Human Development and Pastoral Care in a Postmodern Age: Donald Capps,Erik H. Erikson,and Beyond

This article discusses Donald Capps’s use of Erik H. Erikson’s life-cycle theory as the basic psychological framework for his theory of pastoral care. Capps was attracted to Erikson’s existential-psychological model, his hermeneutic approach, and his religious sensitivity. Capps’s thought develops from first exploring biblical foundations for using Eriksonian theory for pastoral care to gradually embracing certain postmodern features. The article concludes with reflections on the usefulness of Erikson’s life-cycle theory and Capps’s work for contemporary pastoral care.     

The mercy of anxiety: A relational-psychoanalytic study of Dialogues des Carmélites

This article discusses the complex relationship between anxiety and religion in identity formation by analysing an intense, contemporary opera, the Dialogues des Carmélites by the French composer Francis Poulenc. The theoretical framework for our discussion was adopted from what is currently called relational psychoanalysis - and more specifically, from the theories of Erik H. Erikson, Ernest G. Schachtel and Donald W. Winnicott. We will try to demonstrate that existential anxiety forms part of the process of developing a (religious) identity, and need not necessarily be a sign of weakness or pathology. Nonetheless, feelings of anxiety may be paralysing in a cultural climate such as ours, which stresses the values of freedom and autonomy. A relational psychoanalytic reading of the opera leads to a re-evaluation of these values, showing that (religious) identity development is an intrinsically relational process. The attitude of receptivity (which is connected to the theological theme of grace) plays an important role in this respect. On completing our analysis, we concluded that relational psychoanalysis complements the existential view on identity and anxiety. We also advocate more attention for the theme of receptivity in the psychology of religion.     

Holy Apparition or Hyper-Religiosity: Prevalence of Explanatory Models for Religious and Spiritual Experiences in Patients with Bipolar Disorder and Their Associations with Religiousness

Pastoral Psychology - One point that emerges from qualitative research on religion and bipolar disorder (BD) is the problem patients with BD experience in distinguishing between genuine religious...     

The split professional identity of the chaplain as a spiritual caregiver in contemporary Dutch health care: are there implications for the United States?

The professional identity of the chaplain in Dutch health care institutions is in need of a new theoretical underpinning. The continued employment of the "spiritual caregiver," as the professional is called in the Netherlands, may be at stake. In former days, she or he was primarily a religious office holder fulfilling ecclesiastical functions. Against the background of secularization and individualization of religions and worldviews, the spiritual caregiver now turns more and more into an existential counselor, focusing on the search for meaning and life-orientation of all the clients/patients/residents, irrespective of their religion or philosophy of life. This brings along the need for a conceptualization of spiritual care. What is the spiritual caregiver's particular contribution to care and treatment, compared to that of, for instance, psychotherapists and social workers? What are the specific aims, methods, and key images of the profession? This brief communication sketches the specific context in which the Dutch spiritual caregiver has to work and the identity dilemmas he or she faces.     

Image of God and personality pathology: An exploratory study among psychiatric patients

The associations between personality pathology according to DSM-IV, symptomatology and God image were examined among a group of 46 psychiatric patients. Features of personality disorders were assessed using the 'Questionnaire to Assess Personality Pathology', a self-report screener. God image was measured by means of the 'Questionnaire God Image'. Symptomatology was assesed by means of the SCL-90. The more personality pathology present, the more negative the image of God. The negative image of God appeared to be associated with personality pathology, in particular with pathology from the DSM-IV A- and C-cluster, even after controlling for the influence of symptomatology, suggesting that the association between symptomatology and the God image is mediated by personality pathology. When symptoms of the A-cluster are present God is experienced as detached and passive. When C-cluster symptoms prevail, God is experienced as a harsh judge. Results are discussed both from a psychodynamic object-relational as well as from a cognitive schema focused perspective.     

Sweet Delight and Endless Night: A Qualitative Exploration of Ordinary and Extraordinary Religious and Spiritual Experiences in Bipolar Disorder

The authenticity of religious and spiritual experiences during mania is an important subject for bipolar patients. The exploration of such experience in bipolar disorder is the central point of this qualitative study. A psychiatrist and a hospital chaplain conducted 35 semi-structured interviews with recovered participants, recruited from mental health care institutions in the Netherlands, the patients’ association and via the internet, about their religious and spiritual experiences during illness episodes and in stable times. A variety in types (such as divine presence, unity, mission, meaningful synchronicity) during mania was reported, which were on a sliding scale with experiences/views in stable times in more than half of the interviews. During depression, absence of religious or spiritual experience was predominant. The reported experiences were viewed by most participants as both authentically religious or spiritual but also related to the disorder, requiring therefore language that transcended medical terminology. Also indicated is the relevance of the results for fundamental discussions about the nature or religious experience.     

Development and validation of the Dutch Questionnaire God Image : Effects of mental health and religious culture

This article presents the Dutch Questionnaire God Image (QGI), which has two theory-based dimensions: feelings towards God and perceptions of God's actions. This instrument was validated among a sample of 804 respondents, of which 244 persons received psychotherapy. Results showed relationships between the affective and cognitive aspect of the God image. The God image of psychiatric patients had a more negative and threatening nature than the God image of the non-psychiatric respondents. Also, religious culture appeared to affect the God image.