence human events, as testified by the popularity of shrines and temples to the god, especially at Epidaurus. In the Christian world as well, particular places have been detected, often solitary and secluded in the countryside or in the mountains, where, according to tradition, direct contact was established between the faithful and Saints or the Virgin Mary Herself. Manifestations occurred by means of miracles and apparitions, thereby creating a direct link between the supernatural world and believers. Religious communities, in these extraordinary places, responded to the call through the building of shrines and promotion of the cult. Over time, the faithful reached these places of mystery, performing pilgrimages with the aim of strengthening their religious faith, but also with the purpose of seeking intercession and grace. In this case, the request for clemency assumed spiritual characteristics and also became a profession of faith. Accordingly, the shrines in the Christian world are places where supernatural events may occur. In these environments the believer resorted to faith, when medicine showed its limits in a tangible way. For the above reasons, while epidemics were occurring, the requests for clemency were numerous and such petitions were both individual and collective. In particular, by means of votive offerings (ex voto) the believers, both individually and collectively, gave the evidence of the received grace to the thaumaturgical Saint. Through the votive act, a perpetual link between the believer and the Saints or Holy Virgin was forged and a strong request for communion was transmitted. The aim of the present study is to describe the role played by votive tablets (ex voto) in the last 500-600 years, as visible evidence of human suffering. From this perspective, these votive expressions may assume the role of markers because, in accordance with the expressions of popular faith, they allow us to follow the most important outbreaks that have caused distress to Christian communities.


Assuntos
Cura pela Fé/história , Medicina nas Artes/história , Pinturas/história , Peste/história , Religião e Medicina , Cristianismo/história , Mundo Grego/história , História do Século XV , História do Século XVI , História do Século XVII , História do Século XVIII , História Antiga , História Medieval , Humanos , Mundo Romano/história , Simbolismo
20.
Ann Intern Med ; 170(12): 897-898, 2019 06 18.
Artigo em Inglês | MEDLINE | ID: mdl-31207638
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