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Am J Psychiatry 1991; 148:90-95
Copyright © 1991 by American Psychiatric Association
Christian Psychiatry: the impact of evangelical belief on clinical practice
M Galanter, D Larson and E Rubenstone
Department of Psychiatry, New York University School of Medicine, NY 10016.
OBJECTIVE: The authors surveyed psychiatrists in the Christian Psychiatry
movement to assess the role of religious belief in their practices. METHOD:
The psychiatrists were members of the Christian Medical and Dental Society;
questionnaires were sent to 260, and usable responses were received from
193. The subjects were asked about demographic and practice variables,
"born again" religious experiences, group cohesion, and beliefs about using
the Bible and prayer in treatment. RESULTS: The respondents were somewhat
more religious than Americans overall, who are themselves more religious
than most psychiatrists. Nearly all reported having been "born again,"
after which they generally experienced a decrease in emotional distress.
There was a significant difference in the respondents' affiliative feelings
toward psychiatrists in the Christian Psychiatry movement and other
psychiatrists. For acute schizophrenic or manic episodes, the respondents
considered psychotropic medication the most effective treatment, but they
rated the Bible and prayer more highly for suicidal intent, grief reaction,
sociopathy, and alcoholism. Whether or not a patient was "committed to
Christian beliefs" made a significant difference in whether the respondents
would recommend prayer to the patient as treatment. About one-half said
they would discourage strongly religious patients from an abortion,
homosexual acts, or premarital sex, and about one-third said they would
discourage other patients from these activities. CONCLUSIONS: Many studies
have suggested a need for more sensitivity to religious issues by
psychiatrists, and this study provides systematic findings on one approach.
It remains important to evaluate ways in which a religious perspective can
be related to clinical practice and what benefits and problems may derive
from such a relationship.
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