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CONTENTS
ACKNOWLEDGMENTS
INTRODUCTION: LIFE IN ALL ITS FULLNESS. Living Well with Jesus
THICK DESCRIPTIONS
Life in All Its Fullness
Understanding Explanation, Cure, and Healing
“MENTAL ILLNESS” AS A JOURNEY
ABOUT THE BOOK AND ITS LANGUAGE
1. REDESCRIBING THE WORLD OF “MENTAL ILLNESS” Description, Explanation, and the Problem with the DSM
THE PRACTICE OF DESCRIPTION
THE PROBLEM OF THIN DESCRIPTIONS
STIGMA AS THIN DESCRIPTION
A Spoiled Identity
Stigma Is Pathogenic
MAKING UP THIN PEOPLE: THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS (DSM)
The Power of the DSM
Categorizing Mental Health Experiences
Making Up “Mentally Ill” People
BIOLOGY AND THE THINNING OF MENTAL HEALTH CHALLENGES
The Danger of Reductive Explanation
“Mental Illness” Is Not like Measles
THE THINNING OF SPIRITUALITY
Spirituality in Mental Health Care
Spirituality as Self-Actualization
Thin Spirituality
The Spirituality of the Institution
2. RESURRECTING PHENOMENOLOGY. Thick Descriptions and the Lived Experience of Mental Health Challenges
THE DEATH OF PHENOMENOLOGY
DEVELOPING A PHENOMENOLOGICAL ATTITUDE
Understanding Understanding
Everyday Naïveté
Beyond Bracketing
Understanding as Dialogical and Conversational
FOUR HORIZONS: CREATING A THICK CONVERSATION AROUND SEVERE MENTAL HEALTH CHALLENGES
The Horizon of the Author
The Horizon of Christians Living with Mental Health Challenges
The Horizon of the Field of Mental Health Care
The Horizon of Scripture, Christian Tradition, and Reflection on the Life of the Church
3. TAKING OUR MEDS FAITHFULLY. The Ambiguity of Diagnosis and the Social Power of Medication
DIAGNOSIS, ALIENATION, AND RESIGNATION
Recognition as a Lifeline
Recognition and Love
A BIPOLAR STORY
Medication and Faith
Theological Diagnosis
Lazy Theodicy
4. LAMENT AND JOY. Depression, Antifeeling, and the (Sometimes Vague) Possibility of Joy
DEPRESSION
Biological Thinning
Linguistic Thinning
Spiritual Thinning
THICKENING OUR UNDERSTANDING OF DEPRESSION
THINKING ABOUT JOY
What Exactly Is Joy?
Joy as Gift
Jesus Is Our Joy
DEPRESSION AS ANTIFEELING
Depression and Sadness
The Removal of Joy
Tempted by Inauthenticity
Lament and Authenticity
Joy as Resistance
5. FINDING GOD IN THE DARKNESS. Testifying to the Presence of an Absent God
ORIENTATION
DISORIENTATION
Pain and Numbness
Abandoned by God
Affliction and the Silence of God
Affliction and Suicide
Richard Baxter on the Blessings of Not Reading the Bible
Faith as a “Trap”
REORIENTATION
Medication as a Spiritual Practice
The Biology of the Soul
The Chief End of Medication
Medicating as a Spiritual Practice
A Revised Theology of Suffering
Being Certain of What You Hope for but Cannot See
FINDING GOD IN GOD’S ABSENCE
When God Goes Missing
Depression and the Absence of God
6. UNDERSTANDING PSYCHOSIS. Faith, Schizophrenia, and the Meaning of “Symptoms”
THE PROBLEM WITH SCHIZOPHRENIA
UNDERSTANDING PSYCHOSIS
Hearing Voices
Holding Beliefs Those around You Do Not Share
Difficulties with Thinking and Concentrating
NUANCING OUR UNDERSTANDING
7. HEARING VOICES. Moving beyond “Symptoms” toward Meaning
HEARING VOICES
WHEN GOD TALKS BACK
HEARING VOICES ACROSS CULTURES
Hearing Voices in America
Hearing Voices in Chennai, India
Hearing Voices in Accra, Ghana
Spirits and Demons
WHAT MAKES THE DIFFERENCE?
A PATHOGENIC CULTURE
Epistemic Injustice
Making Up People: The Voice Hearer
Voice Hearing and Epistemic Generosity
8. A STRANGE KIND OF LONELINESS. Alice’s Story
ARE VOICES INEVITABLY BAD? A STRANGE KIND OF SILENCE
Loneliness
Missing Anne: A Strange Kind of Loneliness
A Strange Kind of Community
THEOLOGICAL IMPLICATIONS
A THEOLOGY OF NAMING
9. BIPOLAR FAITH. Toward a Spirituality of Bipolar Disorder
THE BIOLOGY OF SPIRITUALITY
THE PROBLEM WITH NEUROLOGICAL EXPLANATIONS: MOVING BEYOND NEUROMANIA5
The Authenticity of Experience
Enjoying the Highs
Learning from Suffering
10. BIPOLAR DISORDER AND THE NATURE OF SUFFERING. Delusions, Demons, and Truth Telling
CATHERINE’S STORY
Bipolar Disorder as Suffering: A Place Where God Is Not
Bipolar Disorder as Spiritual Elation
EPISTEMIC INNOCENCE: MEDICATING A PROPHET
Coping and the Mystery of Spiritual Emergence
Orthodoxy or Heresy?
RETHINKING RECOVERY: CREATING A CONTEXT FOR EPISTEMIC JUSTICE
REPERCUSSIONS: THE SHADOW SIDE OF SPIRITUAL ELATION
Thinking about the Devil: Terrible beyond Terrible
Demons Are Bad for Your Health!
The Harm of Lazy Analysis
The Dangers of Ambiguity
TWO ASPECTS OF SUFFERING
THE SUFFERING THAT EMERGES FROM THE ASCRIPTION OF THE DEMONIC
The Old Testament View
Demons in the New Testament
What Does the Demonic Look Like?
“I Am Legion”
Mental Health Challenges Are Not Related to the Demonic
Attraction versus Aversion to Religion
Irrational Speech versus Rational Speech
Ordinary Knowledge versus Supernatural Knowledge
Normal Phenomena versus Occult Phenomena
The Claim to Be Possessed
The Effects of Therapy
A Focus on the Demonic Distracts Us from the Demonic
Putting Ambiguity to One Side
THE SUFFERING THAT EMERGES FROM TRUTH TELLING
Bonhoeffer and Truth Telling
Speaking the Truth in Love?
SACRIFICE AND VOCATION
CONCLUSION: REDESCRIBING HEALING. Theology That Drops Down into the Heart
CULTURAL HEALING
LITURGICAL HEALING
BIBLICAL HEALING
THEOLOGICAL HEALING
EPISTEMIC HEALING AND EPISTEMOLOGICAL GENEROSITY
TESTIMONIAL HEALING
RELATIONAL HEALING
APPENDIX: MENTAL HEALTH RESOURCES
BIBLIOGRAPHY
INDEX
“The spiritual journeys of those living with mental health challenges, wrapped in webs of clinical complexity, offer profound insight if we learn to listen deeply to their stories, rather than stigmatize and label them. In this remarkable book, John Swinton helps us unravel the tangled threads of psychological definitions, biological explanations, psychotropic medications, and the authentic faith experiences of Christian disciples, sharing the gifts and courageous journeys of these souls. With well-researched psychological insight and theological wisdom, this book should be in the library of every pastor, and at the bedside of anyone seeking to understand how God’s grace can weave through the disturbing pathways of those living with mental health challenges.”
—Wesley Granberg-Michaelson
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Biblical Healing
Theological Healing
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