Dr. Jeanett Castellanos
Transcription
Dr. Jeanett Castellanos
+ Latina/os in the US Religion and Motivation Latina/os’ in the US Religious and Spiritual + Practices and Beliefs + Latina/o Challenges in the US Some of the stressors that have been found to impact Mexican Americans’ mental health, specifically undocumented immigrants, are: low educational attainment low English proficiency little or no health insurance coverage poor housing low employment status, which usually results in low wages and often exploitation by employers (Loeta, 2009; Sullivan & Rehm, 2005; Garcia & Saewyc, 2007). Other issues that put Mexican immigrants at risk of developing mental health problems are adjusting to cultural norms of the new country, establishing new relationships, discrimination, fear of being deported if in the country illegally, and separation from kinship networks and community in Mexico. Garcia & Saewyc, 2007; Grzywacz, Quandt, Arcury & Marin, 2005; Sullivan & Rehm, 2005). + Coping responses or styles refers to one’s tendency to manage or alter negative stressful events by thinking and acting in a particular manner (Struthers, 1995). Two primary types of coping dominate the literature: problem-focused coping (PFC) and emotion-focused coping (EFC). Problem-focused coping ameliorates the stressor by using active and strategic measures and emotion-focused coping attempts to mitigate the actual emotional distress caused by the stressor (Struthers, 1995). Latina/os who demonstrate stresssituational reliance on complementary spiritual beliefs. These practices can be evident in any age and acculturation level (Baez & Hernandez, 2000). The stress situational reliance of these belief systems might end with one situation or continue on for months or years. + Latina/os and Religious Practices In a national survey, 70% of Latina/os reported Catholicism as their religion while 23% reported they were Protestant. A 1% reported world religion and 6% no preference (2003, Institute for Latino Studies). Studies conducted in west Texas have found that more than 75% of Mexican Americans use complementary or alternative therapies to treat their illnesses and suggest that Mexicans and Mexican Americans use traditional remedies because they prefer them to allopathic healthcare and integrate traditional remedies into their daily self-care routines (Bushy, 1992; Eisenberg et al., 1998; Rivera et al., 2002; Tafur et al., 2009). Today, the primary non-Christian spiritual traditions that affect the lives and world view of many Latina/os include: Santeria and Espiritismo (Baez & Hernandez, 2001). Migene Gonzalez-Wipler (1973, 1981, 1990) noted that there are over one hundred million Santeria practitioners in the Americas. Conservative estimates for the South Florida area point to about 10 to 15 percent of the Hispanics being either full-fledge practitioners or "dabblers" in Santeria rituals. + Multiple Religious and Spiritual Belief Systems Latina/os healing views stem from varying epistemologies rooted in: (1) Indigenous and Mestizo (2) African, and (3) Spanish beliefs. Unique spiritual practices complementing Catholicism include but are not exclusive to: Mestizo Practices Curanderimo Espiritismo Santeria (Ifa) Shamanism Macumba The material and spiritual worlds are believed to be intertwined in a holistic way. The spirit world, nature, and the human environment coexist in the same sphere. Political theorist Michael Sandel has argued that religion is not a choice but a community that people are born into to which they feel bounded and obligated. It is a community that is a priori to choice. + Indigenous/Mestizo Epistemology Mestizo refers to a dynamic, synergistic process developed from the amalgamation of people, philosophies, and cultures bridging the European content and the Americas. It is the intermingling of physical, psychological, cultural and spiritual ties between the Spaniard and the Indian. + 8 Main Characteristics Earth is a living ecosystem which needs to be cared for and protected. People are connected and understood as interdependent and holistic. Systematic causality implies the presence of a web of life where all events rely on one another. Life is a great mystery with sacred meaning bounded by ancestral teachings. Every aspect of nature contains knowingness that will reveal truth. Knowledge can be gained through Toltec, Mayan and Aztec practices as prayers, dance, meditation. Dreams, synchronic events, intuition, and communication with the physical and non-human entities offer portals of meaning, knowledge, and healing. Recognition of the creative life force, spirits, and cosmic energies significantly impact life span development. Cervantes, 2010 + Curanderismo a term referring to the Spanish word curar, meaning ‘to heal’, and is used to describe the practice of traditional healing in Latin American (Hispanic) cultures (Trotter & Chavira, 1997). a set of folk/medical beliefs, rituals and practices that address the psychological, social and special need of Mexican populations through a system of medicine with its own theoretical, diagnostic, and therapeutic roots. indigenous method of cure for many natural folk illnesses that incorporates the belief that illness is attracted by a social-interpersonal matrix rather than just a change-biological event. • •routinely addresses problems of a social, psychological, and spiritual nature, as well as physical ailments. Many cases overlap into two or more categories. + Curandera/os Heterogeneous group distinguished by specialties in particular disorders or by particular healing powers. Supernaturally induced illnesses form a significant part of the curanderos' work; these healers explain that any particular illness experienced by a patient could be caused theoretically by either natural or supernatural processes. Use a range of treatments: herbal remedies, inhalation, sweating, massage, incantations, and a variety of ritual cleansing (raw eggs and palm leaves). Frequently perform limpias/cleansing rituals require branches of various plants, eggs, perfumed waters, religious images, dissected animals, and candles specific to each problem. Some refer clients to health services and use it themselves. + Folk Illnesses The majority are collected under males naturales (natural illnesses), while a small number fall under mal puesto (witchcraft) Most common natural illnesses are mal de ojo (evil eye), susto or espanto (freight), and empacho (indigestion) Two other natural syndromes are very important - nervios and ataques de nervios Mental Disorders (DSM-IV-R) Includes an appendix of a glossary of culture-bound syndromes several which are relevant to specifically to Latina/os Mal Puesto or brujeria provide explanations for prolonged disorders that cannot be accounted for and for which treatments for natural illnesses have not worked: Unrequited love, quarrels, and breakups among lovers, and conflicts among close family members Used to explain various forms of mental illnesses including schizophrenia + Implications Given the role and history of curanderismo, many Latina/os rely on these practices to heal physically, mentally, and spiritually. Practitioners also believe in the possibility of being bewitched or cursed by social exchanges and energies. Exorcisms are part of the practice coupled with folk practices centered in the calling of God and his helpers. Believers within this practice endorse the concept that if one is possessed by a dark spirit, it can ultimately effect the individual’s personality, actions, and response inhibition. Response Inhibition includes: Avoiding errors and mistakes Resisting temptation Impulse control + Espirtismo •A spiritual belief system •Originated in 1850 by Allan Kardec who believed spirits are reincarnated many times to achieve spiritual progress and that each individual has a guardian angel to guide them through life challenges •Believe that people encounter untranquil, unevolved, or evil spirits by happenstance or because of spells •Believe spirits of various types can exert a profound influence on human life, leading to good or harm of different types (Baez & Hernandez, 2001) + Mediums (Practitioners) use special abilities to perceive spirits and communicate with them. Mediums determine what spiritual actions must be taken to appease the harmful spirits and appease the benevolent spirits. Methods may consist of Prayer Group healing sessions House and personal cleansings with herbal baths These processes are seen to exorcise, give light to spirits and resolve the problem. The material and spiritual worlds are seen to be interelated. Baez, Annecy, and David Hernandez. "Complementary Spiritual Beliefs in the Latino Community: The interface with Psychotherapy." American Journal of Orthopsychiatry . 71.4 (2001): 408-415. Print. + Implications Individuals consult their spiritual guides (cuadro espiritual) for decisions. Some hear spirits and see spirits and are guided by them. When in a trance, some do not know what they are doing and when they come out of the episode, they do not recall the previous series of activities they engaged. Baez & Hernandez (2000) suggest that clinicians must be mindful of these practices to be effective. Further a sighting and exchange with the dead should not immediately indicate psychotic decompensation. Clinicians must also be respective of the clients’ beliefs Latina/os fear that reporting such practices will be viewed as psychopathological and often under-report such practices and beliefs. + Santeria • The way of the saints • Based on Ifa a West African religion • Combines elements of Christianity • Practiced by over 100 million worldwide • Traditionally based on an oral history • An ancient covenant between humans and nature Comprised of extensive rituals aimed at spiritual healing, progress, divination • Leaders in the religion are believed to have special powers • (Baez & Hernandez, 2001) + Specific Beliefs • Creation consists of two realms: the visible and the invisible worlds. • The Yoruba and their spiritual descendants view the world as a web of interconnected beings connected by ashe (good energy). • Dysfunctions are believed to have a spiritual cause, a material cause, or both. • Every person is assigned a deity at birth and one must attend and please these gods. These gods help the disciples navigate life. • An orisha then becomes the Santerian’s guardian angel + More Details on Santeria A Santero is a sorcerer whose work is solving human problems that seem unsolvable by ordinary means. Person is highly revered and obeyed. Rituals can include: Cudillo, 2007 Eliminating of Negative Influences or curses Curing Illness Securing employment Attracting a Partner Improving Financial Situation Subduing or Eliminating Rivals and Enemies Palo involves a specialized cult (within the religion) of the dead with emphasis on magic practices such as pacts with the dead, typically made in a graveyard along with the creation of a nganga. This nganga is placed in a special iron cauldron filled with ritual objects of nature (bones and sticks) and imbued with magical powers. All of these practices and attributes of sorcery with the dead (trabajos con muertos) involve the idea of evil witchcraft making Palo experts or leaders very much feared and regarded as dangerous . + Specifics to the Practice The orishas have lived and died and are spirits and are now supernatural forces. The dead depend upon the living to “keep them strong and energetic” (Moore, 1993). If you know the orishas, “you know everything. The earth teaches you everything, but you must pay your respects to her always, do foribale (a salutation to the saints), so she will give you all her secrets. And always remember, the secrets of the earth are the secrets of the orishas” (GonzálezWippler, 1990). Offerings include: Glasses of water Flowers Cologne Cigar smoke Alters with food Animal sacrificing Goats, chickens, turkey, geese, duck Toques (Drumming Parties) + Effects of Drumming in Specific Rituals Possessions/Montado Personality traits of the orishas become manifested Shaking and shuddering of the whole body are followed by convulsions Physical Symptoms Voice, mannerisms, and gestures change completely. Personality of the possessed person (caballo, horse) ceases to exist. Personality of the orisha takes over Restore person by blowing into ears and mouth. Cocoa butter or corojo are rubbed on hands and feet. If trance becomes violent, person may become injured. Those around are responsible to ensure well-being of the person possessed. The trance can last for a few seconds or the entire ceremony. Trances ends spontaneously but others can intervene if the visit is too long. Individual falls to the floor + + Implications Practitioners will make offerings for favors and to improve their lives. A key element is to keep the orisha pleased and to obey their requests. Individuals feel pressured to follow the directives when they are provided and to not disobey their guides. Obedience will result in good health, good fortune and other good gifts. Leaders of the religion are provided significant power and responsibility. Practitioners are to consult with their godparents and follow their lead when they come for guidance. Followers fall into debt as a result of the rituals and consults. They also incur high psychological distress when the orisha shares something negative or when they feel they cannot carry out the request. + Case #1 A 42-year old Cuban man was a primary defendant in a celebrated drug conspiracy trial. He visited his madrina (a Santera godmother) one evening for a ceremony to cleanse his spirit. A dice throw indicated the trial would not go well for him. Shortly after midnight he was dressed all in white and left alone in a room as a concluding or transitional phase of the ritual. He was found dead the next morning. Comment: A postmortem examination was performed, and his death was attributed to a cardiac dysrhythmia secondary to hepertensive [hypertensive] cardiovascular disease. Although the death is regarded as natural, practitioners of Santeria may well attribute supernatural powers to the death. Thus, the ceremony to cleanse the spirit implies appeasement to a particular Orisha. The failure to satisfy or appease the Orisha may result in punishment, such as bad luck (the trail for drug smuggling) or death. + Lukumi Babalu Aye, Inc. vs. the City of Hialeah Case #2 Ritual animal sacrifice and the U.S. Supreme Court, 1993 The U.S. Supreme Court decided on the constitutionality of the City of Hialeah ordinances prohibiting the ritual sacrifice of animals in the Santeria Church of the Lukumi Babalu Aye, headed by Mr. Ernesto Pichardo who is an initiated high priest of the religion. The Supreme Court ruled that the City of Hialeah ordinances against the ritual animal sacrifice in the Santeria church was unconstitutional and that practitioners of this religion were entitled to conduct their ceremonies as prescribed by their African traditions and customs. Freedom to Exercise Religion 1st Amendment + Summary Must assess the individual and his actions in a cultural context accounting for his beliefs and practices. Engage in a Latina/o focused assessment where you consider the client’s feelings, reactions, thoughts, and assumptions within the situation. Questions to Consider: What were the collective circumstances in the event? What was his reality of the event? Was the individual cognizant of his actions? Does he report being in a trance or driven by the power of a spirit? Does the individual report feeling embrujado/possessed or bewitched? Apply dimensionality Interview social systems for a collective understanding of his values, worldviews, and life experiences. + Thank you