adaptation africanamericanchurches aged bl53r183s1999 casestudies christianity christianwomen churchandsocialproblems churchworkwitholderpeople churchworkwiththepoor crimesagainst germany haya lifechangeevents olderwomen pastoralcounselingof psychological psychology religion religionandpsychology religiousaspects religiouslife sexrole socialconditions tanzania unitedstates violence women womenemployees womeninchurchwork