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The Pew Versus the Couch: Relationship Between Mental Health and Faith Communities and Lessons Learned from a VA/Clergy Partnership Project

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Abstract

The history of the relationship between religion and mental health is one of commonality, conflict, controversy, and distrust. An awareness of this complex relationship is essential to clinicians and clergy seeking to holistically meet the needs of people in our clinics, our churches, and our communities. Understanding this relationship may be particularly important in rural communities. This paper briefly discusses the history of this relationship and important areas of disagreement and contention. The paper moves beyond theory to present some current practical tensions identified in a brief case study of VA/Clergy partnerships in rural Arkansas. The paper concludes with a framework of three models for understanding how most faith communities perceive mental health and suggests opportunities to overcome the tensions between “the pew” and “the couch.”

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References

  • Aten, J. D., & Worthington, E. L, Jr. (2009). Next steps for clinicians in religious and spiritual therapy: An endpiece. Journal of Clinical Psychology, 65(2), 224–229. doi:10.1002/jclp.20562.

    Article  PubMed  Google Scholar 

  • Baer, H. A. (2001). Biomedicine & alternative healing systems in America: Issues of class, race, ethnicity, and gender. Madison, WI: University of Wisconsin Press.

    Google Scholar 

  • Bender, R. E., & Alloy, L. B. (2011). Life stress and kindling in bipolar disorder: Review of the evidence and integration with emerging biopsychosocial theories. Clinical Psychology Review, 31(3), 383–398. doi:10.1016/j.cpr.2011.01.004.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bernard, H. R. (2002). Research methods in anthropology: Qualitative and quantitative approaches (3rd ed.). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Blank, M. B., Mahmood, M., Fox, J. C., & Guterbock, T. (2002). Alternative mental health services: The role of the black church in the South. American Journal of Public Health, 92(10), 1668–1672.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bolton, C., Gooding, P., Kapur, N., Barrowclough, C., & Tarrier, N. (2007). Developing psychological perspectives of suicidal behavior and risk in people with a diagnosis of schizophrenia: We know they kill themselves but do we understand why? Clinical Psychology Review, 27(4), 511–536. doi:10.1016/j.cpr.2006.12.001.

    Article  PubMed  Google Scholar 

  • Bonner L. M., Lanto A. B., Bolkan C., Watson G. S., Campbell D. G., Chaney E. F., Rubenstein L. V. (2013). Help-seeking from clergy and spiritual counselors among Veterans with depression and PTSD in primary care. Journal of Religion and Health. Advance online publication.

  • Bristow, W. (2011). Enlightenment. Retrieved from http://plato.stanford.edu/archives/sum2011/entries/enlightenment.

  • Brown, E. J. (2006). The integral place of religion in the lives of rural African-American women who use cocaine. Journal of Religion and Health, 45(1), 19–39. doi:10.1007/s10943-005-9002-9.

    Article  Google Scholar 

  • Brumberg, J. J. (1988). Fasting girls: The emergence of anorexia nervosa as a modern disease. Cambridge: Harvard University Press.

    Google Scholar 

  • Buckholtz, A. (2005). Help from above: In times of trouble, growing numbers of people take comfort in faith-based therapy. Washington Post. Retrieved from http://www.washingtonpost.com/.

  • Campbell, C. D., Gordon, M. C., & Chandler, A. A. (2002). Wide open spaces: Meeting mental health needs in underserved rural areas. Journal of Psychology & Christianity, 21(4), 325–332. doi:10.1037/0735-7028.37.1.45.

    Google Scholar 

  • Cheney, A. M., Curran, G. M., Booth, B. M., Sullivan, S. D., Stewart, K. E., & Borders, T. F. (2013). The religious and spiritual dimensions of cutting down and stopping cocaine use: A qualitative exploration among African Americans in the South. Journal of Drug Issues. doi:10.1177/0022042613491108.

  • Corrigan, P. W., & O’Shaughnessy, J. R. (2007). Changing mental illness stigma as it exists in the real world. Australian Psychologist, 42(2), 90–97. doi:10.1080/00050060701280573.

    Article  Google Scholar 

  • Curlin, F. A., Lawrence, R. E., Odell, S., Chin, M. H., Lantos, J. D., Koenig, H. G., et al. (2007a). Religion, spirituality, and medicine: psychiatrists’ and other physicians’ differing observations, interpretations, and clinical approaches. American Journal of Psychiatry, 164(12), 1825–1831. doi:10.1176/appi.ajp.2007.06122088.

    Article  PubMed Central  PubMed  Google Scholar 

  • Curlin, F. A., Odell, S. V., Lawrence, R. E., Chin, M. H., Lantos, J. D., Meador, K. G., et al. (2007b). The relationship between psychiatry and religion among U.S. physicians. Psychiatric Services, 58(9), 1193–1198. doi:10.1176/appi.ps.58.9.1193.

    Article  PubMed Central  PubMed  Google Scholar 

  • DeWalt, K. M., & DeWalt, B. R. (2011). Participant observation: A guide for field workers (2nd ed.). Lanham, MD: Altamira.

    Google Scholar 

  • Dorsey, G. A. (1868–1931). A few great quotes from freethinkers and scientists. Retrieved from http://www.nobeliefs.com/great-quotes.htm.

  • Dossett, E., Fuentes, S., Klap, R., & Wells, K. (2005). Obstacles and opportunities in providing mental health services through a faith-based network in Los Angeles. Psychiatric Services, 56(2), 206–208. doi:10.1176/appi.ps.56.2.206.

    Article  PubMed  Google Scholar 

  • Feuerbach, L. (1854). The essence of Christianity (2nd ed.). London: Savill & Edwards.

    Google Scholar 

  • Foucault, M. (1973). The birth of the clinic: An archaeology of medical perception. New York: Vintage.

    Google Scholar 

  • Freud, S. (1933). New introductory lectures on psycho-analysis (W. J. H. Sprott, Trans.). New York: W.W. Norton & Company.

  • Freud, S. (1962). Totem and taboo: The James Strachey translation. New York: W.W. Norton & Company.

    Google Scholar 

  • Fulford, K. W. M. (1997). Religion and psychiatry extending the limits of tolerance. In D. Bhugra (Ed.), Psychiatry and religion: Context, consensus, and controversies (pp. 5–22). New York: Routledge.

    Google Scholar 

  • Garcia-Toro, M., & Aguirre, I. (2007). Biopsychosocial model in depression revisited. Medical Hypotheses, 68(3), 683–691. doi:10.1016/j.mehy.2006.02.049.

    Article  PubMed  Google Scholar 

  • Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Goodstein, L. (2010). For Catholics, interest in exorcism is revived. New York Times. Retrieved from www.nytimes.com.

  • Hendryx, M. (2008). Mental health professional shortage areas in rural Appalachia. Journal of Rural Health, 24(2), 179–182. doi:10.1111/j.1748-0361.2008.00155.x.

    Article  PubMed  Google Scholar 

  • Hodge, D. R. (2005). Developing a spiritual assessment toolbox: A discussion of the strengths and limitations of five different assessment methods. Health and Social Work, 30(4), 314–323. doi:10.1093/hsw/30.4.314.

    Article  PubMed  Google Scholar 

  • Hughes, C. C., & Wintrob, R. W. (2000). Psychiatry and religion in cross-cultural context. In J. K. Boehnlein (Ed.), Psychiatry and religion: The convergence of mind and spirit (pp. 27–52). Washington, D.C: American Psychiatric Press, Inc.

    Google Scholar 

  • Johnson, E. L. (Ed.). (2010). Psychology and Christianity: Five views (2nd ed.). Downers Grove, IL: InterVarsity Press.

    Google Scholar 

  • Josephson, A., & Peteet, J. (Eds.). (2004). Handbook of spirituality and worldview in clinical practice. Washington, D.C.: American Psychiatric Publishing Inc.

    Google Scholar 

  • Kleinman, A. (1980). Major conceptual and research issues for cultural (anthropological) psychiatry. Culture, Medicine and Psychiatry, 4(1), 3–13.

    Article  CAS  PubMed  Google Scholar 

  • Koenig, H. G. (1997). Is religion good for your health? The effects of religion on physical and mental health. New York: Hayworth Pastoral Press.

    Google Scholar 

  • Koenig, H. G. (2009). Research on religion, spirituality, and mental health: A review. Canadian Journal of Psychiatry, 54(5), 283–291.

    Google Scholar 

  • Koenig, H. G., George, L. K., & Titus, P. (2004). Religion, spirituality, and health in medically ill hospitalized older patients. Journal of the American Geriatrics Society, 52(4), 554–562. doi:10.1111/j.1532-5415.2004.52161.x.

    Article  PubMed  Google Scholar 

  • Koenig, H. G., King, D. E., & Carson, V. B. (2012). Handbook of religion and health (2nd ed.). New York: Oxford University Press.

    Google Scholar 

  • Koenig, H. G., Larson, D. B., & Larson, S. S. (2001). Religion and coping with serious medical illness. Annals of Pharmacotherapy, 35(3), 352–359. doi:10.1345/aph.10215.

    Article  CAS  PubMed  Google Scholar 

  • Lagrange, J. (Ed.). (2008). Michel Foucault–Psychiatric power: Lectures at the college de France, 1973–1974. New York: MacMillan.

    Google Scholar 

  • Lane, D.(Ed.). (2008). Isn’t religion weird? Quotations for atheists (2nd ed.). Retrieved from www.lulu.com.

  • Larson, D. B., Pattison, E. M., Blazer, D. G., Omran, A. R., & Kaplan, B. H. (1986). Systematic analysis of research on religious variables in four major psychiatric journals, 1978–1982. American Journal of Psychiatry, 143(3), 329–334.

    CAS  PubMed  Google Scholar 

  • Larson, D. B., Thielman, S. B., Greenwold, M. A., Lyons, J. S., Post, S. G., Sherrill, K. A., et al. (1993). Religious content in the DSM-III-R glossary of technical terms. American Journal of Psychiatry, 150(12), 1884–1885.

    CAS  PubMed  Google Scholar 

  • Lee, S. (2003). The church of faith and freedom: African-American Baptists and social action. Journal for the Scientific Study of Religion, 42(1), 31–41. doi:10.1111/1468-5906.t01-1-00159.

    Article  Google Scholar 

  • Levin, S. J., & Chatters, L. M. (1998). Research on religion and mental health: an overview of empirical findings and theoretical issues. In H. G. Koenig (Ed.), Handbook of religion and mental health (pp. 70–84). San Diego, CA: Academic Press.

    Google Scholar 

  • Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., & Silva, C. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29(8), 695–706. doi:10.1016/j.cpr.2009.07.003.

    Article  PubMed  Google Scholar 

  • Magner, L. N. (2005). A history of medicine (2nd ed.). New York: Taylor & Francis.

    Google Scholar 

  • McClellan, J. E., & Dorn, H. (2006). Science and technology in world history: An introduction. Baltimore, MD: The Johns Hopkins University Press.

    Google Scholar 

  • Meissner, W. W. (2000). Psychoanalysis and religion: Current perspectives. In J. K. Boehnlein (Ed.), Psychiatry and religion: The convergence of mind and spirit (pp. 53–70). Washington, DC: American Psychiatric Press, Inc.

    Google Scholar 

  • Menninger, K. (1938). Man against himself. New York: Harcourt Brace Jovanovich.

    Google Scholar 

  • Miller, W. R. (1999). Integrating spirituality into treatment: Resources for practitioners. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Mitchell, J., & Weatherly, D. (2000). Beyond church attendance: Religiosity and mental health among rural older adults. Journal of Cross-Cultural Gerontology, 15, 37–54.

    Article  CAS  PubMed  Google Scholar 

  • Neighbors, H. W., Musick, M. A., & Williams, D. R. (1998). The African American minister as a source of help for serious personal crises: Bridge or barrier to mental health care? Health Education & Behavior, 25(6), 759–777. doi:10.1177/109019819802500606.

    Article  CAS  Google Scholar 

  • Neighbors, H. W., Trierweiler, S. J., Munday, C., Thompson, E. E., Jackson, J. S., Binion, V. J., et al. (1999). Psychiatric diagnosis of African Americans: Diagnostic divergence in clinician-structured and semistructured interviewing conditions. Journal of the National Medical Association, 91(11), 601–612.

    CAS  PubMed Central  PubMed  Google Scholar 

  • Neugebauer, R. (1978). Treatment of mentally ill in medieval and early modern England: A reappraisal. Journal of the History of the Behavioral Sciences, 14(2), 158–159. doi:10.1002/1520-6696(197804).

    Article  CAS  PubMed  Google Scholar 

  • New American Standard Bible Update. La Habra, CA: The Lockman Foundation (1995).

  • Nicholi, A. M. (2003). The question of god: C. S. Lewis and Sigmund Freud debate God, love, sex, and the meaning of life. New York: Free Press.

    Google Scholar 

  • Nieuwsma, J. A., Rhodes, J. E., Jackson, G. L., Cantrell, W. C., Lane, M. E., Bates, M. J., et al. (2013). Chaplaincy and mental health in the department of veterans affairs and department of defense. Journal of Health Care Chaplaincy, 19(1), 3–21. doi:10.1080/08854726.2013.775820.

    Article  PubMed  Google Scholar 

  • Pargament, K. I., & Saunders, S. M. (2007). Introduction to the special issue on spirituality and psychotherapy. Journal of Clinical Psychology, 63(10), 903–907. doi:10.1002/jclp.20405.

    Article  PubMed  Google Scholar 

  • Pathways to Promise (n.d.). from http://www.pathways2promise.org.

  • Paul, P. (2011). With God as my shrink. Psychology Today. Retrieved from http://www.psychologytoday.com/node/23342.

  • Pfeifer, S. (1994). Belief in demons and exorcism in psychiatric patients in Switzerland. British Journal of Medical Psychology, 67(Pt 3), 247–258. doi:10.1111/j.2044-8341.1994.tb01794.x.

    Article  PubMed  Google Scholar 

  • Post, B. C., & Wade, N. G. (2009). Religion and spirituality in psychotherapy: A practice-friendly review of research. Journal of Clinical Psychology, 65(2), 131–146. doi:10.1002/jclp.20563.

    Article  PubMed  Google Scholar 

  • Powlison, D. (1993). Critiquing modern integrationists. Journal of Biblical Counseling, 11(3), 24–34.

    Google Scholar 

  • Pruyser, P. W. (1966). Religion and psychiatry. A polygon of relationships. JAMA, 195(3), 197–202. doi:10.1001/jama.1966.03100030091024.

    Article  CAS  PubMed  Google Scholar 

  • PsychoHeresy. (2012). Psychoheresy: The evidence from Scripture and research. Retrieved from http://www.psychoheresy-aware.org/e-books/PHR-ebk.pdf.

  • Reed, E. S. (1997). From soul to mind: The emergence of psychology, from Erasmus, Darwin to William James. New Haven, CT: Yale University Press.

    Google Scholar 

  • Risse, G. B. (1999). Mending bodies, saving souls: A history of hospitals. New York: Oxford University Press.

    Google Scholar 

  • Russell, B. (1930). Has religion made useful contributions to civilization? An examination and a criticism. London: Watts & Co.

    Google Scholar 

  • Schotte, C. K., Van Den Bossche, B., De Doncker, D., Claes, S., & Cosyns, P. (2006). A biopsychosocial model as a guide for psychoeducation and treatment of depression. Depression and Anxiety, 23(5), 312–324. doi:10.1002/da.20177.

    Article  PubMed  Google Scholar 

  • Sexton, R. L., Carlson, R. G., Siegal, H., Leukefeld, C. G., & Booth, B. (2006). The role of African-American clergy in providing informal services to drug users in the rural South: Preliminary ethnographic findings. Journal of Ethnicity in Substance Abuse, 5(1), 1–21. doi:10.1300/J233v05n01_01.

    PubMed  Google Scholar 

  • Sims, A. (2009). Is faith delusion? Why religion is good for your health. New York: Continuum Books.

    Google Scholar 

  • Snowden, L. R. (1999). African American service use for mental health problems. Journal of Community Psychology, 27(3), 303–313. doi:10.1002/(SICI)1520-6629(199905)27.

    Article  Google Scholar 

  • Stanford, M. S. (2007). Demon or disorder: A survey of attitudes toward mental illness in the Christian church. Mental Health, Religion, & Culture, 10(15), 445–449. doi:10.1080/13674670600903049.

    Article  Google Scholar 

  • Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Sullivan, G., Hunt, J., Haynes, T., Bryant, K., Cheney, A. M., Pyne, J., et al. (accepted). Building partnerships with rural arkansas faith communities to promote veterans’ mental health: Lessons learned. Progress in Community Health Partnerships: Research, Education, and Action.

  • Sulmasy, D. P. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. Gerontologist, 42(Spec. No. 3), 24–33.

    Article  PubMed  Google Scholar 

  • The Fraud of Mental Illness. (n.d.). Retrieved from www.bible.ca/marriage/mental-illness-nouthetic-psychiatry.htm.

  • The Interactive Bible. (n.d.). The fraud of modern psychiatry. Retrieved from http://www.bible.ca/marriage/mental-illness-nouthetic-psychiatry.htm.

  • Thielman, S. B. (2011). Religion and spirituality in the description of posttraumatic stress disorder. In J. R. Peteet, F. G. Lu, & W. E. Narrow (Eds.), Religious and spiritual issues in psychiatric diagnosis: A research agenda for DSM-V (p. 111). Arlington, VA: American Psychiatric Association.

    Google Scholar 

  • Thomas, K. C., Ellis, A. R., Konrad, T. R., Holzer, C. E., & Morrissey, J. P. (2009). County-level estimates of mental health professional shortage in the United States. Psychiatric Services, 60(10), 1323–1328. doi:10.1176/appi.ps.60.10.1323.

    Article  PubMed  Google Scholar 

  • Thomas, K. C., Ellis, A. R., Konrad, T. R., & Morrissey, J. P. (2012). North Carolina’s mental health workforce: Unmet need, maldistribution, and no quick fixes. North Carolina Medical Journal, 73(3), 161–168. doi:10.1176/appi.ps.60.10.1323.

    PubMed  Google Scholar 

  • Titus Lucretius Carus. (2008). On the nature of the universe, Oxford worlds classics. Oxford, UK: Oxford University Press.

  • Wade, N. G., Worthington, E. L, Jr, & Vogel, D. L. (2007). Effectiveness of religiously tailored interventions in Christian therapy. Psychotherapy Research, 17(1), 91–105. doi:10.1080/10503300500497388.

    Article  Google Scholar 

  • Waldfogel, S., Wolpe, P. R., & Shmuely, Y. (1998). Religious training and religiosity in psychiatry residency programs. Academic Psychiatry, 22, 29–35.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

The authors would like to acknowledge VA South Central Mental Illness Research, Education, and Clinical Center (MIRECC) and the VA Office of Rural Health for support and funding for this project. We also recognize Elise Allee and Carrie Edlund for editorial and research contributions, as well as the Chaplains of the Central Arkansas Veterans Healthcare System. Finally, we recognize the many community clergy and mental health providers who came together at places like Western Sizzlin of Russellville to begin the process of honest dialogue and collaboration between "the pew and the couch."

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Sullivan, S., Pyne, J.M., Cheney, A.M. et al. The Pew Versus the Couch: Relationship Between Mental Health and Faith Communities and Lessons Learned from a VA/Clergy Partnership Project. J Relig Health 53, 1267–1282 (2014). https://doi.org/10.1007/s10943-013-9731-0

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