Sacramental psychology: Treating intimacy failure in catholic priests

The treatment of intimacy failure in Roman Catholic priests in an outpatient program designed to treat sexual misconduct is discussed here. Three case vignettes highlight a particular feature of an intimacy deficit that sets the stage for the priests' sexual acting out. Intimacy, hypocrisy, and self-deception and the Catholic sacramental world view are discussed to shed light on the treatment of sexual addiction in the clergy. Tapping into a priest's beliefs regarding the divine power arising from his own ordination creates a nexus of healing where psychotherapy and spiritual direction join forces to produce a kind of “sacramental psychology.” This material was originally offered as part of a Grand Rounds presentation at St. Vincent's Hospital and Medical Center in New York City.