Religiousness in First-Episode Psychosis

in Archive for the Psychology of Religion
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The aim of the present study is to explore the significance of religiousness for patients suffering from first-episode psychosis. Our study is a thematic analysis. The study illustrates how the patients understood their hallucinations as mystical experiences. Even so, many of the patients describe their religiousness to be helpful in coping with their disorder, giving meaning to life as well as a relationship to a sacred figure. However, their religiousness often contained religious omnipotent delusions, and built on hallucinations, displayed an unsecure relationship to the sacred figure. From a psychiatric point of view, the misinterpretation of hallucinations as mystical experiences may reinforce their delusional system and cause an obstacle to recovery. This misinterpretation may also cause problems for patients’ religious coping. Our findings underline the importance of taking patients’ religiousness into account in psychotherapy.

Religiousness in First-Episode Psychosis

in Archive for the Psychology of Religion



AgorastosA.MetscherT.HuberC. G.JelinekL.VitzthumF.MuhtzC.MoritzS., 'Religiosity, magical ideation, and paranormal beliefs in anxiety disorders and Obsessive-Compulsive Disorder: A cross-sectional study' (2012) 200(10) Journal of Nervous & Mental Disease: 876-884.

AntonovskyA., Health stress and coping, (Jossey-Bass, San Francisco 1979).

AntonovskyA., Unraveling the mystery of health: How people manage stress and stay well (Jossey Bass social and behavioral science series), (Jossey-Bass, San Francisco 1987).

apa, dsm-5, (American Psychiatric Assosiaton, Arlington, VA, US 2013).

BeckA.RectorN.StolarN., Schizophrenia cognitive theory research and therapy, (Guilford Publications, New York 2011).

BorrasL.MohrS.BrandtP.GillieronC.EytanA.HugueletP., 'Religious beliefs in schizophrenia: Their relevance for adherence to treatment' (2007) 33(5) Schizophrenia Bulletin: 1238-1246.

BotvarP. K.SchmidtU., Religion i dagens Norge. Mellom sekularisering og sakralisering [Religion in Norway today. Between secularisation and sacralisation], (Universitetsforlaget, Oslo, Norway 2010).

BoyatzisR. E., Transforming qualitative information Thematic analysis and code development, (Sage Publications, Thousand Oaks, CA 1998).

BraunV.ClarkeV., 'Using thematic analysis in psychology' (2006) 3(2) Qualitative Research in Psychology: 77-101.

BrettC., 'Psychotic and mystical states of being: Connections and distinctions' (2002) 9(4) Philosophy Psychiatry and Psychology: 321-341.

BrunstadP., Ungdom og livstolking [Adolescence and existential issues], (Tapir akademiske forlag, Trondheim, Norway 1998).

ChadwickP., Person-based cognitive therapy for distressing psychosis, (John Wiley & sons, Lmt, West Sussex, England 2006).

ClarkeI., Psychosis and spirituality. Consolidating the new paradigm, (Wiley, Chichester, UK 2010).

CullbergJ., Psykoser et integret perspektiv [Psychosis an integrated perspective], (Universitetsforlaget, Oslo, Norway 2005).

DanboltL. J.MøllerP.LienL.HestadK., 'The personal significance of religiousness and spirituality in patients with schizophrenia' (2011) 21 The International Journal for the Psychology in Religion: 145-158.

DeinS. L., 'Psychosis and religious/spiritual experience: Ethnographic, cognitive and neurobiologicalo perspectives', in C. Murray (ed), Mental health and anomalous experience, (Nova Science Publishers,Inc., New York 2012) 179-192.

EllisonC. G.LeeJ., 'Spiritual struggles and psychological distress: Is there a dark side of religion?' (2010) 98(3) Social Indicators Research: 501-517.

EllwoodR. S., Mysticism and religion, (Prentice Hall, Englewood Cliffs 1980).

FranklV. E., Man`s search for meaning, (Beacon Press, Massachusetts, US 1959).

FreudS., 'Totem and taboo', in S. Freud (ed), The origins of religion, (Penguin Books, Middlesex, England 1985) (Original work published in 1913)..

FreudS., Civilization and its discontents (Das Unbehagen in der Kultur), (Penguin, London, UK 2002) (Original work published in 1930)..

GeekieJ.ReadJ., Making sense of madness. Contesting the meaning of schizophrenia, (Routledge, East Sussex 2009).

GreenbergD.WitztumE.BuchbinderJ. T., 'Mysticism and psychosis: The fate of Ben Zoma' (1992) 65 British Journal of Medical Psychology: 223-235.

HanevikH.HestadK.LienL.TeglbjaergH. S.DanboltL. J., 'Expressive art therapy for psychosis. A multiple case study' (2013) 40(3) The Arts in Psychotherapy: 312-321 doi:10.1016/j.aip.2013.05.011..

HegelstadW. t. V.LarsenT. K.AuestadB.EvensenJ.HaahrU.JoaI.McGlashanT. H., 'Long-term follow-up of the tips early detection in psychosis study: Effects on 10-year outcome' (2012) 169 The American Journal of Psychiatry: 374-380.

HenriksenJ.-O., Relating God and the self, (Ashgate Publishing Limited, Burlington, USA 2013).

HustoftH.HestadK. A.LienL.MøllerP.DanboltL. J., '“If I didn’t have my faith I would have killed myself!”: Spiritual coping in patients suffering from schizophrenia' (2013) 23(2) The International Journal for the Psychol ogy of Religion: 126-144.

JacsonM.FulfordK. W. M., 'Spiritual experience and psychopathology' (1997) 4 Philos Psychiatr Psychol: 41-66.

JoaI.JohannessenJ. O.AuestadB.FriisS.McGlashanT. H.MelleI.LarsenT. K., 'The key to reducing duration of untreated first psychosis: Information campaigns' (2008) 34(3) Schizophrenia Bulletin: 466-472.

KeyS. R.FiszbeinA.OplerL. A., 'The positive and negative syndrom scale (panss) for schizophrenia' (1987) 13(2) Schizophrenia Bulletin: 261-276.

KirovG.KempR.KirovK.DavidA. S., 'Religious faith after psychotic illness' (1998) 31 Psychopathology: 234-245.

KlosinskiG., 'Ecclesiogenic neuroses and psychoses in adolescence: On the complicated detachment problems of adolescents from rigorously moralizing, Christian-religious movements' (1990) 53(1) Acta Paedopsychiatrica: International Journal of Child & Adolescent Psychiatry: 71-77.

KoenigH. G.KingD. E.CarlsonV. B., Handbook of religion and health, (Oxford University Press, New York 2012).

la CourP., 'Den religiøse tros udvikling [Evolution of religious belief]', in L. J. Danbolt, L. G. Engedal, K. Hestad, L. Lien and H. Stifoss-Hansen (eds), Religionspsykolog [Psychology of relgion], (Gyldendal Akademiske Forlag, Oslo, Norway 2014) 173-188.

LampshireD., 'The sounds of a wounded world', in J. Geekie, P. Randal, D. Lampshire and J. Read (eds), Experiencing psychosis, (Routledge, East Sussex 2012) 139-145.

LarsenT. K.McGlashanT. H.JohannessenJ. O.FriisS.GuldbergC.HaahrU.VaglumP., 'Shortened duration of untreated first episode of psychosis: Changes in patient characteristics at treatment' (2001) 158(11) The American Journal of Psychiatry: 1917-1919.

LevinJ. S.ChattersL. M., 'Research on religion and mental health: An overview of empirical findings and theoretical issues', in H. G. Koening (ed), Religion and mental health, (Academic Press, San Diego, CA, US 1998) 33-48.

LukoffD., 'Spirituality and psychosis', in J. Geekie, P. Randal, D. Lampshire and J. Read (eds), Experiencing psychosis, (Routledge, London, UK 2012) 66-76.

MaherB.OltmannsT., Anomalous experience and delusional thinking: The logic of explanations, (Wiley, New York 1988).

McCarthy-JonesS.WaegelicA.WatkinsJ., 'Spirituality and hearing voices: Considering the relation' (2013) 5(3) Psychosis: 247-258 doi:10.1080/17522439.2013.831945..

MeissnerW. W., 'The pathology of beliefs and the beliefs of pathology', in E. P. Shafranske (ed), Religion and the clinical practice of psychology chapter 9, (American Psychological Assosiation, Washington DC 1996) 241-267.

MelleI.LarsenT. K.HaahrU.FriisS.JohannessenJ. O.OpjordsmoenS.McGlashanT. H., 'Reducing the duration of untreated psychosis in first episode psychosis' (2004) 61(2) Archives of General Psychiatry: 143-150.

MohrS.BrandtP.-Y.BorrasL.GillieronC.HugueletP., 'Toward an integration of spirituality and religiousness into the psychosocial dimension of schizophrenia' (2006) 163(11) The American Journal of Psychiatry: 1952-1959.

MohrS.PerroudN.GillieronC.BrandtP.-Y.RiebenI.BorrasL.HugueletP., 'Spirituality and religiousness as predictive factors of outcome in schizophrenia and schizo-affective disorder' (2011) 186(2-3) Psychiatry Research: 177-182.

OyebodeF., sims` Symptomes of the mind. Textbook of descriptive psychopatology, (Elsevier, Philadelphia USA 2014).

PargamentK. I., The psychology of religion and coping: Theory research practice, (Guilford Press, New York 1997).

PargamentK. I., Spiritually integrated psychotherpy: Understanding and adressing the sacred, (New York, Guilford Press, New York 2007).

PargamentK. I.AnoG. G.WachholtzA. B., 'The religious dimension of coping: advances in theory, research, and practice', in R. F. Paloutzian and C. Park (eds), Handbook of the psychology of religion and spirituality, (Guilford Press, NY, US 2005) 479-495.

PfeiferS., 'Faith-induced neurosis: Myth or reality?' (1994) 22(2) Journal of Psychology and Theology: 87-96.

PfeiferS.WaeltyU., 'Anxiety, depression, and religiosity-A controlled clinical study' (1999) 2(1) Mental Health Religion and Culture: 35-45.

PlanteT. G.SharmaN. K., 'Religious faith and mental health outcomes', in T. G. Plante and A. C. Sherman (eds), Faith and health: Psychological perspective, (Guilford Press, New York 2001) 240-310.

RandalP., 'Subjective experience of spirituality and psychosis', in J. Geekie, P. Randal, D. Lampshire and J. Read (eds), Experiencing psychosis, (Routledge, London, UK 2012) 58-65.

ReinaA., 'Faith within atheism' (2014) 40(4) Schizophrenia Bulletin: 719-720.

RizzutoA.-M., The birth of the living God. A psychoanalytic study, (The University of Chicago Press, Chicago and London 1979).

SaverJ. L.RabinJ., 'The neural substrates of religious experience' (1997) 9 The Journal of Neuropsychiatry & Clinical Neurosciences: 495-510.

SchaetzinegE., 'Die ekklesiogenen Neurosen [The ecclesiogenic neuroses]' (1955) 7 Wege zum Menschen: 97-108.

SchnellT., 'The sources of meaning in life questionare (SoMe): Relations to demograpics and well-being' (2009) 4(6) The Journal of Positive Psychology: 483-499.

SiddleR.HaddockG.TarrierN.FaragherE. B., 'Religious delusions in patients admitted to hospital with schizophrenia' (2002) 37(3) Social Psychiatry and Psychiatric Epidemiology: 130-138.

StålsettG., 'Psykodynamiske perspektiver på religiøs tro [Psychodynamic perspectives on religious faith]', in L. J. Danbolt, L. G. Engedal, K. Hestad, L. Lien and H. Stifoss-Hansen (eds), Religionspsykolog [Psychology of relgion], (Gyldendal Akademiske Forlag, Oslo, Norway 2014) 97-111.

StålsettG.EngedalL. G.AustadA., 'The persecuting God and the crucified self: The case of Olav 49 and the transformation of his pathological self-image' (2010) 6(2) Pragmatic Case Studies in Psychotherapy: 49-100.

SørensenT.DanboltL. J.LienL.KoenigH. G.HolmenJ., 'The relationship between religious attendance and blood pressure: The hunt study, Norway' (2011) 42(1) The International Journal of Psychiatry in Medicine: 13-28.

YalomI., Existential psychotherapy, (Yalom Family Trust, US 1980).

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