Psychiatrists and role of religion in mental health

Koenig (Psychiatric Bulletin, June 2008, 32, 201-203) highlights many aspects of understanding patients’ religious beliefs with which I totally agree. However, it seems he has underestimated the influence of experience in psychiatric management. The statistical findings presented were the result of surveys which can never replace high-quality evidence-based research or well-designed qualitative studies. Psychiatrists in the UK have been under enormous strain to maintain a fine balance between legal and clinical responsibilities. The results of Koenig's suggestions are not measurable and could raise a variety of medico-legal issues; for example, how to decide which patients should be involved with their psychiatrists for joint prayer? I believe this could be dangerous ground upon which to tread. Religion is a personal activity and psychiatrists could explore the interface between religious beliefs and psychopathology. But, they should definitely not cross sensitive boundaries.