Search Results (439)

The paper contends that post-Christianity in the West is a condition whose genealogy can be traced to fifteenth-century humanism and the subsequent events of the Reformation and the Enlightenment. The essence of this condition lies in the emergence of the state, an outcome from centuries of debate concerning the domain of the spiritual versus secular authority over man and his world. This discourse ultimately undermined the authority of the ecclesiastical order and, consequently, Christianity in the West. And as the Christian foundation of the West gradually eroded, it was replaced by the secular, i.e., the state. This withering of Christianity has allowed the political, the emblematic feature of the state, to occupy the place previously held by the divine. The triumph of the secular realm has brought to saliency the centrality of the secular religion, i.e., the state, which strives to achieve broad, and often contradictory, social justice and equality goals, all in pursuit of its perceived noble aim of attaining happiness in this life. Full article

Background: Cervical cancer remains a significant health issue in Indonesia, where structural barriers, fragmented information, and sociocultural norms continue to hinder timely diagnosis and treatment. Families play a central role throughout the illness journey, yet their perspectives are often overlooked in the development of digital patient navigation systems. This study explored family experiences, caregiving challenges, and expectations for a family-centered digital navigation model, DIVA.ID, by integrating Digital Health frameworks and Family Systems Theory. Methods: A qualitative descriptive approach was employed through semi-structured, in-depth interviews with 18 purposively selected family caregivers of women with cervical cancer at a major referral hospital in West Java. Participants were selected because they were directly involved in daily care, treatment decisions, logistical support, or emotional assistance. Interviews were conducted between August and October 2025 and continued until thematic saturation was reached, as indicated by repetition of categories and the absence of new major codes in the final interviews. Data were analyzed using inductive–deductive content analysis guided by Elo and Kyngäs, with five researchers conducting independent coding, iterative code comparison, consensus meetings, and theoretical mapping. Results: Four main themes emerged: (1) family involvement in decision-making, including collective discussion, shifting authority roles, and patient autonomy; (2) caregiver burden, involving physical exhaustion, psychological distress, social restriction, stigma, financial pressure, and employment disruption; (3) psycho-spiritual coping mechanisms, including emotional sharing, prayer, crying, patience, and surrender to God; and (4) digital healthcare needs, covering BPJS guidance, treatment information, scheduling, communication pathways, shelter support, and mental–spiritual support. Mapping these themes to Digital Health frameworks and Family Systems Theory clarified how DIVA.ID could translate family experiences into practical navigation functions. Conclusions: This study provides empirical foundations for a culturally sensitive, family-centered digital navigation model in Indonesia. Rather than demonstrating effectiveness, the findings identify design requirements for DIVA.ID that should be tested in subsequent feasibility, usability, and intervention studies. Full article

In the 1930s and 1940s, Kumbum Monastery (Tibetan: sku’ bum byams pa gling) emerged as a significant spatial node in visual culture during the period of war and modern nation-building in the Republic of China (1912–1949). Through photography, painting, and film, a diverse range of visual media depicted the monastery’s architectural layout, inscribed plaques and steles, Cham dance (Tibetan: འཆམ་, Wylie: ’cham) rituals, lamaic prayers, and scenes of temple fairs and marketplaces. These visual representations not only documented historical detail but also constructed a composite space in which sacredness, transcendence, and secularity intersected. Due to its unique geographical location, religious doctrines, historical narratives, and political entanglements, Kumbum functioned as both a spiritual center and a politically charged symbol. Within this visual discourse, cham rituals and collective prayers were imbued with wartime ideological meanings, aligning religious transcendence with the national aspiration for resistance and victory. The inscribed plaques by state officials visually asserted political authority over sacred religious spaces, while the depiction of temple fairs foregrounded the entanglement of religious practices with everyday secular life, becoming key arenas for ethnic integration and political mobilization. Artists and photographers actively engaged with and reproduced both the symbolic and the quotidian landscapes of the monastery. These visual materials contributed to the broader project of narrating the Republic’s frontier and constructing the nation’s image. By examining how both monastic actors and external observers visually constructed Kumbum Monastery’s political and spiritual space, this study illuminates the complex interplay between religion and state power, and shows how visual media articulated ideological meanings and negotiated spatial relationships as collective responses to the site within the conditions of modernity. Full article

Background: Quality of life (QoL) after spinal cord injury (SCI) is influenced by psychosocial factors, yet less is known about how these factors are examined across national contexts. Objective: This scoping review mapped studies examining depression, employment, and social participation in relation to QoL or health-related QoL (HRQoL) among individuals with SCI in the United States and South Korea. Methods: Following PRISMA-ScR guidelines, five databases were searched for peer-reviewed English- and Korean-language studies published between 2007 and 2025. Results: Sixteen studies were included: nine from South Korea and seven from the United States. Depression and psychological distress were associated with lower QoL/HRQoL in both countries, although South Korean studies more often examined depression with stress and functional concerns, whereas U.S. studies situated depression within participation, spirituality, and youth psychosocial functioning. Employment was linked to QoL/HRQoL in both contexts, with South Korean studies emphasizing economic activity, vocational rehabilitation, and financial strain, and U.S. studies emphasizing employment status and vocational outcomes. Social participation was important in both countries, but South Korean studies focused more on community transition, functional independence, and social attitudes, whereas U.S. studies emphasized participation contexts, accessibility, and social relationships. Conclusions: Across the three domains, depression, employment, and social participation emerged as recurring psychosocial domains associated with QoL/HRQoL after SCI in both countries. These differences suggest that psychosocial adaptation after SCI should be understood within cultural and rehabilitation contexts. Full article

Nuclear contamination challenges assumptions that harm can be contained through technological control, political borders, or bodily separation. Across the Asia-Pacific, radioactive exposure moves unevenly through racialised, gendered, and colonial histories, rendering some bodies more vulnerable to ecological violence than others. Nuclear regimes continue to depend upon theological logics of purity, sacrificial exclusion, and protected innocence. This article develops a spirituality of fermentation through Asian eco-feminist theology and the Korean practice of sakhim. Fermentation becomes a practice of sustaining wounded life through endurance, permeability, and communal care. From this spirituality of fermentation, I develop the concept of Vital Fluidity as an ethical and theological framework for understanding how life continues through shared vulnerability, where bodies, nourishment, and histories remain deeply entangled. The article contributes to intersectional debates in theology, religion, gender, and ecology by approaching contamination through relation rather than separation. Under nuclear conditions, ethical responsibility emerges through practices that hold grief, contamination, memory, and nourishment together within shared existence. Fermentation therefore becomes a practical theological model for living with nuclear bodies. Full article

Investigating the predictors of moral distress is particularly important for protecting nurses’ mental health and professional satisfaction, thereby preventing burnout and attrition from the profession. The primary aim of this study was to evaluate the predictors of moral distress among nurses. A cross-sectional study design was used. The sample consisted of 412 nurses from 11 hospitals across Slovakia. The mean age of the respondents was 40.48 years (SD = 10.92). Moral distress was assessed using the Modified Moral Distress Scale. Linear regression analysis was used to evaluate predictors of moral distress. Personal accomplishment, the maladaptive coping strategy of self-distraction, continuous shift operation, and emotional burnout emerged as significant predictors of the frequency of moral distress among nurses (AdjR² = 15.5%; R² = 0.155). Regarding the intensity of moral distress, significant predictors included personal accomplishment, the maladaptive strategy of self-distraction and the adaptive strategy of religiosity and spirituality (AdjR² = 14.0%; R² = 0.140), which appear to function as adaptive coping mechanisms for dealing with the intensity of moral distress. Systematic investigation of predictors of moral distress among nurses may contribute to the development of interventions and programs that support nurses, thereby improving not only their job satisfaction but also the quality of patient care. Full article

Christian ethics are often associated with dichotomies such as right versus wrong, good versus evil, and moral versus immoral. How do young Black people with diverse sexual identities who also embrace Christianity understand such ethics? What constitutes Christian ethics for people who live on the margins and are often vilified for their racial and sexual identities? This mixed-methodological study considers these questions for a group of 76 young Black members of the LGBTQIA community aged 18–30 years old. The study is also designed to theorize and apply the concept of everyday sacredness as an ethos to illuminate the religious and spiritual experiences of Black sexual minorities. Three themes emerge that focus on ethical expectations. The initial theme reflects common questions about historic and present-day unethical practices in certain Black churches linked to homophobia and heterosexism found in current studies. The second, more spiritually focused theme, presents agape love as an ethical response to all God’s creation. The final practically focused theme emphasizes holistic health as an ethical response to health inequities in the Black LGBTQIA community. Full article

Background/Objectives: Spirituality is increasingly recognised as a core dimension of holistic and palliative care. Neurodegenerative diseases such as dementia, amyotrophic lateral sclerosis and Parkinson’s disease involve prolonged trajectories of loss, uncertainty and relational change, which may heighten spiritual and existential needs for patients, particularly among those involved in caregiving, such as family caregivers and, to a lesser extent, healthcare professionals. However, evidence on how spirituality is understood, experienced and addressed within neurodegenerative palliative care remains fragmented and conceptually heterogeneous. This scoping review aimed to map the literature on caregivers’ spiritual needs and challenges. Methods: A scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta Analyses extension for Scoping Reviews (PRISMA ScR). Searches were conducted across PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), APA PsycINFO, and Scopus, with no date or geographical restrictions. Grey literature was searched through Google Scholar and relevant organisational and policy sources in the field of palliative care and spirituality. Reference list screening of included studies and relevant reviews was also conducted. Quantitative, qualitative, and mixed methods studies published in English or Italian were included. Results: Twenty-four studies published between 2007 and 2025 were included. Findings were organised into three interconnected domains: spiritual needs, spiritual processes and spiritual care. Spirituality emerged as a dynamic, relational and context-dependent dimension of caregiving, encompassing meaning, identity, connection and coping with vulnerability and loss. Spiritual needs and processes were widely described, while spiritual care was inconsistently recognised within healthcare systems. Conceptual ambiguity, under-representation of end-of-life dementia and cultural imbalances were evident. The evidence predominantly focused on family caregivers, with limited representation of healthcare professionals. Conclusions: This scoping review highlights a persistent gap between caregivers’ lived spiritual experiences and system-level responses in neurodegenerative palliative care in caregiving contexts globally. The findings support integrated, caregiver-inclusive and culturally responsive approaches to spiritual care. Full article

This article examines the spiritual, intellectual, and institutional legacy of Caterina Vigri (1413–1463) and the formation of a “school of holiness” within the Poor Clare monastery of Corpus Domini in Bologna. Through the analysis of key texts produced within the monastic milieu—including the Libro devoto (later known as The Seven Spiritual Weapons), the Ordinazioni, the epistolary Formulario, and the Book of Visions and Revelations by Valeria Campanazzi—the study explores how Vigri’s teachings were transmitted, received, and reworked across generations of nuns. Particular attention is devoted to the centrality of obedience as the defining principle of monastic life, which marks a significant shift from earlier Franciscan emphases on poverty. The article highlights the pedagogical dimension of these writings, their grounding in Sacred Scripture, and their role in shaping a collective religious identity within an Observant context. At the same time, it situates Vigri’s spiritual program within broader developments in late medieval and early modern Christianity, including the institutional consolidation of religious life and the circulation of diverse spiritual influences. By tracing both continuity and transformation within the Corpus Domini community, the study demonstrates the existence of a sustained intellectual and devotional tradition that extended well beyond the founder’s lifetime. The “school of Caterina” thus emerges as a dynamic space of female religious authority, literary production, and theological formation. Full article

Background/Objectives: Patients in palliative care frequently experience multidimensional suffering that extends beyond physical symptoms to include existential distress, demoralization, and loss of meaning. Psychedelic-assisted therapies (PAT), including ketamine-assisted psychotherapy (KAP), have re-emerged as promising interventions for these domains. This study aimed to provide a narrative overview and critical evaluation of the existing secondary literature on PAT in palliative care and serious illness and to examine the extent to which emerging best-practice recommendations are reflected in this literature. Methods: An overview of reviews with framework-based narrative synthesis was conducted, including narrative reviews, systematic reviews, scoping reviews, and meta-analyses addressing psychedelic-assisted interventions in patients with life-limiting illness. A comprehensive search of major databases was performed from inception to February 2026. Data extraction and narrative synthesis focused on clinical outcomes, safety, and the incorporation of key domains derived from recent interdisciplinary best-practice recommendations for PAT in palliative care. Results: Twenty-two reviews were included, synthesizing evidence primarily from early-phase clinical trials and observational studies, predominantly in oncology populations. Across reviews, PAT was consistently associated with reductions in depression, anxiety, and existential distress, along with improvements in quality of life and spiritual well-being. Safety profiles were generally favorable under controlled conditions. However, the incorporation of key therapeutic domains—such as preparation and integration, therapeutic setting, clinician training, and relational and biographical factors—was heterogeneous and often incomplete. Most reviews emphasized outcomes over process and context. Conclusions: The current body of secondary literature suggests potential application of PAT to address psychological and existential suffering in palliative care. However, the available evidence remains preliminary and is predominantly derived from small early-phase studies characterized by methodological heterogeneity, limited blinding, and highly selected populations. At the same time, the partial incorporation of emerging best-practice recommendations highlights a gap between evidence synthesis and normative clinical guidance. Full article

Background: Mental health disorders such as depression, anxiety, and stress are increasingly prevalent among university students and contribute to long-term cardio-cerebrovascular disease (CCVD) risk. However, limited research has examined the interplay between mental health, CCVD risk factors, and religiosity/spirituality within Southeast Asia’s multicultural context. Methods: This cross-sectional study investigated these relationships among 484 undergraduate students enrolled in medical and health sciences programs across Peninsular Malaysia. Mental health status was assessed using the Depression, Anxiety, and Stress Scale (DASS-21). Self-reported clinical indicators associated with early CCVD vulnerability were also assessed. Religiosity and spirituality were measured using the Duke University Religion Index (DUREL), Brief Religious Coping (RCOPE), Spirituality Scale (SS), and Spiritual Coping Questionnaire (SCQ). Results: High prevalence rates of severe anxiety (50.4%), depression (29.3%), and stress (21.1%) were observed, with significant associations across ethnicity, religion, and academic programs. Higher religiosity and spirituality were generally associated with better mental health outcomes. However, coping style emerged as a key modifier of the relationship between religiosity/spirituality and mental health outcomes, with negative religious coping associated with greater psychological distress, whereas positive coping demonstrated mixed associations and partial mediating effects. Students with poorer mental health also exhibited higher CCVD risk burden. Conclusions: These findings highlight the importance of culturally and spiritually sensitive strategies in promoting student well-being. Full article

Background/Objectives: Adolescents living with HIV (ALHIV) face compounded health and psychosocial challenges while managing lifelong antiretroviral therapy (ART). Mental health difficulties among ALHIV are strongly associated with suboptimal adherence and disengagement from care. While mental illness is well documented, limited empirical evidence exists on the influence of positive mental wellness on adherence self-efficacy among ALHIV. This study assessed mental wellness among ALHIV and identified key psychosocial predictors of adherence self-efficacy in public healthcare facilities in Cape Town, South Africa. Methods: A cross-sectional survey was conducted among ALHIV (N = 251) aged 10–19 years who were receiving ART at public healthcare facilities across the Cape Town metropole. Participants completed an electronic questionnaire that assessed ten mental wellness domains and adherence self-efficacy. Descriptive statistics were calculated to summarise participant characteristics and mental wellness scores, while Pearson correlations and multiple linear regression were done to identify associations and independent predictors of adherence self-efficacy using SPSS v29. Results: Most participants were aged 15–19 years (76.9%) and diagnosed with HIV at birth (68.9%). Mental wellness scores were high across all domains (M = 3.14–3.71). Hope (M = 3.71), spirituality (M = 3.58), and purpose in life (M = 3.52) were the highest-rated domains. All mental wellness domains were positively correlated with adherence self-efficacy (p < 0.001), with the strongest associations being purpose in life (r = 0.66), self-acceptance (r = 0.66) and resilience (r = 0.66). Hope (p < 0.001), resilience (p = 0.001), purpose in life (p = 0.03) and self-acceptance (p = 0.012) emerged as significant independent predictors. Conclusions: Positive mental wellness and adolescent-centred psychosocial support in routine HIV care may strengthen adherence self-efficacy and support adolescents’ confidence in managing treatment. Full article

In the face of rapid urbanization and spatial constraints in compact cities, the function of mosques in Kuala Lumpur has evolved significantly beyond their traditional religious roles. No longer solely places for ritual prayer, mosques are increasingly being reimagined as dynamic community hubs that serve a broader civic purpose. This paper explores how selected mosques in Kuala Lumpur have adapted architecturally, functionally, and socially to meet the diverse needs of urban Muslim populations. Through a qualitative case-study approach involving spatial analysis, semi-structured interviews, and documentary reviews, this study examines how vertical spatial arrangements, multifunctional space use, and socially inclusive programs have emerged in response to the demands of dense urban environments. Furthermore, this study evaluates how contemporary mosque designs navigate between the sacred and the secular, integrating civic utility with spiritual ambiance. The findings reveal that these architectural and institutional transformations are not only reactive to urban limitations but also proactive in fostering community resilience, interfaith interaction, and urban social sustainability. This research culminates in a strategic design framework that incorporates accessibility, environmental sustainability, and participatory governance into future mosque planning. The implications are far-reaching: by redefining the mosque as a multifunctional and inclusive civic node, urban planners and architects can contribute meaningfully to the evolving spiritual and social fabric of the compact city. Full article

The emergence of generative Artificial Intelligence (AI) poses unprecedented challenges to homiletic practice, compelling a shift in focus from the textual proficiency of the machine to the ontological status of preaching itself. Through a theological-pastoral analysis anchored in sacramental dogmatics and in dialogue with digital religion, this article scrutinizes the validity of algorithmic mediation in the ministry of the Word. The study establishes a tripartite normative framework—assistance, delegation, and substitution—demonstrating that while technical support is legitimate in preparatory tasks, the syntactic success of generative models acts as a critical mirror, exposing a pre-existing crisis of frequently generic and standardized preaching. It concludes that, within a sacramental framework, the homily constitutes an unrepeatable liturgical and spiritual event, requiring the authority of an embodied subject vulnerable to their own message. Full article

In recent years, Chinese animation has increasingly embraced traditional cultural elements, with Chan (Zen) Buddhism emerging as a rich source of philosophical and aesthetic inspiration. Existing research on the manifestation of Chan aesthetics in Chinese animation has explored the topic from diverse perspectives, yet analyses from a systematic semiotic perspective remain limited. Most symbolic studies reduce Chan elements to isolated visual signs with one-to-one meaning correspondences, neglecting the synergistic operation of narrative, visual, and auditory symbols in animation as an integrated system. Drawing on Roland Barthes’ theory of myth, this study employs a qualitative semiotic analysis to examine how Chan aesthetics are reconstructed and naturalised in Chinese animated works across different periods and genres. The analysis demonstrates that core Chan concepts are reconfigured into secularised audiovisual symbol systems. These systems translate abstract philosophy into tangible aesthetic forms and narrative structures, with meaning generated through the interplay of denotation, connotation, and myth. Furthermore, the representation of Chan aesthetics evolves across eras. Early animation relies on minimalist ink-wash visuals and implicit narrative; contemporary commercial animated film employs causal storytelling to embed Chan values in modern contexts; and Ye Youtian ‘poetic animation’ emphasises personal spiritual expression through non-linear imagery. Full article