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Religious and Spiritual Aftermath of War

Religious and Spiritual Aftermath of War. James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness Research, Education and Clinical Center (MIRECC). Questions After Trauma.

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Religious and Spiritual Aftermath of War

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  1. Religious and Spiritual Aftermath of War James K. Boehnlein, MD Professor of Psychiatry Oregon Health and Science University Associate Director for Education VA Northwest Network Mental Illness Research, Education and Clinical Center (MIRECC)

  2. Questions After Trauma • Unpredictability of life and death • Loss • Moral Complexities

  3. Religion Across Cultures • Explanation of how universe began, how life is maintained, what happens when life ceases to exist • Explanation of life’s meaning and rationale for suffering • Symbols, beliefs, values • Relationship between the self and the world

  4. Spirituality • Bridges religion and science • Insightful relationship between self and others • Personal values • Meaningful purpose for life • Connectedness between self and the natural/supernatural

  5. Explanatory FrameworksPain, suffering, atonement, forgiveness • Judaism – Restoration of relationship with God through atonement • Christianity – Repentance, forgiveness and rebirth • Buddhism – Acceptance of suffering; reincarnation • Islam – Death divinely ordained – impact on survivor guilt • Hinduism – Suffering a result of conflict/tension

  6. Core Assumptions Altered by Trauma • Belief in personal invulnerability • Perception of an understandable world • Trust in self and others

  7. Healing After Trauma: Psychotherapeutic Themes • Trust • Security • Acceptance • Identity and Self-Worth • Social Connectedness • Grief and mourning • Anger and Revenge • Control • Meaning

  8. Barriers to Treatment-Beliefs and Values • Avoidance • Pride in self-reliance • Loss of control/autonomy • Treatment is for those who are weak, “crazy” • Provider will not understand or believe trauma • Societal rejection

  9. Factors in Religious / Spiritual Healing • Telling the story honestly • Ending isolation • Moral inventory • Forgiveness • Helping others • Giving and receiving love

  10. Clinician Reactions • Sadness • Anger • Vulnerability • Fatigue • Intolerance of other patients • Intolerance/avoidance of violence images • Indifference vs. overinvolvement

  11. Ethical Principles in Treatment • Creation of trust, predictability • Cause no harm • Respect for personal boundaries • Primacy of reducing suffering and promoting health • Respect for patient autonomy, independence, and creativity • Promotion of justice

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