From Spiritual Emergency to Spiritual Problem: The Transpersonal Roots
of the New DSM-IV Category
by David Lukoff, PhD
Journal of Humanistic Psychology, 38(2), 21-50, 1998.
Abstract
Religious or Spiritual Problem is a new diagnostic category (Code
V62.89) in the Diagnostic and Statistical Manual-Fourth Edition (APA,
1994). While the acceptance of this new category was based on a proposal
documenting the extensive literature on the frequent occurrence of
religious and spiritual issues in clinical practice, the impetus for the
proposal came from transpersonal clinicians whose initial focus was on
spiritual emergencies--forms of distress associated with spiritual
practices and experiences. The proposal grew out of the work of the
Spiritual Emergence Network to increase the competence of mental health
professionals in sensitivity to such spiritual issues. This article
describes the rationale for this new category, the history of the
proposal, transpersonal perspectives on spiritual emergency, types of
religious and spiritual problems (with case illustrations), differential
diagnostic issues, psychotherapeutic approaches, and the likely increase
in number of persons seeking therapy for spiritual problems. It also
presents the preliminary findings from a database of religious and
spiritual problems.
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