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Home » Dementia

Psychiatric Times. Vol. 29 No. 3
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VANGUARD ISSUES IN PSYCHIATRY 

Enlightenment and Dimmed Enlightenment

Psychiatrists, Cast Off Your Distrust of Faith

By Herman M. van Praag, MD, PhD | March 2, 2012
Dr Van Praag is Emeritus Professor of Psychiatry at the universities of Groningen, Utrecht, and Maastricht, the Netherlands, and the Albert Einstein College of Medicine, New York. He reports no conflicts of interest concerning the subject matter of this article.

It was shown in all Western countries that religiosity is a frequent phenomenon, even in the Netherlands (one of the most secularized countries in the world).5 Religiosity is expressed in many different beliefs, in different ways—as an omnipotent personal god, an abstract principle, an afterlife, immortality of the soul, divine influence in one’s life. Although church and church authorities have lost prestige, religiosity still has a strong appeal.

When data indicate the high prevalence of religiosity in community populations, reason is violated when it is considered as abnormal, primitive, regressive, or atavistic. Religiosity is a normal component of the human personality—it is an attribute of the human mind, whereas religion is a product of the human mind. Religion can be disposed of; religiosity is there to stay.

(MORE: Are Animal Models Relevant in Modern Psychiatry?)

The second set of data indicating that religiosity is a normal constituent of the human personality is biological in nature.6 Religiosity, although partly learned, is in part genetically anchored.7 Moreover, there is evidence that the brain contains neural systems that are at the root of spirituality. If these neural systems are activated by electromagnetic currents, religious experiences occur in both believers and nonbelievers. During intense religious preoccupation (as in praying and during mystic experiences), blood flow and glucose consumption in these regions are increased. These are signs of increased neuronal activity.8

Furthermore, the intensity of religious devotion and its salience for a given individual have been found to correlate with the binding capacity of certain serotonin receptors.9 Does that mean that religiosity is biologically caused, that it is no more than the product of some overactive neuronal circuits? No, the brain is the intermediary between religious needs and the gratification of those needs. The religious needs are, as discussed, of psychological origin; their gratification is made possible by the brain through biological processes.

By way of an analogy: one is moved by beautiful music. That feeling depends on still largely unknown brain circuits that generate aesthetic experiences. Without these brain circuits, aesthetic experiences would not occur. However, the circuits are not the cause of those experiences, the music is. Neural circuits make the experiences possible. The brain is the intermediary between the music and the sense of beauty one experiences. The same holds for religious experiences. Their origin is found in psychological needs; their gratification depends on brain activation. The brain is the intermediary between need and gratification of those needs.

The fact that religiosity is biologically based indicates that, evolutionarily speaking, religiosity provides functions advantageous to mankind. I hypothesize the main advantage to be its illuminating potential.

Psychiatric evidence

Psychiatry provides further support for the thesis that religiosity may enlighten a life.10 Koenig reports on the relationship between religiosity and depression. The faithful were compared with nonbelievers. The study findings indicate that under comparable, taxing circumstances, the risk of depression is smaller among believers than among nonbelievers. If depressive symptoms did appear, recovery was faster among believers than among nonbelievers. The same held true for long-term prognosis.

However, there is an important caveat: the beneficial effects of religiosity were demonstrable only in those with a positive image of God—God experienced as a support system and as a source of hope, a source of positive expectations and, if so needed, as a source of consolation. There are indications that God as a demanding, punishing, guilt-inducing authority has an opposite effect and increases the risk of depression and negative outcomes.11

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by Ronald Pies | March 02, 2012 10:03 PM EST

I applaud Prof. van Praag for defending the realm of religious experience against the scientism that often attacks it, sometimes in the name of "science."And, I agree with Prof. van Praag that the psychiatrist
"... cannot, with impunity, disregard an important domain of man's personality makeup. He ought to remain a searcher of the soul at large."

In discussing these matters, I prefer the term "religious impulse" to "religiosity" (since the latter may connote "exaggerated or affected piety and religious zeal"); and, I prefer "arational" or "supra-rational" to "irrational" (which may connote "loss of usual or normal mental clarity; incoherent"). Thus, the religious impulse, which is "receptive to the concept of God" (as Prof. van Praag puts it), is marked neither by zealotry nor
loss of mental clarity; it simply represents the human spirit yearning to rise above and beyond itself.

Many great scientists, such as Isaac Newton, were deeply imbued with the religious impulse. In this regard, I am reminded of Einstein's famous dictum: "Science without religion is lame. Religion without science is blind."

Ref: Pies R. The anatomy of sorrow: a spiritual, phenomenological, and neurological perspective.
Philos Ethics Humanit Med. 2008 Jun 17;3:17

Also in this Special Report

Introduction: Controversies and Evolving Issues

Condemning Torture and Abuse: A Call to Action

A Delicate Brain: Ethical and Practical Considerations for the Use of Medications in Very Young Children

Who Was Karen Horney?

Antipsychotics for Behavioral Disturbance in Dementia? A Clinical Conundrum

Neuroscientific Mirages: Are We No More Than Our Brains?

Are Animal Models Relevant in Modern Psychiatry?

Enlightenment and Dimmed Enlightenment

VANGUARD ISSUES IN PSYCHIATRY

Introduction: Controversies and Evolving Issues

Condemning Torture and Abuse: A Call to Action

A Delicate Brain: Ethical and Practical Considerations for the Use of Medications in Very Young Children

Who Was Karen Horney?

Antipsychotics for Behavioral Disturbance in Dementia? A Clinical Conundrum

Enlightenment and Dimmed Enlightenment

Are Animal Models Relevant in Modern Psychiatry?






 
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