Skip to main content

Advertisement

Log in

Clinical Approach of Spiritual Illnesses: Eastern Christian Spirituality and Cognitive Behavioral Therapy

  • Published:
Pastoral Psychology Aims and scope Submit manuscript

Abstract

The author reports on exploratory research involving an exercise in bringing together two practices, one spiritual and one therapeutic: Eastern Christian spirituality and cognitive-behavioral therapy. The theoretical view of illness and health in Eastern Christian spirituality is discussed in the framework of a clinical perspective. Applying the general clinical perspective of cognitive-behavioral therapy to Eastern Christian spirituality yields its implicit clinical view of spiritual illnesses, which are also called “passions.” The author discusses some implications of the psychospiritual approach, beginning with a comparison between the two practices and a discussion of the difficulties of such an interdisciplinary approach. In the second part of the study, dedicated to Evagrius Pontus’s approach and the ABCDE model of emotional disturbance, the author argues that both practices are interested in the person’s “well-being,” be it psychological or spiritual, and elaborates on techniques and methods to recover mental and spiritual “health.”

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.

Fig. 1

Similar content being viewed by others

Notes

  1. The spiritual life can be circumscribed to certain subjective, individual experiences apart from certain specific and rigorously defined religious practices and experiences. The religious life is the life with/within the Holy Spirit, the third Person of the Holy Trinity in the Orthodox Christian conception. Spiritual life, as a very general connotation, manifests itself as the relationship between the person’s spirit and the impersonal universe.

References

  • Beck, A. T. (1976). Cognitive therapy for emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Benner, D. G. (2005). Intensive soul care: Integrating psychotherapy and spiritual direction. In L. Sperry & E. P. Shafranske (Eds.), Spiritually oriented psychotherapy. Washington, DC: American Psychological Association.

    Google Scholar 

  • Berry, D. (2002). Does religious psychotherapy improve anxiety and depression in religious adults? A review of randomized controlled studies. The International Journal of Psychiatric Nursing Research, 8, 875–890.

    PubMed  Google Scholar 

  • Brett, C. (2003). Psychotic and mystical states of being: Connections and distinctions. Philosophy, Psychiatry, and Psychology, 9, 321–341.

    Article  Google Scholar 

  • Bria, I. (1994). Dictionary of Orthodox theology. Bucharest: Publishing House of the Bible and Mission Institute of BOR.

    Google Scholar 

  • Chrysostomos, A. (2006). A guide to Orthodox psychotherapy: The science, theology and spiritual practice behind it and its clinical application. Lanham: University Press of America.

    Google Scholar 

  • Cook, C. C. H., Goddard, D., & Westall, E. (1997). Knowledge and experience of drug use amongst church affiliated young people. Drug and Alcohol Dependence, 46, 9–17.

    Article  PubMed  Google Scholar 

  • David, D. (2006). Treaty of cognitive and behavioural psychotherapies. Iași: Polirom.

    Google Scholar 

  • Diadochos of Photiki (1979). On spiritual knowledge and discrimination: One hundred texts (TG. E. H. Palmer, P. Sherrard, K. Ware, Trans.). In The Philokalia (Vol. 1). London: Faber and Faber.

  • Dorotheos of Gaza (1977). Discourses and sayings (E. P. Wheeler, Trans.). Kalamazoo: Cistercian Publications.

  • Ellis, A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stuart.

    Google Scholar 

  • Epstein, M. (1995). Thoughts without a thinker. Buddhism and psychoanalysis. New York: Harper Collins.

    Google Scholar 

  • Evagrius of Pontus (1993). Evagrius of Pontus. (D. Stăniloae, Trans.). In The Philokalia (Vol. 1). Bucharest: Harisma.

  • Evagrius of Pontus (1998). The big Antirrheticus. In The Anger and her therapy after Avva Evagrius of Pontus (I. I. Ică jr., Trans.). Sibiu: Deisis.

  • Evagrius of Pontus (2006). The Greek Ascetic Corpus (R. E. Sinkewicz, Trans.). New York: Oxford University Press.

  • Evagrius the Solitary (1979). Discrimination in respect of passions and thoughts. (G. E. H. Palmer, P. Sherrard, & K. Ware, Trans.). In The Philokalia (Vol. 1). London: Faber and Faber.

  • Frank, J. D. (1961). Persuasion and healing. A comparative study of psychotherapy. Baltimore: John Hopkins University Press.

    Google Scholar 

  • George, L. K., Ellison, C. G., & Larson, D. B. (2002). Explaining the relationship between religious involvement and health. Psychological Inquiry, 13(3), 190–200.

    Article  Google Scholar 

  • Goleman, D. (2003). Healing emotions: Conversation with the Dalai Lama on mindfulness, emotion and health. Boston: Shambhala.

    Google Scholar 

  • Grigorie Palama (1977). Word for those who find peace in godliness. The second in the latest (D. Stăniloae, Trans.). In The Philokalia (Vol. 7). Bucharest: Humanitas.

  • Hefti, R. (2011). Integrating religion and spirituality into mental health care, psychiatry and psychotherapy. Religions, 2, 611–627.

    Article  Google Scholar 

  • Hesychios the Priest. (1979). On watchfulness and holiness. (G. E. H. Palmer, P. Sherrard, & K. Ware, Trans.). In The Philokalia (Vol. 1). London: Faber and Faber.

    Google Scholar 

  • Hodge, D. R. (2006). Spiritually modified cognitive therapy: A review of the literature. Social Work, 51, 157–166.

    Article  PubMed  Google Scholar 

  • Isaac of Nineveh (2008). Words on the ascetic life. (D. Stăniloae, Trans.). In The Philokalia (Vol. 10). Bucharest: Humanitas.

    Google Scholar 

  • Isaiah the Solitary (1979). On guarding the intellect: Twenty-seven texts (TG. E. H. Palmer, P. Sherrard, & K. Ware, Trans.). In The Philokalia (Vol. 1). London: Faber and Faber.

  • Jackson, M., & Fulford, K. W. M. (1997). Spiritual experience and psychopathology. Philosophy, Psychiatry, and Psychology, 4, 41–65.

    Article  Google Scholar 

  • John Climacus (of the Ladder) (1982). The ladder of divine ascent (C. Luibheid & N. Russell, Trans.). New York: Paulist Press.

  • Johnson, B., Li, S., Larson, D., & McCullugh, M. (2000). A systematic review of the religiosity and delinquency literature: A research note. Journal of Contemporary Criminal Justice, 16, 32–52.

    Article  Google Scholar 

  • Kakar, S. (1982). Shamans, mystics and doctors. New York: Alfred A. Knopf.

    Google Scholar 

  • Karasu, T. B. (1999). Spiritual psychotherapy. American Journal of Psychotherapy, 53(2), 143–162.

    Article  PubMed  Google Scholar 

  • Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. New York: Oxford University Press.

    Book  Google Scholar 

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

    Article  Google Scholar 

  • Larchet, J. C. (2012). Therapy of spiritual illness: An introduction to the ascetic tradition of the Orthodox Church (K. Spreecher, Trans.). Montreal: Alexander Press.

  • Mark the Ascetic (1979). On guarding the intellect: Twenty-seven texts (G. E. H. Palmer, P. Sherrard, & K. Ware, Trans.). In The Philokalia (Vol. 1). London: Faber and Faber.

  • Maxime le Confesseur (2010). Questions à Thalassios (Vol. 1 ; SC 529) (J.-C. Larchet & F. Vinel, Trans.). Paris: Cerf.

  • Maximus the Confessor (1981). Four hundred texts on love. (G. E. H. Palmer, Ph Sherrard, & K. Ware, Trans.). In The Philokalia (Vol. 2). London: Faber and Faber.

  • Menezes, A., Jr., & Moreira-Almeida, A. (2009). Differential diagnosis between spiritual experiences and mental disorders of religious content. Revista de Psiquiatria Clinica, 36, 75–82.

    Article  Google Scholar 

  • Muse, S. (2012). Finding the fit: An Eastern Orthodox approach to pastoral counseling. Edification: The Transdisciplinary Journal of Christian Psychology, 6(2), 125–139.

    Google Scholar 

  • Muse, S., Estadt, B., Greer, J., & Cheston, S. (1994). Are religiously integrated therapists more empathic? Journal of Pastoral Care, 48, 14–23.

    Article  Google Scholar 

  • Pearce, J. P., & Koenig, H. G. (2013). Cognitive behavioral therapy for the treatment of depression in Christian patients with medical illness. Mental Health, Religion and Culture, 16, 730–740.

    Article  Google Scholar 

  • Pearce, J. P., et al. (2015). Religiously integrated cognitive behavioral therapy: A new method of treatment for major depression in patients with chronic medical illness. Psychotherapy (Chic.), 52(1), 56–66.

    Article  Google Scholar 

  • Propst, L. R., Ostrom, R., Watkins, P., Dean, T., & Mashburn, D. (1992). Comparative efficacy of religious and nonreligious cognitive-behavior therapy for the treatment of clinical depression in religious individuals. Journal of Consulting and Clinical Psychology, 60, 94–203.

    Article  PubMed  Google Scholar 

  • Pseudo-Macarius (1992). The fifty spiritual homilies and the Great Letter (G. A. Maloney, Ed., Trans.). New York: Paulist Press.

  • Shafranske, E. P., & Gorsuch, R. L. (1984). Factors associated with the perception of spirituality in psychotherapy. Journal of Transpersonal Psychology, 16, 231–242.

    Google Scholar 

  • Shafranske, E. P., & Malony, H. N. (1990). Clinical psychologists’ religious and spiritual orientations and their practice of psychotherapy. Psychotherapy, 27, 72–78.

    Article  Google Scholar 

  • Shreve-Neiger, A. K., & Edelstein, B. A. (2004). Religion and anxiety: A critical review of the literature. Clinical Psychology Review, 24, 379–397.

    Article  PubMed  Google Scholar 

  • Smith, T. B., McCullough, M. E., & Poll, J. (2003). Religiousness and depression: Evidence for a main effect and the moderating influence of stressful life events. Psychological Bulletin, 129(4), 614–636.

    Article  Google Scholar 

  • Smith, T. B., Bartz, J., & Richards, P. S. (2007). Outcomes of religious and spiritual adaptations in psychotherapy: A meta-analytic review. Psychotherapy Research, 17, 643–655.

    Article  Google Scholar 

  • Sperry, L. (2001). Spirituality in clinical practice: Incorporating the spiritual dimension in psychotherapy and counselling. Philadelphia: Bruner-Routledge.

    Google Scholar 

  • Sperry, L. (2008). The psychologization of spirituality: A compelling case for it has yet to be made. The Journal of Individual Psychology, 64(2), 168–175.

    Google Scholar 

  • Trungpa, C. (2005). The sanity we are born with. A Buddhist approach to psychology. Boston: Shambhala.

    Google Scholar 

  • Van Praag, H. M. (2009). The role of religion in suicide prevention. In D. Wasserman & C. Wasserman (Eds.), Oxford textbook of suicidology and suicide prevention. Oxford: Oxford University Press.

    Google Scholar 

  • Vlachos, H. (2005). Orthodox psychotherapy: The science of the Fathers. Greece: Birth of Theotokos Monastery.

    Google Scholar 

  • Vlachos, H. (2007). Existentialist psychology and Orthodox psychotherapy. Bucharest: Byzantine Publishing House.

    Google Scholar 

  • Vujisic, A. (2011). Orthodox interventions: Orthodox neptic psychotherapy in response to existential and transpersonal psychology. Rollinsford: Orthodox Research Institute.

    Google Scholar 

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

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Smaranda Buju.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Buju, S. Clinical Approach of Spiritual Illnesses: Eastern Christian Spirituality and Cognitive Behavioral Therapy. Pastoral Psychol 68, 361–378 (2019). https://doi.org/10.1007/s11089-019-00874-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11089-019-00874-5

Keywords

Navigation