Universitatea Babe-Bolyai

Facultatea de Psihologie i tiinele Educaiei

Departamentul Psihologie

Psihologia Religiei
Anul II, semestrul II
Disciplin opional

Titular curs Prof.univ.dr. Adrian Opre

An universitar 2014-2015

Date de identificare a cursului

Date de contact ale titularului de curs:

Nume: Prof.univ.dr. Opre Adrian Nicolae

Date de identificare curs i contact tutori:

Numele disciplinei Psihologia religiei

Birou: Birou 6 sediul Fac. de Psihologie i Codul disciplinei PLR1433

tiinele Educaiei, str. Republicii 37
Anul, Semestrul anul 2, sem. 2
Telefon: 0264-590967
Tipul disciplinei Opional
Fax: 0264-590967
Pagina web a cursului- http://psychology.psiedu.ubbcluj.ro
E-mail: nicolae.opre@ubbcluj.ro
Tutori Prof. Univ. Dr. Adrian Opre, asist.univ.
Consultaii: Miercuri, 12-14
dr. Ramona Buzgar, drd. Dumulescu Daniela,
drd. Ligia Blidaru
Adresa email: religieitutor@psychology.ro

1.2. Condiionri i cunotine prerechizite

Cursul de fa se bazeaz pe cunotinele dobndite la o serie de discipline din cadrul
specializrii Psihologie, precum Introducere n psihologie i Psihologie Experimental,
Psihologie Cognitiv i Limba englez. De asemenea, cunotinele dobndite n cadrul
celorlalte cursuri din anul I sporesc considerabil accesibilitatea temelor pe care vi le
propunem. n totalitatea lor, aceste prerechizite vor fi foarte utile n rezolvarea lucrrilor de
evaluare ce ncheie fiecare modul i, respectiv, n promovarea examenului de evaluare final.

1.3. Descrierea cursului

Disciplina Psihologia religiei face parte din pachetul de materii opionale ale specializrii
psihologie, nivel licen, din cadrul Facultii de Psihologie i tiine ale Educaiei a
Universitii Babe-Bolyai din Cluj-Napoca. Prin tematica sa, aceast disciplin constituie
punctul de pornire n familiarizarea studenilor cu problematica psihologiei religiei, i
completeaz cunotinele aferente cursurilor de Psihologia sntii, Psihologia Familiei,
Psihologia personalitii, Psihologia dezvoltrii, respectiv Psihologie clinic. Tematica
tuturor acestor discipline se completeaz reciproc.
1.4. Organizarea temelor n cadrul cursului
Tematica ce corespunde acestei discipline opionale este structurat sub forma unui
reader ce conine doisprezece teme de nvare. n afara primelor dou teme, care corespund

unei introduceri generale n problematica psihologiei religiei, abordnd comparativ religia i

psihologia, celelalte coninuturi propuse abordeaz teme mult mai specifice, care acoper o
parte important din preocuprile cercetrilor i cercettorilor din acest domeniu. Nivelul de
nelegere i, implicit, utilitatea informaiilor pe care le regsii n fiecare modul vor fi sensibil
optimizate dac, n timpul parcurgerii suportului de curs, vei consulta sursele bibliografice
recomandate. De altfel, rezolvarea tuturor lucrrilor de verificare impune, cel puin
parcurgerea referinelor obligatorii menionate (reader-ul). n situaia n care avei nelmuriri
legate de modulele de nvare, de realizarea sarcinilor facultative sau a proiectului, sunteti
invitai s contactai tutorii disciplinei la adresa de email specificat.
1.5. Formatul i tipul activitilor implicate de curs
Aa cum am menionat mai sus, prezentul suport de curs este structurat pe doisprezece
module. Parcurgerea acestora va presupune att ntlniri fa n fa (consultaii), ct i munc
individual. Consultaiile, pentru care prezena este facultativ, reprezint un sprijin direct
acordat dumneavoastr din partea titularului i a tutorilor. Pe durata acestora vom recurge la
prezentri contrase a informaiilor nucleare aferente fiecrui modul, dar mai cu seam v vom
oferi, folosind mijloace auditive i vizuale, explicaii alternative, rspunsuri directe la
ntrebrile pe care ni le vei adresa. n ceea ce privete activitatea individual, aceasta o vei
gestiona dumneavoastr i se va concretiza n parcurgera tuturor materialelor bibliografice
obligatorii, rezolvarea lucrrilor de evaluare i a proiectului de semestru. Reperele de timp i
implicit perioadele n care vei rezolva fiecare activitate (lucrri de verificare, proiect etc) sunt
monitorizate de ctre noi prin intermediul calendarului disciplinei. Modalitatea de notare i,
respectiv, ponderea acestor activiti obligatorii, n nota finala v sunt precizate n seciunea
Politic de evaluare i notare.
Pe scurt, avnd n vedere particularitile nvmntului la distan dar i reglementrile
interne ale CFCID al UBB, parcurgerea i promovarea acestei discipline presupune antrenarea
studenilor n urmtoarele tipuri de activiti:
a. consultaii pe parcursul semestrului vor fi organizate dou ntlniri de consultaii fa n
fa; prezena la aceste ntlniri este facultativ;
b. realizarea unui reaction paper i a unui proiect de semestru, menionate n suportul de
curs
c. discuii legate de coninutul modulelor, prin intermediul adresei de tutoriat
religieitutor@psychology.ro.
1.6. Materiale bibliografice obligatorii
n suportul de curs, sunt precizate att referinele biblografice obligatorii, ct i cele
facultative. Sursele bibliografice au fost astfel stabilte nct s ofere posibilitatea adncirii
nivelului de analiz i, implicit, comprehensiunea fiecrei teme.

Dintre materialele recomandate ca bibliografie pentru acest curs atragem atenia asupra
volumelor citate n cele ce urmeaz, care constituie principalele resurse bibliografice:
Hood, R.W., Hill, P.C., Spilka, B., (2009) The Psychology of Religion, An Empirical
Approach Fourth Edition, THE GUILFORD PRESS, New York
Jonte-Pace, D., Parsons, W., (2001), Religion and Psychology. Mapping the terrain,
Routledge, London and New York
Dincolo de aceste dou surse, pentru fiecare modul exist o bibliografie minimal pe care
studenii o pot parcurge pentru a-i completa cunotinele i care este util n realizarea temelor.

1.7. Materiale i instrumente necesare pentru curs

Optimizarea secvenelor de formare reclam accesul studenilor la urmtoarele resurse:

calculator conectat la internet (pentru a putea accesa bazele de date i resursele

electronice suplimentare dar i pentru a putea participa la secvenele de formare
interactiv on line)
imprimant (pentru tiparirea materialelor suport sau a temelor redactate)
acces la resursele bibliografice (ex: abonament la Biblioteca Central Lucian Blaga)
acces la echipamente de fotocopiere

1.8. Calendarul cursului

Pe parcursul semestrului al II-lea, n care se studiaz disciplina de fa, sunt programate 2
ntlniri fa n fa (consultaii) cu toi studenii; acestea sunt destinate soluionrii,
nemediate, a oricror nelmuriri legate de coninut sau a celor privind sarcinile individuale.
Pentru prima ntlnire se recomand lectura atent a primelor ase module; la cea de a doua
ntlnire se discut ultimele module i se realizeaz o secven recapitulativ pentru pregtirea
examenului final. De asemenea, n cadrul celor dou ntlniri, studenii au posibilitatea de a
solicita titularului i/sau tutorilor sprijin pentru rezolvarea temei de semestru sau a proiectului
de semestru, n cazul n care nu au reuit singuri. Pentru a valorifica maximal timpul alocat
celor dou ntlniri, studenii sunt atenionai asupra necesitii suplimentrii lecturii din
suportul de curs cu parcurgerea obligatorie a cel putin uneia dintre sursele bibliografice de
referin. Datele celor dou ntlniri vor fi anunate n timp util pe site-ul facultii:
www.psychology.ro. De asemenea, n calendarul disciplinei se regsete data limit pentru
trimiterea temei de semestru (reaction paper).
Pentru acest an universitar, consultaiile sunt programate dup cum urmeaz:
-

luna martie 2014 (zilele pentru consultaii vor fi afiate pe site-ul facultii)

luna mai 2014 (zilele pentru consultaii vor fi afiate pe site-ul facultii)

1.9. Politica de evaluare i notare. Evaluarea final se va realiza pe baza unui colocviu
desfurat n sesiunea de la finele semestrului I. Nota final se compune din:
(a) punctajul obinut la colocviu n proporie de 60% (6 puncte);
(b) evaluarea reaction paper-ului 30% ( 3 puncte),
(c) punctul acordat din oficiu 10% (1 punct)
Pentru predarea i evaluarea reaction paper-ului se vor respecta cu strictee cerinele
tutorilor. Orice abatere de la acestea aduce dup sine penalizri sau pierderea punctajului
corespunztor temei. n cazul n care studentul consider c activitatea sa a fost subapreciat de
ctre evaluatori, atunci poate solicita feedback suplimentar prin contactarea prin email a tutorilor
sau a titularului de curs (n aceast ordine).

1.10. Elemente de deontologie academic

Se vor avea n vedere urmtoarele detalii de natur organizatoric:

Orice material elaborat de ctre studeni pe parcursul activitilor va face dovada

originalitii. Studenii ale cror lucrri se dovedesc a fi plagiate nu vor fi acceptai la
examinarea final.
Orice tentativ de fraud sau fraud depistat va fi sancionat prin acordrea notei
minime sau, n anumite condiii, prin exmatriculare.
Rezultatele finale vor fi puse la dispoziia studenilor prin afiaj electronic.
Contestaiile pot fi adresate n maxim 24 de ore de la afiarea rezultatelor iar soluionarea
lor nu va depi 48 de ore (zile lucrtoare) de la momentul depunerii.

1.11. Studenii cu nevoi speciale:

Titularul cursului i echipa de tutori i exprim disponibilitatea, n limita constrngerilor
tehnice i de timp, de a adapta coninutul i metodele de transmitere a informaiilor, precum i
modalitile de evaluare (examen oral, examen on line etc) n funcie de tipul dizabilitii
cursantului. Altfel spus, avem n vedere, ca o prioritate, facilitarea accesului egal al tuturor
cursanilor la activitile didactice si de evaluare.

1.12. Strategii de studiu recomandate:

Date fiind caracteristicile nvmntului la distan, se recomand studenilor o

planificare foarte riguroas a secvenelor de studiu individual, coroborat cu secvene de dialog,
mediate de reeaua de internet, cu tutorii si respectiv titularul de disciplin. Lectura fiecrui
modul i rezolvarea lucrrilor de evaluare facultative garanteaz nivele nalte de nelegere a
coninutului tematic i totodat sporesc ansele promovrii cu succes a acestei discipline.
Calendarul sintetic al disciplinei
Modaliti de evaluare

Tema de semestru (reaction paper)*.

Termen de
predare

Punctaj

22.05.2014

3p

In sesiune

7
puncte

Alegeti un articol de specialitate din domeniul psihologiei

religiei (din cele oferite de noi sau din alta sursa stiintifica)
si realizati o analiza critica a acestuia.
Tema nu trebuie s depeasc 2 pagini.
Colocviu (proiect de semestru)

*Informaii suplimentare despre teme vor fi postate pe site-ul Departamentului de

Psihologie, pe grupurile de discuii ale studenilor din an, dar vor fi discutate i la
consultaii.

Consultaii fa n fa
Data
Vor fi anunate la o dat
ulterioar pe site-ul
Departamentului de Psihologie
Vor fi anunate la o dat
ulterioar pe site-ul
Departamentului de Psihologie

Ora

Sala

CUPRINS*
THE HISTORIOGRAPHY OF SCIENCE AND RELIGION
David B.Wilson... 8
THE CONFLICT OF SCIENCE AND RELIGION
Colin A.Russell .14
THE DEMARCATION OF SCIENCE AND RELIGION
Stephen C.Meyer 17
GOD, NATURE, AND SCIENCE
Stanley L.Jaki ..23
GENESIS AND SCIENCE
John Stenhouse .....28
Metodologia de cercetare in psihologia religiei ....30
Psihoterapia cu clienti religiosi .43
Interventii spirituale in psihoterapie .51
The role of religion in therapy ..68
Rolul religiei si spiritualitatii asupra sanatatii fizice si mentale ...93
A prospective study of religion/spirituality and depressive symptoms among adolescent
psychiatric patients ..101
Religion and anxiety: A critical review of the literature..110
Psychotherapy as a Religious Value129
Percepiile despre smerenie: studiu preliminar ...133
Evenimente negative de via, tipuri de coping
religios pozitiv i negative i funcionare mental . .156
Contextualizing models of humility and forgiveness:a reply to gassin ..170
Depresie si spiritualitate ............................................................................................................181
*Unele dintre articolele din acest reader au fost traduse de studentii care au fost inscrisi la
acest curs optional.

THE HISTORIOGRAPHY OF SCIENCE AND RELIGION

David B.Wilson

The history of science and religion has been a contentious subject. In addition to the usual scholarly
disputes present in any academic area, this historical subject has been enmeshed in more general historiographical
debates and influenced by the religious or antireligious beliefs of some historians. After considering some basic
issues, this essay discusses several works written during the previous century and a half, while focusing on the last
fifty years. Recent decades have seen a radical shift in point of view among historians of science. Although
historians have espoused various approaches to the past, it will make our subject more manageable if we concentrate
on the polar opposites around which views have tended to cluster. One approach has been to examine past ideas as
much as possible in their own context, without either judging their long-term validity or making the discussion
directly relevant to present issues. Another approach has been to study past ideas from the perspective of the present,
taking full advantage of the hindsight provided by later knowledge to judge which ideas have proven to be valid.
The second approach has apparent advantages. It does not exclude current knowledge that can assist us in the
historical task. It also keeps present issues to the fore by insisting that historians draw lessons from the past that are
relevant to current issues. However, historians have tended to regard the second approach as precariously likely to
lead to distortion of the past in the service of present concerns. Dismissing this as
presentism, therefore, historians
of science have come to favor the first, or contextualist, approach. Whichever method historians use, they might
reach one of several possible conclusions about the historical relationship between science and religion. Conflict,
mutual support, and total separation are three obvious candidates. One of these models might long have
predominated, or the relationship might have changed from time to time and place to place. The discovery of
conflict might raise the further questions of which side emerged victorious and which side ought to have done so.
The discovery of mutual support might lead to the question of whether either science or religion contributed to the
others continued validity or even to its origin.
The Conflict Thesis
The most prominent view among both historians and scientists in the twentieth century has been a
presentist conflict thesis that argues as follows. To engage in the history of science, one must first know what
science is. It is certainly not religion, and, indeed, it is quite separate from religion, as can clearly be seen in science
as practiced in the modern world. The historian of science, then, should properly examine the internal development
of the scientific ideas that made modern science possible (that is, to the exclusion of such external factors as
religion). The proponents of some ideas in the past were closer to the right track in this process than others. Those
who expanded the realm of religion too far were on the wrong track, so that religion improperly intruded on the
realm of science. In such instances, conflict ensued between science and religion, with scientific advances
eventually making the truth clear to all and invariably (and rightly) emerging victorious. The historical process need
not have occurred in this way, but it so often did that conflict has been the primary relationship between science and
religion. Sciences best-known victories were those of Copernicanism and Darwinism. Presentism, internalism, and
the conflict thesis coalesced into a de facto alliance, with the result that the conflict model is still widely accepted by
academics (historians and scientists alike), though generally no longer by historians of science. A gulf in point of
view thus marks the immediate setting of any scholarly treatment of the subject for a popular audience.
That this alliance was not a necessary one can be seen in the work of William Whewell (17941866), the most
prominent historian of science during the first half of the nineteenth century. Known today primarily as a historian
and philosopher of science, Whewell was, first of all, a mathematical physicist, but also an Anglican clergyman and
a moral theorist. His philosophy of science featured a series of what he called f
undamental ideas (like the idea of
space) that, as part of mans mind created in the image of God, figured crucially in scientific knowledge of Gods
other creation, nature. Moral knowledge was structured similarly.
Both moral and scientific knowledge were progressive. Scientists, for example, gradually became aware of
the existence and implications of fundamental ideas. The study of history, that is, disclosed (a sometimes lurching)
progress toward the present or, at any rate, Whewells particular version of the present. Great scientists, such as
Isaac Newton (16421727), were both intellectually strong and morally good. Whewell did not think that conflict
between science and religion had been especially significant historically, nor, indeed, was it in Whewells own day.
From his vantage point, he could give medieval science the uncomplimentary epithet statio
nary for several
reasons that did not particularly include religious repression. The Roman Catholic Church had acted against Galileo
(15641642), to be sure, but, for Whewell, that episode was an aberration. A tightly knit, biblical-historicalphilosophical-moralscientific- theological unity was manifested in Whewells major, mutually reinforcing, books:

History of the Inductive Sciences (1837), Foundation of Morals (1837), Philosophy of the Inductive Sciences (1840),
and Elements of Morality (1845). John William Draper (181182), author of History of the Conflict Between
Religion and Science (1874), and Andrew Dickson White (18321918), author of The Warfare of Science (1876)
and A History of the Warfare of Science with Theology in Christendom (1896), lived in an age that was different
from Whewells. While the Darwinian debates of the 1860s preceded Drapers book, what really alarmed him
during that decade was the formulation of the doctrine of papal infallibility and the Roman Catholic Churchs
pronouncement that public institutions teaching science were not exempt from its authority. In his History, Draper
depicted these developments as merely the latest phase in a long history of
the expansive force of the human
intellect, in conflict not with religion generally, but with that
compression inflicted by Catholicism. White
developed and first published his views at about the same time as Draper. Whites insights stemmed from his
presidency of the new Cornell University, which was founded as a secular institution that stood in sharp contrast to
the traditional religious sponsorship of colleges and universities.
The withering criticism and innuendo directed at him personally by some religious figures led eventually to
the writing of his books. Like those of Draper, Whites books did not condemn all religion. They attacked what
White called
that same old mistaken conception of rigid Scriptural interpretation (White 1876, 75). White
proclaimed that whenever such religion sought to constrain science, science eventually won but with harm to both
religion and science in the process. Science and
true religion, however, were not at odds. Had Whewell still been
alive, White and Draper might have told him how their circumstances had helped them improve on his writing of
history. Unlike Whewell, they believed that they had stood in the shoes, as it were, of those who had been
persecuted. White seemed especially to identify with Galileo. Their improved awareness had, they thought, enabled
them to observe factors that he had overlooked. In any case, their books were highly influential. Moreover, it was
not their whispered qualifications but their screaming titles that were to thunder through the decades, remaining
audible more than a century later. Differences of opinion did not seem to alter what was to become the widely
current views of Draper and White. In Metaphysical Foundations of Modern Physical Science (1924), E.A.Burtt
argued that the foun dations of science were often theological. Galileos God, for example, labored as a
geometrician in creating the world, with the result that man, who knew some mathematics as well as God did, was
capable of grasping natures essential mathematical logic. In Science and the Modern World (1926), Alfred North
Whitehead maintained that the origin of modern science depended upon medieval theology, which had long insisted
on Gods rationality and hence also the rationality of his creation. Yet, in the 1930s, when his research suggested
that seventeenth-century English Puritanism had fostered science, Robert K.Merton found that prevailing scholarly
opinion, which had been shaped by the books of Draper and White, held that science and religion were inherently
opposed and necessarily in conflict. Of course, the 1920s were the decade not only of Burtt and Whitehead, but also
of the Scopes trial, which was generally interpreted as yet another in a long series of confrontations between science
and religion. Also, during the 1920s and 1930s(and for some time afterward), the still undeveloped discipline of the
history of science was pursued mainly by men trained in the sciences, who found presentist internalism a natural
point of view.
Reaction to the Conflict Thesis
The Whig Interpretation of History (1931), written by the young general historian Herbert Butterfield, was
eventually to influence the history of science deeply. Butterfield argued that historians had tended to be Protestant in
religion and Whig in politics. They liked to divide the world into friends and enemies of progressprogress, that is,
toward their own point of view. History was thus peopled by progressives and reactionaries, Whigs and Tories,
Protestants and Catholics. Whig historians made the mistake of seeing Martin Luther, for example, as similar to
modern Protestants rather than, as was actually the case, closer to sixteenth-century Catholics. By reading the
present into the past in this way, Whig historians ratified the present, but only by misshaping the past. A better way
was to assume that the sixteenth century was quite different from the twentieth and to explore the sixteenth century
on its own terms, letting any similarities emerge from historical research rather than from prior assumption.
Butterfields Origins of Modern Science (1949) applied this methodology to the history of science, including the
relationship between science and religion, during the scientific revolution. By not viewing scientists of the past as
necessarily similar to modern scientists, it was possible to reach historical insights quite different from those of, say,
Whewell or White. Overall, the scientific revolution resulted not from accumulating new observations or
experimental results, but from looking at the same evidence in a new way: It was a
transposition in the minds of
the scientists.
The alleged revolutionary Copernicus (1473 1543) could now be understood as a
conservative, much
akin to the Greek astronomers with whom he disagreed. Religion was not necessarily either opposed to or separate

from science in the modern sense but could, in principle, be viewed in any relationship, depending on the historical
evidence. Reading the evidence in a non-Whiggish way, Butterfield saw variety. There was, to be sure, theological
opposition to the Copernican system, but it would not have been very important if there had not also been
considerable scientific opposition. Even Galileo did not actually prove the earths motion, and his favorite argument
in favor of it, that of the tides, was a g
reat mistake. Christianity favored the new mechanical worldview because it
allowed a precise definition of miracles as events contrary to the usual mechanical regularity. Newtons gravitational
theory required Gods continued intervention in the universe he created, and one of Newtons possible explanations
of gravity m
ade the existence of God logically necessary (Butterfield 1949, 157). Butterfields Christianity and
History (1949) made his own Christian faith explicit, but his religious views did not make Origins of Modern
Science into a Christian tract, though they guaranteed that Christian factors received a fair hearing. Whatever the
exact influence of Butterfield on them, three books published during the 1950s revealed the progress of nonWhiggish studies of science and religion during the scientific revolution. Alexandre Koyr, influenced by Burtt, had
already published studies like
Galileo and Plato (1943) a few years before Butterfields Origins of Modern
Science. In From the Closed World to the Infinite Universe (1957), Koyr argued that the revolution involved
philosophy and theology as well as science and that all three dimensions of thought usually existed in
the very
same men, such as Johannes Kepler (15711630), Ren Descartes (15961650), Isaac Newton, and Gottfried
Wilhelm Leibniz (16461716). Koyr thus portrayed the conflict between Newton and Leibniz, one that involved
Leibnizs stiff opposition to Newtons gravitational theory, as primarily a theological conflict. He contrasted
Newtons w
ork-day God (who caringly involved himself in the operation of his universe) with Leibnizs Go
d of
the sabbath (who created the world skillfully enough for it to run by itself). In his The Copernican Revolution
(1957), Thomas Kuhn adopted the
unusual approach of treating astronomers philosophical and religious views as

equally fundamental to their scientific ones. For the early Copernicans, at the center of the universe resided the
sun,
the Neoplatonic symbol of the Deity (Kuhn 1957, 231). Unlike Koyrs and Kuhns books, Richard
Westfalls Science and Religion in Seventeenth-Century England (1958) examined a variety of better- and
lesserknown men of science (virtuosi) in a particular national context. In general, the virtuosi regarded their
scientific discoveries as confirmation of their religious views, thus answering charges that studying nature both led
man to value reason over revelation and made it difficult to know the nonmaterial side of existence. While there
existed in the seventeenth century a multiplicity of ways to dovetail science and religion, there was a general
movement from revealed religion to a natural theology that prepared the way for the deism of the next century.
The 1950s witnessed non-Whiggish studies of science and religion, not only in the century of Galileo and
Newton, but in Darwins century, too. In his
second look in Isis at Charles Gillispies Genesis and Geology
(1951), Nicolaas Rupke credited Gillispie with transforming the historiography of geology by going beyond the
great ideas of great men as defined by modern geology to the actual religious-politicalscientific context of British
geology in the decades before Darwins Origin of Species (1859). Explicitly rejecting the conflict thesis of Draper
and White, Gillispie saw
the difficulty between science and Protestant Christianityto be one of religion (in a
crude sense) in science rather than one of religion versus science (Gillispie 1951, ix). Writing about a period in
which geologists were often themselves clergymen, Gillispie thought
that the issues discussed arose from a quasitheological frame of mind within science (Gillispie 1951, x). At the end of the decade, John Greene published The
Death of Adam (1959), an examination of the shift from the
static creationism of Newtons day to the evolutionary
views of Darwins. Without making any particular point of rejecting the Draper-White conflict thesis, Greene
nevertheless did so implicitly, calling attention tothe religious aspect of scientific thought (Greene 1959, vi) and
infusing his book with examples of a variety of connections between religion and science. Thus, Georges Louis
Leclerc, Comte de Buffon (170788), was forced to fit his science to the religious views of the day but found
evolution contrary to Scripture, reason, and experience. William Whiston (16671752) employed science to explain
scriptural events, rejecting alternative biblical views that were either too literal or too allegorical. Charles Darwin
(180982) jousted with fellow scientists Charles Lyell (17971875) and Asa Gray (181088) about the sufficiency
of natural selection as opposed to Gods guidance and design in evolutionary processes.
Christian Foundations of Modern Science
If these notable books of the 1950s rejected the conflict thesis in various ways, two books from the early
1970s went even further, turning the thesis on its head to declare (echoing Whitehead) that Christianity had made
science possible. The first was Reijer Hooykaass Religion and the Rise of Modern Science (1972). The Protestant
historian Hooykaas (190694) had explored the relations between science and religion for several years. His Natural
Law and Divine Miracle (1959), for example, showed the compatibility of what he called
a Biblical concept of
nature with nineteenth-century biology and geology. In 1972, he went further by arguing for a Christian, especially

Calvinistic, origin of science itself. After discussing Greek concepts of nature, Hooykaas concluded that, in the
Bible,
in total contradiction to pagan religion, nature is not a deity to be feared and worshipped, but a work of God
to be admired, studied and managed (Hooykaas 1972, 9). Not only did the Bible d
e-deify nature, Calvinism
encouraged science through such principles as voluntaristic theology, a
positive appreciation of manual work, and
an
accommodation theory of the Bible. Voluntarism emphasized that God could choose to create nature in any
way he wanted and that man, therefore, had to experience nature to discover Gods choice. This stimulus to
experimental science was reinforced by the high value that Christianity placed on manual labor. The view that, in
biblical revelation, God had accommodated himself to ordinary human understanding in matters of science meant
that Calvinists generally did not employ biblical literalism to reject scientific findings, particularly Copernican
astronomy. Stanley L.Jakis Science and Creation (1974) also expanded themes that were present in his earlier
chapter
Physics and Theology in his The Relevance of Physics (1966). Jaki was a Benedictine priest with
doctorates in both theology and physics. His Science and Creation, a book of breathtaking scope, examined several
non-Western cultures before focusing on the origin of science within the Judeo-Christian framework. Jaki argued
that two barriers to science pervaded other cultures: a cyclic view of history and an organic view of nature. Endless
cycles of human history made men too apathetic to study nature. Even when they did, their concept of a living,
willful nature precluded discovery of those unvarying patterns that science labels natural laws. The Judeo-Christian
view, in contrast, historically regarded nature as the nonliving creation of a rational God, not cyclic but with a
definite beginning and end. In this conceptual context (and only in this context), modern science emerged, from the
thirteenth through the seventeenth centuries. Earlier adumbrations of science were pale, short-lived imitations,
doomed by hostile environments. Unfortunately, Jaki thought, amidst attacks on Christianity in the twentieth
century, there had arisen the theory of an oscillating universe, which was another unwarranted, unscientific, cyclic
view of nature. Hence, consideration of both past and present disclosed the same truth:
the indispensability of a
firm faith in the only lasting source of rationality and confidence, the Maker of heaven and earth, of all things visible
and invisible (Jaki 1974, 357).
The Continuing Influence of the Conflict Thesis
Despite the growing number of scholarly modifications and rejections of the conflict model from the 1950s
on, the Draper-White thesis proved to be tenacious, though it is probably true that it had been more successfully
dispelled for the seventeenth century than for the nineteenth. At any rate, in the 1970s leading historians of the
nineteenth century still felt required to attack it. In the second volume of his The Victorian Church (1970), Owen
Chadwick viewed the conflict thesis as a misconception that many Victorians had about themselves. His The
Secularization of the European Mind (1975) presented Drapers antithesis as the view to attack by way of explaining
one aspect of nineteenth-century secularization. Writing about Charles Lyell in 1975, Martin Rudwick also deplored
distortions produced by Draper and White, arguing that abandoning their outdated historiography would solve
puzzles surrounding Lyells time at Kings College, London. Examining nineteenth-century European thought in
History, Man, and Reason (1971), the philosopher-historian Maurice Mandelbaum rejected what he called th
e
conventional view of the place of religion in the thought of the nineteenth century, which h
olds that science and
religion were ranged in open hostility, and that unremitting warfare was conducted between them (Mandelbaum
1971, 28). Why did these historians believe that the conflict thesis was sufficiently alive and well to require
refutation? For one thing, even those historians who were most significant in undermining the conflict thesis did not
reject it entirely. Moreover, they made statements that could be construed as more supportive of the thesis than
perhaps they intended.
Conflict with science was the only subheading under
Religion in the index to Gillispies
The Edge of Objectivity (1960), and it directed the reader to statements that seemed to support the conflict model.
What geology in the 1830s n
eeded to become a science was to retrieve its soul from the grasp of theology
(Gillispie 1960, 299).
There was never a more unnecessary battle than that between science and theology in the
nineteenth century (Gillispie 1960, 347). Even Gillispies Genesis and Geology was criticized by Rudwick in 1975
as only a more sophisticated variety of the
positivist historiography of Draper and White. Westfall, in a preface to
the 1973 paperback edition of his book, wrote:
In 1600, Western civilization found its focus in the Christian
religion; by 1700, modern natural science had displaced religion from its central position (Westfall 1973, ix).
Greene introduced the subjects of the four chapters in his Darwin and the Modern World View (1961) as four stages
in th
e modern conflict between science and religion (Greene 1961, 12). Surely, the most widely known book
written by a historian of science, Kuhns Structure of Scientific Revolutions (1962), excluded those philosophical
and religious views that Kuhn had earlier (in his Copernican Revolution [1957]) labeled
equally fundamental
aspects of astronomy. This exclusion undoubtedly aided the view that a conflict existed, a view that was the ally of
internalism. The 1970s were a period in which past scientists religious statements could still be dismissed as


ornamental or ceremonial flourishes or as
political gestures. The
orthodoxy of internalism among historians of
science in the 1960s and early 1970s was the target of the fascinating autobiographical account of life as a student
and teacher at Cambridge University by Robert Young in his contribution to Changing Perspectives in the History of
Science (1973). And even Young, whose own pathbreaking nonconflictive articles from around 1970 were later
reprinted in Darwins Metaphor (1985), wrote in his 1973 piece that
the famous controversy in the nineteenth
century between science and theology was very heated indeed (Young 1973, 376).
A second factor was the prevailing view among scientists themselves, which influenced historians of
science, who either had their own early training in science or maintained regular contact with scientists, or both. In
this regard, we might consider the work of the scientist-historian Stephen Jay Gould, one of the most successful
popularizers of both science and the history of science. A collection of his popular essays appeared in 1977 as Ever
Since Darwin. Gould stoutly rejected the si
mplistic but common view of the relationship between science and
religionthey are natural antagonists (Gould 1977, 141). However, the books specific instances came
preponderantly from the conflict theorists familiar bag of examples: the Churchs disagreeing with Galileo; T.H.
Huxleys
creaming Bishop
Soapy Sam Wilberforce; natural selection s displacing of divine creation; and, as
Freud said, mans losing his status as a divinely created rational being at the center of the universe because of the
science of Copernicus, Darwin, and Freud himself. Goulds most sympathetic chapter was his discussion of Thomas
Burnets late-seventeenth-century geological explanations of biblical events like Noahs flood. Even here, however,
Gould regarded the views of Burnets opponents as dogmatic and antirationalist, reflecting the same unhappy spirit
that, wrote Gould, later possessed Samuel Wilberforce, William Jennings Bryan, and modern creationists.
The
Yahoos never rest (Gould 1977, 146). Whatever the reasons for the continued survival of the conflict thesis, two
other books on the nineteenth century that were published in the 1970s hastened its final demise among historians of
science. In 1974, Frank Turner carved out new conceptual territory in Between Science and Religion. He studied six
late Victorians (including Alfred Russel Wallace, the co-inventor of the theory of evolution by natural selection)
who rejected both Christianity and the agnostic scie
ntific naturalism of the time. In their various ways, they used
different methods, including the empiricism of science (but not the Bible), to support two traditionally religious
ideas: the existence of a God and the reality of human immortality. Even more decisive was the penetrating critique

Historians and Historiography that James Moore placed at the beginning of his Post-Darwinian Controversies
(1979). In what would have been a small book in itself, Moores analysis adroitly explored the historical origins of
Draper and Whites m
ilitary metaphor and went on to show how the metaphor promulgated false dichotomies:
between science and religion, between scientists and theologians, between scientific and religious institutions. The
metaphor simply could not handle, for example, a case of two scientist-clergymen who disagreed about a scientific
conclusion partly because of their religious differences. Finally, Moore called for historians to write n
on-violent
history, of which the remainder of his book was a prodigious example. Examining Protestant responses to Darwins
ideas, he concluded that it was an
orthodox version of Protestantism that
came to terms with Darwin more easily
than did either a more liberal or a more conservative version and, in addition, that much anguish would have been
spared had this orthodoxy prevailed.
The Complexity Thesis
By the 1980s and 1990s, there had been nearly a complete revolution in historical methodology and
interpretation. Setting aside his own views of science and religion, the historian was expected to write nonWhiggish history to avoid what Maurice Mandelbaum called the
retrospective fallacy. This fallacy consisted of
holding an asymmetrical view of the past and the future, in which the past was seen as like a solid, with all of its
parts irrevocably fixed in place, while the future was viewed as fluid, unformed, and unforeseen. The problem for
the historian was to transpose his mind to such an extent that a historical figures future (which was part of the
historians own past) lost the fixity and inevitability that the historian perceived in it and, instead, took on the
uncertainty that it had for the historical figure. The concern for what led to the present, and the extent to which it
was right or wrong by present standards, thus dissipated. A good test for the historian was whether he could write a
wholly sympathetic account of a historical figure with whom he totally disagreed or whose ideas he found
repugnant. Would the historical figure, if by some magic given the chance to read the historians reconstruction, say
that, indeed, it explained what he thought and his reasons for doing so? To be valid, any broader historical
generalization had to be based on specific, non-Whiggish studies that accurately represented past thought. This
radically different methodology yielded a very different overall conclusion about the historical relationship of
science and religion. If
conflict expressed the gist of an earlier view,
complexity embodied that of the new. The
new approach exposed internalism as incomplete and conflict as distortion. Past thought turned out to be terribly

complex, manifesting numerous combinations of scientific and religious ideas, which, to be fully understood, often
required delineation of their social and political settings.
From this mainstream perspective, moreover, historians could deem other approaches unacceptable. Zeal
for the triumph of either science or religion in the present could lure historians into Whiggish history. The works not
only of Draper and White, but also of Hooykaas and Jaki fell into that category. Kenneth Thibodeaus review in Isis
of Jakis Science and Creation, for example, declared it
a lopsided picture of the history of science that
m
inimizes the accomplishments of non-Christian cultures and
exaggerates those of Christian ones (Thibodeau
1976, 112). In a review in Archives Internationale dHistoire des
Sciences, William Wallace found Hooykaass Religion and the Rise of Modern Science to be
a case of special
pleading. In their historiographical introduction to the book they edited, God and Nature (1986), David Lindberg
and Ronald Numbers judged that Hooykaas and Jaki had
sacrificed careful history for scarcely concealed
apologetics (Lindberg and Numbers 1986, 5). Likewise, some historians found Moores nonviolent history
unacceptable: He
sometimes seems to be writing like an apologist for some view of Christianity (La Vergata
1985, 950), criticized Antonella La Vergata in his contribution to The Darwinian Heritage (1985). Among the
multitude of articles and books that argued for a relatively new, non-Whiggish complexity thesis, two exemplars
were Lindberg and Numberss God and Nature and John Brooke s Science and Religion (1991). Though similar in
outlook, they differed in format. The first was a collection of eighteen studies by leading scholars in their own areas
of specialty, while the second was a single scholars synthesis of a staggering amount of scholarship, an appreciable
portion of which was his own specialized research. Turning in their introduction to the contents of their own
volume, Lindberg and Numbers rightly observed that a
lmost every chapter portrays a complex and diverse
interaction that defies reduction to simple conflict or harmony (Lindberg and Numbers 1986, 10). Medieval
science, for example, was a h
andmaiden to theology (but not suppressed), while the close interlocking of science
and religion that developed by the seventeenth century began to unravel in the eighteenth. To examine briefly the
complexity of only one chapter, consider James Moores (nonapologetic) discussion of Ge
ologists and Interpreters
of Genesis in the Nineteenth Century. Moore focused on British intellectual debates occurring in a variegated
context of geographical, social, generational, institutional, and professional differences. Around 1830, professional
geologists (that is, those with specialist expertise) tended to h
armonize Genesis and geology by using geology to
explain the sense in which the natural history of Genesis was true. They were opposed by nonprofessional

Scriptural geologists, who used Genesis to determine geological truths. By the 1860s, a new generation of
professional geologists did their geology independently of Genesis. They were in agreement with a new generation
of professional biblical scholars in Britain, who believed that Genesis and geology should be understood separately.
Meanwhile, the earlier conflicting traditions of harmonization and scriptural geology were kept going by amateurs.
Hence, while debate over how to meld Genesis and geology was a social reality in late-Victorian Britain, it
did not perturb the elite level of the professionals. Numbers expanded his own chapter in God and Nature into The
Creationists (1992), an outstanding treatment of such issues at the nonelite level in the twentieth century. Brookes
volume targeted general readers in a way that Lindberg and Numberss did not. In his historiographical remarks,
Brooke considered the very meanings of the words scien
ce and
religion, resisting specific definitions for them.
The problem, Brooke explained, was that the words had so many meanings. It could even be misleading to refer to
Isaac Newtons
science, when Newton called what he was doing n
atural philosophy, a phrase connoting quite
different issues in the seventeenth century than did
science in the twentieth. As did Lindberg and Numbers,
Brooke found complexity: T
he principal aim of this book, he wrote, h
as been to reveal something of the
complexity of the relationship between science and religion as they have interacted in the past (Brooke 1991, 321).
As for Lindberg and Numbers, so also for Brooke, complexity did not preclude general theses. He concluded, for
example, that science went from being subordinate to religion in the Middle Ages to a position of relative
equality in the seventeenth century, not separate from religion but
differentiated from it.
Conclusion
This essay, in rejecting presentist histories of science and religion, may itself seem somewhat presentist.
Though it tries fairly to present the opposite point of view, it favors the recent historiographical revolution in
advocating a contextualist approach, with all its attendant complexities. Though the new point of view has decided
advantages over the old, it has the potential of leading historians astray. Pursuit of complexity could produce ever
narrower studies that are void of generalization. Moreover, awareness of the great variation of views in different
times and places could lead to the mistaken conclusion that those ideas were nothing but reflections of their own

cultures. Instead, in thinking about science and religion, as in most human endeavors, there have always been the
relatively few who have done their work better than the rest. Existence of differences among them does not mean
that they have not thought through and justified their own positions. In fact, that they have done so is an example of

a contextualist generalizationone that is not only in harmony with the evidence of the past, but also relevant to
present discussions. Indeed, the whole non-Whiggish enterprise might inform the present in other ways, too, though
scholars are understandably wary of drawing very specific lessons from history for the present. Consider, however, a
few general points. Study of past ideas on their own terms might provide a kind of practice for working out ones
own ideas or for nourishing tolerance for the ideas of others. There have been and, no doubt, always will be
disagreements among our strongest thinkers, as well as questions of the relationship between their ideas and those of
the population at large. Moreover, things always change, though not predictably or necessarily completely. Indeed,
the most influential thinkers seem fated to have followers who disagree with them, even while invoking their names.
Even the most well-founded, well-argued, and well-intentioned ideas about science and religion are liable to later
change or eventual rejection. The same is true for historiographical positions, including, of course, the complexity
thesis itself.

THE CONFLICT OF SCIENCE AND RELIGION

Colin A.Russell

The Conflict Thesis

The history of science has often been regarded as a series of conflicts between science and religion (usually
Christianity), of which the cases of Galileo Galilei (15641642) and Charles Darwin (180982) are merely the most
celebrated examples. Some would go further and argue that such conflict is endemic in the historical process, seeing
these and other confrontations as occasional eruptions of a deep-seated inclination that is always present, if not
always quite so spectacularly visible. There is usually the additional assumption, implicit or explicit, that the
outcome of such conflict will always and inevitably be the victory of science, even if only in the long term. Such a
view of the relations between science and religion has been variously described as a
conflict thesis, a m
ilitary
metaphor, or simply a
warfare model. The considerable literature on this subject began with two famous works of
the nineteenth century: John William Drapers History of the Conflict Between Religion and Science (1874) and
Andrew Dickson Whites A History of the Warfare of Science with Theology in Christendom (1896). A more mature
work of the twentieth century, J.Y.Simpsons Landmarks in the Struggle Between Science and Religion (1925), adds
to the vocabulary of metaphors by positing a struggle between science and religion. The first two books achieved a
wide circulation and have been repeatedly reprinted. They were written at a time when science seemed triumphant at
home and abroad, and each author had his particular reasons for settling old scores with organized religion. Draper,
a professor of chemistry and physics in a medical school in New York, feared the power wielded by the Roman
Catholic Church and was worried by the promulgation of the dogma of papal infallibility of 1870. White, professor
of history at the University of Michigan and later president of Cornell (the first private nonsectarian university in the
United States), was not surprisingly opposed by the advocates of sectarian theology. Whites book thus became a
manifesto directed (in the last version) not so much against religion as against dogmatic theology. For nearly a
century, the notion of mutual hostility (the Draper-White thesis) has been routinely employed in popular-science
writing, by the media, and in a few older histories of science. Deeply embedded in the culture of the West, it has
proven extremely hard to dislodge. Only in the last thirty years of the twentieth century have historians of science
mounted a sustained attack on the thesis and only gradually has a wider public begun to recognize its deficiencies.
Issues of Contention
First, it may be helpful to spell out briefly the chief issues of contention around which the real or imagined
conflict revolves. Initially these issues were in the area of epistemology: Could what we know about the world
through science be integrated with what we learn about it from religion? If not, a situation of permanent conflict
seemed probable. Such epistemological issues were first raised on a large scale by the Copernican displacement of
the earth from the center of the solar system, which was clearly incompatible with what seemed to be the biblical
world picture of a geocentric universe. The question, though posed by Copernicus (14731543) himself, caused little
public stir until the apparent conflict became inextricably intertwined with other clerico-political disagreements at
the time of Galileo. With hindsight, it is truly remarkable that, as early as the sixteenth century, Copernicus and his
disciple Georg Joachim Rheticus (151474) resolved the issue to their satisfaction by invoking the patristic
distinction between the Bibles teaching on spiritual and eternal realities and its descriptions of the natural world in

the language of ordinary people. Rheticus specifically appealed to Augustines doctrine of

accommodation,
asserting that the Holy Spirit accommodated himself on the pages of Scripture to the everyday language and
terminology of appearances. What began to emerge was what later became the distinction between world picture and
worldview, the former being mechanistic, tentative, and expendable, while the latter concerned values and principles
that were likely to endure. This same principle imbued the work both of Galileo and his followers and of Johannes
Kepler (15711630) and effectively defused the issue for a majority of Christian believers. If they were right, there
was an absence of conflict not only over the specific case of cosmology but, in principle, over anything else in
which scientific and biblical statements appeared to be in contradiction. A
conflict thesis would have seemed
untenable because there was nothing to fight about. However, the historical realities were such that these lessons
were not quickly learned. Despite the advent in the late eighteenth century of evidence for a much older Earth than
had been imagined on the basis of the Mosaic account in Genesis, little opposition arose until the emergence in
early- Victorian England of a disparate but vocal group of
scriptural geologists. They were not, as is often
claimed, a group of naive scientific incompetents, but, indeed, were often rather able men who saw a distinction
between biblical descriptions of the present natural world and of events in the past, respectively corresponding to
their understandings of physical science and history. While for the most part happy to accept
accommodation over
biblical references to the sun and Earth, they were not prepared to extend it to what appeared to be descriptions of
history, including chronology. The potential for conflict was greatest where science had a historical content (as in
geology or biology).
The war cries of the scr
iptural geologists were echoed by those who, in due course, assailed Darwinian
evolution on the same grounds. A second, and related, area of contention has been in the realm of methodology.
Here we find the age-old polarization between a science based on
facts and a theology derived from f
aith, or
between a naturalistic and a religious worldview. Naturalism has had a long history, going back to the early Middle
Ages and beyond, with a spectacular revival in nineteenth-century England that was dignified by the title of

scientific naturalism. It was a view that denied the right of the church to in
terfere in the progress of science by
introducing theological considerations into scientific debates. By the same token, any appeal to divine purpose as an
explanation of otherwise inexplicable phenomena has been a famous hostage to fortune. This philosophy of
God of
the gaps has generated special heat when one of the g
aps has later been filled naturalistically. In these cases,
conflict has certainly appeared, though whether it is really about methodological issues may be doubted. It has also
been argued in a veritable torrent of informed and scholarly works that the methodologies of science and of religion
are complementary rather than contradictory, and local instances of dispute have been assigned to other causes. Yet,
this confusion still penetrates popular thinking, and the conflict thesis has been thereby sustained. The third potential
for conflict has been in the field of ethics. Most recently this has been realized in such questions as genetic
engineering, nuclear power, and proliferation of insecticides. Past debates on the propriety of such medical
procedures as vaccination and anesthesia have been replaced by impassioned conflict over abortion and the value of
fetal life. In Victorian times, one of the more serious reasons for opposing Darwin was the fear that his theories
would lead to the law of the jungle, the abandonment of ethical constraints in society. Yet, in nearly all of these
cases, it is not so much science as its application (often by nonscientists) that has been under judgment. Fourth,
some opposition between science and religion has arisen from issues of social power. In Catholic cultures in
continental Europe, the polarity between sacred and secular was often much sharper than in Britain and the United
States, with the result that progressive science-based ideologies were more frequently in explicit contention with
conservative political and ecclesiastical forces. In early-nineteenth-century Britain, certain high-church Anglicans
turned on science for threatening their dominant role in society.
While this debate was formally about the authority of Scripture, in reality it was about the growing spirit of
liberalism within the universities. Not surprisingly, the community of science resented such attacks and, in due
course, turned the table on the enemy. Their response came in the form of a concerted effort by certain scientific
naturalists in Victorian England, most notably those associated with Thomas Henry Huxley (182595), to overthrow
the hegemony of the English church. The movement, which was accompanied by bitter conflict, generated a flood of
articles, lay
sermons, and verbal attacks on the clergy and included conspiratorial attempts to get the
right men
in to key positions in the scientific establishment. It involved lectures, secular Sunday schools, and even a successful
lobby to have Charles Darwins body interred in Westminster Abbey. Yet, it was not a battle between science and
religion except in the narrowest sense. Unlike White, who averred that he opposed not religion but dogmatic
theology, Huxley sought to undermine organized religion, though his rhetoric frequently sought to convey the
impression of a disinterested defence of truth. One recent writer identifies the driving force behind at least the
Victorian struggles as
the effort by scientists to improve the position of science. They wanted nothing less than to
move science from the periphery to the centre of English life (Heyck 1982, 87). It was at this time that science
became professionalized, with the worlds first professional institute for science, the Institute of Chemistry,

established in 1877. In Europe, it was also the period when scientific leadership began to slip from Britain to
Germany, generating a fierce rearguard reaction by some British scientists against anything that could diminish their
public standing. If the Church was seen to be in their way, it must be opposed by all means, including the fostering
of a conflict myth, in which religion routinely suffered defeat at the hands of triumphalist science.

The Weaknesses of the Conflict Thesis

The conflict thesis, at least in its simple form, is now widely perceived as a wholly inadequate intellectual
framework within which to construct a sensitive and realistic historiography of Western science. Nor was it merely a
case of British controversy. Ronald L.Numbers has suggested that
the war between science and theology in
colonial America has existed primarily in the clich-bound minds of historians. He regards the polemically
attractive warfare thesis as h
istorically bankrupt (Numbers 1985, 64, 80). In the composite volume God and
Nature: Historical Essays on the Encounter between Christianity and Science (1986), edited by Numbers and his
colleague at the University of Wisconsin, David C.Lindberg, an effort is made to correct the stereotypical view of
conflict between Christianity and science. The shortcomings of the conflict thesis arise from a multiplicity of
reasons, some of which may be briefly summarized as follows.
First, the conflict thesis hinders the recognition of other relationships between science and religion. At
different phases of their history, they were not so much at war as largely independent, mutually encouraging, or even
symbiotic. Certainly there are well-documented cases, such as those of Galileo and Darwin, in which science and
religion seemed to wage open war with each other. But recent scholarship has demonstrated the complexity of the
issues at stake in even these cases, with ecclesiastical politics, social change, and personal circumstances as relevant
as questions of science and religion. Quite apart from those considerations, such cases have been too often taken as
typical, and, consequently, a generalized conflict thesis has been erected on insubstantial foundations. As a historical
tool, the conflict thesis is so blunt that it is more damaging than serviceable. One has only to consider the
two
books of Francis Bacon (15611626) nature and Scriptureeach of which had a role complementary to that of
the other. They were held not to be at odds with each other, because they dealt with different subjects. Again, for
many major scientific figures in the seventeenth and eighteenth centuries, Christianity played a central role in
fostering and even shaping their scientific endeavors: The instances of Kepler, Robert Boyle (162791), Isaac
Newton (1642 1727), and Ren Descartes (15961650) are the most conspicuous. The historical relations between
religion and science are certainly more rich and complex than a simple conflict thesis suggests.
Second, and more specific, the conflict thesis ignores the many documented examples of science and
religion operating in close alliance. This was most obviously true of the seventeenth and eighteenth centuries, as
evidenced by the names of Boyle, Newton, Blaise Pascal (162362), Marin Mersenne (15881648), Pierre Gassendi
(1592 1655), and Isaac Beeckman (15881637). Since then, a continuous history of noted individuals making
strenuous efforts to integrate their science and religion has testified to the poverty of a conflict model. This was
particularly true in Britain, where representatives in the nineteenth century included most famously Michael Faraday
(17911867), James Joule (181889), James Clerk Maxwell (183179), William Thomson (Lord Kelvin [1824
1907]), and George Gabriel Stokes (18191903). In the next century, a number of distinguished scientists of
religious persuasion were ready to join societies like the Victoria Institute in London or its successors in Britain and
the United States, which were dedicated to bringing together religious and scientific ideas. The English-speaking
world was not unique in this quest for integration but has certainly been the most subject to historical scrutiny.
Third, the conflict thesis enshrines a flawed view of history in which
progress or (in this case)
victory
has been portrayed as inevitable. There appears to be no inherent reason why this should be so, though it is readily
understandable why some should wish it to be the case. This approach represents and embraces a long demolished
tradition of positivist, Whiggish historiography.
Fourth, the conflict thesis obscures the rich diversity of ideas in both science and religion. Neither of these
has ever been monolithic, and there was seldom a unified reaction from either. Thus, in the case of Galileo, it was
the Roman Catholic, not the Protestant, wing of Christianity that appeared to be at odds with science. In the
Darwinian controversy, a uniform response was lacking even within one branch of Protestantism, for Anglicans of
low-, high-, or broad-church persuasion tended to respond to Darwins theories in different ways. Moreover, the
scientific community was deeply divided over religion in Victorian England, the mathematical physicists being far
more sympathetic than the scientific naturalists. The conflict thesis fails to recognize such variety.
Fifth, the conflict thesis engenders a distorted view of disputes resulting from other causes than those of
religion versus science. Given this expectation, conflict is not difficult to find in every circumstance, whether or not
justified by the available historical evidence. A classic case is that of the alleged opposition to James Young
Simpson (181170) for his introduction of chloroform anesthesia in midwifery. Despite repeated claims of clerical

harassment, the evidence is almost nonexistent. Insofar as there was any conflict, it was between the London and
Edinburgh medical establishments or between obstetricians and surgeons. The origins of that myth may be located in
an inadequately documented footnote in White (1896, 2.63). Finally, the conflict thesis exalts minor squabbles, or
even differences of opinion, to the status of major conflicts. The confrontation between Samuel Wilberforce (1805
73) and Huxley in 1860 has been so frequently paraded as a one-sided battle on a vast scale that one is liable to
forget that, in fact, it was nothing of the kind. Such exaggeration is an almost inevitable accompaniment to the
exposition of a conflict theory. It is excellent drama but impoverished history, made credible only by a prior belief
that such conflict is inevitable. Of such material are legends made, and it has been well observed that
the
dependence of the conflict thesis on legends that, on closer examination, prove misleading is a more general defect
than isolated examples might suggest (Brooke 1991, 40).

Reasons for Its Endurance

Given, then, that the warfare model is so inaccurate, one may wonder why it has lasted so long. This is,
indeed, a major question for historians. The explanation may lie at least partly in the celebrated controversy of
Huxley and his friends with the Anglican and Roman Catholic churches. In addition to the strategies mentioned
above, they had another tactic, more subtle and yet more bold than anything else they accomplished. By establishing
the conflict thesis, they could perpetuate a myth as part of their strategy to enhance the public appreciation of
science. Thus, Huxley could write, with a fine disregard for what history records:
Extinguished theologians lie about the cradle of every science as the strangled snakes beside that of Hercules; and
history records that wherever science and orthodoxy have been fairly opposed, the latter have been forced to retire
from the lists, bleeding and crushed if not annihilated; scotched if not slain.
The Huxleyite warriors were outstandingly successful in this respect, and their ideals were enshrined in the works of
Draper and White, best understood as polemical tracts that advanced the same cause. Yet, Draper takes such liberty
with history, perpetuating legends as fact, that he is rightly avoided today in serious historical study. The same is
nearly as true of White, though his prominent apparatus of prolific footnotes may create a misleading impression of
meticulous scholarship. With an astonishing breadth of canvas, his writing exudes confidence in his thesis and
conveys a sense of truly comprehensive analysis. Yet, with his personal polemic agenda, selectivity was inevitable.
As such, it exposed him to the criticism that he was trapped by his own presuppositions of an inherent
antagonism between the theological and the scientific views of the universe. His book, which he commenced writing
in the 1870s, is no longer regarded as even a reliable secondary source for historical study. It is, however, an
accurate reflection of how certain liberalminded men of his day perceived the relationship between religion and
science and of how
history (or a version of it) was pressed into service for their cause. The remarkable thing about
the whole conflict thesis is how readily the Victorian propaganda in all of its varied forms has become
unconsciously assimilated as part of the received wisdom of our own day. However, it is salutary to note that serious
historical scholarship has revealed the conflict thesis as, at best, an oversimplification and, at worst, a deception. As
a rare example of the interface between contemporary public opinion and historical scholarship, it is high time for a
robust exposure of its true character.

THE DEMARCATION OF SCIENCE AND RELIGION

Stephen C.Meyer

Introduction
What is science? What is religion? How do the two intersect? Historians of science address these questions
by analyzing how the scientific and religious beliefs of particular scientists or cultures have interacted at specific
times. Philosophers of science and religion, however, have sought to characterize the relationship between them in
more general terms. Their endeavor has required defining science and religion in order to distinguish or
demarcate
them from each other by clear and objective criteria. During modern times, theologians and philosophers of science
have attempted to make categorical demarcations between science and religion on various definitional grounds.
Defining Differences: Some Philosophical Context
The neo-orthodox theologian Karl Earth (18861968), for example, asserted that science and religion have
different objects of interest. Religion and theology focus on Gods self-revelation through Christ; science studies the

natural world. Earth maintained that science and religion use different methods of obtaining knowledge. Scientists
can know the external world through rational and empirical investigation. Yet, because of human sin, man cannot
know God from the visible testimony of the creation, that is, f
rom the things that are made (Romans 1:20), as
Saint Paul put it. Instead, human knowledge of God comes only if God reveals himself directly to man in a mystical
or an a-rational way. Existentialist philosophers such as Sren Kierkegaard (181355) and Martin Buber (1878
1965) also accepted a fundamental epistemological distinction between science and religion. According to both,
scientific knowledge is impersonal and objective, whereas religious knowledge is personal and subjective. Since
science concerns itself with material things and their functions, objective knowledge is possible, at least as an ideal.
Religion, however, involves a personal relationship with the object known (God) and a personal or moral response
to him. Therefore, radical subjectivity characterizes religious endeavor. Or, to use Bubers well-known terminology,
science fosters an
I-it relationship between the knower and the known; religion, an
I-Thou relationship.
A group of early-twentieth-century philosophers known as logical positivists also insisted that science and
religion occupy separate and nonoverlapping domains, but for different reasons. According to the positivists, only
empirically verifiable (or logically undeniable) statements are meaningful. Since science makes statements about
observable material entities, its statements have meaning. Religious or metaphysical beliefs, however, refer to
unobservable entities such as God, morality, salvation, free will, and love. Hence, by positivistic definition, they
lack meaning. As Frederick Coppleston has explained, the principal tenet of positivism was that, since experience
alone provides the basis for knowledge,
the scientific method was the only means of acquiring anything that could
be called knowledge (Coppleston 1985, 11718). Hence, positivism not only distinguishes between science and
religion, but it does so on grounds that deny objective warrant to religious belief.
Models of Interaction: Defining the Issues
Contemporary philosophers of science and religion generally recognize that science and religion do
represent two distinct types of human activity or endeavor. Most acknowledge that they require different activities of
their practitioners, have different goals, and ultimately have different objects of interest, study, or worship. For these
reasons, some have suggested that science and religion occupy either completely separate
compartments or

complementary but nonoverlapping domains of discourse and concern. These perspectives have been formalized
as two models of science-religion interaction known, respectively, as compartmentalism and complementarity.
Compartmentalism (associated with Barth, Kierkegaard, and positivists) asserts that science and religion inevitably
offer different types of descriptions of different types of realities. Complementarity (as articulated principally by
neuroscientist Donald M.Mackay in the 1970s) allows that science and religion may sometimes speak about the
same realities but insists that the two always describe reality in categorically different but complementary ways (that
is, with so-called
incommensurable languages). Both of these models deny the possibility of either conflict or
specific agreement between science and religion. Science, properly understood, can neither support nor undermine
religion since the two represent distinct and nonintersecting planes of experience and knowledge. Both
complementarity and compartmentalism thus presuppose the metaphysical or religious neutrality of all scientific
theories.
Contemporary philosophers such as Alvin Plantinga, Roy Clouser, and J.P.Moreland have questioned the
strict separation of science and religion. They point out that it does not follow from the real differences between
them that science and religion must differ qualitatively in every respect. Thus, philosophers have noted that religions
as well as sciences make truth claims. Moreover, science and religion often seem, at least, to make claims about the
same subject in clear prepositional language. For example, both make claims about the origin and nature of the
cosmos, the origin of life, and the origin of man; both make claims about the nature of human beings, the history of
certain human cultures, and the nature of religious experience. Religions, like sciences, may be right or wrong about
these subjects, but few contemporary philosophers of science (though not necessarily theologians or scientists) now
agree that science and religion never make intersecting truth claims. Historical religions in particular (such as
Judaism, Christianity, and Islam) make specific claims about events in time and space that may either contradict or
agree with particular scientific theories. Indeed, as Plantinga has argued, many (though not all) scientific theories
have metaphysical and religious implications. Plantinga cites several examples of scientific theories, which, if taken
as claims about truth rather than merely as instrumental devices for ordering experience or generating hypotheses,
have clear metaphysical import. He notes that various cosmological explanations for the fine-tuning of the physical
constants (the so-called
anthropic coincidences) either support or deny a theistic conclusion; that sociobiology and
theism give radically different accounts of human altruism; and that neo-Darwinian evolutionary theory, contra
theism, denies any detectable design or purpose in creation. On this latter score, many evolutionary biologists agree
with Plantingas assessment. Francisco Ayala, Stephen Jay Gould, William Provine, Douglas Futuyma, Richard

Dawkins, Richard Lewontin, and the late G.G. Simpson, for example, all agree that neo-Darwinism (taken as a
realistic portrayal of the history of life) postulates an exclusively naturalistic mechanism of creation, one that allows
no role for a directing intelligence. As Simpson put it: m
an is the result of a purposeless and natural process that
did not have him in mind (Simpson 1967, 3445). In any case, these theories deny, contra classical theism, any
discernable evidence of divine purpose, direction, or design in the biological realm. From a Darwinian point of view,
any appearance of design in biology is illusory, not real. Thus, even if God exists, his existence is not manifest in the
products of nature. As Francisco Ayala has explained: T
he functional design of organisms and their features
wouldseem to argue for the existence of a designer. It was Darwins greatest accomplishment to show [however]
that the directive organization of living beings can be explained as the result of a natural process, natural selection,
without any need to resort to a Creator or other external agent (Ayala 1994, 45). As Richard Lewontin and many
other leading neo-Darwinists have noted, organisms only a
ppear to have been designed. Statements such as these
clearly illustrate why attempts to impose a strict separation between science and metaphysics or science and religion
have been increasingly questioned.
Where scientific theories and religious doctrines are taken as truth claims (as both scientists and religious
believers usually require), some sci entific theories may be taken as either supporting or contradicting religious
doctrines. Indeed, many would argue that there is no reason to exclude the possibility that some truth claims of
religion may be evaluated rationally on the basis of public evidences. Several of the examples cited above suggest
that scientific discoveries or theories may well contradict religious doctrines. Other examples suggest the possibility
that science may also provide support for the truth claims of religion. Archaeological evidence may support biblical
assertions about the history of Israel or early Christianity; cosmological or biological evidence may support various
theological conceptions of creation; and neurophysiological or psychological evidence may support religiously
derived understandings of consciousness and human nature. While many religious practitioners would acknowledge
with Earth and Buber that religious commitment requires more than intellectual assent to doctrinal propositions, it
does not follow that the prepositional truth claims of religion may not have an evidential or rational basis. Hence,
recent work on the relationship between science and religion has suggested limits to the complementarity and
compartmentalism models. While most philosophers of science and religion would agree that compartmentalism and
complementarity model some aspects of the relationship between science and religion accurately, many now assert
that these models do not capture the whole of the complex relationship between science and religion. Real conflict
and real agreement between scientific and religious truth claims has occurred and is possible. Theories of science
may not always be religiously or metaphysically neutral. Yet, contemporary defenders of the complementary model
contend that the alleged metaphysical implications of scientific theories represent illicit or unsupported extensions of
scientific theory, not the science itself. They assert that statements such as those cited above about the meaning of
Darwinism, for example, do not represent science per se, but
para-scientific reflection about science or a
pseudoscientific
apologetic for philosophical naturalism. Such reflection may reveal the metaphysical
predilections of scientists (for example, Gould or Simpson), but it does not demonstrate any real metaphysical
implications of science.
Those critical of compleme tarity agree that Ayalas and Simpsons statements do reflect metaphysical
biases and that these statements may lack empirical support. Yet, for them it does not follow that either Goulds or
Simpsons articulation of Darwinism is inaccurate. Nor does it follow that Darwinism does not constitute a scientific
theory. Many scientific theories reflect the biases of scientific theorists. Some are inadequately
supported or fallible. Does that mean that they are necessarily unscientific? This discussion begs a more
fundamental question. Can scientific theories have metaphysical implications? If not, why not? Could Darwin, for
example, formulate a scientific theory specifying that life arose as a result of exclusively naturalistic forces such as
natural selection and random variation? Could he, as a scientist, deny that divine guidance played a causal role in the
process by which new species are created? Many historians of science now agree that Darwin meant to exclude a
causal role for God in his theory of evolution. They also agree that competing theories implied just the opposite. Is
Darwinism, then, unscientific? Indeed, was all nineteenth-century biology prior to Darwin unscientific? If so, on
what grounds? What exactly is science?
History of the Demarcation Issue
Such questions lead inevitably to the center of one of the most vexing issues in the philosophy of science,
namely, the demarcation issue. Identifying scientific theories or truth claims and distinguishing them from religious
or metaphysical truth claims (as opposed to religious practices or rituals) seems to require a set of criteria for
defining science. But what exactly makes a theory scientific? And how can scientific theories be distinguished or
demarcated from pseudoscientific theories, metaphysical theories, or religious beliefs? Indeed, should they be? In a

seminal essay,
The Demise of the Demarcation Problem (Laudan 1988a, 33750), Larry Laudan explains that
contemporary philosophers of science have generally lost patience with attempts to distinguish scientific theories
from nonscientific theories. Demarcation criteria (criteria that purport to distinguish true science from
pseudoscience, metaphysics, and religion) have inevitably fallen prey to death by a thousand counter-examples.
Many theories that have been repudiated on evidentiary grounds express the very epistemic and methodological
virtues (for example, testability, falsifiability, repeatability, and observability) that have been alleged to characterize
true science. By contrast, some highly esteemed theories lack one or more of the allegedly necessary features of
science. Laudan notes that, following Aristotle, science was first distinguished from nonscience by the degree of
certainty associated with scientific knowledge. Science, it was thought, could be distinguished from nonscience
because science produced certain knowledge (episteme), whereas other types of inquiry, such as philosophy or
theology, produced opinion (doxa). Yet, this approach to demarcation ran into difficulties. Unlike mathematicians,
scientists rarely provided strict logical demonstrations (deductive proofs) to justify their theories. Instead, scientific
arguments often utilized inductive inference and predictive testing, neither of which produced certainty. Moreover,
these limitations were clearly understood by philosophers and scientists by the late Middle Ages. For example,
William of Ockham (c. 1280c. 1349) and Duns Scotus (c. 1265c. 1308) specifically refined Aristotelian inductive
logic in order to diminish (but not eliminate) the fallibility known to be associated with induction. Further, as Owen
Gingerich has argued, some of the reason for Galileos conflict with the Roman Catholic Church stemmed from his
inability to meet scholastic standards of deductive certainty, standards that he regarded as neither relevant to, nor
attainable by, scientific reasoning.
By the late Middle Ages, and certainly during the scientific revolution, scientists and philosophers
understood that scientific knowledge, like other knowledge, is subject to uncertainty. Hence, attempts to distinguish
science from nonscience began to change. No longer did demarcationists attempt to characterize science on the basis
of the superior epistemic status of scientific theories; rather they attempted to do so on the basis of the superior
methods science employed to produce theories. Science came to be defined by reference to its method, not its
certainty or its content. This approach also encountered difficulties, not the least of which was the consistent
presence of disagreement about what the method of science actually entails. During the seventeenth century, the
socalled mechanical philosophers insisted, contrary to Aristotelians, that scientific theories must provide
mechanistic explanations. Yet, Isaac Newton (16421727) formulated a theory that provided no such mechanistic
explanation. Instead, his theory of universal gravitation described mathematically, but did not explain, the
gravitational motion of the planetary bodies. Despite provocation from Gottfried Wilhelm Leibniz (16461716),
who defended the mechanistic ideal, Newton expressly refused to give any explanation for the mysterious
action at
a distance associated with his theory of gravitational attraction. Similar debates about scientific method occurred
during the nineteenth century. Some scientists and philosophers regarded the inductive procedures of John Stuart
Mill (180673) and William Herschel (1738 1822) as representative of the true scientific method. Others
articulated the so-called vera causa ideal, which limited science to previously known or observable causes. Still
others, such as C.S.Peirce (1839 1914) and William Whewell (17941866), insisted that predictive success
constituted the most important hallmark of true science, whether or not theoretical entities could be observed
directly. Yet, Peirce and Whewell also acknowledged that explanatory power, as opposed to predictive success,
characterized scientific theorizing in some contexts. Such lack of agreement brought havoc upon the demarcationist
enterprise. If scientists and philosophers cannot agree about what the scientific method is, how can they distinguish
science from disciplines that fail to use it? In any case, there may well be more than one scientific method.
Historical sciences, for example, use distinctive types of explanations, inferences, and modes of testing. If more than
one scientific method exists, then attempts to mark off science from nonscience by using a single set of
methodological criteria will almost inevitably fail. As problems with using methodological considerations grew, the
demarcationist enterprise again shifted ground. Beginning in the 1920s, philosophy of science took a linguistic, or
semantic, turn.
The logicalpositivist tradition held that scientific theories could be distinguished from nonscientific theories
not because scientific theories had been produced via unique or superior methods, but because such theories
were more meaningful. Logical positivists asserted that all meaningful statements are either empirically verifiable or
logically undeniable. According to this v
erificationist criterion of meaning, scientific theories were more
meaningful than philosophical or religious ideas because scientific theories referred to observable entities, whereas
philosophy and religion referred to unobservable entities. This approach also subtly implied the inferior status of
metaphysical beliefs. Yet, positivism eventually self-destructed. Philosophers came to realize that positivism could
not meet its own verificationist criterion of meaning: The verificationist criterion turned out to be neither empirically
veri fiable nor logically undeniable. Furthermore, positivism misrepresented much actual scientific practice.
Scientific theories refer to unverifiable and unobservable entities such as forces, fields, atoms, quarks, and universal

laws. Meanwhile, many disreputable theories (for example, the flat-Earth theory) appeal only to
common sense
observations. Clearly, positivisms verifiability criterion would not achieve the demarcation for which philosophers
of science had hoped. With the demise of positivism, demarcationists took a different tack. Karl Popper (190294)
proposed falsifiability as a demarcation criterion. According to Popper, scientific theories can be distinguished from
metaphysical theories because scientific theories can be falsified (as opposed to verified) by prediction and
observation, whereas metaphysical theories cannot. Yet, this, too, proved to be a problematic criterion. First,
falsification turns out to be difficult to achieve. Rarely are the core commitments of scientific theories directly tested
via prediction. Instead, predictions occur when core theoretical commitments are conjoined with auxiliary
hypotheses (hence, always leaving open the possibility that auxiliary hypotheses, not core commitments, are
responsible for failed predictions). Newtonian mechanics, for example, assumed as its core three laws of motion and
the theory of universal gravitation. On the basis of these assumptions, Newton made a number of predictions about
the positions of planets in the solar system. When observations failed to corroborate Newtons predictions, he did
not reject his core assumptions. Rather, he altered some of his auxiliary hypotheses to explain the discrepancies
between theory and observation. For example, he force. As Imre Lakatosh has shown, Newtons refusal to repudiate
the core of his theory even in the face of anomalies enabled him to refine his theory and eventually led to its
tremendous success (Lakatosh 1970, 18995). The explanatory flexibility of Newtons theory did not function to
confirm its n
onscientific status, as the Popperian demarcation criterion would imply.
Studies in the history of science have shown the falsificationist ideal to be simplistic. The role of auxiliary
hypotheses makes many scientific theories, including those in the so-called hard sciences, difficult, if not
impossible, to falsify conclusively on the basis of one failed prediction or anomaly. Yet, some theories (for example,
of flat Earth, phlogiston, and heliocentrism) have been eventually falsified in practice by the judgment of the
scientific community regarding the preponderance of data. This fact raises a difficult question for demarcationists.
Since the theories of phlogiston and a flat Earth have been overwhelmingly falsified, they must be falsifiable and,
therefore, scientific. Are such falsified theories more scientific than currently successful theories that have the
flexibility to avoid falsification by a single anomaly? Is a demonstrably false theory more scientific than one that has
wide explanatory power and may well be true? Further, Laudan shows that it is absurdly easy to specify some
prediction, any prediction, that, if false, would count as a conclusive test against a theory (Laudan 1988b, 354).
Astrologers and phrenologists can do it as easily as, indeed, astronomers and physiologists. Such contradictions have
plagued the demarcationist enterprise from its inception. As a result, most contemporary philosophers of science
regard the question,
What methods distinguish science from nonscience? as both intractable and uninteresting.
What, after all, is in a name? Certainly not automatic epistemic warrant or authority. Increasingly, then, philosophers
of science have realized that the real issue is not whether a theory is scientific, but whether a theory is true or
warranted by the evidence. Hence, as philosopher Martin Eger has summarized it:
[d]emarcation arguments have
collapsed. Philosophers of science dont hold them anymore. They may still enjoy acceptance in the popular world,
but thats a different world. Or, as Laudan expresses it:
If we could stand up on the side of reason, we ought to
drop terms like pseudo-sciencethey do only emotive work for us (Laudan 1988a, 349).
Demarcation Arguments in the Creation-Evolution Debate
Despite the rejection of demarcation criteria by philosophers of science, these criteria continue to be
employed in various ideologically charged scientific debates. Perhaps the most dramatic example has occurred in the
so-called creation-evolution debate. Both sides have asserted that theories espoused by the other depart from
established canons of the scientific method. Creationists such as Duane Gish and no less a personage than Karl
Popper himself have referred to Darwinian evolutionary theory as an unscientific m
etaphysical research program
(Popper 1988, 145). For their part, defenders of evolution have employed these same tactics to discredit any
possibility of a scientific theory of creation and to exclude the teaching of creationist interpretations of biological
evidence in U.S. public high schools. In 198182, during the Arkansas trial over the legitimacy of teaching
creation
science, the Darwinist philosopher of science Michael Ruse cited five demarcation criteria as the basis for
excluding any creationist theory from public education. According to Ruse, for a theory to be scientific it must be
(1) guided by natural law, (2) explanatory by natural law, (3) testable against the empirical world, (4) tentative, and
(5) falsifiable. Ruse testified that creationism, with its willingness to invoke divine action as a cause of certain
events in the history of life, could never meet these criteria. He concluded that creationism might be true but that it
could never qualify as science. Presiding Judge William Overton agreed, ruling in favor of the American Civil
Liberties Union (ACLU), at whose behest Ruse had testified, and citing Ruses five demarcation criteria in his
ruling.

After the trial, some philosophers of science, including Larry Laudan and Philip Quinn (neither of whom
supported creationisms empirical claims), repudiated Ruses testimony as either ill-informed about the status of the
demarcation problem or disingenuous. Both argued that Ruses criteria could not distinguish the a priori scientific
status of creationist and evolutionary theory. They insisted that only specific empirical, as opposed to
methodological, arguments could accomplish this. Indeed, upon further examination, Ruses demarcation criteria
have proven problematic, especially as applied to the debate about biological origins. For example, insofar as both
creationist and evolutionary theories constitute historical theories about past causal events, neither explains
exclusively by reference to natural law. The theory of common descent, arguably the central thesis of Darwins
Origin of Species (1859), does not explain by natural law. Common descent does so by postulating a hypothetical
pattern of historical events that, if actual, would account for a variety of currently observed data. In the fifth chapter
of the Origin, Darwin (180982) himself refers to common descent as the vera causa (the actual cause or
explanation) of a diverse set of biological observations. In Darwins theory of common descent, as in historical
theories generally, postulated causal events (or patterns thereof) do the explanatory work. Laws do not. Hence,
Ruses second demarcation criterion, if applied consistently, would require classifying both creationist theory and
the Darwinian theory of common descent as unscientific. Similar problems have afflicted Ruses remaining
demarcation criteria. Theories about the past rarely employ the exclusively predictive methods of testing required by
Poppers falsifiability criterion. Theories of origins generally make assertions about what happened in the past to
cause present features of the universe to arise. Such theories necessarily attempt to reconstruct unobservable past
causal events from present clues or evidences. Methods of testing that depend upon the prediction of novel or future
events have minimal relevance to historical theories of whatever type. Those who insist that testing must involve
prediction, rather than compare the explanatory power of competing theories, will find little that is scientific in any
origins theory, evolutionary or otherwise. Analyses of the other demarcation criteria articulated by Ruse have shown
them similarly incapable of discriminating the a priori scientific status of creationist and evolutionary theories.
Accordingly, during a talk before the American Association for the Advancement of Science (AAAS) in 1993, Ruse
repudiated his previous support for the demarcation principle by admitting that Darwinism (like creationism)

depends upon certain unprovable metaphysical assumptions.

The Future of the Demarcation Issue
The demarcationist arguments employed in the origins controversy almost inevitably presuppose a
positivistic or neopositivistic (that is, Popperian) conception of science. Some have wondered, therefore, whether
new developments in the philosophy of science might make demarcation tenable on other grounds. Yet, recent nonpositivistic accounts of scientific rationality seem to offer little hope for a renewed program of demarcation.
Philosophers of science Paul Thagard and Peter Lipton have shown, for example, that a type of reasoning known as

inference to the best explanation is widely employed not only in science, but also in historical, philosophical, and
religious discourse. Such work seems to imply that knowledge is not as easily classified on methodological or
epistemological grounds as compart-mentalists and demarcationists once assumed. Empirical data may have
metaphysical implications, while unob servable (even metaphysical) entities may serve to explain observable data or
their origins. More recent work on the methods of the historical sciences has suggested that the methodological and
logical similarity between various origins theories (in particular) runs quite deep. Philosopher of biology Elliot
Sober has argued that both classical creationistic design arguments and the Darwinian argument for descent with
modification constitute attempts to make retrodictive inferences to the best explanation. Other work in the
philosophy of science has shown that both creationist and evolutionary programs of research attempt to answer
characteristically historical questions; both may have metaphysical implications or overtones; both employ
characteristically historical forms of inference, explanation, and testing; and, finally, both are subject to similar
epistemological limitations. Hence, theories of creation or in
telligent design and naturalistic evolutionary theories
appear to be what one author has termed m
ethodologically equivalent. Both prove equally scientific or equally
unscientific provided the same criteria are used to adjudicate their scientific status (provided that metaphysically
neutral criteria are used to make such assessments). These two theories may not, of course, be equivalent in their
ability to explain particular empirical data, but that is an issue that must be explored elsewhere.

GOD, NATURE, AND SCIENCE

Stanley L.Jaki

Science deals with an external reality, usually taken for nature, writ large, that is equivalent to the totality
of material things or the physical universe. Such a nature, or universe, has been taken either for an entity not to be
reduced to something else or for something essentially dependent for its existence on a supernatural factor, usually
called God. Viewing nature as a self-explaining entity can translate itself into either a materialistic or a pantheistic
ideology. In the former, spiritual experiences are taken to be the result of the processes of matter. In pantheistic
theology, both nature and mind (spirit) are considered to be manifestations of some divine principle, which pervades
all nature but is ultimately not different from it. The view that nature depends on God can be either theistic or
deistic. In theism (essentially Christian theism in the Western world), God is not only the Creator, but also the
Sustainer, who can interfere with nature by, say, working miracles in support of an information (revelation), which
is superadded to what man can deduce about God from a philosophical reflection on nature. In deism, God is
thought to have removed himself from natures workings and from human affairs after the moment of creation.
All of these ideological trends have one thing in common: They assume that nature is ordered and that the
human mind is capable of tracing out that order. One could, therefore, try to unfold on an analytical basis the
respective impacts of those various religious ideologies on the scientific enterprise. However, such an approach
would, at almost every step, imply historical considerations about science, and all the more so as science has only
gradually revealed itself as a strictly quantitative study of things in motion. It may, therefore, seem more logical to
specify, from the start, those impacts in their historical context, because pantheism, theism, deism, and materialism
represent also a historical sequence. This sequence is not essentially affected by the fact that the Greeks, who are
usually credited with the dawn of scientific thinking in the West, showed markedly materialistic tendencies.
Although among the statements attributed to the Ionians, who stood at the beginning of Greek philosophical and
scientific speculation, one finds remarks about nature as being full of gods, they usually put the emphasis on the
exclusive role of matter and motion. That trend was even more marked in the case of Anaxagoras (fifth century
B.C.) and the atomists.
It was in reaction to that dehumanizing trend that Socrates (469399 B.C.) proposed the animation of all
matter so that a defense of the existence of an immortal human soul (anima) could be argued. According to Socrates,
all parts of matter move in order to achieve what is
best for them, in strict analogy to mans striving for what is
best for him. Such was Socratess way of
saving the purpose, no matter what was the object of inquiry. In the
concluding sections of his Phaedo, Plato (c. 427347 B.C.) gives some glimpses of that new physics. Plato goes into
details in the third part of his Timaeus, in which the living human body serves as the explanation of the physical
world. This third part, largely neglected by Platos interpreters, stands in marked contrast with the first part, in
which Plato sets up a geometrical explanation of matter in terms of the five perfect geometrical bodies. The contrast
is between two principles. One is called by Plato the principle of sav
ing the phenomena, or a science that is
confined to the task of correlating purely quantitative data about things. The other is the Socratic program, which is
left unnamed but which best deserves the label
saving the purpose.

Greek Pantheism
The full articulation of a new program for science, within which the concept of organism was the chief
explanatory device, is contained in Aristotles (384322 B.C.) On the Heavens and Meteorologica, of which the first
deals with celestial, and the second with atmospheric and terrestrial, physics. They do not contain, to recall a remark
of E.T.Whittaker, a single acceptable page from the modern scientific viewpoint. This
scientific debacle is the
result of Aristotles assumption of the radical animation of all nonliving matter, as initiated by Socrates, who
claimed that mans soul (anima) is best manifested by his purposeful actions aiming at what is best for him. It was,
however, in the writings of Aristotle that this trend of attributing a
soul to everything was given a sweeping
theological twist in a pantheistic sense. Since Aristotle deified the universe in that sense, he had to deny that the
universe could have been created out of nothing. Consistent with this denial, he also rejected the view that the actual
universe was only one of the infinitely many possibilities for physical existence.
The Prime Mover of Aristotle is a part, however subtly, of the sphere of the fixed stars, which obtains its motion
through an emotive contact with the Prime Mover and directly shares, therefore, in its
divine nature. This sharing
is the source of all other motions in the Aristotelian universe, in both its superlunary and its sublunary parts. In both
parts, things are animated to move naturally in order to achieve their purpose by reaching their natural places. This
animation of nature, in a more or less pantheistic sense, which discouraged a quantitative (or geometrical) approach

to nature, is everywhere noticeable in the discourse of post-Aristotelian Greek thinkers, especially when their extant
writings are sufficiently extensive. It should seem significant that not even the non-Aristotelians among the ancients
took issue with Aristotles patently wrong statement (On the Heavens 1.6) that the rate of fall is proportional to the
mass of the body, a statement that logically follows from his
animation of nature. The scientifically valuable (that
is, quantitatively correct) achievements in Greek science seem to have been worked out mostly in isolation from
broader views of nature. Among them are Eratostheness (c. 275 194 B.C.) geometrical method to ascertain the size
of the earth and a similarly geometrical method by Aristarchus of Samos (c. 215c. 145 B.C.) to deduce the
dimensions of the earth-moon-sun system. These achievements form an indispensable basis on which all subsequent
science rests. They made possible the Ptolemaic system as the culmination of Greek efforts, at the instigation of
Plato,
to save the phenomena. This phrase expressed the methodological conviction that the complex and variable
planetary motions could be reduced to, and explained by, a simple and harmonious geometrical model. Still, when
the extant corpus is fairly large, one cannot help noticing the intrusion of traces of the Aristotelian, and at times
worse, forms of animization into scientific discourse. There are traces of it even in the Almagest of Ptolemy of
Alexandria (second century A.D.). His astrological compendium, Tetrabiblos, remains the
Bible of that animistic
preoccupation. In his
physical astronomy, a work on planetary hypotheses, Ptolemy considers the coordination of
planets in terms of human beings. Only Archimedess (c. 287212 B.C.) writings do not show any trace of this
animization of nature.
The ancient Greeks certainly recognized something of the nonideological character of quantitative
considerations about nature, but, owing to the pervasive presence of pantheistic considerations, they failed o make
the most of that character. The pantheistic conviction that the superlunary matter is divine prompted opposition to
Anaxagorass idea that a large meteor, which hit Aegospotami in 421 B.C., could come from above the moons
orbit. The pantheistic animation of the world also lurked behind the opposition to the heliocentric system proposed
by Aristarchus of Samos. In pantheism, the human mind is in particular a sharer in the divine principle. Therefore,
pantheism encourages the idea that the human mind has some innate insights into the overall structure and workings
of nature. This idea fosters an a priori approach, as opposed to an a posteriori, or partly experimental and
observational, approach. This is particularly clear in the case of Aristotles dicta on the physical world. This
aprioristic influence could be harmless when the subject matter of investigation was rather restricted. There is no
trace of pantheism in Aristotles valuable observational researches in biology. Of course, there the subject matter
consisted of living organisms that, in all appearance, acted for a purpose, and, therefore, there was no special need to
fall back on the broader perspective of a pantheistically colored animation of nature. The animation of nature
exerted its unscientific impact with particular force in respect to the study of motion. First, it was asserted that since
only the superlunary region was totally divine, matter in that realm obeyed laws of motion different from those of
ordinary, or sublunary, matter. Moreover, this dichotomy between superlunary and sublunary matter implied that the
latter was not truly ordered in its motions and interactions. Again, it was one thing to predict planetary positions; it
was another to work out a physics of the motion of planets together with the motion of bodies on the earth. Here
pantheism, as codified by Aristotle, blocked any meaningful advance. For, in Aristotles system, the motion of
planets (and even of things on the earth) was but a derivative of the motion of the sphere of the fixed stars, which,
in turn, had its source in a continuous contact, however refined, with the Prime Mover. And since the source of all
motion was thought to reside in that kind of contact between the Mover and the moved, the logic of that starting
point demanded that all motion be explained as a continuous contact between the Mover and the moved. This,
however, meant a rejection of the idea of inertial motion, which, as will be seen, proved to be indispensable for the
eventual birth of a science that could deal with that most universal aspect of inanimate material things, which is their
being in motion. Greek science, with its major achievements and stunning failures, represents a tantalizing case of
the most crucial, and most neglected, aspect of the history of premodern science. That aspect consists of the
invariable failure of all major ancient cultures to make a breakthrough toward the science of motion. The ultimate
root of that systematic failure is theological, a point that will stand out sharply when we turn to the impact that
theism had on science. That theism was Christian theism.
Christian Theism
The possibilities that a theistic conviction could hold for science first appeared in the writings of
Athanasius (c. A.D. 296373), a resolute defender of the strict divinity of the Logos (Christ), through whom God the
Father created all. If, however, the Logos was divine, its work had to be fully logical or ordered and harmonious.
This theological insistence on full rationality in the created realm inspired Augustine of Hippo (354430) to lay
down the principle that, if conclusions that science safely established about the physical world contradicted certain
biblical passages, the latter should be reinterpreted accordingly. This is not to say that this principle quickly or

invariably found a praiseworthy implementation among Christian thinkers. But it acted as part of a broader
perception within Christian theism wherever serious attention was paid to Pauls insistence that Christians should
offer a well-reasoned worship (Romans 12:1). Hence, the rights of scientific reasoning were protected whenever the
rationality of faith was defended against various champions of fideism or against the claim that faith in a
supernatural mystery is the condition for the understanding of this or that plainly philosophical proposition.
More generic, though very powerful and still to be fully aired, was the impact that the Christian doctrine of the
Incarnation had. According to that doctrine, a real human being, Jesus Christ, was the
only begotten Son of God,
in the sense of possessing a truly divine status. For those adhering to that doctrine, it was impossible to embrace the
tenet, popular among Greek as well as Roman authors, that the universe was the
only begotten emanation from the
divine principle. Hence, Christian theism contained a built-in antidote against the ever-present lure of nature worship
or pantheism. Apart from these general principles, Christian theism also showed its potential usefulness for science
in some particular matters, as can be seen in the writings of John Philoponus (d. c. 570). He was the first to argue
that, since stars shine in different colors, they should be composed of ordinary matter. The argument had for its
target the divine status ascribed throughout pagan antiquity to the heavens, a status that introduced a dichotomy in
the physical universe and thereby set a limit to considering scientific laws as being truly universal.
The crucial impact of Christian theism on science came during the intellectual ferment brought about by the
introduction of Aristotles works to the medieval educational system during the latter part of the thirteenth century.
Whatever the medieval enthusiasm for Aristotle, his pantheistic doctrine of the eternity and uncreated character of
the world was uniformly opposed from the start as irreconcilable with the basic tenets of Christian theism. With
John Buridan (c. 1295c. 1358), the opposition took on a scientific aspect as well. For if it was true that the world,
with its motions, had a beginning, then one could logically search for the mannerthe how?in which that
beginning could be conceptualized. Buridan explained that how? was an eminently scientific question by saying that,
in the first moment of creation, God imparted a certain quantity of impetus (or momentum, as it was called later) to
all celestial bodies, which quantity they keep undiminished because they move in an area where there is no friction.
Such a motion, insofar as it implied a physical separation between the Mover and the things moved, is the very core
of the idea of inertial motion, to employ a term to be used later.
In the context of his commentaries on Aristotles On the Heavens, Buridan carefully notes that
inertial motion,
insofar as it is a physical reality, does not mean absolute independence of things from the Creator. Anything, once
created, remains in existence only through the Creators general support, which is, however, distinct from the act of
creation. In other words, Buridan is not a forerunner of deism. In deism, there is no room for such a support.
Buridans notion of a created world implies, in a genuinely Christian vein, the worlds utter, continuous dependence
on the Creator. The depth of createdness reveals, in turn, a Creator so superior to his creation that he can give his
creation a measure of autonomy without any loss to his absolute and infinite supremacy. Similar is the theological
background of Oresme (c. 132082), Buridans successor at the Sorbonne, who looked at the world as a clockwork.
While the world had already in ancient times been referred to as a clockwork, Oresme used that concept with an
important theological surplus. This is why Oresmes clockwork universe is not an anticipation of Voltaires and
other eighteenth-century deists celebration of the idea of a clockwork universe.
Buridans step can be seen rather as an anticipation of the Cartesian or Newtonian idea of inertial motion as long as
one focuses on that steps very essence. It lies deeper than the difference between a circular and a rectilinear motion.
There is no question that Buridan retained the Aristotelian idea of a naturally circular motion for the
celestial bodies. But he broke with Aristotle on the truly essential pointnamely, that celestial motions were not
caused by those bodies remaining in a quasi-physical contact with the divine power. This represented the crucial
breakthrough toward the Cartesian formulation of linear inertia and of its incorporation into Newtons laws of
motion. That Buridans and Oresmes teaching about motion was a genuine product of their Christian theistic
thinking is shown by the eagerness with which it was espoused in the fast-growing late-medieval and earlyRenaissance university system. Buridans and Oresmes doctrine was carried by their many students at the Sorbonne
to the far corners of Europe. Among the many universities with copies of Buridans commentaries was Cracow in
Poland. It was there that Copernicus (14731543) learned a doctrine that sustained him in his efforts to cope with
the dynamic problems created by the earths motion in his system. With his vast articulation of the heliocentric
system, Copernicus forced the physics of motion to the center of scientific attention. There was, of course, plenty of
room to improve on the medieval doctrine of impetus, but only because that doctrine opened the way for meaningful
advances toward a fully developed science of motion, which came only with Isaac Newtons Principia. One cannot
overestimate the support that Christian theism afforded Copernicus and the major early Copernicans, especially
Johannes Kepler (15711630). It was becoming increasingly clear that data of measurements were to have the last
word concerning the structure and measure of the physical world. While the rhapsodically pantheistic Giordano

Bruno (15481600) merely promoted confusion, Baruch Spinoza (163277) was so consistent with his pantheism as
to be unable to explain why there had to be finite things, if everything was part of the infinite God.
Separating Science and Religion
Nothing showed so much the methodological independence of a fully fledged science from theology as the
complete absence of any reference to God in the first edition of Newtons Principia (1687). Newton (1642 1727)
contradicted that independence when he invoked, in the General Scholium that he added to the second edition of the
Principia (1713), the Pantokrator as the all-powerful, infinitely dynamic Creator described in the Bible. Moreover,
that Pantokrator is pictured as intervening periodically in the workings of the solar system so that it may stay in
equilibrium. The opposition of Gottfried Wilhelm Leibniz (1646 1716), a convinced Christian, to belief in Gods
periodic interventions in nature created a celebrated dispute that distracted from the influence of the Principia in
respect to the relation of religion (be it pantheism, deism, or theism) to science. While a theist may take comfort
from the fact that the author of the Principia was a genuine theist, there is nothing in that work that could not be
equally useful and valid within any religious or nonreligious framework. This is so because the Principia, to quote
its full title, is an exposition of the
mathematical principles of natural philosophy (emphasis added). This means
that, as long as exact science is a quantitative study of the quantitative aspects of things in motion, it enjoys a full
independence from all ideological, religious, and theological perspectives. And this holds true in respect both to the
formulation of a major scientific theory and to its subsequent interpretation. Hence, the relation of pantheism,
theism, and deism to science is a matter that is essentially different in its status before and after Newtons Principia.
Before the appearance of that work, which preceded the robust emergence of deism in the Western world,
pantheism and theism could play their respectively inhibitory and creative roles in science. After the Principia, exact
science had a broadly articulated mathematical, or quantitative, structure that safely operated within its own set of
methodical canons and retained a very large measure of independence from participating scientists religious or
antireligious motivations.
This was not fully understood during the eighteenth century, and certainly not by deists, who claimed to
have a better perspective on science because of their freedom from the fetters of Christian dogma. No deist of the
eighteenth century is known to have spurred a major advance in the physical sciences. Voltaire (1694 1778) was at
best a popularizer of Newtonianism. Nor could he live easily with the proverbial piety of Leonhard Euler (170783),
to whom goes the credit of unfolding a great many consequences of Newtons physics. Whatever Pierre Laplaces
(17491827) personal philosophies (he changed them as a weathervane turns with the prevailing political winds), his
claim that his cosmogonic theory did not need God as a hypothesis expressed concisely the true character of the
mathematical investigation of matter in motion. It was enough for the physicist to assume, as a matter of
commonsense truth, that matter and motion existed and were measurable. Hence, after the Principia, the religious or
antireligious interpretations of science could touch only on the philosophies spun around an essentially quantitative,
or mathematical, core. That core rested on Newtons three laws of motion, a point that is true regardless of the extent
to which science increasingly dealt with mere energy transfers, as was especially the case with modern atomic and
subatomic physics. Whether in classical or quantum mechanics, energy, it is well to recall, is but the work done by
force over a given amount of distance.
In other branches of empirical science, one can observe an ever stronger tendency to achieve a degree of
exactness comparable to that obtained in physics. This tendency has almost completely triumphed in chemistry, at
least in the sense that only the complexity of many processes sets practical limits to it. The rise and flourishing of
biophysics and biochemistry witness the same trend in biology, whatever the merits of the claim that the art of
classification remains indispensable. It should, however, be noted that, even in that art, quantitative considerations
have remained implicit. Such a classification is still of paramount importance in evolutionary theory, Darwinian or
other. In Charles Darwins (180982) case, materialistic motivations came to play a major part in his having worked
with dogged resolve, over thirty years, on what became Origin of Species (1859) and The Descent of Man (1871). It
should be noted that Alfred R.Wallace (18231913), who was a theist, could formulate the same theory but that he
rejected, in terms of the theory, Darwins derivation of the human mind as a mere random product of biological
processes. For it still contradicts Darwinian logic to ascribe the growth of the brain to the needs of a mind that is still
to manifest itself through language.
Darwins theory owed its success to two factors, very different from each other. One was a unified picture
of material nature (nonliving and living), which prompted a vast amount of research with, at times, spectacular
results. This is a point to be genuinely appreciated by many theists, who might find in their very belief in a rational
Creator the chief motivation in espousing evolutionary theory. Theists have, of course, some excuse for dragging
their feet in the other factor that assured so much popularity to Darwins theory. That factor was materialism, within

which man is not subject to any transcendental reality, not even to a set of invariably valid ethical norms. This
materialistic interpretation of evolution has, however, no connection with any major advance in biology insofar as
the latter is carefully distinguished from the materialistic proclivities of the discoverers themselves. A case in point
is the unabashed materialism of Francis Crick (b. 1916) and James Watson (b. 1928), codiscoverers of the doublehelix structure of DNA molecules. The more a scientific proposition or a branch of science is embedded in
mathematics, the clearer becomes its ideological independence and neutrality. This facet of science is the standard
against which one can make a reliable appraisal of its interrelation with various forms of religious views and of the
perceived impact of these views on science. In light of this fact, generalizations such as that nineteenth-century
science was materialistic seem quite unfounded. While some of it was, of course, the majority of scientists during
that century still adhered to theism and, in fact, to Christian theism.

Integrating Science and Religion

The only meeting ground of science and religion (whether theism, deism, pantheism, or materialism)
depends on a methodically realist epistemology. A firm espousal of the minds ability to know the external world is
indispensable to giving rational respectability to ones religious views. By the same token, a scientist must formulate
similar epistemological views in order to relate his or her quantitative data to physical reality. The working out of an
epistemology that assures reality to the theologian as well as to the scientist, though for different purposes, is the
basis of a meaningful discourse about the relation between theology and science. An epistemology (or its lack) is
evident in all methodologies of science. It can, indeed, be shown that most great creative advances in science have
been made in the context of an epistemology that occupies a middle ground between idealism and empiricism. The
former invariably leads to solipsism, whereas the latter proves incapable of coping with generalizations, inferences,
and induction. The epistemological middle ground is, moreover, the one that has always been used in philosophical
reasoning that allows an inference to the existence of that transcendental factor, which, at the very start of this essay,
was called God, or the Creator. It can also be shown that, whenever a scientist or a philosopher worked out a
scientific methodology that made impossible the foregoing inference, the results were potentially disastrous for
science. Ren Descartes (15961650), Baruch Spinoza (163277), Immanuel Kant (1724 1804), and Georg Hegel
(17701831) represent the major instances from the idealist (rationalist) side, whereas Francis Bacon (15611626),
John Locke (16321704), tienne Condillac (171580), and Ernst Mach (18381916) illustrate the same from the
empiricist (sensationist) side. During the twentieth century, paradigmists threw a red herring, by turning the
philosophy of science into the psychology and the sociology of science, within which any objective difference
among theism, deism, pantheism, and materialism or plain agnosticism had to appear irrelevant. Again, there is no
point in talking about the relation of science to theism (or even to deism) if the latter merely stand for a religiously
colored aestheticism (which was the kind of religion articulated in great detail by Alfred North Whitehead [1861
1947] and espoused in usually inarticulate phrases by many scientists who did not want to appear to be materialists).
The eternity of matter has, as its basic dogma, the uncreatedness of the universe. Hence, materialist scientists must
either outline a scientific touchstone for this dogma or demonstrate, through scientific observation or experiment,
that matter is, in fact, eternal, that is, without the possibility of a beginning or an end.
In this age of science, in which the acceptability and credibility of any proposition so heavily depends on its
true or alleged connection with science, theists should be wary of resting their stance on vague philosophical
discourses just because they have been used by prominent scientists. One such discourse is the philosophy of
complementarity as popularized by Niels Bohr. The fact that, in atomic, nuclear, and fundamental-particle physics,
wave and particle concepts, though quantitatively irreducible to one another, are equally indispensable does not
legitimize the acceptance in philosophy of mutually exclusive basic starting points. Precisely because a theist (or a
deist or an atheist) takes an essentially philosophical position, that position can integrate only what is of genuinely
philosophical content in a scientific proposition. But, as argued above, the content is independent of that
mathematical, or quantitative, structure that is the very core of a scientific theory. Thus, for instance, James Clerk
Maxwells (183179) theory will forever remain only the system of his equations (to recall a famous remark of
Heinrich Hertz [185794], the first to demonstrate experimentally results that are best interpreted as electromagnetic
waves). For such theories never exist in a one-to-one correspondence to the physical reality that is tied to them more
or less philosophically. Failure to recognize this fact has vitiated many fashionable programs of integrating science
and theology. Science and theology work with mutually irreducible sets of concepts. This does not mean that they
are in opposition, but only that they are different. This is the gist of a memorable remark made by a prominent
British physicist, Sir William Bragg (18621942), a Nobel laureate. He likened the relation of the two to the
cooperation of the thumb and the fingers, whereby one can grasp things. Their cooperation is also a spatial and
functional opposition: Only by remaining different are they helpful for grasping a large variety of propositions.

GENESIS AND SCIENCE

John Stenhouse

Genesis, the first book of the Bible, the authorship of which has been traditionally ascribed to the Hebrew
prophet Moses (who is variously dated to the fifteenth or the thirteenth century B.C.), constitutes the foundation text
of those biblical religions (Judaism and Christianity) that have deeply shaped Western culture. The relationship
between the first two chapters of Genesis, which describe Gods creation of the world and the first human beings
(Adam and Eve) in six days, and scientific knowledge has constituted one of the most important and controversial
sites of intersection between science and religion throughout the ages. Of particular concern has been the question of
how literally the account should be taken by those who accept its authority as divine revelation.
Some of the church Fathers christianized Greek natural philosophy, especially that of Plato (c. 427347 B.C.), in
their attempts to interpret the Genesis account of Creation. The fourth-century A.D. theologian Augustine of Hippo
(354430), for example, attempted to reconcile the Genesis notion that God created everything in the beginning with
the observation that living things grow and develop. Borrowing the Stoic idea that nature contains seedlike
principles, Augustine argued that God created many living things potentially rather than actually, in the form of
seminal principles that determined their subsequent development.
Some theologians in the early church saw layers of meaning in Genesis, which provided a space for scientific
theory, an interpretive tradition that continued during the Middle Ages. Commentators on the Hexameron (six days
of creation), such as Thierry of Chartres (c. 1100 c. 1156), restricted Gods supernatural intervention to the initial
act of Creation. Everything else, including Adam and Eve, appeared naturally, as the gradual unfolding of the
developmental principles that God had implanted in nature. The Dominican theologian Thomas Aquinas (c. 1225
74) argued that Genesis might be compatible with a variety of scientific theories. The firmament created on the
second day in Genesis 1:69, for example, might refer either to the sphere of the fixed stars or to that part of the
atmosphere in which clouds condense. Wary of tying the authority of Scripture too closely to changing scientific
knowledge, Aquinas left the options open. Protestants emphasized the plain meaning of Scripture during the
turbulent years following the Reformation, without reading Genesis as a scientific text. John Calvin (150964), for
example, argued that Moses wrote Genesis in a popular style for ordinary people, and he warned against treating it
as an authoritative source of astronomical (as opposed to religious) knowledge.
Until late in the seventeenth century, few scholars saw any compelling evidence against the view that
creation had occurred within the last six thousand years. In the mid-seventeenth century, the learned biblical scholar
James Ussher (15811656), archbishop of Armagh, calculated an exact date, 4004 B.C., which began to appear in
the margins of the Authorized or King James Version of the Bible beside Genesis 1:1. The view that the cosmos,
Earth, and Adam had been created almost simultaneously was challenged only by the occ sional freethinker, such as
Isaac de la Peyrre (15961676), a French Calvinist, who argued that humans had existed on Earth before Adam,
who was the first Jew, not the first man.
Toward the end of the seventeenth century, scholars began to stretch the initial creation back into the past. Thomas
Burnet (c. 16351715), an English clergyman, argued in Sacred Theory of the Earth (16809) that the cosmos had
been created long before the earth and its inhabitants. During the eighteenth century, a growing number of thinkers
began to suspect that the earth, too, had a history long predating the appearance of humans and that its origin might
be explained scientifically. Georges Leclerc, Comte de Buffon (1707 88), was perhaps the first seriously to
challenge the view that Earths history and human history were coextensive. The French astronomer Pierre Laplace
(17491827) argued in 1796 that a rotating nebula left behind rings that, cooling and condensing, became the planets
of our solar system. When asked by Napoleon about the role of God in his theory, Laplace replied:
Sire, I have no
need of that hypothesis. Some naturalists began to doubt whether the Deluge accounted for the entire fossil record.
In the work of the French zoologist Georges Cuvier (1769 1832), the Flood became simply one of a series of
dramatic natural events that periodically entombed living creatures in the rocks. By the early nineteenth century,
most naturalists had come to believe that the earth was extremely old and had been inhabited by a succession of
creatures, many of them now extinct, ages before Adam and Eve first appeared. Many opted for a local rather than a
universal Deluge. Liberal Protestants such as the geologist Charles Lyell (1797 1875) abandoned the attempt to
harmonize Genesis and geology in detail, finding in Genesis religious truths, such as Gods creation of all things, but
no science. Evangelical Christians preferred more conservative interpretations, such as the gap theory of Thomas

Chalmers (17801847), the Scottish Free Church scholar, who in 1814 proposed allowing a gap of indefinite
duration between the first two verses of Genesis, which provided unlimited time prior to the Creation week for
earlier creations and extinctions. Clerical geologists such as Edward Hitchcock (17931864) in the United States
popularized the gap theory, which influential fundamentalists such as C.I.Scofield (18431921), editor of the widely
circulated Scofield Reference Bible, disseminated in the twentieth century. A second interpretation popular among
evangelicals, the day-age theory, interpreted the days of Genesis not as twenty-four hour periods but as long
geological epochs. The Scottish geologist and Free Churchman Hugh Miller (180256) popularized this view in the
nineteenth century, as did Benjamin Silliman (17791864) of Yale University and James Dwight Dana (181395) in
the United States and Sir John William Dawson (182099) in Canada. American fundamentalists such as William
Jennings Bryan (18601925) transmitted it to the twentieth century.
The theory of evolution raised further problems in the second half of the nineteenth century. How could the
Genesis doctrine of the creation of humanity in the image of God be reconciled with the notion that humans had
evolved from apelike ancestors? On the left of the spectrum of opinion, a growing band of atheists, freethinkers, and
agnostics, such as Charles Darwin (1809 82) and T.H.Huxley (182595), dismissed Genesis as falsehood or
primitive religious superstition. This group shaded into a broad category of religious believers, including liberal
Protestants, Reform Jews, and a few Catholics, who were prepared to reinterpret Genesis in order to embrace
evolution. They argued that Genesis used the language of myth, symbol, or poetry to teach a few simple, profound
religious truths, such as Gods creation of humans in his image. Adam came to symbolize humanity in general, not a
real person. Some, such as the American Protestant minister Henry Ward Beecher (181387), eagerly abandoned
what he regarded as obnoxious traditional doctrines, such as the Fall and Original Sin (Genesis 3), for an optimistic
evolutionary anthropology, being confident of theability of humans to build the kingdom of God.
Orthodox believers, such as the Princeton Presbyterian theologian Benjamin B.Warfield (18511921) and some
Roman Catholics, argued that, though the human body might have evolved, the soul remained a supernatural
creation. Such thinkers accommodated evolution without drastically reinterpreting Genesis, though not all insisted
on a historical Adam. Some sanctified the old preadamite heresy to argue that nearhumans existed before Adam,
who was the first full human (that is, the first to be made in the image of God). Further to the right of the religious
spectrum, many continued to read Genesis literally. Ellen G.White (18271915), for example, the American
founder-prophetess of Seventh-day Adventism, declared that God had created Adam and Eve and all earthly life in
six days of twenty-four hours between about six and ten thousand years ago. George McCready Price (18701963),
an Adventist geologist, transmitted this view to the twentieth century and tried to give it scientific standing. The
views of Price, which became known as
creation science, reached a large audience in the pages of The Genesis
Flood (1961), a best-seller written by Henry Morris (b. 1918), an engineer, and John C.Whitcomb (b. 1924), a
theologian. By the 1980s, millions of evangelical Christians, particularly in the United States, believed that God had
created the earth, Adam, and Eve within the last ten thousand years and that Noahs Flood accounted for virtually
the entire fossil record.
As the creation-science movement indicates, Western thinkers in the twentieth century became more
divided than ever in their views of human origins. Atheist and agnostic scientists such as the astronomer Carl Sagan
(193496), the sociobiologist E.O.Wilson (1929), and Stephen Hawking (1947), a physicist, articulated a variety
of naturalistic origin myths that owed nothing to Genesis. Protestant neo-orthodox theologians, following Karl Barth
(18861968), emphasized the radical difference between God the Creator and a radically fallen creation, and neither
quarreled with, or cared much about, what science had to say about origins. The Roman Catholic Church officially
embraced the evolution of the human body in the papal encyclical Humani Generis (1950). The Swiss Protestant
theologian Emil Brunner (18991966) read Genesis existentially rather than historically, with Creation signifying
the dependence of the creature on the Creator and the Fall representing human rejection of that dependence. Such
interpretations signified the decision of more liberal theologians to leave questions of cosmogony and human origins
to science, while religious thinkers were free to inject meaning, purpose, and values into the Genesis account of
Creation.

Foundations for an Empirical

Psychology of Religion
The Empirical Study of Religion and Spirituality
Psychologys status as a science is based largely on its methodologythat is, its use of scientific
methods to study the phenomena of interest. The psychology of religion is no different from the psychological
study of anything else. The problem is that religion and spirituality are exceedingly complex phenomenaso
complex, as we have seen in Chapter 1, that they are difficult even to define. In this chapter, we demonstrate
that they are also elusive to capture by standard scientific methods. On top of this, many people see religion
and science as opposites that are in some type of conflict, and therefore see the use of one to help investigate
the other as somehow problematic or at least inappropriate. Some religious people may even feel threatened by
the scientific study of religion, for fear that it may somehow explain away something held as sacred. We
attempt to dispel many of these concerns in this chapter. Still, the field is fraught with dangerous mines, and
both the scientific investigator and student must be careful as they overturn each rock in their exploration.
These are serious and legitimate concerns that deserve special care. The psychologist of religion should not
blindly enter the minefield without an understanding of the risks involved. But, as we shall see, there are useful
tools to help us in our scientific study, and so we need not be timid. In fact, since its earliest days, psychology
has examined religion with confidence. In 1902, William Jamesa U.S. philosopher and one of the founders
of our fieldgave his famous Gifford Lectures at the University of Edinburgh. These were soon published in
book form as The Varieties of Religious Experience (James, 1902/1985), a book continuously in print for over
100 yearsa rare feat indeed.
The success of Jamess Varieties lies in several features that guide our discussions in this book, now
more than a century later. James explored questions about the nature of religion, already touched upon in
Chapter 1, and compared religion to such concepts as psychic phenomena and superstition. James also asked
whether religion is a help or a hindrance; that is, does the good it brings outweigh the harm that can be
associated with it? In addition, he wanted to know the conditions under which religious conversion was likely
to occur and the role that emotions play in religious experience. These questions are as much a part of the
scientific study of religion today as they were in 1902, and we explore them throughout this book. Before we
get to such substantive issues, however, we need to understand the empirical foundations of the psychological
study of religion. Let us first do so by avoiding what is perhaps one of the most dangerous mines in the field
the temptation to reduce the richness and complexity of religious experience to a favorite psychological
construct.
By beginning our discussion with the issue of reductionism, we are highlighting an important but
sensitive philosophical shift in the psychology of religionrepresented by Emmons and Paloutzians (2003)
call for a new multilevel interdisciplinary paradigm, which we have mentioned in Chapter 1. The new
paradigm (which means, for our purposes, a generally accepted perspective among a community of scholars in
a given discipline) proposed is one that values multiple methods as legitimate and complementary in providing
a more complete understanding of religious and spiritual phenomena. It also emphasizes interdisciplinary
approaches, as the boundaries between such disciplines as sociology, psychology, and anthropology are
becoming less rigid. As we shall see, in no way does this call for a paradigm shift lessen the disciplines
resolve to be scientific. It does represent, however, an understanding of what constitutes legitimate science that
may be somewhat different from the traditionally received view. In any case, part of the call for a new
paradigm is to value nonreductive assumptions about the nature of religion and spirituality.

Reductionism in Conceptualizing Religious Issues

Redu
ctionism is an attempt at explanation. It involves explaining a topic by variables independent
of the topic itself, usually in the form of understanding the nature of complex things by reducing them to
simpler, more fundamental phenomena. There are various types of reductionism (methodological, theoretical,
ontological), and some may be more appropriate to understanding than others. We wish to avoid getting mired
in the details of this philosophical debate, for the issues underlying reductionism are complex. Some defend
reductionism as necessary to science, while others suggest that such a view involves a flawed understanding
of science. It is safe to say, however, that as we attempt to scientifically explain broader and more complex
issues (such as religious experience), we should greet reductionism with greater reservation. So, for example,
when we utilize the need for meaning and purpose as a general framework for the study of religion, we should
not assume that religion is only a useful device for finding meaning. Religion is much more than a meaningmaking device.
Reducing a complex concept may sometimes be appropriate, such as reducing a preschool childs
church attendance to parental religiousness, and at times it may even be necessary for conceptualization
purposes. In general, however, we caution against reductionistic tendencies in the psychology of religion.

Examples of Reductionism in the Psychology of Religion

Three traditions in the psychology of religion are selected here to illustrate reductionism: those of
Sigmund Freud, Raymond B. Cattell, and William James. In each of these traditions, many of the reasons
people give for being religiousprimarily, beliefsare ignored. The beliefs themselves are assumed only to
reflect some psychological issue. Freud assumed that religion is false, in the sense that its primary object (i.e.,
God) is not real. He was intrigued as to why people are religious when it is irrational to be so; since they
believe in nothing that is real, there must be other foundations for these beliefs. In the introduction to The
Future of an Illusion, Freud (1927/1961b) stated: . . . in past ages in spite of their incontrovertible lack of
authenticity, religious ideas have exercised the strongest possible influence on mankind. This is a fresh
psychological problem. We must ask where the inner force of those doctrines lies and to what they owe their
efficacy, independent as it is, of the acknowledgement of reason. (p. 51) Freud maintained that the inner force to

which religion is reduced is infantile projection of the parental figure, a form of neuroticism. Other
psychologists endorsed variants of this theme (e.g., Faber, 1972; Suttie, 1952; Symonds, 1946). In this view,
the substance of religionwhat a person believes, or the reasons behind certain religious behavior and
practices does not matter. If this is so, there can be nothing of importance to religious beliefs, so why
measure them?
Raymond Cattell (1938, 1950) represents another tradition of reductionistic research. It started with
the fact that Cattell himself was a behaviorist who literally could not think in terms of beliefs. His stance ended
illy superstition (Gorsuch, 2002). Like Freud, Cattell did give
with his personal view of religion as just s
credit to religion for being a powerful force in peoples lives. Given this beginning, Cattell posited
motivational bases for being religious. Cattell and Child (1975) reported that religion is a function of strong
needs to avoid fear, to be nurtured, and to nurture others. Others working in this tradition explained religion as
a result of being deprived and therefore turning to a belief in life after death to meet currently unmet needs
(Dewey, 1929). People thus create religious beliefs to resolve various problems. Again, since there can be
nothing of importance to religious beliefs per se, why measure them? William James (1902/1985), a founder of
the psychology of religion, treated religion with much greater respect than did Freud or Cattell. Why people
hold religious beliefs to be true was not an issue for James, since he approached religion pragmatically: Does it
help people live? To this he resoundingly answered,
Yes. Others have continued in this mode, and a major
part of the increased attention given to spirituality (see below) stems from religions having been shown to be
beneficial (e.g., Gorsuch, 1976, 1988; Larson et al., 1989; Pargament, 1997). Jamess form of reductionism is
more subtle than that of Freud or Cattell since James did not clearly take an atheistic position. In his view,
nothing religionists claim in and of themselves as a basis for their religious faith needs to be examined; such
beliefs are relevant only to the extent that they are functionally importantthat they are of some benefit to the
persons who hold them. For James, religious beliefs are reduced to their pragmatic value.

Religion as Nothing but Superstition

One common form of reductionism applied to religious experience is that such experience is
nothing
but some related concept. So, for example, one might believe that religion is nothing but superstition, and that
if one can understand the basis of this superstition, then religious experience is explained. Lets consider this
example in more detail. A s
uperstition has been defined as an
y belief or attitude, based on fear or
ignorance, that is inconsistent with the known laws of science or with what is generally considered in the
particular society as true and rational; esp., such a belief in charms, omens, the supernatural, etc. (Guralnik,
1986, p. 1430). A superstitious person is one who acts on such beliefs. Examples of superstitious actions
include walking under a ladder, avoiding the number 13, and tugging on ones cap before throwing a pitch in a
baseball game. These examples of superstition contain nothing that is called religious or spiritual. But can the
s
uperstition label be properly extended to religion as studied by psychology? The Oxford Universal
Dictionary on Historical Principles (Onions, 1955) includes in its definition of superstition: es
p. in
connection with religion (p. 2084). This definition explicitly links the two concepts, but it also distinguishes
between superstition and religion, since the two realms are not equated with each other. One basis of
superstition can be found in learning research. Though this type of research was originally conducted on
animals by the noted psychologist B. F. Skinner (1948, 1969), superstition is obviously present in humans and
may occur in one-trial learning, particularly with strong negative reinforcement (Morris & Maisto, 1998).
Primarily when threat, pain, or much emotion is present, and is then resolved, irrelevant stimuli present in the
situation become meaningful. For example, let us suppose that Joe, an athlete, was wearing a specific pair of
socks when a problem was alleviated; hence they become his l
ucky socks, which he wears just in case they
might make a difference in future similar circumstances. Joe knows full well that there is no rational basis for
the lucky socks to affect the game, but he just feels better when wearing them. Of course, if success occurs, the
incident will be cited as proof of the superstitions truth. It is not surprising that some religious behaviors are
also superstitious for a particular person. They meet the twin conditions of being nonrational and of avoiding a
major negative outcome (i.e., being based in fear). We must, however, ask whether religion is just superstition.
Most religious beliefs and behavior do not meet the conditions of superstition. Religions usually have welldeveloped theologies that make religious behaviors rational, at least to those who hold them. The threat of
avoiding a major negative outcome also seldom enters into daily religious behavior. Furthermore, the promise
of hell is unlikely to take hold after one-trial learning. The idea of hell requires much complex social learning,
plus both cognitive and motivational inputs. Later we will show that the subculture in which one is raised is
a major determinant of religious behavior in general. Although religion includes conditioned responses, it is far
more than just these responses; much social learning may be involved, and genetic and evolutionary factors
may even play indirect roles.
What do the data say? Can scientific investigation itself help answer whether religion is just
superstition? If both religion and superstition involve the same psychological processes, then one should
expect either (1) positive correlations between measures of religiousness and measures of superstition (i.e.,
those who are most superstitious are also the most religious), in that the two are functionally the same; or (2)
negative correlations between religion and superstition, in that one serves as a substitute for the other.
Studies are few in this area, and further work is necessary. Using the statistical technique called
f
actor analysis, Johnston, de Groot, and Spanos (1995) found separate factors for beliefs involving the
paranormal, superstition, extraordinary life forms, and religion; these results counter the f
unctionally the
same hypothesis. Sparkss (2001) review of work in this area confirms the distinctiveness noted by Johnston
et al. (1995). Goode (2000), however, claims that there may be paranormal elements in certain religious
concepts (e.g., creationism, angels, the Devil), and provides data to this effect. We discuss the empirical
research relating to paranormal and religious experiences, including mysticism, in Chapters 10 and 11.
Contrary to the s
ubstitution hypothesis is Hynams (1970) finding that superstition was correlated positively
with a lack of clear social norms or rules, while both religiousness and scientific training were negatively
related. The data are not conclusive, but they seem to suggest that religion and superstition should be treated as
independent constructs. Thus we can tentatively say that a definition of either religion or superstition is more
accurate if it does not include the other. To be sure, most psychologists of religion do not investigate
superstition or psychic phenomenon per se. Of course, superstition and psychic reports occur in almost all
areas of life and among religious people as well the nonreligious. They are, however, peripheral to the
psychology of religion.

Reductionism: Conclusions
The empirical study of religiousness has many great challenges. The first of these challenges
considered here is how to maintain the scientific standards of good empirical work, always the goal of science,
without sacrificing the richness and depth of the object of study. We have gone to considerable lengths to make
the case that religious experience should not be reduced to specific psychological processes. It is tempting to
do so when one adopts the naturalistic perspective that underlies scientific investigation, and to ignore the
meaning system of the people being studied. What is needed is some nonreductionistic accounting of the
phenomena of interest, but without abandoning scientific methodology and thus not reaping the benefits that it
provides.

Qualitative and Quantitative Research Methods

One way to avoid reductionism is to treat the individual as a holistic entity, instead of the typical
psychological research approach of fractionating the individual into traits, attitudes, beliefs, values, habits,
responses, and underlying physiology. This holisticatomistic distinction is not a sharp dichotomy, and many
levels exist between these endpoints. However, some researchers maintain that by breaking the individual into
such concepts as traits or attitudes and then abstracting these by an obj
ective analysis, only a false and
incomplete picture of the person is attaineda partial interpretation with a grain of truth to it. Instead, these
researchers argue that a holistic, phenomenological, clinical approach is better. The challenge, of course, is
whether such an approach can meet standard scientific criteria.

Idiothetic and Nomothetic Approaches to Research

This challenge is not unique to the psychology of religion. Indeed, one of the great classical issues in
psychology is the distinction between i
diothetic and nom
othetic approaches to investigating the issue of
interest (Gorsuch, 2008). In essence, the idiothetic approach relies largely on the judgment of an expert,
usually (in the psychology of religion) one steeped in clinical or pastoral methodspossibly a cleric, pastoral
counselor, or therapist. The bases for expert judgment are covert and not readily available for public analysis
or understanding. In contrast, the nomothetic orientation seeks to obtain information that is empirical, public,
reproducible, and reliable. It is the main traditional scientific avenue to demonstrating valid knowledge. The
major characteristics of these concepts are listed in Table 2.1.
It should be evident that the approach espoused in this text is essentially nomothetic. Harsh as it may
sound to advocates of an idiothetic approach, those seeking scientific answers will find validity in the
judgment of Paul Meehl (1954): A
lways . . . the shadow of the statistician hovers in the background. Always
the actuary will have the final word (p. 138). We do believe that those who utilize holistic, idiothetic
techniques have much to offer; their applied contributions cannot be overestimated. However, idiothetic
research is not frequently utilized in the psychology of religion for good reason: Its methods do not meet
standard scientific criteria. Therefore, idiothetic approaches should best be thought of as supplementary to
nomothetic methodsboth as sources of hypotheses and as means by which to more fully grasp the richness of
the more general nomothetic findings.
TABLE 2.1. Two Major Approaches to the Psychological Study of Religion

Idiothetic
Individual-behavioral
Qualitative
Concern with depth
European origin
Clinical
Intuitive (subjective)
Holistic
Phenomenological
Source: Medicine

Nomothetic
General-behavioral
Quantitative
Attention to the surface
American origin
Experimental
Objective
Atomistic
Positivistic
Source: Physical science

The Complementary Nature of Qualitative and Quantitative Research

The distinction between
qualitative and quantitative research is somewhat related to the
idiographicnomothetic difference, but the two distinctions should not be confused. Qualitative data collection
ranges from writing the biography of a religious person to chatting with several people about a religious topic,
conducting interviews with open-ended questions, or having people tell a story about a picture they are given.
Central to this process is how experience is interpreted. In short, it is t
he interpretative study of a specified
issue or problem in which the researcher is central to the sense that is made (Banister, Burman, Parker,
Taylor, & Tindall, 1994, p. 2), and is thus (
a) an attempt to capture the sense that lies within, and that
structures what we say about what we do; (b) an exploration, elaboration and systematization of the
significance of the identified phenomenon; and (c) the illuminative representation of the meaning of a
delimited issue or problem (Banister et al., 1994, p. 3). The use of qualitative methods often allows
researchers to getbehind the quantitative data to uncover specific issues of meaning. People may have
specific reasonssometimes common and sometimes uncommonfor responding, for example, with a 4 on a
7-point scale as a statement of moderate agreement on a religious belief statement. Without qualitative
methodologies to unpack what a 4 actually means, we have limited understanding of the phenomena of
interest. At issue is the fact that many of our quantitative measures involve ar
bitrary metrics (Blanton &
Jaccard, 2006), which do not tell us the absolute standing of an individual or group on an underlying
psychological construct. For example, a score of 68 on a 100-point measure of depression does not tell us how
depressed a person actually is. Such arbitrariness, of course, is not a death sentence for research, in that
quantitative measures are used to test ideas and theories; therefore, the relative standing of scores is useful. We
can say that a score of 68 on a measure of depression is more than a score of 38, and this difference, for
example, may support or not support a hypothesis. However, what the score means in terms of the actual
experience of depression is limited. Therefore, several researchers in the psychology of religion have called for
a greater role for qualitative methods (e.g., Belzen, 1996; Belzen & Hood, 2006). This call is especially
relevant to an understanding of religion as a meaning systemthe approach taken in this text.
It also resonates well with the earlier-noted call by Emmons and Paloutzian (2003) for a new
multilevel interdisciplinary paradigm that values multiple levels of analysis and nonreductive assumptions
regarding the nature of religious and spiritual experience. Qualitative methods are the methods of choice in
idiothetic research, but many such methods are used in nomothetic research as well. Therefore, it is an error to
equate qualitative methods with idiographic research and quantitative methods with nomothetic research,
as is frequently done. For example, determining what religious behaviors people perform in certain specific
settings may call for a novel procedure. This could include observing missionary activity in a Third World
village undergoing cultural change, or the behavior of congregants during a church service (Wolcott, 1994). In
contrast, quantitative data collection techniques might ask people to rate how strongly they agree with a
particular statement or to report how often they attend worship services. The major distinction is that
quantitative measures give scores directly, but qualitative data must be processed by a rater or by a computer
program for information.
A similar distinction can be made between qualitative and quantitative analyses of data. Qualitative
treatment can involve a more or less subjective review that enables a scholar to make sense of the information
and draw conclusions. A researcher employing quantitative analysis uses statistics such as means, standard
deviations, significance levels, and correlations in order to draw conclusions. Although quantitative methods
have been typical of data collection and analysis in the sciences as well as in the psychology of religion, there
is no doubt that they miss something. A description of a sunset in terms of physics is quantitative, but none
would argue that a painting of that sunset is replaced by the physical description. Physics has never claimed to
contain the whole of human experience regarding physical phenomena; nor does the psychology of religion
claim to contain the whole of human experience regarding religion. Just as a personal experience with a sunset
is meaningful in addition to the physics of a sunset, so a personal religious experience cannot be replaced by
the psychology of that experience. Similarly, psychology does not directly cover the history of religions, the
biographies of religious leaders, or the anthropology of religions, although they may be considered within the
new paradigm insofar as interdisciplinary considerations provide a broader context within which to understand
psychological findings (Hood & Williamson, 2008a, b). The psychology of religion is an application of
scientific methods to enhance our psychological understanding of religion.

Reliability and Validity

The acceptability of both quantitative and qualitative methods within the psychology of religion
depends on whether they can be shown to meet the scientific criteria of reliability and validity. For example,
when Ponton and Gorsuch (1988) used an instrument called the Quest Scale in Venezuela, its reliability was
low, so the authors were hesitant to draw any conclusions from it. Qualitative measures also need to
demonstrate reliability. Do different persons or judges agree in their observations and/or interpretations? If
they reach different conclusions as to whether a person feels Gods presence during meditation, for example,
then there is no reliability in their measure.
Once it has been shown that the qualitative or quantitative method is reliable, validity must then be
established. Usually cont
ent validity is used, as noted earlier. This means that psychologists examining the
method agree that the items or interview or rating criteria are appropriate for whatever descriptive term is
employed. Since both qualitative and quantitative methods are acceptable if they meet the standards of being
reliable and valid, why are quantitative methods so popular? One important problem is that reliable qualitative
methods are rather expensive to use. Consider the question of how a victim becomes a forgiving person after
major harm has been done to that person. Using an interview-based qualitative approach, a researcher might
ask each of 100 people to describe a time when a person harmed them, and then, in their own words, to explain
how they forgave that person and how their religious faith was a part of that process. The interviewing would
take about 300 hours (including setting up the interviews, doing the interviews, finding new people to reduce
the no
-shows, transcribing the interviews, etc.). Then the interviews would need to be rated by two people
trained to use the same language to describe the processes that were reported, and differences would need to be
reconciled with the help of a third rater (all this would take another 300 hours). At this point, a total of 600
hours would be needed for collecting and scoring the data. By contrast, in quantitative measurement utilizing a
questionnaire, a group of 100 people might take 2 hours to fill out the questionnaire. Scoring these responses
would take another 4 hours. The quantitative approach would thus take an estimated 6 hours, versus 600 hours
for the qualitative approach. Which procedure would you rather use in a research project? In some cases,
qualitative methods are the only ones we currently have to tap into the psychological processes being studied.
It is, for example, difficult to understand childrens concepts of God without using their drawings of God,
which are then rated. And in models where a person makes a choice, it is also a problem to find out what
options spontaneously occur to that person without utilizing at least somewhat qualitative methods.
Throughout this text, we report many studies that use qualitative research methods, provided that those
methods demonstrate sufficient reliability and validity. When they do meet adequate psychometric criteria, we
can be just as confident in reporting the results of qualitative research as those of quantitative research.
An Example of a Qualitative Approach
There is no single qualitative method. Though a common element of virtually all qualitative methods
is that they take an interpretive approach to their subject matter, the methods vary considerably in terms of
their goals and aims. Some methods, such as discourse analysis or participant observation, may only produce
descriptive information. Other techniques, such as interviewing and ethnography, may likewise be descriptive,
but may also involve an explanatory interpretation by the coinvestigators (the researcher and the person being
studied). Here we provide a single brief example of the use of qualitative techniques that is particularly
relevant and applicable to the overall theoretical framework of religion as a meaning system used in this text.
N
arrative analysis is a qualitative technique used to investigate the means by which individuals utilize the
language of their culture to construct a story of their experience. Hood and Belzen (2005) suggest that this is a
particularly useful technique to test ideas drawn from psychoanalytic theory. They recommend using archives
of taped interviews, and point to effective uses of this technique in studying a serpent-handling sect in
Appalachia (Hood, 1998, 2005a) and the Word of Life congregation in Turku, Finland (Hovi, 2004). Let us
consider the serpent-handling example. Williamson and Pollio (1999) analyzed the narrative form of serpenthandling sermons, while Hood (2005a) utilized an oral narrative of a handler. This team of researchers
(Williamson, Pollio, & Hood, 2000) has also creatively used phenom
enological methods to identify, from
the snake handlers perspective, the actual experience of handling a snake, especially in the context of religious
commitment. Sixteen open-ended interviews (Williamson, 2000) were then subjected to interpretations based
upon a her
meneutical methodology developed by Pollio, Henley, and Thompson (1997) involving a group
interaction by researchers trained in dialogical procedures (see Hood & Williamson, 2008a, for a more

complete description). From this analysis, four fundamental beliefs of serpent handlers were identified: (1)
Handling serpents is a biblical mandate based on Mark 16:1718; (2) handling serpents is a sign of enablement
or power bestowed by God in response to obedience; (3) handling serpents is a sign of Gods protection
(handlers thereby acknowledge the danger of handling); and (4) the experience of handling serpents is a
confirmation of Gods power and blessing (Hood, Hill, & Williamson, 2005). The point here is that what
seems to outsiders a bizarre and pointless activity that is dangerous and even life-threatening (11 of the 16
interviewees had been bitten, and all knew of someone who had died from snake bite) carries great meaning
for the serpent handlers through its Biblical justification. Understanding the richness of serpent handling as a
religious meaning system could not have been attained through quantitative techniques only. Rather, what is
necessary is the use of multiple techniques (including historical methodologies). Although qualitative
techniques are fraught with potential bias and possible misuse and should therefore be used only according to
strict guidelines, they serve as a useful complement that will greatly profit the psychology of religion.

Measurement in the Psychology of Religion

To illustrate the importance of good measurement, we borrow an example from Hill, Kopp, and
Bollinger (2007) involving Chicagos Lakeshore Marathon in 2005. This race was not one for the record
books. In fact, the runners were perplexed by their unusually slow times and perhaps woke up the next
morning to find themselves more sore than usual. The problem? It was discovered afterward that the course
had been wrongly charted and they had actually run 27.2 milesa full mile further than the usual grueling
distance for a marathon. Indeed, accurate measurement is very much a relevant issue. Imagine that after you
had already run 26.2 miles and your body was excruciatingly telling you that you should be finished, you had
yet another full mile to run! Without good measurement in research, the data that are collected in the process
of doing a research study are of little if any value. Most measures in the psychology of religion are self-report
scales. Participants completing such measures are asked to respond to multiple items designed to assess the
many varieties of religious and spiritual experience. Fortunately, psychologists of religion have long
recognized the importance of good measurement and have placed a high priority on it. As early as 1984,
Gorsuch pronounced measurement to be the current par
adigm (i.e., the dominant perspective or concern of
psychologists of religion). By the end of the 1990s, Hill and Hood (1999a) identified over 125 measurement
scales available to psychologists of religion, and many more have been developed in the past decade (Hill,
2005; Hill et al., 2007). To be sure, there is a well-developed measurement literature in the psychology of
religion. But what makes one scale better than another? Both theoretical and technical issues must be
considered in determining the best measure.

Theoretical Considerations
Any attempt to measure a concept such as religiousness or spirituality requires that the concept be
specified in measurable terms. Such an
operational definition is especially important when applied to
religiousness and spirituality, because, as we have seen in Chapter 1, there is considerable variety in how these
terms are conceptualized. The importance of theoretical clarity extends beyond how the constructs are
conceptualized; good theory is necessary in providing a framework for testable hypotheses as well.
Furthermore, researchers must consider the various dimensions of religious and spiritual experience (a topic
that we consider shortly) to help determine the appropriateness of potential measures.
Technical Considerations
A scales reliability and validity are the two most important technical issues to consider. The more
reliable and valid a measure is, the more useful it is for conducting scientific research. Though brief scales
(sometimes just one-item scales) may be appealing because they are time-saving and convenient, they also
tend to be less reliable and perhaps less valid.
Reliability refers to the consistency of a measure and is
usually assessed in terms of either (1) cons
istency across time or (2) i
nternal consistency. When assessing
consistency of a measure over time, better known as
testretest reliability, the reliability coefficient is a
correlation between the test scores of a group of individuals who are administered the scale on two different
occasions (usually at least 2 weeks apart). More common is the use of internal consistency as a reliability
indicator. The better multiple scale items fit together (as determined statistically by factor analysis), the higher

the internal consistency. Internal consistency is most often measured by a statistic called Cronbachs alpha,
which ranges from 0 to 1.00, with a higher value indicating greater consistency. Alpha levels of religious and
spiritual constructs are preferably above .80, but frequently are acceptable at about .70. Consideration of the
scales v
alidity, or the extent to which a test measures what it purports to measure, is also essential to good
measurement. There are many different ways to think of and measure validity. For example, though it may be
tempting to do so, we cannot rely simply on our subjective sense of whether or not the scale appears to
measure what it is supposed to be measuring, referred to as f
ace validity. Face validity is subject to all sorts
of human bias and is therefore not scientifically useful. Conte
nt validity refers to whether or not a
representative sample of the domain is being covered. For example, perhaps you are working with a measure
of spiritual disciplines. If your measure inquires about prayer, fasting, and tithing, but does not address reading
sacred texts or service, content validity is sacrificedbecause the entire behavioral domain has not been
included in your measure.
Const
ruct validity examines the agreement between a specific theoretical construct and a
measurement device, and may rely heavily on what is already known about a construct. Conv
ergent validity
and di
scriminant validity are both subdomains of construct validity and can be considered together.
Convergent validity asks, H
ow well does this measure correspond to similar measures of the same or similar
constructs?; discriminant validity asks, H
ow is this test unrelated to measures of different constructs? Those
who develop scales try to demonstrate as much reliability and validity as possible, though it is highly unlikely
that any single measure will be perfectly reliable or score high on all types of validity just discussed.

Sample Representativeness
There are many measurement scales in the psychology of religion that adequately meet these technical
criteria, but care must still be taken in their use. Why? Because these scales were developed on a rather limited
sample that may not reflect the population of interest under investigation. The most common form of such
limitation is that many of the scales were initially developed for a Christian population, but now many
researchers wish to investigate religious and spiritual experience outside the confines of Christianity, or
perhaps even outside the context of any formal religious tradition (Hill, 2005). Even more problematic is that
many of the scales were initially developed among white, young, middle-class, American (and, to a lesser
extent, British) college students (Hill & Pargament, 2003). Four variables known to be strongly correlated with
religious experience are age, socioeconomic status, race, and educational level (Hill, 2005); therefore, caution
is necessary if one should choose to use such a scale for a population with a different demographic profile or
outside the Judeo-Christian context.
Scales created on the basis of either unrepresentative samples or samples representing a narrow
population (e.g., a single denomination) are usually insensitive or inapplicable to broader groups (Chatters,
Taylor, & Lincoln, 2002). For example, Protestant African Americans among the most religious of all ethnic
groups in the United Statesemphasize community service (Ellison & Taylor, 1996), as well as the notion of
reciprocal blessings with God (Black, 1999). Both of these characteristics are ignored in virtually all measures
of religiousness or spirituality, in favor of other issues that may be irrelevant to African Americans. Hill and
Dwiwardani (in press) provided a fascinating example of how difficult it is to transport the study of religious
experience to other world religions when they attempted to apply Allports I-E distinction to Indonesian
Muslims. In order to make the scale that measures both I and E religious orientations applicable to the Muslim
context, more than just the language of the scale needed to be changed (e.g., changing the word chur
ch to
m
osque). Because Islam is such a strong pillar of the overall collectivistic culture in Indonesia, the concept
of the social basis of the E religious orientation as a form of immature religion is simply not as applicable to
Muslims as it is to Christians. Fortunately, however, another group of researchers has provided the Muslim
Christian Religious Orientation Scale (Ghorbani, Watson, Ghramaleki, Morris, & Hood, 2002), which takes
into account a social dimension in relation to the broader community and culture rather than to the mosque. It
is important that we recognize the limits of our measures and seek to improve them for more diverse settings.

Measurement Domains
Because religiousness is a highly complex and varied human experience, good measurement must
reflect this complexity. This does not mean that any single measure must reflect all of this complexity, for
many times the topic of interest is but a piece of the religion pie for example, religious beliefs or specific
religious behaviors. Psychologists, especially social psychologists, frequently discuss the totality of human
experience in three domains: cogni
tion, or how the ideological aspect of (in our case) religion is
conceptualized; af
fect, or the emotional, l
ikedislike facet of belief or behavior (which frequently includes
attitudes and values); and behav
ior, or what people do and how they act. It is important that measures reflect
these individual domains. Mixing these domains often leads to confusing research. So, for example, of about
125 measures identified by Hill and Hood (1999a), there was a cluster of measures stressing religious beliefs,
another cluster emphasizing religious attitudes, and so forth. Sometimes it is desirable to have a single
multidimensional measure, but even then there will usually be subscales (often determined by factor analysis)
tapping more specific domains. Table 2.4, adapted from Hill (2005), provides a summary of 12 common
categories of measures that have been developed, with examples of measures from the literature that fit each
category. One might be surprised by the number of measures available, especially since the measures and their
respective categories in the table are not exhaustive. In fact, the table includes only a small percentage of
measures, though Hill (2005) maintains that they represent some of the better measures in the psychology of
religion. Notice that the first four categories cover what Tsang and McCullough (2003) refer to as
Level I
measures, which represent hi
gher levels of organization reflecting broad individual differences among
persons in highly abstracted, trait-like qualities (p. 349). Level I measures may help assess how religious or
spiritual a person is, and here we refer to this as di
spositional religiousness. The final eight categories of
measures represent L
evel II measures, which get at how religion or spirituality functions in a persons life,
referred to here as f
unctional religiousness. For example, highly religious people may use their religion in
different ways to help cope with lifes stressful agents. More scales and more detailed discussions of scales can
be found in a number of resources: Hill (2005), Hill and Hood (1999a), MacDonald (2000), and MacDonald,
LeClair, Holland, Alter, and Friedman (1995).
Gorsuchs (1984) claim that the psychology of religion had been dominated by issues of measurement
up to that time led him to conclude that measurement scales were r
easonably effective and av
ailable in
sufficient varieties for most any task in the psychology of religion (p. 234). Now, a quarter of a century later,
we can say that Gorsuch was both correct and incorrect. Within the psychology of religion proper, and
especially at Level I dispositional measurement, Gorsuch was clearly correct. Researchers have a sufficient
arsenal of measurement instruments at hand to adequately assess a persons level of religiousness or
spirituality, even given the complexities of what it means to be religious or spiritual. The one caveat, however,
is that measures within the psychology of religion will need to become increasingly pluralistic, to better
represent (1) religious traditions other than Christianity and (2) those forms of spirituality that do not conform
to any formal religious tradition. However, Gorsuch (or anyone else, for that matter) was, quite
understandably, unable in 1984 to envision the direction the field would take, particularly the move toward
examining the many functional varieties of religiousness (Level II measurement) that would require further
scale development. So, for example, in reviewing the significant association between religion and both mental
and physical health (to be discussed in considerable detail in Chapter 13), Hill and Pargament (2003) have
highlighted ongoing advances in measurement (e.g., measuring perceived closeness to God, religious struggle)
that help delineate why religiousness and spirituality seems to contribute (mostly positively, but sometimes
negatively) to health and well-being. It is safe to say that measurement issues, particularly of the Level II
functional variety, will continue to be of great interest and concern to psychologists of religion (vezi anexa).

Implicit Measures
The final measurement issue we wish to discuss is an issue that plagues all of psychologythe fields
overreliance on self-report measures. Every measure (including qualitative measures) discussed thus far in this
section relies on self-reports, which of course may be biased for a number of reasons: intentional deception,
impression management, personal bias, and many more. The accuracy of self-reports is especially suspect

when the topic being investigated is personal and sensitive in nature (Dovidio & Fazio, 1992), which religion
and spirituality often are. As a result, there has been an increasing interest in developing other measurement
techniques (such as physiological measures, better behavioral measures, etc.), including the use of i
mplicit
measures, particularly as measures of attitudes. Greenwald and colleagues (Greenwald & Banaji, 1995;
Greenwald, McGhee, & Schwartz, 1998) have defined implicit attitudes as unconscious, automatic evaluations
that influence thoughts, feelings, and behaviors. Probably the most common implicit measure is the Implicit
Association Test (IAT; Greenwald et al., 1998) which uses response latency as a marker of ones unconscious
and automatic attitudes. The IAT was first developed as an implicit measure of racial attitudes, whereby an
associative strength between two concepts (e.g., objects and evaluative adjec tives) is measured by the amount
of time (measured in milliseconds) it takes to determine whether the concepts go together. Thus it may be
easier for a racially prejudiced white person to categorize two objects that are congruent (and hence take less
time to determine that the two concepts go together) in his or her thinking (e.g., white and good; black and
bad) than objects that are incongruent (e.g., white and bad; black and good). Though there are many
assumptions underlying the IAT (and the notion of implicit measurement in general), social- psychological
research has shown it to be psychometrically adequate in terms of its internal consistency, temporal reliability,
and validity (Rowatt & Franklin, 2004). Only recently has research in the psychology of religion utilized
implicit measures. Some of these studies have investigated explicit (i.e., self-report) measures of religiousness
or spirituality in relation to some implicit measure, such as race attitudes (Rowatt & Franklin, 2004), humility
(Powers, Nam, Rowatt, & Hill, 2007; Rowatt, Powers, et al., 2006), attitudes toward homosexuals (Rowatt,
Tsang, et al., 2006; Tsang & Rowatt, 2007), or attitudes toward other religious groups (Rowatt, Franklin, &
Cotton, 2005). The results of much of this research are covered later in this book, particularly in Chapter 12.
Others (e.g., Hill, 1994; Wenger, 2004), however, have made the case that religion itself may be a topic that
can be implicitly measured, and several notable attempts have now been made (Bassett et al., 2004; Cohen,
Shariff, & Hill, 2008; Gibson, 2006; Wenger, 2004). This research is still in its earliest stages, with the implicit
measures themselves needing more frequent testing before any judgment of their utility can be made. These
attempts do represent, however, important efforts at getting beyond reliance on self-report measures.

Individual Differences

Many people perhaps do not recognize that much of the psychology of religion falls primarily within social
psychology (though other subdisciplines, particularly clinical and developmental psychology, are well
represented) in general, and within the domain of individual differences in particular (Dittes, 1969). Social
psychology studies the person in the social context. Because religiousness varies from one person to another,
the psychology of religion stresses the individual-variability aspect of social psychology. Most research (and
hence most measures used in the research) in the psychology of religion stresses individual differences. That
is, the persons own attitudes and behavior are studied as dependent and independent variables. Social
psychology further examines how independent variables, such as religiousness, affect people and their
relationships with others. Much of this research is devoted to social-cognitive processes. As noted earlier,
individual differences in social psychology are typically accounted for in three domains that are easily applied
to religious experience: cognition, affect, and behavior. To these three, we perhaps should add habit, since
there are important habitual components in religious experience. Cognition is primarily concerned with beliefs
and how they are learnedin other words, how the ideological aspect of religion is conceptualized. The
affective realm emphasizes feelings and attitudesthe emotional, l
ikedislike facet of belief or behavior.
The attitude concept is especially important to the psychology of religion, since attitudes are often important
predictors of behavior. Behavior, of course, consists of what people do, how they act. Finally, habit involves
what people do regularly, consistently, and often automatically. The psychology of religion looks at individual
religious differences within each of these areas.
For our current purposes, the important point to note is that because each domain has a separate purpose, these
domains should be kept distinct in measurement. Items representing these domains are exemplified in Table
2.5. The first and third illustrations in the cognitive area use a response format that emphasizes the definition
of the domain, mostly here belief. The second and fourth illustrations use a common response format that
emphasizes belief but includes an element of affectnamely, value. This distinction is not made for the other
domains. Because each domain has a different purpose, it is important to keep them distinct.

Research can then identify the conditions under which they relate to each other. For example, Allport (1959) as
interested in total religiousness, based on both the I and E scores of religious orientation (Allport & Ross,
1967). He stressed affect or motivation in these orientations, and he ignored cognition. The original scale,
however, included behavioral items, which created conceptual confusion. Later versions of the I and E scales
dropped the behavioral items, and the measure of I and E became clearer. The research reported throughout
this text cuts across these different domains. It is important to keep in mind whether we are talking about
beliefs, values, motivations, and so forth. Because each of the areas functions differently, it is often important
to distinguish among them. Still, at other times we may wish to investigate some overriding concern, and to
do so we measure across several of these areas. As noted throughout this book, religiousness and spirituality
are complex, multidimensional phenomena, and this includes the fact that they incorporate each of these
domains as part of the complete experience.
TABLE 2.5. Illustrations of Items Assessing Aspects of Cognition,
Affect, Habit, and Behavior

Cognition
Belief
1. Rate what you feel are the o
dds (%) that God exists.
There is no God 0 25 50 75 100 God definitely exists
Value
2. God exists.
Strongly disagree 1 2 3 4 5 Strongly agree
Belief
3. Rate how important attending church weekly is.
Unimportant 1 2 3 4 5 Important
Value
4. Everyone should attend church each week.
Strongly disagree 1 2 3 4 5 Strongly agree
Affect (attitudes)
5. Rate how much you enjoy worship services.
Not at all 1 2 3 4 5 Very much
6. I enjoy worship services.
Strongly disagree 1 2 3 4 5 Strongly agree
Habit
7. How long have you had your current pattern of church attendance?
a. 1 year or less
b. 12 years
c. 34 years
d. 5 years or more
Behavior
8. How often do you attend church?
a. Never
b. A couple of times a year
c. Once a month
d. Several times a month
e. Once a week
f. More than once a week

Anexa 1
TABLE 2.4. Specific Measures of Religion and Spirituality in 12 Categories

Level I: Measures of Dispositional Religiousness or Spirituality

General Religiousness or Spirituality
Mysticism Scale (Hood, 1975)
Religiosity Measure (Rohrbaugh & Jessor, 1975)
Spiritual Transcendence Scale (Piedmont, 1999)
Spiritual Well-Being Scale (Paloutzian & Ellison, 1982)
Religious or Spiritual Commitment
Dimensions of Religious Commitment Scale (Glock & Stark, 1966)
Religious Commitment Scale (Pfeifer & Waelty, 1995)
Religious Commitment Inventory10 (Worthington et al., 2003)
Santa Clara Strength of Religious Faith Questionnaire (Plante, Vallaeys, Sherman, & Wallston, 2002)
Religious or Spiritual Development
Faith Development Interview Guide (Fowler, 1981)
Faith Development Scale (Leak, Loucks, & Bowlin, 1999)
Faith Maturity Scale (Benson, Donahue, & Erickson, 1993)
Religious Maturity Scale (Leak & Fish, 1999)
Spiritual Assessment Inventory (Hall & Edwards, 1996)
Religious or Spiritual History
The SPIRITual History (Maugans, 1996)
Spiritual History Scale (Hayes, Meador, Branch, & George, 2001)
Level II: Measures of Functional Religiousness or Spirituality
Religious or Spiritual Social Participation
Attitude Toward the Church Scale (Thurstone & Chave, 1929)
Attitude Toward Church and Religious Practices (Dynes, 1955)
Religious Involvement Inventory (Hilty & Morgan, 1985)
Religious or Spiritual Private Practices
Buddhist Beliefs and Practices Scale (Emavardhana & Tori, 1997)
Religious Background and Behavior (Connors, Tonigan, & Miller, 1996)
Types of Prayer Scale (Poloma & Pendleton, 1989)
Religious or Spiritual Support
Religious Pressures Scale (Altemeyer, 1988)
Religious Support (Krause, 1999)
Religious Support Scale (Fiala, Bjorck, & Gorsuch, 2002)
Religious or Spiritual Coping
Religious Coping Scale (Pargament, Koenig, & Perez, 2000)
Religious Coping Activities Scale (Pargament et al., 1990)
Religious Problem-Solving Scale (Pargament et al., 1988)
Religious or Spiritual Beliefs and Values
Christian Orthodoxy Scale (Fullerton & Hunsberger, 1982)
Love and Guilt Oriented Dimensions of Christian Belief (McConahay & Hough, 1973)
Loving and Controlling God Scale (Benson & Spilka, 1973)
Religious Fundamentalism Scale (Altemeyer & Hunsberger, 1992)
Spiritual Belief Inventory (Holland et al., 1998)
Spiritual Belief Scale (Schaler, 1996)
Religion or Spirituality as Motivating Forces
IntrinsicExtrinsic ScaleRevised (Gorsuch & McPherson, 1989)
Quest Scale (Batson, Schoenrade, & Ventis, 1993)
Religious Orientation Scale (Allport & Ross, 1967)
Religious Internalization Scale (Ryan, Rigby, & King, 1993)
Religious/Spiritual Techniques for Regulating and Reconciling Relationships
Forgiveness Scale (S. W. Brown, Gorsuch, Rosik, & Ridley, 2001)
Tendency to Forgive Measure (Brown, 2003)
Transgression-Related Interpersonal Motivations Inventory (McCullough et al., 1998)

Religious or Spiritual Experiences

Daily Spiritual Experiences Scale (Underwood, 1999)
Index of Core Spiritual Experiences (Kass, Friedman, Leserman, Zuttermeister, & Benson, 1991)
Religious Experiences Episode Measure (Hood, 1970)
Religious Strain (Exline, Yali, & Sanderson, 2000)
Spiritual Experience IndexRevised (Genia, 1997)
Spiritual Orientation Inventory (Elkins, Hedstrom, Hughes, Leaf, & Saunders, 1988)

Psihoterapia cu clieni religioi/spirituali: o introducere

Everett L. Worthington,Jr.
Virginia Commonwealth University

Jamie D. Aten
The University of Southern Mississippi
Journal of Clinical Psychology: In Session, vol. 65(2), 123-130 (2009)

Acest numr al Jurnalului de Psihologie Clinica este dedicat psihoterapiei cu

clieni religioi/spirituali. Dup ce vor oferi definiii ale religiei i ale spiritualitii,
relevnd poteniale zone de convergen i difereniind nuanele, autorii vor scoate n
eviden prevalena i tipurile de spiritualitate, att ale clienilor, ct i ale
psihologilor/specialitilor n sntate mental. Acetia descriu contextul istoric, dar i cel
actual, n care se examineaz abordrile psihoterapeutice cu clieni cu angajament
religios, care experieniaz spiritualitate n cadrul propriei religii, sau care se definesc ca
fiind spirituali, fr s fie neaprat religioi. Apoi, vor sumariza urmtoarele articole care
vor aprea n acest numr, articole care ofer ghidaj practic pentru profesionitii n
sntate mental i clinicieni.
Introducere
n acest numr, ne vom concentra pe psihoterapia cu clieni religioi i spirituali.
Oferim un context n care s se discute modalitile din trecut, prezent i viitor, n care
psihoterapeuii lucreaz cu clieni religioi i spirituali. ncepem prin a defini termenii de
baz i prin examinarea estimrilor prevalenei practicilor psihoterapeutice care
nglobeaz elemente religioase i spirituale. Vom analiza dou modele teoretice, care
adreseaz problema religiei i a spiritualitii in terapie. Dup ce vom oferi o imagine de
ansamblu a statutului religiei i spiritualitii n psihoterapie, vom sumariza cele apte
articole i cazuri prezente n acest numr al revistei.
Definiii ale religiei i spiritualitii
Religia este considerat ca fiind o aderen la un sistem de credine i la un set de
practici asociate cu o dogm, n cadrul unei comuniti n care exist un consens asupra a
ceea ce este acceptat/urmat (believed) i practicat (Hill et al., 2000). Religia se ocup cu
probleme/ideile i obiectele ce sunt considerate a fi sacre, adic acele obiecte ce au
scopuri divine.
Spiritualitatea este definit ca sentimentul de apropiere i conexiune cu sacrul.
Aceasta presupune un simmnt de intimitate i genereaz sentimente ca evlavia i
admiraia. Dei nu exist un consens asupra definiiei spiritualitii (Aten & Leach,
2009), Worthington a sugerat 4 tipuri de spiritualitate, care au la baz obiectele pe care
oamenii le consider sacre:
Spiritualitatea religioas poate fi conceptualizat ca un sentiment de apropiere i
conexiune cu sacrul, asa cum e el definit de o religie anume. n cele mai multe
cazuri, spiritualitatea religioas reiese dintr-o apropiere cu un dumnezeu sau cu o
entitate/putere superioar.

Spiritualitatea umanist este un sentiment de conexiune cu omenirea. Este un

sentiment de a fi relaionat cu sau de a face parte dintr-un grup general de oameni,
sentiment de multe ori susinut de iubire, altruism i reflectare (de ex.
contemplarea sensului i mplinirii unei relaii).
Spiritualitatea naturalist este definit ca un sentiment de apropiere cu mediul
nconjurtor sau cu natura. De exemplu, o persoan poate simi un sentiment de
admiraie i mirare evocat de un peisaj natural foarte frumos, de vederea unui
apus de soare splendid, sau de experienierea unei minuni naturale.
Spiritualitatea cosmic este un sentiment de conexiune cu Creaia. Acest
sentiment poate fi stimulat de contemplarea limitelor aparent nesfrite ale
creaiei sau de admirarea cerului noaptea, vederea miliardelor de stele i
contemplarea naturii cosmosului. Astfel, o persoan se poate simi insignifiant ca
individ, dar unit cu restul cosmosului (care poate prea magnific, de dimensiuni
inestimabile i foarte frumos).
Prevalena religiei i spiritualitii

n Statele Unite, aproape 95% din populaie raporteaz credina n Dumnezeu i

mai mult de jumtate cred n viaa de apoi (Gallup,2002). Mai mult, n concordan cu un
eantion de subieci reprezentativi pentru populaiile lumii, majoritatea se consider
religioi (adic ader la o religie anume; Berger et al.,1999).
Specialitii, inclusiv cei din sntate mental, sunt adesea mai puin religiosi dect
marea majoritate a populaiei. De multe ori, ei tind s cread c, asemenea lor,
majoritatea oamenilor dau dovad de o spiritualitate nonreligioas. Din cauz c
interacioneaz cu specialiti similari din toat lumea, devin convini c spiritualitatea
nonreligioas este o norm universal. Chiar i aa, dovezile spun altceva. Majoritatea
oamenilor i majoritatea clienilor chiar ader la o religie anume. De exemplu, n Statele
Unite, un procent semnificativ din populaie ader la cretinism, dar procentul scade din
cauza aderrii la alte religii mari, precum islamismul, hinduismul, buddhismul i
iudaismul, ca urmare a valului de imigrare recent.
Chestionarele de opinie aplicate psihoterapeuilor au concluzionat c, dei
psihoterapeuii respect diversitatea religioas, o mare majoritate dintre ei nu sunt
religioi (Bergin & Jensen, 1990). n acelai timp, cercettorii au descoperit c terapeuii
consider c e important s vorbeasc despre subiectul religiei cu clienii care au un
angajament religios explicit. De exemplu, un numr semnificativ de terapueui ncearc
s introduc termeni religioi n cadrul psihoterapiei, pentru a putea s abordeze
problema clientului dintr-un cadru de referin religios. De asemenea, psihoterapeuii i
ntreab pe clieni despre credina i angajamentul religios n cadrul interviurilor iniiale,
pentru a nelege ct de important este religia pentru client (de ex. pun ntrebarea cu
rspuns deschis: Ct de important este religia pentru tine?). Cu toate acestea,
procentul clinicienilor care abordeaz mai n profunzime acest domeniu, de exemplu prin
evaluarea formal a religiei i spiritualitii, este destul de mic (Delaney, Miller &
Bisono, 2007).
Relaia istoric dintre psihoterapie i religie

Unii clieni resimt o tensiune cnd merg la edintele de psihoterapie. Muli

consider terapia ca pe un domeniu de activitate secular (Kurtz,1999). n acest fel, clienii
religioi pot s conchid c nu trebuie s aduc n discuie probleme religioase cu
terapeui nonreligioi. Aceast ezitare poate izvor din frica de a nu se considera c au
tulburri patologice, tocmai din cauza credinelor lor. Muli clieni religioi nu vorbesc
niciodat despre religia lor n cadrul psihoterapiei, dect dac religia este problema
central sau dac se leag serios de problema cu care se prezint la psihoterapie. Pe de
alt parte, muli clieni religioi, n special cei cu credine teologice conservatoare
(Thurston, 2000), au cutat i chiar au cerut o terapie construit n aa fel nct s includ
concepte religioase (de ex. pcat, suflet, karma, dharma, cei 5 piloni ai Islamului, salvare,
rencarnare, legile lui Moise), teme religioase (de ex. iertare, milostenie), i chiar practici
religioase (de ex. rugciunea sau folosirea textelor religioase). Astfel de clieni caut o
abordare psihoterapeutic construit special pentru setul lor de credine i valori.
nainte de anii 80, clerul era cel care se ocupa n cea mai mare parte de
consilierea religioas (Kurtz, 1999). n timp ce o astfel de consiliere presupune o
compatibilitate din punct de vedere telogic ntre client i terapeut, o serie de probleme de
natur practic reies din aceast situaie. n primul rnd, preotul/pastorul/autoritatea
religioas nu are o formare n psihoterapie. n al doilea rnd, din cauza multiplelor roluri
i ndatoriri pe care le au, autoritile religioase nu pot face fa la ntreaga congregaie
care are nevoie de terapie i consiliere. n al treilea rnd, preoii s-ar putea s nu se poat
ntlni cu clienii att de des precum ar vrea acetia.
n aceeai perioad din anii 80, muli clieni conservatori din punct de vedere
teologic au devenit mai asertivi n cutarea explicit a psihoterapeuilor religioi care i
construiau abordarea incluznd elemente din religia de care aparineau (Miller &
Lovinger, 2000; Thurston, 2000; Wylie, 2000). De exemplu, Asociaia American a
Consilierilor Cretini (AACC) are peste 50.000 de membri, majoritatea dintre ei fiind
terapeui la nivel de master. Ali consilieri se descriu n mod explicit ca fiind
psihoterapeui evrei, musulmani, buddhiti sau hindui. Un terapeut religios poate s
lucreze ntr-o organizaie i s lucreze cu toi clienii lui de aceeai confesiune.
Totui, n ultimele dou decenii mai ales, psihoterapeuii din toate sectoarele de
angajare (employment site) au declarat c ofer terapie care nglobeaz elemente ale unor
religii specifice. De obicei, astfel de terapeui ofer (de exemplu) att psihoterapie bazat
pe religia iudaic, ct i psihoterapie secular. Clienii lor sunt de obicei informai de la
nceput despre aceste opiuni de psihoterapie. Dac clientul alege varianta secular,
atunci problemele religioase vor fi adresate numai n cazul n care clientul le aduce n
discuie. Dac acest lucru nu se ntmpl, psihoterapia va continua ca una secular.
Estimri ale prevalenei terapiei religioase nu sunt prezente n cercetrile
reprezentative. Chiar i aa, s ne amintim c exist peste 50.000 de mii de terapeui
afiliai AACC (Wylie, 2000) o organizaie n cadrul unei singure religii. S ne
imaginm c fiecare din acei terapeui are mai muli clieni cureni. S lum n
considerare numere proporionale de terapeui religioi i pt alte religii, fiecare terapeut
avnd propria clientel. Astfel, putem deduce c exist un numr substanial de clieni
care parcurg o psihoterapie religioas, n orice moment dat.
Modele teoretice

Teoria stres-i-coping
Poate cel mai recunoscut model al terapiei religioase este cel de stres-i-coping,
propus i promovat de decenii de ctre Kenneth Pargament (1997, 2007). Pargament
sugereaz c, atunci cnd oamenii experienieaz stresori, ei i aduc n discuie n cadrul
terapiei, prin accentuarea strategiilor de coping religios existente pn atunci sau prin
nvarea unora noi. La nceput, clienii folosesc un coping conservator n ncercarea lor
de a se confrunta cu problema, fr s i schimbe credinele religioase. Ei ncearc s
asimileze evenimentele stresante i reaciile la eveniment n schema mental de pn
atunci.
Dac copingul tradiional/conservator nu i ajut pe clieni s i rezolve
dificultile emoionale, clienii se pot angaja n coping transnormativ. n acest fel, ei i
modific schema religioas de pn atunci, pentru a face fa problemei curente.Un astfel
de coping poate fi adaptativ sau maladaptativ (de ex. mncatul sntos vs. mncatul
compulsiv). Dup Pargament i colegii si, copingul religios poate, de asemenea, s fie
adaptativ sau maladaptativ (de ex. s te simi protejat de Dumnezeu vs. s te simi
pedepsit de Dumnezeu) i este evaluat prin scala R-COPE (Pargament, Koenig & Perez,
2000).
Perpective religioase n acord i n dezacord
Terapeuii sensibili la problematica religioas valorific diversitatea n religie.
ncercnd s includ ct mai mult, terapeuii pot spune, de exemplu, c toate religiile sunt
importante i c sunt dispui s abordeze o problem din punctul de vedere al oricrei
religii. Pentru majoritatea clienilor nonreligioi sau uor religioi, un astfel de enun
poate s fie dovada acceptrii necondiionate din partea terapeutului. Totui, clienii
foarte religioi s-ar putea s devin circumspeci i s-l considere pe terapeut nedemn de
ncredere nu e unul de-al nostru. Majoritatea clienilor nu discut de obicei despre
astfel de probleme cu psihoterapeutul. Mai degrab, clientul va deveni din ce n ce mai
refractar la tratament i va termina prematur edinele, fr a anuna n prealabil.
Worthington (1988) a propus un model care s i ajute pe terapeui s i neleag
pe clienii religioi i valorile acestora. A sugerat c felul n care clienii privesc lumea,
prin nite lentile religioase, depinde de agajamentul lor religios. Persoanele care se afl
la extrema de sus a angajamentului religios (mai mult de o abatere standard de la
medie), vor fi mai predispui la a interpreta evenimentele de via prin aceste lentile
religioase. Cercetri substaniale stau la baza acestei teoretizri (vezi Wade,Worthington
& Vogel, 2007; Worthington, Kurusu, McCullough & Sandage, 1996). Clienii foarte
religioi au o anumit zon de toleran pentru valorile religioase acceptabile. Dac
clientul consider c terapeutul ader la valori prezente n zona lui de toleran, atunci
poate s lucreze eficient cu terapeutul respectiv. ns, dac clientul consider c
terapeutul are valori aflate nafara zonei de toleran proprie, atunci acesta va (a) fi
refractar la intervenia terapeutului i va avea un progres terapeutic redus sau (b) va
termina relaia terapeutic, de obicei fr vreo confruntare prealabil.
Tot din cauz c clienii foarte religioi au tendina de a privi mereu lumea dintr-o
perspectiv religioas (Worthington, 1988), de cele mai multe ori, se vor interesa n mod
direct cu privire la orientarea religioas a terapeutului, n timpul primei edine de terapie

sau chiar nainte de a iniia terapia. Cel mai frecvent, terapeuii rspund indirect la acest
tip de ntrebri, ntrebnd, la rndul lor, De ce este acest lucru important pentru tine?.
Un client foarte religios poate resimi aceast contracarare a ntrebrii lui ca pe o ofens
i o poate interpreta ca fiind un rspuns evaziv, deducnd faptul c terapeutul nu i
mprtete credinele religioase. Chiar dac terapeutul n cauz face ulterior afirmaii ce
dovedesc acceptare i toleran, clientul nu mai poate fi domolit i, n mod inevitabil, va
termina terapia sau va fi refractar la orice intevenie a terapeutului (Thurston, 2000).
i psihoterapeuii au zonele lor de toleran pentru valori religioase, n special
dac sunt, la rndul lor, foarte religioi. Terapeuii care nu pot tolera dovezile de
intoleran din partea altora, e foarte probabil s nu poat lucra bine cu clieni care
afieaz credine religioase fundamental diferite de ale lor, care au credine religioase
extremiste sau care sunt rigizi n credinele lor. n unele cazuri (de ex. diferena de
credine religioase poate duce la o prognoz slab a tratamentului), terapeuii ar trebui s
comunice clienilor, n limita posibilului, dac neconcordanele n viziunile i credinele
religioase nu pot fi depite (de ex. n edina de terapie, printr-un supervizor al
procesului terapeutic sau ca o consultare cu clientul). Alii ar putea utiliza aceste reacii
negative ce ar putea aprea n timpul terapiei ca pe un proces de confruntare. n cazurile
unde nici recomandarea unui alt terapeut, nici confruntarea nu e posibil, terapeutul
trebuie s ncerce s dezolte empatie i acceptare fa de valorile clientului, s fac
compromisuri cu clientul, nspre a cdea de acord c nu pot fi de acord, sau s dezolte
anumite limite, care s-l ajute s-i menin obiectivitatea n procesul terapeutic.
Unii terapeui seculari se pot simi confortabil i ntr-o situaie n care trebuie s
ofere terapie augmentat religios unor clieni care nu sunt de acord cu valorile religioase
ale lor. De fapt, exist un studiu clasic, care a investigat terapia cognitivcomportamental cretin (CBT), n cazul unor voluntari cu depresie (Propst, Ostrom,
Watkins, Dean & Mashburn, 1992). Terapeuii care nu erau cretini au utilizat un manual
de terapie cognitiv-comportamental augmentat religios (cretin), iar acetia au obinut
trezultate mai bune cu clienii lor, dect au obinut terapeuii care ntr-adevr erau
cretini. Rezultate contradictorii au fost regsite pe un eantion clinic (Wade et al., 2007),
n contrast cu reculul unor persoane care au avut depresie clinic (Propst et al., 1992). Un
terapeut secular care urmeaz un protocol de augmentare religioas a terapiei, cu clieni
religioi, are, ntr-adevr, o probabilitate mare de a obine rezultate favorabile n procesul
terapeutic.
Articole din acest numr (al revistei)
n articolul ce urmeaz celui de fa, Post i Wade fac o analiz a cercetrii din
psihoterapia religioas, focalizndu-se pe terapia religioas condus de terapeui religioi,
unor clieni religioi i n care se utilizeaz intervenii religioase. Cercetrile recente arat
c terapeuii sunt nc n mod semnificativ mai puin religioi i spirituali dect clienii
lor (Delaney et al., 2007). Cei mai muli dintre psihoterapeui privesc n mod pozitiv
religiozitatea clienilor lor, iar nu ca pe o dovad de maladaptare sau patologie. Cel mai
adesea, terapeuii sunt predispui la a face greeli de judecat atunci cnd au de-a face cu
persoane aparinnd unor religii cu care ei nu sunt familiari. Majoritatea terapeuilor
religioi ofer clienilor posibiliatea de a alege ntre terapia secular sau cea augmentat
religios. Clienii chiar i cei nonreligioi sunt deseori deschii nspre a include

elementul religios/spiritual n procesul lor terapeutic, vor ca terapeuii lor s abordeze

aceast problematic i obin beneficii din aceasta (chiar dac terapeutul nu le
mprtete valorile sau credinele religioase). Per total, numrul proceselor terapeutice
clinice care cuprind elemente religioase a crescut n ultimii 10 ani. Mai multe abordri
terapeutice augmentate religios beneficiaz acum de manuale publicate (de ex. schema
spiritual a sinelui) i de date publicate, care susin eficiena sau eficacitatea lor.
Studiile de caz din acest numr (al revistei) abordeaz o gam larg de orientri
teoretice i formate terapeutice. Shafranske ofer o descriere a terapiei psihodinamice
orientate spiritual, accentund civa pai de baz ce trebuie urmai n adresarea sacrului
din aceast perspectiv. Aceast abordare este apoi exemplificat n cazul impresionant al
unui brbat care experienia o mare tensiune religioas. Se fac conexiuni ntre experiena
acestui client legat de slbiri ale credinei lui (catolice) i alte forme de pierdere suferite
de-a lungul vieii (de ex. moartea tatlui n copilria timpurie). Pe durata terapiei, clientul
i revede locurile unde a copilrit i astfel i consolideaz insighturile obinute n
dificilul proces al terapiei psihanalitice.
Hathaway i Tan descriu i ilustreaz terapia cognitiv-comportamental
augmentat religios, care include metode legate de mindfulness (nelegere profund
n.n.). Autorii ncep prin a analiza caracterizarea fcut de Hayes evoluiei terapiei
cognitiv-comportamentale (CBT), n trei etape: terapie comportamental, terapie
cognitiv i mai noile terapii centrate pe acceptare/mindfulness. Unele forme de terapie
din aceast ultim etap abordeaz tematici religioase inspirate din tradiiile religioase
orientale. Hathaway i Tan analizeaz procesul terapeutic al unui client depresiv,
conservator din punct de vedere teologic. Terapeutul a utilizat metode ale terapiei
cognitiv-comportamentale augmentate de elemente scripturale i mindfulness. Autorii
analizeaz provocrile i raiunile presupuse de utilizarea acestui tip de metode religioase
orientale cu clieni cretini sau cu ali clieni deiti.
n urmtorul articol, Richards i colegii descriu forma lor de psihoterapie
spiritual deist, care este integrativ i universal, n aa fel nct s poat fi folosit n
cazul oricrui tip de spiritualitate deist. Cu toate acestea, permite i personalizarea
abordrii, pentru a include subtiliti confesionale. Autorii i ilustreaz metoda
terapeutic prin cazul unei femei care sufer de tulburri de alimentaie. Ei descriu o
abordare deist a tulburrilor alimentare, care susine c sunt bazate pe pierderea
identitii i a simului valorii personale. Hiperfagia devine, n acest fel, un mod de a
compensa pierderea identitii spirituale. Se recomand n acest caz, o restructurare
cognitiv, pe premisa c starea de bine psihic a clientei este interconectat cu starea de
bine emoional, relaional i cu cea spiritual. Autorii susin c focalizarea pe
spiritualitate poate fi o cale major de a ptrunde concepiile de via ale clientului.
Delaney, Forcehimes, Campbell i Smith prezint, apoi, un tratament orientat
spiritual, pentru dependena de alcool. Acetia descriu rolul pe care spiritualitatea i
religia l joac n prevenia i tratamentul abuzului de substane i apoi propun cteva
mecanisme responsabile de aceste efecte. Ei fac o distincie important ntre interveniile
din cadrul confesiunii (within-faith) i cele dintre confesiuni (between-faith). Sugereaz
c metodele centrate pe client sunt n mod special eficiente n interveniile
interconfesionale (between-faith). n experimentul lor clinic recent, i-au nvat pe
terapeui s utilizeze o abordare centrat pe client, pentru a-i ajuta clienii s exploreze
propria spiritualitate i s foloseasc cu succes practici spirituale n terapie. Abilitatea

terapeutului de a-i angaja clienii ntr-o discuie pe tema spiritualitii poate depinde de
felul n care terapeutul respectiv i pondereaz rolul de autoritate/expert cu cel de
facilitator evocativ.
Pe urm, Dwairy descrie i ilustreaz psihoterapia n cazul musulmanilor. Acesta
sugereaz c ncercarea de a revela procese incontiente i de a promova autoactualizarea
n cazul clienilor provenind din culturi colectiviste, poate duce la confruntri puternice
ntre client i familia acestuia. Autorul recomand terapia metaforic i analiza cultural
pentru persoanele din asemenea culturi colectiviste. n terapia metaforic clientul poate
relaiona simbolic i indirect cu coninutul incontient i totodat poate evita ameninrile
directe ale conceptelor religioase. n analiza cultural, clienii i pot revela nevoile
incontiente i pot s restabileasc ordinea n sistemul lor de credine i n familie.
Dwairy prezint cele dou metode terapeutice utilizate n terapia cu un client arab
musulman, suferind de depresie. Printr-un astfel de proces terapeutic ancorat n cultura i
religia lui, clientul i-a ameliorat credinele maladaptative, a devenit mai mulumit de sine
i a gsit ci eficiente de a se adapta n familia sa.
Duba i Watts ofer un exemplu de tratament al cuplurilor religioase, din
perspectiv adlerian. Autorii observ c n cupluri exist o mare variaie n felul cum
indivizii se bazeaz pe orientarea religioas pentru a-i defini sau restructura relaia
romantic. Confesiunile diferite vor stabili reguli specifice sau vor forma modul n care
cuplul rezolv greutile la nivel interpersonal i familial, ca de exemplu sexualitatea,
stilul parental sau autoritatea. Aceia propun o serie de principii ce trebuie respectate
atunci cnd se trateaz cupluri religioase, inclusiv discuii premergtoare terapiei sau
consimmntul informat al clienilor. Ei observ existena a numeroase paralele ntre
terapia adlerian i credina religioas cretin (de ex. orientarea relaiei, focalizarea pe
stilul de via, interesele sociale). Cuplul ilustrat, romano-catolic, a fost tratat de
asemenea de un terapeut de confesiune romano-catolic. Partenerii aveau probleme legate
de stres, conflicte frecvente i erodarea intimitii n cuplu. Terapia a implicat o
anamnez a vieii de cuplu i a dinamicii iniiale a relaiei, precum i training pe aspecte
de management al timpului. n timp, cei doi i-au corectat percepiile greite care
afectaser dinamica relaiei lor.
n final, noi (Aten & Worthington) eaminm ce s-a nvat n acest numr (al
revistei). Propunem pai ce vor trebui luai n viitor n practicarea terapiilor augmentate
spiritual i religios i lum n considerare modaliti de lucru n cazul clienilor care
iniiz terapia cernd n mod explicit abordri spirituale sau religioase, dar i n cazul
celor care cer o terapie secular, dar care e posibil s se confrunte pe durata procesului
terapeutic cu probleme ce in de spiritualitate sau religiozitate. Sugerm c ar trebui
dezvoltate i testate noi metode clinice, care s ncorporeze practici religioase occidentale
i orientale. De asemenea, recomandm o mai bun colaborare att ntre preoi
(duhovnici) i psihoterapeui, ct i ntre psihoterapeui i cercettori. n final, subliniem
faptul c formarea clinic are nevoie de mbuntiri n sensul acesta i propunem cteva
direcii la care s-ar putea interveni.
Sperm c acest numr (al revistei) ofer o ghidare clinic n munca cu clienii
chiar dac acetia caut psihoterapie augmentat religios sau psihoterapie secular.
Integrnd practica clinic cu cercetarea, putem s ne raportm la clienii religioi mai
precis i mai eficient. Sperm c aceste articole i vor ajuta pe practicieni (dar pe

cercettorii din domeniul clinic) s depeasc tensiunile istorice dintre psihoterapie i

religie.
Bibliografie
(...)

ARTICOL TRADUS DE
Laura Belean
Ramona Monica Rad
Cristina Tacaciu

Intervenii spirituale n psihoterapie: evaluri fcute de clieni foarte

religioi
Jennifer S. Martinez, Timothy B. Smith and Sally H. Barlow
Brigham Young University
Journal of Clinical Psychology, vol. 63(10), 943-960 (2007)

Interveniile spirituale i religioase din cadrul psihoterapiei se bucur de o atenie

crescnd a cercettorilor, n special n cazul terapiei cu clieni foarte religioi. Acest studiu a
examinat experienele i opiniile clienilor despre interveniile religioase din cadrul terapiei. Un
eantion de 152 de clieni ai unui centru de consiliere, din cadrul unei universiti sponzorizate de
Biserica lui Iisus Hristos a Zilei Tuturor Sfinilor (Church of Jesus Christ of Latter-Day Saints
LDS), au completat un chestionar de evaluare a unor intervenii specifice, legat de adecvarea,
utilitatea i prevalena lor. Interveniile din afara edinei de terapie au fost considerate de ctre
clieni ca fiind mai adecvate dect cele din cadrul edinei, ns interveniile din timpul edinei de
terapie au fost considerate mai utile. Interveniile care au fost considerate att adecvate, ct i
utile, de ctre participani, au inclus citarea unor pasaje din Scriptur, predarea conceptelor
religioase, ncurajarea iertrii, ncurajarea nspre utilizarea comunitii religioase i evaluarea
spiritualitii clientului. Unele intervenii religioase au fost considerate neadecvate sau inutile, iar
clienii au oferit explicaii pentru motivele care pot face ca o anumit intervenie s fie eficient
sau ineficient n psihoterapie.

n literatura de specialitate, a fost documentat consistent prevalena credinelor i

afilierii religioase n America de Nord (de ex. Hoge, 1996; Keller, 2000), iar estimrile
recente indic faptul c peste 80% dintre americani se consider afiliai unei religii i
peste 75% cred n existena lui Dumnezeu i se roag cel puin o dat pe sptmn
(Baylor University, 2005). n ultimele zeci de ani, psihologii au recunoscut tot mai mult
necesitatea de a aborda aspecte spirituale i religioase n tratamentele privind sntatea
mental, n special atunci cnd au de-a face cu clieni foarte religioi (Hage, 2006;
Richards & Bergin, 2005). n general, psihologii par a fi deschii ctre valori i practici
asociate, n mod tradiional, cu religia (Crook-Lyon, OGrady, Smith, Jensen & Golighty,
2007; Shafranske, 2000; Walker, Gorsuch & Tan, 2004), iar literatura despre sntatea
mental documenteaz tot mai mult modaliti n care religiozitatea poate fi n mod
eficient integrat n interveniile psihoterapeutice (Miller, 2003; Pargament, 1997;
Shafranske, 1996; Smith, Bartz & Richards, in press; Wade, Worthington & Vogel,
2007). Acest domeniu poate, aadar, s beneficieze de o nelegere din ce n ce mai bun
a cauzelor pentru care interveniile religioase pot s fie eficiente sau ineficiente i a
motivelor pentru care anumite intervenii sunt cele mai adecvate sau mai utile, pentru
clienii care susin sau caut s adreseze problematica spiritual i religioas n terapie.
Religiozitatea a fost deseori definit ca fiind aderarea la un sistem instituionalizat
de credine, valori i activiti bazate pe crezuri spirituale, n vreme ce spiritualitatea se
refer la experienele transcendente i la modul de nelegere a aspectelor legate de
Dumnezeu i/sau de alte caracteristici nevzute ale vieii i ale universului (Kelly, 1995).
Un individ poate fi spiritual i religios, nainte de toate religios, dar nu neaprat spiritual,
sau n special spiritual, fr a fi neaprat i religios. Multe dintre interveniile din cadrul
psihoterapiei examinate n acest studiu (de ex. rugciunea, ncurajarea iertrii) au att
componente spirituale, ct i religioase. Cu toate acestea, datorit faptului c cele mai

multe dintre interveniile investigate au un fundament religios explicit (de ex. citirea
Scripturii), vom folosi termenul religios pe parcursul articolului, cu excepia situaiilor n
care contextul justific o formulare mai exact.
n psihoterapie, clienii se lupt nu doar cu probleme ce in de starea de bine
personal, ci i de perspectivele lor n via, relaiile cu ceilali sau valorile lor cele mai
adnci. Pentru muli clieni, problematica religioas se suprapune cu aceste preocupri ale
lor (Smith & Richards, 2005). n aceste circumstane, clienii respectivi ar putea obine
beneficii de pe urma abordrii explicite a problematicii religioase n cadrul terapiei sau de
pe urma augmentrii metodelor terapeutice de coping cu resurse religioase. La fel cum
ajustarea psihoterapiei n funcie de experienele i valorile culturale ale clientului poate
spori eficiena tratamentului (Griner & Smith, 2006), tot aa, ajustarea psihoterapiei cu
elemente religioase, n cazul clienilor care valorizeaz puternic religia, ar putea duce la
un tratament mult mai eficient (Richards, Keller & Smith, 2004; Smith et al., in press).
Mai mult dect att, psihologii au obligaia etic de a oferi servicii care in cont de
context n cazul fiecrui client, acest lucru incluznd contextele religioase (American
Psychological Association [APA], 2002).
Psihoterapeuii trebuie, cu att mai mult, s in cont de experienele i credinele
clienilor care valorizeaz puternic religia. O nelegere acurat a concepiilor religioase
ale clienilor poate avea un impact pozitiv asupra tratamentului, n vreme ce ignorarea
credinelor religioase poate reduce eficiena terapiei i poate crete frecvena cu care
clienii pun punct terapiei (Miller, 2003; Propst, 1980; Smith & Richards, 2005). n mod
specific, indivizii foarte religioi consider de multe ori c psihologii clinicieni s-ar putea
s nu aprobe valorile, ideile sau purtarea lor (Worthington, 1986), motiv pentru care vor
evita terapia sau vor cuta ali specialiti n sntatea mental, despre care cred c le
mprtesc credinele (Worthington, Duport, Berry & Duncan, 1988). Clienii care sunt
foarte religioi sunt cei mai predispui la a-i dori integrarea interveniilor religioase n
terapie. Aadar, studierea ncorporrii acestui tip de intervenii n psihoterapie ntlnete
cea mai mare justificare n cadrul populaiilor care deja raporteaz puternice valori
religioase.
Dup cum a fost documentat pe larg n literatura de specialitate, includerea
problematicii religioase n psihoterapie poteneaz apariia unui numr de dileme etice
(Richards & Bergin, 2005). Luarea n considerare a consimmntului informat (Hawkins
& Bullock, 1995), a dezvoltrii identitii religioase/spirituale (Fowler, 1991; Hulk,
Spilka, Hunsberger & Gorsuch, 1996; Poll & Smith, 2003), a relaiilor biunivoce (Sonne,
1999), a colaborrii cu liderii religioi (Chappelle, 2000), a respectului pentru valorile
clienilor (Haug, 1998; Neusner, 1994), a limitelor impuse de locul de munc (Chapelle,
2000; Richards & Bergin, 2005) i a nivelului de competen a terapeutului (Barnett &
Fiorentino, 2000; Lannert, 1991) este esenial n a decide dac s se foloseasc
intervenii bazate pe religie. Pentru fiecare din aceste arii, au fost fcute recomandri n
literatura de specialitate, terapeuii fiind informai despre aceste poteniale probleme i
sprijinii n practicarea psihoterapiei n mod etic. Cu toate acestea, nelegerea
perspectivelor clientului asupra factorilor care reduc eficiena interveniilor religioase n
terapie ar oferi informaii importante pentru practicieni.
O larg varietate de intervenii care pot fi considerate de natur religioas au fost
promovate n literatur, inclusiv rugciunea mpreun cu clienii, discuiile pe baza
textelor sacre, includerea resurselor disponibile n cadrul comunitilor religioase,

angajarea n meditaie spiritual sau n ritualuri religioase i ncurajarea

comportamentelor morale, precum iertarea (Richards & Bergin, 2005). Dei terapeuii pot
aborda n mod diferit felul cum integreaz aceste tipuri de intervenii n terapie (de ex.
Worthington, 1986), ele s-au dovedit a fi eficiente ntr-o varietate de cadre i s-au dovedit
a augmenta eficiena terapiei (Smith et al., in press). Interveniile religioase au fost
integrate cu succes n tratamente tradiionale seculare, cum ar fi terapia cognitivcomportamental (Nielsen, Johnson & Ridley, 2000; Propst, Ostrom, Watkins, Dean &
Mashburn, 1992), psihoanaliz (Rizzuto, 1996), terapia transpersonal (Vaughan, Wittine
& Walsh, 1996) i terapia marital (Sperry & Giblin, 1996). Cu toate acestea, n
momentul de fa avem puine cunotine legate de care intervenii sunt cele mai eficiente
sau de motivele pentru care acestea sunt eficiente n cazul clienilor foarte religioi.
Utilizarea interveniilor religoase de ctre psihoterapeui, aa cum a fost raportat
de ctre clieni, a fost investigat ntr-o serie de studii de specialitate (Ball & Goodyear,
1991; Jones, Watson & Wolfram, 1992; Moon, Willis, Bailey & Kwashny, 1993;
Richards & Potts, 1995; Worthington et al., 1988). Totui, cele mai multe cercetri
disponibile la ora actual evalueaz utilizarea interveniilor religioase din perspectiva
clinicienilor. Cu toate c dou studii anterioare ofer date privind preocuprile de natur
religioas ale clienilor (Johnson & Hayes, 2003; Rose, Westefeld & Ansley, 2001), iar
un alt studiu evalueaz opiniile clienilor privitoare la utilitatea interveniilor religioase
(Worthington et al., 1988), nu am reuit s identificm nici un studiu bazat pe
experienele propriu-zise ale clienilor i pe opiniile lor privind adecvarea i utilitatea
acestor intervenii n tratamentul lor curent. Acest tip de informaii ar putea fi eseniale
pentru a ajuta terapeuii s optimizeze felul n care integreaz interveniile religioase n
psihoterapie. Prin urmare, studiul de fa a ncercat s rspund la urmtoarele ntrebri:
Care dintre interveniile religioase sunt percepute de ctre clienii foarte religioi ca fiind
cele mai adecvate? Care dintre aceste intervenii sunt percepute ca cele mai utile? Care
sunt motivele pentru care clienii foarte religioi percep interveniile religioase ca
eficiente/ineficiente?
Metode
Participani
Eantionul pe care s-a desfurat acest studiu a fost format din 152 de studeni,
care au utilizat serviciile centrului de consiliere al unei mari universiti private,
sponsorizate de Biserica lui Iisus Hristos a Zilei Tuturor Sfinilor (Church of Jesus Christ
of Latter-Day Saints LDS). 56 de participani (37%) au fost brbai i 96 (63%) au fost
femei, toi avnd vrste cuprinse ntre 18 i 37 de ani, n felul urmtor: 62 de participani
(41%) au avut ntre 18 i 21 de ani, 71 dintre ei (47%) au avut ntre 22 i 25 de ani, iar 19
participani (12%) au avut ntre 26 i 37 de ani. Toi clieni care au participat la acest
studiu, la fel ca toi terapeuii de la centrul de consiliere, au fost membri ai Bisericii Zilei
Tuturor Sfinilor (ZTS). Participanii au raportat reziden permanent n mai multe state,
dar cele mai des declarate au fost Utah (19%), California (12%) i Idaho (5%); 10
participani au fost din afara granielor Statelor Unite ale Americii (7%).
Centrul de consiliere ofer servicii proshologice gratuite pentru studenii la zi ai
universitii. Nu exist o limit a numrului de edine de consiliere la care pot lua parte,

iar n acest studiu, 63 dintre clieni (41%) au participat la 1-4 edine, 31 de clieni (20%)
au participat la 5-9 edine, iar 58 de clieni (38%) au participat la 10 sau mai multe
edine de consiliere. La centrul de consiliere sunt angajai 27 de psihologi liceniai, 2
terapeui specilizai pe probleme maritale i de cuplu, 4 psihologi cu studii postdoctorale,
4 psihologi urmnd studii predoctorale i fac practic cu jumtate de norm (part-time)
20 de studeni la psihologie. Acest centru ofer servicii de sntate mental concordante
cu cele ale altor centre de consiliere din Statele Unite i include un program de practic
acreditat de APA. Interveniile religioase nu se numr printre practicile standard, ns
datorit faptului c centrul de consiliere deservete preponderent clieni aparinnd
Bisericii ZTS, o parte dintre terapeuii de aici folosesc ocazional acest tip de intervenii
pe durata tratamentului.
Nu au fost stabilite restricii cu privire la diagnosticul clienilor. Problemele
pentru care acetia au iniiat terapia au variat n eantionul folosit, n felul urmtor: 53 de
clieni (35%) au raportat depresie, 20 (13%) au venit la centru pentru probleme de
anxietate, ali 20 (13%) pentru probleme n relaia de cuplu, iar restul de 59 de clieni
(39%) au raportat o varietate de probleme, printre care se numr disfuncii alimentare,
tulburare compulsiv-obsesiv, schizofrenie, preocupri de natur sexual i dificulti
legate de etapa de vrst. Antecendente legate de traume sau abuzuri au fost raportate de
9 clieni (6%). Probleme de natur spiritual sau religioas nu au fost raportate de nici
unul dintre clieni ca fiind o problem primar.
Procedur
n zona biroului de recepie al centrului de consiliere au fost postate afie invitnd
clienii s participe la un chestionar. Centrul deservete aproximativ 570 de clieni n
orice moment, iar datele au fost colectate pe parcursul mai multor sptmni, n martie
2004 i n septembrie 2004. Subiectul cercetrii nu a fost dezvluit n afi, pentru a
reduce probabilitatea de biasare a deciziei clienilor dac vor sau nu s participe la acest
studiu. La cererea clientului, angajaii biroului de recepie le-au oferit cte un chestionar,
un formular pentru declaraia de consimmnt i un baton de ciocolat ca form de
compensaie pentru timpul oferit. Toate chestionarele nmnate clienilor au fost
napoiate completate, cu excepia a 6 chestionare, care au avut rspunsuri lips n cadrul
aceleiai seciuni (adecvarea utilizrii interveniilor religioase), din cauz c terapeuii
clienilor respectivi nu utilizaser nici o intervenie religioas n cadrul terapiei. Cu
excepia acestor itemi lips, toate cele 152 de chestionare au fost incluse n analiz.
Instrument
Prima pagin a chestionarului solicit respondenilor informaii demografice i
contextuale, inclusiv afilierea religioas, vrsta, genul, originea geografic, numrul de
edine de terapie la care au participat pn n prezent i problemele iniiale, care au
motivat iniierea terapiei. A fost msurat nivelul de religiozitate, pentru a se verifica dac
respondeni sunt ntr-adevr foarte religioi, aa cum s-a specificat n obiectivele
studiului. Pentru aceasta, s-a folosit un singur item, care ruga clienii s estimeze ct de
important este religia pentru ei. Rspunsurile au fost date pe o scal Likert cu 9 trepte,
variind de la 1 = deloc, la 9 = extrem de important, credina mea religioas este centrul

ntregii mele viei. S-a dovedit c aceast ntrebare coreleaz pozitiv (0.84) cu un factor
pro-religios intrinsec, derivat dintr-o scal cu itemi multipli (Gorsuch, 1972); aceast
corelaie are aproximativ aceeai valoare ca mediana intercorelaiei itemilor ce msoar
religiozitatea (0.76) (Gorsuch, 1984). Scorul mediu obinut la itemul care evalueaz
religiozitatea a fost de 8.2 (SD = 1.4), pe o scal cu 9 trepte, fapt ce indic un nivel foarte
ridicat de religiozitate raportat de eantionul folosit, aa cum s-a preconizat (Richards,
1994). Dei 12 participani (8%) au avut scoruri mai mici de 7 pe scala cu 9 trepte
(indicnd un nivel personal al devoiunii religioase mai redus dect nivelele cele mai
nalte), aceti participani nu au fost exclui din analiz deoarece am considerat c (a)
nivele foarte nalte ale religiozitii ar fi relevante, dar nu sunt absolut necesare pentru
integrarea interveniei religioase n terapie; (b) variaia interpersonal la nivel devoiunii
apare ntre membrii oricrui grup; i (c) a fost important s reprezentm experienele
tuturor clienilor care au completat chestionarul.
Pe a doua pagin a chestionarului, clienii au notat dac cele 18 intervenii
religioase au fost utilizate de ctre terapeuii lor n cadrul terapiei. Lista a fost creat de
Richards i Potts (1995), care au elaborat lista i definiiile interveniilor religioase dintro list de rspunsuri adunate de Ball i Goodyear (1991). Dei interveniile religioase
evaluate n studiul curent nu sunt o list exhaustiv a tuturor celor care ar putea fi
ncorporate n psihoterapie, lista prezint cele mai comune intervenii implementate i
procedura ne permite compararea cu cercetrile anterioare care vizau opiniile
terapeuilor. Richards i Potts au divizat cele 18 intervenii n dou categorii de
intervenii: 9 n cadrul sesiunii de terapie i 9 n afara sesiunii (de terapie), pe baza celei
mai probabile locaii pentru intervenie. Chestionar nostru ofer definiii pentru fiecare
intervenie, pentru ca participanii s neleag corect sensul terminologiei.
A treia pagin a chestionarului a interogat respondenii cu privire la utilitatea
oricreia dintre cele 18 intervenii religioase, pe care le-au identificat ca fiind utilizate de
terapeutul lor. Interveniile au fost evaluate pe o scal de tip Likert cu 6 trepte (0 = foarte
inutil, 1 = moderat de inutil, 2 = oarecum inutil, 3 = oarecum util, 4 = moderat de util,
5 = foarte util). n mod similar, a patra pagin a chestionarului a cerut respondenilor s
indice pe o scal Likert cu 6 trepte, n ce msur au considerat ca fiind potrivit/adecvat ca
terapeutul lor s utilizeze fiecare dintre cele 18 intervenii religioase prezentate. (0 =
foarte neadecvat, 1 = moderat de neadecvat, 2 = oarecum neadecvat, 3 = oarecum
adecvat, 4 = moderat de adecvat, i 5 = foarte adecvat).
Pe a cincea pagin, respondenilor li s-a cerut s-i aminteasc dac interveniile
religioase au fost n mod particular eficiente n ajutorarea procesului de
cretere/dezvoltare i schimbare i s scrie pe scurt despre experienele lor. A asea
pagin a fost identic, cu excepia faptului c respondenilor li s-a cerut s noteze cnd
intervenia religioas nu a fost eficient.
Rspunsurile scrise ale participanilor la ntrebrile cu sfrit deschis (open-ended
questions) de pe ultimele dou pagini au fost analizate folosind metode prestabilite pentru
analiza de coninut (Denzin & Lincoln, 2002). Rspunsurile oferite de participani au fost
mai nti dactilografiate i apoi citite n ntregime de mai multe ori pentru a obine o
nelegere deplin a coninutului acestora. Ulterior, au fost identificate i evideniate
sintagmele semnificative din rspunsuri. Pe urm, a fost realizat o categorizare a
coninutului prin citirea iniial a rspunsului i generarea unei definiii i al unui nume
pentru categorii preliminare care s reflecte modul de nelegere al participantului.

Rspunsul ficrui participant a fost citit i adugat ntr-o categorie sau a fost pus ntr-o
categorie nou. Acest proces de sortare a fost continuat pn cnd fiecare rspuns a fost
pus ntr-o categorie. Fiecare categorie a primit apoi un titlu i o descriere. Procesul de
categorizare a fost repetat, ns, de acest dat, a fost ghidat de titlurile i definiiile
stabilite. Dei rezultatele au fost similare, civa dintre respondeni au fost plasai n
categorii diferite pe baza definiiilor i titlurilor care au fost identificate. Rezultatele celei
de-a doua runde de analiz au fost date unui evaluator independent, care a evaluat
dinstinctivitatea i claritatea conceptual a categoriilor, a examinat rspunsurile
participanilor pentru a detecta eventuale semnificaii adiionale, care nu au fost incluse n
anumite categorii i a verificat acurateea global a codificrii. Evaluatorii au rezolvat
discrepanele la nivel de codificare prin revizuirea transcrierilor pn la stabilirea unui
acord.
Tabel 1

Mediile i abaterile standard ale corelaiilor ntre evalurile adecvrii i utilitii interveniilor religioase
Intervenie religioas
Intervenii n timpul sesiunii
1. Referine din Scriptur
2. Rugciunea privat a terapeutului
3. Predarea unor concepte religioase
4. Autodezvluirea religioas/spiritual
5. Evaluare religioas/spiritual
6. Imagerie sau relaxare religioas/spiritual
7. Confruntare religioas/spiritual
8. Rugciune terapeut-client
9. Binecuvntri din partea terapeutului
Suma interveniilor din sesiune
Intervenii din afara sesiunii
1. ncurajarea iertrii
2. Utilizarea comunitii religioase
3. Jurnale spirituale/religioase
4. Rugciune
5. Meditaie religioas/spiritual
6. Referine pentru binecuvntri
7. Biblioterapie religioas
8. ncurajarea spovedirii clientului
9. Memorarea Scripturii
Suma interveniilor din timpul sesiunii

Evaluarea adecvrii
M
SD

Evaluarea utilitii
M
SD

3.76
3.69
3.47
3.32
3.11
3.07
3.04
2.70
1.99
28.3

1.0
1.2
1.2
1.3
1.5
1.3
1.5
1.5
1.5
8.0

3.65
1.91
3.97
3.77
3.66
2.40
3.55
1.44
2.00
31.5

1.3
1.9
1.2
1.5
1.3
2.1
1.6
1.9
2.4

63
11
73
47
71
15
51
89
11

0.35
-0.01
0.49
0.61
0.44
0.83
0.74
0.69
0.65

4.26
3.98
3.95
3.94
3.83
3.65
3.60
3.35
2.84
33.7

1.0
1.1
1.0
1.1
1.2
1.3
1.2
1.5
1.4
8.6

3.70
3.33
2.58
2.80
3.10
1.11
1.44
1.44
0.0
26.5

1.4
1.6
1.8
1.9
1.8
1.9
1.9
0.0

50
40
19
20
21
9
23
9
6

0.37
0.36
0.17
0.47
0.29
0.00
0.10
-0.18
-

Not: Cei 146 de participani au oferit evaluri privind adecvarea (6 au avut date lips), dar doar clienii
care au experieniat o anumit intervenie au oferit evaluri ale utilitii pentru acea intervenie. Evalurile
mai ridicate au indicat o aprobare/susinere mai mare.

Rezultate
Adecvare raportat

Mediile i abaterile standard ale evalurilor fcute de clieni, privind adecvarea

celor 18 intervenii sunt prezentate n tabelul 1. Interveniile din timpul sesiunii, care au
fost considerate ca fiind cele mai adecvate de ctre respondeni au fost: referirile la
scriptur, rugciunea privat a terapeutului i predarea conceptelor religioase/spirituale.
Interveniile din afara sesiunii care au fost considerate mai adecvate sunt: ncurajarea
iertrii, facilitarea tratamentului prin consultarea comunitii religioase i ncurajarea
rugciunii private a clientului. Binecuvntarea dat de terapeut (prin punerea minilor) i
rugciunile client-terapeut au fost interveniile considerate ca fiind cele mai neadecvate.
Intervenia din afara sesiunii care a fost evaluat ca fiind cea mai neadecvat a fost
memorarea Scripturii. Per total, evalurile clienilor cu privire la adecvarea interveniilor
din afara sesiunii (M=33.7) au fost semnificativ mai mari t (144) = 10.4, p< .01, Cohen
d=.65, dect evalurile interveniilor din timpul sesiunii, (M=28.3).
Utilitate raportat
Clienii au evaluat utilitatea interveniilor folosite de terapeuii lor. Un sumar al
mediilor i abaterilor standard putei gsi n tabelul 1. Numrul evalurilor pentru fiecare
intervenie corespunde cu numrul de experiene trite de clieni, i nu cu numrul total al
participanilor. Aceste date contingente au oferit puine informaii despre interveniile
care au fost utilizate rar, precum este raportat n tabelul 1.
Interveniile evaluate de clieni ca fiind cele mai utile au fost: predarea unor
concepte religioase, autodezvluirea religioas din partea terapeutului, ncurajarea
iertrii, evaluarea religiozitii clienilor i citarea unor pasaje din scriptur. Interveniile
evaluate ca fiind mai puin utile au fost: memorarea din scriptur, menionarea
binecuvntrii unui preot, rugciunea terapeut-client, ncurajarea de ctre terapeut a
spovedirii clientului, rugciunea terapeutului, binecuvntarea dat de terapeut. Este de
reinut faptul c interveniile evaluate ca fiind utile au avut cele mai mari rate de
prevalen, ceea ce nseamn c interveniile percepute ca fiind mai utile au fost utilizate
mai frecvent n terapie. Terapeuii par s utilizeze cele mai utile intervenii mai des dect
cele percepute de client ca fiind mai puin utile.
Media utilitii percepute la nivelul interveniilor religioase a fost 3.3, care se afl
ntre oarecum util i moderat util. Utilitatea fiecrei intevenii a fost nsumat pe baza
categoriilor de intervenii n cadrul terapiei i n afara terapiei. Datele contingente au
mpiedicat aplicarea testului t, deoarece clienii care nu au notat cte o intervenie n
fiecare categorie ar fi eliminai din list (analiza ar fi rmas fr participani). Totui,
media general a utilitii interveniilor din cadrul sesiunii (M = 3.50) a fost semnificativ
mai mare (diferena standard a mediilor, Cohen d = .47) dect media evalurilor din afara
sesiunilor (M = 2,94). Dup cum se vede n tabelul 1, corelaiile privind utilitatea i
gradul de adecvare au fost n general mari pentru interveniile din timpul sesiunii. Totui,
dei unii clieni au perceput angajarea terapeutului n rugciune privat ca fiind adecvat,
nu au perceput aceast practic ca fiind util (dup cum ar fi de ateptat, deoarece
rugciunea privat a terapeutului nu este accesibil n cadrul sesiunii). n comparaie cu
interveniile din cadrul sesiunilor, interveniile din afara sesiunii au fost semnificativ mai
reduse ca numr. n mod tipic, percepia utilitii i adecvrii interveniilor din afara
sesiunii a fost de magnitudine mic sau moderat. Nu a existat nici o coresponden ntre
aceste evaluri pentru clienii care au primit recomandarea unei binecuvntri din partea
7

preotului sau a liderului ecleziastic; i a fost o relaie invers ntre utilitatea perceput i
evaluarea adecvrii printre clienii care au primit recomandarea de a confesa pcatele
unui preot. Prin urmare, clienii care credeau c practica confesiunii este potrivit au avut
tendina s considere aceast intervenie ca fiind inutil.
Analiza cantitativ cu privire la interveniile eficiente i ineficiente
Au fost analizate rspunsurile participanilor cu privire la situaiile n care
interveiile religioase au fost percepute ca fiind eficiente i ineficiente. Rspunznd la
ntrebrile privind eficiena interveniilor, 125 dintre participani (82%) au oferit
rspunsuri, ns doar 56 dintre ei (37%) au oferit rspunsuri cu privire la
eficiena/ineficiena inteveniilor. 26 din rspunsurile scrise conineau descrieri ale
interveniilor din afara terapiei (ale liderilor ecleziastici) i au fost excluse, deoarece nu
erau n concordan cu interesul nostru pentru interveniile oferite n centre de sntate
mental. Dup examinri ulterioare ale datelor, am observat c unele rspunsuri cu
privire la eficien reflectau de fapt opinii sau experiene cu privire la aspectele
considerate de ctre respondeni ca fiind ineficiente, i vice versa. Prin urmare, n
codificarea datelor, am analizat declaraiile dup coninutul lor i nu dup ntrebare. n
plus, am gsit 40 de rspunsuri la ambele ntrebri care erau declaraii generale cu privire
la interveniile religioase i nu evaluri ale eficienei. Prin urmare, codificarea final a
datelor calitative au implicat trei arii de coninut: motive pentru care interveniile au fost
considerate ca fiind eficiente, motive pentru care interveniile religioase au fost
considerate ineficiente i rspunsuri neutre privind interveniile religioase.
Motive pentru care interveniile au fost eficiente
Motivele pentru care participanii au perceput interveniile religioase ca fiind
eficiente au fost codate n 6 categorii (tabelul 2). n urmtoarele paragrafe sunt date citate
directe, care exemplific aceste categorii.
Tabel 2

Categorii calitative de motive pentru care clienii au perceput interveniile spirituale ca fiind eficiente i
ineficiente
Eficace (n = 78)
Insight sporit ; percepii restructurate (47%)
Confort personal sporit, prin mprtirea de valori similare cu terapeutul (19%)
Recunoatere mai bun a influenelor/realitilor spirituale (12%)
Sentiment mai accentuat de empatie/conexiune cu terapeutul (8%)
Credibilitate crescut a terapiei pentru clieni iniial sceptici (8%)
Adresare ctre sinele ntreg al clientului (6%)
Ineficace (n = 37)
Aplicarea inefiecient a interveniei spirituale (32%)
Sporirea sentimentelor de anxietate i vin (27%)
Rol neadecvat al terapeutului de a se comporta ca un lider ecleziastic (22%)
Neadecvarea includerii interveniilor religioase n psihoterapie (19%)

Insight sporit; percepii restructurate. De departe cel mai comun motiv citat de
ctre clieni, pentru care interveniile religioase au fost eficiente n cazul lor, a implicat un
insight sporit sau reformarea percepiilor. Abordarea problemelor dintr-un punct de
vedere religios a oferit clienilor noi modaliti n care s-i neleag i interpreteze
starea.
Terapeutul meu mi-a prezentat un citat despre vrednicia sufletelor i mi l-a explicat n aa fel
nct s realizez c Dumnezeu m iubete necondiionat, chiar dac sufr de depresie, nu m duc la
cursuri ntotdeauna etc. Acel citat i acel gnd au fost foarte folositoare pentru mine i mi l-am repetat
de cteva ori de atunci. Presupun c e un simplu gnd, dar chiar mi d speran i ncurajare.
Terapeutul meu m-a ntrebat ct de important e religia mea pentru mine. Pentru c e centrul
vieii mele, mi-am dat seama c trebuia s fac nite schimbri care s-mi schimbe viitorul n bine.

Indiferent de tehnicile specifice pe care terapeutul le-a folosit (de ex. nvturi
despre doctrin/scriptur, confruntarea prerilor, ntrebri), beneficiul general perceput a
fost acela c clienii au dobndit o nou perspectiv/contientizare cu privire la ei nii
sau la problemele lor, ceea ce le-a facilitat progresul.
Confort personal sporit, prin congruena valorilor cu terapeutul. Spre deosebire
de paleta preponderent cognitiv de rspunsuri pe care tocmai le-am descris, rspunsurile
altor clieni au tins s reliefeze componte relaionale sau emoionale. Rspunsurile
ctorva clieni au accentuat efectele emoionale pozitive ale mprtirii de credine/valori
similare cu terapeutul (congruena valorilor). Pentru aceti clieni, simplul fapt de a fi
contient c terapeutul lor are aceleai valori sau credine religioase ca ei a sporit
confortul personal, ncrederea i deschiderea n cadrul terapiei.
Tot ce conta pentru mine, n calitate de client, era s tiu c terapeutul meu era familiar
cu credinele mele religioase. tiind c e membru al aceleiai biserici, mi-a conferit o
senzaie de confort i nelegere.
Nu am nici o problem cu faptul c terapeutul meu citeaz pasaje din Scriptur, lideri
bisericeti sau teme spirituale de fapt, m ajut s m simt mai confortabil cnd discut cu el. Pot s
m deschid mai mult, pentru c tiu c m nelege la un alt nivel, dar i pentru c nu sunt nevoit s-mi
restricionez vocabularul sau s evit subiecte religioase, ce ar putea s-mi fac relaia (terapeutic) mai
puin confortabil, cum ar fi n cazul unui terapeut laic (nereligios).

Cnd terapeuii au abordat probleme religioase n cadrul discuiilor teraputice cu

aceti clieni, au demonstrat c sunt sensibili la problemele lor, ceea ce a mbuntit
relaia terapeutic.
Recunoaterea influenelor/realitilor spirituale la un nivel mai nalt. Ali clieni
au discutat modul n care interveniile religioase n terapie i-a ajutat s recunoasc
influena transcendentului n alte circumstane/situaii. Simplul fapt de a propune spre
discuie infuene religioase, ca parte a terapiei, a avut ca rezultat o mai mare
contientizare din partea clienilor a sentimentelor ctre Dumnezeu, fapte atribuite
interveniei divine, atingerii de ctre Duhul Sfnt etc. Un citat reprezentativ este:
Faptul c am auzit perspectiva terapeutului meu m-a ajutat s simt Duhul Sfnt, care mi-a adus pacea

de care aveam atta nevoie. Discutarea problemelor spirituale/religioase n sesiunile de

terapie poate, de asemenea, s sporeasc abilitatea clientului de a tri o conexiune

personal cu o putere superioar, care permite schimbarea n bine:
Eram destul de furios pe Dumnezeu pentru abuzurile care s-au ntmplat n viaa mea i,
ajutndu-m s neleg importana liberului arbitru i faptul c Dumnezeu m iubete, [terapeutul] m-a
fcut capabil s folosesc o conexiune spiritual pentru a m vindeca, n loc s exclud acea surs i s
ncerc s fac totul pe cont propriu.

Pentru c interveniile religioase se bazeaz pe asumpia unor realiti

transcendente, cum ar fi existena unei diviniti, presupune c clienii pot s i exprime
senzaia de a fi influenai de acea divinitate. Aceti clieni au exprimat n mod clar
percepia influenei divinitii n viaa lor ca rezultat al interveniilor religioase n terapie.
Sentiment mai accentuat de empatie/conexiune cu terapeutul. Un beneficiu
emoional descris de clieni implica percepia crescut a preocuprii terapeutului pentru ei
ca indivizi. Interveniile religioase i-au ajutat s se simt iubii, de exemplu: tiu c i pas
de mine i c m cunoate bine, din moment ce ia spiritualitatea n considerare. Aceti clieni au
interpretat utilizarea de ctre terapeut a elementelor religioase ca fiind o dovad a iubirii
sau preocuprii lor.
Mai mare credibilitate a terapiei. Pentru civa clieni aparent sceptici, includerea
interveniilor religioase a sporit percepia pozitiv asupra terapiei n general. Aceste
intervenii nu doar s-au adresat unor probleme specifice experienate de client, dar au i
avut, per ansamblu, efectul de a crete ncrederea lui n procesul terapeutic.
Din cauz c terapeutul i susinea spusele cu cuvinte din Scriptur i din cauz c m-a ajutat
s vd cum pot tri mai deplin acele concepte n care deja credeam, am fost capabil s am ncredere n
el, transfernd asupra lui ncrederea pe care o aveam n credina mea, n religie, n scripturi etc.
n terapie, consilierul meu a fcut cteva referiri la scripturi. Pentru mine, acest lucru a fost n
mod special eficient, pentru c studiez scripturile i cred n ele i a adugat validare extern la ceea ce
de multe ori percep ca fiind fleacurile i nimicurile psihologiei.

Pentru aceti clieni, interveniile religioase au mrit credibilitatea terapeutului i

au dus astfel la un angajament sporit al clientului n terapie.
Adresare ctre sinele ntreg al clientului. Civa clieni au menionat c
includerea problematicii religioase n terapie a permis o abordare mai comprehensiv a
tratamentului: Prin a afla despre covingerile mele spirituale i religioase, [terapeutul] a fost capabil
s aprecieze mai bine i mai complet problema mea i Am simit c era un efort de a mbunti
toate prile, nu doar din punct de vedere psihologic, ci i din punct de vedere spiritual. Adresarea
problemelor i din punct de vedere religios a fost considerat necesar pentru schimbare
de ctre unii clieni, pentru care acest aspect al vieii lor este extrem de important: Religia

mea cluzete tot ce fac; trebuie s m consilieze din perspectiva aceasta, ca s m ajute s-mi
schimb adevrata persoan., Pentru c credinele mele religioase sunt att de importante pentru
mine i mi ghideaz viaa, pare natural ca acele credine s fie parte a experienei mele n consiliere.
Multe din alegerile, deciziile i felurile mele de a vedea lucrurile sunt guvernate de credinele mele

10

spirituale. Adresarea problematicii religioase a fost privit de unii clieni ca necesar

pentru a reflecta cu acuratee sinele lor n ntregimea lui i, deci, pentru ca experiena lor
n cadrul psihoterapiei s fie semnificativ.
Motive pentru care interveniile religioase au fost ineficiente

Clienii au expus, de asemenea, cteva moduri n care interveniile religioase au

fost ineficace. Patru categorii principale au fost extrase din rspunsurile lor (Tabelul 2).
Livrare inefiecient a interveniei spirituale. Au fost listate o varietate de
dificulti ntmpinate n felul n care terapeuii au livrat interveniile religioase. Civa
clieni au relatat c terapeuii i-au tratat cu un aer patronal sau au fost chiar ofensivi n
ncercrile lor de a integra coninutul religios n terapie: Se resimte aproape ca i cum ar vrea
s-mi nchid gura i consilierul nu mi-a respectat sentimentele i ncerca s-mi explice cum poate
Dumnezeu s m ajute i asta m-a jignit. i recomandrile simpliste au fost problematice
pentru clieni: Simplul fapt de a-mi spune c pot s-mi depesc o slbiciune prin rugciune i
studiul scripturii a fost ineficient i frustrant. Uneori, terapeuii au oferit prea mult
informaie: mi amintesc o ocazie cnd s-au fcut prea multe referiri scripturale i m-am zpcit din
cauz c nu eram pregtit s absorb toat cantitatea de informaie. n alte cazuri, terapeuii au
oferit prea puin informaie, menionnd principii generale, fr vreun plan specific sau
vreo aplicaie concret. Ali clieni au indicat faptul c interveniile religioase au fost
ineficace din cauz c nivelul lor de pregtire pentru asta nu a fost n concordan cu
momentul interveniei: Nu simt c vreo tehnic religioas a fost vreodat ineficient din cauza
tehnicii n sine. Cnd lucrurile au fost ineficiente, simt c a fost din cauz c nu aveam starea potrivit
sau nu aveam disponibilitatea de a antrena un efort sincer. Sincronizarea (timing) i

receptivitatea sunt n mod clar considerente importante pentru a decide dac ar trebui
utilizat o intervenie religioas cu un anumit client.

Sentimente accentuate de anxietate i vin. Experiene negative legate de

interveniile religioase au intervenit atunci cnd a fost evocat sentimentul clientului de
anxietate sau vin. Acestea au fost asociate ori cu nerespectarea interveniei recomandate,
ori cu a-i fi fost amintite clientului deficiene sau greeli.
Tehnicile spirituale au fost ntotdeauna eficiente pentru mine, dei uneori, dac mi amintesc
de vreun citat din Biblie pe care mi l-a spus, m simt vinovat c nu l-am respectat ntocmai, prin
urmare am sentimetul de vinovie i deci resimt mai mult presiune n a trebui s fiu mai perfect.
Am primit o list de citate din Biblie referitoare la anxietate i mi s-a spus s le citesc i s
reflectez la ele. mi pare ru s spun c nu le-am citit, din lips de timp. Aadar, acest lucru mi-a sporit
anxietatea, de fapt, n loc s-o reduc.

Interveniile religioase pot fi pgubitoare atunci cnd clienii le asociaz cu

atitudini patronale i cu a fi judecai sau cu alte situaii cauzatoare de anxietate sau vin.
Acesta poate fi cazul i cnd clienii au un istoric care implic anxietate sau atunci cnd
nu respect recomandrile (fapt care este i un indicator al disconfortului resimit n
intervenie).

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Rol neadecvat al terapeutului de a se comporta ca un lider ecleziastic. Unii

respondeni au exprimat ideea c includerea interveniilor religioase n terapie depete
limitele i ncalc atribuiile de rol ntre responsabilitile profesionale i cele ecleziastice.
Clienii care au considerat necesar o separare ntre rolul de terapeut i cel de lider
bisericesc au fcut comentarii ca: Nu mi se pare potrivit ca un consilier s-i asume rolul unui
episcop sau n opinia mea, se poate vorbi despre religie, dar nu trebuie folosit aa mult nspre a
influena. Asta e treaba preoilor sau a prinilor, dar consilierea ar trebui s rmn profesional.
Aceti respondeni i-au exprimat explicit disconfortul resimit din rolurile contrastante
asumate de terapeut.
Inadecvare de a include intervenii religioase n psihoterapie. Cu toate c
participanii la acest studiu au fost n medie foarte religioi, civa dintre ei i-au exprimat
opinia c interveniile religioase au fost ineficace prin simplul fapt c psihoterapia e un
mediu nepotrivit pentru aa ceva. Acetia au considerat c psihoterapia nu ar trebui s se
ocupe de doctrina religioas: N-am avut niciodat vreo experien spiritual pozitiv n cadrul
consilierii. ntotdeauna se pare c e o situaie nepotrivit pentru asta sau Terapia spiritual n-ar
trebui, probabil, amestecat cu psihoterapia. Aceti clieni au preferat o distincie clar ntre
interveniile psihologice i cele religioase, acestea din urm fiind considerate nepotrivite
pentru cadre relaionate cu sntatea mental.
Comentarii neutre n legtur cu interveniile religioase
Cum am menionat mai nainte, 40 de clieni au dat rspunsuri scrise care nu
conineau motive pentru care interveniile religioase au fost eficiente/ineficiente. Aceste
rspunsuri au coninut mai degrab comentarii generice sau sfaturi cu privire la condiiile
ideale pentru utilizarea interveniilor religioase n psihoterapie. Au fost ulterior mprite
n 3 categorii, descrise mai jos.
Permiterea clienilor s iniieze teme religioase/spirituale. 17 respondeni au
considerat c clienilor ar trebui s le fie permis s aduc n discuie teme religioase sau
spirituale dar c terapeuii nu ar trebui s se angajeze n discuii extensive, dect dac
clientul iniiaz topicul discuiei. Acest lucru a fost exprimat preponderent prin raportri
ale satisfaciei clienilor ai cror terapeui care au ateptat ca clientul s aduc n discuie
probleme religioase, fr a le aborda nainte n terapie.
Terapeutul n-a adus niciodat n discuie religia. Eu am fost cel care a iniiat acest subiect, iar
discuiile pe tema asta de obicei se centrau pe sentimente de obligaie i vin... iar el m-a ajutat s
privesc lucrurile n perspectiv (nu sunt un om ru dac nu merg la biseric etc.), iar problematica
religioas abordat n terapie s-a rezumat la aceste discuii. nafar de acestea, religia n-ar fi fost un
subiect potrivit, iar pentru mine ar fi fost chiar duntor.

Aceti clieni au vrut ca terapeutul s fie dispus s abordeze probleme religioase

atunci cnd ei le amintesc i s le discute n moduri care sunt congruente cu
reprezentrile lor despre lume. Nu au vrut s se simt forai s abordeze problematica
religioas.

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Adecvarea interveniilor religioase depinde de obiectivele terapiei. 17 participani

au indicat c interveniile religioase ar trebui s fie relaionate cu obiectivele
tratamentului. Utilizarea lor ar trebui s se potriveasc valorilor clientului i felul cum
sunt implementate ar trebui s varieze n funcie de client: Nu vd nimic greit n tehnicile
religioase atta timp ct sunt pertinente pentru progresul clientului i religia e doar att de util pe

ct o facem noi s fie. Trebuie s fie inclus n terapie ntr-un mod adecvat fiecrui client i n funcie
de valoarea pe care acesta o d tehnicilor religioase. Aceste rspunsuri sugereaz c terapeuii

ar trebui s ajusteze utilizarea interveniilor religioase n funcie de necesitile fiecrui

client n parte.

Ar fi fost de dorit mai multe intervenii religioase. Un ultim set de comentarii,

fcute de 6 clieni, au fost caracterizate de dorina ca terapeutul lor s utilizeze mai multe
intervenii religioase n cadrul terapiei, pe viitor. De exemplu, cred c a putea avea
experiene pozitive dac terapeutul ar vorbi mai mult despre lucruri spirituale i nu am avut parte de

multe intervenii religioase. ntr-un fel, mi doresc s fi avut i a vrea s fie mai multe pe viitor.

Discuie
Clienii care au luat parte la acest studiu au susinut cteva intervenii religioase
ca fiind adecvate i de ajutor, n cadrul terapiei la un centru de consiliere al unei
universiti cu afiliere religioas. Unii dintre ei i-au exprimat dorina ca interveniile
religioase s fie mai mult integrate n tratamentul lor, dar ratele de prevalen raportate de
clieni pentru intervenii religioase specifice n acest studiu aproximeaz rezultatele
obinute n cercetri anterioare, ce implicau estimrile terapeuilor (Moon et al., 1993 ;
Richards & Potts, 1995 ; Worthington et al., 1988).
Cu privire la nivelul de adecvare al interveniilor religioase n psihoterapie,
interveniile religioase din afara sesiunii terapeutice au fost considerate mai adecvate
dect cele din cadrul ei. Cu toate acestea, interveniile din cadrul sesiunii de terapie au
tins s fie evaluate ca mai de ajutor (helpful). Se poate ca interveniile din afara edinei
de terapie s fi fost vzute ca fiind mai puin invazive sau mai puin amenintoare dect
cele din cadrul edinei, care au loc n prezena terapeutului. Oricum, trebuie luat n
considerare faptul c interveniile religioase n afara edinei teraputice au fost utilizate
mai puin de jumtate la fel de des precum cele din cadrul acesteia, cu doar 148 de
intervenii utilizate n afara edinei terapeutice raportate, fa de 299 raportate n cadrul
ei. Utiizarea mai puin frecvent a interveniilor religioase n afara sesiunii terapeutice de
ctre terapeui ar putea avea cteva explicaii, care ar putea fi investigate n cercetri
ulterioare, n cazul n care acest pattern se menine i n alte condiii, cu alte eantioane.
Acest eantion de clieni, membri ai Bisericii Zilei Tuturor Sfinilor, a evaluat
anumite intervenii religioase ca fiind moderat de ajuttoare (helpful) cnd sunt incluse n
psihoterapie. Interveniile care au fost evaluate ca fiind cele mai de ajutor au fost
instruirea de ctre terapeut n principii religioase/spirituale, deschiderea (self-disclosure)
terapeutului n legtur cu problematica religioas/spiritual, ncurajarea terapeutului
ctre client de a-i ierta pe ceilali, evaluarea religiozitii/spiritualitii clientului de ctre
terapeut i utilizarea citatelor din Biblie. Aceste rezultate se suprapun oarecum cu acelea
obinute de Worthington i col. (1988), incluznd ncurajarea nspre iertarea semenilor i
13

sarcini de lucru orientate spre Dumnezeu sau religie. Sunt, de asemenea, similare i cu
percepiile terapeuilor (Richards & Potts, 1995), care au enumerat instruirea n concepte
religioase, utilizarea comunitii religioase i citatele din Scriptur ca fiind cele mai utile
ajutoare pentru clieni. Ar trebui, de asemenea, luat n considerare faptul c n studiul de
fa, cele mai utile intervenii au fost i cele evaluate de clieni ca fiind cele mai adecvate
i cele mai utilizate. Astfel, se pare c terapeuii din studiul curent au utilizat n general
intervenii care au fost percepute utile de ctre clienii lor. Cu toate acestea, n anumite
cazuri, clienii au oferit evaluri combinate (n sensul c aceeai intervenie era vzut de
unii ca fiind util, iar de alii ca fiind inutil), ceea ce sugereaz c alte variabile dect
intervenia specific ar putea fi responsabile de eficiena perceput a acesteia. Literatura
precedent sugereaz c elemente cum ar fi variabile ce in de client, variabile ce in de
terapeut i variabile ce in de proces contribuie mai mult la eficiena unei intervenii dect
intervenia n sine (Bergin & Garfield, 1994).
Analiza de coninut a ntrebrilor deschise la care au rspuns clienii din studiul
curent a extras teme centrale ale motivelor pentru care interveniile religioase au fost
percepute ca fiind eficace sau ineficace. Per ansamblu, aceste rspunsuri au indicat o
coincidere semnificativ ntre competena general de consiliere i competena n
utilizarea interveniilor religioase. De exemplu, clienii s-au concentrat n general pe
factori ca dobndirea unei noi perspective, dobndirea ateniei pozitive din partea
terapeutului i adresarea necesitilor clientului, mai degrab dect pe interveniile
religioase specifice, atunci cnd au listat motive pentru care interveniile religioase ar
putea fi eficace. n mod similar, s-au concentrat n general pe factori ca livrarea
ineficient atunci cnd au listat explicaii pentru experienele ineficiente legate de
interveniile religioase n terapie. Date fiind aceste rezultate, nu ar fi surprinztor dac
cercetri ulterioare ar confirma faptul c efectele potenate asociate cu interveniile
religioase (Smith et al., in press) se datoreaz factorilor generali ce influeneaz relaia
terapeutic i expectanele clientului, la fel de mult ca impactului interveniei n sine.
Ca rspuns la cele dou ntrebri deschise despre eficiena i ineficiena
interveniilor religioase, clienii din acest studiu au listat de dou ori mai multe situaii n
care interveniile au fost eficiente fa de situaii n care au fost ineficiente. Au raportat,
de asemenea, o varietate de efecte cognitive i emoionale pozitive care au emers din
utilizarea interveniilor religioase. De exemplu, civa clieni au indicat c au resimit mai
mult confort i mai mult ncredere interacionnd cu cineva care le mprtete
credinele religioase i valorile, o concluzie care a fost consecvent i n cercetrile
anterioare (de ex. Bergin & Jensen, 1990). n orice caz, o descoperire care nu a mai fost
n mod particular menionat n cercetrile anterioare este faptul c unii dintre clienii din
studiul de fa au considerat c abordarea problematicii religioase n terapie a ncurajat
experiene transcendente, cum ar fi perceperea influenei lui Dumnezeu n viaa lor.
Psihologii, n general, au evitat sau au minimizat experienele care nu sunt observabile
(Bergin, 1980 ; 1991), dar decizia de a a evita experienele transcendente s-ar putea s nu
fie justificabil, dat fiind faptul c i alte variabile psihologice (nereligioase) se bazeaz,
de asemenea, exclusiv pe percepiile participanilor la terapie. Cercetrile ulterioare ar
putea avea de ctigat de pe urma mai bunei nelegeri a acestor experiene, din
perspectiva clienilor.
Cu toate c situaiile n care interveniile religioase au fost eficiente au fost
descrise mai frecvent dect situaiile n care acestea au fost ineficiente, faptul c 37 dintre

14

clieni au raportat totui existena unor intervenii religioase ineficiente este esenial de a
fi luat n considerare. Convergent cu accentul plasat de Chapelle (2000) pe importana ca
terapeutul s nu impun valorile sale proprii, clienii care au luat parte la acest studiu au
preferat ca terapeuii s se lase condui de ei n discutarea problemelor de ordin religios.
Descrierile de ctre clieni a altor aspecte de ineficien ale interveniilor religioase au
mers n paralel cu aspectele discutate anterior n literatura de specialitate, cu privire la
contextul n care se desfoar terapia i la natura relaiei terapeutice (Richards & Bergin,
2005), ca de exemplu preocuprile referitoare la faptul c terapeutul i asum un rol
ecleziastic sau la timpul de inserare (timing) a interveniilor religioase. Aceste ngrijorri
sunt n concordan cu constatrile lui Worthington i ale colegilor (1988), care au sesizat
c momentul de inserare (timing) a unei intervenii este mult mai important pentru terapia
efectiv, dect numrul de intervenii spirituale utilizate de ctre un terapeut. Clienii care
au acuzat n trecut experiene provocatoare de anxietate sau insulttoare n legtur cu
aspecte ce in de religie, au precizat faptul c, n cazul lor, simpla introducere a
interveniilor religioase dobndete conotaii negative, cu precdere sentimente de
vinovie vizavi de propriile lor insuficiene/inadecvri. Anumii clieni cred c
psihoterapia este este un cadru nepotrivit pentru a discuta subiecte religioase, indiferent
de consideraiile contrare. Prin urmare, interveniile religioase nu ar trebui privite ca un
lucru subneles, chiar i n cadrul clinicilor asociate cu organizaii religioase, necesitnd
aprobarea clientului.
Uneori, clienii percep intervenia religioas din cadrul psihoterapiei ca fiind
ineficient, din cauza dificultilor la nivelul aplicrii (comunicare deficitar). Studii
anterioare au indicat faptul c o minoritate dintre clinicieni exprimau ncredere i
competen privind integrarea subiectelor religioase n cadrul terapiei (Shafranske i
Malony, 1990; Young, Cashwell, Wiggins-Frame, i Belaire, 2002). Programele
doctorale nu abordez adecvat subiecte religioase (Brawer, Handal, Frabicatore, Roberts,
i Wajda Johnson, 2002; Walker i colab. 2004), iar acest lips de pregtire ar putea
determina: evitarea acestor subiecte de ctre terapeut, supracompensarea pentru lipsa de
pregtire printr-o preocupare excesiv pentru acest aspect sau aplicarea ineficient a
inteveniilor religioase n momentul n care ncearc. Ne-am alturat altor academicieni n
recomandarea de a aborda n mod serios a aspectele privind pregtirea profesional
pentru abordarea religiei i pentru aplicarea interveniilor religioase (Crook-Lyon i
colab, 2007; Young, Cashwell i Wiggins-Frame, 2007).
Limite ale studiului
Rezultatele studiului prezint o serie de caliti. n primul rnd, dei participanii au
fost diveri la nivel de vrst, gen, origine geografic, probleme prezentate, au fost relativ
omogeni prin statutul de studeni ai unor colegii cretine (Biserica ZTS). Totui,
rezultatele obinute nu au fost diferite de cele gsite n alte cercetri (Moon i colab,
1993; Worthington i colab., 1988). Datele noastre nu prezint experienele individuale
din alte denominaii religioase sau cu alte orientri religioase. n plus, acest studiu
investigheaz terapia religioas practicat ntr-un centru universitar promovat de
Biserica ZTS, deci rezultatele nu reprezint practici din alte contexte de terapie. Din
cauza omogenitii din cadrul universitii, este posibil ca terapeuii s fie mai
confortabili n adresarea sincer unor subiecte religioase n cadrul terapiei, dect

15

terapeuii din cadre caracterizate prin diversitate denominal, unde ar fi clar necesitatea
aplicrii unei abordri ecumenice. Cu toate acestea, Bergin i Payne (1991) au afirmat c
studiul centrat pe denominare poate fi util pentru acest domeniu, iar noi ndemnm
efectuarea unor studii comparative cu alte populaii i n alte cadre. Cercetrile ulterioare
ar trebui s continue evaluarea perspectivei clientului cu privire la utilitatea interveniilor
religioase n cadrul psihoterapiei, n mod particular cnd clienii, inclusiv cei 26% de
studeni din universiti religioase, raporteaz distres moderat spre extrem cauzat de
problemele religioase sau spirituale.
Utilizarea auto-rapoturilor ca metod de colectare a datelor este o alt limit potenial a
studiului. Nu am putut face dinstincia ntre interveniile realizate cu adevrat i
interveniile raportate, iar rezultatele sunt expuse unui bias de mono-operaionalizare.
(Cook i Campbell, 1979). Am euat n evaluarea simptomatologiei sau strii de bine a
clientului, ca funcie a interveniei puse la dispoziie. Mai mult, interveniile religioase nu
au fost stardardizate ntre terapeui, deci se poate s fi existat o variabilitate considerabil
n felul n care a fost abordat fiecare tip de intervenie pentru diversele cazuri de terapie.
n cele din urm, din cauz c nu toi clienii care s-au prezentat la centrul de consiliere
au dorit s completeze chestionarul, participanii la acest studiu se poate s fi diferit de
non-participani n moduri care ar fi putut biasa rezultatele (de ex., participanii au putut
fi mai motivai sau mai compliani dect non-participanii, fapt ce poate reflecta diferene
implicite n ceea ce privete simptomele depresive sau dispoziia de a pune n discuie
conveniile sociale, inclusiv normele religioase etc.)
Sumar
Reacionnd la un hiatus existent n literatura actual (Chamberlain, 1996;
Richards & Bergin, 2005; Richards & Potts, 1995), acest studiu a evaluat perspectivele
clienilor legate de adecvarea i utilitatea interveniilor religioase n cadrul psihoterapiei.
Studiul a confirmat faptul c clienii religioi (LSD/ membri ai Bisericii Zilei Tuturor
Sfinilor) percep, n general, interveniile de natur religioas ca fiind adecvate i utile n
psihoterapie. Cu toate acestea, exist cteva aspecte importante, de care terapeuii trebuie
s in cont. Atunci cnd este implementat, orice intervenie religioas trebuie s fie n
acord cu valorile clientului, cu nivelul su de pregtire pentru o asemenea intervenie i
cu motivele pentru care acesta urmeaz terapia. Clienii doresc s fie susinui, nu
manipulai. La fel cum se ntmpl cu orice alt fel de intervenie terapeutic, i n cazul
acesta, terapeuii ar trebui s evalueze cu atenie i s fie ghidai de preferinele i
perspectivele clientului.
Datele prezentate aici, ce in de preferinele i perspectivele privitoare la
interveniile religioase, ar trebui s ofere informaii studiilor ulterioare privitoare la
rezultate/consecine (Worthington & Sandage, 2002). Studiile de psitoterapie existente
susin c interveniile religioase sunt ntr-adevr mai eficace n cazul clienilor religioi,
comparativ cu terapiile laice (Smith et al., in press), ns pasul urmtor pentru cercettori
este s progreseze n nelegerea proceselor prin care interveniile de natur religioas
amelioreaz simptomele clienilor. Studiul prezent accentueaz importana insight-ului
sporit i a percepiilor reformate prilejuite de inserarea perspectivei religioase n terapie,
i de asemenea a beneficiilor relaionale i emoionale aparente. Atribuirile fcute de
clieni experienelor transcendente (de ex., sentimente de apropiere fa de Dumnezeu),

16

necesit, de asemenea, o explorare mai amnunit. Studierea proceselor psihoterapeutice

care examineaz explicit aceste chestiuni ar putea reprezenta o direcie viitoare pentru
eforturile de cercetare.

Bibliografie
(...)

ARTICOL TRADUS DE
Laura Belean
Ramona Monica Rad
Cristina Tacaciu

17

 
 
The Role of Religion in Therapy: Time for Psychologists to Have a Little
Faith?
Kevin S. Masters
PII:
DOI:
Reference:

S1077-7229(10)00052-0
doi:10.1016/j.cbpra.2009.11.003
CBPRA 272

To appear in:

Cognitive and Behavioral Practice

Received date:
Accepted date:

16 November 2009
23 November 2009

Please cite this article as: , The Role of Religion in Therapy: Time for
Psychologists to Have a Little Faith?, Cognitive and Behavioral Practice (2010),
doi:10.1016/j.cbpra.2009.11.003

This is a PDF le of an unedited manuscript that has been accepted for publication.
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COMMENTARY

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Running head: RELIGION IN PRACTICE

The Role of Religion in Therapy: Time for Psychologists to Have a Little Faith?

Abstract

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Kevin S. Masters, Syracuse University

The argument has been made that religious and spiritual (R/S) forms of treatment, or R/S
adaptations of existing treatments, are an appropriate, culturally sensitive, and potentially
efficacious method of intervention when working clinically with religious patients experiencing
psychological, behavioral, or physiological dysfunction. The previous articles in this special
series describe four such interventions designed for use with patients with particular presenting
problems including serious mental illness, cancer, eating disorders, and scrupulosity. This article
offers a brief historical presentation on the growth of interest in R/S in clinical psychology and
behavioral medicine, with particular attention to the general issue of the role of values in therapy,

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RELIGION IN PRACTICE

and includes criticisms of integrating R/S in treatment. The difficulty of appreciating unique R/S
perspectives and their relevance for particular clients is emphasized and the question of whether

a true understanding of R/S beliefs necessarily leads to better health is examined. Each of the

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four therapies presented in this special series is individually analyzed, and it is clear that they

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offer sensitive and culturally relevant approaches to treating the various disorders, though areas

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of potential improvement or possible confusion are highlighted. Finally, the following are
deemed essential if R/S-informed therapies are to impact the field and be appropriately
introduced with clients: (a) training of future and current practitioners; (b) longitudinal research

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on R/S; (c) outcome studies of R/S interventions; and 4) adequate funding for the achievement of

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these goals.

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RELIGION IN PRACTICE

Well-known sportswriter Mitch Albom has the current (November, 2009) New York Times

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number-one nonfiction bestseller with his book Have a Little Faith (Albom, 2009). The work
chronicles the faith experiences of two men: Alboms rabbi from his youth and an African-

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American inner-city preacher working with the homeless in Detroit. In the rabbi, we read of a

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man whose faith was a continuous lifelong journey that touched the lives not only of the
members of his synagogue but many others in profound ways. This is symbolized at one point by
the story of his delivery of a eulogy at the funeral of the Catholic priest whose church was next-

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door to the synagogue. For the preacher, the faith journey was quite different. Heavily involved
in illicit drug abuse, one night he feared being shot by the dealers he had robbed and so he

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prayed to Jesus, promising that if his life would be spared then he would serve God with his

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remaining days. Though many have no doubt offered similar prayers in such times of duress and

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failed to follow through, this man kept the promise. His life literally changed overnight: the next
day he began a self-imposed drug detoxification that started him down the path to a life of

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ordination and religious service among the down-and-out of society. The book speaks of
transformation, of the power of faith to change and enrich lives in both dramatic and small,
everyday ways. It poignantly notes that for the person of religious faith, all of life is conceived
and viewed through the lens of belief. In short, these individuals cannot live without it.
This has, of course, been true throughout the ages. The major world religions have
survived numerous proclamations of their imminent demise precisely because they possess
extraordinary power to change lives, to offer rebirth and renewal, new beginnings. So I find it
strange that psychology, particularly the applied area of psychologythe area that is largely
concerned with change processeshas for so long viewed religious faith as, at best, irrelevant

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and perhaps pathogenic. Social psychologist Robert Hogan stated, Religion is the most
important social force in the history of man [sic] But in psychology, anyone who gets

involved in or tries to talk in an analytic, careful way about religion is immediately branded a

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meathead; a mystic; an intuitive, touchy-feely sort of moron (quoted in Bergin, 1980, p. 99).

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Fortunately this view, though perhaps still held privately, is no longer dominant in psychology.

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As demonstrated by this series, and many other special issues of prominent peer-reviewed
scientific journals over the last decade, religion and spirituality (R/S) have become legitimate
areas of inquiry in psychology and other behavioral sciences as well as in epidemiology and, to a

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lesser extent, medicine. The Society of Behavioral Medicine has a Spirituality and Health
Special Interest Group (SIG) whose membership total ranks 10th out of 18 SIGs. Masters (2007)

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surveyed the literature and found an increase in numbers of health-related publications

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addressing R/S. This trend began in about 1980 and substantially increased in around 1990, with

religion.

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recent movement showing a greater rate of increase for articles pertaining to spirituality than

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There are many factors that likely played a role in this increased interest in R/S. As
articles in the present series noted, religious beliefs and practices are highly prevalent in the U.S.
population. Though accurate religious service attendance figures are difficult to gather and some
reports may be overestimates (Hadaway & Marler, 2005), it is clear that for at least a significant
percentage of the population, religion is important to daily life. This widespread acceptance of
religion in the American culture has potentially important research funding implications. To
obtain support from the National Institutes of Health, it has become essential to demonstrate the
public health significance of the study. Thus, introductory sections to published articles and grant
funding proposals consistently portray the disease or health relevant behavior under study as of

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utmost importance to the health of the country, often on the basis of how pervasive it is. In this
environment, demonstrating that religious faith is widespread is a noteworthy beginning. But

there is no reason to believe that the percentage of Americans for whom religion is important has

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in any significant way increased in recent times. What is new, however, is the appearance of

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several large epidemiological studies and meta-analyses, some of which included appropriate

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statistical controls, demonstrating beneficial relationships between religion (typically defined as

religious service attendance) and various indices of morbidity and mortality (e.g., Clark,
Friedman, & Martin, 1999; Gillum & Ingram, 2006; Goldbourt, Yaari, & Medalie, 1993;

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Hummer, Rogers, Nam, & Ellison, 1999; McCullough, Hoyt, Larson, Koenig, & Thoresen,
2000; Oman, Kurata, Strawbridge, & Cohen, 2002). A behavior or phenomenon that a large

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segment of the population participates in, deems important, and also affects health should draw

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the attention of researchers, practitioners, and perhaps even funding sources.

Another factor in the growth of R/S perspectives in therapy is the general

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acknowledgment and acceptance of the importance of culture as an influential force in

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understanding both behavioral pathology and its treatment. An important pioneer in this regard is
Jerome Frank, who in his classic 1961 work Persuasion and Healing (subsequent editions
published in 1973 and 1991) noted that the therapeutic encounter takes place within a certain
cultural context that influences definitions of illness, acceptable treatments, and what it means to
be healthy. Frank was clearly ahead of his time, but the movement toward respect and
understanding of ethnic and cultural factors as they impact therapy process and outcome has
been perhaps the major accomplishment in clinical psychology in the last two decades.
Currently, definitions of evidence-based practice by both the American Psychological
Association (APA Presidential Task Force on Evidence-Based Practice, 2006) and the Council

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for Training in Evidence-Based Behavioral Practice (2009) include specific reference to patient
values and culture. Further, the Guidelines and Principles for Accreditation of Programs in

Professional Psychology (APA Commission on Accreditation, 2009) and the APA Ethical

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Principles of Psychologists and Code of Conduct (American Psychological Association, 2002)

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explicitly recognize the importance of respect and competence when it comes to religious issues

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in therapy and other applied contexts.

The factors noted above have important implications for psychological and behavioral
practice, but a watershed event of relevance to this discussion occurred in 1980 when Allen

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Bergin pointedly challenged the psychotherapy community to embrace religious values. He

offered six theses and several empirically testable hypotheses based on his belief that religious

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values were an important and potentially helpful aspect of therapy. Not everyone agreed then and

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not everyone agrees now, but the work of Bergin and many others, particularly Larry Beutler,
demonstrated the centrality and importance of values in therapy and behavior change. Beutlers

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work through the 1970s to 1990s established that patients tended to adopt the values of their

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specific therapists. Previously, other investigators (Murray, 1956; Truax, 1966) demonstrated
that even Carl Rogers was not able to keep values out of therapythat he systematically
rewarded and punished expressions on the basis of what he liked and disliked. Clearly any
encounter wherein two people come together and one has as his/her function in the relationship
to help-influence-facilitate-teach some kind of change in the other cannot be an encounter that is
value free. In fact, such an encounter will necessarily be quite the opposite, call it value
saturated. Choice of outcome goals, techniques, appropriate sequencing of events, and so forth
are all heavily influenced by values. It is in this regard that a common and significant thread runs
through the presentations found in this special series. What is different about these therapies, as

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opposed to many of their more standard counterparts, is the explicit acknowledgment of the
importance of values, particularly religious values, and the need to not only respect but actively

incorporate them in the service of therapeutic change. Weisman de Mamani and colleagues

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(2010; this issue) note that R/S values may bolster the effects of psychotherapy because they

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incorporate themes of gratitude, forgiveness, and empathy, which are essential in the therapeutic

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process (p. xx). Karekla and Constantinou (2010; this issue) adapt Acceptance and Commitment
Therapy (ACT) for use with cancer patients, in part because of the central nature of values in this
approach and the importance it places on living in congruence with ones values. Similarly,

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Spangler (2010; this issue) notes that client values are deliberately explored (p. xx), again with
the likely possibility of uncovering discrepancies between what patients purposely and

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consciously value and what they are doing when engaged in eating disordered behavior. Finally,

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Huppert and Siev (2010; this issue) offer a very thoughtful and culturally sensitive approach to
treating scrupulosity among religious individuals and note that the therapeutic process includes

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helping the patient notice how symptoms of obsessive-compulsive disorder (OCD) interfere with

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other highly valued areas of life, including religious observance and family. These four
therapeutic approaches take seriously the imperative to be not only culturally sensitive but to go
beyond this and be culturally informed, the culture in this case being distinguished by its
religious perspective and traditions.
But do they go too far? Weisman de Mamani and colleagues (2010; this issue) note,
we talk to clients about the research pointing to positive links between religion and psychological
adjustment, and we engage them in a conversation about the potentially beneficial role of
religion and spirituality in their own lives as a means of coping with adversity (p. xx). This is
exactly what Richard Sloan (Sloan & Bagiella, 2002; Sloan, Bagiella, & Powell, 1999, 2001) has

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warned behavioral medicine practitioners to avoid. Sloan posits many reasons why religion
should stay out of therapy, but principle among them are fears of coercion, violations of privacy,

the possibility of doing harm, and discrimination against individuals for whom religion is not

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important. (Note that Sloans written comments seem more directed toward medical practice, but

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clearly his point is that health professionals need to steer clear of religion when engaged in

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practice. He presented his work to the Society of Behavioral Medicine, an organization

comprised of many psychologists. Further, therapists treating serious mental illness, eating
disorders, cancer, and OCD would presumably be considered health professionals and thus the

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therapies in this issue fall under Sloans indictment.) Sloan analogizes that even though it is
known that marriage is good for mental and physical health, practitioners would not instruct an

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unmarried patient to marry because this would be a violation of privacy that would overstep the

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legitimate bounds of a practitioners scope of practice. Similarly, he reasons, religious practices

and beliefs are private matters that are not the purview of the health care professional.

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In my opinion, Sloans conceptualization of the legitimate boundaries of intervention is

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too narrow and consequently excludes much of what is essential to human health and well-being.
Though researchers and therapists operate in a world of highly differentiated and specific
theoretical constructs, patients come as whole organisms. They connect the dots of their lives;
they integrate experience and find understanding and meaning in it. In fact, a major drive of
humans is the quest for wholeness, to feel an integration and consistency among their beliefs,
feelings, actions, experiences, and so forth. For religious patients, their religious beliefs often
form the point of integration, the fulcrum in the void, that brings together life experiences. To
them, mental and physical function cannot be divorced from R/S aspects of life, and therapists
that attempt to do so with these patients will find themselves distant from those they are treating.

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But Sloans objections deserve hearing, for in the area of religion, as in any culturally
sensitive domain, the possibilities for misunderstanding, inefficiency, and even harm are

numerous. In one instance Sloan (Sloan et al., 2001) argues that discussions of religious

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activities (e.g., suggestions to attend church) take up scarce intervention time that could be better

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spent in many other ways that have stronger empirical support for their effectiveness. Indeed, it

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seems that one of the risks of developing forms of therapy that specifically integrate religious
perspectives might be the tendency to overemphasize the importance of religious influences.
Therapists in the past were often accused of conforming patients problems to the therapists

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preferred form of treatment. The relevance of particular R/S interventions must vary according to
the idiographic characteristics of the patient, the problem, the particular point in time, etc.

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Consequently, therapists trained in the application of religiously informed therapies need to

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monitor their own exuberance to make sure that their therapeutic approach creates the best
chance for a successful outcome for the client.

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A related issue pertains to developing an understanding for how the particular client

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integrates religious concerns. Not only do different identified religious groups differ in their
beliefs, but individuals within religious groups also show substantial heterogeneity in terms of
not only the content of their beliefs but also in the relative importance those beliefs have for their
psychological functioning. Thus, for example, knowing that someone is Catholic, Mormon,
Presbyterian, or Jewish is informative but until the therapist understands what this means for the
particular individual as applied to the current therapeutic problem, the possibility for
misunderstanding remains great. Fortunately, the therapies presented in this special section are
very alert to this issue and clearly specify that therapists must understand the unique workings of
religion for their particular clients before effective integration of religious constructs can begin.

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The writers are also sensitive to the need to sometimes include clergy in order to better
understand particular beliefs from the official perspective of the religious group. This can be

important for correction when patients have a misunderstanding of their religious organizations

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views and thus are likely applying them in ways that reinforce pathology rather than health.

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However, as these therapies become more widely disseminated it will be essential that those

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training others in their application remain vigilant to emphasize the need for understanding the
religion of the individual.

An assumption potentially underlying the integration of R/S values into therapy that

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deserves at least brief discussion is the idea that these religious values are, ipso facto, healthy.
Thus if individuals truly understood and applied the religious precepts in the manner intended by

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the authors of the faith they would experience mental health and, to the extent that mental health

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influences physiological functioning, physical health as well. I cannot say if this assumption is
accurate. In an empirical sense this seems to be a question that can be addressed, but not

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answered. The obstacles are numerous. For example, whose interpretation of the faith is the

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correct/intended interpretation and therefore the one to empirically study? What, in fact, are the
essential characteristics of mental health? Nevertheless, it is possible to make empirically
informed statements on the basis of testable hypotheses regarding the relations between specific
religious values and particular mental health variables. In fact, Bergin (1980) declared several
such hypotheses, and data addressing them are now available. Further, there are centuries of
evidence suggesting that the principles of the worlds religions have stood the test of time, that
they offer to believers something important and beneficial for their lives. But surely any
consideration of religious values and mental health also needs to take into account the particular
culture surrounding a person who holds specific beliefs. The Bible, for example, in many places

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11

suggests that faithfulness to Christian morals and principles is antithetical to the social standards
accepted by the surrounding culture (in biblical terms, the world). In such instances the believer

could expect persecution, ostracism, or at least a feeling of not fitting in. Could this cause mental

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health concerns for these individuals? (I use Christianity as the example but the principle applies

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to any faith). Finally, consider the purpose of religion. I make no pretense to being a theologian

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or church historian, but it seems that the emphasis in religious teaching has historically been the
development of faith and the ability to follow the precepts of that particular religion because
these teaching are true, not because they are necessarily comfortable or emotionally satisfying in

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ones particular life circumstance. This is a noteworthy distinction. One might hypothesize that
certain religious teaching could, in some circumstances, be quite comforting. For example, when

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one is ill and believes that a loving God is personally comforting and controlling the events, a

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sense of peace or relaxation may follow. Alternatively, the belief that one should attempt to win
converts to the faith may present religious individuals with a significant inner struggle in terms

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of being faithful to this teaching and acting on it in daily life in addition to desiring to not be

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offensive to others or lose social relationships as a result of attempts to win converts. If

relationships are lost because of such actions, a new set of stressors is faced. In short, I believe it
is a mistake for psychologists to assume that religious teaching, if followed, will necessarily
bring about beneficial psychological results. After all, Jesus himself, the model for Christians
around the world, is described as a man who clearly experienced psychological distress during
his life.
Comments on Particular Articles
Keeping these general thoughts in mind, I will now offer brief comments on each of the
individual articles in the series.

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Incorporating Religions/Spirituality Into Treatment for Serious Mental Illness (Weisman de

Mamani and colleagues, 2010; this issue)

Weisman de Mamani et al. challenge traditional thinking by proposing a form of treatment for

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those suffering from serious mental illness that purposely includes religious perspectives. They

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offer an excellent and informative review of the literature on previous attempts to incorporate

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religious principles into treatment and cite positive (e.g., discussions of spiritual resources,
strivings, forgiveness, intrinsic religiosity, positive religious coping) and negative (e.g.,
obsessive prayer or Bible reading) uses of religion. Importantly, they directly discuss the issue of

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religiously themed delusions, clearly an area worthy of more research. In this regard one
question that seems deserving of investigation is the possible influence of a religiously oriented

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or informed therapist on clients willingness to report religious delusions. Given the episodic

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course of many serious mental illnesses, such as schizophrenia, patients have periods of greater
and lesser understanding of their external world and interpersonal relationships. During the times

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when patients are in relatively better contact with their therapist and therefore have greater

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sensitivity to interpersonal nuance and better communication, is it possible that patients could
feel inhibited about disclosing experiences of religious delusions when talking with a religiously
oriented therapist? This is an interesting question for study.
Weisman de Mamanis team (2010; this issue) notes that they have two forms of their
Exploring Your Spirituality handout. One uses overtly religious or spiritual language whereas the
other, intended for families that are not religious, focuses on existential beliefs about meaning
and purpose. A possible research question pertains to whether religious families would actually
have better outcomes with the overtly R/S treatment. In this regard I am reminded of the
somewhat surprising results from the well-known study by Propst and colleagues (Propst,

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Ostrom, Watkins, Dean, & Mashburn, 1992), found that found nonreligious therapists who used
a religious form of cognitive-behavioral therapy (CBT) with religious clients had better

outcomes than religious therapists using the same treatment. This was not predicted and so far as

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I know has never been adequately explained, but it demonstrates that when it comes to religion

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in therapy one must be open to surprises.

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Finally, case study one in this article raises a host of significant concerns that will be
encountered by those attempting to use spiritually oriented therapy. The client presents with an
unorthodox combination of beliefs drawn from many different traditions and streams of thought.

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For some therapists, even those working within a spiritual perspective, it may be difficult to
meaningfully operate within a clients worldview if that view presents unusual beliefs or beliefs

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that the therapist personally finds untenable. It is noteworthy that one of the therapeutic tactics in

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this case was steering the conversation away from philosophical conjecture and back toward
topics that seemed more directly related to coping. A basic pragmatism is, in my opinion, good

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for therapists of all stripes. But one can easily see how it might be difficult to work toward

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pragmatic ends without in some way conveying to clients that their particular beliefs are not
being taken seriously. A therapists philosophical conjecture may be a clients central belief! To
avoid the trap of getting caught up in theological or philosophical discussion that may in fact be
irrelevant to the treatment, the therapist needs sensitivity and careful judgment. I appreciate the
authors sharing this case as it highlights many challenges to be understood and met when
applying an R/S-informed therapy.
Religious Coping and Cancer: Proposing an Acceptance and Commitment Therapy Approach
(Karekla & Constantinou, 2010; this issue)

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Karekla and Constantinou introduce the idea of adapting ACT to a spiritual perspective for use
with cancer patients. They provide a concise overview of religious coping, discuss subtypes of

coping styles, and note factors that influence whether and what type of religious coping is used.

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They specifically identify mechanisms that may mediate effects of R/S for cancer patients and

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provide a detailed review of religious coping measures. In their discussion of the Functional

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Assessment of Chronic Illness Therapy-Spiritual Well-Being questionnaire, they briefly address

a key issue that should perhaps be highlighted because of its more general implications. Some,
maybe many, measures of R/S are worded such that in order to score high on them (i.e., to be

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characterized as more spiritual or religious) one must answer in what would generally be
considered a mentally healthy way. In studies attempting to demonstrate that R/S predicts mental

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health, use of these measures presents a case of confounding the predictor with the outcome. It is

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important that when investigators are interested in ascertaining relations between R/S variables
and mental health outcomes that they carefully consider the issue of conceptual overlap between

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measures. It is not enlightening for the study of R/S to demonstrate that one measure of mental

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health predicts the score on another measure of mental health. Careful construct definition and
measurement is essential to avoid this pitfall.
Another major issue that these authors highlight is the paucity of studies that assess
religious coping over time (i.e., longitudinal investigations). They note that individuals may
experience change in the quantity (more or less) of their faith or they may even change faiths. In
fact, the recent Pew report on religion in America (Pew Research Center, 2008) noted a complex
pattern of change characterizing Americans that are members of a faith tradition different from
the one they were raised in. Though there are cross-sectional studies of individuals at all ages,
there are very few studies of individuals across time. This limits progress in many ways. Not

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only does it make it difficult to discuss R/S development across the lifespan but it also makes it
exceedingly hard to determine the temporal sequence of events. Prayer is one example. There is

logical and empirical support for the following hypotheses: (a) there is a positive relationship

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between prayer and illness, and (b) there is a positive relationship between prayer and health.

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When people become ill they are likely to increase their prayer life; thus, more prayer is

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associated with worse health. But people who pray regularly may also find peace with God,
experience relaxation, and thus more prayer could be associated with better health or disease
prevention. These can only be teased apart if the progression over time of both prayer and health

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status is known. This requires longitudinal investigation.

Incorporation of ACT into a treatment that utilizes R/S perspectives is both appropriate

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and timely. Spangler (2010; this issue) also uses aspects of ACT in her approach to treating

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eating disorders. It is noteworthy that many of the so-called third-wave CBTs alloweven
encouragespiritual application. ACT is establishing an impressive empirical record and seems

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philosophically amenable to most R/S perspectives. It is not coincidence that two of the therapies

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in this series utilize it in their interventions.

Heavenly Bodies: Religious Issues in Cognitive Behavioral Treatment of Eating Disorders
(Spangler, 2010; this issue)
Spangler, a recognized expert in CBT, provides a well-thought-out plan for integrating religious
concepts into traditional CBT for eating disorders, though ACT and other approaches are also
included. She begins by citing data demonstrating that prevalence rates for eating disorders vary
across denominations and hypothesizes that different aspects of particular religious doctrines
may influence these varying rates. She freely acknowledges from the outset that cultural and
environmental factors with no connection to religion are also potent causal mechanisms.

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Throughout the article Spangler cites many different religious concepts or practices that are
relevant to eating and potentially to the development and sustenance of eating disorders. In

general, I agree with this premise, but I register two concerns. First, she seems somewhat

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ambivalent as to whether religions promote pathogenic cognitions relative to eating disorders or

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whether these are distortions by clients of healthier messages inherent in the religious teaching.

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She states, Several theologians from major world religious traditions similarly conceptualize the
nature of the body as carnal, degraded, in need of discipline, and something to eventually be
discarded Some Christian religions regard the body as a vexation for the spirit Moreover,

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several major world religions that are based upon the Bible support anti-body conceptualizations
by interpreting sin as entering the world through the disobedient bodily appetite of a woman

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(p. x). Is this true? Again, the reader is cautioned that I am not a theologian. Nevertheless, I did

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minor in biblical studies as an undergraduate, have degrees from universities affiliated with
Baptist, Catholic, and Mormon traditions, and over the last 35 years have been at least a

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semiregular attendee of Presbyterian, Baptist, Lutheran, Independent-Liberal, Independent-

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Conservative, and Mormon churches. I have never heard a healthy religious individual, be they
clergy, professor, or parishioner, espouse these views. There may be historical precedent for such
thoughts in centuries gone by, but I highly doubt that they have credibility or widespread
dissemination today, and I am therefore skeptical about their involvement in the etiology of
eating disorders, among religious individuals. Later in the manuscript Spangler repeats many of
these views, however, she also discusses at length how those with eating disorders distort Bible
passages to match their neurotic needs and that the cure for this is a proper understanding of
scripture. She also suggests that clients, as they make changes in therapy, should check with
clergy to determine if their beliefs about their body align with the teachings of their religious

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tradition. She states, Typically, clients are pleasantly surprised to find that leaders in their
religious tradition endorse their new experiences and ideas of the body and its sensory capacities

as good and God-given (p. xx). Spangler (2010; this issue) concludes by noting, Moreover,

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clients can marshal religious beliefs or practices to support maladaptive beliefs and behaviors

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wholly unintended by the religion (p. xx, emphasis added). On the one hand, she seems to state

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that religious beliefs, endorsed by theologians, potentially reinforce disordered thinking that
could contribute to eating disorders, but on the other hand she notes that clients think in
maladaptive ways never intended by the religion. Based both on my understanding of these

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matters, as well as the arguments presented by Spangler, the second option seems more likely.
My second concern, related to the first, is that I believe Spangler (2010; this issue)

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overstates the potential role of religious belief and teaching in the development of eating

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disorders. Clearly this point flows from the one above, and if I am wrong there I might well be
wrong here as well. But it seems to me that cultural ideals regarding beauty and attractiveness, as

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communicated in a media-saturated world, possibly along with family dynamics and genetic

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patterning, account for the major portion of variance in the etiology of eating disorders. R/S
beliefs, in my view, come in to play as attempts to somehow make the disordered thoughts
congruent with ones religion, a valued aspect of life. This is, of course, an empirical question
suggesting, again, the need for longitudinal research.
None of my misgivings, however, regarding the role of religious factors in the etiology of
eating disorders should be interpreted as arguments against incorporation of religious precepts in
their treatment. Spangler (2010; this issue) cites evidence of the importance of R/S variables in
recovery, even for clients treated in non-spiritually-oriented therapy. Further, for exactly the
reasons cited by Spangler, I view the incorporation of healthy religious perspectives into

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treatment as a valuable strategy in helping clients appreciate that religion, properly understood,
teaches them the value of not only their life but also the gift that is their body. A particularly

poignant aspect of this treatment occurs when clients disappointed over how much of their time

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is consumed by their eating disorder opens the door for expanded discussion of religious values

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and better, more valued, uses of time. This section of the article is particularly worthy of note

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and, in my opinion, contains the potential for powerful intervention.

Treating Scrupulosity in Religious Individuals Using Cognitive-Behavioral Therapy (Huppert
& Siev, 2010; this issue)

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Huppert and Siev offer a fascinating discussion of and treatment for scrupulosity in religious
individuals, mostly focused on ultra-Orthodox Jewish patients. In the first paragraph they state,

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These and other characteristics of scrupulosity render it a paradigmatic example of the

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complicated interplay between psychopathology and clinical technique on the one hand, and
cultural sensitivity and patient values on the other (p. xx). Indeed, when I began reading their

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manuscript this thought was central. Though their focus was with ultra-Orthodox Jewish

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individuals, the issue has broad applicability across religious groups. From the perspective of
many mental health professionals, herein lies one of the common criticisms of religionthat it
promotes an irrational fear of sinning or not being perfect that causes anxiety and associated
emotional disturbance and dysfunction. Huppert and Siev put the question squarely: So how
does one distinguish OCD from strict, devout observance? (p. x). I found the treatment of this
theme, which permeated the article, to be not only thoroughly thoughtful and appropriate for
scrupulosity but applicable to virtually any potential mental disorder that exists within a religious
context. I will not repeat their observations here but strongly urge the reader to review them. The
related discussion pertaining to the risk of sin was brilliant, as was their recognition of the

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potential problems of such an approach and the need to consult with clergy to determine how this
concept integrates with religious teaching. The related discussion pertaining to thought exposure

as well as the differentiation between intentional and unintentional thoughts was similarly

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important, yet probably difficult to implement with many religious clients. I am reminded of the

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scripture where Jesus instructs that to lust after a woman is to commit sin, even in the absence of

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any accompanying behavior. Many observant and devout religious individuals must struggle
with the meaning of this passage (or similar ones from their faith) and how it might or might not
be possible to, without violating sacred command, engage in the type of tasks demanded by an

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exposure-response prevention form of therapy.

As Spangler (2010; this issue) noted with eating disordered patients, Huppert and Siev

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(2010; this issue) point out that patients get so caught up in their symptomatic behavior that they,

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inadvertently, end up failing at the very religious devotion they desire. The insight that,
distancing from sin has become a goal in its own right, ironically more than serving God, and

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compelling.

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therefore tolerating acceptable risk of sin facilitates the service of God (pp. xx) was particularly

The discussion on including or consulting with clergy has broad applicability. Certainly
there is risk involved whenever a third party is included as an adjunct for therapyand with
clergy unique perils in terms of potential misunderstanding, professional turf issues, and
philosophical conflicts are possible. The importance of resisting the temptation to cherry pick
more liberal, agreeable, or known clergy is consistent with the general theme of this manuscript,
i.e., that respect for clients and their faith is preeminent in treatment. These authors have a strong
and abiding conviction that it is possible to adapt the treatment approach to work within the
clients religious-cultural orientation. I agree completely. But to do so requires something else

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these authors recommendthat is, knowledge of the rules, culture, and beliefs of the applicable
religious community.

Concluding Thoughts

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Together the articles in this series represent an important step forward in the integration

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of R/S frameworks and considerations into therapy. They present particular treatment approaches

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for specific disorders, but, more importantly, they provide general frameworks to integrate R/S
into treatment more broadly. This is perhaps their greatest contribution.
But will those in charge of the curricula of professional training programs take notice and

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implement instruction of such treatments? Rosmarin, Pargament, and Robb (2010; this issue), in
their introduction to this special series, noted that only 13% of doctoral training programs in

ED

North America offered a course on R/S. What is potentially even more disconcerting is the extent

PT

that R/S issues are (not) discussed in the context of training in cultural diversity. I do not have
hard data on this, but my over 9 years of experience as the director of a training clinic (in a

CE

heavily religious area of the country) and 5-plus years as a Director of Clinical Training at a

AC

different university in a different part of the country is that graduate students are, frankly, fearful
of approaching R/S issues in therapy and faculty generally lack any real understanding of them.
Consequently, R/S concerns are typically acknowledged as important but rarely discussed
much further. There are, however, encouraging developments. For example, I understand that a
special issue of Professional Psychology: Research and Practice is in preparation that will focus
on practice issues relevant to R/S. Further, the increase in empirical studies of R/S bodes well for
greater integration of R/S into treatment. Ultimately, however, psychologists will need to
overcome their own fears and biases if they are going to adequately learn about these patients
and the therapies that are adapted to their worldview.

ACCEPTED MANUSCRIPT
RELIGION IN PRACTICE

21

Finally, controlled outcome research demonstrating the efficacy and effectiveness of R/Sinformed treatments is essential. In the absence of such data, training directors and faculty can

hardly be criticized for offering a lukewarm reception to their implementation. This type of work

IP

is necessary, difficult, and expensive. I earnestly hope that funding sources, including federal

CR

agencies such as the National Institutes of Health, will recognize its importance and realize the

NU
S

potential value to millions of Americans and others throughout the world. It is the culturally

AC

CE

PT

ED

MA

responsible thing to do.

ACCEPTED MANUSCRIPT
RELIGION IN PRACTICE

22
References

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American Psychological Association. (2002). Ethical principals of psychologists and code of

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conduct. American Psychologist, 57, 1060-1073.

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APA Commission on Accreditation. (2009). Guidelines and principles for accreditation of

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programs in professional psychology. Washington, DC: American Psychological

Association.

APA Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in

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Psychology, 48, 95-105.

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Bergin, A.E., (1980). Psychotherapy and religious values. Journal of Consulting and Clinical

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Clark, K.M., Friedman, H.S., & Martin, L.R. (1999). A longitudinal study of religiosity and
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behavioral-practice. Retrieved from http://www.ebbp.org/ebbp.html

Frank, J.D. (1961). Persuasion and healing: A comparative study of psychotherapy. Oxford,
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Goldbourt, U., Yaari, S., & Medalie, J.H. (1993). Factors predictive of long-term coronary heart
disease mortality among 10,059 male Israeli civil servants and municipal employees.
Cardiology, 82, 100-121.

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Hadaway, C.K., & Marler, P.L. (2005). How many Americans attend worship each week? An
alternative approach to measurement. Journal for the Scientific Study of Religion, 44,

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U.S. adult mortality. Demography, 36, 273-285.

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Hummer, R.A., Rogers, R.G., Nam, C.B., & Ellison, C.G. (1999). Religious involvement and

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Huppert, J.D., & Siev, J. (2010). Treating scrupulosity in religious individuals using
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the integration of spirit with body. Journal of Behavioral Medicine, 30, 287-289.

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McCullough, M.E., Hoyt, W.T., Larson, D.B., Koenig, H.G., & Thoresen, C. (2000). Religious
involvement and mortality: a meta-analytic review. Health Psychology, 19, 211-222.

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Murray, E.J. (1956). A content-analysis method for studying psychotherapy. Psychological

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Monographs, 70, No.420.

Oman, D., Kurata, J.H., Strawbridge, W.J., & Cohen R.D. (2002). Religious attendance and
cause of death over 31 years. International Journal of Psychiatry in Medicine, 32, 69-89.
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Propst, L.R., Ostrom, R., Watkins, P., Dean, T., & Mashburn, D. (1992). Cmparative efficacy of
religious and nonreligious cognitive-behavioral therapy for the treatment of clinical depression in
religious individuals. Journal of Consulting and Clinical Psychology, 60, 94-103.
Rosmarin, D.H., Pargament, K.I., & Robb III, H.B. (2010). Introduction to special series:
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Sloan, R.P., & Bagiella, E. (2002). Claims about religious involvement and health outcomes.
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Author Note

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Practice, 17, xx-xx.

Address correspondence to Kevin S. Masters, Ph.D., Department of Psychology, 430 Huntington Hall, Syracuse
University, Syracuse, NY 13244; e-mail: kemaster@syr.edu

Rolul religiei si spiritualitatii asupra sanatatii fizice si mentale

Kevin S. Seybold si Peter C. Hill (2001)
Current Directions in Psychological Science 2001

Abstract
In literatura medicala si psihologica se observa un interes aparent crescut in efectul
religie si spiritulaismului asupra sanatatii. Desi in trecut se considera ca religia avea un
rol negativ asupra sanatatii, cercetarile recente arata ca relatia acestora este mult mai
complexa. Acest articol sumarizeaza rezultatele din literatura de specialitate referitoare la
impactul religie si spiritualitatii asupra sanatatii fizice si mentale, concluzionand ca acesta
relatie este una benefica. Sunt propuse mecanismele explicative ale efectelor pozitive ale
religie si spritualitatii.
Introducere
Nu este surprinzator ca religia si spiritualitate raman importante pentru marea
majoritate a indivizilor dintr-o societate ca S.U.A care poate fi caracterizata ca fiind
fragmentata, deconecata si imbatranita (Thoresen, 1999). In raspuns, literatura dintr-o
varietate de discipline precum psihologia, medicina, sociologia, gerontologia si educatia
contin un numar crescand de studii care examineaza rolul religiei si spritualitatii asupra
sanatatii fizice si mentale.
Considerand acest rol, cercetatorii ar trebui sa aiba grija sa conceptualizeze adecvat
natura complexa a conceptelor de religie si spiritualitate. Aceste constructe nu pot fi strict
definite in termenii unui set specific de credinte si comportamente. Natura
multidimensionala atat a religiei, cat si a spiritualitatii a fost recent clasificata de catre un
grup de experti organizati de Institutul National al Imbatranirii. Acest grup a identificat
10 dimensiuni ale religie si spiritualitatii: istoria religioasa/spirituala, preferinta/afilierea,
participarea sociala, practica privata, stilurile de coping, credintele si valorile,

angajamentul, experientele, nevoia de suport si motivatia pentru angajamentul in relatii

sociale (Institutul National al Imbatranirii, 1999).
Multe caracteristici comune religiei pot fi de altfel gasite in spritualitate, dar si vice
versa (Hill et al. 2000). De exemplu, spiritualitatea ca si religia poate sa implice o
transformare personala, o intalnire cu transcendenta sau o cautare a adevarului suprem,
sacru pentru individ. De asemenea, religiozitatea poate sa includa patern-uri de
comportament stipulat si incurajare a aderentei la anumite practici religioase sau forme de
exprimare, caracteristici carora anumite tipuri de spiritualism contemporan ar rezista.
Desi inca mai este o mare suprapunere intre aceste fenomene.
Masuratorile religiei si spiritualitatii trebuie de asemena sa ia in considerare natura
multidimensionala a acestora. Un studiu recent de 125 de masuratori a religiei si
spiritualitatii(Hill & Hood, 1999), cu o copie a fiecarei masurare acompaniata de un scurt
rezumat, sugereaza nu numai o surprinzatoare distanta in masurarea religie si
spiritualitatii, cat si apropiera multidimensionala pe care cercetatorii au abordat-o. De
exemplu, aditional celor 15 masuratori multidimensionale, studiul include scale a unor
dimensiuni mai specifice ale religiei si spiritualitatii, precum credintei si practici,
atitudini, orientare religioasa, dezvoltare religioasa, devotare si implicare, coping religios,
misticism si pareri despre moarte si viata de dupa. Poate ca cea mai patrunzatoare si
cuprinzatoare masuratoare standardizata este instrumentul construit de Institutul National
al Imbatranirii (1999). Intrumentul in forma sa scurta de 38 de itemi a fost conceput
pentru a masura cele 10 dimensiuni ale religiozitatii si spiritualitatii identificate de catre
comisie si ulterior a fost inclus in Chestionarul Social General, un chestionar national
creat de Programul National de Date pentru Stiintele Sociale. Analizele initiale au
evidentiat ca acest instrument confirma fundamentarea teoretica si are fidelitatea si
validitatea necesara pentru aplicarea in cercetare.
Aditional conceptualizarii atente si masurarii acurate a religiozitatii si spiritualitatii,
o masurare adecvata a variabilei de sanatate este necesara in studiile care evalueaza
efectele religiei si spiritualitatii asupra sanatatii. Ambii indici specifici ai sanatatii
(presiunea arteriala in cazul sanatatii fizice; iar delicventa si abuzul de droguri si alcool in
cazul sanatatii mentale) si mai general, masurarile subiective sunt folosite. Cateva
descoperiri ambigue si contradictorii au rezultat, in parte, datorita incosistentelor in

definirea masuratorilor adecvate religiei si spiritualitatii, cat si masurarii sanatatii. In

studiile recente, cercetatorii au incercat sa foloseasca masuratori multidimensionale ale
religiei si spiritualitatii si indici comportamentali specifici ai sanatatii mentale si fizice
(Larson, Swayers, & McCullough, 1998).
EFECTE BENEFICE SI DAUNATOARE ALE RELIGIEI
Studiile asupra influentei religiei asupra sanatatii fizice sugereaza faptul ca religia,
in mod uzual, dar nu intotdeauna, are un efect pozitiv. O posibila Influenta pozitiva a fost
descoperita in cercetariile care includeau subiecti de toate varstele, ambele genuri si o
varietate de religii (protestanta, catolica, iudaica, budista si

musulmana). Subiectii

selecati din mai multe regiuni (America de Nord, Asia, Africa) si din mai multe grupuri
etnice, masurandu-li-se gradul de religiozitate printr-o varietate de indici (participarea
activa la biserica, activitatea de rugaciune si alte masuratori subiective).
Efectele pozitive ale experientei religioase si spirituale asupra sanatatii sunt bazate
pe asumptia ca experienta in sine este pozitiva si "sanatoasa". Bineinteles, religia si
spiritualitatea pot fi de altfel si patologice: obedienta oarba sau autoritarism, interpretarea
literala, strict extrinseca sau auto beneficiara, sau fragmentata. Intr-adevar, asemenea
comportamente religioase sau spirituale nesanatoase pot sa aibe implicatii serioase pentru
sanatatea fizica, fiind asociate cu abuzuri in copilarie si respingere, conflicte intergrupale
si violenta, si false perceptii de control, rezultand in indiferenta asupra starii medicale
(Paloutzian & Kirkpatrick, 1995). Asemenea asocieri nesanatoase pot sa apara cand
individul crede ca el sau ea poate comunica direct cu Dumnezeu cu putin sau fara
facilitare sociala(ex. "Dumnezeu mi-a spus...") sau implica o amanare, o responsabilizare,
a elementului divin (ex. Dumnezeu ma va ajuta"; Pargament, 1997).
Cercetarile care investigheaza sanatatea mentala indica un efect protector similar al
religiei. Intr-o metaanaliza a 139 de cercetari care foloseau masuratori cantitative ale
angajamentului religios, Larson et al. (1992) au descoperit ca doar 39% raportau orice
asocieri, si din acestea, 72% au fost pozitive. Masuratorile variabilei religioase in aceste
studii au inclus rugaciunea, suportul social, relatia cu Dumnezeu, participarea la
ceremoniile religioase si credintele si valorile. Gartner (1996) a rezumat literatura

existenta si a descoperit asocieri pozitive intre religiozitate/spiritualitate si starea de bine,

satisfactia maritala si functionarea psihologica generala; el a gasit asocieri negative cu
suicidul, delicventa, comportamentul criminal si abuzul de substante si alcool.
Religia a fost de asemenea asociata cu cateva forme de psihopatologie, ce includ
autoritarismul rigiditatea dogmatismul sugestibilitatea si dependenta (Gartner, 1996).
Aditional, s-au identificat forme de coping atat daunator cat si benefic, iar formele
daunatoare (nemultumire sau furie fata de Dumnzeu, clerici sau congregatie) au corelat
cu o stare de sanatate mentala proasta si disfunctionala (Pargament, 1997). Luata per
ansamblu, in literatura s-a sugerat faptul ca desi exista unele efecte dezadaptative ale
religiei asupra sanatatii mentale, frecventa depresiei sau a stimei de sine scazute sunt
uneori inevitabile in cazurile unor indivizi profund religiosi (Watters, 1992).
Posibilele mecanisme explicative
Un mecanism prin care religia si spiritualitatea poate sa aibe efecte benefice
asupra sanatatii este prin intermediul retelelor sociale (Hill& Butter, 1995). Comunitatile
religioase si spirituale ofera oportunitati pentru camaraderie, implicare in programe
sociale (vizite la aziluri, asigurarea meselor pentru cei saraci) si companie sociala. Acest
tip de suport poate sa aibe efecte benefice prin reducere stresorilor atat fiziologici, cat si
psihologici.
Stilul de viata poate sa constituie si el un mechanism prin care religia si
spiritualitatea au efecte positive. De exemplu, angajamentul religios poate constitui o
modalitate de determinare a unui individ sa adopte comportamente mai sanatoase,
precum abstinenta de la fumat, baut si consumul de substante sau comportamente
sexuale. Intr-adevar, gruparile religioase care urmaresc un stil de viata strict, precum
mormonii, comunitatea amish sau evreii, tind sa aibe o stare de sanatate mai buna decat a
populatiei generale(Hill &Butter, 1995).
Factorii psihologici pot de altfel sa medieze relatia dintre sanatate si religie.
Pargament (1997), in particular, a teoretizat variatele strategii de coping care pot facilita
rezolvarea benefica a diferitelor probleme de viata. Procesele cognitive precum credintele
despre locul de control, acceptarea de catre semeni sau de catre Dumnezeu, atribuirile de
sens si semnificatie a diferitelor evenimente negative si explicatiile optimiste ( perceperea

evenimentelor negative ca fiind cauzate de catre forte externe si situational-specifice, iar

cele pozitive ca fiind interne si consistente) au fost de asemenea postulate ca posibile
mecanisme, oferind oportunitati pentru noi directii de cercetare.
De exemplu, Sethi si Seligman (1993) au evidentiat ca persoanele care au
credinte religioase de tip fundamentalist sunt in mod tipic mai optimiste, pline de
speranta si mai implicate religios, decat cele care au credinte religioase moderate, care
totusi sunt mai optimiste, pline de speranta si implicate religios decat persoanele care se
declara nu foarte religioase. In lumina cesot rezultate, Sethi si Seligman au sugerat de
altfel ca cercetatorii ar trebui sa reexamineze credintele de simt-comun conform carora
religiile fundamentaliste au efecte negative asupra sanatatii mentale, dat fiiind faptul ca
acesti indivizi tind sa aibe o stare de sanatate decat populatia generala.
Cativa cercetatori au postulat ca factorii religiosi si spirituali pot sa afecte in mod
pozitiv diferitele mecanisme psihologice implicate in starea de sanatate (Larson et
al.,1998).

Emotiile

positive

(iertarea,

speranta,

multumirea,

iubirea)

pot

sa

imbunatateasca starea individului prin impactul pe care il au asupra circuitelor neuronale

care conecteaza sistemul endocrine de cel imun. Starile emotionale negative (furia si
frica) pot sa duca la activarae sistemului nervos simpatic (SNS) si la axei hipotalamoadrenopituitare (HPA), sisteme cunoscute ca fiind implicate in mobilizarea energiei
individului in situatiile de stress. Asemenea activare poate sa produca ca raspuns, stres
asupra organismului cu eliberarea excesiva a neurotransmitatorilor noradrenergici si a
cortizolului. Raspunsul de stress, in schimb, poate sa duca in timp la inhibarea sistemului
imun, cresterea riscului pentru infectii, cresterea presiunii sanguine, cu risc pentru
dezvoltarea atacurilor cerebrale sau miocardice. Astfel, meditatia, iertarea si alte practice
religioase s-au dovedita a reduce activarea SNS-ului si a HPA-ului (Thoresen, 1999),
restaurand homeostazia fiziologica a individului si intarind siatemul sau imunitar.
Uchino, Uno si Holt-Lunstad (1999) au rezumat literature de specialitate si au
gasit dovezi in sprijinul ideii ca suportul social poate influenta starea de sanatate, asupra
sistemului cardiovascular si al imunitatii, printr-un numar de procese fiziologice ale
functionarii optime ale sistemului cardiovascular, neuroendocrin si imun. Autorii au
evidentiat un model care subliniaza importanta evaluarii factorilor de stress, starea de
spirit pozitiva, stima de sine si comportamentele de sanatate ca modulatori ai functionarii

fiziologice. Acest model este consistent cu celelalte regasite in literatura, care emfazeaza
rolul religiei ca

mecanism de coping care functioneaza prin intermediul resurselor

sociale (ex. camarderia), psihologice (ex. ingrijorarea) sau a credintelor de sens si

semnificatie ale individului (Levin & Chatters, 1998). Datele empirice insa nu numai ca
sugereaza ca religia are o contributie asupra starii de sanatate fizica si mentala, dar si
sustine argumentele modelelor mentionate anterior, cum ca suportul social din
comunitatile religioase are efecte benefice asupra indivizilor. Daca acest lucru este
sustinut prin intermediul mecanismelor teoretizate de Uchino et al., ramane un subiect de
interes pentru cercetarile din acest domeniu crescand al psihologiei. Insa, ceea ce este clar
momentan este faptul ca religiozitatea si spiritualitatea au devenit variabile importante in
investigatiile asupra factorilor care contribuie la starea de sanatate fizica si mentala a
indivizilor.
CONCLUZII
Desi exista o lunga relatie dde antagonism intre religie si sanatate, o istorie care
poate fi urmarita pana la repercursiunile ei ultime, precum diferenta dintre stiinta si
religie si a faptului ca aproximativ 50% dintre specialistii din domeniul sanatatii se
declara nereligiosi sau atei conform lui Thoresen(1999), este importanat ca cercetatorii
din domeniul sanatatii si specialistii din domeniul sanatatii sa nu lase ca astfel de bariere
sa le limiteze cnoasterea contribuitiei cruciale a rolului religiei si spiritualiatatii asupra
sanatatii fizice si mentale.

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Institute/National

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(1999).

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Gartner, J. (1996). Religious commitment, mental health, and prosocial behavior:

A review of the empirical literature. In E.P. Shafranske (Ed.), Religion and the
clinical practice of psychology (pp. 187214). Washington, DC: American
Psychological Association.

Hill, P.C., & Butter, E.M. (1995). The role of religion in promoting physical
health. Journal of Psychology and Christianity, 14, 141155.

Hill, P.C., & Hood, R.W., Jr. (Eds.). (1999). Measures of religiosity. Birmingham,
AL: Religious Education Press.

Hill, P.C., Pargament, K.I., Hood, R.W., Mc-Cullough, M.E., Swyers, J.P.,
Larson, D.B., &Zinnbauer, B.J. (2000). Conceptualizing religion and spirituality:
Points of commonality, points of departure. Journal for the Theory of Social
Behaviour, 30, 5177.

Larson, D.B., Sherrill, K.A., Lyons, J.S., Craigie, F.C., Thielman, S.B.,
Greenwold, M.A., & Larson, S.S. (1992). Associations between dimensions of
religious commitment and mental health reported in the American Journal of
Psychiatry and Archives of General Psychiatry: 19781989. American Journal of
Psychiatry, 149, 557559.

Larson, D.B., Swyers, J.P., & McCullough, M.E. (Eds.). (1998). Scientific
research on spirituality and health: A consensus report. Rockville, MD: National
Institute for Healthcare Research.

Levin, J.S., & 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. 3350). San Diego: Academic Press.

Levin, J.S., & Vanderpool, H.Y. (1992). Religious factors in physical health and
the prevention of illness. In K.I. Pargament, K.I. Maton, & R.E. Hess (Eds.),

Religion and prevention in mental health: Research, vision, and action (pp. 83
103). New York: Haworth Press.

Paloutzian, R.F., & Kirkpatrick, L.A. (Eds.). (1995).Religious influences on

personal and social well-being [Special issue]. Journal of Social Issues, 51(2).

Pargament, K.I. (1997). The psychology of religion and coping. New York:
Guilford Press.

Sethi, S., & Seligman, M.E.P. (1993). Optimism and fundamentalism.

Psychological Science, 4, 256259.

Thoresen, C.E. (1999). Spirituality and health: Is there a relationship? Journal of

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Tradus de : Cristea Artemisa Zamfira

Facultatea de Psihologie si Stiinte ale Educatiei

Journal of Affective Disorders 120 (2010) 149157

Contents lists available at ScienceDirect

Journal of Affective Disorders

j o u r n a l h o m e p a g e : w w w. e l s ev i e r. c o m / l o c a t e / j a d

Research report

A prospective study of religion/spirituality and depressive symptoms among

adolescent psychiatric patients
R.E. Dew a,, S.S. Daniel b, D.B. Goldston a, W.V. McCall c, M. Kuchibhatla d, C. Schleifer e,
M.F. Triplett f, H.G. Koenig g
a

Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, United States
University of North Carolina at Greensboro, Greensboro, NC, United States
c
Department of Psychiatry and Behavioral Medicine, Wake Forest University Health Sciences, Winston-Salem, NC, United States
d
Department of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, NC, United States
e
Duke Divinity School, Durham, NC, United States
f
Wake Forest University Department of Psychology, Winston-Salem, NC, United States
g
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Geriatric Research, Education, and Clinical Center, VA Medical Center,
Durham, NC, United States
b

a r t i c l e

i n f o

Article history:
Received 18 January 2009
Received in revised form 11 April 2009
Accepted 27 April 2009
Available online 17 May 2009
Keywords:
Religion
Spirituality
Depression
Adolescents

a b s t r a c t
Objective: Previous research has uncovered relationships between religion/spirituality and
depressive disorders. Proposed mechanisms through which religion may impact depression
include decreased substance use and enhanced social support. Little investigation of these
topics has occurred with adolescent psychiatric patients, among whom depression, substance
use, and social dysfunction are common.
Method: 145 subjects, aged 1218, from two psychiatric outpatient clinics completed the Beck
Depression Inventory-II (BDI-II), the Fetzer multidimensional survey of religion/spirituality, and
inventories of substance abuse and perceived social support. Measures were completed again six
months later. Longitudinal and cross-sectional relationships between depression and religion
were examined, controlling for substance abuse and social support.
Results: Of thirteen religious/spiritual characteristics assessed, nine showed strong cross-sectional
relationships to BDI-II score. When perceived social support and substance abuse were controlled
for, forgiveness, negative religious support, loss of faith, and negative religious coping retained
signicant relationships to BDI-II. In longitudinal analyses, loss of faith predicted less improvement
in depression scores over 6 months, controlling for depression at study entry.
Limitations: Self-report data, clinical sample.
Conclusions: Several aspects of religiousness/spirituality appear to relate cross-sectionally to
depressive symptoms in adolescent psychiatric patients. Findings suggest that perceived social
support and substance abuse account for some of these correlations but do not explain
relationships to negative religious coping, loss of faith, or forgiveness. Endorsing a loss of faith may
be a marker of poor prognosis among depressed youth.
2009 Elsevier B.V. All rights reserved.

1. Introduction
Adolescent depression is an increasingly recognized and
concerning public health problem. Carrying a point preva Corresponding author. DUMC Box 3492, 718 Rutherford St., Durham, NC,
27705, United States. Tel.: +1 919 286 5260; fax: +1 919 286 7081.
E-mail address: rachel.dew@duke.edu (R.E. Dew).
0165-0327/$ see front matter 2009 Elsevier B.V. All rights reserved.
doi:10.1016/j.jad.2009.04.029

lence of 515%, depression affects up to 1 in 5 people before

adulthood (Bhatia and Bhatia, 2007; Zuckerbrot and Jensen,
2006). Acute and long-term outcomes may include recurrent
depression, psychosocial impairment, substance abuse, and
suicide.
Recent research has uncovered relationships linking adult
and adolescent depression to religion and spirituality, prevalent
phenomena in American and international life. The study of

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R.E. Dew et al. / Journal of Affective Disorders 120 (2010) 149157

religion in the context of health and medicine has been rapidly

increasing over the last thirty years (Koenig, 2004). Although
denitions of these terms may vary, this manuscript will use
religion to refer to an organized system of beliefs, rituals,
practices, and community, oriented toward the sacred; spirituality will refer to more personal experiences of or search for
ultimate reality or the transcendent that are not necessarily
institutionally connected (Josephson and Dell, 2004).
Studies among adults reveal fairly consistent relationships
between level of religiousness/spirituality and depressive
disorders that are signicant and inverse (Koenig et al., 2001).
Research on this topic among adolescent subjects, however,
has yielded mixed ndings. Dew and colleagues (Dew et al.,
2008a), in a review of 21 studies on religion and depression in
adolescents, reported that most described conicting results:
some comparisons showed, as commonly found among
adults, that religiousness related to lower levels of depression,
but some showed no relationship. In addition, four of the 21
studies found religious variables (including personal importance of religion (Cotton et al., 2005) and church attendance
(Sorenson et al., 1995)) correlated with higher levels of
depression.
Few studies on religion/depression relationships among
adolescents include psychiatric populations. Osman et al.
(1996) found that moral objections to suicide, which
referenced religious concepts, correlated negatively with
depression in adolescent psychiatric inpatients. Cole, however, reported that, in juvenile delinquents in psychiatric
treatment, these same moral objections did not relate to
depression (Cole, 1989). Miller et al. (2002) followed a clinical
sample of depressed children longitudinally; when religious
variables and depression were measured in adulthood, the
relationship varied by childhood depression status. This raises
the possibility that early depression affects religious development, determining whether or not religiousness is protective against adult psychopathology. Dew and colleagues
found that in adolescent psychiatric outpatients, scores on
the Beck Depression Inventory related positively to negative
religious coping (perceptions of God as punishing or
abandoning), positively to negative religious support (perceptions of the religious community as critical or demanding), and inversely to forgiveness (self-reported tendency to
practice forgiveness or feel that God is forgiving) (Dew et al.,
2008b).
Population-based studies hold value due to the wide
generalizability of their results. However, a low case rate can
limit the ability to nd correlations in a general sample.
Psychiatric samples feature high rates of depressive disorders,
as well as important covariates such as substance use, family
pathology, and social disadvantage. Therefore, clinical samples add much to research in this eld. This article describes
the rst study, known to the authors, of religion and
depression in adolescent psychiatric patients, using a longitudinal design and accounting for psychosocial covariates.
Variability in ndings of religion/depression research with
adolescents complicates consideration of its clinical utility.
Several factors likely contribute to this inconsistency. One
such factor is the diversity of denitions of religion. This
complex subject has been contemplated in myriad elds such
as sociology, anthropology, theology, and psychology. Even
within medical research, which has overwhelmingly occurred

in relatively homogenous white American Christian samples,

there is no consensus on how to dene or measure religion.
Investigators have conceptualized religiousness variously as
attendance at services, self-reported devotion, frequency of
prayer, using religion to cope with adversity, and other
constructs. A newer literature describes the concept of
negative religious coping, dened as expressions of
conict, question, and doubt regarding matters of faith, God,
and religious relationships (McConnell et al., 2006) p.1470).
This body of work has found a higher rate of depression in
those who feel abandoned or rejected by God or the religious
community (Ano and Vasconcelles, 2005). Because several of
the many constructs called religion correlate with mental
health outcomes, clarication of these questions will require
use of multidimensional measures.
Inconsistency may also relate to geographic variability
between studies. Concentrations of specic denominations, as
well as local culture in general, may cause religion/depression
relationships to vary by region. Strong social cohesion seen in
certain religious minorities may be helpful in some contexts
and more stigmatizing in others. Regional differences have
proved important in previous studies examining religiosity in
relation to longevity (la Cour et al., 2006), delinquency (Stark
et al., 1982), and suicide (Zhang and Jin, 1996).
An additional issue to consider is the inconsistent use of
multivariate analyses in religion/health studies. While most
researchers account for demographics, psychosocial variables
such as family cohesion or social support are not uniformly
controlled for (or examined as explanatory/mediating variables). In studies that consider such variables as family closeness
or school stress, these constructs often weaken or eliminate
zero-order correlations of religion to mental health outcomes
(Benda and Corwyn, 1997; Nooney, 2005; Stewart et al., 1999).
Furthermore, previous studies have rarely considered substance
use as a mediator, despite its consistent negative relationship to
teenage religiosity (Koenig et al., 2001) and its status as a
proposed mechanism through which spirituality positively
impacts mental health (George et al., 2002).
A major limitation of current religion/health research is
the dearth of longitudinal studies. Extrapolation of crosssectional correlations to longitudinal or predictive relationships is questionable. A correlation between depressive
symptoms and religious variables at a single point in time
may indicate any of several long-term relationships between
these constructs. For example, depression could cause a
temporary emergence of certain religious traits, such as
seeing God as more punitive, or the decline in other traits,
such as religious service attendance. Alternatively, certain
religious tendencies could either raise or lower risk for
depression. Clarication of such temporal relationships is
crucial to our understanding of the intersection of religion
and mental health.
2. Methods
In order to address the above gaps in the religion/
depression literature, the following prospective study was
carried out at two outpatient psychiatric clinics in North
Carolina. Counties containing the two clinics are predominantly Christian and Protestant, with the largest denominations being Southern Baptist and United Methodist.

R.E. Dew et al. / Journal of Affective Disorders 120 (2010) 149157

151

Table 1
Subscales analyzed from the brief multidimensional measure of religiousness/spirituality.
Subscale

# items

Item range/directionality

Sample item

Mean

SD

Daily spiritual
experiences
Forgiveness
Private religious
practices
Positive religious
coping
Negative religious
coping
Positive religious
support

16, lower = more frequent experiences

I feel God's presence

15.8

6.8

3
5

14, lower = more forgiving

18, lower = more frequent practices

5.7
24.2

2.2
8.1

14, lower = greater use

I have forgiven those who hurt me

How often do you pray privately in
places other than at a church, synagogue, or temple?
I look to God for strength, support, and guidance

9.5

3.3

14, lower = greater use

6.4

1.7

14, lower = greater support

3.8

2.0

Negative religious
support
Commitment

14, lower = more negative support

6.3

1.8

14, lower = stronger agreement

Positive religious
history
Loss of faith
Organizational
religiousness
Overall
self-ranking
Meaning

2.3

0.9

12, higher higher = more religious or spiritual

I feel God is punishing me for my sins or lack of

spirituality
If you had a problem or were faced
with a difcult situation, how much
comfort would the people in your
congregation be willing to give you?
How often are the people in your
congregation critical of you and the things you do?
I try hard to carry my religious beliefs
over into all my other dealings in life
Have you ever had a signicant gain in your faith?

3.0

0.9

1
2

12, higher = more religious or spiritual

16, lower = more frequent attendance

Have you ever had a signicant loss in your faith?

How often do you go to religious services?

1.6
7.0

0.5
3.1

14, lower = more religious or spiritual

To what extent do you consider yourself a spiritual person?

5.0

1.6

14, lower = greater agreement

I have a sense of mission or calling in my own life

4.1

1.6

Adolescent participants were asked to complete self-report

measures of depressive symptoms, substance abuse, perceived social support, and a multidimensional measure of
religiousness/spirituality. The same measures were administered a second time approximately six months later.
Parents/guardians provided treatment history and demographics, and diagnosis made by the treating clinician was
recorded. Because of possible reliability problems with nonstandardized diagnosis, chart diagnosis was used to characterize the sample only. The primary aim of the study was to
assess the cross-sectional and longitudinal relationships
between religious/spiritual characteristics and depression in
adolescent psychiatric outpatients. We hypothesized that
negative religious coping, negative religious support, and loss
of faith would relate positively with depressive symptoms,
while the remaining variables would relate inversely with
depression. Additionally, we hypothesized that social support
and substance abuse would serve as mediators between
religion/spirituality and depression.
The study was approved by the Institutional Review
Boards of Duke University Medical Center and Wake Forest
University Health Sciences. Participants were recruited consecutively from clinic schedules. Potential subjects were
approached by their treating clinicians. If subjects were
interested, study staff explained the study and obtained
written informed consent from their parent or legally
responsible person. Subjects could be included if they were
aged 1218, were presenting for treatment, and were able to
understand and complete the questionnaires. Assistance with
reading was given as needed. Those with mental retardation,
either reported by the treating clinician or documented in the
medical record, were excluded.
Of 267 potential subjects identied from clinic schedules, 75
were excluded because they were unable to understand and
complete the questionnaire, had no available parent or guardian

to give consent, or were otherwise deemed inappropriate for

the study by their treating clinician. Fifty-one potential subjects
refused participation, usually citing lack of time. One hundred
forty seven subjects gave consent/assent and completed the
rst data collection. Two were subsequently excluded due to
diagnosis of mild mental retardation found on chart review.
3. Procedures
Following consent and assent, parents/guardians of participants completed a demographic/treatment history form. In a
separate room, adolescent enrollees completed four instruments:
the Beck Depression Inventory-II (BDI-II, (Osman et al., 2004), the
Brief Multidimensional Measure of Religiousness/Spirituality
(BMMRS, (Fetzer, 1999), the Multidimensional Scale of Perceived
Social Support (MSPSS, (Canty-Mitchell and Zimet, 2000), and
the Problem Oriented Screening Instrument for Teenagers
Substance Abuse Subscale (POSIT,(Knight et al., 2001). Study
personnel reviewed the clinical chart to obtain the diagnosis
documented by the subject's primary mental health care provider
as near as possible to the day of data collection. Approximately
six months later, participants completed the measures again at
the clinic, by mail or by telephone interview. Subjects were
paid ve dollars for participation in each data point.
4. Measures
Participants completed the Beck Depression Inventory-II
(BDI-II, (Osman et al., 2004), a 21-item self-report scale
(possible scores 063). This scale has been validated in
adolescent psychiatric patients. Cronbach's alpha of the BDI-II
in this study was 0.90. Adolescents completed the Brief
Multidimensional Measure of Religiousness/Spirituality
(BMMRS, (Fetzer, 1999), a 40-item, 14-subscale inventory
querying various aspects of religion and spirituality. For this

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R.E. Dew et al. / Journal of Affective Disorders 120 (2010) 149157

study, 34 items comprising 14 subscales were analyzed.

Subscales include: daily spiritual experiences, forgiveness,
private religious practices, positive religious coping, negative
religious coping, positive religious support, negative religious
support, commitment, positive religious/spiritual history, loss
of faith, organizational religiousness, overall self-ranking, and
meaning. These subscales and sample items for each are
presented in Table 1. Unanalyzed items include: the item I
feel deep inner peace and harmony, as this item could
articially inate correlations with depression; an item
asking for a total number of hours spent weekly in religious
activity, due to excessive missing data; the values/beliefs
scale, due to poor internal reliability; the coping item I try to
make sense of a situation and decide what to do without
relying on God, due to poor correlation with either the
positive or negative religious coping items, and an item
querying monetary donations to religious organizations,
which was not felt to be age appropriate. This instrument
has been recently validated in an adolescent clinical sample
(Harris et al., 2008) and previously used in adolescent and
adult populations (Fetzer, 1999; Knight et al., 2007; Pearce
et al., 2003). Cronbach's alpha for subscales in this study
ranged from 0.59 to 0.87.
The Problem Oriented Screening Instrument for TeenagersSubstance Abuse Subscale (POSIT) contains 17 items
related to drug and alcohol use, related behaviors, and
consequences. It has been shown to be internally consistent
and reliable (Knight et al., 2001). Cronbach's alpha for the
scale in this study was 0.88.
Social support has been theorized to mediate relationships
between religiousness and mental health (George et al.,
2002). Perceived social support was measured via the Multidimensional Scale of Perceived Social Support (MSPSS,
(Canty-Mitchell and Zimet, 2000; Clara et al., 2003). The
MSPSS contains 12 items, and has been found reliable and
valid in adolescent populations. Cronbach's alpha for the scale
in this study was 0.88.
Demographics and treatment history were obtained from
the consenting parent or guardian. Demographics included
age, race/ethnicity, gender, and religious preference of the
adolescent. Parents/guardians were asked to provide their
own highest level of education and family income. Treatment
history obtained included length and type of services used.
5. Analysis
Data imputation was performed on scales if at least 80% of
the total items were completed, substituting the mean of the
remaining items; if less than 80% of the scale was complete,
the item remained missing. Imputed values represent b0.01%
of the data.
Regression models were created with BDI-II score at time
1 as the dependent variable and demographic and religious/
spiritual variables as predictors. Models were then controlled
for substance abuse and social support. Our nal model
included all religious/spiritual, control, and explanatory
variables. Due to skew in the distribution of BDI-II scores at
time 2, a change score was created using the difference
between BDI-II at time 1 and time 2. This change score was
modeled using linear regression and controlled for BDI-II at
time 1. Analyses were repeated excluding ve signicant

outliers with no appreciable change in results. All analyses

were performed using SAS Enterprise Guide 3.0 (Cary, NC).
6. Results
Seventy-eight subjects (54%) were recruited from Duke
University and 67 (46%) from Wake Forest University Health
Sciences. The 145 subjects had a mean age of 14.3 years (SD 1.8).
Sixty-one (42%) were female. Ethnic composition of the sample
was as follows: Caucasian n = 82 (56%), African American
n =50 (35%), and other n = 13 (9%). Fifty-two percent reported
family incomes of less than $40,000/year and 12% had incomes
over $100,000. 92% of parents/guardians reported having at
least a high school education.
Religious afliations of subjects, as reported by parents/
guardians, were classied as Conservative Protestant (Baptist,
non-denominational Christian, Church of Jesus Christ of Latter
Day Saints (LDS), and others; 71% of sample), Liberal
Protestant (Methodist, Presbyterian, and others; 15% of
sample), Roman Catholic (7%), other (5%), or none (5%).
Although LDS youth could represent a unique category based
on theological and social distinctions, only two subjects
endorsed this preference; thus, based on shared views toward
substance use, these subjects were included in the Conservative Protestant category.
6.1. Illness and treatment parameters
Participants reported a mean substance use score of 0.8,
with a median score of 0, on a possible scale of 0 to 17.
Reported substance use scores ranged 013. Due to this skew
in the data, scores on the POSIT were dichotomized. Thirtytwo subjects (22%) scored one or greater on this inventory.
The sample had a mean BDI-II of 13.5 (SD 9.6). Forty-four
subjects reported past admissions to psychiatric hospitals
(31%), and 116 (81%) had used psychotropic medications.
Seventy-two subjects (51%) endorsed having been prescribed
antidepressant medications. Depression (including major
depression, dysthymia, adjustment disorder with depressed
mood, and depressive disorder not otherwise specied) was
diagnosed in 52 patients (38%). Other mood disorders
(including bipolar disorder and mood disorder not otherwise
specied) were noted in 15 patients (10%). ADHD, diagnosed
in 75 subjects (55%), was the most common diagnosis. No
clinical diagnosis was available for 7 subjects.
6.2. Religious and social characteristics
Sample means of each BMMRS subscale are presented in
Table 1. Mean item scores indicate that subjects generally
endorsed having spiritual experiences on most days, often
used religion to cope with problems, and participated in
organized religious activities once or twice per month. The
mean score on the MSPSS was 66.5 (SD 13.5; range 1784).
This indicates that the average respondent expressed mild to
strong perception of good social support.
6.3. Follow-up
One hundred four subjects (72%) of the original sample
completed measures approximately six months following

R.E. Dew et al. / Journal of Affective Disorders 120 (2010) 149157

153

Table 2
Bivariable and multivariable correlates of BDI-II score at Time 1.
Uncontrolled
analysis

Controlled for gender, social support, and

substance abuse

Religious variables compete in

single model

Independent variable

Site
Age
Female gender
Caucasian
African American
Other race
SES
No religion
Conservative Protestant
Liberal Protestant
Catholic
Other religion
Substance abuse
Social support
Daily spiritual experiences
Forgiveness
Private religious practices
Positive religious coping
Negative religious coping
Positive religious support
Negative religious support
Commitment
Positive religious history
Loss of faith
Organizational religiousness
Overall self-ranking
Meaning

1.47
0.32
3.15

0.84
4.15
0.79
1.91
1.33
1.06
0.74
4.20
6.05
0.29
0.35
1.84
0.12
0.60
2.00
0.98
1.00
1.08
0.12
5.81
0.71
1.41
0.93

0.3772
0.4795
0.0599

0.6353
0.1595
0.2194
0.5940
0.4696
0.6576
0.8280
0.3069
0.0022
b .0001
0.0032
b .0001
0.2248
0.0176
b 0.0001
0.0171
0.0360
0.2521
0.8963
0.0006
0.0066
0.0063
0.0760

0.01
1.14
0.13
0.09
1.53
0.14
1.22
0.73
1.62
3.73
0.22
0.28
0.24

0.9157
0.0034
0.2018
0.7442
0.0006
0.7268
0.0045
0.4185
0.0612
0.0185
0.3941
0.5791
0.6573

0.06
1.18
0.23
0.33
1.14
0.06
0.59
2.26
0.89
4.33
0.55
0.87
0.10

0.8054
0.0221
0.1228
0.4956
0.0223
0.9026
0.1936
0.0787
0.3806
0.0086
0.0975
0.2190
0.8789

Religious variables entered into base model (gender, social support, and substance abuse).

study entry. t-tests comparing demographics and depression

severity of completers and non-completers revealed no
signicant differences between the groups.
6.4. Regression analyses
Uncontrolled cross-sectional correlations with BDI-II
scores are displayed in Table 2. Among demographic
measures, only gender showed a near-signicant correlation
with BDI-II scores. No treatment variables related to BDI-II.
Religious characteristics which negatively correlated with
BDI-II scores included the following: daily spiritual experiences, forgiveness, positive religious coping, positive religious
support, loss of faith, organizational religiousness, and selfranking as religious/spiritual. Negative religious coping,
negative religious support, and loss of faith were related
positively to BDI-II, such that higher levels of these characteristics related to greater depressive symptoms. Both
substance abuse and perceived social support were signicantly related to BDI-II score, such that greater levels of
substance abuse and lower levels of social support correlated
with increased depression.
Multivariable results are summarized in Table 2. When
perceived social support and substance abuse measures were
added to models predicting BDI-II score, daily spiritual
experiences, positive religious coping, organizational religiousness, and self-ranking became non-signicant (implying
that social support and substance abuse explained these
relationships with depression). Only forgiveness, negative

religious support, negative religious history, and negative

religious coping remained signicant and could not be
explained by social support or substance abuse. When all
religious variables were allowed to compete in the model,
forgiveness, negative religious coping, and loss of faith were
retained, each contributing unique variance. When gender,
substance abuse, and social support were added to this
parsimonious model, forgiveness and loss of faith retained
signicance, and negative religious coping became nonsignicant ( = 0.87, p = 0.07).
Next, baseline predictors were sought of change in BDI-II
score over time, controlling for the initial BDI-II. Only loss of
faith predicted change in depression, such that endorsing a
loss of faith at time 1 predicted less improvement in BDI-II
score six months later ( = 4.69, p = 0.007). This effect
persisted when controlled for gender, social support, and
substance abuse.
To further characterize the meaning of loss of faith in this
sample, an attempt was made to correlate it with a lack of
religiosity. Disagreeing with the BMMRS item I believe in a
God who watches over me did not relate to a loss of faith, nor
did endorsing no religion.
7. Discussion
We hypothesized that negative religious coping, negative
religious support, and loss of faith would relate positively to
depressive symptoms, while other aspects of religiousness/
spirituality would relate negatively to depression. We expected

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R.E. Dew et al. / Journal of Affective Disorders 120 (2010) 149157

this relationship to be apparent cross-sectionally and longitudinally. Our secondary hypothesis stated that social support
and substance abuse would mediate or explain the observed
relationships between religion/spirituality and depression.
The primary hypothesis was partially conrmed. Nine of
13 religious subscales related signicantly to BDI-II score in
uncontrolled analysis. Greater use of negative religious coping
and endorsing negative support from the religious community correlated with higher depression scores, as did endorsing having experienced a loss of faith. In contrast, daily
spiritual experiences, forgiveness, positive religious coping,
positive religious support, organizational religiousness, and
self-ranking as religious/spiritual were inversely related to
depressive symptoms. These ndings are consistent with
previous research (Ano and Vasconcelles, 2005; Dew et al.,
2008b; Knight et al., 2007; Koenig et al., 2001), and argue for a
more complex model of the religion/depression relationship;
all religious beliefs and experiences are not necessarily
related to better mental health.
Contrary to our hypothesis, longitudinal analysis showed
that only endorsing a loss of faith predicted less improvement
in depressive symptoms over time. This argues against the
hypothesis that religious beliefs or behaviors cause or prevent
depression, but rather correspond to concurrent level of
depression.
In accordance with our secondary hypothesis, that substance abuse and social support may serve as mechanisms
through which religiousness impacts depression, ve of the
nine subscales initially correlating with BDI-II score became
non-signicant when substance abuse and social support
were controlled. However, these two control variables failed
to completely explain the observed relationships: four
subscales forgiveness, negative religious coping, negative
religious support, and loss of faith, continued to relate
signicantly to BDI-II score despite control for substance
abuse and social support. The prospective contribution of loss
of faith to the variance in BDI-II change score also retained
signicance when controlled for these potential explanatory
variables. Accordingly, it appears that religion and spirituality
may relate to adolescent depression both indirectly through
social support and substance abuse, and also directly.
These ndings are consistent with other psychiatric
research. First, as in the adult literature, several aspects of
religiosity related inversely to depressive symptoms. Among
adults, similar relationships have been found cross-sectionally (Baetz et al., 2004; Hahn et al., 2004; Koenig et al., 2001),
and longitudinally (Braam et al., 2004; Koenig et al., 1998).
Also consistent is the observed association between negative
religious coping and higher levels of depression. This
relationship has been conrmed among adults in a recent
meta-analysis (Ano and Vasconcelles, 2005).
The nding that baseline loss of faith predicted less
improvement in depressive symptoms over time is consistent
with the idea that faith somehow protects against depression.
However, loss of faith does not seem to be the same as not
having faith, as this construct did not correlate with measures
of atheism or having no religion. It may be that it is
specically the loss rather than the absence of faith that is
important. Previous literature supportive of this idea includes
a study which found a decrease in religious faith predicted
greater use of mental health services among veterans with

PTSD (Fontana and Rosenheck, 2004), and a longitudinal

survey which found that a decrease in religiosity predicted
conduct problems equaling or exceeding the conduct problems of those who were never religious at all (Peek et al.,
1985).
It is possible that adolescents completing this survey
interpreted loss of faith to mean loss of hope. Hopelessness is a concept highly relevant to the study of
depression, and has been found to relate to suicidality
(Nrugham et al., 2008). Although there was no direct measure
of hopelessness in this study, it may be noted that loss of faith
did not correlate independently with suicidality. Further
investigation, likely involving qualitative methodology, will
be needed to clarify this issue.
The ndings of this study also mirror results of several
studies in adolescents (Miller and Gur, 2002; Schapman and
Inderbitzen-Nolan, 2002; Wright et al., 1993; Pearce et al.,
2003). Unlike our study, Harker found that religious attendance predicted lower depression scores one year later
among adolescent participants of the Add Health Study
(Harker, 2001). This study, however, did not control for
baseline depression.
As stated above, previous literature on religion and
depression among young psychiatric patients has been sparse
and inconsistent. The current study provides partial replication of previous results found among a sample of 117
adolescent psychiatric outpatients (Dew et al., 2008b).
Cross-sectionally related to lower scores on the BDI-II in
that sample, after controlling for substance use, were
forgiveness, negative religious coping, and negative religious
support; in the current study, these scales, in addition to loss
of faith, retained signicant relationships to depression even
controlling for potential mediators.
7.1. Interpretation of ndings
Why might these religious variables relate to depressive
symptoms? Theories on how religion might impact mental
health abound (Koenig et al., 2001). The fact that ve of the
nine subscales lost signicance when substance abuse and
social support were added to the model gives us insight into
possible mechanisms. It has been consistently found that
religious variables relate inversely with teenage substance
abuse (Brown et al., 2001b; Heath et al., 1999; Nonnemaker
et al., 2003; Wallace et al., 2003). It is also known that
substance use relates to depression (Conway et al., 2006;
Currie et al., 2005; Goldstein et al., 2007). It is therefore likely
that one way religion relates to depression is that those who
embrace religion use fewer substances, protecting them
against depression.
Social support has also been found to relate to depression
(Buist-Bouwman et al., 2004; Dahlem et al., 1991; Denny
et al., 2004a,b). Possible explanations of this relationship
include the theory that social support prevents or alleviates
depression, as well as the idea that non-depressed persons
are better able to engage with others socially. Religion and
spirituality can provide social support in several ways. Church
membership may allow teens to develop extra-familial
relationships with stable adult gures, sometimes providing
guidance and affection lacking in their own families. Church
youth groups likely help establish healthy peer bonds. Trends

R.E. Dew et al. / Journal of Affective Disorders 120 (2010) 149157

in contemporary American evangelical Christianity toward

intense individual relationships with God, who is perceived to
accompany the adherent throughout daily life, have been
observed in anthropological research (Luhrmann, 2004). A
close and nourishing relationship with the Divine may
mitigate the effects of negative life experiences or other
risks for depression. Possibly, adolescents in this study who
were not depressed were better able to connect and bond
with social contacts. Alternatively, those who endorsed
religious connections may also tend, independently, to have
close, supportive families and friends.
Four subscales contributed unique variance to the BDI-II
score beyond that of substance abuse and social support: lack
of forgiveness, negative religious coping, negative religious
support, and loss of faith. These phenomena can be understood in several ways. Such feelings could precede and
contribute to the onset of depression. Alternatively, they
may represent depressive symptoms negative thoughts of
those looking at the world through the depressed lens.
Cognitions about the harsh and punitive character of God may
represent a way to cope with depression; e.g., some depressed
subjects may understand their illness as divine retribution for
past sins. It is also possible that these phenomena represent
the type of religion that emerges in someone who has
experienced depression in youth; adolescent depression may
leave a scar on the personality or worldview that distorts
mainstream religious experience. Finally, these religious
variables and depression may in truth be unrelated, but
instead both related to a third variable not assessed in this
study.
Only one variable, loss of faith, related to change in
depressive symptoms prospectively. Independent of the level
of depressive symptoms at Time 1, those endorsing a loss of
faith showed less improvement over time. Thus loss of faith
may represent a marker of poor prognosis in treatmentseeking adolescents.
Most other religious variables correlated with depressive
symptoms cross-sectionally, but did not predict change in
depression over time. This is noteworthy, in that the eld to
this point has often supposed causal relationships between
religion and depression. Rather, these results support the
hypothesis that such variables as lack of forgiveness, negative
religious coping, and negative religious support are depressive symptoms. These may to some extent represent state,
rather than trait, attributes.
7.2. Clinical implications
Given associations with depression, religious/spiritual
characteristics may require assessment in the mental health
care setting. Inquiries can be made about perceptions of the
relationship to the Divine and to the religious community,
about inability to forgive oneself for past wrongs, and about
loss of previously held religious faith. As these phenomena
may represent clinical symptoms, they may be monitored
over time as such. If they represent risk factors, then they may
be useful in terms of prognosis. Direct intervention into
religious matters is more controversial. It is not clinically
accepted at present for therapists to attempt to reshape a
client's relationship with God, but referral to a chaplain or
pastoral counselor may be helpful and appropriate (Koenig,

155

2001). If it is discovered that interpersonal interactions

between the patient and his or her religious congregation
are in fact negative and stressful, discussion with parents may
help alleviate this.
7.3. Limitations
This study has several features that limit its generalizability. First, subjects were all psychiatric patients. Differences between depressed and non-depressed psychiatric
patients will not necessarily generalize to non-clinical
populations. Second, the data presented here are observational and cannot prove or disprove causal relationships
between any of the measured variables.
Thirdly, both clinical sites are in the Southeast United
States, and the sample was dominated by those with
conservative Protestant religious afliations; thus, results
may not generalize to samples from other geographic areas or
religious groups. Religious groups growing out of other
cultures as well as newer movements in American spirituality
may differ vastly in emphasis and relationship to health.
Important information may be gleaned by comparing these
results to future studies in more religiously-diverse areas.
Fourth, the sample size of 145 is relatively small given the
number of comparisons made; thus replication with larger
samples is needed. Larger studies may be better able to
explore how religious variables interact to predict health
outcomes; for example, some studies nd that level of
religiousness interacts with denomination to predict substance use (Dew et al., 2008a). Larger studies will also be
better equipped to examine non-linear relationships, which
are sometimes found in substance abuse (Shedler and Block,
1990) and religion/health research (Brown et al., 2001a). In
addition, large studies will be able to analyze important
subgroups such as lesbian/gay/bisexual youth.
Fifth, the substance abuse measure showed low variability
necessitating use of a dichotomized score; it is possible that if
more variance in substance abuse could be captured, results
would change. However, approximately 20% of the sample
reported some substance abuse, a gure consistent with
previous literature on rates of substance abuse in mental
health care settings (Rush and Koegl, 2008). Sixth, recruitment for this study required the assistance of subjects'
treatment providers; providers were approached by study
personnel about all identied eligible candidates and exclusion criteria were explained. It is unknown if any treatment
provider introduced bias by encouraging or discouraging
participation based on any of our salient variables, e.g.,
encouraging more religious or less depressed subjects to
participate.
Despite these limitations, this study represents the most
extensive longitudinal analysis to date of the relationship of
religiousness/spirituality to depression among adolescent
psychiatric patients, and the rst such study (known to the
authors) to investigate the possibility of mediation through
substance abuse and social support. Future studies should
attempt to replicate these ndings. In addition, more
qualitative research should be done to further understand
the meaning and function of spiritual concepts to adolescents.
Such research will pave the way for more concrete clinical
applications.

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R.E. Dew et al. / Journal of Affective Disorders 120 (2010) 149157

Role of funding source

Support for this manuscript provided by a grant from the John Templeton
Foundation, which had no further role in study design; in the collection,
analysis and interpretation of data; in the writing of the report; and in the
decision to submit the paper for publication.

Conict of interests
All authors declare that they have no conicts of interest.

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Clinical Psychology Review 24 (2004) 379 397

Religion and anxiety: A critical review of the literature

Andrea K. Shreve-Neiger *, Barry A. Edelstein
West Virginia University, Life Sciences Building, 53 Campus Drive, P.O. Box 6040, Morgantown, WV 26506, USA
Received 14 April 2003; accepted 10 February 2004

Abstract
Religions effects on mental health have been debated for years, yet only in the last half century have these
theories been empirically tested. While a number of mental health constructs have been linked to religion, one of
the most prevalent and debilitating mental health indices, anxiety, has been largely ignored. This paper categorizes
and critically reviews the current literature on religion and general indices of anxiety in terms of findings linking
decreased anxiety to religiosity, increased anxiety to religiosity, and those finding no relation between anxiety and
religiosity. Results from 17 studies are described and synthesized. Conceptual and methodological weaknesses that
potentially threaten the validity and generalizability of the findings are discussed. Finally, conclusions and
directions for future research are provided.
D 2004 Elsevier Ltd. All rights reserved.
Keywords: Anxiety; Religiosity; Mental health

1. Introduction
Physicians and mental health professionals are finding growing evidence that humans spiritual lives
are related to physical and mental well-being (Koenig, McCullough, & Larson, 2001). Aspects of
religion have been linked to the outcomes of such physical ailments as cancer (Acklin, Brown, &
Mauger, 1983), kidney disease (Baldree, Murphy, & Powers, 1982), and heart disease (Croog & Levine,
1972). Other studies have examined the relation between religion and emotional constructs such as
depression (Braam et al., 1998), well-being (Ayele, Mulligan, Gheorghiu, & Reyes-Ortiz, 1999), and
self-esteem (Commerford & Reznikoff, 1996; Sherkat & Reed, 1992).
Relatively fewer studies have examined the relation between anxiety, a pervasive and ubiquitous
index of mental health, and religion. This paper will include a summary of the research on general
* Corresponding author. Tel.: +1-304-296-4440.
E-mail address: ashrev@mix.wvu.edu (A.K. Shreve-Neiger).
0272-7358/$ - see front matter D 2004 Elsevier Ltd. All rights reserved.
doi:10.1016/j.cpr.2004.02.003

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A.K. Shreve-Neiger, B.A. Edelstein / Clinical Psychology Review 24 (2004) 379397

indices of anxiety and religion. A critical review will follow that identifies potential conceptual and
methodological problems in the studies, as will a final section of recommendations for future research in
this area. Before this review, however, the definition of religion and the history of the debate on the
relation between religion and mental health will be discussed.
1.1. Defining religion
Many studies have tapped into one aspect of religion such as church attendance or frequency of
prayer. Relatively few have defined religion multidimensionally or utilized a psychometrically
standardized assessment of religion. This lack of a universally accepted definition and consequently
poor or varied operationalization of the construct has led to a number of contradictory or mixed findings.
Bergin (1983) asserted that ambiguous results reflect a multidimensional phenomenon that has both
positive and negative aspects.
Krause (1993) conceptualized religion as having three major components: organizational religiosity,
subjective religiosity, and religious beliefs. Organizational religiosity involves participation in religious
institutions and is frequently related to church attendance, church membership, or that aspect of religion
embedded in a larger organizational context. Subjective religiosity is related to commitment and the level
of importance people place on religion in their personal lives. Finally, religious beliefs are the core
beliefs people have as related to their religion and man or womans relationship to God. Krause claims
that the religious belief dimension has historically been that most neglected in religiosity research.
Some may posit that it is impossible to define a construct as personal and abstract as religion, but
recent work by researchers is demonstrating otherwise. Measures are being developed, such as that by
the Fetzer Institute (1999), that tap into multiple aspects of religion that have been identified by leading
researchers in the field.
Researchers from various disciplines at a series of recent conferences called for a definition of religion
that captured a number of characteristics and dimensions including feelings, thoughts, experiences and
behaviors that arise from a search for the sacred, with sacred referring to a divine being, Ultimate
Reality, or Ultimate Truth, as perceived by the individual (as cited in Koenig et al., 2001). While
assessing such seemingly abstract constructs as Ultimate Reality and Ultimate Truth appears daunting, a
move to define religion according to a number of dimensions that may affect mental health would be
advantageous for future research.
The terms religiosity and spirituality are used interchangeably in much of the literature.
Religiosity is frequently associated with overt behavior. It stipulates behavioral patterns and encourages
overt religious expression (Hill et al., 2000). As such, rituals and overt practice are key elements in the
construct of religion. Religion is generally linked to formal institutions such as churches, temples, or
synagogues. Personal beliefs are also a part of religiosity, but even more so are institutional beliefs (Hill
et al., 2000). The membership in an organization implicates the persons belief system with that which is
already established by that institution. Because religiosity is often associated with institutions, church
attendance is frequently viewed as a measure of religiosity (Lester, 1987). Church attendance is an overt
behavior that may easily be quantified and equated with religiosity. Church attendance can also serve as
a measure of social support.
In contrast to the more overt behavioral and institutional emphasis of religiosity, spirituality has more
to do with individual experience, and is generally linked to private events and transcendence (George,
Larson, Koenig, & McCullough, 2000; Hill et al., 2000; Piedmont, 1999). Spirituality is most often

A.K. Shreve-Neiger, B.A. Edelstein / Clinical Psychology Review 24 (2004) 379397

381

described in personal or experiential terms, including belief or having a relationship with God or a
higher power (Hill et al., 2000). Spirituality is idiographic and covert. It is a broader category of
experience than religiosity that is not restricted to institutions or religions. Thus, spirituality does not
depend upon a collective or institutional context (Pargament, 1997), but rather is an independent
experience marked by a quest for meaning and an appreciation for nature and life in general.
Unfortunately, due to a number of studies utilizing religiosity and spirituality interchangeably, one is
sometimes difficult to discriminate from the other. A number of recent studies are based on measures of
religion rather than spirituality, but these studies tend to neglect that portion of the population that
considers themselves spiritual and not religious (George et al., 2000). There are multiple similarities and
differences between religiosity and spirituality. For example, there are many overt behavioral practices
associated with religiosity such as going to church, and many covert private behaviors associated with
spirituality, such as praying or meditating.
Another body of literature has described an aspect of religiosity termed religious coping, where
ones religion is a source through which critical life situations and stressors are dynamically processed
and understood. As a result, the person can cope and change can occur both cognitively and behaviorally
to meet the demands of the environment. The literature on religious coping and mental health is
extensive (see Pargament, 1997; Pargament, Smith, Koenig, & Perez, 1999), and interestingly, there
appear to be both positive (healthy) and negative (unhealthy) patterns of religious coping.
For the purposes of this review, the terms, religion and religiosity are defined broadly and
multidimensionally. Thus, studies are included that operationalize religion according to conceptual
aspects, such as intrinsic or extrinsic orientation, or organizational versus subjective religion. Studies that
examine one or more individual aspects of religion, such as affiliation, prayer, fundamentalism, or
church attendance, also are included.
1.2. The history of the debate
For years, prominent mental health professionals have commented on the relation between religion
and psychopathology, based primarily on anecdotes and case studies. Freud (1953) referred to religious
rituals as obsessivecompulsive acts and portrayed the religious person as neurotic, if not delusional.
Similarly, Ellis (1980) equated religiosity with being mentally unhealthy, inflexible, and intolerant.
Watters (1992) asserted that Christian doctrine, specifically, is incompatible with many components of
both sound mental and physical health (Koenig et al., 2001).
In stark contrast to these conceptualizations, other prominent mental health professionals, including
Rogers, Maslow, and Bandura, have claimed that religion is related to a number of positive mental
health outcomes (Bergin, 1985, 1991). Jung wrote that of his many hundreds of clients, he believed that
each fell ill because he had lost that which the living religions of every age have given to their
followers, and none of them has been really healed who did not regain his religious outlook (as cited in
Koenig et al., 2001).
Since the 1950s, various conceptualizations of religion as related to other constructs have been tested
empirically, resulting in a number of mixed and contradictory findings. In a critical review of the
literature relating religion to mental health, Sanua (1969) described a number of empirical studies that
found evidence for a positive relation between religiosity and psychopathology. Stark (1971), however,
also critically reviewed studies that attempted to test this relation and found the opposite to be
overwhelmingly the case, that religion was not only negatively correlated with psychopathology, but

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A.K. Shreve-Neiger, B.A. Edelstein / Clinical Psychology Review 24 (2004) 379397

was also related to healthful outcomes. Interestingly, although both of these authors were purporting to
review the existing relevant literature relating some aspect of religiosity to mental health, the studies that
were reviewed did not overlap.
Bergin (1983) also reviewed the existing literature and found no support for the assertion that religion
is correlated with psychopathology, but also found only slight support for its relation to positive or
healthful outcomes. Bergins review found that sociological and psychiatric reports were more favorable
to religion while the psychological literature tended to be more negative. Thus, it appears that the history
of the debate over religions relation to mental health is racked with inconsistencies and contradictory
findings that may ultimately be attributed to the researchers biases, poor operationalization of
constructs, or both. Perhaps overall mental health is simply too broad a construct to attempt to
assess in an empirical context. Assessing religions relation to one both prevalent and pervasive index of
mental health that preliminary work has suggested may be related to religiosity is more pragmatic.
Anxiety, as an index of mental health, meets all of these criteria.
1.3. Anxiety and religion
Although religion and its relation to a number of mental health disorders have been studied, relatively
fewer studies have addressed general indices of anxiety and their relation to religion. This lack of
research is surprising in light of studies demonstrating the reliance of many on religion as a coping
mechanism when dealing with health-related stressors (Princeton Religion Research Center, 1982), and
the opposing assertion by others that religion exacerbates rather than relieves anxiety (Ellis, 1988;
Watters, 1992). Recent work with caregivers of older adults with Alzheimers disease (Burgener, 1994)
found that caregiver reliance on religion was positively related to general well-being, social functioning,
and successful coping.
It is apparent that many Americans utilize some aspect of religion or integrate it into their belief
systems. When many of the same people are experiencing anxiety at some level, with symptoms that
do not necessarily meet criteria for a disorder, it seems fitting that clinicians and other health
professionals would want some clarification as to the role religion may play in the formation,
prevention, and alleviation of anxiety. The relation between religiosity and several specific anxiety
disorders, especially obsessivecompulsive disorder (Taylor, 2002; Tek & Ulug, 2001), has been
examined previously in the literature, as has religiosity and death anxiety (Clements, 1998; Swanson
& Byrd, 1998). Inclusion of all studies pertaining to general indices of anxiety, specific anxiety
disorders, and death anxiety would make integration of findings quite difficult and yield an unwieldy
document. In addition, while the literature addressing the relation between religion and specific
anxiety disorders is useful, it offers little insight into how religion may be related to anxiety in those
who do not meet diagnostic threshold for a disorder. Thus, this review will only describe studies that
assess anxiety as a broad construct that also includes such related constructs as distress, worry,
insecurity, and fear.
This paper includes a critical review of the existing research on the relation between general indices
of anxiety and religion. Studies that have examined religiosity, or the degree to which one is religious,
or some other aspect of religion as related to anxiety are included. Studies are categorized according to
whether they linked religiosity to decreased anxiety, linked it to increased anxiety, or found no
significant relation between religiosity and anxiety. After presenting and summarizing study findings,
relevant problematic methodological and conceptual issues are discussed. Finally, conclusions and

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383

future directions follow based on a synthesis of the research findings and relative shortcomings of the
reviewed studies.
1.4. Studies relating religiosity to decreased anxiety
For years, researchers have assessed religiosity in terms of overt behavioral practice. Church
attendance can easily be quantified and thus analyzed, so it is not surprising that many studies have
utilized it as a measure of religiosity. In a study that explored factors affecting anxiety, depression, and
hostility in rural women, Hertsgaard and Light (1984) administered the Multiple Affect Adjective Check
List (Zuckerman & Lubin, 1965) and a biographic and demographic questionnaire they developed to 760
randomly selected women (mean age = 44 years) living on farms in a Midwestern U.S. state. Personal
characteristics, including church attendance, were entered as predictors of anxiety in a stepwise
regression analysis. Women who attended church more than once per month scored significantly lower
on the Anxiety subscale than those who attended less often. The authors concluded that some factors,
including church attendance, minimize anxiety in rural women and that awareness of these factors can
enhance mental health service in rural areas.
In an effort to determine causal directionality between religiosity and psychological distress,
Williams, Larson, Buckler, Heckmann, and Pyle (1991) used data from participants in a longitudinal
study of mental health (Myers, Lindenthal, Pepper, & Ostrander, 1972) in New Haven, CT. Data were
available for 720 participants (mean age = 44.8) who were interviewed once in 1967 (Time 1) and then
again in 1969 (Time 2). Psychological distress was assessed with the Symptom Checklist Scale
(Gurin, Veroff, & Feld, 1960), where higher scores are indicative of less distress. In addition, two
measures of stressful life events developed for the study were used. The first measure indexed
undesirable stressful events and the second measure summed the number of physical health problems
experienced in the previous 2 years. Religious attendance was assessed with one question that asked
respondents to rate their frequency of church attendance. Participants were classified as high
attenders (who attended church once a week or more), moderate attenders (who attended once
per month to two or three times per month), and low attenders (who never attended or who only
attended a few times per year).
Regression analyses revealed religious attendance at Time 1 to be significantly positively related to
Symptom Checklist Scale scores at Time 2, and thus negatively related to psychological distress. In
addition, the authors tested whether religious attendance protected or buffered individuals from the
negative effects of stress. A regression model revealed that both the multiplicative terms for interactions
between life events and religious attendance and health problems and religious attendance were
significant. The authors concluded that religious attendance is negatively related to distress and that
religious attendance does appear to buffer the impact of stressful life events and physical health
complaints on psychological well-being.
Petersen and Roy (1985) studied the relation between anxiety and religiosity in an entirely Christian
sample (N = 318) in Memphis, TN. Church attendance was assessed with a single item that asked
respondents if they attended Sunday worship services every week, several times a month, several times
a year, or never. Anxiety was assessed utilizing a three-item scale developed by the authors. The
anxiety items were purported to assess how often the respondent worries or feels discouraged about the
way his/her life is going and feels that life treats him/her unfairly, but actual scale items were not
published. When religious variables were entered as predictors of anxiety in a multiple regression

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analysis, church attendance proved to be the only significant predictor. The authors concluded that
church attendance is an important factor in reducing anxiety, which may be due to emotional support
offered by the church community.
While church attendance is one easily measured aspect of religiosity, some researchers have
assessed other avenues of religious participation. Williams and Cole (1968) recruited 161 undergraduates from a state college in the South. The authors expanded Ligons (1965) Religious
Participation Questionnaire and devised their own Religious Participation Scale, which instructed
participants to indicate the extent of their church attendance, personal prayer, reading of religious
material, Sunday school attendance, and church-related activity. Participants were also given Maslows
(1952) SecurityInsecurity Inventory. High scores were reported to be indicative of generalized
psychological insecurity.
For analyses, those scoring at least one standard deviation below the mean on the Religious
Participation Scale were categorized as the low religiosity group, while those scoring at least one
standard deviation above the mean constituted the high religiosity group. Those falling between .14
and +.14 standard deviations from the mean were labeled the intermediate religiosity group. Although
the high and intermediate religiosity groups did not differ significantly in indices of security, both high
and intermediate groups were significantly more secure than the low religiosity group. The authors
hypothesized that either more secure persons tend to become religious, religion facilitates security, or
religious individuals do not openly admit insecurities.
In an earlier study that explored the relation between affiliation and anxiety, Brown (1962) recruited
203 undergraduates (mean age = 22) from the University of Adelaide. Four questionnaires were
administered. Intensity of religious beliefs was assessed with Thoulesss (1935) questionnaire, and
personality measures included Eysencks (1958) questionnaires for neuroticism and extraversion, the
Taylor Manifest Anxiety Scale (MAS; Taylor, 1953), and items from the Minnesota Multi-Phasic
Personality Inventory (MMPI; Hathaway & McKinley, 1940). In addition, a questionnaire developed by
the author assessing a number of religious attitudes was included, and information on sex, age, and
religious affiliation was obtained. Religious affiliations included Roman Catholic, Church of England,
Methodist, Lutheran, Presbyterian, Baptist, Atheist/none, and miscellaneous. Higher manifest anxiety
scores for those with no religious affiliation were the only significant findings. There were no significant
differences in anxiety scores found among the other denominations. While this study did not find
evidence for direct positive effects of religiosity, it is notable that lack of religion in this instance was
related to higher anxiety.
Thus far, findings have been linked to church attendance and affiliation. The following study assessed
religiosity in terms of contemplative prayer, a more covert behavior. Finney and Malony (1985) recruited
nine nonpsychotic adult Christians (3 male, 6 female; mean age = 30.3) from an outpatient clinic. The
experimenters were testing whether the use of contemplative prayer as an adjunct to psychotherapy
would result in decreased anxiety and target complaint distress. Contemplative prayer was defined as
prayer that utilizes techniques of meditation as a means of relating to God in a nondemanding and
nondefensive way.
A set of cassette tapes providing approximately 3 hours of contemplative prayer instruction was
given to each participant. After listening to the tapes, each participant reviewed the content of the tapes
with a researcher who also presented written procedures for contemplative prayer. The researcher and
participant then prayed together in the prescribed manner. After the session, participants were instructed
to take the written procedure home and follow it carefully, spending 20 minutes per day in

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contemplative prayer. Phone contact was maintained with the participants during the following weeks to
ensure compliance.
The dependent measure used to assess anxiety was the trait anxiety scale from the Spielberger State
Trait Anxiety Inventory (STAI; Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983). After 6 weeks of
psychotherapy, participants were trained in contemplative prayer and told to practice it as described
above. The STAI was administered weekly, and participants were also encouraged to keep daily records
of length of contemplative prayer sessions, rate the greatest focus of attention, and indicate whether
the participant sensed the presence of God during the session. Participants engaged in contemplative
prayer for approximately 14 weeks total.
The relation between time spent in contemplative prayer and STAI scores for each week was
examined, revealing significant composite (using all nine participants data) correlations for three of
the weeks. The authors concluded that their results lend modest support for their hypothesis that
contemplative prayer would be related to lower anxiety. They cautioned, however, that their results could
also mean that participants tended to engage in more contemplative prayer when they were less anxious.
A number of researchers have altered the way they conceptualize and thus operationalize religion.
Allport and Ross (1967) conceptualized religiosity as having two primary components: intrinsic and
extrinsic. Allport and Ross and later Donahue (1985) conceptualized extrinsic religiosity as being
associated with comfort and social convention and intrinsic religiosity as a framework in terms of which
all life is understood. Allport and Ross claimed that the extrinsically religious persons use their religion
while the intrinsically religious persons live their religion. Several studies have explored each
dimensions relation to anxiety.
Baker and Gorsuch (1982) recruited 52 participants from a religious wilderness camp in southern
California. Each participant was administered the Intrinsic Extrinsic measure of the Religious
Orientation Scale (ROS; Allport & Ross, 1967) and the Institute for Personality and Ability Testing
(IPAT) Anxiety Scale (Scheier & Cattell, 1960). Total trait anxiety was significantly negatively
correlated with intrinsic religiousness. The authors concluded that intrinsicness is associated with
the ability to integrate anxiety into everyday life in an adaptive manner.
In a similar study, Bergin, Masters, and Richards (1987), administered the ROS and MAS to 61
undergraduate students at Brigham Young University. A significant negative correlation was found
between the Intrinsic subscale of the ROS and the total anxiety score. The authors concluded that their study
provided moderate evidence that intrinsicness is negatively associated with manifest anxiety, but cautioned
that because 98.6% of the sample was intrinsically oriented, their findings were not very generalizable.
Sturgeon and Hamley (1979) utilized an entirely Christian sample to examine the relation between
trait and existential anxiety and intrinsic/extrinsic religiosity. Existential anxiety was defined as a
product of despair, alienation, and emptiness that results from an individuals inability to see meaning
in life (Good & Good, 1974). The authors recruited 148 students from a conservative, Protestantaffiliated college. Each participant was administered the ROS, the STAI, the Existential Anxiety Scale
(Good & Good, 1974), and An Inventory of Religious Belief (Brown & Lowe, 1951). Only data from
participants with the 20 highest (intrinsic group) and 20 lowest (extrinsic group) ROS scores were used
for analyses; t tests revealed the intrinsic group to be significantly less existentially anxious and
evidence less trait anxiety than the extrinsic group. The groups did not differ significantly on state
anxiety, which was expected since no stress condition was present. The authors concluded that, as
found in previous studies, intrinsic believers evidenced lower anxiety and thus appeared to be better
adjusted.

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In a study that compared measures of worry and intrinsic/extrinsic religiosity in elderly Buddhists and
Christians, Tapanya, Nicki, and Jarusawad (1997) recruited 104 noninstitutionalized, middle-class,
healthy older adults. Half of the sample (18 males, 34 females; mean age = 73) were Christians from
Fredericton, New Brunswick, Canada, while the other half (23 males, 29 females; mean age = 69) were
Buddhists from Chiang Mai, Thailand.
Each participant was administered the Penn State Worry Questionnaire (PSWQ; Meyer, Miller,
Metzger, & Borkovec, 1990), the Age Universal I-E Scale (Gorsuch & Venable, 1983), an adaptation of
the ROS that widens its applicability to children and older adults, and were asked to keep a daily journal.
Both the PSWQ and Age Universal I-E Scale were translated into Thai, with words such as church,
Bible, and God modified to fit Buddhism, and then retranslated into English to ensure validity.
Participants were asked to keep their journal for 3 days, during which they recorded daily occurrences of
worrisome thoughts and their reactions to them, and rated their level of success in coping with the thoughts.
Multiple regression analyses revealed intrinsic orientation to account for a significant amount of
variance in PSWQ scores. In addition, a significant negative correlation emerged between intrinsic
orientation and worry for Buddhists. Buddhists had more extreme scores on the Age Universal I-E Scale,
and thus were both more intrinsically and extrinsically oriented to religion than Christians. Entries in
daily journals differed between groups only with respect to Buddhists worrying more about matters
related to Church/Temple than Christians. The authors concluded that intrinsic religiosity is associated
with lower levels of worry, especially for Buddhists, although this may have to do with religion playing a
greater role in Buddhist Thais lives in general.
In summary, the findings from the previously reviewed studies suggested that church attendance was
related to decreased anxiety for several populations. Several authors concluded that having some type of
religious affiliation was related to lower anxiety levels, and contemplative prayer was associated with
increased security and less distress. Finally, when religiosity was conceptualized as intrinsic or extrinsic,
intrinsic religiosity was related to less worry and anxiety.
1.5. Studies relating religiosity to increased anxiety
While several studies found evidence for religious affiliation being linked to positive mental health
outcomes, it may be that some affiliations are more healthful than others, and that some may even prove
harmful. In Hertsgaard and Lights (1984) study described previously, the authors explored factors
related to anxiety in 760 rural women. After administering the Multiple Affect Checklist and a
demographics questionnaire to each woman, analyses revealed that Catholic women scored significantly
higher on the Anxiety subscale of the Multiple Affect Checklist than women of other affiliations.
Spellman, Baskett, and Byrne (1971) investigated the relation between sudden religious conversion
and manifest anxiety. The authors defined religious conversion as changing from one religion to
another or from a nonreligious state to a religious one, with those who do this suddenly characterized as
sudden converts. The experimenters asked two ministers to place members of a predominantly
Protestant Texas farming community into three categories. The categories comprised the nonreligious
(n = 20; mean age = 38.6), the regular attenders (n = 20; mean age = 41.3), who were assumed to
represent a gradual conversion experience, and sudden converts (n = 20; mean age = 36.9). The
ministers evidenced 92% interrater agreement. All participants were given the MAS.
The MAS means for the three groups proved to be significantly different. Orthogonal comparisons
revealed a higher mean for the sudden converts than for the other two groups combined, which did not

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differ significantly. The authors concluded that their study offered tentative support for the hypothesis
that people who have had a sudden religious conversion score higher on manifest anxiety than those
without such experiences. The authors further discussed conversion as being a pseudosolution to lifes
problems since the conversion experience fails to bring a permanent reduction in anxiety.
Wilson and Miller (1968) tested whether fear and anxiety were related to religious practice in a
sample of 100 undergraduates from the University of Alabama. The participants completed a short form
of the MAS (Bendig, 1956), an unpublished measure of fearfulness, and a self-report questionnaire that
included common dimensions of religious participation and beliefs (e.g., church attendance, belief in a
supreme being, soul immortality, and religious immortality) developed by the authors. Correlational
analyses revealed religiosity to be positively correlated with both fearfulness and anxiety. The authors
concluded that there seems to be a small but reliable tendency for nonreligious persons to give
healthier answers on these measures of fear and anxiety.
When religion was broken into its intrinsic and extrinsic components in the studies described earlier,
the authors concluded that intrinsic religiosity was related to less anxiety. The same authors concluded
that the opposite was true for an extrinsic orientation. Baker and Gorsuch (1982) examined the relations
between trait anxiety assessed by the IPAT Anxiety Scale and the IntrinsicExtrinsic measure of
Religious Orientation in a sample of 52 participants. The results revealed total trait anxiety scores to be
significantly positively correlated with extrinsicness. The authors concluded that extrinsicness is
associated with the inability to integrate anxiety into everyday life in an adaptive manner.
Bergin et al. (1987) had similar findings in their study examining the relation between intrinsic/extrinsic
religiosity and anxiety. Correlation analysis of ROS and MAS scores revealed a significant positive
relation between extrinsic orientation and manifest anxiety. The authors concluded that extrinsicness is
associated with anxiety, and that previous studies have found conflicting evidence for the relation between
anxiety and religion because they failed to assess religions intrinsic/extrinsic dimensions.
Tapanya et al. (1997) compared intrinsic/extrinsic orientation and worry levels in Buddhists and
Christians by administering the PSWQ and Age Universal I-E Scale to samples previously described.
Multiple regression analyses revealed variance in PSWQ scores to be uniquely related to a two-way
interaction between extrinsic orientation and religious affiliation. The authors interpreted this as levels of
worry being associated with extrinsic orientation in different ways for Christians and Buddhists. Indeed,
first-order correlations revealed a significant correlation between worry level and extrinsic orientation for
Buddhist participants only. The authors theorized that the Buddhist belief in the law of karma, which
implies, in contrast to Christianity, that there is no escape from the consequences of ones actions
through redemption, might have contributed to higher levels of worry in extrinsic Buddhists.
1.6. Studies finding no relation between anxiety and religiosity
Heintzelman and Fehr (1976) tested the relation between manifest anxiety and religiosity by administering the Brown modification of the Thouless Test of Religious Orthodoxy (Brown, 1962; Thouless, 1935)
and the MAS to 82 undergraduate students (41 male, 41 female; mean age = 20.6) at the University of
Cincinnati. Correlation analysis revealed no significant relation between anxiety and religiosity.
In a similar study, the same authors (Fehr & Heintzelman, 1977) administered the Allport, Vernon, &
Lindzey (1970) Study of Values, the Thouless Test of Religious Orthodoxy, and the MAS to 120
undergraduates (60 male, 60 female; mean age = 19.8) at the University of Cincinnati. Again, the
relations between the two measures of religiosity and anxiety were nonsignificant. The authors did not

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address their nonsignificant findings except to say that they were consistent with findings by Brown
(1962). They did, however, assert that using two divergent measures of religiosity as they did in their
second study does result in different profiles of the religious individual, thus lending further support
to the notion that religiosity is multidimensional and should be assessed as such.
Frenz and Carey (1989) examined the relation between intrinsic/extrinsic religiosity and trait
anxiety in a sample of 119 undergraduate students (76 female, 43 male) from a private university in
New York. Participants were administered the Intrinsic/Extrinsic Scale (Feagin, 1964), which is a 12item adaptation of the ROS, and the Trait version of the STAI. Participants were categorized as
intrinsic (n = 12), extrinsic (n = 46), indiscriminate (n = 41), and nonreligious (n = 20),
based on Donahues (1985) fourfold typology for the ROS. The four religious groups did not differ
on trait anxiety, and correlations between trait anxiety and continuous scores on both ROS subscales
were also nonsignificant. The authors attributed their nonsignificant findings to their use of a more
heterogeneous sample in terms of intrinsic/extrinsic religiosity than those used in previous studies. The
authors opined that previous findings might have been distorted by a social desirability response bias
of samples recruited from religious institutions.
In a longitudinal study that tested models relating religiosity, stress, and self-esteem/mastery,
Krause and Van Tran (1989) analyzed data from 2107 people in the National Survey of Black
Americans (Neighbors, Jackson, Bowman, & Gurin, 1982). A 10-item checklist developed for the
study assessed stressful life events including health, financial, and interpersonal problems, and six
items assessing organizational and nonorganizational religiosity were used as the religiosity
measure.
A structural equation model was used to test three hypothetical models. The first was a moderator
model, which assumes that the correlation between stress and religiosity is low, and that a statistical
interaction effect exists between stress and religiosity and self-esteem. The second, a suppressor
model, assumes that the level of religious involvement is dependent on the amount of stress present in
the persons life, and thus stress and religiosity are moderately correlated. The third was a distressdeterrent model, which assumes that stress and religiosity are not correlated, but rather each exerts
direct, additive effects on self-esteem.
Findings revealed the distress-deterrent model had the highest goodness of fit and showed that
increases in the number of life event stressors failed to be related to either organizational or
nonorganizational/subjective religiosity. The authors concluded that their findings supported the
distress-deterrent model, with religious involvement appearing to be an important factor in maintaining
self-esteem, but that these additive effects operate independently of the amount of stress present. Thus,
religiosity and stress were unrelated.
In summary, conclusions from these studies revealed no significant relations between anxiety and
religiosity. The authors of these studies concluded that both manifest and trait anxiety appeared not to be
related to religiosity, and stress and religious involvement appeared to be unrelated.

2. Critical review of the literature

The studies reviewed above have rendered mixed and often contradictory findings when examining
the relation between anxiety and religion. This section will address methodological and conceptual
weaknesses that may have contributed to those findings.

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2.1. Methodological issues

2.1.1. Psychometric properties of religiosity measures
The psychometric properties of standardized instruments are critical to the assessment of a construct
and the conclusions drawn based on that measurement. The literature examining religiosity and its
relation to other variables is severely lacking with regard to standardized, psychometrically sound
religiosity measures.
Finney and Malony (1985) used the Batson Inventory of Religiosity, an unpublished measure with no
reported psychometric properties. The authors also utilized Hoods Mysticism Scale, which has been
factor-analyzed and evidences satisfactory internal consistency and convergent validity (with Hoges
intrinsic religious motivation scale; Hood, 1975). However, the Pauline Comparison Scale, which was
also used, is unpublished and has no reported psychometric properties. Wilson and Miller (1968) also
used an unpublished measure with no reported psychometrics to assess fearfulness. Williams and Cole
(1968) used the Religious Participation Scale, an unpublished measure derived from a paper presented at
a regional conference, which again, included no reported psychometric properties. Petersen and Roy
(1985) reported satisfactory internal consistency for the Religious Salience scale used in their study, but
no additional psychometric properties were reported for either this scale or the other scales used.
Without well-documented reliability and validity estimates, it is imprudent to generalize the
findings from these studies to other populations, or more importantly, to compare these findings to
those from previous studies using comparable measures. Conclusions can only be accepted tentatively,
as without normative data for the scales used there is no reference point for data comparison. Perhaps
more importantly, there is no evidence to support that experimenters are indeed measuring the
constructs they purport to be measuring. The possibly poor psychometric properties of some of the
religiosity measures may be a significant contributor to the divergent and sometimes contradictory
findings in this area of research.
A number of experimenters utilized one- or two-item indices to assess religious variables.
Petersen and Roy (1985) assessed religious comfort beliefs with three items and both church
attendance and other-worldly/this worldly orientation with single items. Others (e.g., Krause &
Van Tran, 1989; Williams et al., 1991; Wilson & Miller, 1968) used one to three item indices
developed by the experimenters to measure a number of religious variables (e.g., church attendance,
affiliation, organizational and nonorganizational religiosity). When potentially complex constructs are
assessed with only one or two items, it is likely that important aspects of the construct are being
missed, yielding poor content validity. Moreover, the reliability of such a limited assessment is
questionable.
2.1.2. Sample size and sampling procedures
Several studies (e.g., Finney & Malony, 1985; Spellman et al., 1971; Sturgeon & Hamley, 1979) used
small sample sizes that threatened generalizability of findings. Although power, or the ability to reject
the null hypothesis as false if indeed it is false, may have also been lowered due to small samples, indices
of power were not provided by the authors, and thus power cannot be evaluated. However, the relatively
small size of the samples in these studies may have greatly limited the generalizability of the findings to
the greater population.
A number of experimenters also employed sampling procedures that rendered their studies especially
vulnerable to bias. For example, Spellman et al.s (1971) sampling procedure involved three clergymen

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subjectively categorizing citizens of a farming community into regular attender, nonreligious, and
sudden convert groups. While the authors did report interrater reliability, the validity of this sampling
method is questionable due to potential biases on the part of both clergy and the experimenters in their
selection of clergy. In addition to sampling procedure problems, several studies lacked generalizability
due to homogenous sample composition.
Finney and Malonys (1985) sample consisted of nine Christian volunteers, whereas Bergin et al.
(1987) recruited a completely Mormon sample from Brigham Young University, 98.6% of whom
were categorized as intrinsically (vs. extrinsically) religious. Similarly, Sturgeon and Hamley (1979)
used a Christian sample from a conservative, Protestant, private college. Baker and Gorsuch (1982)
recruited their sample from a religious wilderness camp. These studies used participants who were
religiously homogeneous who may have responded to self-report questionnaires in ways they thought
were socially desirable in terms of their religion.
All of the reviewed studies, with the exception of one (Tapanya et al., 1997), used Christianbased measures of religion and consequently tapped into only Christian samples. Interestingly,
Tapanya et al. (1997) found differences in measures of anxiety and intrinsic/extrinsic religiosity
between Christian and Buddhist samples. This finding demonstrates the potential for differential
findings according to the samples religion. Because religiosity was a variable of interest in each of
these reviewed studies, a religiously heterogeneous sample would have been optimal to ensure
validity and generalizability to other populations.
A number of studies (e.g., Bergin et al., 1987; Brown & Lowe, 1951; Fehr & Heintzelman, 1977;
Frenz & Carey, 1989; Heintzelman & Fehr, 1976; Sturgeon & Hamley, 1979; Williams & Cole, 1968;
Wilson & Miller, 1968) used entirely young, undergraduate samples. While using samples of
convenience is common in psychological research, results from these studies were severely limited
in their generalizability to other populations.
2.1.3. Statistical issues
Dichotomizing participants into high and low categories for analyses can be problematic
for several reasons. It may not only lower statistical power, but it in no way ensures that groups
defined as high or low correspond to groups so labeled in other studies or in the general
population (Allison, Gorman, & Primavera, 1993). Sturgeon and Hamley (1979) divided their
sample into quartiles, and then used only the 20 highest and lowest scorers on a measure of
intrinsic/extrinsic religiosity. While dichotomizing variables allowed for analysis of differences
between groups, there was no indication that these groups were indeed representative of the general
population.
In addition to validity threats from dichotomization of variables, a number of experimenters (e.g.,
Bergin, Masters, & Richards, 1991; Fehr & Heintzelman, 1977; Frenz & Carey, 1989; Heintzelman
& Fehr, 1976) conducted multiple correlational analyses without adjusting the alpha level in their
significance tests. Failure to use a more conservative alpha level increases the probability of a type 1
error suggesting that these studies may have erroneously found significant correlations that would
not have been evident had the proper statistical corrections been utilized.
Although many of the reviewed studies included multiple regression analyses, several experimenters
used other forms of analysis including multivariate regression (e.g., Hertsgaard & Light, 1984),
structural equation modeling (e.g., Krause & Van Tran, 1989; Williams et al., 1991), and mean
difference statistics (e.g., Spellman et al., 1971; Sturgeon & Hamley, 1979; Williams & Cole, 1968).

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An explanation for how particular analyses were chosen over others when analyzing similar types of data
would be beneficial for a number of the reviewed studies.
2.2. Conceptual issues
2.2.1. Operationalization of constructs
Constructs such as religiosity and anxiety are complex and difficult to operationally define. For
years, researchers have relied on measuring the most simplistic and easily quantifiable manifestations
of religion such as church attendance or affiliation. As a result, much of religion as a construct may
have been missed. Several of the reviewed studies attempted to assess other more abstract aspects of
religion but failed to define these constructs in concise, measurable ways. For example, Finney and
Malony (1985) referred to contemplative prayer as a means of relating to God in a nondemanding
and defensive way, but did not explain what specifically is involved when one is relating to God in
this manner or how this differs from other types of prayer.
Similarly, Spellman et al. (1971) asked three ministers to categorize members of a community
into regular church attender, nonreligious, and sudden conversion experience categories.
They asserted that typically the lines between these groups are easily drawn by clergymen,
particularly in small communities. They did not, however, describe the selection criteria used by
the clergy, or explain why it was assumed that regular church attendance could be equated with a
gradual conversion experience. The construct of conversion experience remained vague, as did the
method by which people were categorized. A vague operational definition of a construct not only
threatens study replicability, but also makes generalizability of findings unlikely since the parameters
by which people were classified remain unclear.
Wilson and Miller (1968) employed self-rating items purported to be commonly associated with
religious practices as their measure of religiosity. The items were categorized as assessing church
attendance, belief in a supreme being, soul immortality, and religious morality, but no definitions or
item examples were offered. While church attendance is fairly straightforward, soul immortality
and religious morality are abstract constructs that require definition, yet none was offered, and no
reference given. Again, without clear definitions or sample items, it is difficult to know exactly what
the authors were assessing.
In summary, poor operationalization of constructs suggests a weakness in this area of research.
Because religiosity is a complex, multidimensional construct, when religious variables are studied,
specific, empirically supported definitions are needed to back the measurement and conceptualization of these constructs. The implications of poorly operationalized religious constructs are that
the authors may have failed to assess what they were initially targeting, and/or they and the
reader may have very different ideas as to what was actually measured and manipulated in these
studies.
2.2.2. Assessment of anxiety
In every study reviewed, anxiety was assessed through the use of self-report measures. The
manifestation of anxiety perhaps typifies the interplay between cognitive, physiological, and
behavioral response systems. As such, it is troubling that the reviewed studies did not examine
the relation between physiological or behavioral parameters of generalized anxiety and religiosity.
This reliance on self-report is a limitation to all of the reviewed studies. Just as the multidimensional

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nature of religion has been espoused throughout this paper, the already well established multiple
dimensions or tripartite model of anxiety should not be ignored.
2.2.3. Faulty conclusions
A number of conclusions drawn from the reviewed studies were unfounded because the
experimenters inferred causation from correlation. Hertsgaard and Light (1984) concluded from a
significant negative correlation that factors, including church attendance, appear to minimize anxiety
in rural women. Similarly, Petersen and Roy (1985) concluded that church attendance reduces
anxiety, again from a significant negative correlation. Spellman et al. (1971) referred to sudden
conversion as a pseudosolution to anxiety, suggesting that it momentarily reduces anxiety, but
then is ultimately related to higher anxiety levels. Although this conclusion may be plausible,
findings from this study did not empirically support this assumption because there were no indices
of anxiety taken before the conversion experience that could be compared to post conversion
anxiety.
Finney and Malony (1985) administered the trait version of the STAI on a weekly basis in their
study to assess changes in anxiety as related to increases in contemplative prayer. The authors
concluded that their findings of decreased anxiety levels for three of the weeks gave some support
to their hypothesis that engaging in contemplative prayer would be related to less anxiety. It is
notable, however, that by using the trait rather than state version of the STAI, the authors were
employing a measure developed to assess stable, traitlike characteristics rather than one to assess
transient context-dependent characteristics that would be expected to vary as a result of contemplative prayer. Conclusions made by these authors can only be accepted tentatively as it remains
unclear why the state version of the STAI was not utilized for this study when anxiety levels were
expected to covary with contextual change (e.g., the practice of contemplative prayer).
2.3. Synthesis of the findings
Taken together, findings from several studies (e.g., Hertsgaard & Light, 1984; Petersen & Roy, 1985)
suggest that while overt interpersonal behaviors may be linked to decreased anxiety, other more covert
and personal behaviors may be linked to increased anxiety. One study (e.g., Krause & Van Tran, 1989)
found that for older adults, there was not a relation. Other studies (e.g., Levendusky & Belfer, 1988;
Williams et al., 1991) found that religious affiliations may vary in relation to anxiety. Results from
several studies (e.g., Baker & Gorsuch, 1982; Bergin et al., 1987; Sturgeon & Hamley, 1979; Tapanya
et al., 1997) suggested that those who live their religion (e.g., intrinsic) endorse less anxiety than
those who use their religion (e.g., extrinsic). These findings are tentative, however, due to
methodological and conceptual problems that likely contributed to the contradictory findings of a
number of these and other studies that have attempted to examine the relation between religion and
mental health.

3. Conclusion and future directions

For the last half century, experimenters have been studying the relation between religiosity and mental
health. Anxiety is a debilitating and ubiquitous emotion, yet only a handful of studies has examined the

A.K. Shreve-Neiger, B.A. Edelstein / Clinical Psychology Review 24 (2004) 379397

393

relation between general anxiety and religiosity. These studies yielded mixed and often contradictory
results that may be attributed to a lack of standardized measures, poor sampling procedures, failure to
control for threats to validity, limited assessment of anxiety, experimenter bias, and poor operationalization of religious constructs. It is also likely that some religious aspects are positively related to anxiety
while others are not, and results vary according to which is assessed. No study in this review escaped
methodological and/or conceptual criticism. This leaves much work for future researchers who can
address these shortcomings in a number of ways.
Several studies failed to use a multidimensional measure of religiosity or poorly operationalized the
religious aspect they were purporting to measure. Just as with other psychological constructs such as
depression or well being, initial research has historically been informed by theory and hypotheses, and
dimensions of constructs have subsequently been identified and empirically validated through
thorough assessment. Psychometrically sound, multidimensional assessment of religion is just in its
developing stages. Future studies utilizing well-validated multidimensional measures can clarify
specifically which aspects of religiosity are linked to anxiety. The Fetzer Institute (1999) has devised
such a measure that includes multiple subscales (e.g., religious commitment, organizational religiousness, religious support, private religious practices, values, beliefs, forgiveness, and daily spiritual
experiences). Preliminary studies have demonstrated the measures promising psychometric properties.
Future work with this measure may further elucidate the nature of the relation between religiosity and
anxiety.
Physiological or behavioral assessments of anxiety were also largely absent from the literature.
Because anxiety is manifested in cognitive, physiological and behavioral response systems, this is a great
limitation. Future work can address this limitation by incorporating physiological or autonomic measures
in addition to direct observation of behavioral anxiety-related responses to supplement and further clarify
the relation between anxiety and religion.
Numerous studies have demonstrated that older adults are especially religious and tend to integrate
religiosity into their daily lives (Koenig, George, Blazer, Pritchett, & Meador, 1993; Krause & Van
Tran, 1989). Future work with older adults is promising both because religiosity is especially salient to
many in this population, and because there is growing evidence to suggest that this population taps into
some of the more positive and healthful aspects of religion. In fact, Crowther, Parker, Achenbai,.
Larimore, and Koenig (2002) propose adding a positive spirituality dimension to Rowe and Kahns
(1998) model of successful aging because they believe it is the missing component that addresses the
relations between older adults beliefs, values, community, and the efficacy of interventions focused on
successful aging.
There is also evidence to suggest that although anxiety disorders are less frequent in older adults,
subsyndromal or subthreshold anxiety is more common (Heun et al., 2000; Papassotiroopoulos & Heun,
1999). Studies that incorporate general measures of anxiety instead of standard diagnostic measures
when utilizing older adult populations may find relations between religion and anxiety that would not
and have not been detected otherwise.
In addition to using multidimensional measures, future researchers could broaden their samples in
terms of demographics and religiosity. Many studies relied solely on homogenous samples of
convenience recruited from religious, primarily Christian, institutions. Sample inclusion of nonreligious or diversely religious individuals would increase generalizability of findings. In terms of
statistical analyses, studies that utilize mean difference statistics and path analyses to test buffering
and moderator hypotheses, would offer information regarding directionality not provided in most of

394

A.K. Shreve-Neiger, B.A. Edelstein / Clinical Psychology Review 24 (2004) 379397

these studies. It would also be beneficial for future researchers to support their choices of statistical
analyses and incorporate additional methods that could supplement these traditionally correlational
studies.
Finally, while one study (Finney & Malony, 1985) attempted to examine the relation between
integration of religion into clinical treatment and efficacy of outcome, this study poorly operationalized and assessed the religious construct involved. The utility of integrating or simply acknowledging religious aspects/practice in clinical treatment for those who are religious is worthy of future
examination. Specifically, clinicians might assess a clients degree of religious involvement as a
standard part of an intake interview. Through continued scientific inquiry, a therapist can be
informed on how to successfully validate or discuss the role of religion in a clients life while
maintaining objectivity. In addition, through the identification of aspects of religion that may protect
one from or increase the chances of developing anxiety, proactive or preventative treatments may be
developed. This is not a call for clinicians to practice religion in therapy or let religion influence
therapy, but rather acknowledge and discuss the role religion may play in the clients life and
potentially in treatment. Because religion appears to be important to so many people, including it as
a variable for study in clinical settings may contribute greatly to our understanding of the interplay
between religiosity and mental health for much of the clinical population.
In conclusion, healthcare professionals are calling for increased awareness and study of religious
variables and their impact on mental and physical health. Anxiety is a prevalent and pervasive
mental health construct that has been understudied in relation to religion. Preliminary evidence
suggests that anxiety and religion are related in some ways. Empirically and conceptually sound
research addressing the anxietyreligiosity relations, with an eye to the shortcomings of previous
research, will hopefully further our understanding of the relations between religion and anxiety,.
Finally, it also may inform treatment and prevention of anxiety in a variety of populations,
especially the many for whom some aspect of religion is fundamentally important.
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Religious Factors and Values in Counseling: A Symposium

263

Psychotherapy as a Religious Value

Henry Enoch Kagan
Sinai Temple, Mount Vernon, New York

The topic "Religious Factors and Values

in Counseling" excites this dilemmawhere
does psychology end and theology begin?
At a comparable symposium at New York
Medical Center, a psychiatrist admitted
religious faith might be helpful in healing,
but he refused to define religious faith on
the grounds that it was outside his professional competence. A professor of pastoral theology, on the other hand, was
shocked when the writer made the suggestion that the effect of prayer be submitted
to an objective psychological investigation.
This, he contended, would not only be an
invasion of a man's religious privacy but
an insult to God even though it should have
been obvious that the proposed study would
perforce be confined to prayer's effect on
man's and not on God's mind.
The dilemma does exist. It exists not because psychology and theology disagree on
the reality of religious experience as a subjective phenomenon, but because they may
differ on the objective validity of that experience. Even so, the relation between
religion and psychotherapy is inextricable,
certainly from their historical development
and the theoretical point of view and increasingly so from their contemporary functional mutuality.
Freud and Religion
Freud, himself, devoted much of his intellectual energies to theorizing about religion. To be sure, most of his speculations
were about religion as an obsessional deterrent or unhealthy retardation of maturity.
Freud did reckon with religion as a factor,
indeed, as the most profound of factors, but
he did not recognize it as a value in psychotherapy. However, even on this matter
of religious values, recent anniversary
studies by Jones and others reveal Freud's
own ambivalence.
At one point Freud's pride in his own
Jewishness appears to be simply defensive

or entirely ethnic; but at another he proclaims strong positive feelings toward

Judaism which he seems to claim to be the
only historical religion to have successfully
resolved his prehistoric crime of fathermurder. "It has seldom been so clear to me
as now," Freud wrote, "what a psychological advantage it signifies to be born a
Jew and to have been spared in one's childhood all the atavistic nonsense," and he
declared, "Judaism is a triumph of spirituality over the senses and a self-confidence
that accompanies progress in spirituality"
(Freud, 1939, p. 178).
Freud did not confine his ambivalence
on religious values to his Jewish heritage.
Among the many letters written to his student, the Swiss Christian clergyman, Oscar
Pfister, whom in good humor Freud calls
"a true servant of God the very idea of
whose existence seems to me highly unlikely" we read: "In itself psychoanalysis
is neither religious nor the opposite but an
important instrument which can serve the
clergy as well as laity when it is used only
to free suffering people. I have been very
stuck at realizing how I had never thought
of the extraordinary help the psychoanalytic method can be in pastoral work, probably because wicked heretics like myself
are far away from that circle" (Jones, Vol.
2, 1955, p. 440). In that same letter this
strictly moralistic heretic suggested that it
is because most people are no longer religious that those among them who cannot
endure their suffering must needs turn to
psychoanalysis to master their "obdurate
instincts."
Freud even admired proper religious sublimation, adding, to be sure, that such religious success will depend on the maturity
of the person-to-person relationship between pastor and parishioner, for Freud
writes to Pfister: "You are in the fortunate
position of leading them to God and reconstructing conditions of earlier times,.

264

Henry Enoch Kagan

fortunate at least in the one respect that

religious piety stifles neuroses" (Jones, Vol.
2, 1955, p. 440). In discussing transference
which he considered to be a "curse," Freud
wrote to Pfister: "psychoanalysis perhaps
achieves a cure but not the necessary degree of independence or a guarantee
against relapse" and to the clergy therapist,
he continued, "it is easier for you in this
respect than for us physicians because you
sublimate the transference on to religion
and ethics and that is not easy with seriously ill people. From the therapeutic point
of view I can only envy your opportunity
of bringing about sublimation into religion.
But the beauty of religion assuredly has
no place in psychoanalysis" (Jones, Vol. 2,
1955, p. 448).
Since Freud made this statement 40 years
ago, has the development of dynamic psychology reached the point, unrelated to the
present popular and suspect religious revival, where "the beauty of religion" can
take place in the psychotherapeutic process? In the long run, Freud's critique of
religion may prove to be more constructive
than Jung's affirmations of religion which
are so frequently referred to in order to
bring "the beauty of religion" into therapy.
If "any statement about the transcendent"
is "always only a ridiculous presumption of
the human mind which is unconscious of
its boundaries" and "God for our psychology is only a function of the unconscious,"
to quote Jung (Buber, 1952, p. 79), we
have to deal here with something, but it is
not religion. While religion does glorify
man for being able to communicate with
God, it is also humble enough not to make
God's existence depend upon man. The
religious philosopher, Martin Buber, properly criticizes Jung for failing to make this
distinction between the religious and the
pseudo-religious in which every "alleged
colloquy with the divine is only a soliloquy" (Buber, 1952, p. 134).
Psychology and Religion in Guilt
This sensitive distinction between the
religious and the pseudo-religious will have
to be made if positive values are to be

derived in dealing with religious factors in

counseling. The religious connotations and
even stubborn religious convictions that
underlie many factors in the therapeutic
relationship cannot be categorically denied
by the rigid formulas of frigid counselors
nor be cavalierly circumlocuted by a confidant because of his own religious uncertainties.
How can the feeling of guilt in our culture be completely separated from the
religious concepts of sin? The anxiety of
guilt is one of the most painful of psychic
illnesses just because its roots are deep in
religious origins which intensify guilt. After a period of dark despair following a
decimating persecution, there arose among
East European Jews in the eighteenth century a religious movement of joyful pietism
called Hassidism. The Hassidic Rabbis were
concerned about the abnormal guilt which
profoundly depressed the Jew, derived as
it was from his belief that his suffering was
a punishment by God. A piquant example
of their effort to normalize guilt is the
Hassidic explanation of why the liturgical
listing of sins recited on the Jewish Day
of Atonement is arranged in alphabetical
order. "If it was not otherwise," these
Rabbis said, "we should not know when to
stop beating our breasts for there is no
end to sin and no end to being aware of
sin, but there is an end to the alphabet."
Today, it is popular to accuse the psychotherapist of relieving the person of all sense
of guilt for the sake of his physical health
and to charge the clergyman with inducing
a sense of guilt for the sake of the person's
spiritual improvement. Such can only be
the case when either party is insensitive
to the distinction between normal guilt and
neurotic guilt which can be as harmful as
being unable to distinguish between existential anxiety and pathological anxiety.
Into this area of guilt there can impinge
the theological concept of original sin
which does compound anxiety because it
bears with it not only the sinfulness of sex
but the forfeiture of free will. Judaism does
not ascribe man's conscious awakening to
sexuality as punishment for Adam's fall

Religious Factors and Values in Counseling: A Symposium

from grace and therefore does not believe
men are predetermined by the act of birth
to evil. However, regarding religious concepts which do abnormalize the natural, the
observation of the Christian theologian,
Paul Tillich, is relevant. "If religion," he
says, "does not lead to or does not directly
support pathological self-reduction, it can
reduce the openness of man to reality,
above all the reality which is himself. In
this way religion can protect and feed a
potentially neurotic state" (Tillich, 1952,
p. 73). To what extent will the highest
level of aspiration which religion demands,
itself contribute to the frustration-aggression pattern which can lead to a violence
without shame in the very name of religion?
Contrariwise, can the symbol of God as
a forgiving and a loving Father help to heal
guilt? Here again the patience to discriminate on the part of a counselor becomes
appropriate. How often is overt rebellion
against a so-called angry God by a counselee but a temporary concealment of his
hate for his own father? Does rebellion
against God reflect the presence of an overpowering father in the home or does it
point even more to resentment over the
absence of paternal authority in the modern family? Will the deification of a maternal figure provide a greater feeling of at
homeness in the world any more than does
the mother-dominated,
absentee-father
home provide security for the child? Unless
counseling is to be conducted in a spiritual
vacuum, this current complex between family role and religious figure will require
increasing attention as a pertinent factor.
Serious as is anxiety over guilt, sex, free
will or family role and their religious overtones, the greater anxiety which compels
persons to seek counseling arises from modern man's search for meaning and quest for
hope. Those who think with Macbeth that
life "is but a tale told by an idot, full of
sound and fury, signifying nothing" do become as emotionally distraught and hopelessly depressed as Macbeth. Recent psychiatric studies lead to the conclusion that
where there is hope there is greater success
in enduring pain, in healing and prolonging

265

life. Hope vanishes when the need to belong, the need to be loved and the need
to believe are unmet. These three needs
appear to be so closely interrelated that
it ought to be investigated how the absence
of belief will warp the capacity for human
love, physical and psychic, and will abuse
companionship to conquer loneliness. As the
case histories of Mortimer Ostow show,
the disavowal of religion does not cancel
this need to believe (Ostow, 1954). Some
may place their faith in scientific method
and others will create objects images
which are quasi-religious. Self-made fantasies are like acquired classic religious
superstitions in that both are used by the
self to protect it against a hostile world.
They are intrapsychic, whereas the highest aspirations of religion are interpsychic
in that they relate self to others in a hospitable world.
Clergyman as Psychologist
Because our society is no longer made
up of integrated communities with religious
orientation, there is a crisis in meeting the
need to believe. A recent study of the
changing role of the clergyman shows that
as his role as ritual symbolizer or congregational leader has declined, his role as
pastoral counselor has grown because there
are isolated, mobile individuals in our
extensive, secularized and atomized society
in search of roots they hope to find through
a personal spiritual relationship which they
can no longer find in traditional theological
symbols. This will not sound sacrilegious
to those who remember that the founders
of all religions clearly differentiated between the outward symbolic and the inward spiritual. To them the beginning of
the latter was a unique relationship of man
to man, each concerned for the other's
mutual sanctity. Thus conceived, therapeutic counseling, whether done by a secular
therapist or by an equally trained clergy
therapist (whose role must become a new
religious specialization relieving him of the
more obvious judgmental ecclesiastical
functions), not only deals with religious
values since value judgments are intrinsic

266

Charles A. Curran

to the counselor as well as to the counselee able psychology and theology which one
no matter how objective and nondirective Hassidic Rabbi said he learned from an
the technique, but the relationship may untutored peasant.
well be in itself a religious value.
Said Rabbi Moshe Leib of Sassov (died
1807),
"How to love men is something I
The crux of the matter depends upon
how the counselor looks upon himself as learned from a peasant. He was sitting in
well as upon the other as a person. This an inn along with other peasants drinking.
applies to counselor and to clergy alike. For a long time he was as silent as all the
Whether the one or the other conceives rest, but when he was moved by the wine,
of himself as acting in the role of inter- he asked one of the men seated beside
mediaryship or in the role of relationship him, "Tell me do you love me, or don't you
will not depend on whether he feels or- love me?" The other replied, "I love you
dained by God or ordained by degrees. All very much," but the first peasant in his
of us are persons of doubt as well as faith. wine replied, "You say that you love me
Some of us consciously devout are un- but you do not know what I need. If you
consciously skeptical; and some consciously really loved me, you would know!" The
skeptical are unconsciously devout. As per- other had not a word to say to this and the
sons we will not assume an omnipotence peasant who had put the question fell silent
which is not ours. The expectancy of such again. "But I understood," said Rabbi Leib,
omnipotence in us by our clients is a meas- "To know the needs of men and to help
urement of their neuroticism. We will not them bear the burden of their sorrows,
look upon ourselves solely as the experts that is the true love of men."
who have the skill to help others. Total
References
preoccupation with technique may conceal
one's own uncertainty in the art of living. Buber, M, I and thou. Edinburgh: T. & T. Clarlc,
1937.
Rather we should say of ourselves, "I am
a person who is myself helped when I Buber, M. The eclipse of God. New York: Harper,
1952.
help others." This requires the intimate
converse of two in a dialogical interchange Freedman, M. S. Martin Buber: The life of dialogue. Chicago: Univer. of Chicago, 1955.
whose essential element is experiencing the
Freud,
S, Moses and monotheism. New York:
other side. In the first attitude, the relationKnopf, 1939.
ship is that of subject to an object, an I to Jones,
E. The life and work of Sigmund Freud,
an It; in the second attitude, the relationVol. 2. New York: Basic Books, 1955.
ship is one of person to person, an I to Kagan, H. E. Atonement for the modern Jew.
Thou relationship which in Martin Buber's
CCAR Journal, 1958, 4, 8-15.
definition is itself a religious experience. Ostow, M., & Scharfstein, B. The need to believe
Such an interhuman relationship is of the
New York: International Univer., 1954.
rarest sanctity beyond the most knowledg- Tilhch, P. The courage to be. New Haven: Yale,
1952.

The Counseling Relationship and Some Religious Factors

Charles A. Curran
Loyola University

In some of the old classic Dutch and

Italian paintings, it was the artists' practice,
as Stephen Tennant (1949) has pointed
out, to give a

The experience afforded the viewer here

drawing-room or kitchen in which there is a

window open, through which you see the masts
of ships, or a strip of grey sea, or vistas or colonnades or a balcony, a garden or a court . . .

If we were to ask what religious factors

and values introduce into the counseling
process, we might answer that, like the

. . . is essentially one of gazing beyond the immediate scene to a timeless sky or a timeless room,
in which the future and the past, the unspoken
and the unknown, forever beckon . . .

Percepiile despre smerenie: studiu preliminar

Julie Juola Exiline, Anne L. Geyer

Case Western Reserve University, Cleveland, Ohio,
USA

Percep oamenii smerenia ca fiind o for sau ca o slbiciune? Studiul acesta a ncercat
s rspund ntrebrii avnd un eantion de 127 de studeni. Contrar definiiilor date de
dicionare, care adesea asociaz smerenia cu auto-retrogradarea, participani studiului au avut o
opinie bun despre smerenie. La reamintirea situaiilor n care s-au simit umili, ei susin c au
fost experiene cu succes asociate cu emoii pozitive. Participani au asociat smerenia cu o bun
reglare psihologic, dei nu erau decii dac smerenia poate fi asociat cu ncrederea sau
leadershipul. Dei participanii au privit smerenia ca pe o for n rolurile sociale, prerile mai
favorabile au suinut c smerenia este o calitate a persoanelor religioase, nu este o calitate cu care
poi s i subordonezi pe ceilali, cu att mai puin o calitate a liderilor. Opiniile pozitive despre
smerenie au fost asociate cu o stim de sine ridicat i religiozitate. Opiniile mai puin favorabile
au fost asociate cu narcisismul-n special fa de exploatarea/intitularea dimensiunii.

Percep oamenii smerenia ca fiind o for sau ca o slbiciune? Aa cum a fost descris de
ctre Tangney (2000), definiiile date de dicionare descriu smerenia n sens negativ, asociind-o
cu auro-retrogradarea, stim de sine sczut i umilin. Pe de alt parte smerenia poate fi vzut
ca pe o for, o virtute, aa cum aste sugerat n scrierile religioase (de ex. Casey, 2001;Murray,
2001) tratate filozofice (ex. Morgan, 2001; Richard, 1992) i cercetrile recente din psihologie
(ex. Exline, Campbell, Baumeister, Joiner & Kruger, 2004; Emmons, 1999;Friesen, 2001;
Landrum, 2002, Sandage, 1999, 2001; Tangney, 2000, 2002).
n ciuda ateniei care se acord recent smereniei, psihologii nc tiu puine lucruri despre
percepiile oamenilor despre smerenie- o vd doar ca pe o slbiciune sau o for. Scopul acestui
studiu preliminar a fost s analizeze percepiile despre smerenie dintr-un eantion cu studeni din
America de Nord. Ne-am axat n particular pe urmtoarele ntrebri: cred oamenii c smerenia

este o virtute care se poate cultiva, sau o slbiciune care trebuie minimalizat? Este smerenia
vzut ca o trstur dezirabil doar pentru anumite tipure de oameni-figuri religioase poate,
opus liderilor? Totodat am dorit s cercetm n ce fel diferenele individuale variabile cum
este religiozitatea, narcisismul i stima de sine, pot fi relevante asupra percepiilor despre
smerenie.
Culturile vestice moderne pledeaz intens n ajutarea oamenilor s se vad pe ei nii
ntr-o lumin pozitiv. Stima de sine sczut a fost blamat din cauza serioaselor probleme
sociale cum este violena (de vzut Baumeister, Smart & Boden, 1996, pentru o discuie mai
larg). n ultimele secole am fost martori la finanri din partea statului pentru a crete stima de
sine (Mecca, Smeler & Vasconcellos, 1989) i o mulime de cri de auto-ajutorare pentru a-i
crete stima de sine (de ex. Braden, 1994). Atunci cnd oamenii se confrunt cu slbiciuni
personale sau eecuri, au nevoie s distorsioneze adevrul n aa fel nct s se simte bine cu ei
nii. Unele dovezi sugereaz c o asemenea distorsionare favorabil, folosit cu moderaie, se
poate asocia cu o sntate mental bun i posibil c i cu una fizic la fel (ex. Taylor & Brown,
1988; Taylor, Kemeny, Reed, Bower & Gruenewald, 2000). A te privi te tine n sens favorabil
genereaz ncredere i emoii pozitie, care pot aduce beneficii i n alte domenii care au nevoie
de ajustare.
Conform preocuprii actuale a Vestului, de a promova perceperea n sens favorabil a
propriei persoane, este uor de imaginat c neasumarea trsturii de smerenie poate fi dezagreat.
Aa cum a fost discutat de Tangney (2000), oamenii pot asocia rapid termenul de smerenie cu o
prere negativ despre sine i un sens al inutilitii.
n contrast cu aceast imagine negativ a smereniei, scrierile recente ofer o ampl
viziune c smerenia poate fi ncadrat ca o virtute sau o for. Teologii i scriitorii devotai au
scris mult despre meritele smereniei (ex. Casey, 2001; Mogabgab, 2000; Murray, 2001; Roberts ,
1982; von Hildebrand, 1997) i capcanele mndriei, care adesea apar printre

Cele 7 pcate

capitale (ex. Schimmel, 1992). Filozofii au scris tot despre smerenia ca virtute iau dezbtut
ndelung definiia exact a acesteia, beneficiile i riscurile smereniei (ex. Ben-Zeev, 1993;
Driver, 1989; Hare, 1996; Morgan, 2001; Richards, 1992).
Smerenia este o piatr de temelie pentru Alcoolici Anonimi i alte programe de tip 12
pai, create pentru a distruge adiciile (ex. Kurtz & Ketcham, 1992).

Cei care au scris despre programul Alcoolici Anonimi s-au referit la faptul c smerenia
este vzut aici ca fiind abilitatea de a accepta onest umanitatea omului, cunotinele sale limitate
i imperfeciunile sale-inclusiv slbiciunea omului fa de alcool (Pasul 1) (Kurtz & Ketcham,
1992). Conform lui Kurtz i Ketcham (1992), smerenia implic respingerea implicit a cererilor
de genul totul sau nimic i n locul acesteia s se pun alegerea unui statut de om simplu. Se
descrie cum smerenia poate pava calea alcoolicilor spre a se supune Marii Puteri (Pasul 2) i s
cedeze controlul recuperrii acetei Mari Puteri (Pasul3). Dup aceste raionri, o lips a
smereniei ar mpiedica recuperearea din alcoolism (de vzut Tiebout, 1994). Cercetri empirice
recente despre noile recuperri ale pacienilor alcoolici (Hart & Huggett, 2003) ofer rezultate
relevante care susin acest argument. Studiile arat c o auto-percepie narcisist a autoritii i
superioritii coreleaz negativ cu recuperarea alcoolicilor i cu predarea n faa Marii Puteri aa
cum s-a descris la paii 2 i 3.
Alte conceptualizri recente ale smereniei ofer perspective complementare. De exemplu
Means, Wilson, Sturn, Biron i Bach (1990) au spus c smerenia implic: a) o dorin a fiecruia
de a-i admite greelile; b) o recunotere a faptului c nu se pot controla toate evenimentele
sociale care ne ntmpin; c) o atitudine de rbdare i buntate fa de ceilali oameni i d) simul
empatiei fa de ceilali. Roberts (1982) subliniaz c exist o lips de preocupri n ceea ce
privete rangul social ca o caracteristic de baz a smereniei.. Sandage (1999) folosete termenul
de ego-smerenie, ca referire la orientarea realist asupra sinelui, care include dorina de a ne
cunoate forele i de a face fa limitelor noastre.
Mai recent psihologi sociali i ai personalitii au nceput s cerceteze smerenia ca pe o
form de virtute sau for personal. Emmons (1999) sugereaz c smerenia implic precizie,
auto-acceptare, nelegerea proprilor imperfeciuni, pstrarea talentelor proprii i perspective de
realizare i eliberare din arogan i stima de sine sczut. n lista sa caracteristicile cheie ale
smereniei, Tangney (2000, 2002), include un sens acurat al abilitilor, abilitatea de a-i
recunoate propriile greeli, imperfeciuni, lacune n cunotine i limitri (adesea cu referire la
Puterea cea Mare), deschidere spre noi idei, informaie contradictorie,sfaturi, i abilitatea de a-i
pstra propriile abiliti n perspectiv de viitor. Dup Landrum (2002), smerenia implic o
atitudine open-mind, o dorina de a-i recunoate greelile i de a cuta sfaturi, i o dorin de
nvre. n opinia noastr (Exeline et al., 2004) smerenia implic o dorin nedefensiv de a-i
vedea sinele acurat, incluzns att fore ct i limitrile. Noi am propus c smerenia const n

cutarea unui sens de siguran n care sentimentul de valoare este stabil, surs de ncredere, (de
ex. a te simi iubit necondiionat), credina n via ca avnd valoare, mai degrab dect ceva
tranzitoriu, din surse externe ca realizarea, aparena sau aprobarea social. Un asemenea
sentiment de siguran poate fi tulpina valorilor personale, opinii despre religie sau experienele
vieii.
Aceste definiii psihologice recente sugereaz o viziune pozitiv asupra smereniei,
portretiznd-o n primul rnd ca pe o surs de putere, dect ca pe o slbiciune. Oricum definiiile
laice nu se aliniaz ntotdeauna cu cele ale savanilor, aceasta este o problem care apare n
cercetare i asupra unor constructe ca iertarea (pentru mai multe discuii vezi Exeline,
Worthington, Hill i McCullough, 2003). Date fiind preocuprile noastre culturale privind
prerea pozitiv despre sine, este uor de imaginat c smerenia poate fi foarte simplu vzut ca
fiind dezamagitoare. Aa cum s-a discutat de ctre Tangney (2000) oamenii pot repede asocia
termenul de smerenie cu o opinie negativ despre sine nsui incluznd sensul de inutilitate.
Chiar dac oamenii pot pstra o opinie bun despre smerenie, pot avea rezerve n ceea ce
privete anumite persoane n anumite situaii. O s ne ntoarcem mai trziu asupra acestei idei.

Potenialele beneficii i costuri ale smereniei

Date fiind numeroasele posibiliti de a definii i conceptualiza smerenia, este evident c
opiniile individuale asupra acestui construct pot avea att un ton negativ ct i unul pozitiv. Din
punct de vedere pozitiv oamenii pot vedea smerenia ca pe o alternativ sntoas n locul unei
atitudini arogante, sau ludroase. Pot vedea oamenii smerii ca avnd caliti de ajustare,
casentimentul de siguran, o prere clar despre sine i o atitudine deschis non-defensiv. La
fel pot asocia smerenia cu modestia. Ambele caliti se pare c lupt mpotriva ludroeniei i a
aroganei, iar o opinie umil a sinelui poate duce la o auto-prezentare modest, opus unei autopromovri grandioase.n final pare rezonabil predicia c oamenii smerii sunt mai agreai, mai
plcui. Smerenia ar trebui s ajute la evitarea capcanelor date de periculizitatea ludroeniei i
atitudinile vizibile de grandomanie, care amndou pot promova o impresie negativ n rndul
celorlalte persoane (ex. Calvin, Black & Funder, 1995; Godfrey, Jones & Lord, 1986; Leary,
Bednarski, Hammon & Duncan, 1997)

Acum avem deja motive s precizm c oamenii i vor pstra opinia negativ asupra
smereniei. Aa cum am menionat mai devreme, indivizii pot asocia smerenia cu umilina, stima
de sine sczut, sau auto-critic aspr- nici una ne fiind ctui de puin pozitiv. Chiar dac
oamenii au definiii ale smereniei care se apropie de definiiile savanilor, ei se pot focusa pe
potenialele costuri ale smereniei. Pentru c smerenia implic neajunsuri oamenii o pot asocia cu
experiene euate ca depresia sau ameninarea unei recderi. Oamenii pot asocia smerenia cu
riscurile interpersonale, de exemplu n situaiile competitive sau cnd se confrunt cu indivizi
foarte agresivi i dominani, cei care eueaz n a se auto-promova, ori a-i demonsta
superioritatea, au riscul de a fi rapid nlocuii. De altfel oamenii smerii ar trebui s i pun n
discuie forele propri (cum ar fi n cazul interviului pentru un job sau ntr-un rol de leadership),
a discuta despre propriile limite poate fi n detrimentul lor, dac punctele lor forte nu se cunosc
(vezi Aronson, Willerman & Floyd, 1966), sau dac audiena respectiv prefer oamenii perfeci
i o ncredere mare n auto-prezentare.

Rolurile sociale i smerenia

De asemenea susinem ideea c oamenii vd smerenia mai mult sau mai puin pozitiv n
funcie de rolul social al persoanei smerite. Pentru c smerenia este asociat cu religia (ex.
Morgan, 2001; Murray, 2001), este vzut ca pe o calitate printre figurile religioase. Mai departe
smerenia faciliteaz cooperarea, artnd o lips a preocuprii despre sine, oamenii pot aprecia
prin smerenie pe ceilali ca prietenii, familia, sau partenerii romantici (vezi Friesen 2001, pentru
o discuie despre cum poate smerenia s faciliteze comunicarea marital).
Lund n considereare i alte tipuri de roluri-poate fi smerenia considerat ca o trstur
dezirabil la persoanele care trebuie s se arate puternice, cum sunt militarii sau lideri de
afaceri? Se observ diferenele ntre stilurile de lideri (ex. directiv vs. participativ; Janis, 1982),
susinem c imaginea prototip a unui lider nu trebuie s fie asociat profund cu smerenia. Avem
ca exemplu entertainerii care se ateapt s atrag atenia asupra lor. Mai general vorbind poate fi
smerenia n detrimentul oamenilor care vor s conduc sau s performeze n faa celorlali?
Susinem c studenii din studiul nostru vor trebui s fac aceste distincii, considernd smerenia
ca o calitate mai puin favorabil pentru entertaineri i lideri, dect la indivizii cu care acetia
sunt n relaii apropiate.

Diferenele individuale
Ne ateptm s obinem diferene individuale n atitudinea despre smerenie. Mai specific
prevedem c cei care practic smerenia s fie mai apropiai de religiozitate, narcisim i stim de
sine.
Raionamentele nostre sunt urmtoarele:
Religiozitatea. Avem o ipotez ce susine o asociere pozitiv ntre religie i prerea
despre smerenie. Mai multe perosoane religioase consider smerenia ca pe o votrute, n contrast
cu viciul mndriei (ex. Schimmel, 1992). Multe dintre scrieerile tiinifice despre smerenie vin
cu o perspectiv devotat teologiei.
Uni cercettori argumenteaz c smerenia este o virtute fundamental religioas, ceea ce
are sens doar atunci cnd se ia n considerare relaia dintree fiina uman care va muri i un Dzeu omniscient (Morgan, 2001; Murray, 2001). Religiozitatea are legtur cu valorile mari i
virtuile ca iertarea (ex. Tsang, McCullogh & Hoyt, 2004). Pentru toate aceste motive noi
prezicem c religiozitatea este asociat cu o opinie pozitiv despre smerenie.
Genul. Cercetrile sugereaz c femeile se comport cel mai adesea mai modest dect
brbaii (ex. Heatherington et al., 1993) i tot ele sunt adesea mai sensibile dect brbaii n ceea
ce privete riscul social al supraperformrii fa de ceilali oameni (vezi Exeline &Label, 1999).
n procesul de socializare brbaii nva s valorifice individualismul i cutarea de dominan
mai mult dect femeile (ex. Brod, 1987. Ne ateptm deci ca relativ la brbai, femeile s aib o
opinie mai pozitiv despre smerenie.
Narcisismul. Prin definiie trsatura narcisist pare antagonist smereniei. Indivizii
narcisiti se preocup cu cutarea i prezentarea lor ntr-o lumin pozitiv. Adesea reacioneaz
defensiv la ameninrile stimei de sine (Baumeister et al. 1996; Bushman & Baumeister, 1998;
Rhodewalt & Mart, 1998) i sunt motivai s domine n relaiile interpersonale (Emmons, 1984;
Raskin, Novacek & Hogan, 1991; Raskin & Terry, 1988). Presupunem c indivizii narcisiti vor
avea o opinie nefavorabil asupra smereniei, asociat cu slbiciunea, pasivitatea i lipsa de
ncredere.

Stima de sine. Predicii concurente se pot face pentru stima de sine i prerile despre
smerenie. n ideea c stima de sine coreleaz cu narcisismul ne ateptm ca o stim de sine
ridicat s fie asociat cu o opinie mai negativ despre smerenie, ns n ideea c stima de sine
este separat de narcisism, o stim de sine nalt poate fi asociat i cu o opinie mai pozitiv
asupra smereniei. De ce? Pentru c aa cum am discutat mai devreme un numr mare de
cercettori au propus c smerenia este facilitat de un sentiment de siguran sau auto-acceptare.
n ideea c constructul stim de sine aduce un sentiment de onorabilitate, sau o atitudine pozitiv
asupra sinelui, smerenia ar trebui vzut ntr-o lumin pozitiv.
Dezirabilitatea social. Cercetrile prioritare (Landram, 2002) au sugerat c credinele
auto-raportate despre smerenie pot fi asociate cu dezirabilitatea social. Totui noi am dorit s
testm aceste asocieri n studiul curent.
Metoda
Participani i procedur
Avem ca participani 127 de studeni n primul an la psihologie (61-biei i 66-fete), de
la Universitatea privat din Vestul Mijlociu U. S. Toi participanii au completat un chestionar
pentru a primi credite pariale pentru cursuri. Media a fost de 18,9. n eantion au fost 77% albi
caucazieni, 19% asiatici, 6% afro-americani sau albi, 1% latini, 1% americani nativi i 2% Estul
Mijlociu. Procentajul nsumat a depit 100% pentru c participanii au selectat mai multe
opiuni asemntoare.
Afilierea religioas a fost: 30% protestani, 29% catolici, 5% evrei, 2% hindui, 2%
buditi, 2% islamici i 20% atei sau ne avnd nici o religie.

Msurare
Am utilizat scala Likert pentru o analiz preliminar de statistic descriptiv (Alfa
Cronbach, medii, abateri standard, ranguri) care sunt descrise n tabelul 1.

Dat fiind pornirea cercetrii asupra topicului smereniei am inclus i ntrebri deschise la sfrit.
Aceste ntrebri au fost codate pentru a suplimenta datele descriptive.
Asociaiile cu smerenia. Participanii au utilizat scala cu 11 puncte (-5=negativ,
5=pozitiv) pentru a evalua asocierile lor imediate cu cuvntul smerenie. De asemenea au ales de
la 0-deloc la 10-foarte mult, rspunsurile lor la itemii: n ce msur crezi c ar fi bine dac ai fi
mai puin smerit/umil? i n ce msur crezi c ar fi bine dac ai fi mai smerit/umil?. Pe o
scal de la 0-deloc la 10-foarte mult, participanii au ales msura n care ei au perceput smerenia
similar cu stima de sine sczut, modestia, umilina i ruinea.
Definiii ale smereniei. Participanii au fost ntrebai despre definiiile smereniei ntr-un
format deschis. Rspunsurile au intrat ntr-un text pentru a ne asigura c cei care codific inlud
scorurile n toate msurtorile. Bazai pe prima teoretizare i o citire iniial a rspnsurilor, cel de

al doilea autor a codat categoriile i a calificat rata independent n utilizarea sistemului de

codare.
Al doilea autor a fost cel care a codificat al doilea. nelegerea dintre cei doi a fost bun,
rangul k de 0,89 pn la 1,0. Discrepanele au fost rezolvate de ctre primul autor.
Situaii n care participanii s-au simit umili/smerii. Participanii au fost rugai s-i
aminteasc situaii n care ei s-au simit umili/smerii. Au fost rugai apoi s descrie situaia i
emoiile pe care le-au experimentat n acea situaie. S-a notat de la 0-deloc la 10-foarte mult n
funcie de msura n care i-au amintit. Au utilizat apoi aceai scal pentru a nota situaiile
neplcute pe care i le-au amintit. Rspunsurile deschise au fost codate folosind aceai procedur
descris mai devreme, iar k dintre cei doi care au codificat a fost ntre 0,89 i 0,92. Discrepanele
au fost rezolvate de ctre primul autor.
Exemple de persoane smerite. Participanii au citit prompt-ul Te rog s te gndeti la o
persoan pe care tu o vezi ca fiind foarte umil/smerit. Apoi ei au fost rugai s fac o scurt
descriere a acelei persoane. Rspunsurile au fost codate cu aceai procedur descris mai sus i k
ntre cei doi care au codat a fost 0,85 i 1,0. Discrepanele au fost rezolvate de ctre primul autor.
Calitile plcute gsite la o persoan smerit. Participanii au citit O persoan smerit
este plcut dac este... urmbd 35 de adjective dihotomice (legat de ipotezele studiului).
Psrticipanii au plasat fiecare cuvnt pe o scal cu 11 puncte (-5=ancora pentru un singur cuvnt,
5= pentru alt cuvnt din pereche). Analiza factorial cea mai potrivit a fost cea a rotaiilor
varimax, ce sugera crearea a dou subscale. Prima subscal are 8 caracteristici asociate cu
ajustarea psihologic. Ancora fiecrui item a fost dup cum urmeaz: instabilitate
emiional/stabilitate emoional, respingerea ajutorului/acceptarea ajutorului, respect fa de
sine/ lips respectului fa de sine, pesimism/optimism, iubire fa de sine/ ur fa de sine,
sntate mental/ lipsa sntii mentale, fericire/nefericire i opinie clar despre sine/opinie
neclar despre sine. Alfa Cronbach a fost 0,94. A doua subscal are 4 caracteristici asociate cu
ncrederea

sau

leadershipul,

urmtor/lider,

lis

de

ncredere/ncredere,

pasiv/activ,

asertiv/neasertiv. Alfa Cronbach a fost 0,85. De asemenea am reinut un singur item

religios/spiritual i nerelogios/ ne spiritual pentru o analiz separat.
Tipuri de persoane pentru care smerenia este o slbiciune sau un punct forte. Participani
au citi: Dac ai ti c........(vezi lista de alturi) a fost o persoan smerit ai vedea asta ca pe o

slbiciune sau ca pe un punct forte pentru acest tip de persoan? Promptul a fost urmat de o list
de persoane avnd diferite roluri sociale. O scal cu 11 puncte a fost folosit pentru a marca
fiecare item (-5=slbiciune, 0=neutru, 5=punct forte. Analiza factorial sugereaz crearea a 4
subscale: lider/entertainer (lider de afaceri, lider militar, preedinte al SUA, entertainer,
instructor de cursuri) alfa=0,91. alii (partener de ntlnire, prieten, printe, alfa 0,86; subordonat
(servitor, angajat, 0,83) i lider religios (vorbitor religios sau spiritual, lider religios, alfa 0,79).
Stima de sine. Am utilizat scala Rosenberg a stimei de sine (Rosenberg, 1965, 1979)
pentru a msura stima de sine. Participanii au raspuns la 10 itemi pe o scal cu 5 puncte (1=n
dezacord, 5=foarte de acord)
Religiozitate. Am urmat o procedur folosit de Exeline, Yali & Sandersen (2000), un
index religios a fost creat pentru a combina msusarea credinelor principale i participarea
religioas. Credinele principale au fost testate folosind msura Blaine iCrocker (1995) adoptat
la o scal de 11 puncte (0=puternic dezacord, 10=acord puternic). Scala include 5 itemi: Permit
credinelor mele religioase s mi influeneze alte pri ale vieii mele; Credinele mele sunt
legate de prerea mea despre via ; Este important pentru mine s fiu o persoan religioas i
M simt frecvent aproape de D-zeu, ntr-un mod personal. Scala presupune realizarea mediilor
itemilor. O msur a participrii religioase a fost descris de Exeline i colegii (2000) i a fost
abreviat n acest studiu. Participanii au fost rugai s noteze ct de frecvent au partcipat n toate
din urmtoarele activitii n luna trecut: rugciune i meditaie, citirea unor cri religioase sau
urmrirea unor programe religioase, apelarea la servicii religioase, gndirea la probleme
religioase i discutarea cu ceilali a unor probleme religioase. S-a notat de la 0=deloc la 5= mai
mult dect o dat pe zi. S-a fcut media itemilor. Aa cum s-a anticipat cele 2 msuri au corelat
r(127)=0,80 i p<.001. Toate au fost standardizate i combinate intr-un singur index la
religiozitii.
Narcisismul. A fost msurat folosind 14 itemi foarte utilizai n NPI (Inventarul
Personalitii Narcisiste, Raskin & Terry. 1988; pentru versiunea original vezi Raskin& Hall,
1979). Scala conine 14 itemi i rspunsurile se fac forat ntre un rspuns narcisist sau unul ne
narcisist. Itemi sunt nsumai pentru a obine scorurile.
Dezirabilitate social. Versiunea cu 30 de itemi a Scalei Marlow-Crowne de dezirabilitate
social, a fost utilizat n acest studiu. Participanii au rspuns la o serie de itemi n formatul

Adevrat/ Fals. Estimarea reabilitrii i validarea datelor pot fi gsite n Reynolds (1982), unde
vresiunea folosit n acest studiu este etichetat Forma C.
Rezultate.
Este smerenia vzut ca o slbiciune sau ca un punct forte?
Rezultatele sugereaz constant c studenii au avut o opinie favorabil despre smerenie.
Aa cum arat Tab. 1 asocierile imediate a termenului smerenie au fost n general pozitive.
m=2,4, SD=2,7, difereniindu-se semnifcativ de scala neutr a punctului de mijloc la
t(126)=9,81, p<.oo1. Participanii au fost mai nclinai s spun c vor s devin mai smerii,
m=6,1 , dect s spun c vor s fie mai puin smerii m=2,3 F(1, 124)=125.05 Wilk, landa=0,50
p<.001, pattern cocnsistent cu opinia despre smerenie ca fiind un punct forte.
Contrar a ceea ce ne atempat bazai fiind pe definiiile date de dicionare, smerenia nu a
fost vzut ca similar stimei de sine sczute, m=2,3 SD=3,4 pe o scal de la 0 la 10. Smerenia
nu a fost vzut ca similar umilinei, m=2,4 SD=2,9 sau ruinii m=2,2, SD=2,7.
n schimb a fost vzut ca similar modestiei m=7,8 SD= 2,2.Media pentru modestie
defer fa de media pentru stim de sien scazut, ruine sau umulin la p<.oo1, utiliznd msuri
de contrast repetate. Legat de corelaiile ridicate ntre itemii smereniei similar cu cei ai ruinii,
jenei sau umilinei (Alfa Crombach=0,84), aceti 3 itemi au fost combinai ntr-unul singur
pentru analiza rmas.
Definiiile deschise ale smereniei sugereaz apropieri substaniale de modestie. Aproape
jumtate dintre participani (44%) au utilizat cuvntul modestie n definiiile lor, fcnd
referina la un comportament religios cum ar fi ne ludroenia sau ne dnd credit numai
succesului n via.
Alte caracteristici asociate cu smerenia includ lipsa egoismului (17%), lipsa vanitii sau
a aroganei (19%) i prezena atributelor pozitive sau a abilitilor (17%). Mai degrab dect a
ncadra smerenia ca pe o preocupare pentru deficiene, participanii au asociat smerenia cu
atitudinile despre calitile pozitive ale fiecruia.
n ciuda acestei opinii pozitive uni participani au asociat smerenia cu rinea, umilina i
jena (10%) sau cu atitudinea sumisiv sau pasiv (5%).
Situaia n care smerenia a fost experiat

Cnd au fost rugai s-i aminteasc o situaie real de via n care s-au simit smerii,
participanii au raportat un nivel mult mai mare al afectelor plcute. (M= 6.6, SD=3.0)fa de
afecte neplcute (M=2.6, SD=2.8) associate cu amintirea, F (1, 119)=66.44, Wilks = .64,
p<.001. Potrivit cu prerile pozitive ale smereniei raportate mai sus, majoritatea participanilor
(61% i-au reamintit experienele implicnd succesul i mplinirea (i.e., a face ceva bun ;
primesc laude ; ulterioare sau ctigtoare ; a primi mai mult apreciere dect merit). O
minoritate din participani (24%) au raportat situatia care a implicat o scdere a sinelui, o njosire
(i.e. expunerea la o persoan mai bine situat ; pierdere sau eec; rectificare a prerilor despre
sine umflate, exagerate). Participanii care i-au amintit incidente care au implicat succesul sau
mplinirea au raportat mai multe efecte pozitive , M=7.3, SD=2.5, dect afecte negative, M=2.0,
SD= 2,4, F(1, 73)= 105.46 Wilhs =.41, p<.001. n contrast, participanii care i-au amintit
evenimente negative au raportat aproximativ nivele egale de afecte pozitive, M= 5.1, SD=2.9, i
afecte negative, M=4.6, SD= 3.0, F(1, 27)=0.25, Wilks =.99, p>.10.
Caracteristicile smereniei individuale
Cnd au fost rugai s se gndeasc la o persoan pe care o vd foarte smerit, participanii au
ales colegi cum ar fi prieteni, colegi de clas sau colegi de camer (41%), rude (22%), figuri
religioase populare cum ar fi lideri religioi , Iisus Hristos sau sfinii (13%), celebriti sau
indivizi faimoi (10%), i personalul religios conductor cum ar fi pastori sau preoi (3%). Cnd
au fost rugai s descrie persoana sau /i de ce au vzut-o ca smerit participanii au identificat
caracteristici pozitive cum ar fi buntatea, ngrijirea celorlali (56%) abinere de la laud (55%)
succesul sau inteligena (47% ) i un altruist sau atitudine de sacrificiu de sine (21%). Oricum,
unii indivizi (47%) au remarcat un potenial dezavantaj al smereniei menionnd c persoanele
smerite sunt timide, tcute i neasertive. Cnd participanii au fost ntrebai despre calitile
asociate cu oamnii smerii, ei au dat evaluri pozitive. Indivizii smerii au primit evalurile de
mai sus pe scala cu mijlocul 0 pe ambele indicele de adaptare i indicele de leadership /ncredere
(pentru adaptare, M= 2.0, SD= 1.9, t(126)=11.78, p<.001 ; pentru leadership /ncredere, M=0.7,
SD= 2.0) t(126)=4.0, p<.001. Oricum, evalurile adaptrii au fost superioare

evalurilor

leadership-ului i ncrederii, F(126)=103.39, Wilks =.54, p<.001. Acestea sugereaz c oamenii

umili sunt n general vzui ca bine adaptai i amabili. Dar sunt oamenii smerii la fel de buni n
rolul n care sunt chemai de lider sau dominan. Aceast ntrebare va fi examinat n
urmtoarea analiz.

Este vzut smerenia ca mai mult dect o rezisten n anumite roluri sociale?
Dac ne gndim la cum este vzut smerenia la ali oameni, ca rezisten, putere sau ca
slbiciune, participanii au raportat c n general smerenia este vzut ca punct forte.Chiar i
participanii au fcut distincia ntre meritele smereniei bazate pe rolul social i persoana smerit.
Msurtorile repetate au artat c smerenia a fost evaluat mai favorabil la cuttorii religioii
(M=3.4, SD= 1.7) dect n ceilali apropiai (M=2.9, SD=1.8)sau subalterni(M=2.7, SD= 2.1,
ambii ps<.01 ). Aceste constatri oglindite sunt rezultate din itemi ce sugereaz c indivizii
smerii au fost percepui ca fiind religioi saa spirituali, M=1.6, SD=2.2 care difer de la punctul
neutru de mijloc de la 0 la t(125)=7.99, p<.001. Smerenia a fost evaluat mai puin favorabil n
grupul lider/animator dect n orice alt rol social (M=1.0, SD= 2.6, ps mpotriva celorlalte trei
grupuri <.001).
Diferene individuale n vizualizarea smereniei
Potrivit cu predicia, religiozitatea a fost asociat cu concepii pozitive ale smereniei. Aa cum
artm n tabelul 2 religiozitatea a fost asociat cu dorina de a deveni mai smerit, cu credina c
smerenia este asociat cu o bun adaptare i ncredere i cu o vizualizare a smereniei ca putere,

trie n oameni n diverse roluri (cuttorii religioi/liderii, subalternii i alii aproape).

Religiozitatea a fost de altfel asociat cu o probabilitate mai mare ca emoie pozitiv i cu o
probabilitate mai mic, ca emoie negativ. Genul nu a artat asociaii consistente cu vizualizarea
smereniei aa cum se vede n tabelul 2 .
Mai multe corelaii sunt nesemnificative. n cazul femeilor este mai probabil dect n cel
al brbailor s vad smerenia ca un punct forte n cazul cuttorilor religioi sau liderilor i au o
mai amre tendin s asocieze smerenia cu o bun adaptare. n cazul femeilor este ai probabil ca
n descrierea situaiilor n care s-au simit smerite s menioneze i emoii negative. Investigai
recente au artat c este mai probabil ca femeile s raporteze emoii negative n situaiile care
implic succesul (femei 72%, brbai 28%, x(77)=6.12, p<.01). Mai specific, cnd femeile i-au
reamintit situaii de succes n care s-au simit smerite ele raporteaz ntr-o msur mai mare ca
brbaii, jen (femei 23%, 8% brbai, x(75)=3.52, p<.10). n urma cercetrilor s-a constat c
femeile sunt mult mai sensibile dect brbaii n ceea ce privete costurile sociale (e.g., Exline &
Lobel, 1999, Heatherington et al. 1993; Heatherington, Burns, &Gustafson, 1998). Aa cum se
vede n tabelul 2, narcisismul este corelat negativ cu credina c smerenia este asociat cu o bun
adaptare i ncredere. Stima de sine nu a artat asociaii potrivite cu vizualizarea smereniei.
Pentru a extinde asta, participanii cu stim de sine ridicat au manifestat o probabilitate mai
mare de a lega smerenia cu o adaptare bun i mai puin probabil cu ruinea, jena, umilina.
Aceste rezultate sugereaz c stima de sine i narcisismul pot s se deosebeasc n termenii de
asocieie cu smerenia.

Narcisismul i stima de sine coreleaz

pozitiv n exemplul dat, r(126)=.23, p<.01,

potrivit cu idea c ambele, narcisismul i stima de sine ridicat implic preri despre sine
pozitive. Pentru a examina contribuia unic a ambelor, narcisismul i stima de sine am fcut o
serie de analize care sunt prezentate n tabelul 3. Aici se rescoper asociaiile divergente ale
narcisismului i stimei de sine cu vizualizrile smereniei.
Discuii
n cultura noatr de vest auto-absorbit, va fi uor s se resping o virtute modest cum ar fi
smerenia. Dar nc, rapoartele studenilor din acest studiu
smerenia ca putere mai degrab dect

arat c mare parte din ei vd

ca slbiciune. Asociaiile imediate cu termenul de

smerenie au fost pozitive i cea mai mare parte dintre participani au declarat c vreau s devin
mai smerii. Cnd s-a

reamintit situaia n care acetia se simeau smerii, majoritatea

participanilor i-au reamintit situaia implicnd succesul sau realizarea mai degrab dect eecul
sau scdere a sinelui. Practic, ei au descris umilina individual ca amabil, modest i nalt n
abiliti sau alte atribute pozitive. Mai degrab dect a se gndi la indivizi umili ca aspru ca
auto-critic sau cu stim de sine sczut, ei au asociat smerenia cu atitudini i comportamente

care erau relevante pentru o persoan puternic. Rspunsurile lor sugereaz puncte de vedere
pozitive asupra indivizilor smerii att n termeni de adaptare i n termeni de ncredere ct i n
abiliti de leadership. Au evaluat smerenia ca u atuu n toate rolurile sociale care au fost
incluse n eantion.
n ciuda acestor puncte de vedere favolabile, participanii au artat unele distincii n gradul de
valoare atribuit smereniei. Dei ei au artat clar c cred c smerenia a fost asociat cu bune
adaptri personale, au fost mai puin decii dac smerenia ar fi un avantaj n domenii care
implic leadership-ul i ncrederea. Cnd au fost rugai s-i imagineze oameni smerii ocupnd
diverse roluri sociale ei au privit smerenia ca fiind mai puin un punct forte la animatori sau
lideri dect n alte grupuri incluse n eantion, care includea pe cei care cutau religia sau
liderii, cei aproape i subordonaii.
Reticena participailor de a asocia smerenia cu leadership-ul sau poziia dominant
completeaz cercetarea n percepia social a narcisismului i auto-exagerare. Cercetrile fcute
de Colvin i colegii lui sugereaz c dei auto mbunntirea nu este perceput ca o bun
adaptare de ctre colegi, acesta nu arat caliti evaluate social ca un grad ridicat de entuziasm
sau un nivel de energie ridicat. Oamneii cu auto-vizionri mrite , cum ar fi narcisismul pot de
asemenea s fac impresii bune la prima vedere : potrivit lui Paulhus, narcisitii sunt n mod
consistent vzui ca fiind siguri pe sine poziia de leader. ceea ce poate fi vzut ca un punct forte
n poziia de leader. Iniial colegii lor i-au evaluat ca distractivi i inteligeni dei aceste percepii
par s dispar de-a lungul timpului. n contrast, chiar dac indivizii smerii par bine adaptai
simpatizai, ei pot aprea ca retrai n societate pentru c nu au fost vizualizai ca deosebii de
dinamici sau colorai. Beneficiile smereniei pot fi mai evidente ntr-o relaie de lung durat(vezi
Campbell 1999 pentru un constrast cu narcisismul).
Potrivit cu ideea c narcisismul este antagonic smereniei, rezultatele curente sugereaz
c narcisitii sunt mai puin plcui dect alte persoane, pentru a vedea smerenia ntr-o lumin
pozitiv. n exemplul curent, narcisismul a fost asociat cu o perspectiv a smereniei mai puin
pozitiv n special n termeni d eadaptare, de lider i de ncredere. Mai precis, scorurile nalte la
subscala exploatare/intitulat (vezi Emmons, 1987) a Inventarului de EPrsonalitate Narcisist au
fost asociate cu reducerea tendinei de a lega smerenia cu buna adaptare. Pare adecvat c
pentru narcisiti, care sunt preocupai cu promovarea lor i cu aprarea punctelor de vedere
proprii positive, ideea de a se comporta ntr-o manier smerit poate prea prostesc sau

amenintor. n viitor va fi folositor s vedem cum percepia smereniei corelat cu alte trsturi
de personalitate ca Big Five.
Implicaii metodologice din activitatea curent.
Chiar dac stima de sine se suprapune cu narcisismul, stima de sine a fost asociat cu preri
favolabile asupra smereniei n exemplul nostru- mai precis cnd asociaiile cu narcisismul au fost
din punct de vedere statistic controlate. n alte cuvinte, pentru a extinde aceast nalt stim de
sine implic un rezultat pozitiv, acceptnd orientarea spre sine mai degrab dect un sentiment
de superioritate fa de ceilali, acesta este asociat cuo perspectiv pozitiv pe smerenie. Pentru a
face acest pas logic mai departe, speculm c acea persoan ci stim de sine ridicat i
narcisism sczut poate fi categorizat ca fiind umilitor- n special dac stima de sine este uan
stabil. (Kernis, Cornell, Sun, Berry, & Harlow, 1993). n general preri pozitive dar fr s fie
umflate, exagerate, a sinelui pare s se potriveasc cu recentele descrieri ale caracteristicilor
smereniei. (Tangney, 2000, 2002). Date fiind serioase bariere de msurare care au nconjurat
ncercarea de a evalua smerenia prin auto raport (Exline et al. , 2004 ; Tangney, 2000, 2002), ar
fi extrem de util dac scorurile existente cu privire la msurtorile pe narcisism, nivelul stimei de
sine i stabilitatea stimei de sine pot fi combinate pentru a identifica indivizi smerii. Evaluarea
altor cosntructe legate cum ar fi auto-compasiunea (Neff, 2003a, 2003b), validare cutrii
(Dykman, 1998) sau nevoia de a ctiga stima de sine (Forsman & Johnson, 1996) pot de
asemenea s ajute la identificarea inivizilor smerii. O alt tehnic posibil ar putea fi s
evalum smerenia prin auto raport dar controlate pentru dezirabilitile sociale(vezi Landrum,
2002).
Cnd reamintim situaia n care s-au simit umili, participanii i-au amintti situaia
implicnd succesul i mplinirea. Cu alte cuvinte, este mai probabil ca ei s fi vzut smerenia ca
o atitudine spre un punct forte dect ca o preocupare pentru slbiciune. Gndindu-ne la smerenie
ca o atitudine spre un punct forte, ridic noi posibiliti pentru modul n care statului smereniei
poate fi indus n setrile experimentale. Dac smerenia este vzut ca o focusare pe o limit ar
nsemna s rugm participanii s reflecteze asupra limitrilor sau cderilor. Oricum, am gsit
c astfel, inducerea auto-scderii de multe ori provoac reacii defensive i/sau efecte negative
de dispoziie sufleteasc. Datele recente sugereaz c cea mai eficient cale de a induce

smerenia poate

fi focusarea pe atribute pozitive sau experiene. O alt alternativ poate fi s

rugm oamenii s se focuseze pentru nceput asupra atributelor lor pozitive (sau s foloseasc
alte mijloace pentru a se afirma pe ei nii) nainte s-i rugm s se focuseze asupra defectelor l
or (vezi Schimel, Arndt, Pyszczynski , & Greenberg, 2001).
Un mijloc alternativ de a induce smerenia poate s implice furnizarea participanilor o
experien de succes nainte s le ofere un fedbeck negativ. Astfel de design ar da probabil
participanilor un sentiment de securitate sau pozitivism nainte s se deplaseze focalizarea lor
pe limitele lor. Idee de a precede experiena auto scderii cu acele ecouri pozitive, abordare
utilizat n studii pe procese de auto afirmare, care sugereaz c oamenii sunt mult mai capabili
s tolereze efectele negative dac ei au avut ansa nainte s se autoafirme(pentru a revizui vezi
Steele, 1999). Indiferent ce tehnic este folosit pentru ncercarea de inducere a statutului de
smerenie, se pare c trebuie s ne ateptm la diferene individuale n succesul acesti manipulri.
De exemplu, indivizii cu stim de sine instabil sau aprare narcisist pot s nu rspund
succesului sau eecului n acelai fel n care cea mai mare parte dintre indivizii smerii ar faceo.
Religiozitatea i smerenia
Religiozitatea ne-a artat clar i consistent

asociaiile cu percepia smereniei

predominant n exemplul cretin. nainte de toate, participanii au raportat c acele persoane care
erau smerite erau susceptibile de a fi religioase sau spirituale. Participanii de asemenea au artat
smerenia ca o mai mare rezisten la solicitaiile religioase / spirituale sau la lideri dect n
oricare celellalte roluri sociale pe care le-am exemplificat. n sfrit, participanii cu propriul lor
nivel de religiozitate au fost asociai cu opiniile lor de smerenie- o mai mare religiozitate a fost
asociat cu ateptarea petnru an fi mai umil, legnd umilina cu o bun ajustare, ncredere, i
leadership, i vznd smerenia ca putere n ceilali oameni. Modele similare au fost gsite la
celelalte virtui ca tendina pentru religiozitate individual pentru a atribui nalte valori iertrii.
n

viitor va fi interesant dac rezultatul obinut aici cu religiozitatea se aplic

la fel i

spiritualitii.
Dei am gsit corelaii ntre religiozitate i percepia smereniei, datele actuale nu
abordeaz problema dac indivizii cu o religiozitate i spiritualitate ridicat sunt de fapt mai
smerii dect dect ali indivizi. Aceasta rmne o ntrebare empiric. Ambele imperative

religioase spre smerenie i credina ntr-o Putere Suprem

pot s ncurajeze persoanele

religioase s cultive o atitudine umil. Totui o potenial barier a smereniei pentru indivizii cu
o religiozitate nalt poate s fie mndria religioas n care oamenii religioi se vd pe ei nii
ca fiind mai sfnt dect tine. (Rowatt, Ottenbreit, Nesselroade, & Cunningham, 2002). n
msura n care strdaniile religioase sau spirituale duc la o mbuntire n alte comportamente
morale, ele pot paradoxal s creasc sentimentul mndriei- care este n preent considerat printre
pcatele de moarte de muli savani. (vezi Schimmel, 1992, pentru discuii).
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Evenimente negative de via,

tipuri de coping religios pozitiv i negativ
i funcionare mental

JEFFREY P. BJORCK
JOHN W. THURMAN

Copingul religios poate fi att adaptativ, ct i dezadaptativ. Noi am

investigat efectul moderator pe care l are copingul religios pozitiv i negativ
n relaia dintre evenimentele negative de via i funcionarea mental.
Chestionarele utilizate includ msurtori ale evenimentelor negative de via,
ale copingului religios pozitiv i negativ i ale funcionrii mentale. Acestea
au fost completate de 336 de aduli, membri ai Bisericii Protestante. Chiar i
dup intervenie (participarea la manifestri religioase), evenimentele
negative au fost corelate cu o cretere a frecvenei utilizrii copingului pozitiv
i negativ. Mai mult dect att, evenimentele negative i copingul religios
pozitiv au avut efect i asupra depresiei, n sensul c utilizarea frecvent a
copingului religios pozitiv a redus efectele nocive ale evenimentelor negative.
Jeffrey P. Bjorck, Professor of Psychology, Graduate School of Psychology, Fuller Theological
Seminary, 180 North Oakland Avenue, Pasadena, CA 91101. E-mail: jbjorck@fuller.edu
John W. Thurman is a clinical psychologist in private practice with Psychological Consulting
Services, 112 E. Myrtle Avenue 508, Johnson City, TN 37601. E-mail: john@walnutgrovefarm.org
Journal for the Scientific Study of Religion (2007) 46(2):159167

JOURNAL FOR THE SCIENTIFIC STUDY OF RELIGION

Numeroi cercettori au studiat modul n care oamenii utilizeaz copingul religios

pentru a face fa evenimentelor stresante (Pargament, 1997). Aceste studii au pornit de la
necesitatea de a afla care sunt factorii care modereaz relaia dintre evenimentele negative,
stresante de via i funcionarea uman (e.g., Holmes and Rahe 1967; Cohen 1988). Chiar
dac aceast corelaie este constant raportat, evenimentele negative singure explic cel mult
10% din varietatea de posibile reacii, iar rspunsurile indivizilor pui n aceeai situaie difer
foarte mult (Holahan, Moos, and Schaefer 1996).
Pentru a explica aceast varietate a rspunsurilor, copingul comportamental general a
fost intens investigat ca i factor moderator al impactului pe care l au evenimentele negative
asupra funcionrii (e.g., Folkman i Moskowitz 2004). A fost de asemenea studiat i copingul
religios, n special examinnd reaciile persoanelor la evenimente specifice, precum explozia
unei bombe n oraul Oklahoma (Pargament et al. 1998), decesul unui prieten (Thompson i
Vardaman 1997), probleme medicale grave (Koenig, Pargament, and Nielsen 1998), i diferii
stresori precum: ameninare, pierdere sau provocare (Bjorck and Cohen 1993; Bjorck i
Klewicki 1997). Studiul unui singur eveniment este desigur util, dar nu asigur nelegerea
complet a impactului pe care l are copingul religios. Aadar, copingul religios nu poate fi
cercetat doar n relaie cu un numr discret de evenimente. Pentru a ndeprta aceast limit i
pentru a oferi informaii despre efectul cumulativ al evenimentelor stresante de-a lungul
timpului (Rahe i Arthur 1987), am investigat rolul copingului religios asupra unui agregat de
evenimente negative de via. n plus, am luat n considerare ambele tipuri de coping religios:
pozitiv i negativ.
Pn acum, religiozitatea a fost evaluat ca i factor de micorare a efectelor negative
ale evenimentelor stresante (Hood et al. 1996; Koenig 1998). Mai recent, a fost luat n
considerare i posibilitatea ca religia s intensifice stresul. De exemplu, ntr-o meta-analiz a
46 de studii empirice, religia, definit n sens larg, a fost evaluat ca diminuator al stresului n
procent de 34% din studii, iar n procent de 4% ca factor care agraveaz stresul (Pargament
1997). Plecnd de la aceste rezultate, cercetrile viitoare trebuie s investigheze modul n care
religia, i n particular copingul religios, este cu adevrat folositoare n situaii stresante i de
ce de cele mai multe ori este un factor pozitiv, iar uneori un factor negativ.
Mai multe studii recente (Koenig, Pargament, and Nielsen 1998; Pargament, Koenig,
and Perez 2000; Pargament et al. 1998) au avut ca rezultat faptul c strategiile de coping
religios pot fi relaionate att cu rezultate pozitive, ct i cu rezultate negative. Pargament i

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colaboratorii si (1998) au descris dou tipuri de coping religios: pozitiv i negativ. Primul
exprim spiritualitate, contientizarea unui sens al vieii, a unei relaii sigure cu Dumnezeu i
apropiere spiritual de Acesta. O asemenea fumnamentare religioas stabil este manifestat
prin reevaluri religioase pozitive, coping religios colaborativ, cutarea suportului spiritual,
conexiune spiritual, purificare spiritual, cutarea suportului membrilor Bisericii, oferirea de
ajutor i iertare (1998:712). Spre depsebire de acesta, copingul religios negativ este
caracterizat de o relaie tensionat cu Dumnezeu, o viziune amenintoare asupra lumii i o
lupt continua de a gsi un sens al vieii. Aceast baz religioas ubred se manifest prin
reaprecieri religioase negative, demonice, reevaluri negative ale puterii Lui Dumnezeu,
nemulumire spiritual, coping religios direcionat spre sine i nemulumire fa de relaiile
interpersonale (1998:712). Pargament a evaluat copingul religios la trei eantioane: membrii
bisericii din Oklahoma dup explozia unei bombe n ora, un grup de studeni care au
experieniat un eveniment negativ foarte serios, i un grup de pacieni n vrst, internai ntrun spital. n fiecare eantion, copingul religios pozitiv a fost mai des utilizat dect cel negativ,
iar primul tip a fost corelat cu o sntate mental mai bun, n timp ce copingul negativ a fost
corelat cu efecte negative.
Koenig, Pargament, and Nielsen (1998) au identificat att strategii de coping pozitive,
ct i negative pe un eanion de 557 aduli bolnavi, internai ntr-un spital. Copingul religios
negativ a fost corelat cu o sntate fizic mai precar, o calitate a vieii mai sczut i nivele
mai nalte de depresie. n schimb, personale care utilizau copingul religios pozitiv aveau o
sntate mental mai bun i un nivel mai nalt de satisfacie fa de via.
Aa cum am menionat anterior, majoritatea studiilor s-au focusat pe rspunsurile la
evenimente stresante singulare (e.g., Koenig, Pargament, and Nielsen 1998; Pargament et al.
1998). Doar Park, Cohen, and Herb (1990) au studiat copingul religios ca rspuns la stresul
general cauzat de multiple evenimente de via, ns rezultatele lor au fost ambigue. n
consecin, studiul nostru a extins spectrul cercetrilor anterioare n dou moduri. Primul,
copingul religios a fost investigat n relaie cu impactul unui agregat de evenimente negative
i nu ca rspuns la un stresor specific. Al doilea, ambele tipuri de coping religios au fost
evaluate prin scale sumative.
Niciun studiu anterior nu a cercetat modul n care evenimentele negative cumulate
interacioneaz cu tipurile de coping religios pozitiv i negativ. Conceptul de reevaluare al
lui Lazarus i Folkman (1984) i teoria clasic a lui Caplan (1964) ne sunt utile aici. Lazarus

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i Folkman postuleaz c dup ce este iniiat copingul, persoanele reevalueaz situaia n care
se afl i i modific strategia de coping n consecin. Astfel, pe msur ce numrul
evenimentelor negative crete semnificativ, este posibil c persoanele religioase vor reevalua
viziunea asupra Lui Dumnezeu. Acest fapt poate s conduc i la utilizarea mai frecven a
copingului religios negativ, de exemplu: reaprecierea iubirii i suportului Lui Dumnezeu sau
reinterpretarea evenimentului negativ ca i pedeaps dat de El. Similar, Caplan (1964)
argumenteaz faptul c indivizii care se confrunt cu un stresor vor utiliza la nceput copingul
lor habitual. Dac stresul continu s creasc, indivizi vor cuta noi strategii de coping, prin
ncercare i eroare. n privina copingului religios fa de un singur eveniment, strategiile
pozitive sunt comune, iar cele negative nu sunt comune (e.g., Pargament et al. 1998), primele
sunt mai habituale, n timp ce ultimele sunt mai neobinuite.
Aadar, prima ipotez a studiului este: copingul religios ca rspuns la evenimentele
negative este mai degrab pozitiv dect negativ. A doua: odat ce evenimentele negative sunt
mai numeroase, copingul religios negativ va fi utilizat cu o frecven mai mare dect cel
pozitiv. A treia: copingul religios negativ coreleaz cu intensificarea distresului, n timp ce
copingul religios pozitiv coreleaz cu diminuarea distresului. (Pargament et al. 1998; Koenig,
Pargament, and Nielsen 1998). A patra: vor fi replicate corelaiile tradiionale dintre
evenimentele negative de via i funcionarea psihologic. Ultima ipotez: copingul religios
pozitiv diminueaz efectele intensificrii evenimentelor negative.
METODA
Procedura
Acest studiu a fcut parte dintr-un proiect mai vast (de ex., Fiala, Bjorck, i Gorsuch
2002) care a utilizat un eantion de convenien. Cu acordul conductorilor bisericilor, au fost
selectate aleator 400 de nume din fiecare dintre cele trei mari biserici Protestante din sudul
Californiei (N> 1,200). Una dintre congregaii (Misionar Baptist) era predominant AfroAmerican, celelalte dou biserici (nondenominaional i respectiv Conferina Cretin
Congregaional Conservativ) erau mixte din punct de vedere etnic. Membrilor bisericilor li
s-au trimis prin pot pachete cu chestionare, inclusiv un plic timbrat autoadresat. Participarea
a fost voluntar i confidenial. Dup dou sptmni au fost trimise cri potale de

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reamintire. S-au primit 337 de rspunsuri (27,1 %), dintre care unul a fost respins, deoarece
era incomplet.
Participanii
Respondenii (197 de femei, 139 de brbai; M = 38.87 ani, SD = 12.12) erau albi
(39.3 %), Afro-Americani (28.0 %), Latino-Americani (13.7 %), Asiatic-Americani (11.0 %)
.a. (8.0 %). Participanii erau cstorii (46.1 %), necstorii (35.1 %), divorai (13.7 %),
vduvi (3.9 %) .a. (1.2 %). Ultimul stadiu educaional terminat era coala postliceal (67.9
%), liceu sau echivalent (26.2 %), 10-12 ani (5.7 %) i 7-9 ani (0.3 %).
Msurtori
Prezentarea msurtorilor a fost contrabalansat (pentru a controla efectele de ordine)
n pachetele distribuite aleatoriu. Participarea religioas a fost evaluat pe dou scale cu un
singur item: (a) participarea la slujbe religioase formale; i (b) activiti religioase informale
(de ex., lectura Bibliei, rugciune, etc.).
Fiecare din acestea a fost cotat pe o scal cu 5 puncte (1 = o dat pe lun, 5 = de
patru sau mai multe ori pe sptmn).
Evenimentele de via au fost cotate cu ajutorul scalei LES (70-event Life Experience
Survey; Sarason, Johnson, and Siegel 1978). Participanii au indicat evenimentele
experieniate n timpul ultimului an i le-au cotat pe fiecare ca pozitiv, negativ sau neutru.
Numrul total al evenimentelor negative a servit ca msurtoare a evenimentelor negative
(Cohen 1988). Alpha pentru aceast msurtoare, pentru acest eantion a fost 0.88.
Chestionarul Brief RCOPE cu 14 itemi (Pargament et al. 1998) include dou subscale cu apte
itemi, care evalueaz coping-ul religios pozitiv respectiv pozitiv. Itemii pozitivi (de ex., Am
cutat dragostea i afeciunea lui Dumnezeu) includ reevaluri religioase benevole, coping
religios colaborativ, cutarea suportului spiritual, a conectrii spirituale, a purificrii
religioase, cutarea ajutorului din partea clerului sau a membrilor, ajutorul religios i iertarea
religioas. Itemii negativi (de ex., M-am ndoit de dragostea lui Dumnezeu pentru mine)
includ reevaluri religioase punitive, reevaluri religioase demonice, reevaluri ale puterii lui
Dumnezeu, nemulumire spiritual, coping religios centrat pe sine i nemulumire religioas
interpersonal.

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Itemii sunt cotai pe o scal cu cinci puncte (1 = deloc, 5 = o mare parte din timp),
iar cei apte itemi ai fiecrei subscale sunt adunai pentru a produce un scor de coping religios
pozitiv respectiv negativ.
n studiul curent, scala Brief RCOPE a urmat imediat dup LES, iar instruciunile
RCOPE au fost alterate. n loc s se refere la un singur eveniment, participanii au raportat
cum au fcut fa la toate evenimentele negative din ultimul an. Cu aceast modificare, Alpha
pentru coping-ul pozitiv i negative au fost 0.83 respectiv 0.79.
Funcionarea psihologic a fost evaluat cu ajutorul Scalei SWLS (Satisfaction With
Life Scale; Diener et al. 1985) i cu Scala CES-D (Center for Epidemiological StudiesDepressed Mood Scale; Radloff 1977). SWLS msoar starea de bine subiectiv general
(overall subjective wellbeing), iar CES-D msoar simptomele depresive doar din ultimele
apte zile. Pentru a pstra consistena msurtorilor, timpul pentru CES-D a fost schimbat n
pe durata ultimului an. n plus, pentru a ndeplini claritatea instruciunilor, itemii tuturor
msurtorilor, nafar de LES, au fost transformai ntr-o gam de rspunsuri cu cinci puncte.
Alpha pentru acest eantion pentru SWLS i CES-D au fost 0.82 respectiv 0.90.
REZULTATE
Media i abaterea standard pentru variabilele de interes sunt prezentate n Tabelul 1.
Pentru a facilita interpretarea, toate scorurile scalelor (excepie fcnd evenimentele negative
pentru LES) au fost mprite la numrul respectiv de itemi. Aceast operaie a generat scoruri
totale de la 1 la 5, reprezentnd ancora fiecrei scale. n sprijinul primei noastre ipoteze,
coping-ul religios pozitiv a fost utilizat mult mai frecvent dect coping-ul religios negativ, t
(1,335) = 44.06, p < 0.001.
Apoi au fost efectuate corelaii de ordinul zero. Cum era de ateptat, evenimentele
negative au fost corelate pozitiv att cu pattern-urile de coping religios pozitiv ct i negativ
(rs = 0.32 i 0.11, respectiv ambele cu un ps < 0.05). A dou ipotez a noastr, c
evenimentele negative vor corela mai puternic cu coping religios negativ dect cu coping
religios pozitiv, a fost evaluat cu ajutorul testului t Hotelling pentru coeficieni de corelaie
corelai (Hotelling, cum este citat n Guilford 1965:190). Cum am prezis, prima corelaie (r =
0.32) a fost semnificativ mai puternic dect cea mai trzie (r = 0.11), t Hotelling (333) =
2.99, p < 0.01). n sprijinul celei de a treia ipoteze, coping-ul religios negativ a fost corelat cu
depresie crescut (r = 0.51, p <0.001), i satisfacie n via (life satisfaction) sczut (r = -

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0.27, p < 0.001), dar, surprinztor, coping-ul religios pozitiv nu a fost relaionat semnificativ
cu niciuna dintre ele.
Ipoteza a patra a fost sprijinit de corelaiile semnificative ntre evenimentele
negative i creterea depresiei (r = 0.41, p < 0.001), dar i cu scderea satisfaciei de via (r =
-0.26, p < 0.001).
Mai departe, am efectuat analize canonice ierarhice, evalund numai variana unic
pentru a: (a) examina interaciunea prevzut i (b) a testa ulterior corelaiile de mai sus n
timp ce sunt controlate covariatele relevante. nti, ns, depresia i satsifacia de via au fost
ortogonalizate (Gorsuch 1991) datorit intercorelaiei lor semnificative (r = -0.50). Ca i n
studiile precedente (de ex., Bjorck et al. 2001; Fiala, Bjorck i Gorsuch 2002; Maynard,
Gorsuch i Bjorck 2001), aceast tehnic a produs corelaii pozitive puternice ntre variabilele
originale (adic depresia i satisfacia de via) i noii lor factorii (ambii rs = 0.97).

Prima analiz canonic ierarhic omnibus a nregistrat ordinul chestionarului i

participarea religioas (att la slujbe ct i activiti) ca covariate, urmate de evenimente
negative ca predictor i coping religios pozitiv i negativ ca set de criterii. Analiza a fost
semnificativ, F (8,662) = 7.47, p < 0.001. Analiza univariat a artat c, chiar dup controlul
ordinii, al serviciilor i activitilor religioase i al pattern-ului alternativ de coping religios,
evenimentele negative tot erau relaionate cu creteri att n coping religios pozitiv, F (1,662)
= 5.54, r = 0.13, p < 0.05 i coping religios negativ, F (1,662) = 32.99, r = 0.30, p < 0.001.
O a doua analiz ierarhic omnibuz a examinat efectele evenimentelor negative,
coping-ul religios i interaciunea acestora cu funcionarea psihic. Ordinea chestionarelor1 i
participarea religioas (slujbe i activiti) au fost din nou covariate. Mai departe,
evenimentele negative au fost introduse, urmate de setul de coping religios pozitiv i negativ.
Apoi a fost introdus setul celor dou interaciuni ntre evenimentele negative i cele dou

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pattern-uri de coping religios, avnd ca criterii depresia i satisfacia de via. Analiza global
a fost semnificativ, F (16,654) = 9.36, p < 0.001. Aceeai analiz (vezi Tabelul 2) a scos la
iveal un efect principal semnificativ al evenimentelor negative asupra depresiei i a
satisfaciei de via. n plus, s-au gsit efecte eseniale semnificative pentru setul celor dou
scoruri pentru coping religios asupra depresiei i a satisfaciei de via. n sprijinul celei de a
treia ipoteze, analizele univariate ale varianei unice au artat c, coping-ul religios pozitiv
este corelat negativ cu depresia i pozitiv cu satisfacia de via, F (1,654) 3.74, ambele ps
0.05. Invers, coping-ul religios negativ a fost corelat pozitiv cu depresia i negativ cu
satisfacia de via, F (1,654) 4.32, ambele ps < 0.05.
n final, aceeai analiz (vezi Tabelul 2) a artat c setul celor dou tipuri de coping
religios x interaciunile evenimentelor negative au fost semnificative cu privire la depresie dar
nu i cu privire la satisfacia de via. O analiz univariat a varianei unice a artat c acest
efect asupra depresiei este datorat unei interaciuni semnificative ntre coping-ul religios
pozitiv i evenimentele negative, n sprijinul ultimei noastre ipoteze, F (1,654) = 4.90, p <
0.05. Figura 1 arat c, pentru persoanele care raporteaz coping religios pozitiv ridicat,
impactul evenimentelor negative asupra depresiei a fost sczut, comparat cu cei care
raporteaz coping religios pozitiv sczut.

DISCUII
n trecut au fost identificate pattern-uri de coping religios pozitiv i negativ i s-a
descoperit c coreleaz cu rezultate difereniale cu privire la evenimente stresante specifice
(de ex., Koenig, Pargament i Nielsen 1998; Pargament et al. 1998). Studiul de fa arat ca
astfel de diferen se aplic la evenimente negative n general i demonstreaz relevana
coping-ului religios n paradigma evenimentelor de via stresante (adic, cu privire la toi
stresorii negativi experienai n ultimul an). Numeroase ipoteze au fost sprijinite.
Aa cum s-a prezis, participanii au utilizat mai mult coping religios pozitiv dect
negativ ca rspuns la stresul general. De asemenea, cum era de ateptat, evenimentele
negative crescute au fost relaionate cu creteri att n coping-ul pozitiv, ct i n cel negativ,
iar aceste constatri au rmas robuste chiar i dup controlul participrii religioase. Cercetri
anterioare au artat cum un singur stresor, cum ar fi o vizit la spital, bombardarea oraului
Oklahoma sau orice eveniment singular poate cauza att rspunsuri de coping religios pozitiv
i negativ. Totui, stresorii nu vin, n mod tipic, singuri, ci n perechi sau n grupuri.
Constatrile actuale sugereaz c, odat cu acumularea evenimentelor negative, membrii
bisericii Protestante nu numai c i menin, ci i i intensific strategiile de coping religios,
att pozitiv, ct i negativ.

JOURNAL FOR THE SCIENTIFIC STUDY OF RELIGION

Bazndu-ne pe teoria de criz a lui Caplan (1964) i pe conceptul de reevaluare al lui

Lazarus i Folkman (1984), am prezis de asemenea faptul c coping-ul religios negativ va
crete n intensitate mai mult dect cel pozitiv, ca rspuns la creterea intensitii
evenimentelor negative. A doua ipotez a fost sprijinit i este asemntoare cu raportul lui
Koenig, Pargament i Nielsen (1998), cum c ntre pacienii unui spital, relaii semnificative
cu starea de sntate proast erau att mai frecvente ct i mai puternice pentru activitile
de coping religios negativ dect pentru cel pozitiv (1998:517). Avnd n vedere acumularea
evenimentelor negative, rezultatele noastre sugereaz c, atunci cnd Protestanii
experieneaz evenimente mai normative, i mai puine, ei se bazeaz n primul rnd pe
strategii de coping religios pozitiv habitual, pe care le-au nvat ca fiind adaptative n situaii
tipice (Caplan). Atunci cnd evenimentele negative cresc, n ciuda coping-ului religios
pozitiv, aceste persoane pot totui s i reevalueze viziunea asupra lui Dumnezeu n faa
stresului continuu (Lazarus i Folkman). Aceste reevaluri negative, care sunt n sine o form
de coping religios negativ, ar putea determina un nou ir de strategii de coping ncercareeroare (Caplan), inclusiv o cretere n coping religios negativ2.
Aceast cretere n coping religios negativ este contraproductiv, avnd n vedere
legtura ntre astfel de strategii negative i funcionare psihologic mai proast. ntr-adevr, n
conformitate cu a treia noastr ipotez, coping-ul religios negativ, ca rspuns la evenimentele
negative ntmpinate n ultimul an, a fost relaionat cu creterea depresiei i scderea
satisfaciei de via, chiar dup controlul participrii religioase, evenimentelor negative i a
coping-ului religios pozitiv. Invers, dup introducerea participrii religioase, a evenimentelor
negative i a coping-ului religios negativ ca covariate, coping-ul religios pozitiv a fost
relaionat negativ cu depresia i pozitiv corelat cu satisfacia de via, aa cum era de ateptat3.
mpreun, aceste constatri sugereaz faptul c impactul diferenial asupra coping-ului
religios pozitiv versus negativ generalizeaz dincolo de evenimente singulare (Koenig,
Pargament, and Nielsen 1998; Pargament et al. 1998) i se aplic la stresul adunat ale
evenimentelor negative n general.
Ca o ultim ipotez, ne-am ateptat ca coping-ul religios pozitiv s amortizeze
efectele evenimentelor negative asupra funcionrii, n lumina rolului general de amortizor de
stres al religiei (Hood et al. 1996). Acest efect a aprut ntr-adevr cu privire la depresie. n
cazul persoanelor care au reportat coping religios pozitiv crescut, depresia a crescut mai puin
ca rspuns la evenimente negative, dect n cazul persoanelor care au raportat un coping

JOURNAL FOR THE SCIENTIFIC STUDY OF RELIGION

religos pozitiv mai mic. Aceast sugereaz faptul c coping-ul religios pozitiv ajut la
atenuarea impactului acumulrii evenimentelor asupra depresiei. Aceasta ar putea fi adevrat
n msura n care un astfel de coping accentueaz o relaie colaborativ, afectiv cu un
Dumnezeu personal.
De asemenea exist posibilitatea ca membrii bisericii protestante s considere
evenimentele negative ca provocri, pe care Dumnezeu le permite, pentru a le ntri credina.
(Park, Cohen i Herb 1990). n consonan cu aceasta, exist un item de coping religios
pozitiv precum: s vd cum Dumnezeu vrea s m ntreasc n aceast ncercare".
(Pargament et al. 1998:718). O asemenea viziune i poate face pe protestani s caute
aspectele pozitive ale oricrui stresor, ceea ce duce la creterea speranei i la simptome
depresive reduse. De partea cealalt, coping-ul religios negativ nu interacioneaz cu
evenimente negative n ceea ce privete funcionarea psihologic.
Cu toate acestea, lund n considerare efectele puternice ale coping-ului negativ, se
poate infera c acest tip de strategii sunt legate de o adaptare i mai proast, indiferent de
cantitatea de stresori. Prin urmare, constatrile noastre la adresa protestanilor, indic faptul c
este la fel de important, sau chiar mai mult, s atenum coping-ul religios negativ, dect s
maximizm coping-ul religios pozitiv. Rezultatele actuale trebuie totui interpretate n lumina
variilor limitri metodologice. Mai nti, studiul este transversal, limitnd inferenele de ordin
cauzal. Apoi, deoarece au fost investigai numai protestanii, a existat riscul de a studia
comportamentele de coping n cazul unei tradiii religioase particulare, ceea ce poate duce la
reducerea abilitii de a generaliza rezultatele i n cazul altor religii.
O alt limitare se refer la utilizarea evocrii de tip retrospectiv din ultimul an, dat
fiind faptul c participanilor li s-a cerut s fac o medie a coping-ului religios folosit n mai
multe evenimente. Fr ndoial, o asemenea strategie este inta multor erori i biasri n ceea
ce privete procesul de evocare. ntr-adevr, deoarece unii din participani au raportat un
coping religios pozitiv, nu este ieit din comun ca distibuia eantionului actual s fie
ngustat puternic negativ, sugerndu-se posibilitatea unei supraraportri a copingului religios
pozitiv. n ciuda acestor limitri, studiul de fa procur un sprijin serios pentru evaluarea
importanei coping-ului religios i pentru distincia dintre strategii pozitive i negative cnd
este vorba de stresul acumulat de-a lungul timpului (versus un eveniment specific).
Pattern-uri pozitive de coping religios pot fi eficiente n combaterea efectelor
negative de via. Astfel de circumstane stresante aduc cu ele i un risc crescut de utilizare a

JOURNAL FOR THE SCIENTIFIC STUDY OF RELIGION

coping-ului religios negativ, care este legat inevitabil de funcionare proast. Prin urmare,
rafinarea distinciei dintre coping-ul religios negativ i cel pozitiv, poate constitui o resurs
preioas pentru cercettorii din psihologia religiei, pentru comunitatea psihologilor, consilieri
pastorali i clinicieni care trateaz clieni religioi.

NOTE
1. Ambele analize ierarhice omnibus au fost repetate, adaugndu-se variabilele
demografice (gen, etnie, statut marital, educaie i vrst), la covariatele existente (ordinea
msurtorilor, participarea la serviciul religios, participarea la activitati religioase). Toate
rezultatele gsite au rmas semnificative chiar i dup controlul celor 8 covariate, cu o singur
excepie. ntruct relaia pozitiv a coping-ului religios negativ cu depresia a rmas
semnificativ, relaia negativ cu satisfacia de via s-a redus. (p = 0,11).
2. Dat fiind includerea unor itemi - ntrebri, unii ar putea crede c msurarea
coping-ului religios negativ a lui Pargament i a colaboratorilor si evalueaz orientarea
religioas i nu coping-ul religios per se. Este important de notat c aceast cutare nu este
vzut ca i o nemulumire sau neconvergen cu convingerile oamenilor, ci mai degrab,
"implic a face fa cu onestitate ntrebrilor existeniale... n timp ce opui rezisten...
rspunsurilor potrivite... (cu contiina c) nu tii i probabil nici nu vei afla adevrul final..."
(1991:417). Din contr, scala de itemi pentru coping-ul religios negativ a lui Pargamant,
reflect n mod consistent sentimente negative (abandon, pedeaps, rnirea de catre diavol,
etc.), care converge cu natura maladaptativ ale acestor evaluari de coping.
3. Coping-ul religios pozitiv a fost corelat semnificativ cu variabilele funcionrii
dup introducerea covariatelor, ns corelaiile de ordin zero nu au fost semnificative. Acest
lucru sugereaz c trsturile coping-ului religios pozitiv cele mai tipice n ceea ce privete
despresia i satisfacia de via, sunt acele aspecte care nu sunt legate de covariate. De
exemplu, s-ar putea ca comportamentele de coping religios pozitiv axate pe cutarea
ajutorului si iubirii lui Dumnezeu s fie mai relevante pentru funcionarea psihologic dect
comportamentul de coping, care poate reprezenta pur i simplu participarea religioas (una
dintre covariate), precum rugciunea i slava.

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Tradus de:
Costache Roxana Elena
Costa Meda
Brum Valeria
Facultatea de Psihologie i tiine ale Educaiei, Anul al II-lea. 2010

Journal of Psychology and Theology

Copyright 2001 by Rosemead School of Psychology

2001, Vol. 29, No. 3, 201-211

Biola University, 0091-6471/410-730

CONTEXTUALIZING MODELS OF
HUMILITY AND FORGIVENESS:
A REPLY TO GASSIN
STEPHEN J. SANDAGE and TINA WATSON WIENS
Bethel Theological Seminary

tion of Eastern Orthodoxy. Instead, we will engage

some socio-cultural issues related to eastern and western construals of forgiveness. Gassin focused mostly
on theological and psychological differences between
eastern and western models with some mention of cultural differences. We believe differences in socio-cultural contexts strongly influence the theological and
psychological differences in how forgiveness and
humility are construed. We will outline some differences in the social function of humility and forgiveness
based on differing cultural contexts and conclude by
describing Cynthia Crysdales (1999) integrative theological model of forgiveness and empowerment.

We reply to Gassins (2001) valuable description of

an Eastern Orthodox perspective on interpersonal
forgiveness by discussing some socio-cultural issues
related to eastern and western construals of forgiveness and humility. Differences in the social function
of humility and forgiveness are outlined based on differing cultural contexts. Crysdales (1999) theological
model of the cross and resurrection is utilized for
developing an integrative perspective on forgiveness
and empowerment.

assin (2001) has made an extremely important contribution to integrative literature

on interpersonal forgiveness. The growing
body of theoretical and empirical research on the
psychology of forgiveness has been promising. But
integrative dialogue on forgiveness requires more
contributions like Gassins that offer sophisticated
theological perspectives on forgiveness rooted in
particular traditions, like Eastern Orthodoxy. Furthermore, Gassin has richly described a theological
and cultural tradition that has been largely neglected
by western Christians, and she has brought that tradition into dialogue with western psychology. We
need a diverse array of such contextualized models
of forgiveness to deepen our understanding of how
constructs like forgiveness can be shaped by theological traditions, spiritual practices, psychological
models, and cultural systems.
We also appreciated Gassins (2001) article
because we have personally been so uninformed
about Eastern Orthodox theology. This means we lack
the expertise to reply to the accuracy of her descrip-

THE SOCIAL FUNCTION OF

FORGIVENESS
Gassin (2001) pointed out several key differences
between Eastern Orthodox and western psychological perspectives on interpersonal forgiveness. For
example, she suggested that Eastern Orthodox writers tend to blur the distinction between interpersonal forgiveness and reconciliation, whereas western
psychological models of forgiveness tend to emphasize the difference (e.g., Freedman, 1998). She also
contrasted Eastern Orthodox emphases on humility,
the sinfulness of anger, forgiveness rituals, and relational selfhood with western emphases on selfesteem, the legitimation of anger, self-forgiveness,
and personal boundaries. We argue that these differing emphases in the social function of forgiveness
reflect core differences between individualistic and
collectivistic worldviews. Eastern Orthodoxy is practiced primarily in collectivistic cultural contexts and,
of course, western psychology arises from individualistic cultural contexts. We will consider the social
function of forgiveness from individualistic and collectivistic worldviews, as well as some of the dynamics related to social justice in those contexts.

We wish to thank Cynthia Crysdale, Carla Dahl, Samantha Morgan ORourke, and Gloria Metz for helping us with this
manuscript. Correspondence concerning this article may be sent
to Steven J. Sandage, PhD, Bethel Theological Seminary, 3949
Bethel Dr., St. Paul, MN 55112. Electronic mail may be sent to
s-sandage@bethel.edu
201

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CONTEXTUALIZING HUMILITY AND FORGIVENESS

Table 1
The Contours of Individualistic and Collectivistic Worldviews in Relation to Forgiveness
Individualistic1
Worldview

Collectivistic
Worldview

Independent
Self-Reflexive

Interdependent
Social, Relational

Exchange/Contractual

Communal/Covenantal

Primary Face Concern

Self-Face

Other-Face and Self-Face

Self-Forgiveness

Vital

Implausible

Forms of forgiveness

Personal Insights & Skills

Professional Techniques

Communal Narratives,
Rituals, and Symbols

View of the Self2

View of Relationships3
4

1See

Triandis (1996).
Cushman (1995); Markus & Kitayama (1991); Triandis (1995)
3See Bromley & Busching (1988)
4See Triandis (1995)
2See

Individualism and Collectivism

Individualism and collectivism have been defined

in many ways but basically refer to differing cultural
or social patterns that are rooted in differing worldviews (Triandis, 1995; on the related constructs of
independent and interdependent self-construals, see
Markus & Kitayama, 1991). According to Triandis
(1995), individualism is a social pattern that: (a)
involves individuals perceiving themselves as relatively independent of others; (b) emphasizes individual
needs, rights, contracts, and attitudes; (c) gives priority to personal goals and boundaries over group
goals and social identity; and, (d) encourage rational
cost-benefit analyses of social relationships. In contrast, collectivism is a social pattern that: (a) involves
individuals perceiving themselves as interdependent
with others; (b) emphasizes social norms, obligations, and duties; (c) gives priority to family or group
goals over personal goals; and (d) values social connectedness and commitment even when it is disadvantageous to individuals. These differences in cultural worldviews influence the ways cultural or
religious groups construe interpersonal forgiveness.
At the risk of over-simplifying some complex cultural and worldview issues, we will outline the contours of these two contrasting cultural worldviews
(i.e., individualism and collectivism) as they might
influence models of forgiveness (see Table 1). This is
intended to provide a general heuristic that is useful
for the discussion of models of forgiveness rather

than the depiction of dichotomous categories

because there are many versions of individualism
and collectivism (Triandis, 1995). Individuals with a
bicultural identity might even fluidly shift between
facets of both individualistic and collectivistic worldviews depending upon the immediate context.
Admittedly, these proposed cultural differences
related to forgiveness are mostly hypothetical and
based on theory rather than empirical data.
Views of the self. The view of the self from an
individualistic worldview is one of a bounded self
defined by ones bodily boundaries (Cushman,
1995). The individualistic (or modern) self is rooted in the Cartesian tradition of self-reflexivity, or the
ability to autonomously objectify and reflect on oneself. The individualistic self is understood to need
liberation through freedom from social ties or constraints, and the healthy self establishes independence from others (Markus & Kitayama, 1991). In
contrast, the self from a collectivistic worldview is
irreducibly social and relational. From a collectivistic
perspective, the healthy self is interdependent. From
the Eastern Orthodox perspective, loving your
neighbor and your self is the same thing (see
Gassin, 2001, p. 20), which is consistent with a collectivistic view of the self.
These differing cultural views of selfhood will
obviously influence the relationship between forgiveness and reconciliation, a difference pointed out by
Gassin (2001). Western psychological models of for-

SANDAGE and WIENS

giveness tend to be more individualistic and make a

sharp distinction between forgiveness and reconciliation, with the latter being unnecessary, cautioned
against, or simply optional for healing (e.g., see
Freedman, 1998; McCullough, Sandage, & Worthington, 1997). In an individualistic culture, forgiveness might frequently be construed as a pathway to
self-heal from relational injuries without necessitating the communal reconciliation that is so counter to
the prevailing individualistic social scripts. Forgiveness might even be framed as a unilateral method of
disembedding oneself from painful relationships
(Augsburger, 1997).2 In collectivistic cultures, forgiveness and reconciliation will be much more closely related (Augsburger, 1992, 1997), as depicted by
Gassin in Eastern Orthodoxys emphasis on reconciliation. Collectivistic cultures are so strongly oriented
toward preserving group and familial cohesion that
mutual forgiveness will tend to be viewed as a pathway toward reconciliation (Augsburger, 1997).
People living in the ancient Mediterranean social
context of the New Testament would have certainly
construed the self in a more collectivistic or interdependent fashion (Malina, 1993a). Forgiveness and reconciliation are, therefore, probably more closely related in the New Testament than in contemporary
western psychological models of forgiveness (Jones,
1995). Gassin (2001) makes the point that the
Church (p. 41) (i.e., presumably the contemporary
church) should be communal rather than individualistic in cultural orientation. We would certainly agree
that the Church should be a community that embodies many of the interpersonal values of communal or
collectivistic worldviews, especially if the goal is correspondence to the New Testament vision. Western psychologists and therapists interested in Christian integration would be wise to give greater attention to
connections between forgiveness and reconciliation
(Sandage, 1999; Worthington & Drinkard, 2000).
However, it seems realistic to acknowledge that the
contemporary social context of highly urbanized and
industrialized western countries is far different from
that of both the New Testament context and many
2 It

is noteworthy that some research on forgiveness even in the

largely individualistic context of the U.S. suggests that, in actual
practice, forgiveness and reconciliation are quite closely related
(McCullough et al., 1998). That is, people tend to be more forgiving toward those they are close to prior to an offense, and forgiveness predicts closeness following an offense. Forgiveness
without reconciliation might be relatively rare outside of psychotherapy.

203

contemporary collectivistic contexts. Moreover, we

would argue that extreme forms of both collectivism
and individualism have weaknesses. Therefore, the
challenge for Christian integration involves developing culturally-contextualized models of forgiveness
that weave together biblical theology and spirituality
with quality psychological science.
Social relations. The view of social relations from
an individualistic worldview is one of contractual
exchange (Bromley & Busching, 1988; Triandis,
1995). Relational commitment is based on a mutually-satisfying contract or exchange that meets one
anothers felt needs (Bellah, Madsen, Sullivan, Swidler, & Tipton, 1985). Relationships that do not
meet ones personal needs tend to be viewed as
unnecessary or expendable.
The view of social relations from a collectivistic
worldview is more communal and covenantal than
the view of social relations from an individualistic
worldview. Collectivistic relationships are based
upon making and keeping vows or covenants, which
require greater consideration of the needs and wellbeing of the group or community. Forgiveness in collectivistic cultures is more likely to be framed as a
social duty that preserves social harmony rather than
a personal decision or attitude. The Eastern Orthodox respect for martyr-like attempts at reconciliation
only make sense from a collectivistic worldview, not
an individualistic one.
Face concern. Interpersonal conflict creates crises
of social face. Social face refers to a persons sense
of social worth or dignity. A loss of face involves a
shameful or humiliating experience of being dishonored before others (Goffman, 1967). Efforts to save
face can be directed at saving ones own face (i.e.,
self-face concern) or saving the face of others (i.e.,
other-face concern) (Triandis, 1995). Individualistic
cultures promote self-face concern while collectivistic
cultures promote both other- and self-face concern.
Again, Eastern Orthodoxy as described by
Gassin (2001) is consistent with a collectivistic
worldview by encouraging the practice of victims
seeking forgiveness from their offenders. In sociological categories, this practice demonstrates a valuing of other-face concern. The tremendous emphasis in contemporary western psychological literature
on forgiving others and the relative paucity of literature on seeking forgiveness from others (see
Sandage, Worthington, Hight, & Berry, 2000) highlights the western emphasis on self-face concern
above other-face concern.

204

CONTEXTUALIZING HUMILITY AND FORGIVENESS

Self-forgiveness. Gassin (2001) suggested that the

western concept of self-forgiveness finds no place in
the Orthodox tradition (p. 19). This is probably
related to the differing construals of the self
described above with self-forgiveness being potentially vital from an individualistic worldview and
potentially implausible from a collectivistic worldview. Some historical context can shed light on these
cultural differences regarding self-forgiveness.
Taylor (1989) has traced the historical development of modern western notion of the self, and he
emphasizes the pivotal role of Descartes. Descartes
considered the exercise of rational control over the
material world as the epitome of the human endeavor. The instrumental exercise of control requires a
motivational source, and Descartes transformed the
seventeenth century virtue of generosity into that
motivational source. Generosity was the crowning
virtue that promoted honor or a willingness to conquer ones fears in order to accomplish heroic military feats or other acts of public service. The meaning of generosity could be translated as a sense of
dignity, worth, or honor. According to Taylor,
Descartes transferred this virtue from the public
sphere, where it was conferred by others in honorshame cultures, to make generosity toward oneself
the internalized motor of virtue (p.154). This idea
of self-generosity may be an ideological root of modern psychological notions of self-esteem, and
Descartes called this sense of self-worth the key of
all other virtues, and a general remedy for all disorders of the passions (as quoted in Taylor, 1989, p.
155). This may in part explain the historical development of the uniquely modern and western concept
of self-forgiveness.
Taylor (1989) goes on to suggest that the individualistic self of modern western cultures is disembedded from all social identity and social connections
and, therefore, lacks internalized moral sources of
identity. In a similar fashion, Cushman (1995) argues
that the modern, individualistic Cartesian self
stripped of relational or moral ties to community is
really an empty self waiting to be filled by a consumer society (also, see McCullough et al., 1997).
According to Cushman, the source of moral authority for the modern, individualistic self is the individuals own self-constructed attitudes. In contrast, collectivistic cultures identify the source of moral
authority as a spiritual and/or social community.
This community is generally responsible for the traditions and narratives that illustrate the moral virtues

to which the individual should strive (MacIntyre,

1984). Those living in contemporary individualistic
cultures who find themselves disembedded from
such communal moral sources and traditions may
feel the need to engage in radical self-reflexivity to
confer forgiveness upon the self. This individualistic
self-forgiveness can then be viewed as providing the
foundation of self-healing and self-esteem that
encourages the generosity to forgive others. Self-forgiveness would seem to be a potentially implausible
construct from a collectivistic worldview because
forgiveness is mediated through relationships in collectivistic cultures (Augsburger, 1992; Braithwaite,
1989). To forgive oneself could imply an inappropriate independence from communal sources or rituals of forgiveness.
Forms of forgiveness. These differing cultural
views on self-forgiveness are related to the differing
forms of forgiveness. Gassin (2001) described some
of the rich Eastern Orthodox rituals for encouraging
forgiveness. Collectivistic cultures will be more likely
than highly individualistic cultures to retain the cohesiveness of communal rituals, stories, and symbols
that narrate forgiveness. Individualistic cultures will
tend to rely on what Rieff (1966) called analytic
therapies, which provide individuals with information, skills, or personal insights for privatized healing
rather than employing the use of more public rituals
or symbols. According to Rieff, most forms of modern western psychotherapy would qualify as analytic
therapies. Western psychological models of therapeutic forgiveness (Jones, 1995) might be viewed as
a type of analytic therapy that relies upon personal
insights or skills rather than communal rituals, narratives, and practices.
This issue of the differing forms of forgiveness is
central to some of the critiques of therapeutic forgiveness (Augsburger, 1997; Jones, 1995) and the decontextualizing of forgiveness as simply a technique removed from any historical or communal
context (McMinn, 1996; Meek & McMinn, 1997).
Individualistic models of forgiveness do seem at risk
of lacking cultural richness and historical depth.
Conversely, Foucault (1993) argued that communal
institutions (e.g., churches) are capable of implementing oppressive rituals that subjugate rather than
empower members. Communal rituals carry tremendous power for good or evil. Therapeutic approaches to forgiveness might be particularly relevant for
individuals who are disconnected or estranged from
traditional forms of community. Foucaults analysis

SANDAGE and WIENS

also raises questions about the relationship between

models of forgiveness and social justice.
Social Justice

The social function of forgiveness involves how a

cultural group or society approaches issues of social
justice (Braithwaite, 1989). Gassin (2001) points out
that western psychologists might strongly object to
the Eastern Orthodox practice of encouraging victims to apologize to offenders. This is probably true.
Western psychological models of forgiveness have
arisen in a professional therapeutic context that has
involved grappling with the realities of abuse and the
injustice of blaming victims for that abuse (McMinn,
1996). We are curious how Eastern Orthodox clergy
and church leaders approach issues of abuse and the
dynamics of social justice. Young (2000) described
the Eastern Orthodox church as generally maintaining a very conservative or traditional moral system
(p. 97). This does not imply a lack of concern for
social justice in Orthodoxy, but it could translate
into less focus on violations of individual rights and
individual liberation than promoted by western
models of psychotherapy.
These issues of social justice are related to the
social function of anger, as well. Gassin (2001)
described the general lack of support for interpersonal anger in Eastern Orthodoxy, which is
assumed to be a result of our fallen nature (p. 9).
The Orthodox tradition seems to suggest that
anger is better directed against the self. As Gassin
suggests, western psychologists do put more
emphasis on the legitimacy of interpersonal anger
and the dangers of self-directed anger, probably
due to many cultural and worldview factors. For
example, the social cost of interpersonal anger and
confronting abuse might be greater in collectivistic
cultures than in individualistic cultures. The theological and spiritual legitimacy of anger involves
complex issues beyond the scope of this paper. We
do resist an assumption that all interpersonal anger
results from our fallen nature (see Jones, 1995;
Volf, 1996). Such a view would seem to offer no
legitimation for anger against injustice.
THE SOCIAL FUNCTION OF HUMILITY
Gassins (2001) article raises important issues
about the social function of humility, as well as forgiveness. We will briefly consider biblical and contemporary psychological views on humility.

205

Biblical Views of Humility

Gassin (2001) provided a helpful challenge to

Sandages (1999) attempt to connect his definition
of ego-humility with two biblical passages (Rom
12:3; Phil 2:3). Sandage (1999) defined ego-humility
as a realistic self-orientation that includes a willingness to acknowledge ones strengths and face ones
limitations (p. 261). Building on the work of
Roberts (1982), he further suggested that an interpersonal correlate of such humility is a tendency to
view others as ones equal (p. 261). Gassin pointed
out that Paul actually exhorts the readers at Philippi
to humility and to consider others better than yourselves (Phil 2:3; New International Version), suggesting that Sandages egalitarian construal of humility might not be fully consistent with this biblical
text. Gassin also questioned an egalitarian implication to Pauls exhortation in Romans 12:3 to not
think of oneself more highly than you ought. These
are points well-taken and serve to highlight some of
the first authors contemporary egalitarian social values. This calls for an examination of the New Testament meaning of humility, as well as the social function of humility in that ancient context.
At the same time, we will argue that the context
of both passages suggests Paul is primarily concerned with a humility that promotes the unity of the
Christian community within the diversity of members. In Romans 12:3-8, Paul moves directly from
calling for sober self-assessment to a discussion of
the differing gifts within the body of Christ with each
members gifts being important to the overall body.
His point is that each member has a place of belonging within the community.
In Philippians 2:1-4, Paul is also calling the community at Philippi to a spirit of unity through humility
(e.g., verse 3 says, in humility consider others better
than yourselves). The Greek word for humility in
verse 3 (
) implies a lowliness of
mind (Fee, 1995). Humility was generally not considered a virtue in the Greco-Roman world, which
regarded humility as a form of servility and weakness
(Bockmuehl, 1998; Fee, 1995). Paul sets humility in
contrast to selfish ambition and vain conceit (verse
3), giving humility a connotation of unselfishness
(Grundmann, 1972) that counters the grandiose
temptation to that strangely addictive and debasing
cocktail of vanity and public opinion (Bockmuehl,
1998, p. 110).
It appears that the Philippian church was at risk for

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CONTEXTUALIZING HUMILITY AND FORGIVENESS

experiencing division due to some selfish ambition

or what Fee (1995) calls posturing (p. 33). It is possible that the social values of the prominent Roman
colony of Philippi were influencing some members in
this posturing. Paul holds out the sacrificial example
of Christs humility in going to the cross (Phil 2:5-8) as
an alternative to selfish ambition and vain conceit.
This raises several questions about the meaning of biblical humility. First, does humility mean considering
everyone better than oneself? If so, this would seem
to create a tremendous burden of social comparison
that would be contrary to the values of most contemporary western psychologists and therapists. Second,
is self-disparagement or abasement a central feature of
humility? Again, this would make humility contradictory to most contemporary western models of healthy
human development.
Social comparison. Interpreting Pauls exhortation to in humility consider others better than yourselves (Phil 2:3) requires understanding the occasion of the letter to the Philippians. Paul does not
use the more serious language of division or strife
in this letter as he does in First Corinthians (1 Cor
1:10-12). This suggests the tensions Paul has in mind
at Philippi, such as that of Euodia and Syntyche (Phil
4:2), are basically between friends within the Christian community (Fee, 1995). Therefore, Paul is not
commending an attitude of considering oppressive
or abusive people morally better than oneself. In
fact, he does not even seem to be encouraging the
Philippians to consider everyone better than themselves because he refers to a certain group he considers to be destructive enemies (Phil 3:18). Paul
seems to be encouraging a capacity to consider some
people better than oneself while still being able to
critique the character and values of some other
destructive persons.
Self-disparagement. We must also determine the
precise meaning of humility in Philippians 2:3 and
whether humility requires self-denigration. Several
biblical scholars have argued that the kind of humility Paul is encouraging is not one of self-disparagement, abasement, nor low self-esteem (Bockmuehl,
1998; Fee, 1995; Grundmann, 1972; Hawthorne,
1987). Fee (1995) explains the meaning of humility
in Philippians 2:3 in this way:
Humility is not to be confused with false modesty, or with that
kind of abject servility that only repulses, wherein the humble
one by obsequiousness gains more self-serving attention than
he or she could do otherwise. Rather, it has to do with a proper estimation of oneself, the stance of the creature before the

Creator, utterly dependent and trusting. Here one is well

aware both of ones weaknesses and of ones glory (we are in
his image, after all) but makes neither too much nor too little
of either. True humility is therefore not self-focused at all, but
rather, defined by Paul in v.4, looks not to ones own concerns but to those of others. (p. 188)

Rather than social comparison or self-denigration, Paul is encouraging the Philippians to humbly
care for others and to put their concerns ahead of
their own. The goal is one of mutual love and honoring others in a Mediterranean cultural context where
honor and shame were the core social values (Malina, 1993). The Greek word for better in verse 3
(
) can also be translated surpassing
and does not suggest a comparative evaluation of the
worth of others (i.e., consider others more worthy
than yourselves) (Fee, 1995). Instead, we concur
with Fees (1995) interpretation that Paul is saying
consider the needs of others in the community as
surpassing your own and care for them. Bockmuehl
(1998) points out that the central social dynamic that
distinguishes the Christian view of humility from the
Greek is the non-hierarchical intent [of Christian
humility]: it governs relations between people who
are in principle equals, and is not a cliche for excessive deference to superiors (p. 111). Thus, it appears
that the biblical view of humility, at least as developed by Paul in Philippians, is consistent with an
egalitarian social ethic. Christian humility involves
the willingness to take a humble relational posture
(when appropriate) by surrendering the motives of
selfish ambition and grandiosity while considering
the needs of others above ones own. This is qualitatively different from the false humility of perpetual
self-denigration or a need for self-abasement. This
understanding counters the position of Nietzsche
(1886/1989), who despised both Christianity humility because he believed it did represent a false deference that masked true motives (see Roberts, 1982).
Contemporary Western Psychological
Views of Humility

How might contemporary western psychology

view this biblical understanding of humility? 1
Gassin is correct that there has been very limited
consideration of humility in contemporary western
psychology (for reviews, see Exline, Campbell,
Baumeister, Joiner, & Krueger, 2000; Emmons,
1This

is not to imply a uniformity in contemporary western psychology but simply a way of framing some general differences.

SANDAGE and WIENS

2000; Tangney, 2000), so there are no well-developed psychological theories of humility. Nevertheless, we will outline a few areas of potential dissonance and rapprochement between Eastern
Orthodox and biblical views of humility and contemporary western psychology.
First, contemporary psychologists in the west
would probably advocate for more emphasis on
self-care and personal boundaries than is evident in
either Eastern Orthodoxy or New Testament literature. Even if Pauls exhortation in Philippians 2:3
to consider others better than yourselves is not
universal and does not mean self-denigration, it
does run counter to the individualistic cultural values that dominate parts of the United States (U.S.)
and some other western nations. Many clinicians
in the U. S. could probably quickly think of clients
whose problems involve a self-defeating proclivity
to view others as better than themselves. This discrepancy can be mitigated by realizing that Paul is
not prohibiting what contemporary psychologists
would call self-care even if it is given much less
emphasis than in our contemporary therapeutic
culture. Jesus himself practiced a form of spiritual
self-care that placed limits on the amount of service he offered to those in need (Mark 1:35-38).
Self-care and humility actually form a healthy
dialectic that represents spiritual and emotional
maturity. Self-care practices (e.g., prayer, sleep,
nutrition, exercise) contribute to the energy needed to humbly care for others, and humility contributes to the dynamics of a healthy community
that benefit both self and others.
Second, contemporary western psychologists
would probably be eager to have humility distinguished from low self-esteem or shame-proneness
(Exline et al., 2000; McMinn, 1996; Means, Wilson,
Sturm, Bion, & Bach, 1990; Tangney, 2000).
Emmons (2000) explains:
To be humble is not to have a low opinion of oneself; it is to
have an opinion of oneself that is no better or worse than
the opinion one holds of others. It is the ability to keep ones
talents and accomplishments in perspective . . . to have a
sense of self-acceptance, an understanding of ones imperfections, and to be free from arrogance and low selfesteem. (pp. 164-165)

Tangney (2000) likewise defines humility as

including an accurate self-assessment and relatively
low self-focus. Humility involves an ability to view
oneself from a broader perspective (Exline et al.,
2000). Conversely, shame and low self-esteem

207

restrict the self, and they can actually increase the

kinds of self-consciousness and interpersonal
defensiveness that prohibit caring for others
(McMinn, 1996; Tangney, 1995). A shame-prone
fragile sense of self can lead to defensive narcissism
(Sandage, 1999; Tangney, 2000), and narcissism is
certainly contrary to humility, empathy, and forgiveness (Emmons, 2000; Exline et al., 2000; Tangney,
Fee, Reinsmith, Boone, & Lee, 1999). Empathy
may be a vital dimension of humility or at least a
closely related virtue (Emmons, 2000; Means et al.,
1990; Sandage, 1999). Empathic humility involves
the ability to accurately perceive the needs of others (cf. Phil 2:3), as well as the ability to forgive by
viewing oneself as morally similar to offenders
(Exline et al., 2000).
Contemporary psychologists might also be concerned to distinguish mature humility from the kinds
of pathological shame and self-abasement that can
become ego-syntonic. Simone Weil (1951/1973), a
social philosopher and spiritual writer, described the
potential dark side of shame-proneness that differs
from genuine humility by suggesting consciousness
of sin gives us the feeling that we are evil, and kind of
pride sometimes finds its place in it (p. 109). Weil
succinctly captures the irony of how self-satisfaction
in false humility or even ones own need for forgivingness can be a way of assuming the moral high
ground in relationships.
Millon (1996) describes masochistic personality
disorder as involving self-denigration and abasement that is ego-syntonic. Individuals with such
self-defeating personalities usually have painful relational histories of abuse or neglect (or both), and
Millon suggests that they can be unconsciously
motivated toward an excessive self-sacrifice that
obligates or shames others. It is important to distinguish humility from such self-destructive masochistic propensities. The Eastern Orthodox practice of
encouraging victims to apologize for the sins of
their offenders, as described by Gassin, seems highly questionable in this regard. A core fear of many
victims of abuse is that they are either culpable for
the abuse or capable of becoming abusive themselves. These fears would seem to be exacerbated
by a practice of victims apologizing for the sins of
their offenders. On the other hand, the cultural
context and religious rituals of Eastern Orthodoxy
might prevent such practices from producing the
same psychological consequences as would occur
in western individualistic contexts.

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CONTEXTUALIZING HUMILITY AND FORGIVENESS

Figure 1.

CRYSDALES INTEGRATIVE MODEL

Cynthia Crysdale (1999) has developed an integrative theological model of the cross and the resurrection in her book, Embracing Travail: Retrieving the Cross Today, which weaves together
feminist, evangelical, and liberationist theological
perspectives. Crysdale records some of her own
journey of wrestling with how to personally and theologically reconcile her evangelical background with
the truth she has found in feminist and liberationist
Christianity. Her work is integrative at several levels.
For example, she integrates theories from both theology and the social sciences, and she is well-attuned
to the spiritual struggles of both individuals and
social systems. What makes her model particularly
relevant to our discussion is her integration of forgiveness and empowerment. We suggest that her
model goes beyond many traditional Christian theological views of the cross and offers a sound and just
theological foundation for understanding the social
dynamics related to humility and forgiveness.
Crysdales (1999) major thesis is that Christians
can affirm two sides to the cross and resurrection
(see Figure 1). Traditional orthodoxy has emphasized the gospels promise of forgiveness of sins for
those who are humbled by the cross into repentance.
This side of the cross speaks most directly to those
who come from a place of privilege and social
power. Crysdale suggests that the other side of the
cross is primarily for those whose social location

involves oppression. Along with many liberation and

feminist theologians, Crysdale argues that the gospel
speaks to disempowered victims of oppression of a
loving God who identifies with innocent victimization yet overcomes evil with good (also, see Volf,
1996). For the oppressed, the gospel first offers healing for the wounds of social shame (Jewett, 1997)
and an affirmation of selfhood and voice (also, see
Cone, 1991; Jones, 1995).
One of the unique dimensions of Crysdales
(1999) contribution is her suggestion that both sides
of the cross (i.e., the healing of wounds and the forgiveness of sins) are ultimately relevant to every person in order to break the victim-perpetrator cycle.
Social location influences the side of the cross that
represents a persons primary initial need. A victim
of oppression needs the empowerment of voice, but
eventually that person also needs to experience
repentance and the forgiveness of sins. A person
from a position of social privilege needs to experience the humility of repentance and the grace of
being forgiven, but eventually that person also needs
to grow into the empowerment of true voice. It
seems to us that western psychotherapists have tended to focus on the side of the cross that involves the
healing of shame and woundedness and the empowerment of voice without necessarily using the theological language. Evangelical Christian churches have
focused on the side of the cross that invites humility,
repentance, and offers the forgiveness of sins. Based
on Gassins description, Eastern Orthodoxy also

SANDAGE and WIENS

appears to focus on humility, repentance, and the

forgiveness of sins. However, much is lost when
either side of the cross is neglected.
We will briefly highlight three theological themes
from Crysdales model that are relevant to an
approach to forgiveness that integrates both sides of
the cross . These themes include suffering, sin, and
salvation.
Suffering

The title of Crysdales book, Embracing Travail

(1999), is the major motif for her model. Embracing
travail is likened to the process of giving birth, and it
speaks to the centeredness of being that is open to
new life including both the pain and the responsibilities involved. She suggests grief and suffering are
often pathways to healing (and probably forgiveness,
see Augsburger, 1997; Layton, 1998), yet she is concerned about a theology that over-valorizes suffering
or martyrdom. Over-valorizing suffering can be an
insidious way of maintaining social hierarchies and
keeping power from those who are oppressed.
While some project evil onto others to justify domination, others have been socialized to introject evil
into themselves, resulting in a theology of self-denigration and self-defeating shame. In contrast, Crysdale points out that Jesus refused to project or introject evil. Crysdales work challenges us to consider
how we socialize people into the sacrificial virtue of
forgiveness and whether issues of voice, power, and
boundaries are also part of that socialization. A
Christian integrative model of forgiveness and
empowerment should suggest the importance of
helping people overcome tendencies to either project or introject evil.
Sin

Sin has been traditionally viewed as pride, arrogant ambition, or narcissism by many Christian theologians (Crysdale, 1999; Volf, 1996), and pride
seems to be a dominant sin motif in Eastern Orthodoxy (Gassin, 2001). But Crysdale (1999) effectively
argues that narcissism is not the universal core
dynamic of sin. Other themes and metaphors for sin
are needed in order to generate contextualized models of forgiveness and reconciliation. For example,
Volf (1996) suggests exclusion of those we find different, strange, or outgroup is an important dynamic of sin that wars against forgiveness and reconciliation. Crysdale suggests that sin can take the form of

209

denigration or accepting too much limitation (pp.

128-129) among oppressed groups of people. She
warns that an over-emphasis on humility can exacerbate this problem for people who already struggle
with self-denigration (also, see McMinn, 1996).
A call to name ones victimization is part of overcoming the effects of evil and sin. Crysdale (1999)
writes, Confess your sins and embrace your
wounds are both true (p. xii). The redemptive
drama of the bible describes a God who sees innocent blood crying out from the ground (Gen 4; see
Volf, 1996) and promises to bring ultimate justice.
Integrative models of forgiveness will need to give
much greater attention to the relationships
between interpersonal forgiveness, systemic sin,
and social justice.
Salvation

Crysdale (1999) argues that salvation involves

both sides of the cross (forgiveness of sins and healing of wounds), and both sides are eventually important for everyone. She explains, Sooner or later, in
some form or other, one must discover oneself as
both a crucifier and a victim. The failure to do this
can lead to self-righteousness on the one hand or
self-immolation on the other (p. 20). Salvation leads
to a process of transformation or sanctification that
means completing the circle: victims discovering
responsibility and perpetrators embracing wounds
... the cycle becomes not victim-perpetrator-victim,
but healed-forgiven-healed (pp. 23-24). The Eastern
Orthodox theology that Gassin describes might resonate with Crysdales process-oriented view of salvation and sanctification, though the contextualized
socio-political dimensions of Crysdales model do
not seem to find any parallel in Gassins account of
Eastern Orthodoxy. Also, the concern about selfimmolation and the need to discover healing for
ones victimhood might run counter to the worldview of persons from an Eastern Orthodox tradition.
Crysdale (1999) goes on to develop her view of
salvation by suggesting that the resurrection calls for
the risk of voice, telling the story, and the discovery
of discovery. Again, she integrates the spiritual and
the socio-political in her use of the resurrection as a
salvific motif by explaining,Some people inherit a
presumption of voice and the confidence to know
they are knowers. Others are socialized into silence
and are carefully protected from discovering that
they can make discoveries (p. 76). Western litera-

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CONTEXTUALIZING HUMILITY AND FORGIVENESS

ture on the psychology of forgiveness has given little

attention to the relationship between forgiveness
and social power (Fincham, 2000; Madanes, 1991;
Sandage, 1999). This has contributed to the chasm
between therapeutic models that emphasize empowerment, agency, and voice for the disempowered
(e.g., feminist therapies) and those models that
describe the healing potential of forgiveness. We
would like to see greater integration of forgiveness
and empowerment in therapeutic approaches, and
Crysdales model offers a theological foundation for
Christian integration. Therapeutic approaches will
always need to be contextualized, however, and
clients from hierarchical collectivistic cultures might
have greater difficulty identifying with themes of
empowerment and voice than clients from individualistic cultures.
CONCLUSION
Models of forgiveness are embedded in cultural
worldviews. Social location provides a powerful
influence that should be considered in contextualizing models of humility and forgiveness. It is important to assess what these constructs mean for a client
with respect to issues of gender, race, culture, and
religiosity. Gassin (2001) has provided a helpful
description of an Eastern Orthodox perspective on
interpersonal forgiveness and ways forgiveness
might need to be contextualized for clients from that
tradition. Considering a cultural and theological tradition different than our own has offered the opportunity to gain self-awareness of our own cultural
worldview and to reconsider our theological and ideological assumptions. Following Crysdale (1999), we
have suggested that attending to both sides of the
cross could provide an integrative theological model
that values both forgiveness and empowerment.
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DC: American Psychological Association.

AUTHORS
SANDAGE, STEVEN J. Address: Bethel Theological Seminary,
3949 Bethel Dr., St. Paul, MN 55112. Title: Associate Professor;
Licensed Psychologist. Degrees: BS, Psychology, Iowa State University; MDiv, Trinity Evangelical Divinity School; MS, PhD,
Counseling Psychology, Virginia Commonwealth University.
Specializations: forgiveness, couples and family therapy, psychology and religion.
WIENS, TINA R. WATSON. Address: 1525 Albert St. N., St.
Paul, MN 55108. Title: Marriage and Family Therapist.
Degrees: BS, Business, Northwestern College; MA, Marriage
and Family Therapy, Bethel Theological Seminary. Specializations: Collaborative and interdisciplinary health care, sexual
health, adolescents.

Deconectare, Depresie si spiritualitate: Un stiudiu despre rolul

spiritualitatii si sensului in vietile indivizilor cu depresie severa

Abstract
Acest studiu calitatitativ exploreaza rolul spiritualitatii si al
sensului printre 15 participanti care sufera de depresie severa.In timplul
desfasurarii acestui studiu participantii ,erau sub tratament in Loma Linda
University Behaviorial Medicine Center.Temele abordate sunt :(1) Depresia
creaza o deconectare spirituala.Pacientii au raportat ca se simt separati ,"deconectati" de Dumnezeu de comunitate, si de ei insisi.(2) Spiritualitatea joaca
un rol important in copiingul activat dealungul durerii din depresie ;(3) Exista
o dorinta arzatoare pentru sens si semnificatie si o zabatere pentru a descifra
sensul durerii; si (4) Faptul de a ajunge la o impacare cu circumstantele
personale si depresia , la un anumit nivel faciliteaza procesul de vindecare.
Cuvinte cheie: Spiritualitate. Sens. Depresie. Deconectare.
Acceptare.
Introducere
Acest studiu isi propune sa inteleaga rolul spiritualitatii si al
sensului in viata al indivizilor care se lupta cu depresia severa.Potrivit
Instutului National de Sanatate Mentala(2003) aproximativ 2 din 35 de
milioane de adulti americani avand varsta de 65 de ani si peste 65 de ani sufera
de o anumita forma sau alta de depresie.Doolittle si Farell(2004) au raportat
faptul ca :"depresia este un diagnostic comun in practica ingrijirii primare
numarand de la 6% la 20% dintre toate vizitele pacientilor"(p.
114).Ryan(2005) a confirmat ca rata la care indivizii ajung in depresie in
ultimele cateva decenii se prezinta ca fiind in crestere comparate cu primele
decade ale secolului 20. Cu toate acestea , numeroase studii au confirmat
eferctele pozitive ale spiritualitatii asupra depresiei .(Cotton et al. 2005;
McCoubrie& Davies 2006;Dalmida 2006;).Cel mai important motiv al acestui
studiu este de a examina efectele perspectivei religioase asupra durerii
provocate de depresie .Prevalenta depresiei nu este doar o provocare pentre
comunitatea medicala.Depresia intuneca sufletul , indeparteaza speranta din
locul ei , creaza un sentiment de goliciune sau ceea ce William James denumea
intr-un fel edificator :"sufletul bolnav", care ii ia locul.Trece dincolo de minte .
Si in timp ce mintea poate sa construiasca strategii care sa lupte cu conceptiiile
gresite , poate sa vindece boala sufletelor?
Pentru cei dintre noi , a caror chemare este sa aiba grija de
suflete , ingrijorarea ultima etse sa obtimem descrieri narative din partea
sufletelor care s-au confruntat sever cu melancolia , cautand un sens al rolului
spiritualitatii si al locului sensului in propriile vieti.Cum afecteaza depresia
spiritualitatea ?

Poate spiritualitatea sa functioneze ca un mecanism de coping in

vederea contracararii depresiei?Cum defineste cineva sensul in viata in
prezenta melancoliei?Acest stiudiu cauta sa raspunda catorva dintre aceste
intrebari fundamentale prin a asculta indivizii care se lupta existential cu
depresia cronica.
Spiritualitatea
Conceptul de spiritualitate a generat un fel de dezbatere printre
cercetatori(Mohr 2006).
Spiritualitatea este adesea perceputa ca fiind cu o sfera mai larga de
cuprindere decat religia , si este adesea definita ca o relatie personala cu o
putere superioara sau transcendenta(Dalmida 2006).
Religia , pe de alta parte , a fost descrisa ca fiind ca un sistem organizat
de credinte, ghidata de valori ,ritualuri sau un cod de conduita (Mohr 2006). Se
afirma ca spiritualitatea este independenta de religie pentru ca sunt unii care
considera ca cineva poate sa fie spiritual fara ca sa apartina de o comunitate
religioasa cu credinte organizate.(Hodges 2002) , Totusi, anumiti cercetatori
(eg. Mueller et al. 2001) au indicat factori specifici care deosebesc
spiritualitatea de religie , cum ar fi actelle de compasiune , altruismul,
exprienta unei paci interioare , dreptate, o cautare a sensului si un sens al
scopului.
Cu toate acestea , un efort considerabil a fost depus pentru a distinge
spiritualitatea de religie , numerosi cercetatori si studenti au acceptat o anumita
legatura intre cele doua. Puchalski(1999) s-a referit la religie ca fiind :"o
expresie a spiritualitatii" (p.1) si Mohr(2006) a afirmat ca :"Religia este
platforma pentru expresia spiritualitatii".(p.18).Bazat pe experienta , Mueller et
al.(2001) a explicat , ca desi spiritualitatea este un concept mai vast ca
domeniu decat religia , cele doua se suprapun. Acesti cercetatori au accentuat
ca o cautare a sensului , o putere superioara , sentimentul conectarii si al valorii
sunt terenuri comune in care deopotriva religia si spiritualitatea opereaza.
Spiritualitate si depresie
Dolittle si Farrell(2004) -utilizand scala de depresie Zung si
scala de masurarea a implicarii spiritualitatii si a credintelor(SIBS)., o scala
iudeo-crestina neexclusiva , pentru a determina asocierea intre depresie si
spiritualitate la pacienti din medii urbane -a pus in evidenta faptul ca pacientii
care au obtinut scoruri mari la evaluarea spiritualitatii au avut mai putine
simptome depresive .Ei au explicat , pentru populatia lor de cercetare,ca
participarea la serviciile religioase nu are un impact semificativ asupra
simptomelor religioase .Mai degraba ,credinta intr-o putere superioara,
rugaciunea , si faptul de a avea o relatie cu o putere transcendenta , a fost luate
in considerare pentru a face diferenta intre non-depresivi si depresivi.
Printre alte rezultate ale ale cercetarii lor asupra "spiritualitatii si
distresului in ingrijirea paliativa " Hills et al.(2005) a descoperit ca acei
pacienti care au exprimat furie la adresa Lui Dumnezeu sau l-au pus la indoiala
pe Dumnezeu si biserica (considerate ca fiind mecanisme de coping religios
negativ) erau mai stresati ,confuzi , si depresivi. Deasemea calitatea vietii lor
au fost afectata in mod negativ. Hills et al. (2005) a pretins ca rezultatele lor la

sustin e cele ale lui Koenig et al. (1988) ,a carui studiu a pus in evidenta faptul
ca pacientii internati care ai dovedit un coping religios negativ in special cei
care au fost furiosi pe Dumnezeu , au recuperat activitatile independente din
viata de zi cu zi mult mai greu.
Sensul vietii si depresia
O alta arie ce cercetare care primeste o cantitate insemnata de publicatii
este rolul sensului vietii la pacientii cu depresie.Numeroase studii au pus in
evidenta o asociere pozitiva intre sens si depresie..Deasemenea , anumite studii
ca si cel al lui Wink et al.(2005) si Frick et al. (2006) au subliniat legatura
dintre sens si spiritualitate/religie.
Ca si in cazul spiritualitatii definitiile sensului vietii variaza. Este
normal printre cercetatori care investigheaza asocierea dintre sens,
spiritualitate/religie , si depresie ca clasifice sensul ca fiind pe de o parte sens
spiritual sau sens personal/existential.Sensul personal/existential este utilizat
uneori intersanjabil cu sensul vietii.Sensul spiritual este definit de catre
Mascaro si Rosen (2006) ca :"Avand un sens al scopului sau al chemarii
derivat din credinte despre fortele spirituale care planeaza asupra
vietii."(p.184) .Puchalski (1999) , aderand la ideea ca sensul nu poate fi
despartit de spiritualitate ,sugereaza ca vietile oamenilor ajung sa fie bogate in
sens si scop in masura in care relationeaza cu transcendentul.
Hodges(2002) analizand diferite studii care abordau problema sensului
vietii si a depresiei a raportat doua rezultate diferite .El a indicat ca studii ca si
acelea ale lui Wright et al. (1993) si Olszewski(1995) au stabilit o legatura
pozitiva intre sensul vietii si depresie .Al doilea rezultat care s-a bazat pe un
rezumat a lui Beck(1967) si Selingman(1990) a relevat o relatie negativa intre
conceptul de sens la vietii si depresie .Hodges a conluzionat ca sensul
trascendent ar putea avea un impct pozitiv asupra dezvoltarii in viata si poate
deasemenea sa sustina in acelesi timp o criza.Metoda cea mai buna care se
potriveste pentru a clarifica semantismele sensului discutate in literatura de
specialitate este calitativa , aceasta cercetare a utilizat interviuri semistructurate ,care sunt parte a metodelor calitative.
Aceast cercetare calitativ utilizat interviuri semi-structurate pentru
a explora rolul de spiritualitate i sensul vieii ntre indivizii depresivi admii la
Universitatea Loma Linda Behavioral Centrul de Medicin. Cincisprezece
participanti diagnosticati cu depresie care au participat la tratamentul parial la
LLUBMC au fost recrutai prin intermediul unui terapeut, asistent medical.
Din cei 15 participani, au fost 12 femei i trei brbai. Unul din criteriile de
selecie a participanilor a fost un minim de 2 sptmni de tratament la
LLUBMC.Aceast cercetare vizeaz descoperirea impactului depresiei avut
asupra spiritualitii i sensului vietii i, n acelai timp rolul spiritualitaii jucat
n procesul de recuperare a pacienilor depresivi. Ea a ncercat s neleag cum
fiecare i explic evenimentul negativ din via prin intermediul ntrebrilor
deschise pentru a vedea perspectiva lor din care privesc lucrurile.
ntrebrile folosite n interviuri urmresc scopul de a argumenta, de a
aprofunda, i a clarifica semnificaia rspunsurilor participanilor. Participanii
au fost rugai sa rspund urmtoarelor ntrebri:
1. V rugm s descriei experiena dvs. cu depresia. (Argumente

pentru ce fel de durere, ct timp au suferit,

i modul n care a intrat durerea n viaa lor.)
2. Cum a afectat depresia viaa ta? (Argumente pentru modul n care a
observat i a rspuns la
modificri, i cum au observat alii aceast rspuns.)
3. Cum a-i descrie rolul spiritualitaii n viaa ta? (Argumente pentru
cea ce semnifica
spiritualul in viata lor - include asta si o viziune a lui Dumnezeu? Dac
da, ce fel?)
4. Cum afecteaz depresia, sensul si scopul n via?
5. Ne putei descrie nivelul de depresie, nainte de programul de
reabilitare, precum i
n timpul i dup finalizarea programului?
Interviurile au fost realizate de ctre Siroj Sorajjakool, doctor, profesor de
religie, Loma Linda University. nainte de interviu, a fost dat pacienilor un
formular de consimmnt pentru a se asigura de voluntariat asupra
participrii pacienilor ". Conversaia a fost nregistrat, transcris i
codificate n conformitate cu metodele propuse de Anselm Strauss i Corbin
Julieta. Primul nivel de analiz a inceput cu deschiderea codificarii -etichetare
linie cu linie despre "ceea ce se ntmpl aici."
Urmtorul nivel de analiz implic crearea unor categorii bazate pe descrieri a
ceea ce s-a ntmplat. Aceast cercetare a folosit o metod de "comparare
constanta" pentru a examina modul n care un nou rspuns a fost sau nu intr-o
categorie anterioare. Nivelul final de analiz legat categoriile emergente
mpreun ntr-un mod care a explicat de datele. Aceast explicaie a fost
"teoria de baza", care inglobeaza varietaile de rspunsuri. Cum aceste ipoteze
s-au dezvoltat, cercettorii s-au ntors la interviuri pentru a vedea dac analiza
a explicat fiecare caz. Atunci cnd nu s-a explicat fiecare caz, analiza a fost
revizuit. Revizuirile implicate redenumirea categoriilor, dezvoltarea de noi
categorii, precum i identificarea cilor alternative sau procese.
Curs de tratament
Toi participanii au avut un program: de luni pn vineri, de la 9:00 la
15:00, 20-25 zile pe o perioad de 4 pn la 6 sptmni.Aportul lor iniial de
evaluare a fost efectuat de ctre o asistent medical care a verificat dac toi
au avut gnduri si dorina de a muri. Acest lucru a fost urmat de o evaluare
psihosocial detaliat i a planului de tratament realizat de ctre un terapeut
clinic (Terapeut de familii si csnicii, asistent social, psiholog). n plus,
pacientul a fost evaluate i vzut sptmnal de ctre un psihiatru pentru
gestionarea medicaie.
Curriculum-ului a constat n cinci grupuri de zi cu zi cu durata de o or.
Cursurile de coping si managementul stresului l-au invatat pe pacient cum sa
aiba un regim alimentar sanatos, sa urmeze un program de exercitii, sa faca
afirmatii pozitive despre ei si sa comunice asertiv si respectuos.
Grupurile de educatia sanatatii mentale le-au oferit informatii despre
diagnosticele lor, simptomele lor si folosirea adecvata a medicamentelor.
Grupul de terapie zilnic a abordat problemele profunde care stau la
baza pierderilor nerezolvate i durere, furie, i stima de sine scazuta rezultate

dintr-o copilrie plina de abuzuri. Aceast sesiune de 2 ore de terapie cognitiv

explora, de asemenea, problemele de ruine i un nivel scazut al valorii de sine
(self-worth) Ei au fost nvai sa nlocuiasc punctul lor de vedere negativ
despre sine cu unul care a fost mai realist i pozitiv, printr-un proces de
nvare, intensiv de zece pai . Pentru a completa aceast metoda, ei au fcut o
medie de 2 - 5 ore pe sptmn de auto-ajutor lucrnd pe
The Feeling Good Handbook de David Burns. Au nvat s utilizeze o
analiz cost-beneficiu la o greutate de argumente pro i contra stimei de sine
scazut si corectarea gndurilor lor negre cu starea de spirit activa.
n plus, un capelan se ntlnea cu grupul pentru a explora nevoile
spirituale, 2 ore pe sptmn. Deoarece Programul a fost realizat ntr-o
instituie Adventista de ziua a aptea, partea spiritual a fost integrata n
ntregul program, terapeui i pacieni deopotriv simindu-se liberi s
mprteasc practicile credinei personale (nu doctrinele), n toate grupurile,
pentru a cita Scriptura, i a se ruga pentru nevoile aprute.
Teme comune
Aceast seciune va prezenta teme comune emergente care se refer la
trei aspecte principale ridicate n timpul interviului, i anume, spiritualitate,
sensul vieii, i de acceptare.
Studiul a descoperit ca persoanele cele mai deprimate au indicat faptul
c depresia face s se simt deconectate de partea spiritual. n acelai timp,
spiritualitate a acionat, de asemenea, ca surs de puterea n mijlocul depresiei.
n al doilea rnd, nevoia de a avea un sens in viata a fost o tem dominant
ntre participani, iar sentimentului de sens al vietii a fost asociat n cea mai
mare parte cu relaie cu Dumnezeu, care indic faptul c a existat un motiv
pentru depresie lor. In continuare, pentru toti participantii, sensul l-au capatat
facand servicii celorlalti. Tipul serviciului in care ei se vedeau angajati era
deseori relationat de experienta lor cu depresia.
n cele din urm, procesul de vindecare a fost in cea mai mare parte
legat de capacitatea lor de a se mpca cu propria depresie.
Spiritualitatea
n explorarea locului spiritualitii ntre participanii depresivi, trei
ntrebri au fost ntrebai. n primul rnd, participanii au fost rugai s
defineasc nelegerea lor de spiritualitate. n al doilea rnd, au fost ntrebai
despre impactul pe care depresia l-a avut asupra spiritualitii lor. n cele din
urm, acestea au fost ntrebai cum spiritualitatea lor a afectat luptele lor cu
depresie. Este interesant de notat faptul c toi cei 15 participani au recunoscut
rolul spiritualitaii n lupta lor cu depresie. Aceast seciune va analiza modul
n care indivizii depresivi definesc spiritualitate, efectul de depresie in
spiritualitate, iar impactul spiritualului asupra depresiei.
Definirea spiritualitii
Definiia cea mai comun de spiritualitate este: a avea o relaie cu
Dumnezeu. "Vd spiritualitate cu adevrat ca relaie a ta personal cu
Dumnezeu ", a declarat un participant de sex feminin. Un participant de sex

masculin care a trecut prin multe perioade de spitalizare definea spiritualitatea

ca "O relaie n care triesc cu Dumnezeu ... este aducerea lui Dumnezeu n tot
ce se ntmpl." O tnr participant, cu o istorie de abuz sexual a descris
spiritualitatea ca un sentiment de confort, un sentiment c exist Cineva acolo
sus care vegheaz asupra ei.
Un tanar participant care urma sa obtina o diploma in muzica a folosit
termenul de intregire pentru a defini spiritualitatea: A fi intreg...e mai mult
decat intelectual sau emotional... e a fi intreg ca si Moise, Iisus si Ghandi.
Oameni care pot relationa cu viata. Nu trebuie sa fii cel mai de succes. E vorba
de a fi conectat
Accentul pus pe relaie a fost semnificativ, mai ales avnd n vedere
experiena lor cu depresia i impactul depresiei asupra relaiei i a
sentimentului de conexiune.
Impactul depresiei in spiritualitate
Majoritatea participanilor au raportat c depresia i face sa se simta deconectati de la
spiritualitatea lor. Acetia au artat c s-au simit foarte deconectati de la ei nii, de la
Dumnezeu, i de la comunitate. Mi-a fot foarte greu emotional sa ma conectez la
Dumnezeu n timpul acestor cinci ani a raportat un participant.
Un participant de sex feminin care au luptat cu depresia de cand era tanara, a afirmat: E doar
o lupt. A spune c sigur .... inima mea este foarte protejata i rece. O studenta absolventa a
indicat faptul c ea "se simte rece" in inima ei si nu merita dragostea lui Dumnezeu.
Acest simtamant al deconectarii, pentru multi, a survenit din furie. Ei au experimentat furie
pentru ca simteau ca si cum Dumnezeu i-ar fi parasit.
O alta participanta ce traia in depresie de cand avea 12 ani spunea: Chiar acum, simt furie
fata de Dumnezeu, sunt furioasa pentru ca El nu da atentie nevoii mele in special pentru ca
sunt vulnerabila. El nu mi-a demonstrat ca e acolo si ma asculta....El nu e acolo. Apoi a
continuat, Uneori a fost in viata mea, dar de cele mai multe ori nu pot sa-L vad...pentru ca de
cele mai multe ori am fost in depresie si aveam gandul sinuciderii.
Un participant, care tocmai trecuse printr-un divort, a indicat ca e foarte furios pe Dumnezeu.
El s-a rugat ca Dumnezeu sa ii aduca inapoi sotia, dar nu Dumnezeu nu a adus-o. Iar un motiv
important pentru care sotia l-a parasit a fost depresia lui.Prin urmare, el a refuzat sa mai
mearga la biserica. Un numar de participanti au impartasit aceasta experienta.Din cauza
depresiei si a furiei catre Dumnezeu, ei au incetat sa mai citeasca Biblia, sa mearga la biserica
si sa aiba regulat un timp acordat lui Dumnezeu.
Impactul spiritualitatii in depresie
n timp ce starea de spirit general a acestor participani n timpul depresiei a fost cea de
deconectare din spiritualitatea lor, spiritualitatea a jucat nc un rol n ajutarea multor sa fac
fa acestora stari ntunecoase. Toti cei 15 participani au recunoscut spiritualitatea ca una
dintre metodele lor de coping. Cnd ntrebati despre cum se confrunt cu depresie, termenul
de "Dumnezeu" a fost prezent n rndul tuturor participanilor.
Din cei 15, o fata a simit c Dumnezeu a abandonat-o, dar a indicat, n acelai timp c pe ea
spiritualitatea ei a mpiedicat-o de la sinucidere. "Uneori, eu vreau doar s merg acolo
repede la Dumnezeu. i cred c singurul lucru care mi-a inut s fac aceasta este faptul c
mi-au spus ca o s ard n iad ", a spus ea. Dou persoane au crezut n posibilitatea ca

spiritualitatea ar putea aduce vindecare, dar a trebuit nc s-l aduca aceasta experien n
viaa lor. Un participant a indicat, "Eu caut pentru c eu cred. i a vrea s pot simi. A vrea
s pot simi cci eu cred ...rugciunile mele private sunt pentru a-mi deschide inima ". Restul.,
ntr-o msur variabil, au recunoscut spiritualitatii rolul pozitiv jucat n viaa lor. Un
participant care a luptat cu durere cronica a descris rolul jucat de spiritualitate:
Prima dat cnd m-am dus napoi la biserica a fost la nceputul lunii februarie i a fost
prima oar cnd am simit pacea n peste un an. Nu am simit durerea mea (in biserica). Vreau
s ma sinucid, dar apoi speranta venea napoi, atunci cnd am imi citeam Biblia... este ca un
fel de furnicturi, senzatia care trece prin corpul meu. Eu nu pot explica, dar este pace,
bucurie, i dragoste. Toate ntr-un mod necondiionat .... Uneori am, de asemenea, acest
sentiment coplesitor, i tiu c exist, fie cineva acolo care se uita la mine, fie este ngerul
meu pazitor sau un nger .... ncepe prin stomacul meu sau prin umeri. Este un sentiment ca si
cum am fost atins. Este ca i cum cineva pe care il iubesti vine sa te atinga.
Un alt participant a declarat, "Cnd m gndesc la asta [o putere mai mare], chiar i numai
gndind despre asta, ma face sa ma simt mai bine". Un participant de sex masculin care a fost
spitalizat de mai multe ori, a raportat: "Nu m-am simit sinucidal ntr-o perioad lung, doar
n depresie, i cred c motivul pentru care aspectul suicidare nu a venit e spiritualitatea". Un
alt participant a mprtit o experien similar: "Aceasta nu m las s m omor orict de
mult am ncercat [s ma sinucid], deoarece nu vreau s merg n iad ... depresia te face s te
simi deconectat de la alii, dar simi c Dumnezeu este mereu cu tine, indiferent ct de greu
este. "
n timp ce depresia a dus la un sentiment de deconectarea de la spiritualitatea lor, deoarece
starea de ntuneric data de depresie i-a fcut s se simt deconectati i i mpiedica s se
angajeze n frecventarea bisericii regulate i devotament personal, spiritualitatea a rmas
modul esenial cu care ei faceau fata depresiei. Acesta a oferit speran, a adus confort si a
mpiedicat suicidul.
Sensul
Problema sensului este adesea conceptualizat n ceea ce privete scopul n via. Scopul poate
fi obinute din ataamentul fata de oameni, cum ar fi prietenii i familia sau implicarea n
anumite activiti, cum ar fi cariera sau de recreere. Scopul poate fi, de asemenea, exprimat
prin explicaii teologice sau teoretice pentru lupta existeniala a persoanelor. Intenia
acestui studiu a fost de a lsa deschis ntrebarea astfel nct participanii au putut s rspund
n conformitate cu nelegerea lor actual a termenului "sensul". Pentru majoritatea dintre
participanii la acest studiu, sensul a constat n capacitatea lor de a explica situaia traumatic
n care s-au gsit ei nii. Este interesant de observat c 13 din cei 15 participanti au vzut o
legtur strns ntre spiritualitate si sensul vietii. Ceilali doi participani, dei nu n mod
explicit au facut o conexiune a sensului cu spiritualitatea, cred n Dumnezeu. Unul dintre cei
doi participani defineste spiritualitatea ca avnd o relaie cu Dumnezeu i s-a crezut c sensul
este atins atunci cnd el este conectat. Sensul, pentru acest participant, a fost legat de
capacitatea de a gsi o explicaie pentru evenimentul lui traumatic.
Cum se reflect n descrieri ale participanilor la acest studiu, persoanele cu
depresie au o dorinta intensa de a face sens din experiena lor cu depresie. Ei
vor sa stie de ce trebuie s treac printr-o astfel de experien i au nevoie sa inteleaga
c aceast suferin nu este n zadar, c exist un anumit scop ataat la aceasta. Treisprezece
de 15 participani au exprimat aceasta dorinta de a face sens al experienei lor cu
depresia. O tanara participanta a declarat:

L-am ntrebat pe Dumnezeu de ce atunci cnd am fost abuzata sexual de ctre tatl meu. Am
ajuns la concluzia ca poate c acest lucru imi poate permite sa-i ajut pe alii. Dar cnd am fost
abuzata a doua oar de [fratele meu], nu avea sens ... lucru pe care m-am lupta cu este, de ce a
trebuit s se ntmple de dou ori? De ce a fost fratele meu un pic ca tatal meu? Intotdeauna
am crezut c totul se ntmpl pentru un motiv, c fiecare situaie nu poate fi doar pozitiva.
Dar ce scoti din ea poate fi pozitiv i asta este ceea cu ce ma lupt eu acum.
S-a ntmplat o dat i trec prin chestiile astea, dar de ce de dou ori ...de ce... Cred c
depresia mi-a deschis cu adevarat ochii la spectrul de durere i de suferin care
cred c sunt importante n via. C nu poi pe deplin experienta fericire, pn cnd pe deplin
nu experientezi durerea. Tu nu stii fericirea pn cnd nu tii durerea.
Un student la muzic descrise cutarea pentru nelegerea de sine prin explorarea
credinele religioase din diferitele tradiii religioase, cum ar fi hinduism, budism, Zen i
altele. "Depresia ma face sa ma cine sunt eu si nu voi fi asa cum sunt fara ea. Odat
ce iesi din depresie, poti realiza modul n care aceasta v ajut cu perspectiva in viata. " O alt
ncercare comuna de a face sens din depresia acestora n raport cu Dumnezeu a fost de a
spune "Dumnezeu ma pune aici cu un scop. Nu tiu acum. Chiar acum am nevoie pentru a
gsi scopul. Sunt disperat dupa scopul meu. tiu c Dumnezeu are unul pentru mine, dar eu
nu stiu care este". n timp ce unii ar putea s nu tie de ce a trebuit s mearga prin
depresie, au existat civa care au crezut ca depresia sa ntmplat, pentru a-i aduce
napoi la Dumnezeu. "Am cam simtit ca depresia trebuie s fi fost ca o bataie la ua mea de la
Dumnezeu s m trezesc". Sau cum a declarat o alta participanta care s-a afiliat cu Cruciada
Campusului: "Simt ca acest lucru este tot o parte din mine pentru a-L cunoate pe Dumnezeu
mai bine ... Eu m vad n cele din urm apropiindu-ma, tiindu-L mai bine". Pentru cei mai
multi participanti., depresia a fost instrumentul care le-a permis de a servi mai bine altora.
"Cred ca singurul lucru pe care ntr-adevr il urmaresc cu nerbdare n restul vietii mele este
doar posibilitatea de a ajuta ali oameni ...pe care este mai bine s-i ajute mult
cineva care a fost deja prin foc sau iad". n conformitate cu o participanta, "Cred ca depresia,
probabil ma ajut s ma fac mai sensibila sau contienta de ceea ce oamenii
trec prin atunci cnd sunt n acest tip de situaie". Un participant a declarat." Eu cred c
suferina noastr este pentru binele altora. "
Din 15 participani, unul a ataat sensul cu familia sa. Trei au vzut depresia ca o
parte din planul lui Dumnezeu pentru a-i aduce mai aproape de Dumnezeu. Restul au crezut
ca depresia i-a fcut mai plini de compasiune i le-a permis s fie mai capabili de a ajunge la
alii si a-i intelege.
Aceptarea
O alt tem interesant a fost locul acceptarii n via n ceea ce privete situaia lor sau
experienta de depresie. Conceptul de acceptare articulat de ctre participani
prea s fie strns legat de sperana lor pentru viitor i sentimentul lor de vindecare. Din cei
15 participani, 12 s-au descris ca vin la termeni oarecum cu situaia lor de viata. Unul dintre
acesti 12 a recunoscut importana renuntarii, cu toate c a admis c ea nu este la acelnivel n
viaa ei. Ceilalti trei nu au prezentat nici o indicaie a faptului c au ajuns la un acord cu starea
lor. Prezena de lupt a fost evident la acesti trei. Aceast tem de acceptare a fost exprimat
n mod curent n dou forme: acceptarea situaiile neplcute din viaa lor sau de acceptare a
depresiei lor (recunoaterea faptului c acetia va trebui s continue s triasc cu depresie la
un anumit nivel).

Acceptarea circumstantelor vietii

Un numr de participani a vorbit despre aceste proces gradual de a se impaca cu
circumstanele vieii lor. Un brbat divorat care a ncercat din greu pentru a o ctiga napoi
pe soia, a vorbit despre furia iniial fata de Dumnezeu pentru a nu-l ajuta, dar n cele din
urm a fost in pace cu el nsui i a ajuns la credinta c poate Dumnezeu a avut un plan mai
bun i c era bine s fie acolo unde era. Un participant de sex feminin, care a fost crescut intro casa perfecionista n care valoarea ei ca o persoana a fost bazat pe abilitatea ei de a ajunge
la performante, a ajuns la concluzia ca "toti avem valoare ca fiine umane". Ea a spus n
continuare,"Se pare c nu exist nici o soluie pentru o mulime de lucruri pe care le
putem face noi nine. i, ncercand s rezolvam vom ajunge la concluzia c exist
cineva acolo care ne pot sustine prin aceast perioad dificil in care nu exist speran".
Un alt participant de sex feminin a ajuns la concluzia c viaa nu este corecta. Este dificil, dar
este realitatea cu care noi toi trebuie s ne impacam.
Acceptarea depresiei
Pentru cei mai multi participanti cu depresie, impacarea cu depresia lor a fost un
pas important n procesul de vindecare. Un participant a clarificat frecventele interpretari
gresite a vindecarii n nelegerea ei: "avnd depresie nu nseamn c nu suntei
vindecat". Pentru alii, a fost despre posibilitatea c nc ar putea exista via cu depresie.
"Cred c am nceput s constat c depresia nu este, probabil, cel mai ru lucru din
lume care se poate intampla". Un alt participant a declarat: "Obinuiam s cred c depresia
este ceva ce se poate evita, dar acum am neles c nu este aa. Este ceva
c se ntmpl cu oameni diferiti pentru diferite motive. Acesta nu este ca si cum avei o
alegere. Eu nu cred c va disparea pentru totdeauna".
Acceptarea de depresie pot fi, de asemenea, reflectata n capacitatea de a accepta negativ
emotii. Un participant dintr-o familie abuziv a declarat: Sunt un pic deprimat acum. Voi
trece peste asta, dar nainte, niciodat n-am crezut c, da,
este ok s ma simt trist. nainte cnd am fost ntr-un fel de etap de negare, era ok ca sunt trist,
dar eu nu ar trebui s am sentimentul trist acum, deoarece nu sa intamplat nimic, nu este mare
lucru i lucruri de genul asta. Dar acum tii ce, sunt trist ... Eu pot plnge,eu pot trece
prin asta. Aceasta capacitatea de a imbratisa depresia a fost, de asemenea, exprimate n
raport cu spiritualitatea. Un participantul credea c a avea o relaie cu Dumnezeu nsemna
"aducerea lui Dumnezeu n tot ce se ntmpl. Ea poate fi durere. Ea poate fi nimic. Dac este
durere, te duci la Dumnezeu n durerea aceea, i dac este bucurie, acelai lucru. Eu ncerc
ntotdeauna s fac tot posibilul s-l accepte de acum. Poate ca, de asemenea, conceptul
spiritual poate aduce predarea".
n final, dac a fost acceptarea circumstantelor vietii sau a depresiei, vindecarea a avut de a
face cu una din doua.
Reflecii teologice
Aceast seciune reflect teologic la temele bazate pe relatri de la
participanii care continu s se lupte cu melancolia. Sub discuia Sufletului Bolnav
asa cum e prezentat intr-o serie de experiente religioase, William James a
utilizat frecvent termenul "melancolie" pentru a se referi la "depresie", cei doi termeni sunt
folositi aici ca sinonime. Aceste trei teme sunt sentimentul de deconectare spirituala, cutarea
sensului, i procesul de acceptare. Exist vreo perspectiv teologic care sa
poata oferi o explicaie a inter-relaiei de deconectare, sens, i acceptare?

Sentimentul de deconectare exprimat n mod curent de acesti participani este o amintire a

luptei personale lui Tolstoi cu depresia i cu idei suicidare, cnd a simit ca viaa lui
a fost complet lipsit de sens. Comentnd pe aceast experien, William James subliniaz c
n timp ce Tolstoi a cutat sfarsitul vieii, a existat, n cea mai adnc parte din el, setea de
Dumnezeu.
Concluzii
Majoritatea participanilor a indicat faptul c depresia ii face sa se simta deconectati de
Dumnezeu, de alii, i de ei nii. n acelai timp, acestia au recunoscut c spiritualitatea a
jucat un rol semnificativ n cautarea lor de a face fata depresiei. Depresia a fost, de asemenea,
un factor important n creterea ntrebrile referitoare la sensul vietii pentru aceste participani.
Ei credeau c a existat un motiv pentru depresia lor; ca depresia a fost oarecum n cadrul
proiectului Divin pentru destinul lor. n cele din urm, sensul vindecarii a fost cel mai adesea
legate de capacitatea lor de a se impaca cu depresia lor. Capacitatea de a ajunge la o nelegere,
prin urmare, poate fi un important factor care ne-ar putea indica o conexiune ntre vindecare si
spiritualitate.
n timp ce aceasta nu poate fi foarte acurat de zis, pe baza experienelor acestor 15 participani
n acest studiu, ca ei au realizat o rennoire n spiritul lor, un sentiment de armonie total cu
ei nsisi, a fost posibil s se demonstreze c majoritatea participanilor au avut intuiii mari
n procesul lor, prin acceptare. La un anumit nivel, ei au venit pentru a vedea
realitatea lor ca una care a inclus "rul natural", durerea i pierderea. Poate c a fost prin
acesta realitate, dup cum se indic n a treia tem, care le-a ajutat sa recapete un sentiment de
conexiune, un sentiment de armonie n interiorul lor sau, din perspectiva lui William James,
"a doua natere". Cum a declarat unul dintre participani: "Inv s accept .... cuvntul care
se apropie de mine acum este predare. Cred c o parte din tine te accepta. La un anumit nivel
toata lumea are nevoie s se predea i s accepte unele situaii, trecutul, cat si ca viata
continua".