‘Why Does This Happen to Me?’ Religious and Spiritual Struggles among Psychiatric Inpatients in The Netherlands: A Narrative Analysis

Background. Religious and spiritual (R/S) struggles may impact mental health treatment and recovery processes. The current study investigates how R/S struggles play a role in mental illness and what approaches are experienced as helpful. Methods. Thirty-five semi-structured interviews with clinical...

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Main Authors: Joke C. van Nieuw Amerongen-Meeuse, Hanneke Schaap-Jonker, Gerlise Westerbroek, Arjan W. Braam
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Religions
Subjects:
Online Access:https://www.mdpi.com/2077-1444/13/10/965
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author Joke C. van Nieuw Amerongen-Meeuse
Hanneke Schaap-Jonker
Gerlise Westerbroek
Arjan W. Braam
author_facet Joke C. van Nieuw Amerongen-Meeuse
Hanneke Schaap-Jonker
Gerlise Westerbroek
Arjan W. Braam
author_sort Joke C. van Nieuw Amerongen-Meeuse
collection DOAJ
description Background. Religious and spiritual (R/S) struggles may impact mental health treatment and recovery processes. The current study investigates how R/S struggles play a role in mental illness and what approaches are experienced as helpful. Methods. Thirty-five semi-structured interviews with clinical mental health patients in a Christian (N = 15) and a secular (N = 20) mental health clinic were narratively analyzed. Results. R/S struggles are common in people who suffer from mental illness and often coexist together with R/S support, mostly fluctuating over time. In summary, patients experience R/S struggles as negative feelings (e.g., loneliness, shame, mistrust) and the absence of positive feelings (e.g., hope and peace). These are influenced by someone’s R/S background and beliefs, as well as by the illness and other events. All participants appreciated a <i>receptive</i> approach (1) and many preferred an <i>active</i> approach (2) by mental health professionals. Some patients reported benefits from a <i>directive</i> approach (3). Conclusions. R/S struggles are tightly connected with other aspects that play a role in patients with mental illness. Mental health professionals are recommended to listen to patients’ narratives and carefully consider whether or not further interventions, in order to enhance R/S support and reduce R/S struggles, might be appropriate.
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spelling doaj.art-3f66aabb1c904570a9a3b20b285c41bb2023-11-24T02:17:26ZengMDPI AGReligions2077-14442022-10-01131096510.3390/rel13100965‘Why Does This Happen to Me?’ Religious and Spiritual Struggles among Psychiatric Inpatients in The Netherlands: A Narrative AnalysisJoke C. van Nieuw Amerongen-Meeuse0Hanneke Schaap-Jonker1Gerlise Westerbroek2Arjan W. Braam3Department of Religion and Theology, Vrije Universiteit, De Boelelaan 1105, 1081 HV Amsterdam, The NetherlandsDepartment of Religion and Theology, Vrije Universiteit, De Boelelaan 1105, 1081 HV Amsterdam, The NetherlandsKramer Psychologists, Haareweg 85, 7009 EB Doetinchem, The NetherlandsDepartment of Humanist Chaplaincy Studies for a Plural Society, University of Humanistic Studies, Kromme Nieuwegracht 29, 3512 HD Utrecht, The NetherlandsBackground. Religious and spiritual (R/S) struggles may impact mental health treatment and recovery processes. The current study investigates how R/S struggles play a role in mental illness and what approaches are experienced as helpful. Methods. Thirty-five semi-structured interviews with clinical mental health patients in a Christian (N = 15) and a secular (N = 20) mental health clinic were narratively analyzed. Results. R/S struggles are common in people who suffer from mental illness and often coexist together with R/S support, mostly fluctuating over time. In summary, patients experience R/S struggles as negative feelings (e.g., loneliness, shame, mistrust) and the absence of positive feelings (e.g., hope and peace). These are influenced by someone’s R/S background and beliefs, as well as by the illness and other events. All participants appreciated a <i>receptive</i> approach (1) and many preferred an <i>active</i> approach (2) by mental health professionals. Some patients reported benefits from a <i>directive</i> approach (3). Conclusions. R/S struggles are tightly connected with other aspects that play a role in patients with mental illness. Mental health professionals are recommended to listen to patients’ narratives and carefully consider whether or not further interventions, in order to enhance R/S support and reduce R/S struggles, might be appropriate.https://www.mdpi.com/2077-1444/13/10/965clinical mental healthreligious/spiritual strugglesqualitative studysemi-structured interviews
spellingShingle Joke C. van Nieuw Amerongen-Meeuse
Hanneke Schaap-Jonker
Gerlise Westerbroek
Arjan W. Braam
‘Why Does This Happen to Me?’ Religious and Spiritual Struggles among Psychiatric Inpatients in The Netherlands: A Narrative Analysis
Religions
clinical mental health
religious/spiritual struggles
qualitative study
semi-structured interviews
title ‘Why Does This Happen to Me?’ Religious and Spiritual Struggles among Psychiatric Inpatients in The Netherlands: A Narrative Analysis
title_full ‘Why Does This Happen to Me?’ Religious and Spiritual Struggles among Psychiatric Inpatients in The Netherlands: A Narrative Analysis
title_fullStr ‘Why Does This Happen to Me?’ Religious and Spiritual Struggles among Psychiatric Inpatients in The Netherlands: A Narrative Analysis
title_full_unstemmed ‘Why Does This Happen to Me?’ Religious and Spiritual Struggles among Psychiatric Inpatients in The Netherlands: A Narrative Analysis
title_short ‘Why Does This Happen to Me?’ Religious and Spiritual Struggles among Psychiatric Inpatients in The Netherlands: A Narrative Analysis
title_sort why does this happen to me religious and spiritual struggles among psychiatric inpatients in the netherlands a narrative analysis
topic clinical mental health
religious/spiritual struggles
qualitative study
semi-structured interviews
url https://www.mdpi.com/2077-1444/13/10/965
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