TruthBook Religious News Blog

CYNTHIA GEPPERT, M.D., Ph.D., M.P.H.
Albuquerque, N.Mex.

The historically recent antipathy between religion and psychiatry stemming from Freud, Ellis, and other secular intellects has been gradually reversed through the influence of the wider movement over the last several decades to reintegrate spirituality into health care. Ironically, many of the leaders of this effort have been psychiatrists, among whom none is more prolific than Harold Koenig, M.D., the author of over 40 books on the topic, several of them dealing specifically with religion and mental health. His latest work, Medicine, Religion, and Health: Where Science and Spirituality Meet, is a concise yet substantive tour of the burgeoning research base examining the relationship between religion and health. The book, which is directed toward the educated generalist, has chapters covering studies of religion and health, involving the cardiovascular and immune/endocrine systems, longevity, and disability. Mental health professionals will be particularly interested in the chapters on mind-body interactions, mental health, and diseases related to stress and behavior, as well as the final chapter on clinical applications of the research. Psychiatrists will be conversant and likely comfortable with Koenig’s overarching thesis:

It appears that psychological and social factors influence the physiological systems of the body that are directly responsible for good health and the ability to fight disease. Therefore if religious/spiritual involvement can be shown to enhance psychological health and social interactions, it is reasonable to hypothesize that religious factors may improve physical health as well, doing so by reducing psychological stress, increasing social support, and encouraging positive health behaviors. (p. 53)

Medicine, Religion, and Health: Where Science and Spirituality Meet
by Harold G. Koenig, M.D. West Conshohocken, Pa., Templeton Press, 2008, 240 pp., $14.95.

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Labels: Cynthia Geppert, Harold Koenig, health, psychiatry, Psychiatry Online, religion, spirituality

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Saturday, September 01, 2007

The Relationship Between Psychiatry and Religion Among U.S. Physicians

Farr A. Curlin, M.D., Shaun V. Odell, B.A., Ryan E. Lawrence, M.Div., Marshall H. Chin, M.D., M.P.H., John D. Lantos, M.D., Keith G. Meador, M.D. and Harold G. Koenig, M.D.

OBJECTIVE: This study compared the religious characteristics of psychiatrists with those of other physicians and explored whether nonpsychiatrist physicians who are religious are less willing than their colleagues to refer patients to psychiatrists and psychologists.

METHODS: Surveys were mailed to a stratified random sample of 2,000 practicing U.S. physicians, with an oversampling of psychiatrists. Physicians were queried about their religious characteristics. They also read a brief vignette about a patient with ambiguous psychiatric symptoms and were asked whether they would refer the patient to a clergy member or religious counselor, or to a psychiatrist or a psychologist.

RESULTS: A total of 1,144 physicians completed the survey, including 100 psychiatrists.

Compared with other physicians, psychiatrists were more likely to be Jewish (29% versus 13%) or without a religious affiliation (17% versus 10%), less likely to be Protestant (27% versus 39%) or Catholic (10% versus 22%), less likely to be religious in general, and more likely to consider themselves spiritual but not religious (33% versus 19%).

Nonpsychiatrist physicians who were religious were more willing to refer patients to clergy members or religious counselors (multivariate odds ratios from 2.9 to 5.7) and less willing to refer patients to psychiatrists or psychologists (multivariate odds ratios from .4 to .6).

CONCLUSIONS: Psychiatrists are less religious than other physicians, and religious physicians are less willing than nonreligious physicians to refer patients to psychiatrists. These findings suggest that historic tensions between religion and psychiatry continue to shape the care that patients receive for mental health concerns.

Labels: mental health, psychiatrist, Psychiatry Online, religion