Religious delusion

A religious delusion is any delusion involving religious themes or subject matter.[1][2] Though some psychologists have characterized all or nearly all religion as delusion,[1][3] most focus solely on a denial of any spiritual cause of symptoms exhibited by a patient and look for other answers relating to a chemical imbalance in the brain.

Definition

Individuals experiencing religious delusions are preoccupied with religious subjects that are not within the expected beliefs for an individual's background, including culture, education, and known experiences of religion.[4] These preoccupations are incongruous with the mood of the subject. Falling within the definition also are delusions arising in psychotic depression; however, these must present within a major depressive episode and be congruous with mood.[5][6]

Researchers in a 2000 study found religious delusions to be unrelated to any specific set of diagnostic criteria, but correlated with demographic criteria, primarily age.[7] In a comparative study sampling 313 patients, those with religious delusion were found to be aged older, and had been placed on a drug regime or started a treatment programme at an earlier stage. In the context of presentation, their global functioning was found to be worse than another group of patients without religious delusions. The first group also scored higher on the Scale for the Assessment of Positive Symptoms (SAPS),[8] had a greater total on the Brief Psychiatric Rating Scale (BPRS),[9] and were treated with a higher mean number of neuroleptic medications of differing types during their hospitalization.[7]

Religious delusion was found in 2007 to strongly correlate with "temporolimbic overactivity".[10] This is a condition where irregularities in the brain's limbic system may present as symptoms of paranoid schizophrenia.[11]

In a 2010 study, Swiss psychiatrists found religious delusions with themes of spiritual persecution by malevolent spirit-entities, control exerted over the person by spirit-entities, delusional experience of sin and guilt, or delusions of grandeur.[12]

Religious delusions have generally been found to be less stressful than other types of delusion.[7] A study found adherents to new religious movements to have similar delusionary cognition, as rated by the Delusions Inventory, to a psychotic group, although the former reported feeling less distressed by their experiences than the latter.[13]

History

Behaviours out of the ordinary were traditionally viewed as demonic possession.[14] These episodes, although entirely disavowed by modern psychiatry,[15] are evaluated by clinicians only such that they fall within the safety of a treatment programme.

In 1983 propositions that religious shamans were motivated by delusions and that their behaviour resembled that of patients with schizophrenia were found to be incorrect.[16]

In a 1937 essay, Sigmund Freud stated that he considered believing in a single god to be a delusion,[1] thus extending his 1907 comment that religion is the indication of obsessional neurosis.[17][18] His thoughts defining "delusion" perhaps crystallized from the notion of the religion formulations of the common man (circa 1927) as "patently infantile, foreign to reality";[19] around the same year he also stated that religion "comprises a system of wishful illusions together with a disavowal of reality, such as we find in an isolated form nowhere else but amentia, in a state of blissful hallucinatory confusion".[20]

Prevalence

Examples from a 295-subject study in Lithuania showed that the most common religious delusions were being a saint (in women) and being God (in men).[21]

In one study of 193 people who had previously been admitted to hospital and subsequently diagnosed with schizophrenia, 24% were found to have religious delusions.[22]

A 1999 study identified that religious delusions were often present or expressed in persons with forensic committal to a psychiatric unit.[23][24]

Clinical examples

Biblical
See also: Neuroscience of religion, Psychology of religion, and Mental health of Jesus

Although many researchers have brought evidence for a positive role that religion plays in health, others have shown that religious practices and experiences may be linked to mental illnesses of various kind (mood disorders, personality disorders, psychiatric disorders). In 2011, a team of psychiatrists, behavioral psychologists, neurologists and neuropsychiatrists from the Harvard Medical School published a research which suggested the development of a new diagnostic category of psychiatric disorders related to religious delusion and hyperreligiosity.[25]

They compared the thought and behavior of the most important figures in the Bible (Abraham, Moses, Jesus Christ and Paul)[25] with patients affected by mental disorders related to the psychotic spectrum using different clusters of disorders and diagnostic criteria (DSM-IV-TR),[25] and concluded that these Biblical figures "may have had psychotic symptoms that contributed inspiration for their revelations",[25] such as schizophrenia, schizoaffective disorder, manic depression, delusional disorder, delusions of grandeur, auditory-visual hallucinations, paranoia, Geschwind syndrome (Paul especially) and abnormal experiences associated with temporal lobe epilepsy (TLE).[25]

In 1998–2000 Pole Leszek Nowak (born 1962)[26] from Poznań authored a study in which, based on his own history of religious delusions of mission and overvalued ideas, and information communicated in the Gospels, made an attempt at reconstructing Jesus′ psyche[27] with the view of Jesus as apocalyptic prophet.[28] He does so in chapters containing, in sequence, an analysis of character traits of the ″savior of mankind″, a description of the possible course of events from the period of Jesus' public activity, a naturalistic explanation of miracles.

Historical

A religious experience of communication from heavenly or divine beings could be interpreted as a test of faith. An example of such is Joan of Arc, La Pucelle d'Orléans,[29] who rallied French forces late in the Hundred Years' War.

Daniel Paul Schreber is an example of a supposed religious delusion occurring in a developed condition of psychosis.[30] Schreber was a successful and highly respected German judge until middle age, when he came to believe that God was turning him into a woman. Two of his three illnesses (1884–1885 and 1893–1902) are described in his book Memoirs of My Nervous Illness (original German title Denkwürdigkeiten eines Nervenkranken),[31] which became an influential book in the history of psychiatry and psychoanalysis thanks to its interpretation by Sigmund Freud.[32]

The Harvard Medical School research also focused on social models of psychopathology,[25] analyzing new religious movements and charismatic cult leaders such as David Koresh, leader of the Branch Davidians,[25] and Marshall Applewhite, founder of the Heaven's Gate cult.[25] The researchers concluded that "If David Koresh and Marshall Applewhite are appreciated as having psychotic-spectrum beliefs, then the premise becomes untenable that the diagnosis of psychosis must rigidly rely upon an inability to maintain a social group. A subset of individuals with psychotic symptoms appears able to form intense social bonds and communities despite having an extremely distorted view of reality. The existence of a better socially functioning subset of individuals with psychotic-type symptoms is corroborated by research indicating that psychotic-like experiences, including both bizarre and non-bizarre delusion-like beliefs, are frequently found in the general population. This supports the idea that psychotic symptoms likely lie on a continuum."[25]

Auditory hallucination and crime

An individual may hear communication from heavenly or divine beings compelling one to commit acts of violence. Some cite the case of the Hebrew patriarch Abraham,[33] who was commanded by God to sacrifice his son Isaac. However, when Abraham was prepared to act on it, God informed him that this was only a test of faith and forbade any human sacrifice.

In contemporary times persons judged to have experienced auditory hallucination include those hearing voices instructing or motivating them to commit violent acts. These auditory experiences are classified by psychiatry as command hallucination.[34] Persons acting to commit murder are reported as hearing voices of religious beings such as God,[35][36][37][38][39][40][41][42] angels,[43] or the Devil.[44]

Professor Thomas Szasz critiques the concept of religious auditory hallucination: those who hear the voice of God talking to them are experiencing schizophrenia, while those who talk to God but hear no response are simply praying.[45]

See also

References
  1. Freud, Sigmund (1939). "Moses and Monotheism". By The Hogarth Press. Cite journal requires |journal= (help) cited in: Sims, A. "Is Faith delusion?" (PDF). Royal College of Psychiatrists. Cite journal requires |journal= (help)
  2. Spitzer, Manfred (1990). "On defining delusions". Comprehensive Psychiatry. 31 (5): 377–97. doi:10.1016/0010-440X(90)90023-L. PMID 2225797.
  3. McKay, Ryan (2004). "Hallucinating God? The Cognitive Neuropsychiatry of Religious Belief and Experience". Evolution and Cognition. 10 (1): 114–25.
  4. Saavedra, Javier (2014-01-02). "Function and meaning in religious delusions: a theoretical discussion from a case study". Mental Health, Religion & Culture. 17 (1): 39–51. doi:10.1080/13674676.2012.745493. ISSN 1367-4676. S2CID 145357885.
  5. Lieberman, Jeffrey A.; Stroup, T. Scott; Perkins, Diana O. (2006). The American Psychiatric Publishing Textbook of Schizophrenia. American Psychiatric Publishing. p. 199. ISBN 9781585626465.
  6. Iyassu, Robel; Jolley, Suzanne; Bebbington, Paul; Dunn, Graham; Emsley, Richard; Freeman, Daniel; Fowler, David; Hardy, Amy; Waller, Helen; Kuipers, Elizabeth; Garety, Philippa (2014). "Psychological characteristics of religious delusions". Social Psychiatry and Psychiatric Epidemiology. 49 (7): 1051–1061. doi:10.1007/s00127-013-0811-y. ISSN 0933-7954. PMC 4173112. PMID 24379014.
  7. Raja, M.; Azzoni, A.; Lubich, L. (2000). "Religious delusion: An observational study of religious delusion in a population of 313 acute psychiatric inpatients" (PDF). Schweizer Archiv für Neurologie und Psychiatrie. 151 (1): 22–9. doi:10.4414/sanp.2000.01136. Archived from the original (PDF) on 2012-03-22.
  8. Andreasen, Nancy C. (2007). "SCALE FOR THE ASSESSMENT OF POSITIVE SYMPTOMS" (PDF). Psychiatric University Hospital Zurich. Retrieved 2012-01-30. Cite journal requires |journal= (help)
  9. "Brief Psychiatric Rating Scale (BPRS)" (PDF). Iowa Coalition on Mental Health and Aging. The University of Iowa. Retrieved 2012-01-30.
  10. Ng, Felicity (2007). "The Interface Between Religion and Psychosis". Australasian Psychiatry. 15 (1): 62–66. doi:10.1080/10398560601083118. PMID 17464638. S2CID 22763737.
  11. Casanova, Manuel F. (1997). "The Temporolimbic System Theory of Paranoid Schizophrenia" (PDF). Schizophrenia Bulletin. 23 (3): 513–515. doi:10.1093/schbul/23.3.513. PMID 9327514.
  12. Mohr, Sylvia; Borras, Laurence; Betrisey, Carine; Pierre-Yves, Brandt; Gilliéron, Christiane; Huguelet, Philippe (2010). "Delusions with Religious Content in Patients with Psychosis: How They Interact with Spiritual Coping". Psychiatry: Interpersonal and Biological Processes. 73 (2): 158–172. doi:10.1521/psyc.2010.73.2.158. PMID 20557227. S2CID 207509518.
  13. Peters, Emmanuelle; Day, Samantha; McKenna, Jacqueline; Orbach, Gilli (1999). "Delusional ideation in religious and psychotic populations". British Journal of Clinical Psychology. 38 (1): 83–96. doi:10.1348/014466599162683. PMID 10212739.
  14. Wooden, Cibndy (2005). "Real possession by devil not that common, exorcists say during lesson". Catholic News Service. Archived from the original on 2005-02-22. Retrieved 2012-01-23.
  15. Peck, M. Scott (4 Jan 2005). Glimpses of the Devil: a psychiatrist's personal accounts of possession, exorcism, and redemption. Simon and Schuster. ISBN 978-0-7432-5467-0.
  16. Noll, Richard (1983). "Shamanism and schizophrenia: A state-specific approach to the 'schizophrenia metaphor' of shamanic states". American Ethnologist. 10 (3): 443–459. doi:10.1525/ae.1983.10.3.02a00030.
  17. Freud, Sigmund (1907). "Religion as obsessional neurosis". Freud Museum.
  18. Dein, S. (2004). "Working with patients with religious beliefs". Advances in Psychiatric Treatment. 10 (4): 287–294. doi:10.1192/apt.10.4.287.
  19. Freud, Sigmund (1931). "Religion as a mass delusion". Freud Museum.
  20. Freud, Sigmund (1927). The Future of an Illusion. ISBN 978-0-393-00831-9. OCLC 20479722. cited in: Koenig, Harold G. (2007). "Religion, spirituality and psychotic disorders". Revista de Psiquiatria Clínica. 34: 95–104. doi:10.1590/S0101-60832007000700013.
  21. Rudaleviciene, P; Stompe, T; Narbekovas, A; Raskauskiene, N; Bunevicius, R (2008). "Are religious delusions related to religiosity in schizophrenia?". Medicina. 44 (7): 529–35. doi:10.3390/medicina44070068. PMID 18695349.
  22. Siddle, Ronald; Haddock, Gillian; Tarrier, Nicholas; Faragher, E.Brian (2002). "Religious delusions in patients admitted to hospital with schizophrenia". Social Psychiatry and Psychiatric Epidemiology. 37 (3): 130–8. doi:10.1007/s001270200005. PMID 11990010. S2CID 8949296.
  23. Kunst, Jennifer L. (1999). "Understanding the religious ideation of forensically committed patients". Psychotherapy: Theory, Research, Practice, Training. 36 (3): 287–297. doi:10.1037/h0087835.
  24. Mohr, Sylvia; Borras, Laurence; Betrisey, Carine; Pierre-Yves, Brandt; Gilliéron, Christiane; Huguelet, Philippe (June 2010). "Delusions with Religious Content in Patients with Psychosis: How They Interact with Spiritual Coping". Psychiatry: Interpersonal and Biological Processes. 73 (2): 158–172. doi:10.1521/psyc.2010.73.2.158. ISSN 0033-2747. PMID 20557227. S2CID 207509518.
  25. Murray, Evan D.; Cunningham, Miles G.; Price, Bruce H. (September 2011). "The Role of Psychotic Disorders in Religious History Considered". Journal of Neuropsychiatry and Clinical Neurosciences. 24 (4): 410–426. doi:10.1176/appi.neuropsych.11090214. ISSN 1545-7222. PMID 23224447. S2CID 207654711.
  26. Not to be confused with Polish philosopher and lawyer Leszek Nowak (1943–2009) also from Poznań.
  27. Leszek Nowak, Prywatna Witryna Internetowa Leszka Nowaka at Internet Archive (Polish)
  28. Analysis of fragments of the New Testament books for Jesus as apocalyptic prophet: Leszek Nowak, ″A great mistake and disappointment of early Christianity″ at Internet Archive (Polish)
  29. Groeschel, Father Benedict J. (1993). A Still, Small Voice: A Practical Guide on Reporting Revelations. Ignatius Press. pp. 52–53. ISBN 9780898704365.
  30. Corveleyn, Jozef (2009). "Religious Delusion in Psychosis and Hysteria". In Belzen, J. A. (ed.). Changing the Scientific Study of Religion: Beyond Freud?. Springer. ISBN 9789048125401.
  31. Schreber, Daniel Paul (1903). Memoirs of My Nervous Illness. New York: New York Review of Books, 2000. ISBN 978-0-940322-20-2.
  32. Freud, Sigmund; Webber, Andrew (translator); MacCabe, Colin (contributor) (1911). The Schreber Case. New York: Penguin Classics Psychology, 2003. ISBN 978-0-14-243742-1.
  33. Katz, Claire Elise (2001). "The Voice of God and the Face of the Other: Levinas, Kierkegaard, and Abraham". The Journal of Textual Reasoning. 10. Archived from the original on 2013-12-25.
  34. Shawyer, F; MacKinnon, A; Farhall, J; Sims, E; Blaney, S; Yardley, P; Daly, M; Mullen, P; Copolov, D (2008). "Acting on harmful command hallucinations in psychotic disorders: An integrative approach". The Journal of Nervous and Mental Disease. 196 (5): 390–8. doi:10.1097/NMD.0b013e318171093b. PMID 18477881. S2CID 205880957.
  35. Gaines, James (March 9, 1987). "Mark Chapman Part III: the Killer Takes His Fall". The People. 27 (10).
  36. "Dad: God told me to kill my son". United Press International. 12 February 2009.
  37. "Man says he killed his son because God told him to". Current. March 15, 2009. Archived from the original on 2012-07-17.
  38. Vatis, Kim; Nels, Jenel (April 14, 2010). ""Allah" Told Him to Kill His Family". NBC Chicago.
  39. Gamiz, Jr., Manuel (30 November 2010). "Allentown slashing suspect says God commanded him to kill". The Morning Call.
  40. Puxley, Chinta (March 4, 2009). "'God' told man to kill bus passenger". Toronto Star. The Canadian Press. Retrieved 2012-01-23.
  41. Coryell, Lisa (28 February 2011). "New trial ordered for Morrisville man who says God told him to kill". New Jersey Times.
  42. Spoto, Maryann (March 3, 2011). "Man Who Says God Told Him to Kill Girlfriend Gets New Trial". Ethics Daily.
  43. Petrie, Andrea (22 July 2010). "Schizophrenic stabbed grandmother to death 'after hearing voice of angel'". The Age. Retrieved 22 January 2012.
  44. LaCapria, K. (28 July 2009). "Horrific: Mother kills, eats baby in Texas". The Inquisitr News. Retrieved 23 January 2012.
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