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Understanding Orthodoxy for Mental Health Practitioners - Part 6

This is a follow up course to Orthodox Christian Spirituality and Cognitive Psychotherapy: An Online Course, that appeared in four parts over the years 2012-2013. This second course is specifically oriented to explain Orthodoxy to mental health practitioners,and serve as a useful resource for Orthodox Clergy and laity as well. Ethically, mental health practitioners should incorporate the spiritual values of their patients in the therapeutic process. The course would serve as an introduction of the Eastern Orthodox ethos and cultural traditions to these professionals.

One of the most frequently questions I am asked as Chairman of the Chaplain and Pastoral Counseling Department of the Antiochian Archdiocese is for a referral to an Orthodox mental health practitioner. Sadly Orthodoxy is not a majority spiritual tradition in North America and Orthodox practitioners are few. So careful questioning by potential patients, family and clergy of a potential practitioner regarding the practitioner's understanding and respect for the spiritual values of their patients is very important. This course is meant to aid in this inquiry.

It also should be noted that this course is an updating and reworking of a recently published chapter: Psychotherapy with members of Eastern Orthodox Churches, (Morelli, 2014).

You doctors, must take good care of your patients in order to avoid unpleasant situations. You should have a practical mind. Generally speaking, every one of us must take advantage of his mind which is a gift from God.
(Saint Paisios of the Holy Mountain)1

Factors Affecting Human Behavior

Icon of Ladder of Divine Ascent based on the spiritual treatise written by St. John of the Ladder

Icon of Ladder of Divine Ascent based on the
spiritual treatise written by St. John of the Ladder

Such Church Fathers as St. John of the Ladder and St. Gregory Palamas indicate that continual sin becomes habitual. [Thereby making behavioral patterns less voluntary.] Habits can make the spirit dark. They work by blackening our minds, which guides and inclines people to do things they would not normally think of. (Palmer, 1984-93) The Church Fathers suggest reducing the strength of habits by removing sensory factors and stopping memories [thoughts] as they begin. With repetition, these new techniques become stronger. This is not unlike the 'thought stopping' techniques proposed by Cognitive-behavioral therapists. For the Christian, putting these techniques in a spiritual perspective, as suggested by the Church Fathers, provides added motivation and rationale for the treatment.

Cultural Values in Psychospiritual Therapy

Cultural (and to a lesser extent, spiritual) factors have received increased emphasis in understanding mental disorders and psychological treatment (DSM IV, American Psychiatric Association, 1994; McGoldrick, et. al., 1996). It would be unthinkable for Orthodox Christians not to include spiritual factors in the understanding and treatment (healing) of mental disorders. The Christian spiritual tradition, including the prayers and practice the church, Scripture and the writings of the spiritual Fathers, lends itself to an elegant integration with the Cognitive therapy methods noted above.

MInd Body Spirit

While non-religious clinicians will not, of course, employ prayer for and/or with their patients, ethically they are required to include patients' religious values, even merely as a tool for understanding and treatment, as suggested by McGoldrick, et. al. (1996). Christians are committed to do all in Christ's name. Jesus told His followers: "For whoever is ashamed of me and of my words, of him will the Son of man be ashamed when he comes in his glory and the glory of the Father and of the holy angels." (Lk 9: 26) St Paul reminds: ". . . knowing that in the Lord your labor is not in vain." (1 Cor 15: 58) Thus, following the advice of McGoldrick et.al., it behooves the clinician to interweave the patient's spiritual value system into treatment.

A clinical caveat for orthodox Christian mental health clinicians

Evidence (science) based clinicians are trained to realize that others are going to follow their set of rules, not the personal set of rules the mental health practitioner may have. As long as the laws of society are not broken and professional ethics are followed it behooves the clinician to respect the patient's values. In emulation of Christ, who for example was asked by the rich young man "Good master, what good shall I do that I may have life everlasting? (Mt 19:16), an orthodox mental health clinician can answer straightforwardly what the inquirer must do in accordance with Christ's teachings and His Church's Holy Spirit inspired understanding of His teachings. However, if not related to patient-inquirer psychotherapeutic treatment, such instruction is better done outside of treatment and by an orthodox spiritually oriented person other than the therapist. It should be recalled the young man rejected Christ's counsel and as St. Matthew records: "And when the young man had heard this word, he went away sad: for he had great possessions." (Mt 19: 22) In today's post-Christian secular world, we can extend 'great possessions' to include not only material things, but attachment to alternative lifestyles (LGBT), right to choose (abortion-murder) and multi and same sex marriage, etc. The Christian psychotherapist must always be guided by St. Paul's counsel to the Ephesians (4: 32): "And be ye kind [emphasis mine]one to another; merciful, forgiving one another, even as God hath forgiven you in Christ."

ENDNOTES

1 Former Elder, now Saint Paisios of the Holy Mountain was officially canonized a saint by Patriarch Bartholomew of Constantinople and the Holy Synod on 13 January 2015. (www.omhksea.org/2015/01/ecumenical-patriarchate-officially-entered-elder-paisios-among-the-list-of-saints/) Among the Orthodox, the pathway to sainthood is usually started by the popular acclamation that someone is worthy (Axios!) of sainthood. This was the certainly the case of saintly Elder Paisios. His Feast Day will be on 12 July. My readers may want to pray the Apolytikion and Kontakion of the new saint:

Apolytikion in Tone 1

The offspring of Farasa, and the adornment of Athos, and the imitator of the former righteous, equal in honor, O Paisios let us honor O faithful, the vessel full of graces, who hastens speedily to those who cry out: glory to Him Who gave you strength, glory to Him Who crowned you, glory to Him Who grants through you healings for all.

Kontakion in Plagal Tone 4

The most-famed ascetic of the Holy Mountain, and the newly-enlightened light of the Church, let us praise him with hymns with all our heart, for he leads the faithful towards a perfect life, filling them with rivers of gifts, therefore we cry out: Hail, O Father Paisios.

REFERENCES

(These references are for the entire course, only a portion are for Part 6)

Abramson, L. Y., Seligman, M. E. P., & Teasdale, J. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49-74.

Alfeyev, Bishop Hilarion, (2002). The Mystery of Faith. London, England: Darton, Longman and Todd.

Alfeyev, Archbishop Hilarion. (2009). Christ the Conqueror of Hell: The descent into Hades from an Orthodox perspective. Crestwood, NY: St. Vladimir's Seminary Press.

Athanasius, St. (1975). On the Incarnation of Our Lord. Crestwood, NY: St. Vladimir's Seminary Press.

Bandura, A. (1986). Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall.

Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive Therapy of Depression. NY: Guilford Press.

Beck, A.T. (1988). Love is Never Enough: how couples can overcome misunderstandings, resolve conflicts and solve relationship problems through cognitive therapy. NY: Harper-Collins

Beck, A.T. (1999). Prisoners of Hate: The cognitive basis of anger, hostility and violence. New York: HarperCollins.

Beck, J.S. (1995). Cognitive Therapy: Basics and Beyond. NY: The Guilford Press.

Beck, J.S. (2011). Cognitive Therapy: Basics and Beyond. (2nd ed.). NY: The Guilford Press.

Breck, J. (2001). Scripture in Tradition: The bible and its interpretation in the Orthodox Church. Crestwood, NY: St. Vladimir's Seminary Press

Burns, D. (1980). Feeling Good. New York: William Morrow.

Demakis J. (2004). Historical precedents for synergia: Combining Medicine, diakonia and sacrament in byzantine times. In S. Muse (Ed.), Raising Lazarus: Integral healing in Orthodox Christianity. Brookline, MA: Holy Cross Orthodox Press.

Ellis, A. (1962). Reason and Emotion in Psychotherapy. Secaucus NJ: Lyle Stuart.

Ellis, A. & Harper, R. (1975). A Guide to Rational Living. NY: Wilshire

Enright, R.D. (2012). The Forgiving Life: A Pathway to Overcoming Resentment and Creating a legacy of love. Washington, DC: American Psychological Association

Erwin, E. (1980). Psychoanalysis: How firm is the evidence? Nous, 14, 443-456

Exline, J.J., Baumeister, R.F. Zell, A.L., Kraft, A.J., & Witvliet, C.V.O., (2008) Not so innocent: Does seeing one's own capability for wrongdoing predict forgiveness. Journal of Personality and Social Psychology, 94, 495-515.

French, R. A. (1991)(trans). The Way of a Pilgrim; and The Pilgrim Continues His Way. San Francisco, CA: Harper

Galanter, E. (1962). Contemporary psychophysics. In Brown, R. (Ed.), New Directions in Psychology. NY: Holt, Rinehart & Winston.

Gassin, E.A. (2001). Interpersonal forgiveness from an Eastern Orthodox perspective. Journal of Psychology and Theology, 29, 187-200.

Hausherr, I. (1990). Spiritual Direction in the Early Christian East. Kalamazoo, MI: Cistercian Publications.

Howe, R. (2005) The Disease Manager's Handbook. Sudbury MA: Jones and Bartlett Publishers.

Hronas, G. (1999). The Holy Unmercenary Doctors: The Saints Anargyroi, physicians and healers of the Orthodox Church. Minneapolis, MN: Light and Life.

Izard, C. (1993). Four systems for emotion activation: cognitive and noncognitive processes. American Psychologist. 100, 1, 68-90.

Izard, C. E. (2001). Emotional intelligence or adaptive emotions? Emotion, 1, 249-257.

Izard, C.E. (2002). Translating emotion theory and research into preventative interventions. Psychological Bulletin, 128, 796-824.

Kadloubovsky, E., & Palmer, G.E.H. (1954). Early Fathers from the Philokalia. London: Faber and Faber.

Kahneman, D. (1973). Attention and Effort. Englewood Cliffs, NJ: Prentice Hall.

Krindatch, A. (2011),(Ed.). Atlas of American Orthodox Christian Churches. Brookline, MA: Holy Cross Press

Langes, M. (Ed.) (1977). The Evergetinos. Athens, Greece: Monastery of the Transfiguration.

Lazarus, R.S. (1991) Emotion and Adaptation. NY: Oxford University Press

Loftus, E. F. (1980). Memory, Surprising New Insights Into How We Remember and Why We Forget. Reading, MA: Addison-Wesley

Marmor, J. (1962). Psychoanalytic Therapy as an Educational Process: Common Denominators in the Therapeutic Approaches of Different Psychoanalytic Schools. In Masserman, J.H. (Ed.). Science and psychoanalysis. (Vol. 5). Psychoanalytic education. Pp. 286-299. New York: Grune & Stratton.

McGoldrick, M., Giordano, J. & Garcia-Preto, N. (Eds.). (2005). Ethnicity & Family Therapy. (3rd ed.). NY: Guilford Press.

McGuckin, J. A. (2004). The Westminster Handbook to Patristic Theology. Louisville, KT: Westminster John Knox Press.

Morelli, G. (2004) Sex is Holy: The responsibility of Christian parenting. The Word. 48. 6, 7-8.

Morelli, G. (2006a, March 6). Asceticism and Psychology in the Modern World. http://www.orthodoxytoday....

Morelli, G. (2006b, May 08). Orthodoxy and the Science of Psychology. Available: http://www.orthodoxytoday....

Morelli, G. (2006c, July 29). Dealing with Brokenness in the World. Available: www.orthodoxytoday.org/OT....).

Morelli, G. (2006d, December 21). The Ethos of Orthodox Christian Healing. Available: http://www.orthodoxytoday....

Morelli, G. (2009, September 26). Secularism and the Mind of Christ and the Church: Some Psycho-Spiritual Reflections. Available: http://www.orthodoxytoday....

Morelli, G. (2014). Psychotherapy with members of Eastern Orthodox Churches. In P. Scott Richards & Allen E. Bergin (Eds.) Handbook of Psychotherapy and Religious Diversity (2nd ed. pp. 77-102). Washington DC: American Psychological Association.

Novaco, R.W. (1975). Anger Control: The Development of an Experimental Treatment. Lexington, KY: Lexington.

Novaco, R.W. (1977). Stress inoculation: A cognitive therapy for anger. Journal of Consulting and Clinical Psychology, 45. 600-608.

Palmer, G.E.H.; Sherrard, P.; and Ware, K. (Trans.) (1971, 1981, 1988, 1990). Philokalia, I IV. London: Faber and Faber.

Posner, M.I., & Snyder, C.R.R. (1975). Attention and Cognitive Control. In Solso, R.L. (Ed.), Information Processing and Cognition: The Loyola Symposium. Hillsdale, NJ: Erlbaum.

Powers C., Nam, R.K., Rowatt, W.C. & Hill, P.C. (2007). Association between humility, spiritual transcendence, and forgiveness. Research in the Social Scientific Study of Religion, 18, 75-94.

Rathus, S. A. (1973). A 30-item schedule for assessing assertive behavior. Behavior Therapy, 4, 398-406

Sakharov, Archimandrite Sophrony, (1999). St Silouan the Athonite. Crestwood, New York: St. Vladimir's Seminary Press.

Shiffren, R.H. (1988). Attention. In Atkinson, R.C., Herrnstein, R.J., Lindzey, G., & Luce, R.D. (Eds.), Stevens' Handbook of Experimental Psychology. (Vol.2). NY: Wiley.

Spiegler, M.D. & Guevremont, D.C. (2010). Contemporary Behavior Therapy. Belmont, CA: Wadsworth.

Staniloae, D. (2003). Orthodox Spirituality: A Practical Guide for the Faithful and a Definitive Manual for the Scholar. South Canaan, PA: St. Tikhon's Seminary Press.

Tavris, C. (1984), Anger: The misunderstood emotion. NY: Simon & Schuster

Vlachos, Archimandrite Hierotheos (1993). The Illness and Cure of the Soul in the Orthodox Tradition. (Translated by Effie Mavromichali). Levadia, Greece: Birth of the Theotokos Monastery.

Vlachos, Archimandrite Hierotheos (1994a). Orthodox Psychotherapy: The Science of the Fathers. (Translated by Esther Williams) Levadia, Greece: Birth of the Theotokos Monastery.

Vlachos, Archimandrite Hierotheos (1994b). Orthodox Spirituality: A Brief Introduction. (Translated by Effie Mavromichali). Levadia, Greece: Birth of the Theotokos Monastery.

Ware, Bishop Kallistos (1979). The Orthodox Way. Crestwood, NY: St. Vladimir's Seminary Press.

Ware, Bishop Kallistos (1963). The Orthodox Church. London: Penguin Books.

Weiner, B. (Ed.). (1974). Achievement Motivation and Attribution Theory. Morristown: General Learning Press.

Wheeler, E. P. (ed., trans.) (1977). Dorotheos of Gaza: Discourses and Sayings. Kalamazoo, MI: Cistercian Publications

Click here to visit  Visit Fr. Morelli's Facebook page.

Fr. George Morelli
Antiochian Department of Chaplain and Pastoral Ministry

V. Rev. Fr. George Morelli Ph.D. is a licensed Clinical Psychologist and Marriage and Family Therapist.

Fr. Morelli is the Coordinator of the Chaplaincy and Pastoral Counseling Ministry of the Antiochian Orthodox Christian Archdiocese and Religion Coordinator (and Antiochian Archdiocesan Liaison) of the Orthodox Christian Association of Medicine, Psychology and Religion.

Fr. Morelli is a Senior Fellow at the Sophia Institute, an independent Orthodox Advanced Research Association and Philanthropic Foundation housed at Columbia University and Union Theological Seminary in New York City that serves as a gathering force for contemporary Orthodox scholars, theologians, spiritual teachers, and ethicists.

Fr. Morelli serves on the Executive Board of the San Diego Cognitive Behavior Therapy Consortium (SDCBTC)

Fr. Morelli serves as Assistant Pastor of St. George's Antiochian Orthodox Church, San Diego, California.

Fr. Morelli is the author of:

Healing – Volume 1
Orthodox Christianity
and Scientific Psychology

Click to order
Eastern Christian Publications
$15.00
Healing – Volume 2
Reflections for Clergy
Chaplains, and Counselors

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Eastern Christian Publications
$25.00
Published: April 3, 2015

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