Introduction
Theoretical Background
Religion Community as a Social Determinant of Health
How big can the Change of Ritual be?
Costly Signaling and Credibility Enhancing Displays
Compensatory Control Theory and Double-Edged Sword
Research Methodology
Study Design
Research Sample and Procedure
No. | Age | Gender | Q1 | Q2 | Q3 | Q4 | Q5 | Life story |
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Pastor 1 | 61 | F | 3 | 4 | 4 | No | Yes | Pastor 1 has been working for 15 years in a medium-sized city (23,000 inhabitants). Her core work is working with families with small children, religious services for the elderly in retirement homes, and Café meetings for the elderly. During the pandemic, she wanted to be close to her parishioners, so she delivered religious services on a bicycle and got a job at the hospital because she felt the need to be close. |
Pastor 2 | 55 | M | 1 | 2 | 4 | No | No | Pastor 2 used to be a parish priest in a larger town (90,000 people), but for the past few year he has managed a smaller parish (400 people). He considers personal meetings with parishioners and the community essential in his service. He has been attending to entire families. As well as several mentally ill people for years. In his case, long-hour phone calls often solved the impossibility of meeting with parishioners. In interviews, he emphasized that for him it is crucial that no one in the congregation feels left out. |
Pastor 3 | 41 | F | 4 | – | – | – | – | Pastor 3 manages a parish in a large city (90,500 inhabitants), which she joined a year before the COVID-19 pandemic after maternity leave. At the time of the pandemic, she was a part-time parish priest because she had small children at home. In interviews, pastor 3 emphasized her commitment to work and many hours of preparation, which were even more demanding when transitioning to online services. At the same time, it was uncomfortable for her to talk to someone whom she often did not even see on the screen. She was passionate about creating podcasts, video presentations, and online concerts. During the pandemic, she feared infecting someone, so she often called seniors on the phone. |
Pastor 4 | 51 | M | 1 | 1 | 2 | No | No | Pastor 4 has been working as a parish priest in a small village (990 inhabitants) for more than 20 years; at the same time, as a senior, he manages other parishes administratively and participates in meetings of fellow parish priests. He leads groups of children in primary schools, groups of youngsters, but also various home groups. Pastor 4 understands religious services as a meeting of people and therefore did not want to do online broadcasts. He emphasized in-person sessions, even during the pandemic. He focused on personal service to the faithful, delivering his reflections to them in person, which often included a short service at a parishioner’s home. |
Pastor 5 | 64 | M | 2 | 4 | – | Yes | No | Pastor 5 has been a parish priest for 40 years, of which 30 years he has been pastor in a small village (up to 50 inhabitants), but his district includes another 60 villages. In sum, his community was quite large. For years he managed this village alone or with his wife. He often invested all of his time and often finances into the community. For example, he purchased a minibus to transport children (40) from his funds. He devoted himself greatly to children. His religious education was often conducted more like an interest group (e.g., theater, drawing, music, boating club). He canceled all his children’s and senior groups during the pandemic because he didn’t want anyone to get infected. Pastor 5 did not start online teaching, but he sent his sermons. He became infected with the virus during a meeting of pastors during the Lord’s Supper, drinking from a common goblet. He experienced a very severe case of COVID followed by long-term consequences. |
Pastor 6 | 48 | M | 3 | 4 | 4 | No | Yes | Pastor 6 has been a pastor for 13 years; for ten years, he served in a medium-sized city (12000 inhabitants), and now he works in a small village (362 inhabitants). He is married and has four children. The content of his work is primarily the preparation of religious services, “which should come first,” but also taking care of people. He understood the restriction of religious services as a drastic step. During the lockdown, he printed and distributed sermons, published audio recordings, and called people by phone. During the pandemic, he realized that “God is still with us,
even when we are in trouble.” He sought support for himself from his wife, his sister, and a church elder. At the height of the pandemic, all his children were at home for online education, and he had to help them; this brought him closer to his family. He suffered severe COVID with bilateral pneumonia, during which he realized the fragility of life and concluded we should be more humble. |
Pastor 7 | 64 | M | 3 | 1 | 2 | No | No | Pastor 7 has been a pastor for 24 years, working in a small town (9,000 inhabitants). During the pandemic, he mostly stayed at home and left the apartment only when he went to the store. He canceled visits to people and sent sermons to them by e-mail. He did not understand the pandemic as the “end of the world’, but at the same time, he perceived it as a test of faith. He considered COVID a “worse flu” but felt the need to protect himself. |
Q1: I am really scared of COVID-19. | 1. I strongly disagree; 2. I disagree; 3. I neither agree nor disagree; 4. I agree; 5.I strongly agree |
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Q2: I perceived this restriction as a threat to our community. | 1. I strongly disagree; 2. I disagree; 3. I neither agree nor disagree; 4. I agree; 5.I strongly agree |
Q3: Seeing others participating in the Lord’s Supper during the COVID-19 pandemic makes me feel more connected to the community. | 1. I strongly disagree; 2. I disagree; 3. I neither agree nor disagree; 4. I agree; 5.I strongly agree |
Q4: You contracted COVID-19 during the Lord’s Supper | Yes/No |
Q5: You contracted COVID-19 somewhere else. | Yes/No |
Analysis
Transcript | Notes | Code |
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So, you see, you got it right, because we never stopped singing—into the masks, respirators, which is not much. Jeez, now I’ve turned us in! You see, it’s a good thing, if you ask me, that I didn’t ban people from singing. I thought that was a basic human right that no one can forbid us. We kept our spacing and hummed into our respirators. Quietly, but we never stopped singing. We couldn’t imagine it without singing—praising God, nobody can forbid us. Not even a pandemic! A little irresponsibility only | Admitting to breaking the rules—they consider this rebellion important; it sets boundaries that cannot be crossed Triple repetition of the word singing Amplification of emphasis | Singing—rebellion to protect mental health Human rights Singing as praising God Admission of irresponsibility |
Initial noting | Emergent themes | Super-ordinate themes | Making sense of |
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Activities disruption, making phone calls, online communication as a common practice, online Bible lessons, audio recordings, written sermons, distribution of texts, prohibition of assembly, outdoor services | Social distancing | Hygiene measures to protect health | Physical health |
Problems interpreting exceptions, refusing to wear masks | Mask wearing | ||
Absurdity of measures, singing in masks, violation of human rights | Prohibition of singing | ||
Family visits, rebellion against the measure of the faithful, underestimating the situation | Accepting risk | Attitudes toward risks of infection | |
The shock of the pandemic, faith is not protection from disease, fear of contagion | Avoiding risk | ||
The harmony of science, medicine and faith, reliance on vaccination | Vaccination opinions | ||
Cups instead of chalices, contagion during the Lord’s Supper, people’s reluctance to go to ritual, criticism of the hygiene of ritual even before the pandemic | Lord’s Supper | Transformation of traditions to protect health | |
The online world as an opportunity to reach more people, changes in giving Communion | Services | ||
The loss of human conversation, uncertainty about communication, the problem of returning to the real world | Mental effects of social distancing | The role of the community and its support | Mental health |
“We never stop singing!”, awareness of the importance of meeting—violation of social distancing, mental support for believers despite the risk of contagion | Rebellion to protect mental health | ||
Cooperation between churches, the importance of informal meetings for problem solving | Community and social support | ||
People’s interest in the church during a pandemic | Rituals and traditions | ||
Caring for people, empathy, worrying about people | Solidarity | ||
Meeting with a psychotherapist, the importance of dialogue for dealing with crisis, burnout prevention | Supervision group | Coping and compensatory control | |
The support of colleagues and family | Peer discussion | ||
Meeting with your own inner self, positive redescription of the crisis, COVID-19 as an opportunity for spiritual growth | The spirituality of solitude and the relationship with God | ||
The Bible as a guide to the crisis, the mental health significance of the pandemic—recognizing the important aspects of life, the need for faith in society, rallying people to faith during an emergency | Importance of faith | The therapeutic potential of faith | |
The competence of the pastor vs. the psychologist, the dangers of the believer’s self-confidence | Limits of faith |
Ensuring the Rigor of Research
Coping with COVID-19 in the Context of Physical and Mental Health
Lived Experience of Faith and Physical Health
“So, it changed mainly in the inability to meet people, that was probably the most challenging, and then actually during that first wave we absolutely didn’t know how to communicate. Because nowadays we look at it as normal because then we went to all kinds of online gatherings and even online services and online meetings and everything, but up until then we didn’t have anything, so it felt like time was completely stopping.” (Pastor 3)
“We’ve realized that we’ve grown closer with people who otherwise live pretty far away, so now I try to do those online services occasionally after the “normal” ones, so I still do one from my living room for the more distant ones, because that’s what they want. From other churches maybe, and middle generation meetings too. Maybe a friend from England joined, or a brother-in-law from Japan for the online ones, so sometimes we try to keep those contacts going. The online world has opened up possibilities that we didn’t realize.” (Pastor 2)
“So, you see, you got it right, because we never stopped singing. Into masks, respirators, which isn’t much of a... See, that’s good, if you ask me, I didn’t dare forbid people to sing. I thought that was a basic human right that no one can forbid us. We kept our spacing and hummed into our respirators. Quietly, but we never stopped singing. We couldn’t imagine it without singing. No one can forbid us to praise God.” (Pastor 2)
“And in terms of those changes, for example, in terms of the singing, I think it was a significant shift because we then... we took it as an opportunity for other forms of those services rather than suffering from the fact that it was limited. So, we tended to find interesting, new ways of worship where there was more instrumental music, or there were singers in the choir.” (Pastor 4)
“Some didn’t give a damn, like the masks, including a bit of me. I didn’t have any symptoms, then I had fatigue syndrome all winter, for a few months, I thought I’d be done by April sometime, it wouldn’t go on. Now it’s gotten a little better.” (Pastor 5)
“… For hygienic reasons, they switched to a slightly different way of celebrating, not from one chalice but from individual cups.” (Pastor 2)
“Well, my colleagues and I talked about it, some laughed about it, and some just... And it’s true, I’ve already started disinfecting the cup with dental disinfectant wipes. They don’t smell, but they’re good, it says 99% protection... I got that from a doctor. So, we disinfected the chalice that way and were offered those small cups. And then after the lockdown, we started using the little cups permanently.” (Pastor 1)
“I always say that it is not about the form, it is about the substance. I know it’s not nice to have plastic in your hand. That the golden chalice at communion is something different, and there’s a line to the past that goes with it. In some congregations they have cultivated it even more by getting sets of glass chalices to make it look nice. I think it was really thought through so that it wasn’t just a necessity, but that the services would be nice, even the serving...” (Pastor 1)
“I’ve experienced other evangelical churches to the west of us, that they don’t consider it some kind of horror, even before the pandemic, to take communion from those cups. So, I would be in favor of keeping it.” (Pastor 6)
“I certainly didn’t see it as the end of the world…..”, “I just always thought it was a worse kind of flu too, that you needed to protect yourself.” (Pastor 7)
“But I’ve had people confide in me that loved ones have died, grandmothers, grandfathers have passed away. Not that it’s automatic. The way I was experiencing it, the fear, the great fear, I was also worried that the grief would break someone’s faith…Because I accompany people who are sick, and we know that it’s not going to get better—it’s going to get worse over the years. It’s strange when I think back on it, it was a very strange year and strong, but in those encounters it brought us even more together. We believe we are one body in Christ, one rejoices with the other, but also hurts the other. I’m not saying it works 100%, it doesn’t, but I think it showed up a little bit here. More than we expected. I’ve often worried about different people and wondered why and what will happen now.” (Pastor 2)
“It’s brought us even closer together with some people. And I can’t say why some survived, some didn’t, why these. But even the brother who was given no hope, he just survived. He’s going to work now. We just... we were scared, I can’t say we’re some heroes of the faith, I’m not, I’m certainly not, but we were just together, and we bonded with some of them. Then people thank me, and I don’t know what for. I haven’t really done anything.” (Pastor 2)
“At a certain stage we canceled holding services. People were afraid, and I didn’t want to expose them to decision making – if I said: let’s do services, they might come, but at the same time they would be afraid of getting infected. And if they happened to get infected, I would still blame myself that they got infected in church.” (Pastor 5)
“Then I also got covid, and a heavy covid at that. I had bilateral pneumonia. So, I realized that it’s not really that much fun, that you can die, and that life is so many times in the balance and it would be terribly easy [to die].” (Pastor 6)
“I believe it is. But that it can be somehow cathartic, healing, to realize what is essential for us in life. No one promised us that human life would be pain-free, but that it has meaning. That’s true. So, look for meaning even when it’s hard, Christ is in that.” (Pastor 1)
Lived Experience of Faith, Community and Mental Health
“Last spring, when the first wave of the pandemic came, we were kind of hesitant. I didn’t want to go online right away, because that face-to-face encounter is very important to us – and the community in general.” (Pastor 2)
“I started working a bit as a Charity volunteer, and I cleaned up in the hospital ... so I got a visit (parishioners) in the hospital ... It was easier in that Charity volunteer T-shirt.” (Pastor 1)
“Well, I was also forced to call people more because we could not meet in person, so I had those pastoral conversations over the phone.” (Pastor 6)“[A great deal of pastoral work] actually was done by phone and e-mails, too, so I don’t know how many hours per day I was on the phone.” (Pastor 2)
“I wrote up some text, thoughts, reflections, copying and distributing to some people, and used it with some visit, sometimes a short communion service at home.” (Pastor 4)
“Not everyone had an e-mail, the older people, so I had to prepare services, plus distribute or create a network of people who would be willing to distribute multiplied copies to the others.” (Pastor 6)
“So, in terms of faith, somehow I didn’t feel that the pandemic could threaten the faith and the spiritual life of those people. I think that maybe on the contrary it could deepen it somehow, because also the solitude or being at home more often and being alone with yourself is something that leads to some experience that is also spiritual. … So I don’t think it has in any way diminished the spiritual life, the faith, or the existential questions of those people, quite the opposite.” (Pastor 4)
“Faith somehow fortifies a person in those situations in life, in decision making, in the fact that one is not alone. …But for me personally, faith is a kind of relationship, a living process that is affirming and healing on a daily basis” (Pastor 4)
“But just the fact that we can talk to these people about the struggle, that we can say, it’s hard, we’re struggling, but we have some hope that carries us through it…I found this terribly important that I can share that with these people.” (Pastor 3)
“So, I think faith has therapeutic potential. And when I think of the lady in the home for the elderly who had been lying down for years and could only move her mouth. And how she was able to encourage all those around her who were relatively much better off than she was, while mentally they were much worse off and they took turns and she encouraged them... so... yeah, I think that the hope that carries us, that’s not of us, that’s just there, for us, because God loves us all, even though it doesn’t seem like it sometimes, I think that’s what can hold people. And for that I am so grateful.” (Pastor 2)
“Maybe I wish it were a little bit like that, that faith could sustain a person even in difficult moments. We’ve been through hard things in our family too, sad and tragic things, and so I feel like that faith has helped us a lot. And the way I present it, it can help. It can help, but it doesn’t have to.” (Pastor 5)
“With the pandemic – for me, faith is not such a shield against all evil. I have also experienced that death has not escaped us. Our oldest son was 20 years old... So, I don’t believe that faith protects a person from everything bad, from falling in the mountains or off a cliff, from drowning, from accidents or from pandemics. Many of those people who lived said that in their greatest moments God gave them the strength to get through it, not that He protected them from it.” (Pastor 5)
“I think faith has therapeutic potential. I also wanted to mention that when a person – this is an experience again from that war – was on the front and encountered a threat to his life, the non-believer also started to pray. He also needed something that transcended him. He needed someone to protect him or guide him through that difficult crisis.” (Pastor 6)