“His Main Problem Was Not Being in a Relationship With God”: Perceptions of Depression, Help-Seeking, and Treatment in Evangelical Christianity

Some Christian communities may understand mental illness as the result of spiritual causes, such as sin, demons, or a lack of faith. Such perceptions are likely to influence how Christian individuals conceptualise and experience their mental health and enact help-seeking behaviours. This study explo...

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Main Authors: Christopher E. M. Lloyd, Brittney S. Mengistu, Graham Reid
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.831534/full
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author Christopher E. M. Lloyd
Brittney S. Mengistu
Graham Reid
author_facet Christopher E. M. Lloyd
Brittney S. Mengistu
Graham Reid
author_sort Christopher E. M. Lloyd
collection DOAJ
description Some Christian communities may understand mental illness as the result of spiritual causes, such as sin, demons, or a lack of faith. Such perceptions are likely to influence how Christian individuals conceptualise and experience their mental health and enact help-seeking behaviours. This study explores perceptions of depression and mental health help-seeking in evangelical Christianity by using a novel qualitative story completion task. A convenience sample of 110 Christian participants from the United Kingdom completed a third-person, fictional story stem featuring a male with depression who entered his local church. A contextualist-informed thematic analysis illustrated how the disclosure of depression was represented as eliciting negative social reactions, potentially rendering individuals with depression as socially dislocated. Stories suggested that, increasingly, evangelical Christians may perceive a spiritualisation of mental illness, which negates reference to psychological, social, and biomedical representations, as unhelpful. Findings reveal the risks of a solely spiritual aetiology of depression and highlight how existing mental ill-health can be exacerbated if fundamentalist beliefs and approaches to therapeutic care are prioritised over holistic models of care. Methodologically, this study demonstrates the value of a rarely-used tool in psychology—the story completion task—for examining socio-cultural discourses and dominant meanings surrounding stigmatised topics or populations.
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spelling doaj.art-60e227b8075343f6bf07970c4bf2c5bc2022-12-22T02:01:13ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-04-011310.3389/fpsyg.2022.831534831534“His Main Problem Was Not Being in a Relationship With God”: Perceptions of Depression, Help-Seeking, and Treatment in Evangelical ChristianityChristopher E. M. Lloyd0Brittney S. Mengistu1Graham Reid2Human Sciences Research Centre, University of Derby, Derby, United KingdomDepartment of Global Health and Social Medicine, King’s College London, London, United KingdomDepartment of Experimental Psychology, Medical Sciences Division, University of Oxford, Oxford, United KingdomSome Christian communities may understand mental illness as the result of spiritual causes, such as sin, demons, or a lack of faith. Such perceptions are likely to influence how Christian individuals conceptualise and experience their mental health and enact help-seeking behaviours. This study explores perceptions of depression and mental health help-seeking in evangelical Christianity by using a novel qualitative story completion task. A convenience sample of 110 Christian participants from the United Kingdom completed a third-person, fictional story stem featuring a male with depression who entered his local church. A contextualist-informed thematic analysis illustrated how the disclosure of depression was represented as eliciting negative social reactions, potentially rendering individuals with depression as socially dislocated. Stories suggested that, increasingly, evangelical Christians may perceive a spiritualisation of mental illness, which negates reference to psychological, social, and biomedical representations, as unhelpful. Findings reveal the risks of a solely spiritual aetiology of depression and highlight how existing mental ill-health can be exacerbated if fundamentalist beliefs and approaches to therapeutic care are prioritised over holistic models of care. Methodologically, this study demonstrates the value of a rarely-used tool in psychology—the story completion task—for examining socio-cultural discourses and dominant meanings surrounding stigmatised topics or populations.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.831534/fullChristianevangelicalmental illnessdepressionstigmaqualitative
spellingShingle Christopher E. M. Lloyd
Brittney S. Mengistu
Graham Reid
“His Main Problem Was Not Being in a Relationship With God”: Perceptions of Depression, Help-Seeking, and Treatment in Evangelical Christianity
Frontiers in Psychology
Christian
evangelical
mental illness
depression
stigma
qualitative
title “His Main Problem Was Not Being in a Relationship With God”: Perceptions of Depression, Help-Seeking, and Treatment in Evangelical Christianity
title_full “His Main Problem Was Not Being in a Relationship With God”: Perceptions of Depression, Help-Seeking, and Treatment in Evangelical Christianity
title_fullStr “His Main Problem Was Not Being in a Relationship With God”: Perceptions of Depression, Help-Seeking, and Treatment in Evangelical Christianity
title_full_unstemmed “His Main Problem Was Not Being in a Relationship With God”: Perceptions of Depression, Help-Seeking, and Treatment in Evangelical Christianity
title_short “His Main Problem Was Not Being in a Relationship With God”: Perceptions of Depression, Help-Seeking, and Treatment in Evangelical Christianity
title_sort his main problem was not being in a relationship with god perceptions of depression help seeking and treatment in evangelical christianity
topic Christian
evangelical
mental illness
depression
stigma
qualitative
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.831534/full
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