Spiritual crisis

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Spiritual crisis (also called "spiritual emergency") is a form of identity crisis where an individual experiences drastic changes to their meaning system (i.e., their unique purposes, goals, values, attitude and beliefs, identity, and focus) typically because of a spontaneous spiritual experience. A spiritual crisis may cause significant disruption in psychological, social, and occupational functioning. Among the spiritual experiences thought to lead to episodes of spiritual crisis or spiritual emergency are psychiatric complications related to existential crisis, mystical experience, near-death experiences, Kundalini syndrome, paranormal experiences, religious ecstasy, or other spiritual practices.

Contents

Background

Before the mid-1970s, mainstream psychiatry made no distinction between spiritual or mystical experiences and mental illness (GAP, 1976, p. 806). However, during the 1960s and 1970s, the overlap of spiritual/mystical experiences and mental health problems became of particular interest to counterculture critics of mainstream psychiatric practice who argued that experiences that fall outside of the norm may simply be another way of constructing reality and not necessarily a sign of mental disorder. The assumption of mainstream medical psychiatry was also challenged by critics from within the field of medical psychiatry itself. For example, R. D. Laing argued that mental health problems could also be a transcendental experience with healing and spiritual aspects. Arthur J. Deikman further suggested use of the term "mystical psychosis" to characterize first-person accounts of psychotic experiences that are conceptually similar to reports of mystical experiences.

Due to growing recognition of the overlap of spiritual/mystical experiences and mental health problems, in the early 1990s authors Lukoff, Lu, & Turner (Turner et al., 1995, p. 435) made a proposal for a new diagnostic category entitled "Religious or Spiritual Problems". The category was approved by the DSM-IV Task Force in 1993 (Turner et al., 1995, p. 436) and is included in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (American Psychiatric Association, 1994). The inclusion marks increasing professional acceptance of spiritual issues in the assessment of mental health problems.

Study

The concept of "spiritual crisis" has mainly sprung from the work of transpersonal psychologists and psychiatrists whose view of the psyche stretches beyond that of Western psychology. Transpersonalists tend to focus less on psychopathology and more unidirectionally toward enlightenment and ideal mental health (Walsh & Vaughan, 1993). However, this emphasis on spirituality's potentials and health benefits has been criticized. According to James (1902), a spiritual orientation focusing only on positive themes is arguably incomplete, as it fails to address evil and suffering (Pargament et al., 2004). Scholarly attention to spiritual struggle is therefore timely as it can provide greater balance to the empirical literature and increase understanding of everyday spirituality. Another reason for the study of spiritual crisis is that growth often occurs through suffering (e.g., Tedeschi, Park, & Calhoun, 1998). As such, neglecting problems of suffering might result in neglecting vital sources of spiritual transformation and development. [1]

Both the terms "spiritual crisis" and "spiritual emergency" (Grof, 1989) share in the common recognition that:

  1. non-ordinary experiences and psychological disturbances (e.g., anxiety and panic) often overlap;
  2. Western medicine may have different, and therefore potentially conflicting, values among their patients about these experiences;
  3. people need specialized support in their local area when in crisis.

Neurological causes

Spiritual crises, and spontaneous spiritual experiences, may have neurological causes, such as described in the Geschwind syndrome and in neurotheology. The Geschwind syndrome is a group of behavioral phenomena evident in some people with temporal lobe epilepsy. It is named for one of the first individuals to categorize the symptoms, Norman Geschwind, who published prolifically on the topic from 1973 to 1984. [2] There is controversy surrounding whether it is a true neuropsychiatric disorder. [3] Temporal lobe epilepsy causes chronic, mild, interictal (i.e. between seizures) changes in personality, which slowly intensify over time. [2] Geschwind syndrome includes five primary changes; hypergraphia, hyperreligiosity, atypical (usually reduced) sexuality, circumstantiality, and intensified mental life. [4] Not all symptoms must be present for a diagnosis. [3]

See also

Related Research Articles

A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior. It is usually associated with distress or impairment in important areas of functioning. There are many different types of mental disorders. Mental disorders may also be referred to as mental health conditions. Such features may be persistent, relapsing and remitting, or occur as single episodes. Many disorders have been described, with signs and symptoms that vary widely between specific disorders. Such disorders may be diagnosed by a mental health professional, usually a clinical psychologist or psychiatrist.

Transpersonal psychology, or spiritual psychology, is an area of psychology that seeks to integrate the spiritual and transcendent aspects of the human experience within the framework of modern psychology.

The neuroscience of religion, also known as neurotheology and as spiritual neuroscience, attempts to explain religious experience and behaviour in neuroscientific terms. It is the study of correlations of neural phenomena with subjective experiences of spirituality and hypotheses to explain these phenomena. This contrasts with the psychology of religion which studies mental, rather than neural states.

A religious experience is a subjective experience which is interpreted within a religious framework. The concept originated in the 19th century, as a defense against the growing rationalism of Western society. William James popularised the concept. In some religions this may result in unverified personal gnosis.

The transpersonal is a term used by different schools of philosophy and psychology in order to describe experiences and worldviews that extend beyond the personal level of the psyche, and beyond mundane worldly events.

In medicine and medical anthropology, a culture-bound syndrome, culture-specific syndrome, or folk illness is a combination of psychiatric and somatic symptoms that are considered to be a recognizable disease only within a specific society or culture. There are no objective biochemical or structural alterations of body organs or functions, and the disease is not recognized in other cultures. The term culture-bound syndrome was included in the fourth version of the Diagnostic and Statistical Manual of Mental Disorders which also includes a list of the most common culture-bound conditions. Counterpart within the framework of ICD-10 are the culture-specific disorders defined in Annex 2 of the Diagnostic criteria for research.

Geschwind syndrome, also known as Gastaut-Geschwind, is a group of behavioral phenomena evident in some people with temporal lobe epilepsy. It is named for one of the first individuals to categorize the symptoms, Norman Geschwind, who published prolifically on the topic from 1973 to 1984. There is controversy surrounding whether it is a true neuropsychiatric disorder. Temporal lobe epilepsy causes chronic, mild, interictal changes in personality, which slowly intensify over time. Geschwind syndrome includes five primary changes; hypergraphia, hyperreligiosity, atypical sexuality, circumstantiality, and intensified mental life. Not all symptoms must be present for a diagnosis. Only some people with epilepsy or temporal lobe epilepsy show features of Geschwind syndrome.

The classification of mental disorders, also known as psychiatric nosology or psychiatric taxonomy, is central to the practice of psychiatry and other mental health professions.

<span class="mw-page-title-main">DSM-5</span> 2013 edition of the Diagnostic and Statistical Manual of Mental Disorders

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), is the 2013 update to the Diagnostic and Statistical Manual of Mental Disorders, the taxonomic and diagnostic tool published by the American Psychiatric Association (APA). In 2022, a revised version (DSM-5-TR) was published. In the United States, the DSM serves as the principal authority for psychiatric diagnoses. Treatment recommendations, as well as payment by health care providers, are often determined by DSM classifications, so the appearance of a new version has practical importance. However, not all providers rely on the DSM-5 for planning treatment as the ICD's mental disorder diagnoses are used around the world and scientific studies often measure changes in symptom scale scores rather than changes in DSM-5 criteria to determine the real-world effects of mental health interventions. The DSM-5 is the only DSM to use an Arabic numeral instead of a Roman numeral in its title, as well as the only living document version of a DSM.

<span class="mw-page-title-main">Grandiose delusions</span> Subtype of delusion

Grandiose delusions (GD), also known as delusions of grandeur or expansive delusions, are a subtype of delusion that occur in patients with a wide range of psychiatric disorders, including two-thirds of patients in a manic state of bipolar disorder, half of those with schizophrenia, patients with the grandiose subtype of delusional disorder, frequently as a comorbid condition in narcissistic personality disorder, and a substantial portion of those with substance abuse disorders. GDs are characterized by fantastical beliefs that one is famous, omnipotent, wealthy, or otherwise very powerful. The delusions are generally fantastic and typically have a religious, science fictional, or supernatural theme. There is a relative lack of research into GD, in contrast to persecutory delusions and auditory hallucinations. Around 10% of healthy people experience grandiose thoughts at some point in their lives but do not meet full criteria for a diagnosis of GD.

Episodic dyscontrol syndrome (EDS), otherwise known as intermittent explosive disorder (IED) or sometimes just dyscontrol, is a pattern of abnormal, episodic, and frequently violent and uncontrollable social behavior in the absence of significant provocation; it can result from limbic system diseases, disorders of the temporal lobe, or abuse of alcohol or other psychoactive substances.

Derealization is an alteration in the perception of the external world, causing those with the condition to perceive it as unreal, distant, distorted or falsified. Other symptoms include feeling as if one's environment is lacking in spontaneity, emotional coloring, and depth. It is a dissociative symptom that may appear in moments of severe stress.

Mystical psychosis is a term coined by Arthur J. Deikman in the early 1970s to characterize first-person accounts of psychotic experiences that are strikingly similar to reports of mystical experiences. According to Deikman, and authors from a number of disciplines, psychotic experience need not be considered pathological, especially if consideration is given to the values and beliefs of the individual concerned. Deikman thought the mystical experience was brought about through a "deautomatization" or undoing of habitual psychological structures that organize, limit, select, and interpret perceptual stimuli. There may be several causes of deautomatization—exposure to severe stress, substance abuse or withdrawal, and mood disorders.

<span class="mw-page-title-main">Oceanic feeling</span> A feeling of being one with the world

In a 1927 letter to Sigmund Freud, Romain Rolland coined the phrase "oceanic feeling" to refer to "a sensation of 'eternity'", a feeling of "being one with the external world as a whole", inspired by the example of Ramakrishna, among other mystics. According to Rolland, this feeling is the source of all the religious energy that permeates in various religious systems, and one may justifiably call oneself religious on the basis of this oceanic feeling alone, even if one renounces every belief and every illusion. Freud discusses the feeling in his Future of an Illusion (1927) and Civilization and Its Discontents (1929). There he deems it a fragmentary vestige of a kind of consciousness possessed by an infant who has not yet differentiated themself from other people and things.

Scholarly studies have investigated the effects of religion on health. The World Health Organization (WHO) discerns four dimensions of health, namely physical, social, mental, and spiritual health. Having a religious belief may have both positive and negative impacts on health and morbidity.

A religious delusion is defined as a delusion, or fixed belief not amenable to change in light of conflicting evidence, involving religious themes or subject matter. Religious faith, meanwhile, is defined as a belief in a religious doctrine or higher power in the absence of evidence. Psychologists, scientists, and philosophers have debated the distinction between the two, which is subjective and cultural.

Brent Dean Robbins is associate professor of psychology at Point Park University in Pittsburgh, Pennsylvania. His areas of research include grief, humor, self-consciousness, spirituality/religion, death anxiety, and the medicalization of the body. He is editor-in-chief and founder of Janus Head: Journal of Interdisciplinary Studies in Literature, Continental Philosophy, Phenomenological Psychology, and the Arts, and is a board member for a number of journals, including International Journal of Transpersonal Studies, the International Journal of Existential Psychology and Psychotherapy, PsyCRITIQUES, and Terrorism Research. Robbins is a co-editor of The Legacy of R.D. Laing, published by Trivium Press. Robbins is a recipient of the Harmi Carari Early Career Award, from the Society for Humanistic Psychology. He holds a doctorate in clinical psychology from Duquesne University.

Self-transcendence is a personality trait that involves the expansion or evaporation of personal boundaries. This may potentially include spiritual experiences such as considering oneself an integral part of the universe. Several psychologists, including Viktor Frankl, Abraham Maslow, Pamela G. Reed, C. Robert Cloninger, Lars Tornstam, and Scott Barry Kaufman have made contributions to the theory of self-transcendence.

Hyperreligiosity is a psychiatric disturbance in which a person experiences intense religious beliefs or episodes that interfere with normal functioning. Hyperreligiosity generally includes abnormal beliefs and a focus on religious content or even atheistic content, which interferes with work and social functioning. Hyperreligiosity may occur in a variety of disorders including epilepsy, psychotic disorders and frontotemporal lobar degeneration. Hyperreligiosity is a symptom of Geschwind syndrome, which is associated with temporal lobe epilepsy.

Organic personality disorder (OPD) or secondary personality change, is a condition described in the ICD-10 and ICD-11 respectively. It is characterized by a significant personality change featuring abnormal behavior due to an underlying traumatic brain injury or another pathophysiological medical condition affecting the brain. Abnormal behavior can include but is not limited to apathy, paranoia and disinhibition.

References

  1. Rambo, Lewis R.; Farhadian, Charles E.; Paloutzian, Raymond F. (2014-04-03), "Psychology of Religious Conversion and Spiritual Transformation", The Oxford Handbook of Religious Conversion, Oxford University Press, doi:10.1093/oxfordhb/9780195338522.013.009, ISBN   978-0-19-533852-2 , retrieved 2023-05-01
  2. 1 2 Devinsky, J.; Schachter, S. (2009). "Norman Geschwind's contribution to the understanding of behavioral changes in temporal lobe epilepsy: The February 1974 lecture". Epilepsy & Behavior. 15 (4): 417–24. doi:10.1016/j.yebeh.2009.06.006. PMID   19640791. S2CID   22179745.
  3. 1 2 Benson, D. F. (1991). "The Geschwind syndrome". Advances in Neurology. 55: 411–21. PMID   2003418.
  4. Tebartz Van Elst, L.; Krishnamoorthy, E. S.; Bäumer, D.; Selai, C.; von Gunten, A.; Gene-Cos, N.; Ebert, D.; Trimble, M. R. (2003). "Psychopathological profile in patients with severe bilateral hippocampal atrophy and temporal lobe epilepsy: Evidence in support of the Geschwind syndrome?". Epilepsy & Behavior. 4 (3): 291–7. doi:10.1016/S1525-5050(03)00084-2. PMID   12791331. S2CID   34974937.

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