After Trauma, Some Feel 'Nearer My God to Thee'
Disabled People Experience Changes in Faith, Spirituality
 

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By Denise Mann
WebMD Medical News

One man began to pray to God while hospitalized for an injury. He now feels closer to God. Another has been going to church ever since his accident as a way of thanking God for his family, friends, girlfriend, and everything else that's good in
his life. And yet another man says he prays to wish away his pain.

These men experienced pronounced changes in their spiritual beliefs after
sustaining a spinal cord or brain injury, according to a study by Canadian
researchers in the June issue of the journal Archives of Physical Medicine
and Rehabilitation. Of 16 patients in the new study, eleven said they had a significant loss or gain of faith at some time in their life -- two lost faith, seven gained faith, and two said they experienced both a gain and a loss of faith during their lifetimes.

Of the 11 patients who said they had a change in faith over their lifetime, seven of those changes coincided with or followed closely after their injury. In the new study, spirituality is defined as a relationship with the world, with a supreme power, with others, and with one's self.

Exactly why a person becomes more spiritual after a traumatic injury is unclear, but the researchers speculate that the change could be attributed to a "honeymoon period" after the accident in which there is an influx of community support to help the patient transition back into the world. Or perhaps, traumatic injury slows down people's lives for meditation and opens them up to different kinds of relationships with others.

"There are a number of reasons that a person who suffers a traumatic, disabling event will turn toward spirituality," says lead researcher Mary Ann McColl, PhD, of the School of Rehabilitation Therapy at Queen's University in Kingston, Ontario, Canada. "The magnitude of a disabling event defies any simple explanation, so people turn to the mysterious or the unknown to help them make sense of it," she tells WebMD.

"The experience of something like disability, death, or pain raises big, abstract, and otherworldly questions, such as 'Why did this happen?' 'Why me?' and 'Does this change the purpose of my life?'" McColl says. "There is a way of looking at this that connects people to a spiritual side, and it is more positive than grief."

The changes that the study participants experienced fell into five basic categories -- awareness, closeness, trust, purpose, and vulnerability. For example, most participants said that the purpose of their lives had changed as a result of the injury. In terms of vulnerability, some said they now realized they were not invincible or immortal. And some said they had to learn to trust others to assist them with their daily living activities.

McColl and colleagues interviewed 12 men and four women, all of whom suffered
a spinal cord or brain injury, or both, and had been discharged from rehab within two years with a moderate to severe disability. According to data from the University of Alabama National Spinal Cord Injury Statistical Center, there are approximately 250,000 people with spinal cord injuries in the U.S., with approximately 11,000 new injuries occurring each year. Spinal cord injury may result in paralysis.

To understand their spiritual beliefs, participants were asked nine questions
including "Have you experienced any changes in who you are and who your real
self is since you acquired your disability?" and "Has your relationship with God or a higher power changed since your disability?"

"Under challenging circumstances, it's human nature to tap into a divine force to call up strength," says Margaret A. Nosik, PhD, director of the Center for Research on Women with Disabilities (CROWD) and a professor of physical medicine and rehabilitation at Baylor College of Medicine, both in Houston.Nosik says that the findings are quite different from what would be found among people who become disabled gradually or those who have an onset at birth.

"Sudden changes [such as those experienced by study participants] force you to re-evaluate your values," she says, whereas people who are born with disabilities have been groping with issues and challenges of their disability for their whole life. Nosik was born with a condition called spinal muscular atrophy. She lost the ability to walk at age 11. Spinal muscular atrophy is a disease of certain cells in the spinal cord.

Some participants in the new study said they viewed their disability as a punishment, meaning God saw something amiss and intervened to correct it.
Nosik says these feelings are similar among people with sudden disabilities and those with gradual onset disabilities Kym King, a 45-year-old African-American woman from Houston, became more spiritual when she was diagnosed with scleroderma when she was in her 20s. Scleroderma is a chronic disease of the connective tissue marked by scarring in the skin, joints, and internal organs.

"When I was diagnosed in my 20s, a couple of things changed for me, including
my sense of who I was as a person, because when you are 20, you believe you
will live forever, and my doctor said I would be dead within two to 10 years," she tells WebMD. "My illness made me stop and look at my life in a way that few 20-year-olds really do," she says.

King asked herself what she wanted her life to stand for and she also made
an effort to tell the people in her life how much they meant to her. "I went in search for a greater sense of meaning and purpose. I focused more on spirituality and the sense of something greater than myself, and I began to look at my disease as an opportunity," King says. "Spirituality is one of the things that keeps me healthy," she says. Now King is the director of communications at CROWD and an instructor of physical medicine and rehabilitation at Baylor College of Medicine, where she works with women with disabilities on a daily basis.

 


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