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INCORPORATING
THE SACRED:
Culture, Wisdom,
and Practice
SPIRITUAL CARE ADDICTION TREATMENT PROFESSIONALS
(SCATP)
Rev. Eygl...
OVERVIEW: THREE DOMAINS
CONTEXT:
Cultural,
Demographic,
Religious, Personal,
Social
01
AUTHORITY:
Wisdom, Hierarchy,
Commu...
1. EXAMINING
THE SPIRITUAL
CONTEXT
HOW IS THE SACRED UNDERSTOOD AND
EXPERIENCED BY THIS PATIENT, FAMILY, OR
LARGER SYSTEM?...
DSM 5 proposes a “Cultural Formulation Interview”
for research because our cultural and religious
formation and context af...
FLESHING OUT THE
HISTORICAL ASPECTS
• Just the label is not enough …
• Familiarity with specific aspects of
their traditio...
TURNING TO THE PRESENT
• PARTICIPATION:
What is your current level of participation in
any spiritual practice or religious...
INTERVIEWING: attend to verbal and non-verbal cues
• I attend Mass regularly.
• I love the beach.
• I am a vegan.
• I don’...
GRIEF:
a central issue for many
• Multiple types of losses and severity
• Guilt, self-blame, resentment are common emotion...
SUMMARIZE: Context
As a clinician, ask yourself if you have a
sense of the “Then” and “Now” for this
patient in regards to...
2. EXAMINING
AUTHORITY
WHAT ARE THIS CLIENT’S SOURCES FOR
WISDOM AND HOW IS POWER AND
INFLUENCE SOUGHT?
J
UNWISE AUTHORITIES –
these undermine or replace
secure attachment
• Addiction as misconnection
• “Mammon” … wealth, power,...
BELONGING AND COMMUNITY
We are held in authoritative
relationships
• Parents and Grandparents
• Civic and Social
Leaders a...
MAJOR HISTORICAL TRADITIONS
• What are sources of wisdom for this
client?
• What are the ambivalences or conflicts
for thi...
12 STEP RECOVERY AS
A NEW WISDOM STREAM
The Book that Started it All
E
OTHER WISDOM
SOURCES
• Writers: Eckhard Tolle,
Emerson
• Practices: Yoga studio,
mindfulness
• Integration:
Physics/scienc...
SUMMARIZE:
Authority
CLINICAL AUTHORITY MUST BE
SENSITIVE TO OUR CLIENTS’
WISDOM SENSIBILITIES
E | J
3. METHODS:
MORE THAN
MINDFULNESS
A RICH LANDSCAPE OF
CONTEMPLATIVE AND OTHER
SPIRITUAL PRACTICES RETRAIN
THE BRAIN AND CO...
TYPES OF MEDITATION OR
CONTEMPLATION
MAJOR ‘FAMILIES’
• Christian
• Hindu
• Islamic
• Buddhist
• Jewish
• Indigenous/Earth...
TYPOLOGIES FOR
“PRAYER”
• Individual / Collective
• Structured / Extemporaneous
• …
E | J
RITUAL
STUDY
E | J
MENTORSHIP
E | J
ASSEMBLY, WORSHIP,
AND COMMUNITY
(SANGHA)
E | J
SYNTHESIS:
USING CONTEXT AND AUTHORITY
TO INFORM METHODS
SUMMARY AND DISCUSSION:
Incorporating the Sacred
Culture Wisdom Practice
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REV JACK ABEL AND REV EYGLO BJARNADOTTIR - SPIRITUAL CULTURE, WISDOM AND PRACTICE: INCORPORATING THE SACRED INTO CONTEMPORARY MODELS OF TREATMENT

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Rev Abel leads an integrated spiritual care team for Caron Treatment Centers and speaks for Caron on spirituality in addiction and other behavioural health care. He is an ordained minister in good standing in the United Church of Christ and a summa cum laude graduate of Wesley Theological Seminary. A separate engagement with spiritual background, sources of authority, and methods or “spiritual practice” is a luxury few treatment providers can a ord. When present, it is often partial, adjunct, or secondary. But, human beings are shaped by their cultural and communal experiences, including story and heritage. How does one assess the relevance of cultural/religion/spirituality? How does one identify sources of spiritual authority for a client or family system? What are the categories and varieties of spiritual practice that are most helpful and readily integrated in addiction care, and how can they be adapted to t particular context and needs? This session will explore each of these questions and more.

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REV JACK ABEL AND REV EYGLO BJARNADOTTIR - SPIRITUAL CULTURE, WISDOM AND PRACTICE: INCORPORATING THE SACRED INTO CONTEMPORARY MODELS OF TREATMENT

  1. 1. INCORPORATING THE SACRED: Culture, Wisdom, and Practice SPIRITUAL CARE ADDICTION TREATMENT PROFESSIONALS (SCATP) Rev. Eyglo Bjarnadottir, Hazelden-Betty Ford Rev. Jack Abel, Caron Treatment Centers J
  2. 2. OVERVIEW: THREE DOMAINS CONTEXT: Cultural, Demographic, Religious, Personal, Social 01 AUTHORITY: Wisdom, Hierarchy, Community, Belonging 02 METHODS: Contemplative, Ritual, Communitarian, Pedagogical 03 J
  3. 3. 1. EXAMINING THE SPIRITUAL CONTEXT HOW IS THE SACRED UNDERSTOOD AND EXPERIENCED BY THIS PATIENT, FAMILY, OR LARGER SYSTEM? J
  4. 4. DSM 5 proposes a “Cultural Formulation Interview” for research because our cultural and religious formation and context affect patient’s thoughts, feelings, and behaviors in powerful ways. KEY QUESTIONS: 1. What were your religious and cultural formation experiences? 2. Are there spiritual high points or wounds? 3. Do you think your cultural or religious formation and background are important as you begin or continue your recovery journey? If so, how? PAST: FORMATION AND CONTEXT J
  5. 5. FLESHING OUT THE HISTORICAL ASPECTS • Just the label is not enough … • Familiarity with specific aspects of their tradition(s) is not necessary. • Clinical curiosity is the key! J
  6. 6. TURNING TO THE PRESENT • PARTICIPATION: What is your current level of participation in any spiritual practice or religious or cultural community activity? • PREFERENCES: What are examples of experiences that you think of as spiritually meaningful? • STYLING: How do learning styles, vocation, and current practice indicate personal preferences or styling? E
  7. 7. INTERVIEWING: attend to verbal and non-verbal cues • I attend Mass regularly. • I love the beach. • I am a vegan. • I don’t do alone well. • Meditation is hard for me. • I don’t believe in God. • I trained as an artist. • I am a care provider to others. • When I’m having a hard day, I like to listen to music – heavy metal, usually. • I am science-based … How meaningful/important? E
  8. 8. GRIEF: a central issue for many • Multiple types of losses and severity • Guilt, self-blame, resentment are common emotional components • “What-if?” and powerlessness are frequent themes Grief and Trauma are related paradigms … E
  9. 9. SUMMARIZE: Context As a clinician, ask yourself if you have a sense of the “Then” and “Now” for this patient in regards to: • Spiritual Preferences • Religious and Cultural Context • High points or areas of spiritual or religious wounding E | J
  10. 10. 2. EXAMINING AUTHORITY WHAT ARE THIS CLIENT’S SOURCES FOR WISDOM AND HOW IS POWER AND INFLUENCE SOUGHT? J
  11. 11. UNWISE AUTHORITIES – these undermine or replace secure attachment • Addiction as misconnection • “Mammon” … wealth, power, influence • False and coercive manipulation • Cult abuse J
  12. 12. BELONGING AND COMMUNITY We are held in authoritative relationships • Parents and Grandparents • Civic and Social Leaders and Institutions • Religious or Spiritual Advisors and Paths • Employment and Recreational Supervisors and Communities J
  13. 13. MAJOR HISTORICAL TRADITIONS • What are sources of wisdom for this client? • What are the ambivalences or conflicts for this patient in seeing this/these as a wisdom source? • How literate is the client in the wisdom tradition’s particulars? Literature  Practice  Relationships • Who exists in the client’s world as a ‘guru’ or mentor for this source? J
  14. 14. 12 STEP RECOVERY AS A NEW WISDOM STREAM The Book that Started it All E
  15. 15. OTHER WISDOM SOURCES • Writers: Eckhard Tolle, Emerson • Practices: Yoga studio, mindfulness • Integration: Physics/sciences, ecoconsciousness, … E
  16. 16. SUMMARIZE: Authority CLINICAL AUTHORITY MUST BE SENSITIVE TO OUR CLIENTS’ WISDOM SENSIBILITIES E | J
  17. 17. 3. METHODS: MORE THAN MINDFULNESS A RICH LANDSCAPE OF CONTEMPLATIVE AND OTHER SPIRITUAL PRACTICES RETRAIN THE BRAIN AND CONTRIBUTE TO LONG TERM RECOVERY E | J
  18. 18. TYPES OF MEDITATION OR CONTEMPLATION MAJOR ‘FAMILIES’ • Christian • Hindu • Islamic • Buddhist • Jewish • Indigenous/Earth-Based • Secular • … E | J
  19. 19. TYPOLOGIES FOR “PRAYER” • Individual / Collective • Structured / Extemporaneous • … E | J
  20. 20. RITUAL
  21. 21. STUDY E | J
  22. 22. MENTORSHIP E | J
  23. 23. ASSEMBLY, WORSHIP, AND COMMUNITY (SANGHA) E | J
  24. 24. SYNTHESIS: USING CONTEXT AND AUTHORITY TO INFORM METHODS
  25. 25. SUMMARY AND DISCUSSION: Incorporating the Sacred Culture Wisdom Practice

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