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2 results

  • Spiritual needs, spiritual well-being, and Buddhist practices of patients with terminal illness, Thailand

  • Piyawan Pokpalagon, Suchira Chaiviboontham, Noppawan Phinitkhajorndech
  • Journal:
    Palliative & Supportive Care / Volume 22 / Issue 4 / August 2024
    Published online by Cambridge University Press:
    30 September 2022, pp. 718-725
    • Article
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  • Objectives

    The purposes of this study were to describe and compare the spiritual needs and spiritual well-being among terminally ill patients receiving care in different palliative care settings and to investigate the differences in spiritual well-being in relation to the level of Buddhist practices.

    Methods

    A cross-sectional multicenter study was carried out that included community/home-based care (Home), a faith-based organization for patients with AIDS (FB_AIDS), a faith-based organization for patients with cancer (FB_CA), and a hospice ward (Hospice). Descriptive statistics were used to analyze the participants’ demographics, Buddhist practices, spiritual needs, and spiritual well-being. The analysis was performed using analysis of variance and Kruskal–Wallis tests to compare the spiritual needs and the spiritual well-being in the different settings. The Kruskal–Wallis test was used to investigate the differences in spiritual well-being in relation to the level of Buddhist practices.

    Results

    A total of 170 patients with a terminal illness (30 Home, 33 FB_AIDS, 64 FB_CA, and 43 Hospice) participated. Patients with a terminal illness receiving care at the FB_CA and Home had significantly higher mean scores for spiritual needs than those in the other settings. Patients with a terminal illness receiving care at the FB_CA had a significantly higher mean score for spiritual well-being than those receiving care in the other settings. Participants having a higher frequency of Buddhist practice had significantly higher mean scores for spiritual well-being.

    Significance of results

    Spiritual needs and spiritual well-being differed significantly among participants in different palliative care settings. The more the patients engaged in Buddhist practices, the higher their scores were for spiritual well-being. Thus, religious-based strategies should be integrated into palliative care and should be more emphasized.

  • 30 - Imagining the Real: Buddhist Paths to Wholeness in Tibet

  • from Part IV - Novel Combinatorial Forms of the Imagination
  • Edited by Anna Abraham, University of Georgia
  • Book:
    The Cambridge Handbook of the Imagination
    Published online:
    26 May 2020
    Print publication:
    18 June 2020, pp 500-513

  • Summary

    Imagination is crucial in the Buddhist contemplative practices of Tibet. And yet the path to freedom in which they participate requires release from all imagining. This conundrum leads us to examine a sequence of practices from two of Tibet’s greatest poet-philosopher–practitioners, Longchen Rabjampa and Jigme Lingpa. In our reading, their instructions identify somatic, cognitive, creative, intentional, distracted, confused, or corrective states of imagination. Intentional imagining is an intentional method for resolving confused or distracted imagining. In detailing this we ask also how imagination differs from or overlaps with thought. We find that training in the intentional can elicit transmodal perception of reminiscence of what we knew as infants, suggesting that the imagination helps take us deep into body-mind memory. Finally, and especially significant for insights into the deep structure of perception, we note Dzogchen’s appreciation of the imagination’s capacity for dissolving itself, into a particularly expansive dimension of human experience.