Structure and Contents of the Value and Meaning System of Mentally Ill Patients with the Religious Outlook

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Abstract

The purpose of the study described in the article is to elicit value and meaning elements and to describe their structure in mentally ill patients with the religious outlook. The assumptions that the value and meaning system (VMS) of believing patients and non-believing ones differ are put forward. Four groups of subjects participate in the study: “Orthodox patients” (N = 24, 9 men and 14 women, age m = 26.7 ± 6); “Unbelieving patients” (N = 12 people, 3 men and 9 women, age m = 28.9 ± 7.6); “Healthy Orthodox believers” (N = 15 people, 4 men and 11 women, age m = 30.2 ± 6.4); “Healthy unbelievers” (N = 14 people, 5 men and 9 women, age m = 29.7 ± 5.1). G. Kelly’s methodology of personal constructs is applied in the study to assess the VMS: the triad method, Hinkle’s Laddering technique, and the repertory grid technique. The results show that the VMS of mentally ill patients with the religious outlook is characterized (in the structural aspect) by a greater mutual connection of value and meaning elements than in patients who do not believe. In comparison with believing patients, the unbelieving ones display significant disintegration and reduction of multiplicity of interrelationships between various value and meaning elements. The stability of the structure and key elements in the contents of the VMS in believing patients are probably explained by their special religious attitude to the disease as well as by the possibility, despite the disease, to actualize the meaning of life though the reaching for God.

General Information

Keywords: value and meaning system, meaning structures, personal constructs, mental illness, schizophrenia, religious outlook, Orthodox believers

Journal rubric: Empirical Research

DOI: https://doi.org/10.17759/chp.2019150406

For citation: Borisova O.A., Gusev V.V., Dvoinin A.M., Kopeyko G.I. Structure and Contents of the Value and Meaning System of Mentally Ill Patients with the Religious Outlook. Kul'turno-istoricheskaya psikhologiya = Cultural-Historical Psychology, 2019. Vol. 15, no. 4, pp. 56–67. DOI: 10.17759/chp.2019150406. (In Russ., аbstr. in Engl.)

References

  1. Borisova O.A., Gusev V.V., Drobashenko T.G., Pyatnitskaya L.N., Slonevskii Yu.A., Komisarova S.A. Opyt konfessional’no-orientirovannoi raboty s psikhicheski bol’nymi, osnovannoi na analize ikh religioznogo mirovozzreniya [Confessional-oriented rehabilitation practice with mental patients based on the analysis of their religiousworld-view]. Konsul’tativnaya psikhologiya i psikhoterapiya [ Counseling Psychology and Psychotherapy], 2010, no. 3, pp. 176—187. (In Russ., abstr. in Engl.).
  2. Bukanovskaya T.I., Alborova R.N., Babayants A.G. Tsennostnye orientatsii lichnosti v svete destigmatizatsii i reabilitatsii bol’nykh shizofreniei [Person’s value orientations in the light of destigmatization and rehabilitation of patients with schizophrenia]. Kubanskii nauchnyi meditsinskii vestnik [Kuban Scientific Medical Bulletin], 2011. Vol. 129, no. 6, pp. 28—33.
  3. Vityunina T.A. Tsennostno-smyslovaya sfera bol’nykh shizofreniei [Value and meaning domain of patients with schizophrenia]. Vestnik RGGU. Seriya «Psikhologiya» [RGGU Bulletin. Psychology], 2010. Vol. 61, no. 17, pp. 241—258..
  4. Dvoinin A.M. Psikhologicheskie osobennosti religioznoi lichnosti, vliyayushchie na reabilitatsionnuyu rabotu s bol’nymi, stradayushchimi psikhicheskimi rasstroistvami [Psychological peculiarities of the religious personality, which influence on rehabilitation work for mentally disordered individuals]. Psikhiatriya [ Psychiatry], 2016. Vol. 70, no. 2, pp. 50—54.
  5. Zeigarnik B.V. Psikhologiya lichnosti: norma i patologiya: Izbrannye psikhologicheskie trudy [Psychology of personality: norm and pathology: Selected psychological works]. 4-e izd., ster. Moscow: MPSI; Voronezh: MODEK, 2007. 414 p.
  6. Kopeiko G.I., Borisova O.A., Kazmina O.Yu. Religioznye koping-strategii v reabilitatsii psikhicheski bol’nykh [Religious coping strategies in rehabilitations of mentally ill]. Psikhiatriya [ Psychiatry], 2016. Vol. 70, no. 2, pp. 40—49.
  7. Kochenov M.M., Nikolaeva V.V. Motivatsiya pri shizofrenii [Motivation in the context of schizophrenia]. Moscow: Publ. MSU, 1978. 88 p.
  8. Leontieva E.M., Golovina O.E. Sovremennoe obshchestvo i ego tsennosti glazami psikhicheski bol’nykh lyudei [Modern society and its values through the eyes of mentally ill people. Sistema tsennostei sovremennogo obshchestva [The System of Values of Modern Society], 2010, no. 15, pp. 223—230.
  9. Leontieva E.M. Analiz tsennostnykh orientatsii bol’nykh shizofreniei [The analysis of value orientations of patients with schizophrenia]. Sibirskii psikhologicheskii zhurnal [Siberian Journal of Psychology], 2013, no. 4, pp. 14—22.
  10. Leontieva E.M., Korneev A.A. Ispol’zovanie metodiki «Klassifikatsiya tsennostei» kak instrumenta izucheniya tsennostnogo myshleniya bol’nykh shizofreniei [Using the method of “classification of values” as tool for studies of value thinking in schizophrenic patients]. Eksperimental’naya psikhologiya [ Experimental Psychology], 2014. Vol. 7, no. 4, pp. 100—109. (In Russ., abstr. in Engl.).
  11. Osokina O.I., Abramov V.A., Putyatin G.G., Pyrkov S.G., Vygovskaya E.M., Denisov E.M., Golodenko O.N. Issledovanie zhiznennykh smyslov i tsennostnykh orientatsii u bol’nykh, perenesshikh manifestnyi pristup shizofrenii [Meanings of life and value orientations in patients with manifestation of schizophrenia]. Zaporozhskii meditsinskii zhurnal [Zaporozhye Medical Journal], 2014. Vol. 84, no. 3, pp. 77—80.
  12. Pashkovskii V.E. Psikhicheskie rasstroistva s religiozno-misticheskimi perezhivaniyami: Kratkoe rukovodstvo dlya vrachei [Mental disorders with religious and mystical experiences: Brief guide for doctors]. Saint- Petersburg: SPbMAPE, 2007. 144 p.
  13. Polishchuk Yu.I. Znachenie religioznoi very kak lechebnogo i reabilitatsionnogo faktora pri psikhicheskikh rasstroistvakh nepsikhoticheskogo urovnya [The significance of the religious faith as a treatment and rehabilitation factor in mental disorders of the nonpsychotic level]. Nezavisimyi psikhiatricheskii zhurnal [ Independent Psychiatric Journal], 2001, no. IV, pp. 63—67.
  14. Polishchuk Yu.I., Letnikova Z.V. Faktor dukhovnosti v psikhiatrii i psikhoterapii [Spiritual factor in psychiatry and psychotherapy]. Psikhicheskoe zdorov’e [Mental Health], 2010, no. 3, pp. 57—61.
  15. Sadlovskaya Yu.V. Osobennosti tsennostnykh orientatsii patsientov psikhiatricheskoi bol’nitsy, prokhodyashchikh kurs reabilitatsii [Features of value orientations of psychiatric hospital patients undergoing rehabilitation course] [Elektronnyi resurs]. Effektivnye instrumenty sovremennykh nauk — 2010 [Effective Instruments of Modern Sciences — 2010]. Available at: http://www.rusnauka.com/11_EISN_2010/Psihologia/63926. doc.htm (Accessed 01.11.2019).
  16. Taratukhina M.I., Iontseva M.V. Tekhnika repertuarnykh reshiotok J. Kelly [Repertory grid technique]. Sotsiologiya: metodologiya, metody, matematicheskoe modelirovanie (4 M)[Sociology: methodology, methods, math modeling (4M)], 1997, no. 8, pp. 114—138.
  17. Fransella F., Bannister D. Novyi metod issledovaniya lichnosti: rukovodstvo po repertuarnym lichnostnym metodikam [New method of investigating personality: A guide to repertory personal methods]. Moscow: Progress, 1987. 236 p. (In Russ.).
  18. Bonelli R.M., Koenig H.G. Mental disorders, religion and spirituality 1990 to 2010: A systematic evidence-based review. Journal of Religion & Health, Vol. 52, no. 2, pp. 657—673. doi:10.1007/s10943-013-9691-4
  19. Borras L., Mohr S., Gillieron C., Brandt P.-Y., Reiben I., Leclerc C., Huguelet Ph. Religion and spirituality: How clinicians in Quebec and Geneva cope with the issue when faced with patients suffering from chronic psychosis. Community Mental Health Journal, Vol. 46, no. 1, pp. 77— 86. doi:10.1007/s10597-009-9247-y
  20. De Fazio P., Gaetano R., Caroleo M., Cerminara G., Giannini F., Moreno M.J.J., Díaz M.J.M., León A.M., Segura-García C. Religiousness and spirituality in patients with bipolar disorder. International Journal of Psychiatry in Clinical Practice, Vol. 19, no. 4, pp. 233—237. doi: 10.3109/13651501.2014.1000929
  21. Gomi S., Starnino V.R., Canda E.R. Spiritual assessment in mental health recovery. Community Mental Health Journal, Vol. 50, no. 4, pp. 447—453. doi:10.1007/ s10597-013-9653-z
  22. Heilman S.C., Witztum E. All in faith: Religion as the idiom and means of coping with distress. Mental Health, Religion & Culture, Vol. 3, no. 2, pp. 115—124. doi:10.1080/713685606
  23. Huguelet Ph., Guillaume S., Vidal S., Mohr S., Courtet Ph., Villain L., Girod Ch., Hasler R., Prada P.B., Olié , Perroud N.A. Values as determinant of meaning among patients with psychiatric disorders in the perspective of recovery. Scientific Reports, 2016. Vol. 6, pp. 27617. doi:10.1038/srep27617
  24. Huguelet Ph., Mohr S.M., Olié , Vidal S., Hasler R., Prada P.B., Bancila M., Courtet Ph., Guillaume S., Perroud N.A. Spiritual meaning in life and values in patients with severe mental disorders. Journal of Nervous and Mental Disease, 2016. Vol. 204, no. 6, pp. 409—414. doi:10.1097/NMD.0000000000000495
  25. Johnson K.S., Tulsky J.A., Hays J.C., Arnold R.M., Olsen M.K., Lindquist J.H., Steinhauser K.E. Which domains of spirituality are associated with anxiety and depression in patients with advanced illness? Journal of General Internal Medicine, Vol. 26, no. 7, pp. 751—758. doi:10.1007/ s11606-011-1656-2
  26. Koenig H.G., George L.K., Peterson B.L. Religiosity and remission of depression in medically ill older patients. American Journal of Psychiatry, Vol. 155, pp. 536—542. doi:10.1176/ajp.155.4.536
  27. Macmin L., Foskett J. “Don’t be afraid to tell.” The spiritual and religious experience of mental health service users in Somerset. Mental Health, Religion & Culture, Vol. 7, no. 1, pp. 23—40. doi:10.1080/13674670310001602508
  28. Maercker A., Mohiyeddini C., Müller M., Xie W., Hui Yang Z., Wang J., Müller J. Traditional versus modern values, self-perceived interpersonal factors, and posttraumatic stress in Chinese and German crime victims. Psychology and Psychotherapy, Vol. 82, pp. 219—232. doi:10.1348/147608308X380769
  29. Maercker A., Zhang X.Ch., Gao Zh., Kochetkov Ya., Lu Sh., Sang Sh., Yang Sh., Schneider S., Margraf J. Personal value orientation as mediated predictors of mental health: A three-culture study of Chinese, Russian, and German university students. International Journal of Clinical and Health Psychology, Vol. 15, pp. 8—17. doi:10.1016/j. ijchp.2014.06.001
  30. Mohr S., Borras L., Nolan J., Gillieron C., Brandt P.- Y., Eytan A., Leclerc C., Perroud N., Whetten K., Pieper C., Koenig H.G., Huguelet Ph. Spirituality and religion in outpatients with schizophrenia: A multi-site comparative study of Switzerland, Canada, and the United States. International Journal of Psychiatry in Medicine, Vol. 44, no. 1, pp. 29— 52. doi:10.2190/PM.44.1.c
  31. Mohr S., Huguelet Ph. The wishes of outpatients with severe mental disorders to discuss spiritual and religious issues in their psychiatric care. International Journal of Psychiatry in Clinical Practice, Vol. 18, no. 4, pp. 304—307. doi:10.310 9/13651501.2014.902071.
  32. Mohr S., Perroud N., Gillieron C., Brandt P.-Y., Reiben I., Borras L., Huguelet Ph. Spirituality and religiousness as predictive factors of outcome in schizophrenia and schizo-affective disorders. Psychiatry Research, Vol. 186, no. 2—3, pp. 177—182. doi:10.1016/j.psychres.2010.08.012
  33. Norris F.M., Jones H.G., Norris H. Articulation of the conceptual structure in obsessional neurosis. British Journal of Social and Clinical Psychology, Vol. 9, pp. 264—274.
  34. Ouwehand E.,Wong K., Boeije H., Braam A. Revelation, delusion or disillusion: Subjective interpretation of religious and spiritual experiences in bipolar disorder. Mental Health, Religion & Culture, Vol. 17, no. 6, pp. 615—628. doi:10.1 080/13674676.2013.874410
  35. Pargament K.I. The psychology of religion and coping: theory, research, practice. New York: Guilford, 1997.
  36. Pargament K.I., Lomax J.W. Understanding and addressing religion among people with mental illness. World Psychiatry, Vol. 12, no. 1, pp. 26—32. doi:10.1002/wps.20005
  37. Pesut B., Clark N., Maxwell V., Michalak E.E. Religion and spirituality in the context of bipolar disorder: a literature review. Mental Health, Religion & Culture, Vol. 14, no. 8, pp. 785—796. doi:10.1080/13674676.2010.523890
  38. Stroppa A., Moreira-Almeida A. Religiosity, mood symptoms, and quality of life in bipolar disorder. Bipolar Disorder, Vol. 15, no. 4, pp. 385—393. doi:10.1111/bdi.12069
  39. Tepper L., Rogers S.A., Coleman E.M., Malony H.N. The prevalence of religious coping among patients with persistent mental illness. Psychiatric Services, Vol. 52, no. 5, pp. 660—665. doi:10.1176/appi.ps.52.5.660

Information About the Authors

Olga A. Borisova, PhD in Medicine, Leading Researcher, Department of Endogenous Mental Disorders and Affective States, Mental Health Research Center, Moscow, Russia, e-mail: olga.borisova@ncpz.ru

Victor V. Gusev, Researcher, Department of Endogenous Mental Disorders and Affective States, Mental Health Research Center, Moscow, Russia, e-mail: i.v@mail.ru

Alexey M. Dvoinin, PhD in Psychology, Associate Professor, Department of Psychology, Faculty of Social Sciences, HSE University, Moscow, Russia, ORCID: https://orcid.org/0000-0003-0530-740X, e-mail: alexdvoinin@mail.ru

Grigory I. Kopeyko, PhD in Medicine, Deputy Director for Research, Mental Health Research Center, Moscow, Russia, e-mail: gregory_kopeyko@mail.ru

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