Skip to main content
Log in

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

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

An Erratum to this article was published on 14 November 2016

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • 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.

    Article  Google Scholar 

  • 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.

    PubMed  PubMed Central  Google Scholar 

  • Beckford, J. A. (1975). The trumpet of prophecy: A sociological study of Jehovah’s Witnesses. Oxford: Basil Blackwell.

    Google Scholar 

  • Belzen, J. A., & Hood, R. W. (2006). Methodological issues in the psychology of religion. Toward another paradigm? Journal of Psychology, 140(1), 5–28.

    Article  PubMed  Google Scholar 

  • Bock, G. L. (2012). Jehovah’s Witnesses and autonomy: Honouring the refusal of blood transfusions. Journal of Medical Ethics, 38(11), 652.

    Article  PubMed  Google Scholar 

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Cordella, M. (2012). Negotiating religious beliefs in a medical setting. Journal of Religion and Health, 51(3), 837–853.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Festinger, L. (1957). A theory of cognitive dissonance. Evanston III: Row, Peterson and Company.

    Google Scholar 

  • 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299.

    Article  Google Scholar 

  • 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.

    PubMed  PubMed Central  Google Scholar 

  • Harmon-Jones, E. (2013). Cognitive dissonance. In H. Pashler (Ed.), Encyclopedia of the mind (pp. 154–157). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Holden, A. (2002). Jehovah’s Witnesses. Portrait of a contemporary religious movement. London: Routledge.

    Book  Google Scholar 

  • Hull, L., Dolan, A., & Newling, D. (2007). Jehovah’s Witness mother dies after refusing blood transfusion after giving birth to twins. The Daily Mail Online. Retrieved from http://www.dailymail.co.uk/news/article-491791/.

  • 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. (2015a). How can blood save your life? Retrieved January 15 from https://www.jw.org/en/publications/books/blood/how-can-blood-save-your-life/.

  • Jehovah’s Witnesses. (2015b). Why don’t Jehovah’s Witnesses accept blood transfusions? Retrieved January 20 from https://www.jw.org/en/jehovahs-witnesses/faq/jehovahs-witnesses-why-no-blood-transfusions/.

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Koenig, H. G., McCullough, M. E., & Larson, D. B. (2012). Handbook of religion and health. New York, NY: Oxford University Press.

    Google Scholar 

  • Koole, S. L. (2009). The psychology of emotion regulation: An integrative review. Cognition and Emotion, 23(1), 4–41.

    Article  Google Scholar 

  • Kvale, S., & Brinkmann, S. (2009). Interviews. Learning the craft of qualitative research interviewing. Los Angeles, CA: Sage.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Pietkiewicz, I. J. (2014). Salutary, pathogenic, and pathoplastic aspects of the Jehovah’s Witness culture. Journal of Family Studies, 20(2), 148–165.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Rajtar, M. (2013). Bioethics and religious bodies: Refusal of blood transfusions in Germany. Social Science and Medicine, 98, 271–277.

    Article  PubMed  Google Scholar 

  • Ridley, D. T. (1999). Jehovah’s Witnesses’ refusal of blood: Obedience to scripture and religious conscience. Journal of Medical Ethics, 25, 469–472.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Riis, O., & Woodhead, L. (2010). A sociology of religious emotion. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Shaner, D. M., & Prema, J. (2014). Conversation and the Jehovah’s Witness dying from blood loss. Narrative Inquiry in Bioethics, 4(3), 253–261.

    Article  PubMed  Google Scholar 

  • Silverman, D. (2011). Interpreting qualitative data: A guide to the principles of qualitative research. Los Angeles, CA: Sage.

    Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Wilson, P. (2005). Jehovah’s Witness children: When religion and the law collide. Paediatric Nursing, 17(3), 34–37.

    Article  PubMed  Google Scholar 

  • Yalom, I. D. (2008). Staring at the sun: Overcoming the terror of death. The Humanistic Psychologist, 36(3–4), 283–297.

    Article  Google Scholar 

  • Yin, R. K. (2014). Case study research: Design and methods. Los Angeles, CA: Sage.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hege Kristin Ringnes.

Additional information

An erratum to this article is available at http://dx.doi.org/10.1007/s10943-016-0329-1.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ringnes, H.K., Hegstad, H. Refusal of Medical Blood Transfusions Among Jehovah’s Witnesses: Emotion Regulation of the Dissonance of Saving and Sacrificing Life. J Relig Health 55, 1672–1687 (2016). https://doi.org/10.1007/s10943-016-0236-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-016-0236-5

Keywords

Navigation