Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-02T18:53:48.323Z Has data issue: false hasContentIssue false

‘Psyche’ – Spirit as well as Mind?

Published online by Cambridge University Press:  02 January 2018

Andrew Sims*
Affiliation:
Department of Clinical Medicine, Academic Unit of Psychiatry, Clinical Sciences Building, University of Leeds, Leeds LS9 7TF

Extract

Much has been written about the dangers of Cartesian dichotomy for psychiatry, with its equally perilous errors of ‘mindless’ or ‘brainless’ psychiatry (Eisenberg, 1986), as well as the nonsense of talking about disease as either ‘mental’ or ‘physical’, or with ‘somatic’ or ‘psychological’ symptoms. Kendell (1993) has made this point eloquently; this paper further extends the theme. We psychiatrists complain when our medical colleagues cannot get beyond the physical, even when evidence for psychosocial aetiology is quite blatant, but we may be guilty of an equivalent error in almost totally excluding spiritual considerations from the way we understand our patients. This was alluded to in the address to the Royal College of Psychiatrists by our patron (HRH the Prince of Wales, 1991). We ask patients to which religion they ascribe, but we neglect the much more important question of “what does your religion and your faith mean to you?”

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1994 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bavington, J. (1985) Mental health. In Heralds of Health (eds Browne, S. F., Davey, F. & Thompson, W. A. R.). London: Christian Medical Fellowship.Google Scholar
Berrios, O. E. (1984) Descriptive psychopathology: conceptual and historical aspects. Psychological Medicine, 14, 303313.Google Scholar
Brown, O. W. & Prudo, R. (1981) Psychiatric disorder in a rural and an urban population. I: Aetiology of depression. Psychological Medicine, 11, 581599.Google Scholar
Bunyan, J. (1666) Grace Abounding to the Chief of Sinners (ed. Sharrock, R., 1962). Oxford: Oxford University Press.Google Scholar
Cox, M. & Grounds, A. (1991) The nearness of the offence. Some theological reflections on forensic psychotherapy. Theology, March–April, 106115.Google Scholar
Craigie, F. C., Larson, D. B. & Liu, I. Y. (1990) References to religion in the Journal of Family Practice: dimensions and valence of spirituality. Journal of Family Practice, 30, 477480.Google ScholarPubMed
Davies, G. (1992) Genius and Grace. London: Hodder & Stoughton.Google Scholar
Eisenberg, L. (1986) Mindlessness and brainlessness in psychiatry. British Journal of Psychiatry, 148, 497508.CrossRefGoogle ScholarPubMed
Fulford, K. W. M. (1989) Moral Theory and Medical Practice. Cambridge: Cambridge University Press.Google Scholar
Galanter, M. (1982) Charismatic religious sects and psychiatry: an overview. American Journal of Psychiatry, 139, 15391548.Google Scholar
Galanter, M. (1989) Cults: Faith Healing and Coercion. Oxford: Oxford University Press.Google Scholar
Gellner, E. (1987) Psychiatry and salvation: discussion paper. Journal of the Royal Society of Medicine, 80, 759761.Google Scholar
Gillett, R. (1986) Short-term intensive psychotherapy – a case history. British Journal of Psychiatry, 148, 98100.Google Scholar
His Royal Highness the Prince of Wales (1991) 150th Anniversary Lecture. British Journal of Psychiatry, 159, 763768.Google Scholar
Jaspers, K. (1959) General Psychopathology (7th edn) (transl. Hoenig, J. & Hamilton, M. W., 1963). Manchester: Manchester University Press.Google Scholar
Jenkins, D. (1986) Paradoxical relationships: some problems theology and psychiatry share in common. Bishop of Norwich's Ann French Memorial Lecture, Hellesdon Hospital, Norwich.Google Scholar
Keenan, B. (1992) An Evil Cradling. London: Hutchinson.Google Scholar
Kehoe, R., Moore, A., Pearce, J., et al (1992) Developing training themes from HRH's delivery. British Journal of Psychiatry, 160, 569.Google Scholar
Kendell, R. E. (1993) The nature of psychiatric disorders. In Companion to Psychiatric Studies (5th edn) (eds Kendell, R. E. & Zealley, A. K.). Edinburgh: Churchill Livingstone.Google Scholar
Kerkhof, A. J. F. M. (1994) A European perspective on suicidal behaviour (in press).Google Scholar
Larson, D. B., Sherrill, K. A., Lyons, J. S., et al (1992) Associations between dimensions of religious commitment and mental health reported in the American Journal of Psychiatry and the Archives of General Psychiatry: 1978 through 1989. American Journal of Psychiatry, 149, 557559.Google Scholar
Loza, N. (1990) Unpublished paper from First Regional Meeting of Royal College of Psychiatrists, Cairo.Google Scholar
MacDonald, M. (1990) Insanity and the realities of history in early modern England. In Lectures on the History of Psychiatry (eds Murray, R. M. & Turner, T. N.). London: Gaskell.Google Scholar
Matthews, E. (1993) Psychiatrist: therapist or moralist? Unpublished paper from Philosophy & Psychiatry Group, Royal College of Psychiatrists.Google Scholar
Paykel, E. S. (1986) Psychiatry and Helping. Norvicare Occasional Paper No. 4. Norwich: Hellesdon Hospital.Google Scholar
Sacks, O. (1985) The Man Who Mistook His Wife for a Hat. London: Pan Books.Google Scholar
Savage, G. H. (1886) Insanity and Allied Neuroses: Practical and Clinical (2nd edn). London: Cassell.Google Scholar
Scharfetter, C. (1980) General Psychopathology: An Introduction. Cambridge: Cambridge University Press.Google Scholar
Sims, A. C. P. (1988a) Symptoms in the Mind. London: Baillière Tindall.Google Scholar
Sims, A. C. P. (1988b) The psychiatrist as priest. Journal of the Royal Society of Health, 108, 160163.Google Scholar
Sims, A. C. P. (1992) Symptoms and beliefs. Journal of the Royal Society of Health, 112, 4246.Google Scholar
Sims, A. C. P. & O'Brien, K. (1979) Autokabalesis: an account of mentally ill people who jump from buildings. Medicine, Science and the Law, 19, 195198.Google Scholar
Thomas, K. (1971) Religion and the Decline of Magic. London: Penguin.Google Scholar
Witztum, E., Greenberg, D. & Buchbinder, J. T. (1990) “A very narrow bridge”: diagnosis and management of mental illness amongst Bratslav Hasidim. Psychotherapy, 27, 124131.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.