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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.

Quintessence

The Enlightenment, eager to break the power of religion—the institutionalized and codified superstructure on top of religiosity—lost sight of one cardinal issue. The issue that man consists of more than reason, that his way of life is not exclusively (or primarily) guided by reason. Enlightenment lost sight that the human soul consists, to a considerable extent, of irrational ingredients. Those irrational elements are mainly emotionally colored, and they influence our reasonableness and thus our behavior and decisions. Reason cannot overcome that our irrationality demands gratification. Irrationality wields a considerable power over rationality.

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

Is that an unfortunate situation? Is our irrationality a blind for enlightenment? Not really, irrationality is not intrinsically destructive. If irrationality overrules reason, the outcome can be positive. Think of the person helping another in spite of a considerable chance of harming himself in the process.

Provided they balance each other, the combination of rationality and irrationality is a precondition for a full and fulfilled life. Religiosity belongs to the irrational domains of the soul. This dominion creates needs. Needs that cannot be rationalized away. Hence the struggle of secularists, and in particular radical secularists a la Dawkins,13 is doomed to fail. They fight not against windmills but against forces reason is unable to master and never will be. They fight a losing battle.

In Heyerman’s play Ghetto, Sachel’s mind is damaged by religion, certainly. He is hard-boiled, inflexible, intolerant. He renounces everything that is dear to him. This is a form of religious expression that I have qualified as abnormal.14 Faith calling forth inhuman behavior amounts to perverted faith. Parental bounds should supersede religious bounds. If the reverse is true, lifelong intense sorrow is the result. Then darkness sets in. That cannot be God’s intention.

This, however, does not mean that the future is with Sachel’s sons—the Raphael’s of the world, as Groot, the philosopher, has posited. I hope that the future is with those who are optimally enlightened, ie, those who are able to develop the rational and the irrational potential they possess to the fullest. If reason is the only source of light, one finds oneself in the twilight.

Conclusion

Today the brain reigns supreme in psychiatry at the expense of the mind. The mind is in danger to be usurped by the brain. Mind, so it is rumoured in neurobiological circles, will eventually and probably pretty soon reveal its secrets via the study of the brain. As a corollary, religiosity is currently psychiatry’s stepchild, as biology was when I started my career in psychiatry and neurobiology some 60 years ago. For the future of psychiatry, this reductionist viewpoint is risky. Psychiatrists cannot, with impunity, disregard an important domain of man’s personality makeup. He ought to remain a searcher of the soul at large.

However, take care—false prophets roam about the neurosciences. It seems highly unlikely that in the foreseeable future, brain studies will provide useful information about the appearance of individual minds. As psychiatrists, we should continue to honour the mind in its own right. Let’s not quench its lustre by reducing it to sheer matter. Our identity as psychiatrists is a dualistic one. We respect the mind no less than the brain. Let’s keep it that way!

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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?





References

1. Bartstra J. De overheid moet religie ontmoedigen [The government should discourage religion]. NRC Handelsblad. August 29, 2006.
2. de Boer T. De angst van de bekeerling [The anguish of the convert]. Trouw. January 12, 2008.
3. Heyermans H. Ghetto. 1899.
4. Groot G. Sachel, dat zijn we allemaal! [Sachel, that is what we all are]. Trouw. October 10, 2009.
5. Larson EJ, Witham L. Scientists are still keeping the faith. Nature. 1997;386:435-436.
6. Van Praag HM. Seat of the divine: a biological “proof of God’s existence”? In: Verhagen PJ, van Praag HM, López Ibor JJ Jr, et al, eds. Religion and Psychiatry: Beyond Boundaries. New York: Wiley; 2010.
7. Bouchard TJ Jr, McGue M, Lykken D, Tellegen A. Intrinsic and extrinsic religiousness: genetic and environmental influences and personality correlates. Twin Res. 1999;2:88-98.
8. Beauregard M, Paquette V. Neural correlates of a mystical experience in Carmelite nuns. Neurosci Lett. 2006;405:186-190.
9. Borg J, Andrée B, Soderstrom H, Farde L. The serotonin system and spiritual experiences. Am J Psychiatry. 2003;160:1965-1969.
10. Koenig HG. Is Religion Good for Your Health? The Effects of Religion on Physical and Mental Health. Binghamton, NY: Haworth Pastoral Press; 1997.
11. Sims A. Is Faith a Delusion? Why Religion Is Good for Your Health. London: Continuum; 2009.
12. Van Os J, Hanssen M, Bijl RV, Vollebergh W. Prevalence of psychotic disorders and community level of psychotic symptoms: an urban-rural comparison. Arch Gen Psychiatry. 2001;58:663-668.
13. Dawkins R. The God Delusion. Boston: Houghton Mifflin Company; 2006.
14. Van Praag HM. God’s champions and adversaries: about the borders between normal and abnormal religiosity. In: Verhagen PJ, van Praag HM, López Ibor JJ Jr, et al, eds. Religion and Psychiatry: Beyond Boundaries. New York: Wiley; 2010.


 
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