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Erschienen in: Journal of Religion and Health 5/2016

19.04.2016 | Original Paper

Refusal of Medical Blood Transfusions Among Jehovah’s Witnesses: Emotion Regulation of the Dissonance of Saving and Sacrificing Life

verfasst von: Hege Kristin Ringnes, Harald Hegstad

Erschienen in: Journal of Religion and Health | Ausgabe 5/2016

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Abstract

This study focuses on the requirement of JWs to refuse medical blood transfusions. We identified a life–death cognitive dissonance among JWs, with the opposing cognitions of being willing to sacrifice life by religious standards, while being unwilling to do so. Using a theory that connects cognitive dissonance with the need to regulate difficult emotions to analyze our qualitative data material, we identified two sets of dissonance reduction strategies among the JWs. Set 1 was tied to the individual-group: selective focus on eternal life, a non-blood support and control system, and increased individualization of treatment choices. Set 2 was in the religion versus medicine intersection: denial of risk combined with optimism, perception of blood as dangerous, and use of medical language to underscore religious doctrine.
Literatur
Zurück zum Zitat Agroskin, D., & Jonas, E. (2013). Controlling death by defending ingroups: Mediational insights into terror management and control restoration. Journal of Experimental Social Psychology, 49(6), 1144–1158.CrossRef Agroskin, D., & Jonas, E. (2013). Controlling death by defending ingroups: Mediational insights into terror management and control restoration. Journal of Experimental Social Psychology, 49(6), 1144–1158.CrossRef
Zurück zum Zitat Allen, J., Berrios, L., Solimine, M., & Knott-Craig, C. J. (2013). Bloodless surgery in a pediatric Jehovah’s Witness. Journal of Extra-Corporeal Technology, 45(4), 251–253.PubMedPubMedCentral Allen, J., Berrios, L., Solimine, M., & Knott-Craig, C. J. (2013). Bloodless surgery in a pediatric Jehovah’s Witness. Journal of Extra-Corporeal Technology, 45(4), 251–253.PubMedPubMedCentral
Zurück zum Zitat Beckford, J. A. (1975). The trumpet of prophecy: A sociological study of Jehovah’s Witnesses. Oxford: Basil Blackwell. Beckford, J. A. (1975). The trumpet of prophecy: A sociological study of Jehovah’s Witnesses. Oxford: Basil Blackwell.
Zurück zum Zitat Belzen, J. A., & Hood, R. W. (2006). Methodological issues in the psychology of religion. Toward another paradigm? Journal of Psychology, 140(1), 5–28.CrossRefPubMed Belzen, J. A., & Hood, R. W. (2006). Methodological issues in the psychology of religion. Toward another paradigm? Journal of Psychology, 140(1), 5–28.CrossRefPubMed
Zurück zum Zitat Bock, G. L. (2012). Jehovah’s Witnesses and autonomy: Honouring the refusal of blood transfusions. Journal of Medical Ethics, 38(11), 652.CrossRefPubMed Bock, G. L. (2012). Jehovah’s Witnesses and autonomy: Honouring the refusal of blood transfusions. Journal of Medical Ethics, 38(11), 652.CrossRefPubMed
Zurück zum Zitat Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRef Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.CrossRef
Zurück zum Zitat Cooper, J., & Goren, A. (2007). Cognitive dissonance theory. In R. F. Baumeister & K. D. Vohs (Eds.), Encyclopedia of social psychology (pp. 149–153). Thousand Oaks, CA: Sage. Cooper, J., & Goren, A. (2007). Cognitive dissonance theory. In R. F. Baumeister & K. D. Vohs (Eds.), Encyclopedia of social psychology (pp. 149–153). Thousand Oaks, CA: Sage.
Zurück zum Zitat Cordella, M. (2012). Negotiating religious beliefs in a medical setting. Journal of Religion and Health, 51(3), 837–853.CrossRefPubMed Cordella, M. (2012). Negotiating religious beliefs in a medical setting. Journal of Religion and Health, 51(3), 837–853.CrossRefPubMed
Zurück zum Zitat Cote, P., & Richardson, J. T. (2001). Disciplined litigation, vigilant litigation, and deformation: Dramatic organization change in Jehovah’s Witnesses. Journal for the Scientific Study of Religion, 40(1), 11–25.CrossRef Cote, P., & Richardson, J. T. (2001). Disciplined litigation, vigilant litigation, and deformation: Dramatic organization change in Jehovah’s Witnesses. Journal for the Scientific Study of Religion, 40(1), 11–25.CrossRef
Zurück zum Zitat Dallas, T., Welsby, I., Bottiger, B., Milano, C., Daneshmand, M., & Guinn, N. (2015). Bloodless orthotopic heart transplantation in a Jehovah’s Witness. A and A Case Reports, 4(10), 140–142.CrossRefPubMed Dallas, T., Welsby, I., Bottiger, B., Milano, C., Daneshmand, M., & Guinn, N. (2015). Bloodless orthotopic heart transplantation in a Jehovah’s Witness. A and A Case Reports, 4(10), 140–142.CrossRefPubMed
Zurück zum Zitat Festinger, L. (1957). A theory of cognitive dissonance. Evanston III: Row, Peterson and Company. Festinger, L. (1957). A theory of cognitive dissonance. Evanston III: Row, Peterson and Company.
Zurück zum Zitat Gohel, M. S., Bulbulia, R., Slim, F., Poskitt, K., & Whyman, M. (2005). How to approach major surgery where patients refuse blood transfusion (including Jehovah’s Witnesses). Annals of the Royal College of Surgeons of England, 87(1), 3–14.CrossRefPubMedPubMedCentral Gohel, M. S., Bulbulia, R., Slim, F., Poskitt, K., & Whyman, M. (2005). How to approach major surgery where patients refuse blood transfusion (including Jehovah’s Witnesses). Annals of the Royal College of Surgeons of England, 87(1), 3–14.CrossRefPubMedPubMedCentral
Zurück zum Zitat Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299.CrossRef Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299.CrossRef
Zurück zum Zitat Gupta, S., Onwude, J., Stasi, R., & Manyonda, I. (2012). Refusal of blood transfusion by Jehovah’s Witness women: A survey of current management in obstetric and gynaecological practice in the UK. Blood Transfusion, 10(4), 462–470.PubMedPubMedCentral Gupta, S., Onwude, J., Stasi, R., & Manyonda, I. (2012). Refusal of blood transfusion by Jehovah’s Witness women: A survey of current management in obstetric and gynaecological practice in the UK. Blood Transfusion, 10(4), 462–470.PubMedPubMedCentral
Zurück zum Zitat Harmon-Jones, E. (2013). Cognitive dissonance. In H. Pashler (Ed.), Encyclopedia of the mind (pp. 154–157). Thousand Oaks, CA: Sage. Harmon-Jones, E. (2013). Cognitive dissonance. In H. Pashler (Ed.), Encyclopedia of the mind (pp. 154–157). Thousand Oaks, CA: Sage.
Zurück zum Zitat Holden, A. (2002). Jehovah’s Witnesses. Portrait of a contemporary religious movement. London: Routledge.CrossRef Holden, A. (2002). Jehovah’s Witnesses. Portrait of a contemporary religious movement. London: Routledge.CrossRef
Zurück zum Zitat Jehovah’s Witnesses. (2010). Shepherd the Flock of God. Retrieved 2014, September 25 from Støttegruppen for tidligere Jehovas vidner [The Support Group for Former Jehovah’s Witnesses], http://www.x-jv.dk/. Jehovah’s Witnesses. (2010). Shepherd the Flock of God. Retrieved 2014, September 25 from Støttegruppen for tidligere Jehovas vidner [The Support Group for Former Jehovah’s Witnesses], http://​www.​x-jv.​dk/​.
Zurück zum Zitat Jonas, E., Graupmann, V., & Frey, D. (2006). The influence of mood on the search for supporting versus conflicting information: Dissonance reduction as a means of mood regulation? Personality and Social Psychology Bulletin, 32(1), 3–15.CrossRefPubMed Jonas, E., Graupmann, V., & Frey, D. (2006). The influence of mood on the search for supporting versus conflicting information: Dissonance reduction as a means of mood regulation? Personality and Social Psychology Bulletin, 32(1), 3–15.CrossRefPubMed
Zurück zum Zitat Jonas, E., Greenberg, J., & Frey, D. (2003). Connecting terror management and dissonance theory: Evidence that mortality salience increases the preference for supporting information after decisions. Personality and Social Psychology Bulletin, 29(9), 1181–1189.CrossRefPubMed Jonas, E., Greenberg, J., & Frey, D. (2003). Connecting terror management and dissonance theory: Evidence that mortality salience increases the preference for supporting information after decisions. Personality and Social Psychology Bulletin, 29(9), 1181–1189.CrossRefPubMed
Zurück zum Zitat Jordan, S. D., & Alexander, E. (2013). Bovine hemoglobin: A nontraditional approach to the management of acute anemia in a Jehovah’s Witness patient with autoimmune hemolytic anemia. Journal of Pharmacy Practice, 26(3), 257–260.CrossRefPubMed Jordan, S. D., & Alexander, E. (2013). Bovine hemoglobin: A nontraditional approach to the management of acute anemia in a Jehovah’s Witness patient with autoimmune hemolytic anemia. Journal of Pharmacy Practice, 26(3), 257–260.CrossRefPubMed
Zurück zum Zitat Kim-Prieto, C., & Diener, E. (2009). Religion as a source of variation in the experience of positive and negative emotions. The Journal of Positive Psychology, 4, 447–460.CrossRef Kim-Prieto, C., & Diener, E. (2009). Religion as a source of variation in the experience of positive and negative emotions. The Journal of Positive Psychology, 4, 447–460.CrossRef
Zurück zum Zitat Koenig, H. G., McCullough, M. E., & Larson, D. B. (2012). Handbook of religion and health. New York, NY: Oxford University Press. Koenig, H. G., McCullough, M. E., & Larson, D. B. (2012). Handbook of religion and health. New York, NY: Oxford University Press.
Zurück zum Zitat Koole, S. L. (2009). The psychology of emotion regulation: An integrative review. Cognition and Emotion, 23(1), 4–41.CrossRef Koole, S. L. (2009). The psychology of emotion regulation: An integrative review. Cognition and Emotion, 23(1), 4–41.CrossRef
Zurück zum Zitat Kvale, S., & Brinkmann, S. (2009). Interviews. Learning the craft of qualitative research interviewing. Los Angeles, CA: Sage. Kvale, S., & Brinkmann, S. (2009). Interviews. Learning the craft of qualitative research interviewing. Los Angeles, CA: Sage.
Zurück zum Zitat Leas, B. F., & Umscheid, C. A. (2015). Neonatal herpes simplex virus type 1 infection and Jewish ritual circumcision with oral suction: A systematic review. Journal of the Pediatric Infectious Diseases Society, 4(2), 126–131.CrossRefPubMed Leas, B. F., & Umscheid, C. A. (2015). Neonatal herpes simplex virus type 1 infection and Jewish ritual circumcision with oral suction: A systematic review. Journal of the Pediatric Infectious Diseases Society, 4(2), 126–131.CrossRefPubMed
Zurück zum Zitat Muramato, O. (1999). Bioethics of the refusal of blood by Jehovah’s Witnesses: Part 3. A proposal for a don’t-ask-don’t-tell policy. Journal of Medical Ethics, 25, 463–468.CrossRef Muramato, O. (1999). Bioethics of the refusal of blood by Jehovah’s Witnesses: Part 3. A proposal for a don’t-ask-don’t-tell policy. Journal of Medical Ethics, 25, 463–468.CrossRef
Zurück zum Zitat Pietkiewicz, I. J. (2014). Salutary, pathogenic, and pathoplastic aspects of the Jehovah’s Witness culture. Journal of Family Studies, 20(2), 148–165.CrossRef Pietkiewicz, I. J. (2014). Salutary, pathogenic, and pathoplastic aspects of the Jehovah’s Witness culture. Journal of Family Studies, 20(2), 148–165.CrossRef
Zurück zum Zitat Pyszczynski, T., Greenberg, J., & Solomon, S. (1997). Why do we need what we need? A terror management perspective on the roots of human motivation. Psychological Inquiry, 8, 1–20.CrossRef Pyszczynski, T., Greenberg, J., & Solomon, S. (1997). Why do we need what we need? A terror management perspective on the roots of human motivation. Psychological Inquiry, 8, 1–20.CrossRef
Zurück zum Zitat Rajtar, M. (2013). Bioethics and religious bodies: Refusal of blood transfusions in Germany. Social Science and Medicine, 98, 271–277.CrossRefPubMed Rajtar, M. (2013). Bioethics and religious bodies: Refusal of blood transfusions in Germany. Social Science and Medicine, 98, 271–277.CrossRefPubMed
Zurück zum Zitat Ridley, D. T. (1999). Jehovah’s Witnesses’ refusal of blood: Obedience to scripture and religious conscience. Journal of Medical Ethics, 25, 469–472.CrossRefPubMedPubMedCentral Ridley, D. T. (1999). Jehovah’s Witnesses’ refusal of blood: Obedience to scripture and religious conscience. Journal of Medical Ethics, 25, 469–472.CrossRefPubMedPubMedCentral
Zurück zum Zitat Riis, O., & Woodhead, L. (2010). A sociology of religious emotion. Oxford: Oxford University Press.CrossRef Riis, O., & Woodhead, L. (2010). A sociology of religious emotion. Oxford: Oxford University Press.CrossRef
Zurück zum Zitat Shaner, D. M., & Prema, J. (2014). Conversation and the Jehovah’s Witness dying from blood loss. Narrative Inquiry in Bioethics, 4(3), 253–261.CrossRefPubMed Shaner, D. M., & Prema, J. (2014). Conversation and the Jehovah’s Witness dying from blood loss. Narrative Inquiry in Bioethics, 4(3), 253–261.CrossRefPubMed
Zurück zum Zitat Silverman, D. (2011). Interpreting qualitative data: A guide to the principles of qualitative research. Los Angeles, CA: Sage. Silverman, D. (2011). Interpreting qualitative data: A guide to the principles of qualitative research. Los Angeles, CA: Sage.
Zurück zum Zitat Singelenberg, R. (1990). The blood transfusion taboo of the Jehovah’s Witnesses: Origin, development and function of a controversial doctrine. Social Science and Medicine, 31(4), 515–523.CrossRefPubMed Singelenberg, R. (1990). The blood transfusion taboo of the Jehovah’s Witnesses: Origin, development and function of a controversial doctrine. Social Science and Medicine, 31(4), 515–523.CrossRefPubMed
Zurück zum Zitat Singla, A. K., Lapinski, R. H., Berkowitz, R. L., & Saphier, C. J. (2001). Are women who are Jehovah’s Witnesses at risk of maternal death? American Journal of Obstetrics and Gynecology, 185(4), 893–895.CrossRefPubMed Singla, A. K., Lapinski, R. H., Berkowitz, R. L., & Saphier, C. J. (2001). Are women who are Jehovah’s Witnesses at risk of maternal death? American Journal of Obstetrics and Gynecology, 185(4), 893–895.CrossRefPubMed
Zurück zum Zitat Spencer, J. R. (2002). A point of contention: The scriptural basis for the Jehovah’s Witnesses’ refusal of blood transfusions. Christian Bioethics, 8(1), 63–90.CrossRefPubMed Spencer, J. R. (2002). A point of contention: The scriptural basis for the Jehovah’s Witnesses’ refusal of blood transfusions. Christian Bioethics, 8(1), 63–90.CrossRefPubMed
Zurück zum Zitat Van Wolfswinkel, M. E., Zwart, J. J., Schutte, J. M., Duvekot, J. J., Pel, M., & Van Roosmalen, J. (2009). Maternal mortality and serious maternal morbidity in Jehovah’s witnesses in The Netherlands. BJOG: An International Journal of Obstetrics and Gynaecology, 116(8), 1103–1110.CrossRef Van Wolfswinkel, M. E., Zwart, J. J., Schutte, J. M., Duvekot, J. J., Pel, M., & Van Roosmalen, J. (2009). Maternal mortality and serious maternal morbidity in Jehovah’s witnesses in The Netherlands. BJOG: An International Journal of Obstetrics and Gynaecology, 116(8), 1103–1110.CrossRef
Zurück zum Zitat Watchtower Bible and Tract Society of New York. (1984). New World translation of the Holy Scriptures: Rendered from the original languages. Brooklyn, NY: Watchtower Bible and Tract Society of New York. Watchtower Bible and Tract Society of New York. (1984). New World translation of the Holy Scriptures: Rendered from the original languages. Brooklyn, NY: Watchtower Bible and Tract Society of New York.
Zurück zum Zitat Wilson, P. (2005). Jehovah’s Witness children: When religion and the law collide. Paediatric Nursing, 17(3), 34–37.CrossRefPubMed Wilson, P. (2005). Jehovah’s Witness children: When religion and the law collide. Paediatric Nursing, 17(3), 34–37.CrossRefPubMed
Zurück zum Zitat Yalom, I. D. (2008). Staring at the sun: Overcoming the terror of death. The Humanistic Psychologist, 36(3–4), 283–297.CrossRef Yalom, I. D. (2008). Staring at the sun: Overcoming the terror of death. The Humanistic Psychologist, 36(3–4), 283–297.CrossRef
Zurück zum Zitat Yin, R. K. (2014). Case study research: Design and methods. Los Angeles, CA: Sage. Yin, R. K. (2014). Case study research: Design and methods. Los Angeles, CA: Sage.
Metadaten
Titel
Refusal of Medical Blood Transfusions Among Jehovah’s Witnesses: Emotion Regulation of the Dissonance of Saving and Sacrificing Life
verfasst von
Hege Kristin Ringnes
Harald Hegstad
Publikationsdatum
19.04.2016
Verlag
Springer US
Erschienen in
Journal of Religion and Health / Ausgabe 5/2016
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-016-0236-5

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