Psychotic Symptoms and Spiritual Phenomena

Psychotic symptoms and spiritual phenomena may either be understood as being on a continuum or else as being discontinuous, categorically separate phenomena. Christian scripture and tradition may be interpreted within either model, but in either case, there is a need for discernment in diagnosis and pastoral care. Hearing the voice of God and belief in demon possession are particularly complex phenomena, being both a part of normal Christian life in many churches worldwide and also potentially symptoms of psychosis for some. For those who are suffering from psychosis, the relationship between faith and illness needs to be treated with sensitivity and respect. Christian spirituality has a significant part to play in recovery. A spiritual assessment and integration of spirituality/faith in treatment will be important. Much more mutual understanding and collaborative work are needed between clergy and clinicians to achieve optimum pastoral and clinical care.