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1.
Ann Intern Med ; 175(9): 1343, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-36122393
2.
J Pak Med Assoc ; 72(6): 1232-1234, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35751345

RESUMO

Faith healing has been prevalent in the South Asian society since time immemorial. This is often coupled with alternative and complementary systems of medicine and attract a large proportion of people belonging to different sects, religions, and organizations. Though based on blinded trust, it does address the psychosomatic component of chronic disorders and hence does make the patient feel better. In this article the authors highlight the significant role of modern medicine in patients with certain endocrine and systemic disorders but also explore futuristic options to utilize these different systems in amalgamation for the better control and treatment of endocrine disorders like diabetes.


Assuntos
Diabetes Mellitus , Cura pela Fé , Ásia/epidemiologia , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/terapia , Pessoal de Saúde , Humanos , Religião
3.
Explore (NY) ; 18(4): 475-482, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34052122

RESUMO

AIM: to enhance the understanding of documented mismatches between 'subjective' experiences and 'objective' data in three cases of self-reported instantaneous healing of hearing impairment upon prayer. METHOD: description of three cases taken out of a larger retrospective case-based study of prayer healing in the Netherlands. In this larger study multiple reported healings were investigated using both medical files and patients' narratives through in-depth interviews. A subset of three cases with dramatic subjective reduction of hearing impairment upon prayer was studied. These patients underwent extensive additional investigations at the audiology center of the Amsterdam University Medical Centre. All data was evaluated by an interdisciplinary medical assessment team, subsequent analysis was transdisciplinary. RESULTS: the three case histories with self-reported healing after prayer demonstrated a clear mismatch between subjective experiences and objective findings. No measurable improvements were found in four different audiological testing methods. However, in-depth interviews, hetero-anamnesis and a validated questionnaire all confirmed the healings. The medical assessment team could not label these healings as 'medically remarkable' because of absence of measurable 'objective' changes, but they did consider them as 'remarkable in a broader sense'. On expert consultation no equivalents of mismatches to this extent could be found. The healing experiences of our participants involved their entire being with profound positive effects in different domains of their lives, and a perception of a benevolent God who acted upon them. There was a distinctive pattern, labelled by the participants as a healing of mind, soul and body. CONCLUSIONS: The subjective-objective incongruities that were found were not well understood. We noticed a paradox: the 'objective' measurements did not reflect hearing abilities in daily life where-as 'subjective experiential' data did. The latter could be 'objectified' and validated in various ways. In fact, a rigid distinction between 'objective' and 'subjective' was not relevant here, nor a hierarchy among them. A model leaving room for different causations (horizontal epistemology) complied best with the multi dimensionality we came across.


Assuntos
Perda Auditiva , Religião , Cura pela Fé , Humanos , Estudos Retrospectivos , Inquéritos e Questionários
6.
J Ethnobiol Ethnomed ; 17(1): 30, 2021 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-33902620

RESUMO

BACKGROUND: COVID-19 has caused worldwide fear and uncertainty. Historically, the biomedical disease paradigm established its dominance in tackling emerging infectious illnesses mainly due to innovation in medication and advances in technology. Traditional and religious remedies have emerged as plausible options for prevention and treatment of COVID-19, especially in Africa and Asia. The appeal of religious and traditional therapies against COVID-19 in the African setting must be understood within the historical, social, and political context. This study explored how women and community members dealt with suspected symptoms of COVID-19 in Mwanza, Tanzania. METHODS: This study was conducted in Nyamagana and Ilemela districts of Mwanza, Tanzania, between July and August 2020. We conducted 18 mobile phone in-depth interviews with a purposively selected sample of women aged 27-57 years participating in an existing longitudinal study. For safety reasons, smart mobile phones were used to collect the data. Each interview was audio recorded after obtaining verbal consent from the participants. The audio files were transferred to computers for analysis. Four researchers conducted a multistage, inductive analysis of the data. RESULTS: Participants reported wide use and perceived high efficacy of traditional remedies and prayer to prevent and treat suspected symptoms of COVID-19. Use was either alone or combined with public health recommendations such as hand washing and crowd avoidance. Despite acknowledging that a pathogen causes COVID-19, participants attested to the relevance and power of traditional herbal medication and prayer to curb COVID-19. Four main factors underline the symbolic efficacy of the traditional and religious treatment paradigms: personal, communal, and official reinforcement of their efficacy; connection to local knowledge and belief systems; the failure of biomedicine to offer a quick and effective solution; and availability. CONCLUSIONS: In the context of emerging contagious illnesses, communities turn to resilient and trusted treatment paradigms to quell fear and embrace hope. To tackle emerging infections effectively, it is essential to engage the broader sociopolitical landscape, including communal considerations of therapeutic efficacy.


Assuntos
COVID-19/terapia , Medicina Tradicional Africana , Adulto , COVID-19/prevenção & controle , Terapias Complementares , Cura pela Fé , Feminino , Humanos , Entrevistas como Assunto , Estudos Longitudinais , Pessoa de Meia-Idade , Tanzânia
8.
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
9.
Health Qual Life Outcomes ; 19(1): 61, 2021 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-33622328

RESUMO

BACKGROUND: The study aimed to assess chronic diseases, multimorbidity, and QoL among patients attending two different treatment settings in Thailand. METHODS: In all, 1409 attendees of three monk healer or three health centres were assessed with self-reported measures on chronic conditions and Quality of Life (QoL). RESULTS: Results indicate that the most common chronic conditions were common mental disorder (25.2%), followed by hypertension (22.8%), high blood cholesterol (18.0%), fatigue disorder (14.4%), diabetes (14.0%), migraine headaches (13.7%), sleeping problem (12.2%), and ulcer (11.0%). In all, 40.6% had multimorbidity (two or more chronic conditions) (42.4% in the monk healer and 38.9% in the primary care setting). In ANCOVA analysis, adjusted for sex, age, employment status, marital status, education, economic status, comorbidity, and health care setting, the poorest overall QoL was found among clients with common mental disorders (58.5 mean score), followed by emphysema or asthma (60.2), sleeping problem (61.5), migraine headaches (62.7), fatigue disorder (63.3), substance use disorder (63.6) and ulcer (64.3). The overall QoL was poorer among monk healer clients (66.5) than primary care patients (68.8). In adjusted logistical regression analysis, being a monk healer attendee, older age (55-93 years), and high debt were positively, and being employed and better overall quality of life were negatively associated with multimorbidity, overall, for the monk healer and primary care setting. In adjusted linear regression analyses, primary health care attenders, older age, were employed and post-secondary education increased the odds of better overall QoL. CONCLUSION: Multimorbidity was higher among clients attending monk healers than those attending primary care facilities and QoL was poorer among clients seeking care from monk healers than those attending primary care. High multimorbidity was found and major chronic conditions were found to have poor QoL. Determinants of multimorbidity and QoL in two different treatment settings provide information to improve the management of chronic conditions.


Assuntos
Doença Crônica/psicologia , Cura pela Fé , Monges , Multimorbidade , Atenção Primária à Saúde/estatística & dados numéricos , Qualidade de Vida/psicologia , Idoso , Idoso de 80 Anos ou mais , Asma/epidemiologia , Doença Crônica/epidemiologia , Estudos Transversais , Diabetes Mellitus/epidemiologia , Feminino , Humanos , Hipertensão/epidemiologia , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Fatores Socioeconômicos , Inquéritos e Questionários , Tailândia
10.
Cult Med Psychiatry ; 45(1): 97-140, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32444961

RESUMO

Despite extensive ethnographic and qualitative research on traditional healers in Nepal, the role of traditional healers in relation to mental health has not been synthesized. We focused on the following clinically based research question, "What are the processes by which Nepali traditional healers address mental well-being?" We adopted a scoping review methodology to maximize the available literature base and conducted a modified thematic analysis rooted in grounded theory, ethnography, and phenomenology. We searched five databases using terms related to traditional healers and mental health. We contacted key authors and reviewed references for additional literature. Our scoping review yielded 86 eligible studies, 65 of which relied solely on classical qualitative study designs. The reviewed literature suggests that traditional healers use a wide range of interventions that utilize magico-religious explanatory models to invoke symbolic transference, manipulation of local illness narratives, roles, and relationships, cognitive restructuring, meaning-making, and catharsis. Traditional healers' perceived impact appears greatest for mild to moderate forms of psychological distress. However, the methodological and sample heterogeneity preclude uniform conclusions about traditional healing. Further research should employ methods which are both empirically sound and culturally adapted to explore the role of traditional healers in mental health.


Assuntos
Cura pela Fé , Transtornos Mentais/terapia , Saúde Mental , Pessoal de Saúde , Humanos , Nepal , Psicoterapia
11.
Psychiatr Danub ; 33(Suppl 4): 933-939, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35026824

RESUMO

The example of the practices of three eighteenth and nineteenth century physicians, the author points out the importance of the profile of healers whose role (suggestion) in the healing process was more effective than their controversial methods. The following represents the impact mechanisms of suggestion (placebo effect) on the amazing healing phenomenon, indicating the possibility of the fatal consequences of suggestion in the context of (black) magic (nocebo effect), corroborating the facts stated. It warns of the frequent confusion of the fields of psychology and religion (the resuscitation of Mesalianism, the ancient misconception of confusing authentic spiritual experiences with psychological states), which has become the dominant feature of New Age self-help literature and psychology. It concludes with Christian miracle theology and features of Christian prayer for healing, suggesting guidelines useful for the pastoral and therapeutic work that has been derived from this research.


Assuntos
Médicos , Teologia , Cristianismo , Cura pela Fé , Humanos , Religião
12.
AIDS Care ; 33(3): 383-388, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-32030992

RESUMO

There has been a proliferation of faith healing organizations in Zimbabwe in the past decade. These organizations have been attracting many people especially those with chronic conditions as their leaders claim to have spiritual powers to heal illnesses. This has led to people with chronic conditions opting for spiritual healing over medical methods thereby defaulting ARVs. This qualitative study sought to explore religious related reasons that have led to defaulting Antiretroviral drugs (ARVs) among People Living with HIV and AIDS in Gweru, Zimbabwe (PLWHIV). Fifteen participants who at one point defaulted medications, six counselors and four religious leaders were interviewed. Content analysis was used to analyze data. Themes obtained revealed that PLWHIV defaulted medications because - they believed in faith healing, alternative medicines, perceived spirituality as the main cause of HIV and AIDS and that they had an allegiance to church values. The study recommends the need to provide HIV and AIDS education to leaders of religious organizations so as to harmonize religion and HIV and AIDS treatment.


Assuntos
Cura pela Fé , Infecções por HIV/tratamento farmacológico , Religião , Espiritualidade , Cooperação e Adesão ao Tratamento/psicologia , Infecções por HIV/psicologia , Humanos , Entrevistas como Assunto , Pesquisa Qualitativa , Religião e Psicologia , Zimbábue
13.
Lancet Psychiatry ; 8(1): 23-25, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33137288
14.
Community Ment Health J ; 57(4): 777-791, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-32894398

RESUMO

In this Fresh Focus, we reassess what the mental health treatment gap may mean if we consider the role of traditional healing. Based on systematic reviews, patients can use traditional healers and qualitatively report improvement from general psychological distress and symptom reduction for common mental disorders. Given these clinical implications, some high-income countries have scaled up research into traditional healing practices, while at the same time in low-and middle-income countries, where the use of traditional healers is nearly ubiquitous, considerably less research funding has studied or capitalized on this phenomena. The World Health Organization 2003-2020 Mental Health Action Plan called for government health programs to include traditional and faith healers as treatment resources to combat the low- and middle-income country treatment gap. Reflection on the work which emerged during the course of this Mental Health Action Plan revealed areas for improvement. As we embark on the next Mental Health Action Plan, we offer lessons-learned for exploring potential relationships and collaborations between traditional healing and biomedicine.


Assuntos
Transtornos Mentais , Saúde Mental , Cura pela Fé , Pessoal de Saúde , Humanos , Transtornos Mentais/terapia , Psicoterapia
16.
Anu. Antropol ; 46(1): 190-210, 2021.
Artigo em Português | MOSAICO - Saúde integrativa | ID: biblio-1179396

RESUMO

A partir da descrição etnográfica do projeto de autorregulação do ofício de raizeiras e raizeiros reunidos em torno da Articulação Pacari, este artigo pretende problematizar sobre as supostas fronteiras entre religião, ciência e política. Trata-se de um projeto que incorporou para o ofício de raizeiras e raizeiros alguns elementos reconhecidos como científicos sem, contudo, abandonar outros repertórios que compõem suas trajetórias. O resultado destas dinâmicas produziu um conjunto original de práticas e saberes não previstos anteriormente e que desafia dicotomias clássicas ­ como a de tradição e modernidade ­ e que será objeto de análise deste artigo.


From the ethnographic description of the project for self-regulation of the craft of raizeiras and raizeiros gathered around the Articulação Pacari, this article aims to problematize the supposed boundaries between religion, science, and politics. It is a project that has incorporated for the craft of raizeiras and raizeiros some elements recognized as scientific without, however, abandoning other repertoires that make up their trajectories. The result of these dynamics has produced an original set of practices and knowledge not previously foreseen and that challenges classic dichotomies ­ such as that of tradition and modernity - and that will be the object of analysis in this article.


Assuntos
Cura pela Fé , Medicina Tradicional , Vigilância Sanitária , Brasil , Características Culturais
17.
Pan Afr Med J ; 36: 365, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33235642

RESUMO

Religious and spiritual observances that draw large people together are pervasive in many parts of the world, including Africa. With the recent emergence of COVID-19, these mass religious gatherings may pose significant threats to human health. Given the compromised healthcare systems in many parts of Africa, faith-based institutions have a huge responsibility towards the management of the potential spread of the virus through effective organizational strategies or interventions. This essay sheds light on what the novel virus has to do with religion, the role of religious practices in inhibiting or spreading COVID-19, and what appropriate evidence-based interventions religious or faith-based organizations could adopt to help prevent the spread of the disease in Africa through a unity of thoughts for religious action.


Assuntos
COVID-19/transmissão , Religião e Medicina , SARS-CoV-2 , África/epidemiologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/psicologia , Cristianismo , Cura pela Fé , Organizações Religiosas , Doença pelo Vírus Ebola/epidemiologia , Doença pelo Vírus Ebola/psicologia , Doença pelo Vírus Ebola/transmissão , Humanos , Higiene , Islamismo , Pandemias
18.
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
19.
J Nerv Ment Dis ; 208(8): 582-586, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32740559

RESUMO

Since the beginning of American psychiatry, we have discovered and rediscovered connections among religion, spirituality, meaning, and mental health. In the 19th century, religion was an embedded attribute of moral therapy, the framework for treatment in mental institutions. During the decades in the 20th century when psychoanalysis was ascendant in the profession, some psychiatrists collaborated with the emerging field of pastoral care. As biological psychiatry has come to dominate the profession, though, pastoral care providers and some psychiatric researchers have identified gaps in the human interactions that characterize ideal and meaningful encounters with patients. This article examines how religion has been mobilized in American psychiatry over the centuries within institutional settings, but also looks at a broad consideration of faith in psychiatrists' clinical interventions, how that has affected their interactions with religious ideas and people, and where they have found meaning and purpose in mental health care.


Assuntos
Psiquiatria/história , Religião e Psicologia , Serviço Religioso no Hospital/história , Cura pela Fé/história , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Assistência Religiosa/história , Religião e Ciência , Espiritualidade , Estados Unidos
20.
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
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