Moralising accounts of depression include the idea that depression is a sin or the result of sin, and/or that it is the result of demonic possession which has occurred because of moral or spiritual failure. Increasingly some Christian communities, understandably concerned about the debilitating effects these views have on people with depression, have adopted secular folk psychiatry’s ‘medicalising’ campaign, emphasising that depression is an illness for which, like (so-called) physical illnesses, experients should not be held responsible. This paper argues that (...) both moralising and medicalising models of depression are intellectually and practically (pastorally and therapeutically) problematic, gesturing towards more promising emphases. (shrink)

Some recent considerations of religion and psychiatry have drawn a distinction between pathological and spiritual/mystical experiences of mental phenomena typically regarded as within the realm of psychiatry (e.g. depression, hearing voices, seeing visions/hallucinations). Such a distinction has clinical implications, particularly in relation to whether some religious people who suffer from depression, hear voices, or see visions should be biomedically treated. Approaching this question from a theological and philosophical perspective, I draw a distinction between (what I call) ‘spiritual health’ (SH) and (...) ‘potentially transformative’ (PT) theologies, arguing that a PT model is therapeutically and philosophically more sound than a SH one. I then apply this to the clinical debate in critical dialogue with Dein and Durà-Vilà’s 2009 article, ‘The Dark Night of the Soul: spiritual distress and psychiatric implications’. My primary focus is on depression, though the discussion is also relevant to debates about psychosis and schizophrenia. (shrink)

Among the more notable Christian understandings of depression is the idea that depression is a sin or the result of sin. While this idea is dismissed by many Christians and non-Christians, it is difficult to pinpoint what exactly is wrong with it. This paper seeks to address this problem, focusing on a common premise of the ‘depression is a sin’ claim: that it is within a person’s power to recover, such that remaining depressed is a choice. This claim is held (...) not only by Christians who believe depression to be a sin, but also by other religious and non-religious voluntarists, who believe depression to be under the control of the will. I will object to this idea by pointing to accounts that indicate that one widespread feature of depression is an experience of diminished free will, and will argue that this means that asserting the possibility of making choices that are relevant to recovery in the context of all depression is misplaced. I will then turn from the question of whether ‘depression is a choice’ claims are true, to whether they are helpful, and will argue that they can be helpful, but only in non-extreme forms of depression. Finally, I will reflect on the pastoral and clinical implications of the discussion. (shrink)

A recent paper in this journal argues that some cases of schizophrenia should be seen as cases of demon possession and treated by faith healers. A reply, also published in this journal, responds by raising concerns about the intellectual credibility and potentially harmful practical implications of demon possession beliefs. My paper contributes to the discussion, arguing that a critique of demon possession beliefs in the context of schizophrenia is needed, but suggesting an alternative basis for it. It also reflects on (...) important differences between demonic and other forms of spirit possession, and considers the implications of this for mental health care providers. (shrink)