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Transcript of James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate...
![Page 1: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/1.jpg)
Religious and Spiritual Aftermath of War
James K. Boehnlein, MDProfessor of Psychiatry
Oregon Health and Science UniversityAssociate Director for Education
VA Northwest Network Mental Illness Research, Education and Clinical Center (MIRECC)
![Page 2: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/2.jpg)
![Page 3: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/3.jpg)
Questions After TraumaUnpredictability of life and deathLossMoral Complexities
![Page 4: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/4.jpg)
Religion Across CulturesExplanation of how universe began, how life
is maintained, what happens when life ceases to exist
Explanation of life’s meaning and rationale for suffering
Symbols, beliefs, valuesRelationship between the self and the world
![Page 5: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/5.jpg)
SpiritualityBridges religion and scienceInsightful relationship between self and
othersPersonal valuesMeaningful purpose for lifeConnectedness between self and the
natural/supernatural
![Page 6: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/6.jpg)
Explanatory FrameworksPain, suffering, atonement, forgiveness
Judaism – Restoration of relationship with God through atonement
Christianity – Repentance, forgiveness and rebirth
Buddhism – Acceptance of suffering; reincarnation
Islam – Death divinely ordained – impact on survivor guilt
Hinduism – Suffering a result of conflict/tension
![Page 7: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/7.jpg)
Core Assumptions Altered by TraumaBelief in personal invulnerabilityPerception of an understandable worldTrust in self and others
![Page 8: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/8.jpg)
Healing After Trauma: Psychotherapeutic ThemesTrustSecurityAcceptanceIdentity and Self-
WorthSocial
Connectedness
Grief and mourningAnger and RevengeControlMeaning
![Page 9: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/9.jpg)
Barriers to Treatment-Beliefs and Values
AvoidancePride in self-relianceLoss of control/autonomyTreatment is for those who are weak, “crazy”Provider will not understand or believe
traumaSocietal rejection
![Page 10: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/10.jpg)
Factors in Religious / Spiritual Healing
Telling the story honestlyEnding isolationMoral inventoryForgivenessHelping othersGiving and receiving love
![Page 11: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/11.jpg)
Clinician ReactionsSadnessAngerVulnerabilityFatigueIntolerance of other patientsIntolerance/avoidance of violence imagesIndifference vs. overinvolvement
![Page 12: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/12.jpg)
Ethical Principles in TreatmentCreation of trust, predictabilityCause no harmRespect for personal boundariesPrimacy of reducing suffering and promoting
healthRespect for patient autonomy, independence,
and creativityPromotion of justice
![Page 13: James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness.](https://reader034.fdocuments.in/reader034/viewer/2022051820/56649c815503460f94939227/html5/thumbnails/13.jpg)