PSYCHOSPIRITUAL TRANSFORMATION THROUGH CHRONIC ILLNESS: AN INTUITIVE INQUIRY by Patrick T. Baltazar A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Psychology with a concentration in Transpersonal Psychology Sofia University Palo Alto, California February 5, 2014 I certify that I have read and approved the content and presentation of this dissertation: ________________________________________________ __________________ Nancy Rowe, Ph.D., Committee Chairperson Date ________________________________________________ __________________ Kevin C. Krycka, Ph.D., Committee Member Date ________________________________________________ __________________ Ilka K. List, Ph.D., Committee Member Date UMI Number: 3636764 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. UMI 3636764 Published by ProQuest LLC (2014). Copyright in the Dissertation held by the Author. Microform Edition © ProQuest LLC. All rights reserved. This work is protected against unauthorized copying under Title 17, United States Code ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, MI 48106 - 1346 Copyright © Patrick T. Baltazar 2014 All Rights Reserved Formatted according to the Publication Manual of the American Psychological Association, 6th edition. ii Abstract Psychospiritual Transformation Through Chronic Illness: An Intuitive Inquiry by Patrick T. Baltazar The purpose of this research was to understand the subjective experience of psychospiritual transformation among people who have lived with chronic physical illness for at least 7 years, beginning in early to mid-adulthood. I define psychospiritual transformation as a profound change in the core ways in which we function, see ourselves, and relate to other beings in the world. I used the intuitive inquiry research method because it provides an interpretive structure for exploring subtle topics of psychospiritual development close to this researcher’s own life experiences (I have lived with Type 1 diabetes for 22 years and fibromyalgia for 7 years). This method included (a) an inward examination of my own experience and perspective on the topic, (b) an analysis of 8 previously published autobiographical narratives, and (c) a reflection on my own shifts in understanding of the topic in light of relevant literature. In my theory of psychospiritual transformation through chronic illness I describe a process of change over time, touching upon a fuller range of transpersonal human experience and development not present in previous studies and theories on this topic. These cyclical moments include (a) an initial physical crisis and the shock of diagnosis, (b) an attempted return to one’s previous lifestyle and a search for a cure; (c) losses and the disintegration of the self; (d) slowing down/inward focus; (e) mourning losses; (f) fear and helplessness at uncertainty; (g) confronting one’s shadow while learning self-observation and self-compassion; (h) integral self-care from one’s own body consciousness; (i) new lifestyle and an expanded sense of self; (j) integration of inner opposites and revisiting previously unresolved issues; (k) paradoxical movement between iii surrender and will; (l) embodied attention and joy, with a greater appreciation for the spiritual dimensions of the self and the world; (m) a sense of interconnection with the world and compassionate service for others; and (n) living in the moment with gratitude and acceptance of impermanence. iv Dedication To all people who suffer from chronic illness. May you find joy, meaning, hope, appreciation of the moment, and light within the darkness. v Acknowledgements I would like to thank all of the people who have helped me during these past years of my dissertation process, especially family and friends. I am also grateful to the authors of the narratives that I analyzed in this study; these allowed me to reach a greater understanding of the topic. Thank you to my chairperson, Dr. Nancy Rowe, for your patience, insightful accompaniment, and motivation. Thank you to Dr. Ilka List and Dr. Kevin Krycka for your valuable input on my research. vi Epigram God, give us grace to accept with serenity the things that cannot be changed, courage to change the things that should be changed, and the wisdom to distinguish the one from the other. ~Reinhold Niebuhr, The Serenity Prayer (1943/2012, p. 695) vii Table of Contents Abstract……………………………………..……………………………………………………………..…………………….iii Dedication……………………………………..………………………………………………………………..…….….….…..v Acknowledgements……………………..……………………………………………………………….…….………...…..vi Epigram……………………………………..……………………………………………………………….…….………..…..vii List of Tables……………………………..…………………………………………………………………...…..……....….xii Chapter 1: Introduction……………………………………………………………..……………………………………….1 Transpersonal Relevance of the Research………………………….............................................................3 Justification...................................................................................................................................................................4 Definition of Terms…………..……….……………………………………………………………………...…....4 Research Questions……………..…….……………………………………………………………..………..…...6 Method……………………………..…………………………………………….……………….….…………….…..7 Potential Contributions to Transpersonal Psychology.………………………………………..……….7 Chapter 2: Review of the Literature………………………………………………......….………………………..….10 A Transpersonal Understanding of Development and Illness……………….……...……………..11 Transpersonal Models of Embodied Lifespan Development……………….……………..…….…16 Transformation and Healing………………………………..………………………………………..…..……33 Shamanic Explanations of Illness……………………………..……….………………..……….………….38 Empirical Findings on Psychospiritual Transformation and Psychospiritual Benefits of Experiences in Nature……….………………………………….………..…….…….42 Conceptual Empirical Literature on Chronic Illness Experiences and Transformation………………………………………………………………………..….…….……….45 Chapter 3: Research Method……………………………………………………………………………….………….. 67 viii Introduction……………………………………………………………………………………….………………..67 Intuitive Inquiry……..………………………………………………………….…………………….…………...68 Intuition in Intuitive Inquiry…………....……………………….……………………………….….…..……70 An Overview of the Five Cycles of Intuitive Inquiry………..……………..………..……………....71 Validity………………………………………………………………..………………….……...................………...75 Research Questions……………..…………………………………………………….………………………….78 Data Collection………………….…………………..………………………………….………………………….78 Delimitations and Limitations………………...…………………..………………………………..…………79 Chapter 4: Cycle 1……………………………………………………………………………………….………………….81 My Personal Experience With the Research Topic………………………………………..……..……82 My Intuitive Style as Informed by My Illness Experience……………..………………………..…99 Engagement With a Personal Text Related to the Research Topic…………………...……..…105 Chapter 5: Cycle 2…………………………………………………………………..……………………………...….….109 Cycle 2 Procedures………………………….…………………………....………….…….……...............……109 My Cycle 2 Lenses………………………….……………………………….….…………………..…………..114 Chapter 6: Cycle 3…………………………………..…………….….……………….…………..……..…………...…...122 Cycle 3 Procedures………………………….……………………………………………………………....….122 Description of Narratives………………..………………………….………………………………………...126 Dean Kramer's Narrative………………………………..………….……………………………..……….…128 Adan William's Narrative……………..…………………………….……………………………………..…130 Carmen Ambrosio's Narrative…………………………..……………………………………………..……132 Sarah Manguso's Narrative……………..………….…………………………………………….…..………134 Phillip Simmons' Narrative………………..……….……………………………………………….……..…137 ix
Description: