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Running head: PASTORAL COUNSELLING ON MENTAL
HEALTH 1
PASTORAL COUNSELLING ON MENTAL HEALTH 36
Pastoral Counseling on Mental Health
Student’s Name
Course
Institutional Affiliation
Pastoral Counseling on Mental Health
Chapter 4 Results4.1 Introduction
In this chapter, the researcher is going to present the results and
findings obtained from the research. The primary objective of
the study was to find out the effects of pastoral counseling on
mental health. The researcher conducted a research survey to
obtain the relevant data that was required to achieve the
research objective. The data collection tool that was used in this
study was a survey questionnaire that contained a total of 21
questions. The design of the questionnaire was in line with the
specific objectives of this study. This chapter will present the
respondents' background information, and the findings obtained
from the analysis in line with the research objectives.
4.2 Data Analysis
Descriptive statistics were used in the discussion of the findings
of the research. The results were explained using percentages.
The target respondents of the study were sampled using simple
random sampling. However, the primary target sample was that
of people who had experienced some form of mental health at a
certain point in their lives. The primary criterion for sampling
was that the individual participant must have attained the age of
18 years and above.
4.3 Response Rate
Herein the response rate is the total number of people who
completed the survey correctly and met the requirements of the
researcher. In this study, a total of 106 participants completed
the study. Before the survey was conducted, the respondents
were taken through the details of the survey before they could
give consent or decline. The reason they were chosen to take
part in the study was that they were members of the Deliverance
Center for all Nations Church and that they were of 18 years
and above.
Further, they were informed of the candidate undertaking the
research. Additionally, the researcher told the respondents that
the objective of the study was to find out whether the church
members sought pastoral counseling as a remedy for addressing
mental health issues and whether pastoral counseling had a
positive impact on the organization. The respondents were made
aware that there was no benefit whatsoever of taking part in the
research, and it was voluntary. The potential risks that the
respondents would experience in the study were made known to
them, which were the same risks one would encounter in their
daily lives. The participants were informed that the information
they gave would be confidential, and no one else will access
them apart from the researcher. Possible contacts were availed
to the respondents in case they intended to contact a third party
regarding the research.
Once the participants had been taken through the details, they
were asked whether they were willing to proceed with the
survey or skip it. The results are as indicated in table 4.3 below.
Answer Choices
Responses
Yes, please begin the survey.
99.06%
105
No, I would like to exit the survey
0.94%
1
Answered
106
Skipped
0
Table 4.3: The survey response rate table
In Table 4.3above, out of the 106 participants, 105 of them
clicked that they were ready to proceed with the survey, which
indicated a 99.06% response rate. Only one of them clicked skip
the survey but later proceeded to complete it, making the
response rate 100%. The response rate was way above the
acceptable response rate of 80% in the school of Pharmacy
surveys and the 60% response rate acceptable in general surveys
(Fincham, 2008). Therefore, since the response rate was within
the margin of the acceptable response rate, the results obtained
in this survey are reliable and relatively conclusive.
4.4 Personal Information of the Respondents
The researcher intended to understand the personal details of
the respondents. However, the respondents were requested to
provide personal information that was relevant to the objective
of the study.
4.4.1 Respondents Gender
The respondents’ gender was relevant in the study in classifying
the results based on gender. The respondents were asked to
reveal their gender, and the results are as indicated in the table
4.4.1 below.
What is your gender?
Answer Choices
Responses
Female
84.91%
90
Male
15.09%
16
Answered
106
Skipped
0
Table 4.4.1: A table indicating the respective gender of the
respondents.
From the table above, all 106 respondents answered this
question. 90 out of the 106 respondents were female, while 16
were male. This data was in tandem with the baseline
expectations. It was expected and anticipated that the females
would be more than the males. Many studies conducted have
shown that women are at a higher risk of developing mental
health issues compared to men (KVRGIC et al., 2013; Malhotra
& Shah, 2015). The reason why women are more likely to suffer
from mental health issues is that they are often exposed to
emotional problems and extremely stressful situations (KVRGIC
et al., 2013). Therefore, the gender difference in the
respondents was the best for reliable and conclusive results.
When the above information is plotted on a graph, the following
figure 4.4.1 was obtained.
Figure 4.4.1: A graph of the gender distribution of the
respondents
From the graph above, the percentage of the respondents that
were female was 84.91%, while the men were only 15.09%.
4.4.2 Level of Education of the Respondents
The researcher sought to find out the level of education of the
respondents to determine the different categories of people the
respondents were based on education status. Education level
was a crucial statistic in this study because several types of
research have indicated that there is a close correlation between
education levels and mental health. Higher educational levels
lead to advancement in skills and awareness, which reduces the
probability of a person to develop mental health issues
(Halpern-Manners et al., 2016). The results obtained from the
respondents on their levels of education are as indicated in the
table 4.4.2 below.
What is your highest level of education?
Answer Choices
Responses
Some high school
21.70%
23
College graduate
32.08%
34
Graduate degree or beyond
26.42%
28
Some postgraduate education
19.81%
21
Answered
106
Skipped
0
Table 4.4.2. A table of the respondents' levels of education
From the table above, 34 respondents were college graduates,
28 respondents had a graduate degree, 23 of them had some high
school education, and the last 21 of them had some postgraduate
education. In terms of educational levels, the sample
respondents were well distributed, with at least all categories of
education levels being represented. When the above information
is plotted on a graph, figure 4.4.2 below was obtained.
Figure 4.4.2. A graph of the education levels of the respondents
From the graph above, a majority of the respondents were
college graduates who were 32.08% of the total respondents,
26.42% of them had a degree or beyond, 21.07% of them had
some high school education. The last 19.81% had some
postgraduate education.
4.4.3. Ethical/Racial Background of the Respondents
The racial background of the respondents was essential in this
research. The baseline data from various studies have indicated
that mental health problems, especially depression, were more
prevalent on the racial minorities considered as immigrants in
the United States as compared to the native Americans
(Budhwani et al., 2014). For example, Black or African
Americans comprise 13.2% of the entire US population. Yet,
over 16.2% of them, which translates to approximately 6.8
million persons, have been diagnosed with mental health within
the past one year (Mental Health America, 2018). Therefore, the
racial statistic was crucial in this study. Table 4.4.3 below
indicates the various races or ethnic backgrounds of the
respondents.
What is your Ethnic/Racial background?
Answer Choices
Responses
American Indian or Alaska Native: A person having origins in
any of the
original peoples of North and South America (including Central
America), and who maintains tribal affiliation or community
attachment.
0.00%
0
Asian: A person having origins in any of the original people of
the Far East, Southeast Asia, or the Indian Subcontinent, for
example, Cambodia, China, India, Japan, Korea, Malaysia,
Pakistan, the Philippine Islands, Thailand, and Vietnam.
0.94%
1
Black or African American: A person having origins in any of
the Black racial groups of Africa.
84.91%
90
Native Hawaiian or Other Pacific Islander: A person having
origins in any of the
original peoples of Hawaii, Guam, Samoa, or other Pacific
Islands.
0.94%
1
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican,
South or Central American, or other Spanish culture or origin,
regardless of race
4.72%
5
White: A person having origins in any of the original peoples of
Europe, the
The Middle East, or North Africa
5.66%
6
N/A
2.83%
3
Answered
106
Skipped
0
Table 4.4.3 A Table of the different racial backgrounds of the
respondents.
From table 4.4.3 above, 90 of the respondents, which comprised
a majority of the respondents, were of black or African
American origin. Only six respondents were of white descent.
Five were Hispanic, or Latino 3 did not know their race or were
not ready to disclose it; there was one native Hawaiian or other
Pacific Islander, one Asian, and zero American Indian or Alaska
Native. The data met the baseline expectations since a majority
of the Black or African Americans reported mental problems at
some point in their lives as exhibited by different studies and by
the Mental Health America.
When the above data was plotted on a graph, the following
results in figure 4.4.3 were obtained.
Figure 4.4.3. A figure of the racial background of the
respondents
From figure 4.4.3 above, 84.91% of the total respondents were
of Black or African American origin. 5.66% were whites, 4.72
were of Hispanic or Latino origin, 2.83% did not reveal their
races, 0.94% were of Asian descent, another 0.94 were of
Hawaiian or other Pacific Islands origin, and there was no
American Indian.
4.5 Findings of the Study
The respondents were of diverse traits, including gender,
education level, and from the different racial background. The
three features above have been linked to mental health problems
by various researchers. Therefore, the researcher intended to
find out the respondents had been victims of the same issue. If
yes, the researcher wanted to find out further whether they
sought help from pastoral counseling.
4.5.1 Victims of Mental Health Issues
The researcher wanted to find out the respondents had been
diagnosed with a mental health problem before. The research
question used to instigate the responses was whether the
respondents had struggled with any mental health problem at
their level. The results obtained from this research question are
as indicated in table 4.5.1 below.
Have you ever personally struggled with mental illness of any
kind?
Answer Choices
Responses
Yes, and it was diagnosed
24.00%
24
Yes, but it was never diagnosed
24.00%
24
No
51.00%
51
N/A
1.00%
1
Answered
100
Skipped
6
Table 4.5.1. A table showing the number of respondents who
have ever experienced mental problems.
From the table above, 51 respondents indicated they had never
been victims of any mental problem before, 24 respondents
stated that they had experienced mental health issues before.
Still, they were not diagnosed, and 24 more respondents
indicated they experienced mental health issues before, but they
were never diagnosed. This question did not apply to one of the
respondents. Additionally, six respondents skipped the question
and did not provide their answers. In total, 48 respondents out
of 106 had experienced a mental health condition before, while
only 51 had not. Upon representing the above information on a
graph for visualization, the figure 4.5.1 below was obtained.
Figure 4.5.1. A figure of the percentage of respondents that had
experienced mental health issues
The results of figure 4.5.1 above indicate 51% of the
respondents had not experienced a mental health problem by the
time the survey was being conducted. 24% of them had
experienced a mental health condition, and it was diagnosed by
healthcare personnel. Besides, 24% had experienced a mental
health issue before, but it was never diagnosed. The question
did not apply to 1% of the respondents.
In total, the percentage of respondents who had experienced a
health issue was 48%, while the percentage of the respondents
who had never experienced a health issue was 51%. Translating
this result into the real-world environment, it could mean that
48 out of 100 Americans have experienced a mental health
issue. Since 84.91% of the respondents were black. Converting
this value to 100, it becomes 84.94 people of Black or African
American origin. When this value is multiplied by 48% (the
percentage of respondents who experienced mental health issues
before), it translates to 40.77. Therefore, it can be concluded
that in every 85 black or African American origin, 41 of them
have struggled with mental illness.
4.5.2 Respondents who sought help from a Psychiatrist
Once it was established that some of the respondents had
experienced mental health problems at some point, the
researcher went ahead to find the next cause of action that was
taken by these respondents. The researcher wanted to find out
the number of respondents who visited a psychiatrist for help
with their mental condition. The following table 4.5.2 shows the
results.
Have you ever seen a psychiatrist as a treatment option for your
mental health concerns?
Answer Choices
Responses
Yes
22.00%
22
No
69.00%
69
N/A
9.00%
9
Answered
100
Skipped
6
Table 4.5.2. A table showing the number of respondents who
visited a psychiatrist for help with their mental health issues.
From table 4.5.2 above, 69 respondents indicated that they did
not seek the advice of a psychiatrist. In contrast, 22 of them
stated that they sought the help of a psychiatrist regarding their
mental health condition. Nine respondents indicated that this
question did not apply to them, while the remaining six did not
answer the question at all. The above information is represented
on the figure 4.5.2 below.
Figure 4.5.2. A figure of the percentage of respondents who
visited a psychiatric for help with their mental health condition.
From figure 4.5.2 above, 69% of the respondents indicated that
they did not see a psychiatrist as a treatment option for their
mental health concern, 22% of the respondents stated that they
saw a psychiatrist for their mental health problem. In
comparison, 9% indicated that the question did not apply to
them. A total of 6 respondents did not answer this question,
which makes the total number of respondents on this particular
question to be 100. Out of the 100 respondents, 84.91 were of
Black or African American origin. Since 22% of respondents
saw a psychiatrist for help with their problem, this could mean
that a total of 18.68 Blacks or African Americans saw a
psychiatrist for help. Therefore, it means that out of 85 Blacks
or African Americans, only 19 of them saw a psychiatrist for
help.
4.5.3 Respondents who sought help from a psychologist
The researcher wanted to find out the number of respondents
who sought help from a psychologist regarding their mental
health problems. Table 4.5.3 below represents the number of
respondents who sought help from a psychologist.
Have you have seen a psychologist as a treatment option for
your mental health concerns?
Answer Choices
Responses
Yes
21.00%
21
No
68.00%
68
N/A
11.00%
11
Answered
100
Skipped
6
Table 4.5.3. A table of the number of respondents who sought
help from a psychologist.
From table 4.5.3 above, 100 respondents answered this question,
while six respondents did not. The respondents who sought help
from a psychologist regarding their mental health condition was
21. Respondents who did not seek the help of a psychologist
were 68, while those who indicated that this question did not
apply to them was 11. The information was represented in
figure 4.5.3 below.
Figure 4.5.3. A figure of the percentage of respondents who
visited a psychologist for help with their mental condition.
From figure 4.5.3 above, the total number of respondents was
100 since 6 of them skipped the question. The percentage of
respondents who sought the help of a psychologist regarding
their mental health condition was 21%. The respondents who
did not seek the help of a psychologist regarding their mental
health condition were 68%, while 11% of the respondents
indicated that this question did not apply to them. Therefore the
number of Black or African Americans who sought help from a
psychologist regarding their mental health was (11% * 84.91) =
9.3. These statistics indicate that out of 85 Blacks or African
Americans, only 9 of them will seek help from a psychologist
regarding their mental health.
4.5.4 Types of Mental Health Problems
The researcher wanted to find out the number of respondents
who had suffered from various types of mental illness. The
results are as indicated in the table 4.5.4 below.
“Have you ever been diagnosed by a medical or psychological
professional with any of the following conditions?”
Answer Choices
Responses
Anxiety Disorders
26.00%
26
Bipolar Disorder (Manic-Depressive Illness)
4.00%
4
Delusions
1.00%
1
Depression
28.00%
28
Obsessive-compulsive disorder (OCD)
2.00%
2
Post-traumatic stress disorder (PTSD)
9.00%
9
Other
2.00%
2
None
57.00%
57
N/A
4.00%
4
Answered
100
Skipped
6
Table 4.5.4. A table of the different types of mental disorders
suffered by the respondents
The researcher intended to find out the number of respondents
who experienced different categories of mental health diseases.
From the table 4.5.4 above, the total number of respondents who
answered this question was 100 after six of the respondents
skipped it. Of the 100 respondents, 57 of them indicated that
they had not been diagnosed with any mental health problem by
a medical or psychological professional. Twenty-eight
respondents stated that they had been diagnosed with
depression. Twenty-six of them indicated that they had been
diagnosed with anxiety disorders. In comparison, 9 respondents
had been diagnosed with post-traumatic stress disorder PTSD.
Four of them had had bipolar disorder (manic-depressive
illness). Two of them had been diagnosed with obsessive-
compulsive disorder (OCD), an additional two had suffered
other types of mental health illnesses that were not indicated in
the table; only one had suffered from delusions. In contrast, 4
of them suggested that this question did not apply to them. The
researcher represented this information on a graph for
visualization, and the results are as indicated in figure 4.5.4
below.
Figure 4.5.4. shows the respondents who were diagnosed with
various mental illnesses by a medical professional or a
psychologist.
From figure 4.5.4 above, the total number of respondents who
answered this particular question was 100, with six of the
skipping it. Out of the 100 respondents, 57% of them indicated
they had not been diagnosed with any mental health problem by
a medical or a psychological professional. 28% indicated that
they had been diagnosed with depression, and 26% indicated
that they had been diagnosed with an anxiety disorder. 9% of
them had been diagnosed with post-traumatic stress disorder,
4% with bipolar disorder, while another 4% indicated that this
question did not apply to them. 2% of them indicated that they
had been diagnosed with obsessive-compulsive disorder. In
comparison, an additional 2% had been diagnosed with other
types of mental health issues apart from the ones mentioned
above. It is only 1% of the respondents that had been diagnosed
with delusions.
4.5.5 Respondents’ Current Status of Mental Illness
The researcher wanted to find out the current status of the
mental illness of each respondent to determine whether they
obtained adequate help or not. The results obtained from the
respondents are as illustrated in table 4.5.5 below.
“How would you describe your current status with your mental
illness?”
Answer Choices
Responses
Very Stable
38.00%
38
Somewhat Stable
42.00%
42
Somewhat Unstable
8.00%
8
Very Unstable
2.00%
2
N/A
10.00%
10
Answered
100
Skipped
6
Table 4.5.5. A table of the current status of the mental illness of
the various respondents.
In the table above the total number, the total number of
respondents who answered the question were 100 since six of
them skipped it. Forty-two of them indicated that their current
status of mental illness was somewhat stable. Thirty-eight
indicated that they were very stable; ten respondents indicated
that this question did not apply to them; eight respondents
indicated that they were somewhat unstable. Two indicated that
they were very stable. For better visualization, the researcher
plotted the above information on a graph, and the results are as
indicated in figure 4.5.5 below.
Figure 4.5.5. A figure of the current status of the mental illness
of the various respondents.
From figure 4.5.5 above, 42% of the respondents indicated that
the current condition of their mental illness was somewhat
stable, 38% stated that they were very stable, 10% of them
indicated that this question did not apply to them, 8% indicated
that they were somewhat stable. The remaining 2% indicated
that their current status of mental illness is very stable.
4.5.6 Acute Mental Illness and Ability to Understand
Redemption
The researcher intended to find out whether acute mental illness
hindered the respondents from understanding redemption. The
results of these questions are as indicated in table 4.5.6 below.
“My acute mental illness made/makes it difficult to understand
redemption.”
Answer Choices
Responses
Strongly agree
5.00%
5
Agree
10.00%
10
Neither agree nor disagree
20.00%
20
Disagree
16.00%
16
Strongly disagree
20.00%
20
N/A
29.00%
29
Answered
100
Skipped
6
Table 4.5.6. A table of how acute mental illness impacted the
respondents' ability to understand redemption.
In the table 4.5.6 above, the total number of respondents who
answered this question was 100 since six of them skipped it.
From the 100 respondents, 29 of them indicated that this
question did not apply to them; 20 respondents said that they
strongly disagree, meaning that their acute mental illness did
not make it difficult for them to understand redemption.
Another 20 respondents said that they neither agree nor
disagree. Sixteen respondents disagreed, indicating that their
acute mental illness did not hinder their comprehension of
redemption. A total of 10 respondents agreed to say that their
acute mental illness made it difficult for them to understand
redemption. In comparison, ten respondents strongly agreed that
their acute mental illness made it difficult for them to
understand redemption. The total number of respondents who
claimed that their acute mental illness made it difficult for them
to understand redemption was 15. The above information was
plotted on the figure 4.5.6 below.
Figure 4.5.6. A figure of how acute mental illness affected the
ability of the respondents to understand redemption
From figure 4.5.6 above, 29% of the respondents indicated that
the question did not apply to them. 20% of them strongly
disagree, and another 20% of them indicated that they neither
agree nor disagree, 16% of the respondents disagree, and 10%
agreed to indicate that acute mental illness made it difficult for
them to understand redemption while 5% strongly agreed. The
total percentage of the respondents who agreed that acute
mental illness made it difficult for them to understand
redemption was 15%, which was a significant percentage.
4.5.7 Acute Mental Illness and Christine Spiritual Success
The researcher wanted to find out whether the respondents
believed that Christine, with an acute mental illness, was able to
succeed even if the illness was not treated. The results of the
respondents are as indicated in table 4.5.7 below.
“I believe a Christian with an acute mental illness can succeed
spiritually even if the illness has not been treated.”
Answer Choices
Responses
Strongly agree
14.00%
14
Agree
18.00%
18
Neither agree nor disagree
23.00%
23
Disagree
25.00%
25
Strongly disagree
10.00%
10
Don’t Know
10.00%
10
Answered
100
Skipped
6
Table 4.5.7. A table of the respondents' belief on acute mental
illness and Christine spiritual success.
From the table 4.5.7 above, the total number of respondents was
100 after six respondents skipped the question. Of the 100
respondents, 25 of them disagreed, 23 of them neither agreed
nor disagreed, 18 of them agreed, 14 strongly agreed, 10 of
them strongly disagreed, another ten respondents were not
aware. The total number of respondents who agreed that
Christians with an acute mental disability could succeed
spiritually even if the illness had not been treated was 32, while
those who disagreed were 35. When the above information was
represented on a graph, the results were as indicated in figure
4.5.7 below.
Figure 4.5.7. A figure of the respondents' understanding of
whether a Christian with an acute mental illness could succeed
spiritually even without treating the disease.
From the table above, 25% of the respondents disagreed, 23% of
them neither agreed nor disagreed, while 18% agree, some 4%
of the respondents strongly agreed, while 10% of them strongly
disagreed while the last 10% were not aware. Therefore, the
total percentage of the respondents that agreed that a Christian
with an acute mental illness could succeed spiritually even if
the disease has not been treated was 32%. In comparison, those
who disagreed were 35%. Hence, a majority of the respondents
disagreed with this statement, which could infer little faith or
absence of adequate evidence to back up the account.
4.5.8. Whether acute mental illness weakened the respondents’
efforts to live like a Christian
The researcher intended to find out whether acute mental illness
undermines one's efforts to live as a Christian. The researcher
posed this question to the respondents, and the results obtained
are as indicated in the table 4.5.8 below.
“My acute mental illness weakens my efforts to live like a
Christian.”
Answer Choices
Responses
Strongly agree
6.00%
6
Agree
8.00%
8
Neither agree nor disagree
15.00%
15
Disagree
26.00%
26
Strongly disagree
17.00%
17
N/A
28.00%
28
Answered
100
Skipped
6
Table 4.5.8 A table of the relationship between acute mental
illness and one's efforts to live like a Christian.
In the table 4.5.8 above, the total number of respondents was
100 since 6 of them skipped the question. When the respondents
were asked whether they think that one’s acute mental illness
weakened their efforts to live like a Christian, 28 respondents
indicated that the question did not apply to them. The number of
respondents who disagreed was 26, while 17 strongly disagreed.
The number of respondents who neither agreed nor disagreed
was 15. The number of respondents who agreed was eight, while
those who strongly agreed were 6. The total number of
respondents who agreed was 14, while those who disagreed was
43. Therefore, a majority of the respondents disagreed that their
acute mental illness weakened their efforts to live like a
Christian.
4.5.9. Respondents who sought Pastoral Counselling as a
Treatment Option for Mental Health Concerns.
The researcher wanted to find out how many respondents had
ever sought pastoral counseling as a treatment option for their
mental health problems. The results are as indicated in the table
4.5.9 below.
Have you ever sought pastoral counseling as a treatment option
for your mental health concerns?
Answer Choices
Responses
Yes
15.05%
14
No
84.95%
79
Answered
93
Skipped
13
Table 4.5.9. A table of the number of respondents who sought
pastoral counseling as a treatment for their mental health
concerns.
In the table 4.5.9 above, the total number of respondents who
answered the question were 93 while 13 respondents skipped it.
Thirteen respondents indicated yes they had sought pastoral
advice as a treatment option for their mental health concerns,
while 79 of them said no. 14 was a significant number of
respondents, even though it was still shallow. When the results
were plotted on a graph, figure 4.5.9 …
Use inductive reasoning to predict the next number in the list.
A store orders cases of tomato sauce from a warehouse. The
following bar graph shows the number of cases of tomato sauce
in the warehouse for the
first four months of a year.
Using inductive reasoning, how many cases of tomato sauce will
be in the warehouse in May?
cases
4, 1, 3, 0, 2, −1, 1, ?
ℹ
1. AUFQR1 1.R.003.–/1 POINTS MY NOTES ASK YOUR
TEACHER
2. AUFQR1 1.R.012.–/1 POINTS MY NOTES ASK YOUR
TEACHER
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The following table shows the distance a rock has fallen after
various amounts of time.
Time (seconds) 0 0.5 1 1.5 2 2.5 3 3.5 4
Distance (feet) 0 4 16 36 64 100 144 196 256
Using inductive reasoning, will the distance the rock has fallen
after 4.5 seconds be less than or more than 316 feet?
less than 316 feet
more than 316 feet
Michael, Clarissa, Reggie, and Ellen are attending Florida State
University (FSU). One student is a computer science major, one
is a chemistry major, one
is a business major, and one is a biology major. From the
following clues, determine which major each student is
pursuing.
1. Michael and the computer science major are nextdoor
neighbors.
2. Clarissa and the chemistry major have attended FSU for 2
years. Reggie has attended FSU for 3 years, and the biology
major has
attended FSU for 4 years.
3. Ellen has attended FSU for fewer years than Michael.
4. The business major has attended FSU for 2 years.
computer science ---Select---
chemistry ---Select---
business ---Select---
biology ---Select---
3. AUFQR1 1.R.013.–/1 POINTS MY NOTES ASK YOUR
TEACHER
4. AUFQR1 1.R.019.–/4 POINTS MY NOTES ASK YOUR
TEACHER
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
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AF92303BD94','Chegg Tutor',
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3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
The following graph shows the total amount spent (in millions
of dollars) on pets in the United States for the years shown.
Between which two years was the increase in the amount spent
on pets the greatest?
2007 and 2008
2008 and 2009
2009 and 2010
2010 and 2011
2011 and 2012
2012 and 2013
2013 and 2014
2014 and 2015
2015 and 2016
2016 and 2017
ℹ
5. AUFQR1 1.R.029.–/1 POINTS MY NOTES ASK YOUR
TEACHER
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
The following line graph shows the decline in the value of a car
that was originally purchased for $35,000 after each year of
ownership.
(a) Between which two consecutive years did the car decrease in
value the most?
year 0 and year 1
year 1 and year 2
year 2 and year 3
year 3 and year 4
year 4 and year 5
(b) At the end of 4 years, is the value of the car less than or
more than one-half of its original value?
less than one-half
more than one-half
A standard red brick weighs about 4 pounds. A pallet of bricks
contains 400 bricks. Would a truck rated to carry a load of one
ton (2,000 pounds) be
able to haul a pallet of bricks?
Yes
No
ℹ
6. AUFQR1 1.R.031.–/2 POINTS MY NOTES ASK YOUR
TEACHER
7. AUFQR1 1.R.022.–/1 POINTS MY NOTES ASK YOUR
TEACHER
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proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
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AF92303BD94','Chegg Tutor',
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3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
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A survey asked 750 people whether they like chocolate (C),
butterscotch (B), or strawberry on vanilla ice cream. The results
are in the following Venn
diagram.
(a) How many people liked exactly one flavor?
(b) How many people liked all three flavors?
(c) How many people liked exactly two of the flavors?
(d) How many people did not like any of the flavors?
ℹ
147
64 76
20
97 50 225
8. AUFQR1 2.R.037.–/4 POINTS MY NOTES ASK YOUR
TEACHER
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
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A pharmaceutical company has a new procedure to test whether
a person's immune system is reacting properly to the mumps
antigen. The test is given
to 1,000 people, 200 of whom are known to have the mumps
antigen. The results are shown in the following Venn diagram.
(a) Using the Venn diagram, complete the following table.
Positive Test Negative Test
Person Has Mumps Antigen
Person Does Not Have Mumps Antigen
(b) How many false negatives occurred?
(c) Write a sentence that describes a false positive in the
context of this test.
There were cases in which there was a ---Select--- and the
person did ---Select--- the mumps antigen.
(d) How many true negatives occurred?
ℹ
24 176 81
719
9. AUFQR1 2.R.040.–/9 POINTS MY NOTES ASK YOUR
TEACHER
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
Write the negation of both of the following.
(a) Some cars are not fuel efficient.
All cars are not fuel efficient.
Some cars are fuel efficient.
No cars are fuel efficient.
Some cars are not fuel efficient.
All cars are fuel efficient.
(b) Every parakeet is a bird.
No parakeet is a bird.
No parakeet is not a bird.
Some parakeets are birds.
Every parakeet is a bird.
Some parakeets are not birds.
Determine whether the sentence is a proposition.
Saturn is not a planet in our solar system.
The sentence is a proposition.
The sentence is not a proposition.
10. AUFQR1 2.R.042.–/2 POINTS MY NOTES ASK YOUR
TEACHER
11. AUFQR1 2.R.050.–/1 POINTS MY NOTES ASK YOUR
TEACHER
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
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3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
Determine whether the sentence is a proposition.
Would you like coffee or tea?
The sentence is a proposition.
The sentence is not a proposition.
A college finds that of the 851 students taking math, 575
students are business majors and 302 students are taking math
and are business majors.
How many students are math or are business majors?
12. AUFQR1 2.R.051.–/1 POINTS MY NOTES ASK YOUR
TEACHER
13. AUFQR1 2.R.035.–/1 POINTS MY NOTES ASK YOUR
TEACHER
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
Use an Euler diagram to determine whether the argument is
valid.
Choose the Euler diagram that shows whether the argument is
valid or invalid.
Is the argument valid or invalid?
valid
invalid
No wizard can yodel.
All lizards can yodel.
∴ No wizard is a lizard.
ℹ
ℹ
ℹ
ℹ
14. AUFQR1 2.R.043.–/2 POINTS MY NOTES ASK YOUR
TEACHER
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
Use an Euler diagram to determine whether the argument is
valid.
Choose the Euler diagram that shows whether the argument is
valid or invalid.
Is the argument valid or invalid?
valid
invalid
All sandwiches are good.
All good sandwiches have pastrami.
All sandwiches with pastrami need mustard.
∴ All sandwiches with mustard are good.
ℹ
ℹ
ℹ
ℹ
15. AUFQR1 2.R.047.–/2 POINTS MY NOTES ASK YOUR
TEACHER
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
Use an Euler diagram to determine whether the argument is
valid.
All Italian villas are wonderful. Some wonderful villas are
expensive. Therefore, some Italian villas are expensive.
Choose the Euler diagram that shows whether the argument is
valid or invalid.
Is the argument valid or invalid?
valid
invalid
ℹ
ℹ
ℹ
ℹ
16. AUFQR1 2.R.048.–/2 POINTS MY NOTES ASK YOUR
TEACHER
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
Identify the antecedent and consequent for the following two
propositions.
(a) If I practice my accent, I will sound more like a native
speaker.
antecedent ---Select---
consequent ---Select---
(b) It is necessary to make a 20% down payment to secure a
loan on this house.
antecedent ---Select---
consequent ---Select---
Determine the truth-value of the conditional proposition.
If dogs are mammals, then cats are reptiles.
True
False
Consider the following conditional proposition.
If dogs are mammals, then cats are reptiles.
In the statement above, "dogs are mammals" is called the ---
Select--- and "cats are reptiles" is called the ---Select--- .
The antecedent is ---Select--- and the consequent is ---Select---
.
Determine the truth-value of the given conditional.
True
False
17. AUFQR1 2.R.063.–/4 POINTS MY NOTES ASK YOUR
TEACHER
18. AUFQR1 2.R.065.–/1 POINTS MY NOTES ASK YOUR
TEACHER
19. AUFQR1 2.R.065.EP.–/5 POINTS MY NOTES ASK YOUR
TEACHER
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proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
javascript:openWindow('https://chegg.cengage.com/mediation-
proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996
D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
AF92303BD94','Chegg Tutor',
'width=760,height=620,scrollbars=yes,resizable=yes')
Write a sentence that explains why the argument is a fallacy.
By rejecting community involvement, you are rejecting values
such as cooperation and entrepreneurship.
appeal to ignorance
post hoc
appeal to emotion
slippery slope
red herring
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Chapter 1
Introduction
Despite the controversial relationship between religion
psychology, and psychiatry, individuals refer to spiritual
practices to cope with stressful life events. There is an
increasing awareness in the connection of spirituality and
religion’s influence in mental health. Prior studies indicate that
clients who seek pastoral counseling also address spirituality
and religion in their therapeutic conversations, spirituality and
religion is essential to many individuals in the United
States.[footnoteRef:1] [1: Walker Kathryn Reid, Tammy H.
Scheidegger, Laurel End, and Mark Amundsen. "The
Misunderstood Pastoral Counselor: Knowledge and Religiosity
as Factors Affecting a Client’s Choice." VISTAS, March 23,
2012, 1-16. Accessed February 23, 2019.
https://www.counseling.org/knowledge-center/vistas/by-
subject2/vistas-spirituality/docs/default-
source/vistas/vistas_2012_article_62.
]
The adverse effects that untreated mental health
problems have on the society and economy can affect everyday
life for individuals causing discomfort to the individual, family
members or care takers. Psychological disorders such as severe
depression affects the daily life of the individuals, family
members, and it could also have influence on their friends.
There are many treatment options readily available for
individuals suffering from ailments such as anxiety, depression,
suicide, and substance abuse, which were recognized to be
successful. Typical therapy options include interpersonal
psychotherapy, cognitive behavioral therapy, psychodynamic,
and existing therapy.[footnoteRef:2] Among most worldwide
mental health issues, depression ranks the most common mental
health issue in areas such as the UK and is center focus of
research that explores the connection between spirituality and
mental health.[footnoteRef:3] Prior evidence examines the
relationship between populations which demonstrates
quantitative measures of the reduced level of anxiety in areas
such as anxiety or stress when joined with spiritual
techniques.[footnoteRef:4] [2: Abdaleati, Naziha S.,
Norzarina Mohd Zaharim, and Yasmin Othman Mydin.
"Religiousness and Mental Health: Systematic Review
Study." Journal of Religion and Health 55, no. 6 (2014): 1929-
937. doi:10.1007/s10943-014-9896-1.
] [3: Cornah, Deborah. The Impact of Spirituality on Mental
Health A Review of the Literature A Review of the Literature.
Mental Health Foundation. 2006.
https://www.mentalhealth.org.uk/sites/default/files/impact-
spirituality.pdf.
] [4: Cornah, The Impact of Spirituality on Mental Health A
Review of the Literature A Review of the Literature. 7.
]
Some research suggest that many pastoral counselors are
only trained to accommodate spiritual issues which include
particular faith traditions, while individuals believe pastoral
counselors have little expertise with psychotherapeutic
theories.[footnoteRef:5] Preferably, highly religious clients aim
towards counselors who firmly mirror same religious values.
Furthermore, increased levels of reported religiosity result in
stronger reactions to spiritual mechanisms of counselor
descriptions. Additional research is required in the recent years
to evaluate the perceptions of individuals, counselors, and the
functions that pastoral counseling contributes in cohesively to
psychotherapeutic counseling. [footnoteRef:6] Research
provides a contrast between pastoral and psychotherapeutic
counseling; however, more clarification and investigative
studies are essential to further demonstrate the outcomes of
pastoral counseling. [5: Walker, Scheidegger, End, and
Amundsen, The Misunderstood Pastoral Counselor: Knowledge
and Religiosity as Factors Affecting a Client’s Choice, 3.
] [6: Brian K. Jackson, “Licensed Professional Counselors’
Perceptions of Pastoral Counseling in the African American
Community,” Journal of Pastoral Care & Counseling:
Advancing Theory and Professional Practice through Scholarly
and Reflective Publications 69, no. 2 (2015): pp. 85-101,
https://doi.org/10.1177/1542305015586773, 85.
]
The church’s role in caring for members of the
community with acute mental illness is crucial as statistics
prove that individuals with the diagnosis is continuing to rise.
Recently, mental health clinicians and psychiatrists recognized
the relevance of spirituality and religion as an integrated
experience on the delivery of mental health services.
[footnoteRef:7] Religious beliefs and counseling affect mental
health outcomes and can be used as combined coping
mechanisms for individuals with acute mental illnesses. The
collaboration efforts of the church such as the resources offered
in religious communities’ and the support to loved one’s from
family members in the church, provide a robust treatment option
for individuals by limiting barriers and aiding victims in many
mental ailments such as substance abuse. [footnoteRef:8] While
findings propose the possibility of practical collaboration
between clinicians, Church, and health care organizations,
barriers are formed. [footnoteRef:9] [7: Warren A. Kinghorn,
“American Christian Engagement With Mental Health and
Mental Illness,” Psychiatric Services 67, no. 1 (2016): pp. 107-
110, https://doi.org/10.1176/appi.ps.201400542, p.107)] [8:
Kinghorn, American Christian Engagement with Mental Health
and Mental Illness, 107.] [9: ]
Ministry Context
While a collaborative approach is necessary, are
members of the church and the community actively seeking
support to mediate mental health issues? Support given to
individual from the clergy, pastor, or religious congregational
members is widely considered a key mediator between both
spiritual and mental health[footnoteRef:10]. Mental health
affects a wide range of demographics extending from the middle
east, Australia, to the western civilization. Among these,
African American’s mental health is impacted by a wide range
of factors, some which consist of social issues, homelessness,
physical health issues, and unemployment.[footnoteRef:11]
African Americans are less likely to seek mental health
counseling from professionals compared to any other majority
ethnic group.[footnoteRef:12] According to the U.S.
Department of Health and Human Services, only 15.7% of all
African Americans diagnosed with a mood impairment actually
seek counseling from a professional and 12.6% of African
Americans diagnosed with anxiety are seeking
treatment.[footnoteRef:13] Barriers to seeking treatment are
present in African Americans as they consist of social stigmas,
the denial of symptoms, cultural norms, and social
norms.[footnoteRef:14] Although African Americans are not
proactively seeking professional counseling by an licensed
psychotherapist, research is revealing some evidence that
African Americans’ are reaching out to church based ministries
for treatment for mental health issues.[footnoteRef:15] Spiritual
researchers approaching this topic are taking a holistic
approach, evaluating the way individuals view their spiritual
worldview, while exploring cognitive, emotional , interpersonal,
emotional, and behavioral components. The elements of
religiosity are increasingly discussed in psychiatry as studies
show religious individuals appear to improve coping skills and
abilities with severe mental disorders alongside with reducing
suicide attempts.[footnoteRef:16] [10: Cornah, The Impact of
Spirituality on Mental Health A Review of the Literature A
Review of the Literature. 7.
] [11: Avent, Janee R., Craig S. Cashwell, and Shelly Brown-
Jeffy. “African American pastors on mental health, coping, and
help seeking.’ Counseling and Values 60, no. 1 (2015): 32+.
Academic OneFile (accessed April 6,
2019).http://link.galefroup.com.ezprozy.liberty.edu/apps/doc/A4
11334409/AONE?
] [12: Avent, Janee, Cashwell, and Brown-Jeffy, African
American pastors on mental health, coping, and help seeking,
32.
] [13: Avent, Janee, Cashwell, and Brown-Jeffy, African
American pastors on mental health, coping, and help seeking,
32.
] [14: Avent, Janee, Cashwell, and Brown-Jeffy, African
American pastors on mental health, coping, and help seeking,
32.
] [15: Jackson, Licensed Professional Counselors’ Perceptions
of Pastoral Counseling in the African American Community, 86.
] [16: Jones, Simon, Keith Sutton, and Anton Isaacs.
"Concepts, Practices and Advantages of Spirituality Among
People with a Chronic Mental Illness in Melbourne." Journal of
Religion and Health 58, no. 1 (July 28, 2018): 343-55.
doi:10.1007/s10943-018-0673-4. 345.
]
Problem Presented
The research performed will examine a representative sample of
members from Deliverance Center for all nations church to
determine how many members underwent or currently
undergoing pastoral counseling as a treatment option of acute
mental illnesses and what their outcomes are. The results from
this research is not directly beneficial to the subjects but will
offer awareness and expertise, bridging the knowledge gap.
Statistical analysis will support each hypothesis as stated:
H1: There is a positive correlation between the subjects’ mental
health outcome and pastoral counseling session received.
H2: There is no correlation between the subjects’ mental health
outcome and pastoral counseling session received.
Purpose Statement
The purpose of this quantitative descriptive research study on
the relationship between pastoral counseling on mental health is
to gain a better understanding of the relationship between
pastoral counseling and mental health. The specific aims of this
study are (1) to add to prior findings in order to determine
whether majority of the population of individuals are actually
seeking pastoral counseling as a treatment option; (2) determine
within that population whether pastoral counseling has a
positive outcome on individuals with acute mental ailments.
Research is aimed at understanding the integration of pastoral
counseling and mental health, active practicing pastoral
counselors, and whether pastors can serve as educators to
mitigate care plans for individuals with acute mental illnesses.
[footnoteRef:17] Recent data suggests there is an increasing
number of individuals diagnosed with an acute mental illness.
[17: Cheney, Gregory J. “Integrating Pastoral and Clinical
Identities: A Narrative Inquiry of Pastoral Counselors.” Journal
of Pastoral Care & Counseling72, no. 3 (September 2018): 172–
79. doi:10.1177/1542305018792357. 172.
]
Basic Assumptions
The subjects included in the study will answer the interview
questions in a concise, honest manor limiting bias. The
researcher assumes the subjects participating in the survey are
Christian, limiting nonfaith-based world views that will present
research bias. The inclusion criteria of the sample are
substantial, therefore, assures all subjects have experienced
similar phenomenon of the study. Subjects have a sincere
interest in participating in the research study and do not present
altered motives such as using this study to impress their pastor
or gain benevolence offering.
Definitions
This section specifies effective definitions for several
referenced key terms
Acute Mental IllnessAcute mental illness is characterized by
significant and distressing symptoms of a mental illness
requiring intervention such as treatment. This can be a person’s
first experience, repeated episode, or worsening in symptoms.
[footnoteRef:18] [18: "Mental Health Definitions." Mental
Health Definitions | St. Joseph's Health Care London. January
22, 2019. Accessed February 05, 2019.
https://www.sjhc.london.on.ca/mental-health-care/definitions. 1
]
Anxiety Disordersformerly called neuroses, they are
characterized by an excessive level of anxiety, developing in
some patients to episodes of panic. [footnoteRef:19] [19:
Mental Health Definitions, 1.
]
Bipolar Disorder (Manic-Depressive Illness) A mental state
described by intense mood swings, depression alternating with
manic behavior. [footnoteRef:20] [20: Mental Health
Definitions, 1.
]
DelusionsThese are false beliefs which are not grounded in
reality. [footnoteRef:21] [21: Mental Health Definitions, 1.
]
Depressionis a biological illness altering brain chemistry that
can progress to a state of morbid and extreme sadness, despair
and hopelessness. [footnoteRef:22] [22: Mental Health
Definitions, 1.
]
Obsessive-compulsive disorder OCDIndividuals with OCD are
constantly plagued by fears or thoughts “obsessions” that cause
them to perform certain routines or rituals “compulsions”.
[footnoteRef:23] Post-traumatic stress disorder PTSDis a
condition that develops following a traumatic or terrifying event
in which individuals affected are often left having lasting or
frightening thoughts which can lead to emotional detachment.
Examples of such events include sexual or physical assault, a
natural disaster, or the unexpected death of a loved one.
[footnoteRef:24] [23: Mental Health Definitions, 1.
] [24: Mental Health Definitions, 1.]
Psychotherapeuticcounseling is described by rules that prevents
any personal relations in the therapeutic bond for both parties
involved. This type of counseling is characterized by
consideration of two types of unconscious subtleties,
conveyance and counter- conveyance.[footnoteRef:25] [25:
Avent, Janee, Cashwell, and Brown-Jeffy, African American
pastors on mental health, coping, and help seeking, 87.]
Symptom Attribution
Symptom attribution represents one’s beliefs about the possible
causes of the symptoms. Researchers argue that when people
face physical, cognitive, or emotional symptoms, they try to
place the symptoms in well-defined categories and to label them
as psychological, physiological, or normalizing (i.e.,
nonharmful) in nature. [footnoteRef:26] Symptom attribution
has a significant role in determining the course, the clinical
presentation, and the outcome of the illness[footnoteRef:27].
People who attribute their symptoms to a medical condition are
likely to focus on their physiological sensations, to seek help
from medical professionals, and to actively search for other
medical symptoms. In contrast, people who attribute their
symptoms to a mental condition are likely to seek the help of
mental health professionals and to look for a constellation of
psychological symptoms. To date, the roles of psychological,
physiological, and normalizing symptom attributions in
explaining group differences in help-seeking behaviors have not
been explored. [26: Liat Ayalon and Michael A. Young,
“Racial Group Differences in Help-Seeking Behaviors,” The
Journal of Social Psychology 145, no. 4 (2005): pp. 391-404,
https://doi.org/10.3200/socp.145.4.391-404, 391.] [27: Ayalon
and Young, Racial Group Differences in Help-Seeking
Behaviors, 392.]
Statement of Limitations
Every attempt is made to limit researcher bias during the
implementation of this project; however, responder bias can still
occur given the contextual matter of the subject. Research has
been limited to churches only with positive intent that the
churches included in this study will comply with instructions set
in this study to prevent responder bias. The researcher’s
ethnicity, personal ministry locality, denominational affiliation
delimited research restrictions.
Thesis Statement
Research insinuates that license professional counselors
intellectualized pastor’s role concerning the church. These
perceptions are denounced by several factors that separate the
two professions: unfulfilled training, deprived communications,
and fallacy related to the level of professionalism in the church.
Pastoral Counseling equips ministers with skills and practices
which help Pastors recognize behavioral and emotional changes
in members. The spiritual oneness with God, coupled with
pastoral counseling skills, pastors are able to intervene during a
members’ mental health crisis. Ministers might also be able to
identify religiously influenced symptoms of psychological
disorders similarly to religious delusions.
What is Pastoral Counseling?
Individuals may obtain both spiritual and psychological
guidance from chaplains who are trained through clinical
pastoral education, spiritual directors, and clergy
offering pastoral care.[footnoteRef:28] Studies denote
additional spiritually oriented descriptions including spiritual or
religious empathetic counseling, psychospiritual counseling,
Christian therapy, and religious counseling. [28: Walker,
Scheidegger, End, and Amundsen. The Misunderstood Pastoral
Counselor: Knowledge and Religiosity as Factors Affecting a
Client’s Choice, 7.]
Distinguishing pastoral counseling and other forms of
spiritually oriented counseling produces complications, for
instance, some research studies used the term pastoral counselor
without exploring the definition, using the term interchangeably
with religious or Christian counselor.[footnoteRef:29]
According to the dictionary of pastoral care and counseling,
pastoral counseling is defined as a twentieth century
phenomenon notwithstanding further definitions such as the
North American Protestant pastors who included new
psychological information into their ministries which claim new
genealogy based on Hebrew and Christian understanding of
care.[footnoteRef:30] Religious and social changes restructured
pastoral counselor practices, training, and
identity.[footnoteRef:31]Observations denote that there is no
universally accepted definition for pastoral counseling.
[footnoteRef:32] [29: Walker, Scheidegger, End, and
Amundsen. The Misunderstood Pastoral Counselor: Knowledge
and Religiosity as Factors Affecting a Client’s Choice, 7.] [30:
Townsend, Loren. Introduction to Pastoral Counseling.
Nashville: Abingdon Press, 2009.] [31: Townsend,
Introduction to Pastoral Counseling, 3.] [32: Walker,
Scheidegger, End, and Amundsen. The Misunderstood Pastoral
Counselor: Knowledge and Religiosity as Factors Affecting a
Client’s Choice, 7.]
Chapter 2
Conceptual Framework
Literature Review
The article, Pastors’ Counseling Practices and Perceptions of
Mental Health Services: Implications for African American
Mental Health, thewriters conducted an exploratory study to
determine the practices, behaviors, and desires of African
American pastors utilizing the first level service delivery
model. Their research found a link between pastors who have
optimistic views about mental health facilities and
documentation of parishioner counseling sessions on a broader
variety of subjects several days a month. Participating pastors
in this study reported counseling their members on a wide range
of subjects, the most common being marital and family issues
(91.7%), spiritual problems (87.5%), sorrow (79.2%) and work
problems (70.8%).[footnoteRef:33] While they currently teach
on a range of topics, all but one of the pastors surveyed said
that they could receive additional instruction in one or more
fields. The minister’s topics selected the most were marital and
family issues (72.9%), emotional (70.8%), drugs (54.2%),
domestic and sexual abuse (45.8%) and sexual problems
(45.85%).[footnoteRef:34] While work problems and spiritual
issues were two of the most frequently reported topics of
advice, they were two of the lowest perceived need for
additional training. This finding suggests that pastors are more
prepared than some other areas of interest to address these two
subjects.[footnoteRef:35] [33: Brown, Jessica Young, and
Micah L. McCreary. “Pastors’ Counseling Practices and
Perceptions of Mental Health Services: Implications for African
American Mental Health.” Journal of Pastoral Care &
Counseling 68, no. 1 (March 2014): 1–14.
doi:10.1177/154230501406800102, 10] [34: Young Brown
and McCreary. Pastors’ Counseling Practices and Perceptions of
Mental Health Services: Implications for African American
Mental Health, 10.] [35: Young Brown and McCreary. Pastors’
Counseling Practices and Perceptions of Mental Health
Services: Implications for African American Mental Health,
10.]
The most frequently suggested issues on which professional
experience was necessary included marital and family
difficulties and emotional problems, fields that were usually
discussed by professionals of mental health. [footnoteRef:36]
Participants in those areas included improved mental health
care, therapy, and/or planning. Interventions will focus on best
practices to deal with social and emotional problems, and how
to implement them in religious communities. Professional
pastoral preparation could include ways to deliver group-level
services such as seminars or gatherings that might help lighten
the time pressure that pastoral therapy can sometimes bring to
busy pastors. The reality that such a large proportion of pastors
supported needing additional training suggests that while
pastors perform a wide range of counseling tasks, they may not
feel fully equipped to provide their parishioners with
appropriate counseling. The study further built upon the idea to
discuss clergy engaging with their parishioners ' mental and
emotional needs. [36: Young Brown and McCreary. Pastors’
Counseling Practices and Perceptions of Mental Health
Services: Implications for African American Mental Health,
p11]
The self-efficacy of pastors around these issues directly affects
the quality of care they will give their parishioners. An
important aspect to consider is that pastoral care in the manner
of traditional psychotherapy is not to be conceptualized. For a
long time, members of religious communities used pastors as a
resource that adds evidence of the effectiveness of their
counseling. Conversely, certain pastors may not interpret their
ability to handle any serious cases passed on to them as
positive.
The article, Religiousness and Mental Health: Systematic
Review Study, reviews recent empirical research to determine
the role that religion plays in mental health outcomes. The most
widely recognized problem is substance abuse, suicide,
depression, and anxiety, impacting some 50 percent of mental
cases.[footnoteRef:37] Such mental disorders are known to
affect the public at large. The negative impacts of the mental
problems on the general public and economy could interfere
with regular daily life and inflict misery to the sufferers and
their families or superiors-now and again. Severe sadness could
influence people and their families ' day-to-day lives, and it
could also impact their partners and influence toward
religion.[footnoteRef:38] There are numerous mental medicines
available for melancholy, nervousness, suicide, and abuse of
compelling substances, and some are fruitful and helpful, such
as treatment for intellectual conduct, relational psychotherapy,
psychodynamics, and existing treatment. [37: Abdaleati,
Zaharim, and Mydin, Religiousness and Mental Health:
Systematic Review Study,p 1929-30] [38: Abdaleati, Zaharim,
and Mydin, Religiousness and Mental Health: Systematic
Review Study,p 1930]
Psychotherapeutic treatment for certain individuals is a
powerful technique for treating mental
dispersion.[footnoteRef:39] Through emotional and
psychological literature an increased passion for the influences
of faith and otherworldliness on well-being is apparent. Even
though religion was intended to affect well-being, this
partnership is increasingly unstable for late exams. Significant
research information has suggested that strict practice with
better mental and physical well-being is identified. Religiosity
has been identified as an important defensive tool for well-
being; research has shown a strong positive connection between
rigor and psychological well-being. That connection has spread
across different populations, including teenagers, grown-ups,
old, general community members, workers, and displaced
people, undergraduates, the immoral, terrorists, lesbians,
friends, and individuals with issues of mental health and
character. [39: Abdaleati, Zaharim, and Mydin, Religiousness
and Mental Health: Systematic Review Study,p 1930]
The article, Challenges to the Conceptualization and
Measurement of Religiosity and Spirituality in Mental Health
Research, both authors are addressing religiosity and faith to
further clarify how the experiences of individuals influence
their attitudes, acts and happiness generally. Nonetheless,
contradictions in the conceptualization and interpretation of
these patterns will affect the potential judgement of strictness
and spirituality.[footnoteRef:40] [40: Baumsteiger, Rachel,
and Tiffany Chenneville. "Challenges to the Conceptualization
and Measurement of Religiosity and Spirituality in Mental
Health Research." Journal of Religion and Health 54, no. 6
(2015): 2344-354. doi:10.1007/s10943-015-0008-7. P 2345
]
Evidence from a study of college understudies recommends that
congregations define spirituality as free from social impact and
that some individuals associated with antagonistic terms with
spirituality. A content study of indicators of spirituality shows
that measures of spirituality contain elements that do not truly
gauge the degree of spirituality. There is a discussion of ideas
and plans for future research. The reason for this inquiry was to
further understand the conceptualization and evaluation of
spirituality and religiosity within studies on mental health
welfare. The specific points of this study were to contribute to
earlier findings about the nature of religiosity and its
relationship to strictness of the all-inclusive community by
using a broader and more generalizable example; to analyze
how individuals equate spirituality with more negative terms
than religiosity, and to evaluate existing measurements of
religiosity to decide whether they are surveying for religiosity.
The article titled, The Gatekeepers: Involvement of Christian
Clergy in Referrals and Collaboration with Christian Social
Workers and Other Helping professionals, VanderWaal,
Hernandez, and Sandman conducted a report to evaluate their
subjects’ perception of MH and SA requirements and their
ability to comply and refer church members to medical care
providers. Despite developing multiple effective clinical and
psychosocial approaches aimed at neutralizing the effects of
psychological distress and drug abuse, nearly 66 percent of all
people despite reported mental wellbeing disorders are not
looking for treatment. Social services usually offer social health
and drug abuse service administrations. Barriers to individuals
pursuing psychological well-being and drug misuse recovery
include cost concerns, embarrassment surrounding
psychological well-being issues, ignorance of psychological
well-being issues, bullying over practices, and numbness over
treatments. Many individuals first look at their organization for
support. Two thoughts also discovered that 25-40% of
Americans also tried to guide spiritual administrations. People
in the church are more likely to look for ministerial assistance
than others.
Churches can alleviate service shame towards psychological
well-being and the benefits of substance misuse by effectively
meeting the network's emotional well-being needs. Studies show
that people who go to worship houses in an uplifting frame of
mind against emotional welfare administrators have increasingly
optimistic mentalities to receive support, especially within
minority networks.
The article concludes that some members of the clergy within
the church want to work with experts to help. There is an
ambiguity in allusion to their eagerness and comparison
examples. The Christian clergy has a significant role to play in
recognizing people with mental health and substance abuse
problems and for providing education, support and referral to
the care needed. In such a study, researchers conducted an
online study with over 200 Christian clergies from 50 +
churches investigate their views of substance abuse and mental
health conditions and their willingness to cooperate and refer
members of the church to professional service providers.
Findings have found that more than half of all clergy have met
in their churches regularly or more frequently individuals with
substance abuse or mental health problems. Nearly two-thirds
believed members of the church typically feel more secure
seeking pastoral support than turning to professional aid. Many
clergies indicated that if they had a mental health or substance
abuse problem, they would possibly refer church members to a
therapist, especially a Christian psychologist. Counseling and
race/ethnicity found important differences, however. Such
findings show that the parishioners with the disability would
receive medical care, help, and guidance from the clergy.
Service workers commonly provide mental health and substance
abuse treatment services. According to National Association of
Social Services a 2006 survey sponsored "Social workers in
behavioral health are the primary specialization sector within
the frontline social workforce with mental health being the
many prominent (37%) specialty research category of social
work." Social workers are the nation's largest group of
professionally qualified mental health service providers...
providing more mental health services than psychologists,
psychiatrists, and psychiatric staff combined, according to the
Drug Abuse and Mental Wellbeing Care Administration. …
Question 1Pastoral Counseling Research SurveyYou are invited
to be in a research study on the correlation of pastoral
counseling and mental health. You were selected as a possible
participant because you are 18 years of age or older and a
member of Deliverance Center for all Nations church. Please
read this form and ask any questions you may have before
agreeing to be in the study. Cynthia Taylor, a doctoral
candidate in the School of Divinity at Liberty University, is
conducting this study.Background Information: The purpose of
this study is to determine if data suggests that members of the
church are actively seeking pastoral counseling as an option to
address current mental health issues, and if current pastoral
counseling has impacted the congregation
positively.Procedures: If you agree to be in this study, I would
ask you to do the following things:Answer the survey questions
provided to the best of your ability.Risks: The risks involved in
this study are minimal, which means they are equal to the risks
you would encounter in everyday life. Benefits: Participants
should not expect to receive a direct benefit from taking part in
this study.Compensation: Participants will not be compensated
for participating in this study. Confidentiality: Data will be
stored on a password locked computer and may be used in
future presentations. After three years, all electronic records
will be deleted. Voluntary Nature of the Study: Participation in
this study is voluntary. Your decision whether or not to
participate will not affect your current or future relations with
Liberty University. If you decide to participate, you are free to
not answer any question or withdraw at any time, prior to
submitting the survey, without affecting those relationships.
How to Withdraw from the Study: If you choose to withdraw
from the study, please exit the survey and close your internet
browser. Your responses will not be recorded or included in the
study. Contacts and Questions: The researcher conducting this
study is Cynthia Taylor. You may ask any questions you have
now. If you have questions later, you are encouraged to contact
her at [email protected] You may also contact faculty chair, Dr.
Garcia, at [email protected] If you have any questions or
concerns regarding this study and would like to talk to someone
other than the researcher, you are encouraged to contact the
Institutional Review Board, 1971 University Blvd., Green Hall
Ste. 2845, Lynchburg, VA 24515 or email at
[email protected] Do you agree to these terms?Answer
ChoicesResponsesYes, please begin the survey.99.06%105No, I
would like to exit the survey0.94%1Answered106Skipped0
You are invited to be in a research study on the correlation of
pastoral counseling and mental health. You were selected as a
possible participant because you are 18 years of age
or older and a member of Deliverance Center for all
Nations church. Please read this form and ask any questions you
may have before agreeing to be in the study. Cynthia Taylor,
a doctoral candidate in the School of Divinity at Liberty
University, is conducting this study.Background Information:
The purpose of this study is to determine if data suggests that
members of the church are actively seeking pastoral counseling
as an option to address current mental health issues, and if
current pastoral counseling has impacted the congregation
positively.Procedures: If you agree to be in this study, I would
ask you to do the following things:Answer the survey questions
provided to the best of your ability.Risks: The risks involved in
this study are minimal, which means they are equal to the risks
you would encounter in everyday life. Benefits: Participants
should not expect to receive a direct benefit from taking part in
this study.Compensation: Participants will not be compensated
for participating in this study. Confidentiality: Data will be
stored on a password locked computer and may be used in
future presentations. After three years, all electronic records
will be deleted. Voluntary Nature of the Study: Participation in
this study is voluntary. Your decision whether or not to
participate will not affect your current or future relations with
Liberty University. If you decide to participate, you are free to
not answer any question or withdraw at any time, prior to
submitting the survey, without affecting those relationships.
How to Withdraw from the Study: If you choose to withdraw
from the study, please exit the survey and close your internet
browser. Your responses will not be recorded or included in the
study. Contacts and Questions: The researcher conducting this
study is Cynthia Taylor. You may ask any questions you have
now. If you have questions later, you are encouraged to contact
her at [email protected] You may also contact faculty chair, Dr.
Garcia, at [email protected] If you have any questions or
concerns regarding this study and would like to talk to someone
other than the researcher, you are encouraged to contact the
Institutional Review Board, 1971 University Blvd., Green Hall
Ste. 2845, Lynchburg, VA 24515 or email at
[email protected] Do you agree to these terms?
Question 2Pastoral Counseling Research SurveyWhat is your
gender?Answer
ChoicesResponsesFemale84.91%90Male15.09%16Answered106
Skipped0
What is your gender?
Question 3Pastoral Counseling Research SurveyWhat is your
highest level of education?Answer ChoicesResponsesSome high
school21.70%23College graduate32.08%34Graduate degree or
beyond26.42%28Some post-graduate
education19.81%21Answered106Skipped0
What is your highest level of education?
Question 4Pastoral Counseling Research SurveyWhat is your
Ethnic/Racial background?Answer ChoicesResponsesAmerican
Indian or Alaska Native: A person having origins in any of the
original peoples of North and South America (including Central
America), and who maintains a tribal affiliation or community
attachment.0.00%0Asian: A person having origins in any of the
original people of the Far East, Southeast Asia, or the Indian
Subcontinent, for example Cambodia, China, India, Japan,
Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and
Vietnam.0.94%1Black or African American: A person having
origins in any of the Black racial groups of
Africa.84.91%90Native Hawaiian or Other Pacific Islander: A
person having origins in any of the original peoples of Hawaii,
Guam, Samoa, or other Pacific Islands.0.94%1Hispanic or
Latino: A person of Cuban, Mexican, Puerto Rican, South or
Central American, or other Spanish culture of origin, regardless
of race4.72%5White: A person having origins in any of the
original peoples of Europe, the Middle East, or North
Africa5.66%6N/A2.83%3Answered106Skipped0
What is your Ethnic/Racial background?
Question 5Pastoral Counseling Research SurveyHave you ever
personally struggled with mental illness of any kind?Answer
ChoicesResponsesYes, and it was diagnosed24.00%24Yes, but it
was never
diagnosed24.00%24No51.00%51N/A1.00%1Answered100Skipp
ed6
Have you ever personally struggled with mental illness of any
kind?
Question 6Pastoral Counseling Research SurveyHave you ever
seen a psychiatrist as a treatment option for your mental health
concerns?Answer
ChoicesResponsesYes22.00%22No69.00%69N/A9.00%9Answer
ed100Skipped6
Have you ever seen a psychiatrist as a treatment option for your
mental health concerns?
Question 7Pastoral Counseling Research SurveyHave you have
seen a psychologist as a treatment option for your mental health
concerns?Answer
ChoicesResponsesYes21.00%21No68.00%68N/A11.00%11Answ
ered100Skipped6
Have you have seen a psychologist as a treatment option for
your mental health concerns?
Question 8Pastoral Counseling Research Survey“Have you ever
been diagnosed by a medical or psychological professional with
any of the following conditions?”Answer
ChoicesResponsesAnxiety Disorders26.00%26Bipolar Disorder
(Manic-Depressive
Illness)4.00%4Delusions1.00%1Depression28.00%28Obsessive-
compulsive disorder (OCD)2.00%2Post-traumatic stress
disorder
(PTSD)9.00%9Other2.00%2None57.00%57N/A4.00%4Answere
d100Skipped6
“Have you ever been diagnosed by a medical or psychological
professional with any of the following conditions?”
Question 9Pastoral Counseling Research Survey“How would
you describe your current status with your mental
illness?”Answer ChoicesResponsesVery
Stable38.00%38Somewhat Stable42.00%42Somewhat
Unstable8.00%8Very
Unstable2.00%2N/A10.00%10Answered100Skipped6
“How would you describe your current status with your mental
illness?”
Question 10Pastoral Counseling Research Survey“My acute
mental illness made/makes it difficult to understand
redemption.”Answer ChoicesResponsesStrongly
agree5.00%5Agree10.00%10Neither agree nor
disagree20.00%20Disagree16.00%16Strongly
disagree20.00%20N/A29.00%29Answered100Skipped6
“My acute mental illness made/makes it difficult to understand
redemption.”
Question 11Pastoral Counseling Research Survey“I believe a
Christian with an acute mental illness can succeed spiritually
even if the illness has not been treated.”Answer
ChoicesResponsesStrongly
agree14.00%14Agree18.00%18Neither agree nor
disagree23.00%23Disagree25.00%25Strongly
disagree10.00%10Don’t Know10.00%10Answered100Skipped6
“I believe a Christian with an acute mental illness can succeed
spiritually even if the illness has not been treated.”
Question 12Pastoral Counseling Research Survey“My acute
mental illness weakens my efforts to live like a
Christian.”Answer ChoicesResponsesStrongly
agree6.00%6Agree8.00%8Neither agree nor
disagree15.00%15Disagree26.00%26Strongly
disagree17.00%17N/A28.00%28Answered100Skipped6
“My acute mental illness weakens my efforts to live like a
Christian.”
Question 13Pastoral Counseling Research SurveyHave you ever
sought pastoral counseling as a treatment option for your mental
health concerns?Answer
ChoicesResponsesYes15.05%14No84.95%79Answered93Skippe
d13
Have you ever sought pastoral counseling as a treatment option
for your mental health concerns?
Question 14Pastoral Counseling Research SurveyIf so, when
was the last counseling session?Answer ChoicesResponsesOne
month or less3.23%3Two to six months ago2.15%2Six to
Twelve months ago3.23%3More than a year
ago7.53%7N/A83.87%78Answered93Skipped13
If so, when was the last counseling session?
Question 15Pastoral Counseling Research SurveyDo you agree
that pastoral counseling sessions are beneficial in your
treatment plan?Answer ChoicesResponsesStrongly
agree12.90%12Agree20.43%19Neither agree nor
disagree16.13%15Disagree6.45%6Strongly
disagree1.08%1N/A43.01%40Answered93Skipped13
Do you agree that pastoral counseling sessions are beneficial in
your treatment plan?
Question 16Pastoral Counseling Research SurveyFollowing the
last pastoral counseling session, do you agree that there are
recurrent struggles with your mental illness?Answer
ChoicesResponsesStrongly agree3.23%3Agree7.53%7Neither
agree nor disagree15.05%14Disagree3.23%3Strongly
disagree5.38%5N/A65.59%61Answered93Skipped13
Following the last pastoral counseling session, do you agree
that there are recurrent struggles with your mental illness?
Question 17Pastoral Counseling Research SurveyHave the
symptoms of your mental health impairment improved since
your last pastoral counseling session?Answer
ChoicesResponsesStrongly agree2.15%2Agree6.45%6Neither
agree nor disagree8.60%8Disagree5.38%5Strongly
disagree3.23%3N/A74.19%69Answered93Skipped13
Have the symptoms of your mental health impairment improved
since your last pastoral counseling session?
Question 18Pastoral Counseling Research SurveyDo you agree
others would benefit from pastoral counseling as a treatment
option for mental illness?Answer ChoicesResponsesStrongly
agree18.28%17Agree31.18%29Neither agree nor
disagree36.56%34Disagree8.60%8Strongly
disagree5.38%5Answered93Skipped13
Do you agree others would benefit from pastoral counseling as a
treatment option for mental illness?
Question 19Pastoral Counseling Research Survey“As I have
dealt with mental illness, I have found the local church to
be”Answer ChoicesResponsesMostly
Supportive10.75%10Somewhat Supportive17.20%16Neither
Supportive nor Unsupportive7.53%7Somewhat
Unsupportive4.30%4Mostly Unsupportive2.15%2Don’t
Know15.05%14N/A43.01%40Answered93Skipped13
“As I have dealt with mental illness, I have found the local
church to be”
Question 20Pastoral Counseling Research SurveyCounseling
sessions with my pastor haves explicitly helped me think
through and live out my faith in the context of my mental
illness.”Answer ChoicesResponsesStrongly
agree8.60%8Agree7.53%7Neither agree nor
disagree11.83%11Disagree1.08%1Strongly
disagree0.00%0Don’t
Know7.53%7N/A63.44%59Answered93Skipped13
Counseling sessions with my pastor haves explicitly helped me
think through and live out my faith in the context of my mental
illness.”
Question 21Pastoral Counseling Research SurveyFree Response:
May select multiple answers: Do you believe local churches
should assist individuals with acute mental illness in any of the
following areas?”Answer ChoicesResponsesHelp families find
local resources for support and dealing with the
illness78.49%73Talk about it openly so that the topic is not so
taboo72.04%67Improve people's understanding of what mental
illness is and what to expect69.89%65Increase awareness of
how prevalent mental illness is today68.82%64Provide training
for the church to understand mental illness65.59%61Offer
topical seminars on depression or anxiety58.06%54Have a
counselor on staff skilled in mental illness66.67%62Don't
know7.53%7Other (please
specify)1Answered93Skipped13RespondentsResponse
DateOther (please specify)Tags1Feb 15 2020 08:11 AMI did not
have mental illness I sought pastoral counseling for premarital
and marriage counseling
Free Response: May select multiple answers: Do you believe
local churches should assist individuals with acute mental
illness in any of the following areas?”
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  • 1. Running head: PASTORAL COUNSELLING ON MENTAL HEALTH 1 PASTORAL COUNSELLING ON MENTAL HEALTH 36 Pastoral Counseling on Mental Health Student’s Name Course Institutional Affiliation Pastoral Counseling on Mental Health Chapter 4 Results4.1 Introduction In this chapter, the researcher is going to present the results and findings obtained from the research. The primary objective of the study was to find out the effects of pastoral counseling on mental health. The researcher conducted a research survey to obtain the relevant data that was required to achieve the research objective. The data collection tool that was used in this study was a survey questionnaire that contained a total of 21 questions. The design of the questionnaire was in line with the specific objectives of this study. This chapter will present the respondents' background information, and the findings obtained from the analysis in line with the research objectives. 4.2 Data Analysis Descriptive statistics were used in the discussion of the findings of the research. The results were explained using percentages.
  • 2. The target respondents of the study were sampled using simple random sampling. However, the primary target sample was that of people who had experienced some form of mental health at a certain point in their lives. The primary criterion for sampling was that the individual participant must have attained the age of 18 years and above. 4.3 Response Rate Herein the response rate is the total number of people who completed the survey correctly and met the requirements of the researcher. In this study, a total of 106 participants completed the study. Before the survey was conducted, the respondents were taken through the details of the survey before they could give consent or decline. The reason they were chosen to take part in the study was that they were members of the Deliverance Center for all Nations Church and that they were of 18 years and above. Further, they were informed of the candidate undertaking the research. Additionally, the researcher told the respondents that the objective of the study was to find out whether the church members sought pastoral counseling as a remedy for addressing mental health issues and whether pastoral counseling had a positive impact on the organization. The respondents were made aware that there was no benefit whatsoever of taking part in the research, and it was voluntary. The potential risks that the respondents would experience in the study were made known to them, which were the same risks one would encounter in their daily lives. The participants were informed that the information they gave would be confidential, and no one else will access them apart from the researcher. Possible contacts were availed to the respondents in case they intended to contact a third party regarding the research. Once the participants had been taken through the details, they were asked whether they were willing to proceed with the survey or skip it. The results are as indicated in table 4.3 below. Answer Choices Responses
  • 3. Yes, please begin the survey. 99.06% 105 No, I would like to exit the survey 0.94% 1 Answered 106 Skipped 0 Table 4.3: The survey response rate table In Table 4.3above, out of the 106 participants, 105 of them clicked that they were ready to proceed with the survey, which indicated a 99.06% response rate. Only one of them clicked skip the survey but later proceeded to complete it, making the response rate 100%. The response rate was way above the acceptable response rate of 80% in the school of Pharmacy surveys and the 60% response rate acceptable in general surveys (Fincham, 2008). Therefore, since the response rate was within the margin of the acceptable response rate, the results obtained in this survey are reliable and relatively conclusive. 4.4 Personal Information of the Respondents The researcher intended to understand the personal details of the respondents. However, the respondents were requested to provide personal information that was relevant to the objective of the study. 4.4.1 Respondents Gender The respondents’ gender was relevant in the study in classifying the results based on gender. The respondents were asked to reveal their gender, and the results are as indicated in the table 4.4.1 below. What is your gender? Answer Choices Responses
  • 4. Female 84.91% 90 Male 15.09% 16 Answered 106 Skipped 0 Table 4.4.1: A table indicating the respective gender of the respondents. From the table above, all 106 respondents answered this question. 90 out of the 106 respondents were female, while 16 were male. This data was in tandem with the baseline expectations. It was expected and anticipated that the females would be more than the males. Many studies conducted have shown that women are at a higher risk of developing mental health issues compared to men (KVRGIC et al., 2013; Malhotra & Shah, 2015). The reason why women are more likely to suffer from mental health issues is that they are often exposed to emotional problems and extremely stressful situations (KVRGIC et al., 2013). Therefore, the gender difference in the respondents was the best for reliable and conclusive results. When the above information is plotted on a graph, the following figure 4.4.1 was obtained. Figure 4.4.1: A graph of the gender distribution of the respondents From the graph above, the percentage of the respondents that were female was 84.91%, while the men were only 15.09%. 4.4.2 Level of Education of the Respondents The researcher sought to find out the level of education of the respondents to determine the different categories of people the
  • 5. respondents were based on education status. Education level was a crucial statistic in this study because several types of research have indicated that there is a close correlation between education levels and mental health. Higher educational levels lead to advancement in skills and awareness, which reduces the probability of a person to develop mental health issues (Halpern-Manners et al., 2016). The results obtained from the respondents on their levels of education are as indicated in the table 4.4.2 below. What is your highest level of education? Answer Choices Responses Some high school 21.70% 23 College graduate 32.08% 34 Graduate degree or beyond 26.42% 28 Some postgraduate education 19.81% 21 Answered 106 Skipped 0 Table 4.4.2. A table of the respondents' levels of education From the table above, 34 respondents were college graduates, 28 respondents had a graduate degree, 23 of them had some high school education, and the last 21 of them had some postgraduate education. In terms of educational levels, the sample respondents were well distributed, with at least all categories of
  • 6. education levels being represented. When the above information is plotted on a graph, figure 4.4.2 below was obtained. Figure 4.4.2. A graph of the education levels of the respondents From the graph above, a majority of the respondents were college graduates who were 32.08% of the total respondents, 26.42% of them had a degree or beyond, 21.07% of them had some high school education. The last 19.81% had some postgraduate education. 4.4.3. Ethical/Racial Background of the Respondents The racial background of the respondents was essential in this research. The baseline data from various studies have indicated that mental health problems, especially depression, were more prevalent on the racial minorities considered as immigrants in the United States as compared to the native Americans (Budhwani et al., 2014). For example, Black or African Americans comprise 13.2% of the entire US population. Yet, over 16.2% of them, which translates to approximately 6.8 million persons, have been diagnosed with mental health within the past one year (Mental Health America, 2018). Therefore, the racial statistic was crucial in this study. Table 4.4.3 below indicates the various races or ethnic backgrounds of the respondents. What is your Ethnic/Racial background? Answer Choices Responses American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment. 0.00% 0 Asian: A person having origins in any of the original people of the Far East, Southeast Asia, or the Indian Subcontinent, for example, Cambodia, China, India, Japan, Korea, Malaysia,
  • 7. Pakistan, the Philippine Islands, Thailand, and Vietnam. 0.94% 1 Black or African American: A person having origins in any of the Black racial groups of Africa. 84.91% 90 Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. 0.94% 1 Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race 4.72% 5 White: A person having origins in any of the original peoples of Europe, the The Middle East, or North Africa 5.66% 6 N/A 2.83% 3 Answered 106 Skipped 0 Table 4.4.3 A Table of the different racial backgrounds of the respondents. From table 4.4.3 above, 90 of the respondents, which comprised a majority of the respondents, were of black or African
  • 8. American origin. Only six respondents were of white descent. Five were Hispanic, or Latino 3 did not know their race or were not ready to disclose it; there was one native Hawaiian or other Pacific Islander, one Asian, and zero American Indian or Alaska Native. The data met the baseline expectations since a majority of the Black or African Americans reported mental problems at some point in their lives as exhibited by different studies and by the Mental Health America. When the above data was plotted on a graph, the following results in figure 4.4.3 were obtained. Figure 4.4.3. A figure of the racial background of the respondents From figure 4.4.3 above, 84.91% of the total respondents were of Black or African American origin. 5.66% were whites, 4.72 were of Hispanic or Latino origin, 2.83% did not reveal their races, 0.94% were of Asian descent, another 0.94 were of Hawaiian or other Pacific Islands origin, and there was no American Indian. 4.5 Findings of the Study The respondents were of diverse traits, including gender, education level, and from the different racial background. The three features above have been linked to mental health problems by various researchers. Therefore, the researcher intended to find out the respondents had been victims of the same issue. If yes, the researcher wanted to find out further whether they sought help from pastoral counseling. 4.5.1 Victims of Mental Health Issues The researcher wanted to find out the respondents had been diagnosed with a mental health problem before. The research question used to instigate the responses was whether the respondents had struggled with any mental health problem at their level. The results obtained from this research question are as indicated in table 4.5.1 below. Have you ever personally struggled with mental illness of any kind?
  • 9. Answer Choices Responses Yes, and it was diagnosed 24.00% 24 Yes, but it was never diagnosed 24.00% 24 No 51.00% 51 N/A 1.00% 1 Answered 100 Skipped 6 Table 4.5.1. A table showing the number of respondents who have ever experienced mental problems. From the table above, 51 respondents indicated they had never been victims of any mental problem before, 24 respondents stated that they had experienced mental health issues before. Still, they were not diagnosed, and 24 more respondents indicated they experienced mental health issues before, but they were never diagnosed. This question did not apply to one of the respondents. Additionally, six respondents skipped the question and did not provide their answers. In total, 48 respondents out of 106 had experienced a mental health condition before, while only 51 had not. Upon representing the above information on a graph for visualization, the figure 4.5.1 below was obtained. Figure 4.5.1. A figure of the percentage of respondents that had experienced mental health issues
  • 10. The results of figure 4.5.1 above indicate 51% of the respondents had not experienced a mental health problem by the time the survey was being conducted. 24% of them had experienced a mental health condition, and it was diagnosed by healthcare personnel. Besides, 24% had experienced a mental health issue before, but it was never diagnosed. The question did not apply to 1% of the respondents. In total, the percentage of respondents who had experienced a health issue was 48%, while the percentage of the respondents who had never experienced a health issue was 51%. Translating this result into the real-world environment, it could mean that 48 out of 100 Americans have experienced a mental health issue. Since 84.91% of the respondents were black. Converting this value to 100, it becomes 84.94 people of Black or African American origin. When this value is multiplied by 48% (the percentage of respondents who experienced mental health issues before), it translates to 40.77. Therefore, it can be concluded that in every 85 black or African American origin, 41 of them have struggled with mental illness. 4.5.2 Respondents who sought help from a Psychiatrist Once it was established that some of the respondents had experienced mental health problems at some point, the researcher went ahead to find the next cause of action that was taken by these respondents. The researcher wanted to find out the number of respondents who visited a psychiatrist for help with their mental condition. The following table 4.5.2 shows the results. Have you ever seen a psychiatrist as a treatment option for your mental health concerns? Answer Choices Responses Yes 22.00% 22 No 69.00%
  • 11. 69 N/A 9.00% 9 Answered 100 Skipped 6 Table 4.5.2. A table showing the number of respondents who visited a psychiatrist for help with their mental health issues. From table 4.5.2 above, 69 respondents indicated that they did not seek the advice of a psychiatrist. In contrast, 22 of them stated that they sought the help of a psychiatrist regarding their mental health condition. Nine respondents indicated that this question did not apply to them, while the remaining six did not answer the question at all. The above information is represented on the figure 4.5.2 below. Figure 4.5.2. A figure of the percentage of respondents who visited a psychiatric for help with their mental health condition. From figure 4.5.2 above, 69% of the respondents indicated that they did not see a psychiatrist as a treatment option for their mental health concern, 22% of the respondents stated that they saw a psychiatrist for their mental health problem. In comparison, 9% indicated that the question did not apply to them. A total of 6 respondents did not answer this question, which makes the total number of respondents on this particular question to be 100. Out of the 100 respondents, 84.91 were of Black or African American origin. Since 22% of respondents saw a psychiatrist for help with their problem, this could mean that a total of 18.68 Blacks or African Americans saw a psychiatrist for help. Therefore, it means that out of 85 Blacks or African Americans, only 19 of them saw a psychiatrist for help.
  • 12. 4.5.3 Respondents who sought help from a psychologist The researcher wanted to find out the number of respondents who sought help from a psychologist regarding their mental health problems. Table 4.5.3 below represents the number of respondents who sought help from a psychologist. Have you have seen a psychologist as a treatment option for your mental health concerns? Answer Choices Responses Yes 21.00% 21 No 68.00% 68 N/A 11.00% 11 Answered 100 Skipped 6 Table 4.5.3. A table of the number of respondents who sought help from a psychologist. From table 4.5.3 above, 100 respondents answered this question, while six respondents did not. The respondents who sought help from a psychologist regarding their mental health condition was 21. Respondents who did not seek the help of a psychologist were 68, while those who indicated that this question did not apply to them was 11. The information was represented in figure 4.5.3 below. Figure 4.5.3. A figure of the percentage of respondents who
  • 13. visited a psychologist for help with their mental condition. From figure 4.5.3 above, the total number of respondents was 100 since 6 of them skipped the question. The percentage of respondents who sought the help of a psychologist regarding their mental health condition was 21%. The respondents who did not seek the help of a psychologist regarding their mental health condition were 68%, while 11% of the respondents indicated that this question did not apply to them. Therefore the number of Black or African Americans who sought help from a psychologist regarding their mental health was (11% * 84.91) = 9.3. These statistics indicate that out of 85 Blacks or African Americans, only 9 of them will seek help from a psychologist regarding their mental health. 4.5.4 Types of Mental Health Problems The researcher wanted to find out the number of respondents who had suffered from various types of mental illness. The results are as indicated in the table 4.5.4 below. “Have you ever been diagnosed by a medical or psychological professional with any of the following conditions?” Answer Choices Responses Anxiety Disorders 26.00% 26 Bipolar Disorder (Manic-Depressive Illness) 4.00% 4 Delusions 1.00% 1 Depression 28.00% 28 Obsessive-compulsive disorder (OCD) 2.00%
  • 14. 2 Post-traumatic stress disorder (PTSD) 9.00% 9 Other 2.00% 2 None 57.00% 57 N/A 4.00% 4 Answered 100 Skipped 6 Table 4.5.4. A table of the different types of mental disorders suffered by the respondents The researcher intended to find out the number of respondents who experienced different categories of mental health diseases. From the table 4.5.4 above, the total number of respondents who answered this question was 100 after six of the respondents skipped it. Of the 100 respondents, 57 of them indicated that they had not been diagnosed with any mental health problem by a medical or psychological professional. Twenty-eight respondents stated that they had been diagnosed with depression. Twenty-six of them indicated that they had been diagnosed with anxiety disorders. In comparison, 9 respondents had been diagnosed with post-traumatic stress disorder PTSD. Four of them had had bipolar disorder (manic-depressive illness). Two of them had been diagnosed with obsessive- compulsive disorder (OCD), an additional two had suffered other types of mental health illnesses that were not indicated in
  • 15. the table; only one had suffered from delusions. In contrast, 4 of them suggested that this question did not apply to them. The researcher represented this information on a graph for visualization, and the results are as indicated in figure 4.5.4 below. Figure 4.5.4. shows the respondents who were diagnosed with various mental illnesses by a medical professional or a psychologist. From figure 4.5.4 above, the total number of respondents who answered this particular question was 100, with six of the skipping it. Out of the 100 respondents, 57% of them indicated they had not been diagnosed with any mental health problem by a medical or a psychological professional. 28% indicated that they had been diagnosed with depression, and 26% indicated that they had been diagnosed with an anxiety disorder. 9% of them had been diagnosed with post-traumatic stress disorder, 4% with bipolar disorder, while another 4% indicated that this question did not apply to them. 2% of them indicated that they had been diagnosed with obsessive-compulsive disorder. In comparison, an additional 2% had been diagnosed with other types of mental health issues apart from the ones mentioned above. It is only 1% of the respondents that had been diagnosed with delusions. 4.5.5 Respondents’ Current Status of Mental Illness The researcher wanted to find out the current status of the mental illness of each respondent to determine whether they obtained adequate help or not. The results obtained from the respondents are as illustrated in table 4.5.5 below. “How would you describe your current status with your mental illness?” Answer Choices Responses Very Stable 38.00% 38
  • 16. Somewhat Stable 42.00% 42 Somewhat Unstable 8.00% 8 Very Unstable 2.00% 2 N/A 10.00% 10 Answered 100 Skipped 6 Table 4.5.5. A table of the current status of the mental illness of the various respondents. In the table above the total number, the total number of respondents who answered the question were 100 since six of them skipped it. Forty-two of them indicated that their current status of mental illness was somewhat stable. Thirty-eight indicated that they were very stable; ten respondents indicated that this question did not apply to them; eight respondents indicated that they were somewhat unstable. Two indicated that they were very stable. For better visualization, the researcher plotted the above information on a graph, and the results are as indicated in figure 4.5.5 below. Figure 4.5.5. A figure of the current status of the mental illness of the various respondents. From figure 4.5.5 above, 42% of the respondents indicated that the current condition of their mental illness was somewhat stable, 38% stated that they were very stable, 10% of them
  • 17. indicated that this question did not apply to them, 8% indicated that they were somewhat stable. The remaining 2% indicated that their current status of mental illness is very stable. 4.5.6 Acute Mental Illness and Ability to Understand Redemption The researcher intended to find out whether acute mental illness hindered the respondents from understanding redemption. The results of these questions are as indicated in table 4.5.6 below. “My acute mental illness made/makes it difficult to understand redemption.” Answer Choices Responses Strongly agree 5.00% 5 Agree 10.00% 10 Neither agree nor disagree 20.00% 20 Disagree 16.00% 16 Strongly disagree 20.00% 20 N/A 29.00% 29 Answered 100 Skipped 6
  • 18. Table 4.5.6. A table of how acute mental illness impacted the respondents' ability to understand redemption. In the table 4.5.6 above, the total number of respondents who answered this question was 100 since six of them skipped it. From the 100 respondents, 29 of them indicated that this question did not apply to them; 20 respondents said that they strongly disagree, meaning that their acute mental illness did not make it difficult for them to understand redemption. Another 20 respondents said that they neither agree nor disagree. Sixteen respondents disagreed, indicating that their acute mental illness did not hinder their comprehension of redemption. A total of 10 respondents agreed to say that their acute mental illness made it difficult for them to understand redemption. In comparison, ten respondents strongly agreed that their acute mental illness made it difficult for them to understand redemption. The total number of respondents who claimed that their acute mental illness made it difficult for them to understand redemption was 15. The above information was plotted on the figure 4.5.6 below. Figure 4.5.6. A figure of how acute mental illness affected the ability of the respondents to understand redemption From figure 4.5.6 above, 29% of the respondents indicated that the question did not apply to them. 20% of them strongly disagree, and another 20% of them indicated that they neither agree nor disagree, 16% of the respondents disagree, and 10% agreed to indicate that acute mental illness made it difficult for them to understand redemption while 5% strongly agreed. The total percentage of the respondents who agreed that acute mental illness made it difficult for them to understand redemption was 15%, which was a significant percentage. 4.5.7 Acute Mental Illness and Christine Spiritual Success The researcher wanted to find out whether the respondents believed that Christine, with an acute mental illness, was able to succeed even if the illness was not treated. The results of the respondents are as indicated in table 4.5.7 below.
  • 19. “I believe a Christian with an acute mental illness can succeed spiritually even if the illness has not been treated.” Answer Choices Responses Strongly agree 14.00% 14 Agree 18.00% 18 Neither agree nor disagree 23.00% 23 Disagree 25.00% 25 Strongly disagree 10.00% 10 Don’t Know 10.00% 10 Answered 100 Skipped 6 Table 4.5.7. A table of the respondents' belief on acute mental illness and Christine spiritual success. From the table 4.5.7 above, the total number of respondents was 100 after six respondents skipped the question. Of the 100 respondents, 25 of them disagreed, 23 of them neither agreed nor disagreed, 18 of them agreed, 14 strongly agreed, 10 of them strongly disagreed, another ten respondents were not aware. The total number of respondents who agreed that
  • 20. Christians with an acute mental disability could succeed spiritually even if the illness had not been treated was 32, while those who disagreed were 35. When the above information was represented on a graph, the results were as indicated in figure 4.5.7 below. Figure 4.5.7. A figure of the respondents' understanding of whether a Christian with an acute mental illness could succeed spiritually even without treating the disease. From the table above, 25% of the respondents disagreed, 23% of them neither agreed nor disagreed, while 18% agree, some 4% of the respondents strongly agreed, while 10% of them strongly disagreed while the last 10% were not aware. Therefore, the total percentage of the respondents that agreed that a Christian with an acute mental illness could succeed spiritually even if the disease has not been treated was 32%. In comparison, those who disagreed were 35%. Hence, a majority of the respondents disagreed with this statement, which could infer little faith or absence of adequate evidence to back up the account. 4.5.8. Whether acute mental illness weakened the respondents’ efforts to live like a Christian The researcher intended to find out whether acute mental illness undermines one's efforts to live as a Christian. The researcher posed this question to the respondents, and the results obtained are as indicated in the table 4.5.8 below. “My acute mental illness weakens my efforts to live like a Christian.” Answer Choices Responses Strongly agree 6.00% 6 Agree 8.00% 8
  • 21. Neither agree nor disagree 15.00% 15 Disagree 26.00% 26 Strongly disagree 17.00% 17 N/A 28.00% 28 Answered 100 Skipped 6 Table 4.5.8 A table of the relationship between acute mental illness and one's efforts to live like a Christian. In the table 4.5.8 above, the total number of respondents was 100 since 6 of them skipped the question. When the respondents were asked whether they think that one’s acute mental illness weakened their efforts to live like a Christian, 28 respondents indicated that the question did not apply to them. The number of respondents who disagreed was 26, while 17 strongly disagreed. The number of respondents who neither agreed nor disagreed was 15. The number of respondents who agreed was eight, while those who strongly agreed were 6. The total number of respondents who agreed was 14, while those who disagreed was 43. Therefore, a majority of the respondents disagreed that their acute mental illness weakened their efforts to live like a Christian. 4.5.9. Respondents who sought Pastoral Counselling as a Treatment Option for Mental Health Concerns.
  • 22. The researcher wanted to find out how many respondents had ever sought pastoral counseling as a treatment option for their mental health problems. The results are as indicated in the table 4.5.9 below. Have you ever sought pastoral counseling as a treatment option for your mental health concerns? Answer Choices Responses Yes 15.05% 14 No 84.95% 79 Answered 93 Skipped 13 Table 4.5.9. A table of the number of respondents who sought pastoral counseling as a treatment for their mental health concerns. In the table 4.5.9 above, the total number of respondents who answered the question were 93 while 13 respondents skipped it. Thirteen respondents indicated yes they had sought pastoral advice as a treatment option for their mental health concerns, while 79 of them said no. 14 was a significant number of respondents, even though it was still shallow. When the results were plotted on a graph, figure 4.5.9 … Use inductive reasoning to predict the next number in the list.
  • 23. A store orders cases of tomato sauce from a warehouse. The following bar graph shows the number of cases of tomato sauce in the warehouse for the first four months of a year. Using inductive reasoning, how many cases of tomato sauce will be in the warehouse in May? cases 4, 1, 3, 0, 2, −1, 1, ? ℹ 1. AUFQR1 1.R.003.–/1 POINTS MY NOTES ASK YOUR TEACHER 2. AUFQR1 1.R.012.–/1 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') The following table shows the distance a rock has fallen after
  • 24. various amounts of time. Time (seconds) 0 0.5 1 1.5 2 2.5 3 3.5 4 Distance (feet) 0 4 16 36 64 100 144 196 256 Using inductive reasoning, will the distance the rock has fallen after 4.5 seconds be less than or more than 316 feet? less than 316 feet more than 316 feet Michael, Clarissa, Reggie, and Ellen are attending Florida State University (FSU). One student is a computer science major, one is a chemistry major, one is a business major, and one is a biology major. From the following clues, determine which major each student is pursuing. 1. Michael and the computer science major are nextdoor neighbors. 2. Clarissa and the chemistry major have attended FSU for 2 years. Reggie has attended FSU for 3 years, and the biology major has attended FSU for 4 years. 3. Ellen has attended FSU for fewer years than Michael. 4. The business major has attended FSU for 2 years. computer science ---Select--- chemistry ---Select--- business ---Select---
  • 25. biology ---Select--- 3. AUFQR1 1.R.013.–/1 POINTS MY NOTES ASK YOUR TEACHER 4. AUFQR1 1.R.019.–/4 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') The following graph shows the total amount spent (in millions of dollars) on pets in the United States for the years shown. Between which two years was the increase in the amount spent on pets the greatest? 2007 and 2008 2008 and 2009 2009 and 2010
  • 26. 2010 and 2011 2011 and 2012 2012 and 2013 2013 and 2014 2014 and 2015 2015 and 2016 2016 and 2017 ℹ 5. AUFQR1 1.R.029.–/1 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') The following line graph shows the decline in the value of a car that was originally purchased for $35,000 after each year of ownership. (a) Between which two consecutive years did the car decrease in value the most? year 0 and year 1
  • 27. year 1 and year 2 year 2 and year 3 year 3 and year 4 year 4 and year 5 (b) At the end of 4 years, is the value of the car less than or more than one-half of its original value? less than one-half more than one-half A standard red brick weighs about 4 pounds. A pallet of bricks contains 400 bricks. Would a truck rated to carry a load of one ton (2,000 pounds) be able to haul a pallet of bricks? Yes No ℹ 6. AUFQR1 1.R.031.–/2 POINTS MY NOTES ASK YOUR TEACHER 7. AUFQR1 1.R.022.–/1 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation-
  • 28. proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') A survey asked 750 people whether they like chocolate (C), butterscotch (B), or strawberry on vanilla ice cream. The results are in the following Venn diagram. (a) How many people liked exactly one flavor? (b) How many people liked all three flavors? (c) How many people liked exactly two of the flavors? (d) How many people did not like any of the flavors? ℹ 147 64 76 20 97 50 225
  • 29. 8. AUFQR1 2.R.037.–/4 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') A pharmaceutical company has a new procedure to test whether a person's immune system is reacting properly to the mumps antigen. The test is given to 1,000 people, 200 of whom are known to have the mumps antigen. The results are shown in the following Venn diagram. (a) Using the Venn diagram, complete the following table. Positive Test Negative Test Person Has Mumps Antigen Person Does Not Have Mumps Antigen (b) How many false negatives occurred? (c) Write a sentence that describes a false positive in the context of this test. There were cases in which there was a ---Select--- and the person did ---Select--- the mumps antigen. (d) How many true negatives occurred?
  • 30. ℹ 24 176 81 719 9. AUFQR1 2.R.040.–/9 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') Write the negation of both of the following. (a) Some cars are not fuel efficient. All cars are not fuel efficient. Some cars are fuel efficient. No cars are fuel efficient. Some cars are not fuel efficient. All cars are fuel efficient. (b) Every parakeet is a bird. No parakeet is a bird. No parakeet is not a bird.
  • 31. Some parakeets are birds. Every parakeet is a bird. Some parakeets are not birds. Determine whether the sentence is a proposition. Saturn is not a planet in our solar system. The sentence is a proposition. The sentence is not a proposition. 10. AUFQR1 2.R.042.–/2 POINTS MY NOTES ASK YOUR TEACHER 11. AUFQR1 2.R.050.–/1 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes')
  • 32. Determine whether the sentence is a proposition. Would you like coffee or tea? The sentence is a proposition. The sentence is not a proposition. A college finds that of the 851 students taking math, 575 students are business majors and 302 students are taking math and are business majors. How many students are math or are business majors? 12. AUFQR1 2.R.051.–/1 POINTS MY NOTES ASK YOUR TEACHER 13. AUFQR1 2.R.035.–/1 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes')
  • 33. Use an Euler diagram to determine whether the argument is valid. Choose the Euler diagram that shows whether the argument is valid or invalid. Is the argument valid or invalid? valid invalid No wizard can yodel. All lizards can yodel. ∴ No wizard is a lizard. ℹ ℹ ℹ ℹ 14. AUFQR1 2.R.043.–/2 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes')
  • 34. Use an Euler diagram to determine whether the argument is valid. Choose the Euler diagram that shows whether the argument is valid or invalid. Is the argument valid or invalid? valid invalid All sandwiches are good. All good sandwiches have pastrami. All sandwiches with pastrami need mustard. ∴ All sandwiches with mustard are good. ℹ ℹ ℹ ℹ 15. AUFQR1 2.R.047.–/2 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
  • 35. 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') Use an Euler diagram to determine whether the argument is valid. All Italian villas are wonderful. Some wonderful villas are expensive. Therefore, some Italian villas are expensive. Choose the Euler diagram that shows whether the argument is valid or invalid. Is the argument valid or invalid? valid invalid ℹ ℹ ℹ ℹ 16. AUFQR1 2.R.048.–/2 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1
  • 36. 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') Identify the antecedent and consequent for the following two propositions. (a) If I practice my accent, I will sound more like a native speaker. antecedent ---Select--- consequent ---Select--- (b) It is necessary to make a 20% down payment to secure a loan on this house. antecedent ---Select--- consequent ---Select--- Determine the truth-value of the conditional proposition. If dogs are mammals, then cats are reptiles. True False Consider the following conditional proposition. If dogs are mammals, then cats are reptiles. In the statement above, "dogs are mammals" is called the --- Select--- and "cats are reptiles" is called the ---Select--- .
  • 37. The antecedent is ---Select--- and the consequent is ---Select--- . Determine the truth-value of the given conditional. True False 17. AUFQR1 2.R.063.–/4 POINTS MY NOTES ASK YOUR TEACHER 18. AUFQR1 2.R.065.–/1 POINTS MY NOTES ASK YOUR TEACHER 19. AUFQR1 2.R.065.EP.–/5 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893
  • 38. AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') Write a sentence that explains why the argument is a fallacy. By rejecting community involvement, you are rejecting values such as cooperation and entrepreneurship. appeal to ignorance post hoc appeal to emotion slippery slope red herring Home My Assignments Request Extension Copyright 2020 Cengage Learning, Inc. All Rights Reserved Submit Assignment Save Assignment Progress 20. AUFQR1 2.R.077.–/1 POINTS MY NOTES ASK YOUR TEACHER javascript:openWindow('https://chegg.cengage.com/mediation- proxy?token=9B7D442CB6F89FCDB14082443E913D546CB996 D95DB2E6E9525DDCDD16418246C8FFA35D794A35002A0F1 3375981CC7B0809FC8F1C00CC0374FDE6728D502A346B893 AF92303BD94','Chegg Tutor', 'width=760,height=620,scrollbars=yes,resizable=yes') https://www.cengage.com/legal/#copyright
  • 39. Chapter 1 Introduction Despite the controversial relationship between religion psychology, and psychiatry, individuals refer to spiritual practices to cope with stressful life events. There is an increasing awareness in the connection of spirituality and religion’s influence in mental health. Prior studies indicate that clients who seek pastoral counseling also address spirituality and religion in their therapeutic conversations, spirituality and religion is essential to many individuals in the United States.[footnoteRef:1] [1: Walker Kathryn Reid, Tammy H. Scheidegger, Laurel End, and Mark Amundsen. "The Misunderstood Pastoral Counselor: Knowledge and Religiosity as Factors Affecting a Client’s Choice." VISTAS, March 23, 2012, 1-16. Accessed February 23, 2019. https://www.counseling.org/knowledge-center/vistas/by- subject2/vistas-spirituality/docs/default- source/vistas/vistas_2012_article_62. ] The adverse effects that untreated mental health problems have on the society and economy can affect everyday life for individuals causing discomfort to the individual, family members or care takers. Psychological disorders such as severe depression affects the daily life of the individuals, family members, and it could also have influence on their friends. There are many treatment options readily available for individuals suffering from ailments such as anxiety, depression, suicide, and substance abuse, which were recognized to be successful. Typical therapy options include interpersonal psychotherapy, cognitive behavioral therapy, psychodynamic, and existing therapy.[footnoteRef:2] Among most worldwide mental health issues, depression ranks the most common mental health issue in areas such as the UK and is center focus of research that explores the connection between spirituality and
  • 40. mental health.[footnoteRef:3] Prior evidence examines the relationship between populations which demonstrates quantitative measures of the reduced level of anxiety in areas such as anxiety or stress when joined with spiritual techniques.[footnoteRef:4] [2: Abdaleati, Naziha S., Norzarina Mohd Zaharim, and Yasmin Othman Mydin. "Religiousness and Mental Health: Systematic Review Study." Journal of Religion and Health 55, no. 6 (2014): 1929- 937. doi:10.1007/s10943-014-9896-1. ] [3: Cornah, Deborah. The Impact of Spirituality on Mental Health A Review of the Literature A Review of the Literature. Mental Health Foundation. 2006. https://www.mentalhealth.org.uk/sites/default/files/impact- spirituality.pdf. ] [4: Cornah, The Impact of Spirituality on Mental Health A Review of the Literature A Review of the Literature. 7. ] Some research suggest that many pastoral counselors are only trained to accommodate spiritual issues which include particular faith traditions, while individuals believe pastoral counselors have little expertise with psychotherapeutic theories.[footnoteRef:5] Preferably, highly religious clients aim towards counselors who firmly mirror same religious values. Furthermore, increased levels of reported religiosity result in stronger reactions to spiritual mechanisms of counselor descriptions. Additional research is required in the recent years to evaluate the perceptions of individuals, counselors, and the functions that pastoral counseling contributes in cohesively to psychotherapeutic counseling. [footnoteRef:6] Research provides a contrast between pastoral and psychotherapeutic counseling; however, more clarification and investigative studies are essential to further demonstrate the outcomes of pastoral counseling. [5: Walker, Scheidegger, End, and Amundsen, The Misunderstood Pastoral Counselor: Knowledge and Religiosity as Factors Affecting a Client’s Choice, 3.
  • 41. ] [6: Brian K. Jackson, “Licensed Professional Counselors’ Perceptions of Pastoral Counseling in the African American Community,” Journal of Pastoral Care & Counseling: Advancing Theory and Professional Practice through Scholarly and Reflective Publications 69, no. 2 (2015): pp. 85-101, https://doi.org/10.1177/1542305015586773, 85. ] The church’s role in caring for members of the community with acute mental illness is crucial as statistics prove that individuals with the diagnosis is continuing to rise. Recently, mental health clinicians and psychiatrists recognized the relevance of spirituality and religion as an integrated experience on the delivery of mental health services. [footnoteRef:7] Religious beliefs and counseling affect mental health outcomes and can be used as combined coping mechanisms for individuals with acute mental illnesses. The collaboration efforts of the church such as the resources offered in religious communities’ and the support to loved one’s from family members in the church, provide a robust treatment option for individuals by limiting barriers and aiding victims in many mental ailments such as substance abuse. [footnoteRef:8] While findings propose the possibility of practical collaboration between clinicians, Church, and health care organizations, barriers are formed. [footnoteRef:9] [7: Warren A. Kinghorn, “American Christian Engagement With Mental Health and Mental Illness,” Psychiatric Services 67, no. 1 (2016): pp. 107- 110, https://doi.org/10.1176/appi.ps.201400542, p.107)] [8: Kinghorn, American Christian Engagement with Mental Health and Mental Illness, 107.] [9: ] Ministry Context While a collaborative approach is necessary, are members of the church and the community actively seeking support to mediate mental health issues? Support given to
  • 42. individual from the clergy, pastor, or religious congregational members is widely considered a key mediator between both spiritual and mental health[footnoteRef:10]. Mental health affects a wide range of demographics extending from the middle east, Australia, to the western civilization. Among these, African American’s mental health is impacted by a wide range of factors, some which consist of social issues, homelessness, physical health issues, and unemployment.[footnoteRef:11] African Americans are less likely to seek mental health counseling from professionals compared to any other majority ethnic group.[footnoteRef:12] According to the U.S. Department of Health and Human Services, only 15.7% of all African Americans diagnosed with a mood impairment actually seek counseling from a professional and 12.6% of African Americans diagnosed with anxiety are seeking treatment.[footnoteRef:13] Barriers to seeking treatment are present in African Americans as they consist of social stigmas, the denial of symptoms, cultural norms, and social norms.[footnoteRef:14] Although African Americans are not proactively seeking professional counseling by an licensed psychotherapist, research is revealing some evidence that African Americans’ are reaching out to church based ministries for treatment for mental health issues.[footnoteRef:15] Spiritual researchers approaching this topic are taking a holistic approach, evaluating the way individuals view their spiritual worldview, while exploring cognitive, emotional , interpersonal, emotional, and behavioral components. The elements of religiosity are increasingly discussed in psychiatry as studies show religious individuals appear to improve coping skills and abilities with severe mental disorders alongside with reducing suicide attempts.[footnoteRef:16] [10: Cornah, The Impact of Spirituality on Mental Health A Review of the Literature A Review of the Literature. 7. ] [11: Avent, Janee R., Craig S. Cashwell, and Shelly Brown- Jeffy. “African American pastors on mental health, coping, and help seeking.’ Counseling and Values 60, no. 1 (2015): 32+.
  • 43. Academic OneFile (accessed April 6, 2019).http://link.galefroup.com.ezprozy.liberty.edu/apps/doc/A4 11334409/AONE? ] [12: Avent, Janee, Cashwell, and Brown-Jeffy, African American pastors on mental health, coping, and help seeking, 32. ] [13: Avent, Janee, Cashwell, and Brown-Jeffy, African American pastors on mental health, coping, and help seeking, 32. ] [14: Avent, Janee, Cashwell, and Brown-Jeffy, African American pastors on mental health, coping, and help seeking, 32. ] [15: Jackson, Licensed Professional Counselors’ Perceptions of Pastoral Counseling in the African American Community, 86. ] [16: Jones, Simon, Keith Sutton, and Anton Isaacs. "Concepts, Practices and Advantages of Spirituality Among People with a Chronic Mental Illness in Melbourne." Journal of Religion and Health 58, no. 1 (July 28, 2018): 343-55. doi:10.1007/s10943-018-0673-4. 345. ] Problem Presented The research performed will examine a representative sample of members from Deliverance Center for all nations church to determine how many members underwent or currently undergoing pastoral counseling as a treatment option of acute mental illnesses and what their outcomes are. The results from this research is not directly beneficial to the subjects but will offer awareness and expertise, bridging the knowledge gap. Statistical analysis will support each hypothesis as stated: H1: There is a positive correlation between the subjects’ mental health outcome and pastoral counseling session received. H2: There is no correlation between the subjects’ mental health outcome and pastoral counseling session received. Purpose Statement The purpose of this quantitative descriptive research study on
  • 44. the relationship between pastoral counseling on mental health is to gain a better understanding of the relationship between pastoral counseling and mental health. The specific aims of this study are (1) to add to prior findings in order to determine whether majority of the population of individuals are actually seeking pastoral counseling as a treatment option; (2) determine within that population whether pastoral counseling has a positive outcome on individuals with acute mental ailments. Research is aimed at understanding the integration of pastoral counseling and mental health, active practicing pastoral counselors, and whether pastors can serve as educators to mitigate care plans for individuals with acute mental illnesses. [footnoteRef:17] Recent data suggests there is an increasing number of individuals diagnosed with an acute mental illness. [17: Cheney, Gregory J. “Integrating Pastoral and Clinical Identities: A Narrative Inquiry of Pastoral Counselors.” Journal of Pastoral Care & Counseling72, no. 3 (September 2018): 172– 79. doi:10.1177/1542305018792357. 172. ] Basic Assumptions The subjects included in the study will answer the interview questions in a concise, honest manor limiting bias. The researcher assumes the subjects participating in the survey are Christian, limiting nonfaith-based world views that will present research bias. The inclusion criteria of the sample are substantial, therefore, assures all subjects have experienced similar phenomenon of the study. Subjects have a sincere interest in participating in the research study and do not present altered motives such as using this study to impress their pastor or gain benevolence offering. Definitions This section specifies effective definitions for several
  • 45. referenced key terms Acute Mental IllnessAcute mental illness is characterized by significant and distressing symptoms of a mental illness requiring intervention such as treatment. This can be a person’s first experience, repeated episode, or worsening in symptoms. [footnoteRef:18] [18: "Mental Health Definitions." Mental Health Definitions | St. Joseph's Health Care London. January 22, 2019. Accessed February 05, 2019. https://www.sjhc.london.on.ca/mental-health-care/definitions. 1 ] Anxiety Disordersformerly called neuroses, they are characterized by an excessive level of anxiety, developing in some patients to episodes of panic. [footnoteRef:19] [19: Mental Health Definitions, 1. ] Bipolar Disorder (Manic-Depressive Illness) A mental state described by intense mood swings, depression alternating with manic behavior. [footnoteRef:20] [20: Mental Health Definitions, 1. ] DelusionsThese are false beliefs which are not grounded in reality. [footnoteRef:21] [21: Mental Health Definitions, 1. ] Depressionis a biological illness altering brain chemistry that can progress to a state of morbid and extreme sadness, despair and hopelessness. [footnoteRef:22] [22: Mental Health Definitions, 1. ] Obsessive-compulsive disorder OCDIndividuals with OCD are constantly plagued by fears or thoughts “obsessions” that cause them to perform certain routines or rituals “compulsions”.
  • 46. [footnoteRef:23] Post-traumatic stress disorder PTSDis a condition that develops following a traumatic or terrifying event in which individuals affected are often left having lasting or frightening thoughts which can lead to emotional detachment. Examples of such events include sexual or physical assault, a natural disaster, or the unexpected death of a loved one. [footnoteRef:24] [23: Mental Health Definitions, 1. ] [24: Mental Health Definitions, 1.] Psychotherapeuticcounseling is described by rules that prevents any personal relations in the therapeutic bond for both parties involved. This type of counseling is characterized by consideration of two types of unconscious subtleties, conveyance and counter- conveyance.[footnoteRef:25] [25: Avent, Janee, Cashwell, and Brown-Jeffy, African American pastors on mental health, coping, and help seeking, 87.] Symptom Attribution Symptom attribution represents one’s beliefs about the possible causes of the symptoms. Researchers argue that when people face physical, cognitive, or emotional symptoms, they try to place the symptoms in well-defined categories and to label them as psychological, physiological, or normalizing (i.e., nonharmful) in nature. [footnoteRef:26] Symptom attribution has a significant role in determining the course, the clinical presentation, and the outcome of the illness[footnoteRef:27]. People who attribute their symptoms to a medical condition are likely to focus on their physiological sensations, to seek help from medical professionals, and to actively search for other medical symptoms. In contrast, people who attribute their symptoms to a mental condition are likely to seek the help of mental health professionals and to look for a constellation of psychological symptoms. To date, the roles of psychological, physiological, and normalizing symptom attributions in explaining group differences in help-seeking behaviors have not been explored. [26: Liat Ayalon and Michael A. Young,
  • 47. “Racial Group Differences in Help-Seeking Behaviors,” The Journal of Social Psychology 145, no. 4 (2005): pp. 391-404, https://doi.org/10.3200/socp.145.4.391-404, 391.] [27: Ayalon and Young, Racial Group Differences in Help-Seeking Behaviors, 392.] Statement of Limitations Every attempt is made to limit researcher bias during the implementation of this project; however, responder bias can still occur given the contextual matter of the subject. Research has been limited to churches only with positive intent that the churches included in this study will comply with instructions set in this study to prevent responder bias. The researcher’s ethnicity, personal ministry locality, denominational affiliation delimited research restrictions. Thesis Statement Research insinuates that license professional counselors intellectualized pastor’s role concerning the church. These perceptions are denounced by several factors that separate the two professions: unfulfilled training, deprived communications, and fallacy related to the level of professionalism in the church. Pastoral Counseling equips ministers with skills and practices which help Pastors recognize behavioral and emotional changes in members. The spiritual oneness with God, coupled with pastoral counseling skills, pastors are able to intervene during a members’ mental health crisis. Ministers might also be able to identify religiously influenced symptoms of psychological disorders similarly to religious delusions. What is Pastoral Counseling? Individuals may obtain both spiritual and psychological guidance from chaplains who are trained through clinical pastoral education, spiritual directors, and clergy offering pastoral care.[footnoteRef:28] Studies denote
  • 48. additional spiritually oriented descriptions including spiritual or religious empathetic counseling, psychospiritual counseling, Christian therapy, and religious counseling. [28: Walker, Scheidegger, End, and Amundsen. The Misunderstood Pastoral Counselor: Knowledge and Religiosity as Factors Affecting a Client’s Choice, 7.] Distinguishing pastoral counseling and other forms of spiritually oriented counseling produces complications, for instance, some research studies used the term pastoral counselor without exploring the definition, using the term interchangeably with religious or Christian counselor.[footnoteRef:29] According to the dictionary of pastoral care and counseling, pastoral counseling is defined as a twentieth century phenomenon notwithstanding further definitions such as the North American Protestant pastors who included new psychological information into their ministries which claim new genealogy based on Hebrew and Christian understanding of care.[footnoteRef:30] Religious and social changes restructured pastoral counselor practices, training, and identity.[footnoteRef:31]Observations denote that there is no universally accepted definition for pastoral counseling. [footnoteRef:32] [29: Walker, Scheidegger, End, and Amundsen. The Misunderstood Pastoral Counselor: Knowledge and Religiosity as Factors Affecting a Client’s Choice, 7.] [30: Townsend, Loren. Introduction to Pastoral Counseling. Nashville: Abingdon Press, 2009.] [31: Townsend, Introduction to Pastoral Counseling, 3.] [32: Walker, Scheidegger, End, and Amundsen. The Misunderstood Pastoral Counselor: Knowledge and Religiosity as Factors Affecting a Client’s Choice, 7.] Chapter 2 Conceptual Framework Literature Review The article, Pastors’ Counseling Practices and Perceptions of
  • 49. Mental Health Services: Implications for African American Mental Health, thewriters conducted an exploratory study to determine the practices, behaviors, and desires of African American pastors utilizing the first level service delivery model. Their research found a link between pastors who have optimistic views about mental health facilities and documentation of parishioner counseling sessions on a broader variety of subjects several days a month. Participating pastors in this study reported counseling their members on a wide range of subjects, the most common being marital and family issues (91.7%), spiritual problems (87.5%), sorrow (79.2%) and work problems (70.8%).[footnoteRef:33] While they currently teach on a range of topics, all but one of the pastors surveyed said that they could receive additional instruction in one or more fields. The minister’s topics selected the most were marital and family issues (72.9%), emotional (70.8%), drugs (54.2%), domestic and sexual abuse (45.8%) and sexual problems (45.85%).[footnoteRef:34] While work problems and spiritual issues were two of the most frequently reported topics of advice, they were two of the lowest perceived need for additional training. This finding suggests that pastors are more prepared than some other areas of interest to address these two subjects.[footnoteRef:35] [33: Brown, Jessica Young, and Micah L. McCreary. “Pastors’ Counseling Practices and Perceptions of Mental Health Services: Implications for African American Mental Health.” Journal of Pastoral Care & Counseling 68, no. 1 (March 2014): 1–14. doi:10.1177/154230501406800102, 10] [34: Young Brown and McCreary. Pastors’ Counseling Practices and Perceptions of Mental Health Services: Implications for African American Mental Health, 10.] [35: Young Brown and McCreary. Pastors’ Counseling Practices and Perceptions of Mental Health Services: Implications for African American Mental Health, 10.] The most frequently suggested issues on which professional
  • 50. experience was necessary included marital and family difficulties and emotional problems, fields that were usually discussed by professionals of mental health. [footnoteRef:36] Participants in those areas included improved mental health care, therapy, and/or planning. Interventions will focus on best practices to deal with social and emotional problems, and how to implement them in religious communities. Professional pastoral preparation could include ways to deliver group-level services such as seminars or gatherings that might help lighten the time pressure that pastoral therapy can sometimes bring to busy pastors. The reality that such a large proportion of pastors supported needing additional training suggests that while pastors perform a wide range of counseling tasks, they may not feel fully equipped to provide their parishioners with appropriate counseling. The study further built upon the idea to discuss clergy engaging with their parishioners ' mental and emotional needs. [36: Young Brown and McCreary. Pastors’ Counseling Practices and Perceptions of Mental Health Services: Implications for African American Mental Health, p11] The self-efficacy of pastors around these issues directly affects the quality of care they will give their parishioners. An important aspect to consider is that pastoral care in the manner of traditional psychotherapy is not to be conceptualized. For a long time, members of religious communities used pastors as a resource that adds evidence of the effectiveness of their counseling. Conversely, certain pastors may not interpret their ability to handle any serious cases passed on to them as positive. The article, Religiousness and Mental Health: Systematic Review Study, reviews recent empirical research to determine the role that religion plays in mental health outcomes. The most widely recognized problem is substance abuse, suicide, depression, and anxiety, impacting some 50 percent of mental cases.[footnoteRef:37] Such mental disorders are known to
  • 51. affect the public at large. The negative impacts of the mental problems on the general public and economy could interfere with regular daily life and inflict misery to the sufferers and their families or superiors-now and again. Severe sadness could influence people and their families ' day-to-day lives, and it could also impact their partners and influence toward religion.[footnoteRef:38] There are numerous mental medicines available for melancholy, nervousness, suicide, and abuse of compelling substances, and some are fruitful and helpful, such as treatment for intellectual conduct, relational psychotherapy, psychodynamics, and existing treatment. [37: Abdaleati, Zaharim, and Mydin, Religiousness and Mental Health: Systematic Review Study,p 1929-30] [38: Abdaleati, Zaharim, and Mydin, Religiousness and Mental Health: Systematic Review Study,p 1930] Psychotherapeutic treatment for certain individuals is a powerful technique for treating mental dispersion.[footnoteRef:39] Through emotional and psychological literature an increased passion for the influences of faith and otherworldliness on well-being is apparent. Even though religion was intended to affect well-being, this partnership is increasingly unstable for late exams. Significant research information has suggested that strict practice with better mental and physical well-being is identified. Religiosity has been identified as an important defensive tool for well- being; research has shown a strong positive connection between rigor and psychological well-being. That connection has spread across different populations, including teenagers, grown-ups, old, general community members, workers, and displaced people, undergraduates, the immoral, terrorists, lesbians, friends, and individuals with issues of mental health and character. [39: Abdaleati, Zaharim, and Mydin, Religiousness and Mental Health: Systematic Review Study,p 1930]
  • 52. The article, Challenges to the Conceptualization and Measurement of Religiosity and Spirituality in Mental Health Research, both authors are addressing religiosity and faith to further clarify how the experiences of individuals influence their attitudes, acts and happiness generally. Nonetheless, contradictions in the conceptualization and interpretation of these patterns will affect the potential judgement of strictness and spirituality.[footnoteRef:40] [40: Baumsteiger, Rachel, and Tiffany Chenneville. "Challenges to the Conceptualization and Measurement of Religiosity and Spirituality in Mental Health Research." Journal of Religion and Health 54, no. 6 (2015): 2344-354. doi:10.1007/s10943-015-0008-7. P 2345 ] Evidence from a study of college understudies recommends that congregations define spirituality as free from social impact and that some individuals associated with antagonistic terms with spirituality. A content study of indicators of spirituality shows that measures of spirituality contain elements that do not truly gauge the degree of spirituality. There is a discussion of ideas and plans for future research. The reason for this inquiry was to further understand the conceptualization and evaluation of spirituality and religiosity within studies on mental health welfare. The specific points of this study were to contribute to earlier findings about the nature of religiosity and its relationship to strictness of the all-inclusive community by using a broader and more generalizable example; to analyze how individuals equate spirituality with more negative terms than religiosity, and to evaluate existing measurements of religiosity to decide whether they are surveying for religiosity. The article titled, The Gatekeepers: Involvement of Christian Clergy in Referrals and Collaboration with Christian Social Workers and Other Helping professionals, VanderWaal, Hernandez, and Sandman conducted a report to evaluate their subjects’ perception of MH and SA requirements and their ability to comply and refer church members to medical care
  • 53. providers. Despite developing multiple effective clinical and psychosocial approaches aimed at neutralizing the effects of psychological distress and drug abuse, nearly 66 percent of all people despite reported mental wellbeing disorders are not looking for treatment. Social services usually offer social health and drug abuse service administrations. Barriers to individuals pursuing psychological well-being and drug misuse recovery include cost concerns, embarrassment surrounding psychological well-being issues, ignorance of psychological well-being issues, bullying over practices, and numbness over treatments. Many individuals first look at their organization for support. Two thoughts also discovered that 25-40% of Americans also tried to guide spiritual administrations. People in the church are more likely to look for ministerial assistance than others. Churches can alleviate service shame towards psychological well-being and the benefits of substance misuse by effectively meeting the network's emotional well-being needs. Studies show that people who go to worship houses in an uplifting frame of mind against emotional welfare administrators have increasingly optimistic mentalities to receive support, especially within minority networks. The article concludes that some members of the clergy within the church want to work with experts to help. There is an ambiguity in allusion to their eagerness and comparison examples. The Christian clergy has a significant role to play in recognizing people with mental health and substance abuse problems and for providing education, support and referral to the care needed. In such a study, researchers conducted an online study with over 200 Christian clergies from 50 + churches investigate their views of substance abuse and mental health conditions and their willingness to cooperate and refer members of the church to professional service providers. Findings have found that more than half of all clergy have met in their churches regularly or more frequently individuals with substance abuse or mental health problems. Nearly two-thirds
  • 54. believed members of the church typically feel more secure seeking pastoral support than turning to professional aid. Many clergies indicated that if they had a mental health or substance abuse problem, they would possibly refer church members to a therapist, especially a Christian psychologist. Counseling and race/ethnicity found important differences, however. Such findings show that the parishioners with the disability would receive medical care, help, and guidance from the clergy. Service workers commonly provide mental health and substance abuse treatment services. According to National Association of Social Services a 2006 survey sponsored "Social workers in behavioral health are the primary specialization sector within the frontline social workforce with mental health being the many prominent (37%) specialty research category of social work." Social workers are the nation's largest group of professionally qualified mental health service providers... providing more mental health services than psychologists, psychiatrists, and psychiatric staff combined, according to the Drug Abuse and Mental Wellbeing Care Administration. … Question 1Pastoral Counseling Research SurveyYou are invited to be in a research study on the correlation of pastoral counseling and mental health. You were selected as a possible participant because you are 18 years of age or older and a member of Deliverance Center for all Nations church. Please read this form and ask any questions you may have before agreeing to be in the study. Cynthia Taylor, a doctoral candidate in the School of Divinity at Liberty University, is conducting this study.Background Information: The purpose of this study is to determine if data suggests that members of the church are actively seeking pastoral counseling as an option to address current mental health issues, and if current pastoral counseling has impacted the congregation positively.Procedures: If you agree to be in this study, I would ask you to do the following things:Answer the survey questions provided to the best of your ability.Risks: The risks involved in
  • 55. this study are minimal, which means they are equal to the risks you would encounter in everyday life. Benefits: Participants should not expect to receive a direct benefit from taking part in this study.Compensation: Participants will not be compensated for participating in this study. Confidentiality: Data will be stored on a password locked computer and may be used in future presentations. After three years, all electronic records will be deleted. Voluntary Nature of the Study: Participation in this study is voluntary. Your decision whether or not to participate will not affect your current or future relations with Liberty University. If you decide to participate, you are free to not answer any question or withdraw at any time, prior to submitting the survey, without affecting those relationships. How to Withdraw from the Study: If you choose to withdraw from the study, please exit the survey and close your internet browser. Your responses will not be recorded or included in the study. Contacts and Questions: The researcher conducting this study is Cynthia Taylor. You may ask any questions you have now. If you have questions later, you are encouraged to contact her at [email protected] You may also contact faculty chair, Dr. Garcia, at [email protected] If you have any questions or concerns regarding this study and would like to talk to someone other than the researcher, you are encouraged to contact the Institutional Review Board, 1971 University Blvd., Green Hall Ste. 2845, Lynchburg, VA 24515 or email at [email protected] Do you agree to these terms?Answer ChoicesResponsesYes, please begin the survey.99.06%105No, I would like to exit the survey0.94%1Answered106Skipped0 You are invited to be in a research study on the correlation of pastoral counseling and mental health. You were selected as a possible participant because you are 18 years of age or older and a member of Deliverance Center for all Nations church. Please read this form and ask any questions you may have before agreeing to be in the study. Cynthia Taylor, a doctoral candidate in the School of Divinity at Liberty University, is conducting this study.Background Information:
  • 56. The purpose of this study is to determine if data suggests that members of the church are actively seeking pastoral counseling as an option to address current mental health issues, and if current pastoral counseling has impacted the congregation positively.Procedures: If you agree to be in this study, I would ask you to do the following things:Answer the survey questions provided to the best of your ability.Risks: The risks involved in this study are minimal, which means they are equal to the risks you would encounter in everyday life. Benefits: Participants should not expect to receive a direct benefit from taking part in this study.Compensation: Participants will not be compensated for participating in this study. Confidentiality: Data will be stored on a password locked computer and may be used in future presentations. After three years, all electronic records will be deleted. Voluntary Nature of the Study: Participation in this study is voluntary. Your decision whether or not to participate will not affect your current or future relations with Liberty University. If you decide to participate, you are free to not answer any question or withdraw at any time, prior to submitting the survey, without affecting those relationships. How to Withdraw from the Study: If you choose to withdraw from the study, please exit the survey and close your internet browser. Your responses will not be recorded or included in the study. Contacts and Questions: The researcher conducting this study is Cynthia Taylor. You may ask any questions you have now. If you have questions later, you are encouraged to contact her at [email protected] You may also contact faculty chair, Dr. Garcia, at [email protected] If you have any questions or concerns regarding this study and would like to talk to someone other than the researcher, you are encouraged to contact the Institutional Review Board, 1971 University Blvd., Green Hall Ste. 2845, Lynchburg, VA 24515 or email at [email protected] Do you agree to these terms? Question 2Pastoral Counseling Research SurveyWhat is your gender?Answer ChoicesResponsesFemale84.91%90Male15.09%16Answered106
  • 57. Skipped0 What is your gender? Question 3Pastoral Counseling Research SurveyWhat is your highest level of education?Answer ChoicesResponsesSome high school21.70%23College graduate32.08%34Graduate degree or beyond26.42%28Some post-graduate education19.81%21Answered106Skipped0 What is your highest level of education? Question 4Pastoral Counseling Research SurveyWhat is your Ethnic/Racial background?Answer ChoicesResponsesAmerican Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.0.00%0Asian: A person having origins in any of the original people of the Far East, Southeast Asia, or the Indian Subcontinent, for example Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.0.94%1Black or African American: A person having origins in any of the Black racial groups of Africa.84.91%90Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.0.94%1Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture of origin, regardless of race4.72%5White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa5.66%6N/A2.83%3Answered106Skipped0 What is your Ethnic/Racial background? Question 5Pastoral Counseling Research SurveyHave you ever personally struggled with mental illness of any kind?Answer ChoicesResponsesYes, and it was diagnosed24.00%24Yes, but it was never diagnosed24.00%24No51.00%51N/A1.00%1Answered100Skipp ed6 Have you ever personally struggled with mental illness of any kind?
  • 58. Question 6Pastoral Counseling Research SurveyHave you ever seen a psychiatrist as a treatment option for your mental health concerns?Answer ChoicesResponsesYes22.00%22No69.00%69N/A9.00%9Answer ed100Skipped6 Have you ever seen a psychiatrist as a treatment option for your mental health concerns? Question 7Pastoral Counseling Research SurveyHave you have seen a psychologist as a treatment option for your mental health concerns?Answer ChoicesResponsesYes21.00%21No68.00%68N/A11.00%11Answ ered100Skipped6 Have you have seen a psychologist as a treatment option for your mental health concerns? Question 8Pastoral Counseling Research Survey“Have you ever been diagnosed by a medical or psychological professional with any of the following conditions?”Answer ChoicesResponsesAnxiety Disorders26.00%26Bipolar Disorder (Manic-Depressive Illness)4.00%4Delusions1.00%1Depression28.00%28Obsessive- compulsive disorder (OCD)2.00%2Post-traumatic stress disorder (PTSD)9.00%9Other2.00%2None57.00%57N/A4.00%4Answere d100Skipped6 “Have you ever been diagnosed by a medical or psychological professional with any of the following conditions?” Question 9Pastoral Counseling Research Survey“How would you describe your current status with your mental illness?”Answer ChoicesResponsesVery Stable38.00%38Somewhat Stable42.00%42Somewhat Unstable8.00%8Very Unstable2.00%2N/A10.00%10Answered100Skipped6 “How would you describe your current status with your mental illness?” Question 10Pastoral Counseling Research Survey“My acute mental illness made/makes it difficult to understand
  • 59. redemption.”Answer ChoicesResponsesStrongly agree5.00%5Agree10.00%10Neither agree nor disagree20.00%20Disagree16.00%16Strongly disagree20.00%20N/A29.00%29Answered100Skipped6 “My acute mental illness made/makes it difficult to understand redemption.” Question 11Pastoral Counseling Research Survey“I believe a Christian with an acute mental illness can succeed spiritually even if the illness has not been treated.”Answer ChoicesResponsesStrongly agree14.00%14Agree18.00%18Neither agree nor disagree23.00%23Disagree25.00%25Strongly disagree10.00%10Don’t Know10.00%10Answered100Skipped6 “I believe a Christian with an acute mental illness can succeed spiritually even if the illness has not been treated.” Question 12Pastoral Counseling Research Survey“My acute mental illness weakens my efforts to live like a Christian.”Answer ChoicesResponsesStrongly agree6.00%6Agree8.00%8Neither agree nor disagree15.00%15Disagree26.00%26Strongly disagree17.00%17N/A28.00%28Answered100Skipped6 “My acute mental illness weakens my efforts to live like a Christian.” Question 13Pastoral Counseling Research SurveyHave you ever sought pastoral counseling as a treatment option for your mental health concerns?Answer ChoicesResponsesYes15.05%14No84.95%79Answered93Skippe d13 Have you ever sought pastoral counseling as a treatment option for your mental health concerns? Question 14Pastoral Counseling Research SurveyIf so, when was the last counseling session?Answer ChoicesResponsesOne month or less3.23%3Two to six months ago2.15%2Six to Twelve months ago3.23%3More than a year ago7.53%7N/A83.87%78Answered93Skipped13 If so, when was the last counseling session?
  • 60. Question 15Pastoral Counseling Research SurveyDo you agree that pastoral counseling sessions are beneficial in your treatment plan?Answer ChoicesResponsesStrongly agree12.90%12Agree20.43%19Neither agree nor disagree16.13%15Disagree6.45%6Strongly disagree1.08%1N/A43.01%40Answered93Skipped13 Do you agree that pastoral counseling sessions are beneficial in your treatment plan? Question 16Pastoral Counseling Research SurveyFollowing the last pastoral counseling session, do you agree that there are recurrent struggles with your mental illness?Answer ChoicesResponsesStrongly agree3.23%3Agree7.53%7Neither agree nor disagree15.05%14Disagree3.23%3Strongly disagree5.38%5N/A65.59%61Answered93Skipped13 Following the last pastoral counseling session, do you agree that there are recurrent struggles with your mental illness? Question 17Pastoral Counseling Research SurveyHave the symptoms of your mental health impairment improved since your last pastoral counseling session?Answer ChoicesResponsesStrongly agree2.15%2Agree6.45%6Neither agree nor disagree8.60%8Disagree5.38%5Strongly disagree3.23%3N/A74.19%69Answered93Skipped13 Have the symptoms of your mental health impairment improved since your last pastoral counseling session? Question 18Pastoral Counseling Research SurveyDo you agree others would benefit from pastoral counseling as a treatment option for mental illness?Answer ChoicesResponsesStrongly agree18.28%17Agree31.18%29Neither agree nor disagree36.56%34Disagree8.60%8Strongly disagree5.38%5Answered93Skipped13 Do you agree others would benefit from pastoral counseling as a treatment option for mental illness? Question 19Pastoral Counseling Research Survey“As I have dealt with mental illness, I have found the local church to be”Answer ChoicesResponsesMostly Supportive10.75%10Somewhat Supportive17.20%16Neither
  • 61. Supportive nor Unsupportive7.53%7Somewhat Unsupportive4.30%4Mostly Unsupportive2.15%2Don’t Know15.05%14N/A43.01%40Answered93Skipped13 “As I have dealt with mental illness, I have found the local church to be” Question 20Pastoral Counseling Research SurveyCounseling sessions with my pastor haves explicitly helped me think through and live out my faith in the context of my mental illness.”Answer ChoicesResponsesStrongly agree8.60%8Agree7.53%7Neither agree nor disagree11.83%11Disagree1.08%1Strongly disagree0.00%0Don’t Know7.53%7N/A63.44%59Answered93Skipped13 Counseling sessions with my pastor haves explicitly helped me think through and live out my faith in the context of my mental illness.” Question 21Pastoral Counseling Research SurveyFree Response: May select multiple answers: Do you believe local churches should assist individuals with acute mental illness in any of the following areas?”Answer ChoicesResponsesHelp families find local resources for support and dealing with the illness78.49%73Talk about it openly so that the topic is not so taboo72.04%67Improve people's understanding of what mental illness is and what to expect69.89%65Increase awareness of how prevalent mental illness is today68.82%64Provide training for the church to understand mental illness65.59%61Offer topical seminars on depression or anxiety58.06%54Have a counselor on staff skilled in mental illness66.67%62Don't know7.53%7Other (please specify)1Answered93Skipped13RespondentsResponse DateOther (please specify)Tags1Feb 15 2020 08:11 AMI did not have mental illness I sought pastoral counseling for premarital and marriage counseling Free Response: May select multiple answers: Do you believe local churches should assist individuals with acute mental illness in any of the following areas?”