Bio-Psycho-Social-Spiritual

Culture

• Religion
• Politics
• Art & Literature
• Philosophy
• Ethical Values

What is social life?

• Family
• Martial
• Work/school
• Coffee shops
• parties
• sport
• friends sharing values

Social management

These cover all efforts to improve a patient’s well-being by changing aspects of his or her social life, particularly in regard to family and martial relationships,

work and leisure activities even visiting GP is a social event

At the most simple level, having a holiday, taking time off work and taking up a new interest are all important social means to relieve stress

Education, sport, music, art, nature, science, and religion all oiler great opportunities social encounters that can improve well-being.

Family therapy

• Family approaches to treatment,

• Treat the person in relation to their family. this does not mean that the family is held responsible for the individual’s stress

• but it is clear that many of the problems of stress resolve.

if high eed, instruct to not over do it think about scapegoating

Marital (Couple) Therapy

• Martial approaches to treatment

• Treat the person in relation to their spouse

• Unsatisfactory situation - Unresolved conflicts

  • Results chronic fatigue and tension
    • 1- Individual symmptoms (i.e. depression, drug abuse.

Religion

• Traditions
• Practices (rituals & worship)
• Spiritual practices (prayers)
• Ideology & Beliefs) Philosophy
• Social cohesivenesss & relations
• Ethical values

Life & Universe time line

• who, how why, where, what, really?
• The universe - the human being
• Culture
• Family, work, community
• Body, spirit, Psych

Religiosity and spirituality

               god - 
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others ------------------

Psycholoogical function of religion

• GIves life meaning and road map for existence
• it is way of life
• it is main source of constructive & positive values
• promote positive feelings like hope and optimism
• Provide excellent resilience and psychological cushion
  • for life hassles and stress
• Strengthen & build an intimate social community relationship
• The main source of society and culture education
• The main system for satisfaction and hapiness
• Increases self confidence and stability
• play paramount preventive role against depression, suicide, and drug & substance abuse

Why physicians should communicate with patients about spiritual issues?

• Many patients are religious and want physicians to be aware of their religious or spiritual backgrounds
• religious beliefs can influence medical decisions, conflict with medical care, and affect compliance.
• Patients may be at least temporarily isolated from communities form healthcare settings therefore alternatives means of adressing spiritual needs should be provided
• religion may affect the support and care patients recieve in the community
• religious patients, have beliefs help coping with stressful events.
• Religious involvement may impact mental and physical health outcomes

Measuring islamic Religiosity

The scale of islamic religiosity attitude, SIRA

Spiritual touch

• Respect others believing system
• sarcasm is fatal thus prohibited
• criticism is not accepted
• dont reinforce the overvalued beliefs (magic, gin, others.)

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Supernatural causes?

Evil eye, witchcraft, possesions …

Islamic vs sociocultural concepts

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ali al amri and jin