Projekt

Zurück zur Übersicht

Examining spiritual coping and attachment of patients with schizophrenia

Gesuchsteller/in Brandt Pierre-Yves
Nummer 124772
Förderungsinstrument Interdisziplinäre Projekte
Forschungseinrichtung Institut Religions, Cultures, Modernité Faculté de Théologie Université de Lausanne
Hochschule Universität Lausanne - LA
Hauptdisziplin Psychologie
Beginn/Ende 01.09.2009 - 30.11.2012
Bewilligter Betrag 171'285.00
Alle Daten anzeigen

Alle Disziplinen (3)

Disziplin
Psychologie
Nervenheilkunde, Psychiatrie
Religionswissenschaften, Theologie

Keywords (8)

schizophrenia; religion; Psychosis; Attachment; Affect regulation; Spiritual Coping; Secure Base; Object Relation

Lay Summary (Französisch)

Lead
Lay summary
Des études récentes menées à Genève, grâce au soutien du FNS, ont mis en évidence qu'une grande partie des patients souffrants de psychose ont recours à la dimension spirituelle/religieuse pour faire face à leur maladie. La religion ou la spiritualité influencent l'image de soi, les symptômes, l'adaptation psychosociale, la toxicomanie, les tentatives de suicide et l'adhérence au traitement. Pour mieux comprendre comment cette influence s'opère, la recherche vise l'étude approfondie des processus psychologiques sous-jacents, tels que les émotions et les représentations en jeux.Le cadre théorique est celui des théories de l'attachement. Au moyen d'entretiens avec des patients (entretiens semi-structurés), l'accent sera mis sur la place accordée à la dimension relationnelle dans la spiritualité ou la religiosité. Les théories de l'attachement décrivent la nécessité pour tout être humain de pouvoir créer un lien affectif privilégié. La capacité à créer ce lien se développe au cours des premières années de vie. Il a ensuite une importance fondamentale tout au long de la vie d'une personne, lui servant de base sécurisante. C'est ainsi que l'enfant ou l'adulte recherchent la proximité avec une personne privilégiée (une figure d'attachement), afin de trouver auprès d'elle du réconfort dans une situation stressante. Plusieurs recherches ont montré l'effet néfaste sur la santé mentale lorsqu'une personne n'a pas pu bénéficier d'un tel lien. Il s'agit de mieux comprendre comment des figures religieuses peuvent jouer le rôle de figures d'attachement. L'objectif est d'identifier comment la religion ou la spiritualité participent au développement ou au maintien d'un lien émotionnellement sécurisant et à sa répercussion sur la gestion de la maladie (évaluation symptomatologique avec un instrument standardisé : BPRS). L'examen des carences affectives éventuelles s'effectuera au moyen de l'Adult Attachment Interview. Des patients (24) souffrant de schizophrénie (examen diagnostique avec SCID) seront comparés à des personnes (24) ne souffrant d'aucune affection psychique (examen de discrimination diagnostique SCID-NP). Cette étude vise une meilleure connaissance des besoins des patients. Elle permettra d'adapter la prise en charge offrant aux médecins une meilleure compréhension de la place occupée par la dimension spirituelle dans la manière de faire face à la maladie. Cette étude va également enrichir les connaissances scientifiques en psychopathologie (schizophrénie), en psychologie de la religion (influence du religieux sur la santé mentale) en psychologie de l'attachement (gestion de traumatismes, de difficultés relationnelles et de carences affectives).
Direktlink auf Lay Summary Letzte Aktualisierung: 21.02.2013

Verantw. Gesuchsteller/in und weitere Gesuchstellende

Mitarbeitende

Publikationen

Publikation
Quality of Attachment in Psychosis and Spiritual Figures
(2013), Quality of Attachment in Psychosis and Spiritual Figures.
Spiritual figures and attachment processes in psychosis
(2013), Spiritual figures and attachment processes in psychosis.
Qualité de l'attachement dans la psychose et figures spirituelles
(2012), Qualité de l'attachement dans la psychose et figures spirituelles.
Attachment and spiritual coping in patients with chronic schizophrenia
, Attachment and spiritual coping in patients with chronic schizophrenia, in Mental Health, Religion & Culture.

Zusammenarbeit

Gruppe / Person Land
Formen der Zusammenarbeit
Université de Stockholm Schweden (Europa)
- vertiefter/weiterführender Austausch von Ansätzen, Methoden oder Resultaten

Wissenschaftliche Veranstaltungen

Aktiver Beitrag

Titel Art des Beitrags Titel des Artikels oder Beitrages Datum Ort Beteiligte Personen
European Conference on Religion, Spirituality and Health Vortrag im Rahmen einer Tagung God's Image, Attachement's Figures and Psychosis 19.05.2012 Berne, Schweiz Huguelet Philippe;
Colloque de Recherche du Center for Psychology of religion, UCL Louvain Einzelvortrag Religion/spiritualité et attachement chez des personnes souffrant de schizophrénie : une recherche en cours 12.01.2012 Université de Louvain-La-Neuve, Belgien Brandt Pierre-Yves;
Conférence Internationale de Psychologie de la Religion Vortrag im Rahmen einer Tagung Religious believes and religious delusions in schizophrenia: A qualitative analysis based on 62 semi-structured interviews 21.08.2011 Bari, Italien Rieben Isabelle;


Selber organisiert

Titel Datum Ort

Veranstaltungen zum Wissenstransfer

Aktiver Beitrag

Titel Art des Beitrags Titel des Artikels oder Beitrages Datum Ort Beteiligte Personen
"Matinales de formation" du Centre universitaire de traitement et de réadaptation (CUTR) Sylvana 25.11.2011 Lausanne, Schweiz


Auszeichnungen

Titel Jahr
Prix Jean-Marc Fischer 2012 "Le rôle de la spiritualité dans le soin" 2012

Verbundene Projekte

Nummer Titel Start Förderungsinstrument
114136 Spirituality, religiousness and schizophrenia: assessing the outcome of patients suffering from schizophrenia in relation to their religiousness and to a possible effect of a spiritual assessment 01.11.2006 Resource not found: '4f63b8c3-b57d-4554-a6cd-923165637a21'

Abstract

In the context of a national collaboration between the universities of Lausanne and Geneva and the University Hospital of Geneva, our research group has recently studied schizophrenic outpatients and assessed whether and how religious commitment helps them to cope with their illness. We found a high prevalence of religious coping among patients suffering from psychosis. Positive religious coping reduced the severity of symptoms by decreasing distress, anxiety and maladjusted behaviours (suicidal attempts) associated with those symptoms. It has also been found that positive religious coping may affect social adaptation, act upon the use of toxic substances and enhance adherence to treatment.In view of these results, we decided to focus on the process of coping related to the patients’ religiousness. Based on the former quantitative research analysis, it seems necessary to now investigate the data qualitatively. In order to better understand this phenomenon of spiritual coping, we want to investigate the underlying psychological mechanisms by examining emotions and the cognitive representations related to spirituality/religiousness. Attachment theory will provide us the framework necessary for conceptualizing the role of social cognition, interpersonal experiences and regulation of affect in the development of both interpersonal functioning and psychological distress. In Bowlby’s normative attachment conceptualization, the term “attachment relationship” does not refer to any type of close relationship but exclusively to those that meet four criteria: proximity maintenance, safe haven, secure base, and separation distress (Hazan & Zeifman, 1999). The present study is based on the assumption that these four criteria are reasonably met as concerns the relationship of the believer with a spiritual object/figure (i.e., proper to the believer’s personal spiritual system). Hence, it is suggested that some aspects of attachment are similar for the believer in relation to his/her spiritual object/figure and for the child in relation to her parents, that is, they serve the function of obtaining/maintaining a sense of felt security when in distress (Sroufe & Waters, 1977).Moreover, attachment theory allows for predictions, linking earlier interpersonal experiences, especially early child-parents interactions and current interpersonal styles, and the way in which maladaptive patterns of relationships are maintained. Attachment theory seems relevant to the study of psychosis because of the evidence of high levels of insecure attachment in individuals with schizophrenia in comparison to control groups and patients with affective diagnoses, including bipolar disorders and major depressions (Dozier, 1990; Dozier et al., 1991; Mickelson et al, 1997). There is also growing recognition of the ways in which cognitive, interpersonal and affective factors interact in determining vulnerability and outcome in psychosis (Garety et al., 2001). Furthermore, attachment theory can bring us to better understand the mechanisms at the root of some specific symptoms associated with psychosis, like paranoia, hearing voices and negative symptoms (Berry et al., 2007). We believe that attachment theory has the potential to describe the internal coherence of the process of coping through an emotional relation to a spiritual object/figure, and its influence on positive and negative symptoms in schizophrenia. Two different modes of psychological coherence related to spiritual/religious coping have been described. The correspondence hypothesis suggests that there is a correspondence between early child-parents interactions on the one hand and a person’s ability to cope in relation to a spiritual object/figure on the other. According to this hypothesis, a secure attachment history would enable a person to use a spiritual/religious object/figure as an attachment figure, which proximity would help regulate affects. The compensation hypothesis suggests that an insecure attachment history would lead to a strong religiousness/spirituality as a compensation of the lack of felt security (Granqvist and Hagekull, 1999).Twenty-four patients with schizophrenia or schizo-affective disorder will therefore be interviewed. Comorbidities will be discriminated with the SCID (diagnostic evaluation). In order to measure their attachment style (AAI interview and coding method), to assess symptomatology (BPRS) and to explore their relation to a spiritual figure as a form of spiritual coping (semi-directive interview). The same procedure will be undertaken with a non-psychiatric matched control group of twenty-four adults, except that the Scid-NP will be used instead of the SCID and the BPRS. At this stage of the research, the following hypotheses can already be formulated (1) If a spiritual or religious figure can work as an attachment figure, then attachment behaviours are activated towards that figure in times of distress. (2) The two types of psychological coherence (compensation and correspondence) related to the process of spiritual coping will exist in both the experimental and control group. (3) The observable traits of both modes will be more salient in the clinical group than in the control group due to the high level of insecure attachment and interpersonal difficulties related to schizophrenia. (4) There is a prevalence of the compensation mode in patients suffering from schizophrenia in comparison with a non clinical group. (5) The prevalence of religious coping among patients suffering from psychosis is related to a high level of insecure attachment styles in that specific population. In short, having found a high prevalence of religious coping among patients suffering from psychosis, our aim is now to better understand that phenomenon. Besides, there is evidence of high levels of insecure attachment in individuals with schizophrenia in comparison with control groups. Linking the process of spiritual coping and attachment strategies of patients seems straightforward.
-