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Geestelijke weerbaarheid van jongeren:De rol van het onderwijs en de geestelijke verzorging
No full textUit diverse onderzoeken blijkt dat jongeren – de zogenaamde generatie Z – met geestelijke gezondheidsproblemen kampen. Oorzaken worden gezocht in gebruik van digitale technologie, zoals de smartphone. Jongeren zouden daardoor in toenemende mate eenzaamheid en betekenisloosheid ervaren. Een existentieel perspectief dat focust op zingeving, wordt ingezet om een rijker perspectief te bieden op deze problematiek. Aan de hand van het werk van Jaap van Praag verkennen we hoe twee zingevingsbronnen – arbeid en gemeenschap – bijdragen aan geestelijke weerbaarheid van jongeren. We besluiten met de rol die het onderwijs en daarbinnen de geestelijke verzorging kan hebben in het helpen ontwikkelen van geestelijke weerbaarheid
Engaging in moral learning:veterans' perspectives on how the moral dimensions of moral injury are addressed in one-on-one meetings with Dutch military chaplains
No full textINTRODUCTION: There is an increasing attention for the role of military chaplains (MCs) in supporting veterans with moral injury. However, research into how veterans experience the support of MCs remains scarce. Moreover, no studies to date have explored this question in a Dutch contex, while this is relevant as it can offer insight into what forms of care are helpful in predominantly secular societies.METHODS: This article presents a study from the Netherlands, involving 12 veterans. Using a longitudinal qualitative approach, we explored how the one-on-one conversations with MCs unfold over time.RESULTS: Our study shows that three types of moral questions underly experiences of moral injury. Veterans see the conversations with MCs as an opportunity to exchange thoughts and perspectives concerning these ongoing moral struggles, a process that we conceptualize as 'moral learning'. Over time, we found 5 types of change in veterans' experience of moral injury. The conversations with MCs helped veterans to: share their stories, thoughts and worries; grow personally; better understand and accept certain events; feel a stronger connection with others; critically engage with the Dutch Ministry of Defence.DISCUSSION: This study raises questions about the centrality of the morally injurious events in chaplaincy interventions that are described in the literature. It suggests that supporting veterans in dealing with questions about the good life and about the conduct of the military may be just as or even more important as reflecting on morally injurious events. Moreover, the study highlights the importance of engaging with seemingly mundane, everyday issues when addressing the moral dimensions of veterans' struggles. This counters the focus on grand concepts like "forgiveness," "acceptance," "reconciliation," "restitution" and "vindication" which are usually emphasized in the literature about chaplaincy in the context of moral injury. The study shows that it is through reflection on the everyday that these larger concepts gain relevance and meaning within veterans' lives.</p
Validating the socio-spiritual items of the Utrecht Symptom Diary-4 Dimensional:Content and construct validity
No full textBACKGROUND: The Utrecht Symptom Diary-4 Dimensional (USD-4D) is a multidimensional Patient-Reported Outcome Measure to monitor symptoms and needs and increase patients' self-efficacy. Assessing the content and construct validity of the USD-4D ensures it accurately measures the intended construct and is contextually relevant.AIMS: This study aimed to assess the content and construct validity of the socio-spiritual items of the USD-4D in a population of Dutch patients in the palliative phase of their illness.DESIGN: A multiple method study was performed consisting of a cross-sectional survey and an observational cohort study.PARTICIPANTS: The study population consisted of (a) healthcare providers working with patients in the palliative phase and (b) a cohort of patients with a life limiting illness in all settings supplemented by a cohort of hospice patients.RESULTS: At least 80% of participants positively assessed the items comprehensibility and relevance. About half of the respondents indicated that certain items are missing from the USD-4D. A qualitative analysis of missing topics revealed either topics for monitoring over time or topics underlying the constructs included. For every item, at least 75% of hypotheses were confirmed. One hypothesis for the item "I can let my loved ones go" was rejected.CONCLUSIONS: This study confirmed the content and construct validity on the socio-spiritual items of the USD-4D. Hence, the USD-4D is a validated PROM suitable to be structurally used in clinical palliative care to signal, monitor and to go into dialogue about social and spiritual aspects of patients' values, wishes, and needs.</p
Holocaust Reparations:Scrutinizing ‘the model’ of Transitional Justice
No full textThe German Wiedergutmachung has become a model for dealing with post-conflict situations worldwide, also an ideal in the field of Transitional Justice, a field that studies the long-term effects of human rights violations and instruments to deal with them. Its comprehensiveness embodies the idea of “having worked through one’s difficult past effectively” and is therefore often used as a reference by groups that have not yet been acknowledged. Susan Neiman’s book Learning from the Germans is a provocative call for the United States to do more to address its own history of slavery. This referencing to Germany is a powerful tool in current reparation movements; however, as some of the more anthropological and conceptual literature shows, often reparation instruments have felt less reparative as assumes. This chapter will argue that we have missed out by not learning more from these models’ deficits – learning from those for whom reparations programs were conceptualized in the first place. This chapter aims to bring insights from Holocaust Studies to the field of Transitional Justice and thus pursues a normative approach grounded in empirical data
Training Future Speech Therapists in Life Storytelling for Aphasia: An International Educational Initiative in Speech Therapy
No full textEthical and cultural sensitivity in the palliative phase of heart failure: A scoping review
No full textBackground: Increasing migration is creating more multicultural and ethnically diverse societies, requiring healthcare professionals (HCPs) to address culturally determined values, preferences, and worldviews of patients and their families. Many patients with heart failure (HF) who require palliative care do not have their needs met within an equitable care pathway. This makes cultural sensitivity not only a practical necessity but also an ethical one.Aim/Research question or hypothesis: The aim is to explore the experiences of HF patients and their family caregivers regarding ethical and cultural sensitivity, as well as the factors that underlie or influence these experiences.Methods: A scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) guidelines. The PALETTE framework for performing a literature search in palliative care was used. Six databases, including PubMed, CINAHL and PsycINFO were searched for empirical studies published from 2020-2024. Eligible studies focused on (1) HF patients and their family caregivers, (2) experiences regarding ethics, cultural sensitivity and inclusiveness in HF care and (3) conducted in Europe. The findings were discussed within an international group of researchers, synthesised using a qualitative approach and reported according to the PRISMA-ScR framework.Results: Findings on the ethical and cultural aspects of HF care include 1) ethical challenges in end-of-life decision-making processes, (2) communication about cultural and spiritual values, (3) inequalities in access to HF and palliative care, (4) ethnic, racial and gender related disparities, and (5) how socioeconomic factors shape HF patients’ approach to their illness.Discussion: HCPs need to consider the unique cultural contexts of HF patients and their families to make ethical decisions that align with the patient’s values. Subgroups may encounter potential disadvantages based on ethnicity, race, gender or socioeconomic circumstances, such as unequal access to appropriate treatment options or palliative care. Communication about ethical and cultural values is crucial in reducing disparities and providing culturally sensitive care
On the Importance of Gratitude for Humanistic Education in the Anthropocene
Full text linkThe present ecological crises that mark the Anthropocene make it clear that our exploitative way of relating to the world undermines humans' and many other beings' potential to flourish on Earth. Therefore, education should be concerned with fostering awareness and understanding of the value and vulnerability of (the conditions for life on) our planet, and our dependency in relation to this good. Gratitude experiences are characterized by and can contribute to such forms of awareness, types of understanding, and corresponding motivation to cherish the good these take as their object. Moreover, experiences of existential gratitude can reshape our relation to the natural world, making us perceive its objects as beautiful, intrinsically valuable entities that we feel profoundly connected with rather than as instrumentally valuable benefits. In particularly profound cases, people’s sense of self alters as they come to experience and understand themselves as an interdependent part of a larger whole such as Earth . Such experiences not only enrich our relationships with the natural world, but also provide us with meaning by deepening our sense of identity, and by infusing our lives with a sense of moral responsibility to care for the ecosystems we are part of. Thus, gratitude experiences not only have the potential to enhance flourishing, but may also have a bearing on how we approach the ontological-ethical question of what it means to be and flourish as a human being. Therefore, the potential educational value of gratitude seems to be particularly relevant for humanistic education in the Anthropocene. However, there seems to be a tension between existential gratitude and central elements of the modern western worldview; whereas the former is marked by an acknowledgement of our dependency and the uncontrollability of some aspects of the world, the latter is characterized by the humanistic values of freedom, autonomy and self-fulfilment, and by a belief in progress through the exercise of control over the natural environment. We discuss how humanism can disentangle itself from these problematic aspects of the modern worldview, and explore possibilities to foster existential gratitude within the framework of humanistic education
Let’s Talk about Climate Justice in Higher Business Education:Narrating Business Students’ and Teachers’ Climate (Justice) Emotions
No full textWhat does it mean to live in posthuman times?
No full textText accompanying exhibition by media artist Herwig Scherabon
