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Transcript of Tugas b.inggris 2 ( Nurliansi & Winda ) Reg.xiv_a
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TUGAS BAHASA INGGRIS II
THINKING SOCIOLOGICALLY ABOUT
RELIGION AND HEALTH
Oleh:
Nurliansi : PO.6.!."."".!#
$in%a : PO.6.!."."".!&'
KEPERA$ATAN REGULER (I)*A
KE+ENTERIAN KESEHATAN REPUBLIK INDONESIA
POLITEKNIK KESEHATAN PALANGKA RAYA
,L. Ge-re O/-s N-.&! Palan0a Ra1a '&""
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CHAPTER &
Thin0in S-2i-l-i2all1 A/-u3 Relii-n An% Heal3h
KEY CONCEPTS
n Secularization
n Theodicy: explaining suffering
n Church, sect and cult
n 'New age' beliefs and fundamentalism
n Religion and health
n Spiritual care
In3r-%u23i-n
Religions are concerned with life's meaning and with explanations of pain,
suffering and death Thus, their importance to sociologists of health and illness
might seem ob!ious Ne!ertheless, religion has been stri"ingly neglected by
sociologists of illness #illiams $%&&b(, has suggested that this has been because both medicine and sociology are highly secular and ha!e therefore regarded
religion as unimportant
#hen sociologists ha!e turned their attention to religion, it has often been
only to predict its death )eanwhile healthcare has become anincreasingly secular
domain with only a few remains of its religious foundations *or example, the
routine of ward prayers at the start of each shift, which this author remembers
from her nurse training, is largely a thing of the past +owe!er, as nurses in
particular ha!e come to define their interest in the patient as holistic, there has
been a new interest in religion and spirituality This is reflected in a proliferation
of boo"s on spiritual issues $)cSherry ---, Narayanasamy --%( These
changes reflect both the changing role of nursing and the changing role of religion
in contemporary society
.n this chapter, we will loo" at classical and contemporary sociological
studies of religion and their application to healthcare #e will consider how these
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can help us to understand the complex relationships between religion, society,
illness and healthcare in the contemporary world
Classi2al s-2i-l-i2al a22-un3s -4 relii-n
The "ey theme which has united much sociological writing about religion is that
of secularization /y secularization, we mean the progressi!e decline of the
importance of religion in the world )any sociologists of health and illness ha!e
assumed that secularization is an ine!itable feature of modern society but the
empiricale!idence to support this assertion is complex and contradictory
.t is important to distinguish between secularization and secularism
Secularization refers to the declining significance of religion0 what )ax #eber
described as the 'disenchantment of the world' $1erth 2 #right )ills %&3-(
Secularism refers to a materialist system of thought which re4ects religious beliefs
as irrational 5ne of the leading contemporary proponents of secularism is
Richard 6aw"ins $--7( Secular rationalism draws on a philosophical distinction
between reason and faith *aith is seen as superstitious and bac"ward and thus the
decline of religion is seen as a positi!e and progressi!e de!elopment in the
modern world Secular rationalism can be traced bac" to the eighteenth century
'8nlightenment' period following the *rench re!olution, when science and
rationality became increasingly influential in society This was an era of massi!e
social, political and economic change heralding the dawn of the industrial
re!olution This '8nlightenment' way of thin"ing is now often described as
modernism
The influence of secular rationalism on sociological theories of religion is
ob!ious )any of them proceed from an assumption that religion entails a
suspension of reason, which re9uires explanation )any secularist sociologists
therefore seized on e!idence of the decline of religion as a reason for optimism .t
was e!idence of the increasing enlightenment of the world pessimistic reading
of the e!idence for secularization on the other hand, sees it as representing a
decline in moral and communal !alues *urthermore, in an era of global warming
faith in scientific progress has itself been se!erely curtailed
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/ec"ford $%&;&( suggests that it is impossible to disentangle the
sociological !iew of religion from wider social theories and problems Classical
sociologists shaped their theories about religion in response to their attempts to
understand the massi!e social changes brought about by the industrial re!olution
They were particularlyconcerned by the problems of depri!ation and disharmony
they saw following in its wa"e ccording to /ec"ford $%&;&(, sociological
thin"ing about religion has failed to "eep pace with the changing nature of society
and is still rooted in these classical theories This is particularly true of the theory
of secularization which, according to /ec"ford, has failed to appreciate that the
disappearance of nineteenth
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same in religion. The more ofhimself man attributes to God, the less he has
left of himself. (Marx, cited in ottomore!"ubel#$%&' #%)
)arx too" *euerbach's concept of alienation and applied it in a new way
*or )arx, the source of alienation was not religion itself but the economic
relations of society #or"ers were not oppressed by their beliefs but by the new
relations of industrial capitalism which exploited them *or )arx, religion was
problematic because of the role it played in reconciling wor"ing people to that
oppression Religion expressed fundamental !alues of compassion, freedom and
4ustice but it encouraged the exploited to accept the status 9uo and aspire to
sal!ation in an afterlife rather than realizing these !alues on earth
“"eligious suffering is at the same time an expression of real suffering and
a protest against real suffering. "eligion is the sigh of the oppressed
creature, the sentiment of a heartless world and the soul of soulless
conditions. It is the opium of the people. The abolition of religion, as the
illusor* happiness of men is a demand for their real happiness. The call to
abandon their illusions about their condition is a call to abandon a
condition which re+uires illusion. (Marx, cited in ottomore!"ubel#$%&'
-#).
Thus )arx loo"ed forward to a society rid of oppression in which 4ustice would
be realized on earth and religion would become unnecessary
RELECTION POINT
#e ha!e seen that )arx was concerned with the ways in which industrial society
produced alienation ? a sense of powerlessness +ow do you thin" that a sense of
alienation might affect a person's health@ +ow did )arx thin" that religion
contributed to a sense of alienation@ 6o you thin" that he was right to criticize
religion in this way@
DURKHEI+ AND RELIGION
.f )arx was concerned with the ine9uality and oppression created by industrial
capitalism, then the sociologist 8mile 6ur"heim was concerned abo!e all with the
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brea"down of communal !alues and the social order )arx has gi!en us the
concept of alienation ? a sense of self estrangement engendered by the oppression
of capitalist social relations /y contrast, 6ur"heim saw contemporary humanity
as threatened by the condition of anomie nomie refers to a sense of
normlessness $from the 1ree" anomia absence of law(?the indi!idual's
estrangement from societal rules and !alues 6ur"heim belie!ed that anomie led
to suicide, crime and social brea"down
E7ile Dur0hei7 8"99;"#"'<
8mile 6ur"heim was a *rench sociologist from a Aewish bac"ground +e is
credited along with +erbert Spencer with being the founder of sociology as an
academic discipline and with changing fore!er the way we would thin" about and
study society 6ur"heim was a socialist and his wor" addressed the problems of
social depri!ation and disharmony that followed in the wa"e of the industrial
re!olution +e belie!ed that religion had played an important part in promoting
social cohesion and that professions would play an important part in promoting
ci!ic morals in industrial societies
6ur"heim was concerned to establish the social origins of social problems,
such as crime and suicide 6ur"heim presented a criti9ue of indi!idualistic
explanations of social beha!ior +e said that social phenomena were 'social facts'
which could not be explained simply by reference to the moti!ations or
propensities of indi!idual actors $methodological indi!idualism( Social facts
had, according to 6ur"heim, their own logic which was not reducible to
explanations at the biological or psychological le!el Socialfacts are external to
any particular indi!idual considered as a biological entity and act as an external
constraint on indi!idual choices and actions They are 'endowed with
coerci!epower, by which they impose themsel!es upon him, independent of his
indi!idual will' social fact can hence be defined as 'e!ery way of acting, fixed
or not, capable of exercising on the indi!idual an external constraint' $Rules of the
Sociological )ethod %;&=(
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6ur"heim's ma4or wor"s include:
n i/ision of 0abour in 1ociet* #$&
n "ules of the 1ociological Method #$2
n 1uicide #$%
n 3lementar* 4orms of the "eligious 0ifest*les #$#5
n 6rofessional 8thics and Ci!ic )orals $published in %&==(
*or 6ur"heim, some form of religion was necessary to society if anomie
was to be contained Religion was the means, whereby society collecti!ely
expressed its central !alues and identity through ceremonials and rituals .n his
ma4or study of religion, The 8lementary *orms of Religious >ife $%&%
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>uc"mann $%&73( described this new pri!ate form of religion as 'in!isible
religion'
RELECTION POINT
#e ha!e seen that 6ur"heim belie!ed that religion was >i"e an in!isible glue that
helped to hold society together 6ur"heim belie!ed that this was because it helped
people to express shared social !alues #hat !alues do you thin" that people share
within contemporary society@ +ow are these expressed@ +ow important are
shared !alues in healthcare@ #hat part do you thin" that religion plays in this@
$EBER=S )IE$ O RELIGION
)ax #eber was concerned both with the way in which society shaped religious
ideas and also with the way in which religious ideas influenced society $#eber's
ma4or ideas are discussed in Chapter B( #eber's ideas about the interplay of
religion and society are expressed in particular in his best "nown study on the
influence of rotestant ideas on the rise of capitalism $#eber %&3B( Thus, #eber
was interested in the social psychology of religion and he has a lot to say that is of
rele!ance to healthcare +e paid particular attention to the ways in which religions
construct explanations of suffering and death Such 4ustifications and explanations
of suffering are described as theodicies
The idea of suffering as a form of punishment is of profound importance in
almost all religious traditions #eber says that the fortunate are not content with
good fortune alone, but need to belie!e that they ha!e a right to be fortunate
Thus, wealth, power and good health are legitimated by the theory of good
fortune, and suffering is treated as a sign of odiousness in the eyes of the 1ods
The possessor of good fortune needs to console his conscience with the belief that
he deser!es to be fa!ored as much as the unfortunate deser!e their misery
The poor and suffering still ha!e to ma"e sense of their lot and can find
small comfort in the idea that they deser!e to suffer The persistence of in4ustice
and undeser!ed suffering therefore led to the idea of a sa!ior or redeemer who
will right all wrongs by either Dthe return of good fortune in this world or the
security of happiness in the next world' $#eber %&-, reprinted in 1erth 2 #right
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)ills %&3-( Thus, new theodicies periodically emerge which promise to right the
wrongs of the world and offer sal!ation to the poor and suffering 8xamples
include the Christian )essiah and the Cult of Erishna in +induism
#eber saw the modern world as characterized by increasing rationalization
The spread of rationality pushed the need for explanations of suffering to the
margins of our consciousness Rationality had demystified the world Science,
howe!er, can explain how e!ents such as sic"ness occur, but it is limited in its
explanations of why such e!ents occur #eber's discussion of theodicies reminds
us that these 9uestions remain central to how people ma"e sense of the world
ccording to Clar":
+ow and why 9uestions seem therefore to "eep ali!e the distinction between
science and religion #hen related to some conditions of human misfortune
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and re!olutionary social, political or religious mo!ements /y its !ery nature,
charismatic authority is short
#e can still see the influence of these classical theorists when we loo" at studies
of contemporary religion +owe!er, in the twenty
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Three types of e!idence ha!e been put forward when examining the changing
fortunes of religion in contemporary society:
% atterns of religious membership and affiliation
atterns of religious belief
The influence of religion on ma4or social institutions
DECLINING RELIGIOUS AILIATION>
#hen considering changes in religious institutions and their membership we are
going to loo" first of all at the situation in the GE >ater, we will consider whether
the GE is typical or exceptional in its attitudes to religion
Changing patterns of religious affiliation ha!e to be considered in relation to
the different types of religious organizations which exist in contemporary GE
society Sociologists ha!e de!eloped a number of typologies of religious
organizations *our main types are generally recognized:
% Churches
Sects
6enominations
B Cults
9hurches are large:scale, formal organizations with professional clergy, which
are often highly bureaucratic They may be closely allied to the state as in the case
of the Church of 8ngland or the Catholic Church in 8ire The Church of 8ngland
has suffered a dramatic decline in attendance with only %; million attending
regularly in %&& $6a!ie %&&Ba(, yet it is still the Church to which the ma4ority
$== million of the population( claim allegiance )ore recently, /rierley $--=(
has suggested that only 7;H of the population attended church regularly in --=,
yet sur!eys ha!e shown that the ma4ority of the population continue to claim to be
nominally Christian )ost only attend church for significant e!ents such as
baptisms, weddings, funerals and Christmas
.n spite of a general decline in acti!e church membership, there remain
significant local and regional differences Congregations still thri!e in some areas,
particularly rural areas and pro!inces, such as Northern .reland *urthermore,
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many ethnic minority communities show no signs of adopting the rather
lu"ewarm attitude to religion characteristic of the ma4ority of the GE population
/ruce $%&&7( argues that religion has an important role in expressing ethnic and
cultural identity and that in many of thesesituations, it is used as a 'cultural
defence' t, alternati!e argument is that these groups retain the more enthusiastic
attitudes to religion typical of their country of origin and that it is the GE
population which is unusual in its indifference to religion
The rather dramatic e!idence of a decline in acti!e church membership has
fuelled arguments in fa!or of the secularization thesis The e!idence is !isible to
all as, throughout our towns and cities redundant churches and chapels are
con!erted into shops, warehouses, flats and bingo halls +owe!er, non
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groups as denominations
6enominational groups, such as the )ethodists, ha!e suffered !ery serious
declines in membership .t may be that newer sects are learning this lesson and
instituting mechanisms for maintaining a sectarian identity and boundaries
between members and outsiders good example of this strategy of boundary
maintenance is the decision of the Aeho!ah's #itnesses to institute a taboo on
blood transfusions in the post
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The term has come to be applied more generally to religious mo!ements which
defend religious orthodoxy against the encroachments of contemporary culture
$)arty 2 Scott ppleby %&&( lthough .slamic fundamentalism has recei!ed
the most media attention, fundamentalist mo!ements ha!e arisen in all parts of the
world and in all religious traditions *or example, Christian fundamentalism is an
increasingly important political force in the GS Eey features of fundamentalist
mo!ements include:
; general hostilit* towards a rationalist post:3nlightenment /iew of the
world< an emphasis on supernatural inter/ention in dail* mundane affairs<
a restored patriarch* under a charismatic leader who draws his legitimac*
from God ... initial intransigence, born of millennial expectations
followed=(when the millennium fails to materiali>e) b* some form of
accommodation or bargaining with the larger world< a tendenc* to =fight
back? against the current of the times while appropriating those aspects of
contemporar* culture that seem necessar* or desirable?. ("uthuen #$$&)
The globalization of social life brings us into increasing contact with other
religious traditions The fundamentalist response to ma"ing sense of increasingly
fragmented world !iews is to choose one all
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own personal pac"age New age beliefs ha!e imported mar"et ideas into religion
and 6a!ie $%&&Ba( has described this phenomenon as ,supermar"et religion' 5ur
spiritual beliefs no longer reflect a deeply rooted sense of life's meaning and
become instead a 'lifestyle' choice )any authors ha!e described the rise of a
loose networ" of religious or 9uasioose connections are made through the use of metaphors or umbrella
terms, such as ,energy' and 'holism' $/ruce %&&7(
*or +eelas $%&&7(, the central theme of the new age is the Dsacralization of
the self' This echoes 6ur"heim's earlier !iew that religion would come to
symbolize the sacredness of the indi!idual The new age has been lin"ed to a
highly indi!idualistic culture which #alter $%&&( has described as
Jexpressi!ismK, in which self
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consumerismK, it is 'indi!idualism raised to a new plane' leading indi!iduals to
suppose that by "nowing oneself, we can "now e!erything
New age mo!ements ta"e different forms and encompass religious groups
and communities as well as indi!idual therapists and practitioners )any of the
beliefs and practices of the 'new age' ha!e entered the mass mar"et and this is
particularly true of 'self
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and no different from the decline of football clubs, trade unions etc $6a!ie
%&&Ba(
*inally, some social historians ha!e tal"ed of Dcommon' or 'fol"' religion
instead of 'pri!ate' religion The existence of high le!els of belief alongside low
le!els of practice are seen as a recurrence of the characteristics of religion before
the industrial re!olution $6a!ie %&&Ba( Recent reports that the ma4ority of the
population rate religion as of low importance to their e!eryday li!es $Loas2
Croc"ett --=( may reflect a long
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engage successfully with politics and ci!il society .n the GS, for example we
ha!e seen many examples of faith groups engaging !ery successfully in public life
often wielding enormous influence *aith groups ha!e become increasingly
!ociferous on matters concerned with human rights, morality and ethics )ain<
stream religious groups as well as fundamentalist mo!ements ha!e engaged in
political debate and public affairs Casano!a $%&&B( has argued that religious
groups ha!e become more differentiated: that is they ha!e become more separate
from state institutions such as the healthcare and education systems +owe!er, the
state has increasingly withdrawn from the pro!ision of ser!ices with the intro<
duction of 'mar"et' approaches to welfare pro!ision and we ha!e mo!ed towards a
'mixedeconomy' of ser!ices The scope for faith groups to engage in public life
may substantially increase as political de!elopments in the GS ha!e recently
indicated
final point about the influence of religion in the modern world concerns
the role of religion globally )uch of the debate focuses on data from /ritain and
#estern 8urope Met these countries may be exceptional0 across much of the
globe, there is little e!idence of secularization and religious affiliation and
influence may actually be increasing $/erger --%( This is not 4ust the difference
between Dmodern' #estern societies and less industrialized nations olls of the
merican public suggest that &7H belie!e in 1od and 73H belie!e that religion is
!ery important' in their li!es $owell et al --(
.n summing up, we can say that sociological studies of contemporary
religion ha!e produced a complex picture of competing trends #hile there is
e!idence of declining church membership in the GE, there is also e!idence of a
high le!el of religious belief independent of church organizations *or some, this
represents the acti!e pursuit of self
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important part in public life and it is possible that this will increase as the state
withdraws from welfare pro!ision and we mo!e towards a Jmixed economyK of
welfare
Clearly, this complex pattern of contemporary religious life has an impact
on the responses of indi!iduals to illness, suffering and death, which is worthy of
our attention .n addition, we may wish to consider the effect of these cultural
influences on nursing
RELECTION POINT
#e ha!e seen that lots of different forms of religious belief exist There are also
di!erse religious groups and !ariations in people's relationships to religious
groups Reflect on your own religious beliefs and practice #hat impact do you
thin" that they ha!e on your attitudes to your own health@
Relii-n? illness an% heal3h
number of authors ha!e considered the influence of religion on health and
illness )uch of this research has occurred in the GS where faith groups ha!e
considerable public influence as we ha!e discussed 5ne factor, which has
interested a number of sociologists, is the apparent relationship between religious
affiliation and health ut simply, it has been suggested that the religious tend to
li!e longer and be healthier $+ummer et al --B, Aar!is 2Northcott %&;3, >e!in
%&&B, )iller 2Thoresen --( 8xplanations ha!e focused on the way in which
religions offer social support and promote a healthy lifestyle The beneficial
effects of religious practices such as prayer, meditation and yoga ha!e also been
studied $Seeman et al --( *inally, religious belief has been posited as pro!iding
beneficial psychological effects such as 'inner peace' and a sense of life's meaning
$)iller 2Thoresen --( This brings us bac" to our earlier discussion of theodicy
and the role of religion in beliefs about health, illness and suffering
.n spite of the detailed attention, which has been paid to lay concepts of
health in recent years, !ery little attention has been paid within this literature to
the impact of spiritual beliefs on health beliefs #illiams $%&&b( has suggested
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that the moral and religious components of health beliefs are easily o!erloo"ed by
the researcher particularly as religious beliefs ha!e become more pri!ate
#illiams $%&&-( described a 'rotestant legacy' in the accountsof health
gi!en by his Scottish respondents opular moral conceptions of health reflected
rotestant theological debates +is respondents expressed !iews of health and
illness, which were close to #eber's Dtheodicy of good fortune'
The healthy owed their good fortune to a hard
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fortune' seems to becommon and may ha!e the potential to create unnecessary
guilt
Second, the growth of fundamentalist and sectarian groups, presents new
challenges for healthcare wor"ers *undamentalism is by its nature, in opposition
to secular rationalism )edicine is an area of secular rationalism most li"ely to
conflict with fundamentalist groups through its in!ol!ement in issues of life, death
and sexual morality
*undamentalist groups ha!e become increasingly in!ol!ed in debates about
contraception, abortion and genetic medicine and conflicts on these areas seem
bound to increase dditionally, some sectarian groups prohibit specific medical
practices such as the Aeho!ah's #itness ban on blood transfusions These groups
pose some serious legal, political and ethical challenges to liberal democracies
The sociological and psychological literature on sectarian groups and new
religious mo!ements is polarized between psychologists and psychiatrists who
claim that these groups exercise techni9ues of brainwashing and 'mind control'
$#est %&&( and a more liberal !iew that indi!iduals generally enter and lea!e
these groups of their own free will $/ar"er %&;&( n intermediate position is
ta"en by some authors suggesting that the social pressures of sect membership
affect the !alidity of an indi!idual's 4udgment This applies particularly to
informed consent and refusal of treatment $Moung 2 1riffith %&&( .f as 6a!ie
$%&&Bb( suggests, we may become a world of 'competing fundamentalisms',
current medical ethical guidelines based on assumptions of religious toleration
and indi!idual freedom may be put under increasing strain and may struggle to
adapt to the pressures of this changing social context
*inally, we li!e in a multicultural and multiethnic society Thus, nurses must
deal with patients from di!erse religious bac"grounds and must understand and
ma"e pro!ision for di!erse religious beliefs and practices s we noted earlier
many ethnic minority communitiesha!e remained much more steadfast in their
religious practices than the GE population generally
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RELECTION POINT
#e ha!e discussed the di!erse religious bac"grounds that people may come from
and the ways in which religion can impact on health +ow can you use this
understandingto impro!e your assessment of patients@
Relii-n? s@iri3uali31 an% nursin
.n this final section, we will briefly consider the influence of changing religious
ideas and practices on nursing Nursing has traditionally had strong associations
with religion ccording to Rafferty $%&&3( 'religious enthusiasm' was an
important moti!ation for nineteenth
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indi!idual as a 'biopsychological
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= +ow much right do you thin" that patients should ha!e to demand or refuse
treatment on religious grounds@
CHAPTER SU++ARY
This chapter has introduced you to sociological thin"ing about religion #e ha!e
used this chapter to introduce you to the three 'classical' social theorists: Earl
)arx, 8mile 6ur"heim and )ax #eber, by discussing the different ways in which
they thought about religion #e ha!e seen that Earl )arx was particularly
concerned about the ways in which ordinary wor"ing people were exploited by
industrial capitalism and saw religion as excusing that exploitation 8mile
6ur"heim was preoccupied with the ways in which religion undermined a sense
of community and the shared !alues and rituals that held society together )ax
#eber examined the different ways that we ma"e sense of suffering +e also
discussed the ways in which the industrial society had changed the way we see the
world Rationality had 'disenchanted' the world and marginalized 9uestions about
the meaning of suffering This is !ery rele!ant to healthcare ccording to Clar",
science and rationality can answer the 9uestion of how we become ill but cannot
as" the 9uestion: 'why did this happen to me@
This discussion has led us on to loo" at the 9uestion of whether religion is
actuallydeclining in modern society or 4ust changing This is something that
sociologists ha!e arguedabout for many years The debate about this 9uestion
draws on three "inds of e!idence: first, whether people belong to religious
organizations0 second, whether people belie!e in1od or the supernatural and
finally, whether religion has any influence in the world Thee!idence is !ery
mixed #hile religion is declining in some places, it is also de!eloping new forms
and new areas of influence Two important $but !ery different( new mo!ementsare
'new age' religion and religious Dfundamentalism'
Changes in the place of religion in society ha!e an important impact on the
ways in which people cope with and ma"e sense of illness, suffering and death
This can ha!e an impact on people's health Recent changes in religions, such as
the growth of fundamentalism offer new challenges to nurse when they are
helping patients to ma"e sense of the experience of illness Nurses ha!e become
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increasingly interested in spirituality but need to be careful not to detach their
understanding of spirituality from a broader understanding of religion and its
place in society
URTHER READING
6a!ie 1 %&&B Religion in /ritain since %&B=: /elie!ing without belonging
/lac"well, 5xford
a/ie pro/ides a good introduction to the sociolog* of religion.
#illiams R %&& Religion and illness .n: Radley $ed(#orlds of illness: /iographical and cultural perspecti!es on health and disease
Routledge, >ondon, p 3%ondon
/ec"ford A %&;& Religion and ad!anced industrial society Gnwin +yman, >ondo
/erger --% Reflections on the sociology of religiontoday Sociology of
Religion 7$B(:BBondon
/laxter ) %&& #hy do the !ictims blame themsel!es@ .n: Radley $ed( #orlds
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of illness: /iographical and cultural perspecti!es on health and disease
Routledge, >ondon, p %Bighting the lamp: The spiritual dimension of nursing care
Scutari, >ondon /rierley $ed( --= The GE Christian handboo": Religious
trends No =: The future of the church Christian Research, >ondon
/ruce S %&&7 Religion in the modern world: from cathedrals to Cults 5xford
Gni!ersity ress, 5xford
Casano!a A %&&B ublic religions in the modern world Chicago Gni!ersity ress,
Chicago
Clar" 6 %&; /etween pulpit and pew: *ol" religion in a North Mor"shire fishing
!illage Cambridge Gni!ersity ress, Cambridge
6a!ie 1 %&&Ba Religion in /ritain since %&B=: /elie!ing without belonging
/lac"well, 5xford
6a!ie, 1 %&&B7 Religion in postondon
6yson A, Cobb ), *orman 6 %&&3 The meaning of spirituality: literature
re!iew Aournal of d!anced Nursing 7$%(:%%; %&=3 8ssences of Christianity +arper, New Mor
1erth ++, #right )ills C %&3- $eds( )ax #eber:
8ssays in sociologyRoutledge, >ondon
+eelas %&&a The new age in cultural context: thepre
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bercrombie N, #ard $eds( Social change in contemporary society olity,
Cambridge, p %&i!ingstone, 8dinburgh
)cSherry #, 6raper %&&; The debates emergingfrom the literature surrounding
the concept ofspirituality as applied to nursing Aournal ofd!anced Nursing
3:7;
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B==
Niebuhr +R %&& The social sources ofdenominationalism +enry +olt, New
Mor" owell >, Shahabi >, Thoresen C -- Religion andspirituality: >in"ages
to physical health mericansychologist =;$%(:7ondon
Robertson R %&;& 1lobalization, politics and religion.n: /ec"ford A, >uc"mannT
$eds( The changing face of religion Sage, >ondon, p %-%&&B #hen *estinger fails: rophecy and the #atch Tower Religion B:&<
-;
Seeman T, 6ubin >, Seeman ) -- ReligiosityQ spirituality and health: critical
re!iew of the e!idence for biological pathways merican sychologist
=;$%(:=
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the assessment of cults/eha!ioural Sciences and the >aw %-:;&
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T E R , E + A H A N
BAHASA INDONESIA
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BAB &
Ber@i0ir s-si-l-is Ten3an Aa7a Dan Keseha3an
KONSEP UTA+A
Se"ularisasi
Teodise : men4elas"an penderitaan
1ere4a , se"te dan "ultus
usia '"eya"inan dan fundamentalisme
gama dan "esehatan
perawatan Spiritual
Penan3ar
gama prihatin dengan ma"na "ehidupan dan dengan pen4elasan dari rasa
sa"it, penderitaan dan "ematian 6engan demi"ian , "epentingan mere"a untu"
sosiolog "esehatan dan penya"it mung"in tampa" 4elas Namun demi"ian, agama
telah mencolo" diabai"an oleh sociolo 1.STs penya"it #illiams $ %&&b ( ,
telah menyaran"an bahwa ini telah men4adi "arena bai" obat
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sesuatu dari masa lalu Namun, seperti perawat "hususnya telah datang untu"
mendefinisi"an minat mere"a dalam pasien sebagai holisti" , telah ada minat baru
dalam agama dan spiritualitas +al ini tercermin dalam proliferasi bu"u tentang
isu
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sosial , politi" dan e"onomi gembor"an fa4ar re!olusi industri .ni ' encerahan '
cara berpi"ir se"arang sering digambar"an sebagai modernisme
engaruh rasionalisme se"uler pada teori sosiologis agama 4elas /anya"
dari mere"a melan4ut"an dari asumsi bahwa agama memerlu"an suspensi alasan ,
yang membutuh"an pen4elasan Earena itu banya" sosiolog se"uler menang"ap
bu"ti penurunan agama sebagai alasan untu" optimis .tu adalah bu"ti dari
mening"atnya mencerah"an ment dunia embacaan pesimis bu"ti untu"
se"ularisasi di sisi lain , melihatnya sebagai mewa"ili penurunan nilai
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ACCOUNT +AR( Terha%a@ Aa7a
andangan )arx tentang agama adalah "has dari abad "esembilan belas
rasionalisme se"uler dalam pemberhentian atas reli "eya"inan "eagamaan
$untu" membaca tentang ide
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A 6enderitaan agama adalah pada saat *ang sama merupakan ekspresi
penderitaan n*ata dan protes terhadap penderitaan *ang n*ata . ;gama adalah
keluhan makhluk tertindas , sentimen dari dunia berperasaan dan jiwa kondisi
berjiwa. Ini adalah candu bagi rak*at . 6enghapusan agama , sebagai
kebahagiaan ilusi dari laki:laki adalah permintaan untuk kebahagiaan sejati
mereka. 6anggilan untuk meninggalkan ilusi mereka tentang kondisi mereka
adalah panggilan untuk meninggalkan suatu kondisi *ang membutuhkan Illu :
sion A . ( Marx , dikutip dalam ottomore ! "ubel#$%& ' -# ) .
Dadi Marx memandang ke depan untuk mas*arakat men*ingkirkan penindasan di
mana keadilan akan terwujud di bumi dan agama akan menjadi tidak perlu .
RELEKSI POINT
Eita telah melihat bahwa )arx prihatin dengan cara
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8mile 6ur"heim seorang sosiolog erancis dari latar bela"ang Mahudi 6ia
di"redit"an bersama dengan +erbert Spencer dengan men4adi pendiri sosiologi
sebagai disiplin a"ademis dan dengan mengubah selamanya cara "ita a"an
berpi"ir tentang dan masyara"at studi 6ur"heim adalah sosialis dan "aryanya
membahas masalah depri!asi sosial dan "etida"harmonisan yang dii"uti setelah
re!olusi industri 6ia percaya bahwa agama telah memain"an peran penting
dalam mempromosi"an "ohesi sosial dan profesi a"an memain"an peranan
penting dalam mempromosi"an moral sipil dalam masyara"at industri
6ur"heim prihatin untu" menetap"an asal
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/agi 6ur"heim, beberapa bentu" agama itu diperlu"an untu" masyara"at 4i"a
anomie itu harus ter"andung gama adalah sarana, dimana "ole"tif masyara"at
ti!ely mengung"ap"an nilaiuc"mann $%&73( di4elas"an bentu" pribadi ini
baru agama sebagai 'agama ta" terlihat'
R8*>8ES. 5.NT
Eita telah melihat bahwa 6ur"heim percaya bahwa agama Seperti lem ta"
terlihat yang membantu untu" memegang masyara"at bersama
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berbagi dalam masyara"at "ontemporer@ /agaimana ini diung"ap"an@ Seberapa
penting adalah nilai
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ber4an4i "e "anan "esalahan dunia dan menawar"an "eselamatan "epada orang
mis"in dan menderita Contohnya termasu" Eristen )esias dan Cult of Erishna
dalam agama +indu
#eber melihat dunia modern sebagai "ara"ter terwu4ud dengan mening"at"an
rasionalisasi enyebaran rasionalitas mendorong perlunya tions 8NA8>SN
menderita dengan margin "ami sciousness con Rasionalitas telah demistifi"asi
dunia Science, bagaimanapun, dapat men4elas"an bagaimana peristiwa seperti
sa"it ter4adi, tetapi terbatas dalam pen4elasannya tentang mengapa peristiwa
tersebut ter4adi 6is"usi #eber theodicies mengingat"an "ita bahwa pertanyaan<
pertanyaan ini tetap pusat untu" bagaimana orang memahami dunia )enurut
Clar":
/agaimana dan mengapa pertanyaan "arena itu tampa"nya tetap hidup
perbedaan antara sci ence dan agama Eeti"a berhubungan dengan beberapa
"ondisi manusia "emalangan<
mengata"an penya"it
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"an selalu ada "ecenderungan counter dan bidang "ehidupan sosial yang
menola" cess pro rasionalisasi #eber memanfaat"an sep con "arisma untu"
men4elas"an munculnya gera"an
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Eita masih bisa melihat pengaruh ini teori "lasi" "eti"a "ita melihat studi
contempo agama rary Namun, dalam dua puluh satu cen tury "ita bisa
dibilang menghadapi set yang berbeda dari "ondisi sosial /agaimana berbeda
adalah masalah perdebatan witli beberapa penulis melihat ini hanya sebagai
"elan4utan dari masa lalu, "arena penulis ini "ita terus hidup di sebagian besar
indus trialized era modern di mana masyara"at a"an terus men4adi sema"in
se"uler Gntu" penulis lain Namun, "ami telah pindah "e sebuah era baru di mana
"ita se"arang "ecewa dengan ilmu pengetahuan dan rasionalitas dan "epentingan
baru dalam agama dan spiritualitas dapat ber"embang .ni "edua penulis
menggambar"an hadir sebagai pos modern atau pasca industrial era $+eelas
%&&a( Se"olah
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denominasi
B Eultus
1ere4a besar
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dibangun Nasib aga" lebih ringan dari "elompo" Eristen lainnya 4uga "adang<
"adang pergi tanpa di"etahui namun beberapa "ota
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sebagian dengan metode su"ses mere"a disiplin dan pemeliharaan batas dalam
mempertahan"an "apal anggota mere"a Namun, mera4ut "elompo" agama lain
yang lebih longgar baru 4uga di"ali"an dalam beberapa tahun tera"hir
Eultus telah dianggap sebagai bentu" utama "eempat dari agama , organisasi
$ /ruce %&&7( dan salah satu yang telah mendapat perhatian media yang negatif
yang cu"up besar $ /ar"er %&;&( Eultus "ecil longgar "elompo" mera4ut dengan
"eya"inan agama ortodo"s /ar"er telah membuat studi besar "elompo"<
"elompo" ini dan lebih su"a istilah New Reli 1era"an "eagamaan "arena lebih
a"urat dan "urang merendah"an )es"ipun gera"an "eagamaan baru ES.+
$ atau se"te ( telah menari" perhatian media yang negatif dalam beberapa tahun
tera"hir "arena "emampuan mere"a seharusnya ' mencuci ota" ' anggotanya ,
penelitian menun4u""an bahwa "eanggotaan biasanya berumur pende" dan
indi!idu tertari" pada gera"an ini dapat digambar"an sebagai ' pencari ' yang
menge4ar berbagai "eya"inan agama ortodo"s dan pra"te" sering bersamaan
$ /ar"er %&;&( Namun ada risi"o bahwa "ultus dapat menimbul"an ancaman
bagi "ese4ahteraan anggotanya "eti"a para pemimpin meng"laim otoritas ilahiatau "eti"a anggota se"te memung"in"an "eputusan penting tentang "ehidupan
mere"a yang a"an dibuat oleh orang lain $ /ar"er %&;&(
ertumbuhan "elompo"
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fundamentalisme Eristen adalah sema"in mening"at "e"uatan politi" ingly
penting di meri"a Seri"at *itur utama dari gera"an fundamentalis meliputi:
1ebuah permusuhan umum menuju pasca:6encerahan pandangan rasionalis
dunia< penekanan pada inter/ensi supranatural dalam urusan duniawi sehari:
hari, sebuah patriarki dipulihkan di bawah seorang pemimpin karismatik *ang
menarik legitimasi dari ;llah ... kerasn*a awal, *ang lahir dari harapan milenial
diikuti =(ketika millen C nium gagal terwujud) oleh beberapa bentuk akomodasi
atau tawar:menawar dengan dunia *ang lebih besar, kecenderungan untuk
=melawan ?melawan arus >aman saat apropriasi aspek:aspek buda*a sementara
con C *ang tampakn*a diperlukan atau diinginkan?. ("uthuen #$$&)
1lobalisasi "ehidupan sosial membawa "ita "e dalam pening"atan "onta" dengan
tions tradisi "eagamaan lainnya Tanggapan fundamentalis untu" membuat rasa
pandangan dunia yang sema"in terfragmentasi adalah untu" memilih salah satu
yang menca"up semua pandangan dunia dan tetap dengan itu ara fundamentalis
4uga melihat diri mere"a sebagai ber4uang "embali melawan gangguan
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menggambar"an fenomena ini sebagai , agama supermar"et ' Eeya"inan rohani
"ita tida" lagi mencermin"an rasa bera"ar ma"na hidup dan men4adi sebali"nya '
gaya hidup ' pilihan /anya" penulis telah menggambar"an munculnya 4aringan
longgar dari organisasi religius atau "uasi < religius tions , pra"te" dan produ" ,
yang +eelas $ %&&b ( telah digambar"an sebagai ' zaman baru bergera" ment '
1era"an ini mendorong "ita untu" ' melihat
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masyara"at , pengorbanan diri atau pelayanan "epada orang lain atau "e"uatan
yang lebih tinggi /ruce berpendapat bahwa itu adalah ' besar ironi ' bahwa
"elompo"
Eami telah melu"is sebuah gambar "eanggotaan menurun gere4a di .nggrisditambah dengan beberapa daerah pertumbuhan , "hususnya, gera"an
damentalist se"tarian dan menyenang"an dan ES.+ ' baru umur ' bergera"
enelitian empiris telah secara "onsisten melapor"an ting"at tinggi "eya"inan
agama mes"ipun "eanggotaan gere4a menurun +asil sur!ei ber!ariasi tergantung
pada bagaimana pertanyaan dia4u"an tetapi tampa"nya menun4u""an bahwa
mes"ipun "eya"inan telah menurun , sebagian besar pendudu" con tinue untu"
percaya pada Tuhan Sur!ei pada %&&-
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Tiga tema dapat diidentifi"asi dalam pen4elasan sosiologis ' percaya tanpa mili" '
ertama , tema 'diri agama ' diidentifi"asi dengan ideuc"mann $%&73 ( be"er4a sebagai ' ta" terlihat '
atau ' pri!a tized ' sistem agama .ni a"an men4elas"an "egigihan dan
pertumbuhan ortodo"s reli ide "eagamaan dan pengalaman supernatural The ,
zaman baru ' gera"an dapat dilihat sebagai penciptaan ling"ungan budaya untu"
sistem "eagamaan dipri!atisasi Ter"ait dengan sosiolog ini telah i68N tified
penurunan umum dalam "eanggotaan organisasi "omunal $ 4i"a digambar"an
sebagai penurunan modal sosial , lihat /ab S dan 7 ( enurunan "eanggotaan
gere4a dapat dilihat sebagai refle"si dari penurunan nilai "omunal daripada
penurunan nilai
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enurunan 8N1RG+ 1) @
Ai"a sebagian besar wilayah "ehidupan "ita di"endali"an oleh lembaga
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Titi" a"hir tentang pengaruh agama di dunia modern menyang"ut peran reli
gion global /anya" perdebatan berfo"us pada data dari .nggris dan 8ropa /arat
Namun negara
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hubungan masyara"at terhadap "elompo"
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menyata"an pandangan
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"epercayaan "esehatan , !ersi rotestan dari D teodise "eberuntungan 'tampa"nya
becommon dan mung"in memili"i potensi untu" mencipta"an rasa bersalah yang
tida" perlu
Eedua , pertumbuhan "elompo"iteratur
sosiologis dan psi"ologis pada "elompo" se"tarian dan gera"an
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"hirnya , "ita hidup dalam masyara"at etnis multi"ultural dan multi 6engan
demi"ian , perawat harus menangani pasien dari latar bela"ang agama yang
beragam dan harus memahami dan membuat "etentuan untu" "eya"inan agama
yang beragam dan pra"ti" Seperti yang "ita catat sebelumnya banya" etnis
minoritas communitiesha!e tetap 4auh lebih teguh dalam pra"ti" "eagamaan
mere"a daripada populasi .nggris pada umumnya
RELEKSI POINT
Eami telah membahas latar bela"ang agama yang beragam yang orang mung"in
berasal dan cara di mana agama bisa berdampa" pada "esehatan /agaimana nda
bisa mengguna"an ini understandingto mening"at"an penilaian nda terhadap
pasien
gama,spiritualitas dan "eperawatan ada bagian a"hir ini, "ita secara sing"at
a"an mempertimbang"an pengaruh perubahan ide
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dalam terapi "omplementer dalam "eperawatan banya" yang berasal basis
filosofis mere"a dari agama zaman baru $/ruce %&&7(
Eontemporer literatur "eperawatan pada spiri tual perawatan berisi perdebatan
tentang sifat spiritualitas Eonsensus yang muncul dalam literatur adalah bahwa
spiritualitas terpisah dari agama $6yson et al %&&3, )cSherry 2 6raper %&&;(
>iteratur menegas"an bahwa perawatan spiritual merupa"an landasan pra"ti"
"eperawatan 'holisti"' Eonsepsi tertentu holisme dinyata"an dalam literatur ini
adalah indi!idu sebagai ' ma"hlu" psi"ologis
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abad "esembilan belas andangan spiritualitas dapat men4adi salah satu yang
tida" simpati" bagi pasien yang terus mengait"an spiritual ity dengan nilai
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rasionalitas dapat men4awab pertanyaan tentang bagaimana "ita men4adi sa"it
tetapi tida" dapat menga4u"an pertanyaan: F mengapa ini ter4adi pada"u@
6is"usi ini telah membawa "ita untu" melihat pertanyaan apa"ah agama
actuallydeclining dalam masyara"at modern atau hanya berubah .ni adalah
sesuatu yang sosiolog telah arguedabout selama bertahun
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)c Sherry # --- )embuat rasa spiritualitas dalam pra"te" "eperawatan
Churchill >i!ingstone,8dinburgh
Narayanasamy --% perawatan Spiritual: Sebuah panduan pra"tis untu"
perawat dan pra"tisi Eesehatan Iuay ublishing, #iltshire
)cSherry dan Narayanasamy memper"enal"an perawatan spiritual "epada
perawat
REERENSI
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bercrombie N, A /a"er, /rett S %&3- Superstition dan agama: llah "esen4angan
.n: )artin 6, /u"it ) $eds(
Sebuah bu"u tahunan sosiologis agama SC), >ondon, p &
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Clar" 6 %&; ntara mimbar dan bang"u: agama *ol" di sebuah desa nelayan
North
Mor"shireCambridge Gni!ersity ress, Cambridge
6a!ie 1 %&&Ba gama di .nggris se4a" tahun %&B=: ercaya tanpa mili"
/lac"well,5xford
6a!ie, 1 %&&B7 gama dalam pascaondon
6ur"heim 8 P%;&3% %&3- SuicideRoudedge, >ondon 6ur"heim 8 P%&%% %&37
/entu" dasar dari "ehidupan beragama llen dan Gnwin, >ondon
6yson A, ) Cobb, *orman 6 %&&3 ma"na spiritualitas: Sebuah tin4auan literatur
Aournal of d!anced Nursing 7 $%(: %%; %&=3 8ssences Eristen +arper,
New Mor 1erth + +, #right )ills C %&3- $eds( )ax#eber:
8saidi sociologyRoutledge,>ondon
+eelas %&&a Gsia baru dalam "onte"s budaya: thepre
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erubahan sosial dalam masyara"at "ontemporer emerintahan
Cambridge, p %&ondon
>e!in A %&&B gama dan "esehatan: pa"ah ada hubungan@ .lmu Sosial dan .lmu
Eedo"teran ; $%%(: %B3=uc"mann T %&73 gama ta" terlihat )acmillan, New Mor"
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