The severely emotionally distressed: A conceptual framework and potential roles for clergy and church

The importance of the clergy in the treatment of emotional distress can not be overestimated. Yet throughout the literature, there is a curious absence of attention to the role of the clergy and church in aiding severely emotionally distressed persons, i.e., those manifesting psychotic symptoms. This study first presents a clinical conceptual framework within which the severely disturbed may be understood. Second, potential roles of the pastor in helping such persons are described, followed by an examination of several common clinical syndromes. Finally, models used by the church on national and local levels to aid the severely distressed are discussed.Dr. Holinger is on the staff of the Psychosomatic and Psychiatric Institute, Michael Reese Hospital, Chicago, Illinois 60616. The research which forms the basis for this paper was done when Dr. Holinger was at the Harvard University School of Public Health, Boston, Massachusetts.