Religie, spiritualiteit en herstel in de forensische, transculturele psychiatrie: kansen en belemmeringen

Abstract

In psychiatry, there is an increasing focus on religion and spirituality (R/S) because of its both positive and negative contribution to recovery. Until now, little attention has been paid to this in forensic care. This qualitative study investigates the way in which R/S, in the perception of forensic patients with a migration background, influences their recovery. Fourteen patients with various R/S backgrounds were interviewed, followed by a qualitative analysis. R/S appears to contribute both positively and negatively for all patients. R/S mainly touches on personal recovery, whereby the CHIME-S model (Connectedness, Hope, Identity, Meaning in life, Empowerment, Safety and Security-model) offers an appropriate framework within which the experiences of this population can be interpreted. Specifically in the forensic context that R/S meets basic human needs and offers opportunities for moral direction. Specifically for patients with a migration background, R/S offers a reference point for identity and therapeutic effect through symbolism and ritual. In addition, R/S is also related to sympto­matic recovery in patients’ perceptions, especially in patients where negative R/S experiences predominate. Further research is needed to determine the impact on personal and symptomatic recovery and to integrate clinical attention for R/S into forensic practices.