Varieties of Religious (Non)Affiliation: A Primer for Mental Health Practitioners on the "Spiritual but Not Religious" and the "Nones".

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  • Additional Information
    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0375402 Publication Model: Print Cited Medium: Internet ISSN: 1539-736X (Electronic) Linking ISSN: 00223018 NLM ISO Abbreviation: J Nerv Ment Dis Subsets: MEDLINE
    • Publication Information:
      Publication: Hagerstown, MD : Lippincott Williams & Wilkins
      Original Publication: Baltimore [etc.]
    • Subject Terms:
      Demography* ; Religion and Psychology* ; Spirituality*; Religion/*history; History, 20th Century ; History, 21st Century ; Humans ; Mental Health ; United States
    • Abstract:
      Given changing demographics of religiosity and spirituality, this article aims to help clinicians understand contemporary trends in patient religious and spiritual orientation. It first identifies and describes the evolving varieties of religio-spiritual orientation and affiliation, as identified in survey studies. Particular attention is given to the examination of those who identify as spiritual but not religious (SBNR) and None (i.e., no religious affiliation), which is important to mental health practice because many patients now identify as SBNR or None. Next, empirical data are considered, including what the literature reveals regarding mental health outcomes and SBNRs and Nones. We conclude with a summary of the main points and five recommendations that mental health practitioners and researchers need to consider regarding this increasingly large portion of the population.
    • References:
      Ammerman NT (2013) Spiritual but not religious? Beyond binary. J Sci Study Relig. 52:258–278.
      Anandarajah G, Hight E (2001) Spirituality and medical practice: Using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician. 63:81–88.
      Argyle M, Beit-Hallahmi B (1975) The social psychology of religion. London: Routledge & K. Paul.
      Barrie-Anthony S (2014) “Spiritual but Not Religious”: A Rising, Misunderstood Voting Bloc - The Atlantic. Atl. Available at: https://www.theatlantic.com/politics/archive/2014/01/spiritual-but-not-religious-a-rising-misunderstood-voting-bloc/283000/. Accessed August 15, 2017.
      Chaves M (2011) American religion: Contemporary trends. Princeton, NJ: Princeton University Press.
      Curlin FA, Chin MH, Sellergren SA, Roach CJ, Lantos JD (2006) The association of physicians' religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter. Med Care. 44:446–453.
      Dein S, Cook CCH, Koenig H (2012) Religion, spirituality, and mental health. J Nerv Ment Dis. 200:852–855.
      Drescher E (2012) Does record number of religious “Nones” Mean Decline of Religiosity? Relig Dispatches. Available at: https://religiondispatches.org/does-record-number-of-religious-nones-mean-decline-of-religiosity/. Accessed February 3, 2020.
      Fuller RC (2001) Spiritual, but not religious: Understanding unchurched america. Oxford, United Kingdom: Oxford University Press.
      Gonçalves JP, Lucchetti G, Menezes PR, Vallada H (2015) Religious and spiritual interventions in mental health care: A systematic review and meta-analysis of randomized controlled clinical trials. Psychol Med. 45:2937–2949.
      Hadaway CK, Marler PL, Chaves M (1993) What the polls Don't show: A closer look at U.S. church attendance. Am Sociol Rev. 58:741–752.
      Hill PC, Pargament KI, Hood RW, McCullough ME Jr., Swyers JP, Larson DB, Zinnbauer BJ (2000) Conceptualizing religion and spirituality: Points of commonality, points of departure. J Theory Soc Behav. 30:51–77.
      James W (1902) The varieties of religious experience. Mineola, NY: Dover Publications.
      Jenkins J (2019) 'Nones' now as big as evangelicals, Catholics in the US - Religion News Service. Relig News Serv. Available at: https://religionnews.com/2019/03/21/nones-now-as-big-as-evangelicals-catholics-in-the-us/. Accessed August 16, 2019.
      Kenneson PD (2015) What's in a name? A brief introduction to the “spiritual but not religious.” Liturgy. 30:3–13.
      King BJ (2016) Chimpanzees: Spiritual but not religious. Atl. Available at: https://www.theatlantic.com/science/archive/2016/03/chimpanzee-spirituality/475731/. Accessed August 15, 2017.
      King M, Marston L, McManus S, Brugha T, Meltzer H, Bebbington P (2013) Religion, spirituality and mental health: Results from a national study of English households. Br J Psychiatry. 202:68–73.
      King M, Weich S, Nazroo J, Blizard B (2006) Religion, mental health and ethnicity. EMPIRIC – A national survey of England. J Ment Heal. 15:153–162.
      Koenig HG (2008) Concerns about measuring “spirituality” in research. J Nerv Ment Dis. 196:349–355.
      Koenig HG (2012) Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry. 2012:1–33.
      Koenig HG (2015) Religion, spirituality, and health: A review and update. Adv Mind Body Med. 29:19–26.
      Lipka M, Gecewicz C (2017) More Americans now say they're spiritual but not religious | Pew Research Center. Pew Res Cent. Available at: https://www.pewresearch.org/fact-tank/2017/09/06/more-americans-now-say-theyre-spiritual-but-not-religious/. Accessed August 16, 2019.
      McClintock CH, Anderson M, Svob C, Wickramaratne P, Neugebauer R, Miller L, Weissman MM (2019) Multidimensional understanding of religiosity/spirituality: Relationship to major depression and familial risk. Psychol Med. 49:2379–2388.
      McClintock CH, Lau E, Miller L (2016) Phenotypic dimensions of spirituality: Implications for mental health in China, India, and the United States. Front Psychol. 7:1600.
      McCord G, Gilchrist VJ, Grossman SD, King BD, McCormick KE, Oprandi AM, Schrop SL, Selius BA, Smucker DO, Weldy DL, Amorn M, Carter MA, Deak AJ, Hefzy H, Srivastava M (2004) Discussing spirituality with patients: A rational and ethical approach. Ann Fam Med. 2:356–361.
      Mercadante L (2014) Beliefs without borders: Inside the minds of the spiritual but not religious. New York: Oxford University Press.
      Miller C (2016) “Spiritual but not religious”: Rethinking the legal definition of religion. Va Law Rev. 102:833–895.
      Miller L, Bansal R, Wickramaratne P, Hao X, Tenke CE, Weissman MM, Peterson BS (2014) Neuroanatomical correlates of religiosity and spirituality: A study in adults at high and low familial risk for depression. JAMA Psychiatry. 71:128–135.
      Newport F (2010) In U.S., increasing number have no religious identity. Gallup. Available at: http://news.gallup.com/poll/128276/increasing-number-no-religious-identity.aspx. Accessed February 26, 2018.
      Nolan S, Saltmarsh P, Leget C (2011) Spiritual care in palliative care: Working towards an EAPC task force. Eur J Palliat Care. 18:86–89.
      Norko MA (2018) What is truth? The spiritual quest of forensic psychiatry. J Am Acad Psychiatry Law. 46:10–22.
      Peteet JR (2019) Approaching religiously reinforced mental health stigma: A conceptual framework. Psychiatr Serv. 70:846–848.
      Pew Research Center (2012) “Nones” on the Rise: One-in-Five Adults Have No Religious Affiliation. Available at: https://www.pewresearch.org/wp-content/uploads/sites/7/2012/10/NonesOnTheRise-full.pdf. Accessed August 15, 2018.
      Pew Research Center (2015) America’s Changing Religious Landscape: Christians Decline Sharply as Share of Population; Unaffiliated and Other Faiths Continue to Grow. Available at: https://www.pewresearch.org/wp-content/uploads/sites/7/2012/10/NonesOnTheRise-full.pdf. Accessed September 12, 2018.
      Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, Chochinov H, Handzo G, Nelson-Becker H, Prince-Paul M, Pugliese K, Sulmasy D (2009) Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. J Palliat Med. 12:885–904.
      Puchalski C, Romer AL (2000) Taking a spiritual history allows clinicians to understand patients more fully. J Palliat Med. 3:129–137.
      Puchalski CM, Vitillo R, Hull SK, Reller N (2014) Improving the spiritual dimension of whole person care: Reaching national and international consensus. J Palliat Med. 17:642–656.
      Saguil A, Phelps K (2012) The spiritual assessment. Am Fam Physician. 86:546–550.
      Saucier G, Skrzypińska K (2006) Spiritual but not religious? Evidence for two independent dispositions. J Pers. 74:1257–1292.
      Shreve-Neiger AK, Edelstein BA (2004) Religion and anxiety: A critical review of the literature. Clin Psychol Rev. 24:379–397.
      Smith TB, McCullough ME, Poll J (2003) Religiousness and depression: Evidence for a main effect and the moderating influence of stressful life events. Psychol Bull. 129:614–636.
      Taylor MC (2007) After God. Chicago: University of Chicago Press.
      Unterrainer HF, Lewis AJ, Fink A (2014) Religious/spiritual well-being, personality and mental health: A review of results and conceptual issues. J Relig Health. 53:382–392.
      Vittengl JR (2018) A lonely search?: Risk for depression when spirituality exceeds religiosity. J Nerv Ment Dis. 206:386–389.
      Weber SR, Pargament KI (2014) The role of religion and spirituality in mental health. Curr Opin Psychiatry. 27:358–363.
      Zinnbauer BJ, Pargament KI, Cole B, Rye MS, Butter EM, Belavich TG, Hipp KM, Scott AB, Kadar JL (1997) Religion and spirituality: Unfuzzying the fuzzy. J Sci Study Relig. 36:549–564.
    • Publication Date:
      Date Created: 20200414 Date Completed: 20210325 Latest Revision: 20210325
    • Publication Date:
      20240628
    • Accession Number:
      10.1097/NMD.0000000000001141
    • Accession Number:
      32282550