Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods...
Transcript of Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods...
![Page 1: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/1.jpg)
Gods Lost, Found, and Reconsidered:
Discovering and Managing Spiritual and
Religious Coping in Clinical Care
James W. Lomax, M.D.Karl Menninger Chair for Psychiatric Educationand Brown Foundation Chair in Psychoanalysis
![Page 2: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/2.jpg)
Presentation Objectives
• Why learn about religion and spiritual matters?
• Illustrative clinical stories, interpretation and
framework
• Discussion of your experiences
![Page 3: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/3.jpg)
Disclosure of Interests
• Personal developments
• Institute for Spirituality and Health (ISH)
![Page 4: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/4.jpg)
![Page 5: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/5.jpg)
Disclosure of Interests (Cont.)
• Center for Psychoanalytic Studies
• Center for Professionalism
![Page 6: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/6.jpg)
Spiritual Coping
• Frequent response to stress
• Positive and negative implications
• Relationship to “anomalous” experiences
• Religious Ordering, Spiritual Seeking,
Behavioral Activity
![Page 7: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/7.jpg)
Spiritual Struggles
• Dark side to “Seeking the Sacred”
• Intrapsychic, Interpersonal, Supernatural
• Insecurity, Ambivalence, Conflictual
• Predisposing to Mood, Anxiety, Substance
Abuse Disorders
![Page 8: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/8.jpg)
First Clinical Situation: Fred, Spiritual
Coping After Sacred Losses
• Traumatic End of Career and calling
• Compensation in Professional and Personal
Relationships
• Ongoing tensions
![Page 9: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/9.jpg)
![Page 10: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/10.jpg)
![Page 11: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/11.jpg)
Treatment of a Very Complicated Grief
• Things mostly improved
• A major gap
• Building an alliance allows revelation
![Page 12: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/12.jpg)
Psychotherapy as “Practice Field”
• Translating therapy into life
• Mutual relief
• “Displaced” recovery of shared love
![Page 13: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/13.jpg)
![Page 14: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/14.jpg)
![Page 15: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/15.jpg)
![Page 16: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/16.jpg)
![Page 17: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/17.jpg)
![Page 18: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/18.jpg)
Sylvia, Spiritual Struggle
• Surprising irritability and unprofessionalism
• Angrily anticipating my intervention
• Major Depression and Pharmacotherapy
• Getting and using a developmental history
• Spiritual struggles and her psychopathology
![Page 19: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/19.jpg)
Seeking Spiritual Community
• Something missing
• Seeking community
![Page 20: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/20.jpg)
![Page 21: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/21.jpg)
Seeking Spiritual Community (Cont.)
• My boundary crossing
• Utility of community partnership
• Finding new community
![Page 22: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/22.jpg)
Connecting Stories to Framework
• Two “Sacred Moments”
• Fred: Using an anomalous/sacred coping
• Sylvia: Struggles coping with “betrayals”
• Therapeutic “practice field”
• Translating therapeutic learning into repaired
(Fred) or new “community” (Sylvia)
![Page 23: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/23.jpg)
Your Experiences Using Patient
Religious, Spiritual Resources
• What is helpful?
• What is “challenging?”
• Use of community partners
![Page 24: Gods Lost, Found, and Reconsidered: Discovering and Managing … Lost... · 2015-12-11 · Gods Lost, Found, and Reconsidered: Discovering and Managing Spiritual and Religious Coping](https://reader036.fdocuments.in/reader036/viewer/2022063004/5f7ad354daa1d13fc45e2122/html5/thumbnails/24.jpg)
Thank you