This is the seventh installment of my posts based on the book: Spirituality and Psychiatry, which was kindly sent to me by the Royal College of Psychiatrists.
The first part can be found here, the second here, the third here, the fourth here, the fifth here and the sixth here.
This chapter rightly begins with emphasising that spirituality is not dependent on intellectual acumen.
This has played out in my own experience. I have an uncle who is severely intellectually disabled and I still remember vividly the humbling experience of talking to him about faith in Jesus. He surprised me by stating quite emphatically that he believed in Jesus and was a Christian. The fact this surprised me tells us more about my prejudice than anything else. He has a faith like a child, pure and certain, and in many respects puts my intellectualised faith to shame.
My wife and I spent a little time talking with him about faith issues and he absorbed the information like a sponge.
We encouraged him to attend church and he now goes and loves it. He is very fortunate to have a found a very welcoming and non-judgemental church. I thank God for them and for him.
The Scriptures make it clear that we are ALL fearfully and wonderfully made.
Those with intellectual disability may have major problems communicating their ideas, however, spirituality is not dependent on how it is expressed. Although, this can impede the ability to assess their spiritual needs and experiences.
This chapter touches on an issue I hadn’t given much consideration to, and that is the spiritual needs of the family. The author sounds this warning:
Pages 126 + 127
Families of people with intellectual disabilities often find that their own faith, beliefs and practices play an important role in coping with their relative’s impairment while dealing with social stigma and indifference.
[.....]
Persons with physical and mental disabilities, and their families, often turn to religious institutions for comfort and belonging. However, they are not always made welcome. Lack of knowledge and understanding leads to insensitivity, and congregations can be focused on the disability rather than relating to the person. Indeed, religious institutions sometimes fail to create the necessary accommodation for people with disabilities and even show covert signs of hostility to them. Possible reasons for this exclusion stem from the most ancient beliefs about the nature of disability.
The view of disability varies according to the social construct of disability within the prevailing culture. For us, what is important is to tease out the view of disability within the Christian culture. Scripture can be confusing on this subject and seems a little inconsistent. For example, we have Jesus forgiving a persons sin which cures their disability, and yet Jesus challenges the prevailing assumption that disability is the result of sin.
However, the Scriptures are clear, we are to love and care for the weak and the vulnerable and this overrides any other considerations. This IS our duty and the very outworking of our faith.
This should be what motivates us toward the individual and – just as importantly – towards the carers and families.
This chapter emphasises that psychiatrists are becoming increasingly interested in the area of spirituality as it is recognised that this has a positive link to health and well-being. It is becoming clear that science alone is not enough to provide a basis for understanding and caring for another human being.
The author laments the lack of research, training and funding in this area, as well as the time restraints for care givers, which is a shame given the benefits:
Page 133
….Evidence suggests that responding to the spirituality of people with intellectual disabilities can be rewarding for clients, their families and professional carers. Research has shown that although staff experienced initial difficulty in identifying with their role and doubted their own abilities to deliver, they discovered a sense of achievement and satisfaction when meeting client’s spiritual needs. It also gave staff a greater sense of cohesiveness and improved morale.