INTRODUCTION
TERMS
Spirituality: Subjective sacred experience
Vaughan, F. (1991) Spiritual issues in psychotherapy.
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Religion: A system of beliefs and practices
Argyle, M., & Beit-Hallahmi, B. (2013) The Social Psychology of Religion.
Abuse: Perpetrated by an abuser
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Trauma: Experienced by a survivor
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Religious Trauma: A physical, emotional, or psychological response to religious beliefs, practices, or structures that is experienced by an individual as overwhelming or disruptive and has lasting adverse effects on a person’s physical, mental, social, emotional, or spiritual well-being.
The Religious Trauma Institute
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Spiritual Abuse: Misuse of power in a spiritual context where spiritual authority is distorted to the detriment of those under its leadership. It is a multifaceted and multilayered experience that includes acts of commission and omission, aimed at producing conformity.
Ward, D.J. (2011) The lived experience of spiritual abuse.
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Religious Abuse: The mistreatment of someone in need of spiritual empowerment resulting in the weakening and undermining of their empowerment.
Johnson D. & VanVonderen J. (2005). The subtle power of spiritual abuse.
PART 1: CONCEPTUALIZATION
UNIQUE CONSIDERATIONS
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Survivors are impacted in multiple ways, producing complex trauma.
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The deity is often seen as a secondary attachment figure.
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Healthy coping skills are often discouraged.
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Many survivors perpetuate the abuse as a survival skill, resulting in complex grief.
FRAMEWORKS + ASSESSMENTS
​Spiritual Power Inventory - Reclamation Collective
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Religious Trauma Syndrome - Marlene Winell, 2011
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Cognitive
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Affective
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Functional
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Social
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Developmental
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Spiritual Abuse Questionaire - Kathryn Keller, 2016
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​Spiritual Harm + Abuse Scale - Dan Koch, 2022
IMPACTS OF RELIGIOUS TRAUMA
FEAR + ANXIETY
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Afterlife Anxiety: Fear about death, heaven and/or hell, the rapture, eternal separation from loved ones, and obsessive worries about witnessing or ensuring salvation.
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Fear of Punishment: Scrupulosity (obsessive rule-following), fear of authorities, fear of being caught or falsely accused, obsession with determining right from wrong, etc.
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Fear of the Supernatural: Intense dread or paranoia about spiritual threats like sin, temptation, demonic possession, spiritual warfare, and secular influences.
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Superstitions: Magical thinking, compulsions, paranoia, using spiritual rituals to prevent bad things from happening, etc.
SPIRITUAL SHAME
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Learned Helplessness: Powerlessness, a sense of defeat, low motivation, and cynicism about the future.
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Perfectionism: Attempts to compensate for one’s perceived inadequacy by overworking and using harsh self-criticism to stay focused on achievement.
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Self-Criticism: Harsh or abusive self-talk, attempts to motivate self with internal punishment
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Self-Distrust: Lack of confidence in one’s own natural instincts and desires, self-doubt, and overreliance on others.
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Self-Neglect: Poor self-care, unaddressed physical and mental health issues, and compulsively serving others rather than tending to personal needs.
RIGIDITY
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Moralizing: Making oversimplified judgments about what is good/bad or right/wrong.
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Absolutism: Black-and-white or all-or-nothing thinking; rejecting or attacking any other perspectives; viewing a subjective belief as an absolute truth.
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Spiritualizing: Assuming there’s a religious/spiritual explanation instead of a natural one; compulsively looking for a moral lesson to be learned.
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Afterlife Preoccupation: Fixating on the afterlife, downplaying present experiences; neglecting current-day concerns.
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Impaired Decision Making: Difficulty making decisions when the situation doesn’t fit into a preexisting religious template.
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Impaired Critical Thinking: Difficulty determining fact from opinion, clinging to existing biases, rejecting nuance or contradictory evidence.
SUPPRESSION
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Emotional Suppression: Habitual invalidation of unacceptable emotions leading to depression, avoidance, numbness, and stunted empathy (see also: Spiritual Bypassing).
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Identity Suppression: Denial of traits viewed as “deviant", efforts to convert or change identity, and low self-awareness.
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Sexual Suppression: Emphasis on sexual purity, intense guilt or shame about sex, denial of one’s sexual attractions, stunted sexual development, and inability to enjoy sex.
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Autonomy Suppression: Difficulty identifying one’s needs/wants, lack of independence, enmeshment, and disregard for personal discomfort.
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Spiritual Cynicism: Distrust of most/all forms of spirituality or religious leadership.
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Somatization: Suppression that’s converted into physical pain or illness (ex. fibromyalgia, headaches, high blood pressure, pain during sex, etc.)
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Spiritual Bypassing: Sidestepping emotionally complex issues with spiritualization.
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Placating: Offering a spiritual quick-fix for discomfort; downplaying or invalidating, focusing on the spiritual “silver lining”.
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Appealing to the Greater Good: Excusing, covering up, or defending something negative because of a positive big-picture outcome.
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Silencing: Admonishing someone for using critical thinking and curiosity.
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Victim Blaming: Interpreting someone’s suffering as a deserved consequence.
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Dissociating: Detaching emotionally or cognitively to avoid internal incongruence.
RELATIONSHIP DYSFUNCTION
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Social Anxiety: Fear of being judged, rejected, or excluded by others; avoiding attention or being vulnerable in relationships.
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Codependency: Relationship obligation and resentment; helping or relying on others out of a sense of guilt or responsibility.
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Enmeshment: Difficulty separating one’s thoughts and feelings from others’.
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Trauma Bonding: Feeling obligated to be loyal to or defend someone (even when it’s unhealthy) because of intense shared experiences.
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Authority Fawning: Being overly reliant, submissive, or accommodating of authority figures; leaning heavily on them for wisdom or help.
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Authority Defiance: Suspicion or contempt for authority figures; refusal to comply; distrusting their intentions.
DIAGNOSTIC CONSIDERATIONS & COMPLEXITIES
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A religious trauma client may meet diagnostic criteria for:
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PTSD / Complex-PTSD
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Anxiety Disorders
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Mood Disorders
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Obsessive-Compulsive Disorder
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Dissociative Disorders
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Other complexities to consider include:
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Comorbid mental health issues
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Co-occurring traumas
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Family of origin issues
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Somatic symptoms and possible past misdiagnosis
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Developmental impacts for those raised in high-control groups
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PART 2: ETIOLOGY
​HIGH-CONTROL SYSTEMS
High-control religious groups maintain power by:
Creating fear and shame
Demanding conformity
Enforcing hierarchy
Insulating from outside influences
LIFTON’S 8 CRITERIA FOR THOUGHT REFORM
Lifton, R. (1961) Thought Reform and the Psychology of Totalism: A Study of "Brainwashing" in China.
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Milieu of Control
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Communication is strictly controlled within the group
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Access to outside information or media is limited, isolating the group from society
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Members are taught to self-monitor and police one another
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Mystical Manipulation
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Events are orchestrated to appear mystical or portrayed as signs/prophecies
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The leader makes authoritative displays of power
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History is rewritten to demonstrate the group’s exceptionalism
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Demand for Purity
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Members are required to conform to group standards
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Black-and-white thinking is taught and encouraged
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Behavior is controlled through the use of guilt and shame
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Confession
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Members are required to routinely confess their sins/failures
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Demonstrations of self-surrender or public shaming are celebrated
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Personal privacy and confidentiality are devalued
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Sacred Science
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Group doctrine is elevated above all other sources of truth
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Criticism of group doctrine is forbidden and reverence is required
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Nuance and subtlety are disregarded in favor of dogma
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Loading the Language
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Habitual use of group-specific words, phrases, or thought-stopping clichés
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Words and ideas are redefined or reinterpreted to fit the group’s ideology
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Doctrine Over Person
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Ideology is valued above personal experiences
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Members are encouraged to distrust and ignore contradictory feelings
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Nonconforming interpretations are pathologized
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Dispensing of Existence
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Outsiders are depicted as evil, unworthy, and unenlightened
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Outsiders are denied the right to exist as equals
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Members who leave or reject the doctrine are completely rejected and excluded​
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RELIGIOUS POWER & CONTROL WHEEL
Adapted The Duluth Model (1993) Power and Control Wheel; Domestic Abuse Intervention Project
Adapted from Laura Anderson, LMFT with the Religious Trauma Institute.
​COERCION + THREATS
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Fear of punishment, God’s wrath, eternal torment
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Abandonment and exclusion by the group
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Temptation, spiritual warfare, possession, etc.
SPIRITUAL INTIMIDATION
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Leaders claim divine appointment & authority
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Elitist treatment and lack of leadership accountability
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Forbiddance of questioning the group’s ultimate truth
EMOTIONAL ABUSE
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Shaming for not meeting unrealistic expectations
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Emotional suppression and invalidation
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Pathologising of self-love, confidence, imperfection (“sin”, “pride”, “selfish”)
ISOLATION
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Limited access to outside supports (family, healthcare, education, media)
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Control of information and media access
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Propaganda dehumanizing, mocking, & inciting fear of outsiders
MINIMIZING, DENYING, BLAMING
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Spiritual bypassing and gaslightining
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Denial of mistreatment or any unintended inpacts
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Justification of abuse based on divine order
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Blaming members for their own suffering (victim-blaming)
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Required forgiveness & reconciliation
LOSS OF AUTONOMY
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Suppression of critical thinking
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Required reliance on the group for all needs
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Denial of privacy & individual agency
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Required submission to authority
DEFINING GENDER + SEXUALITY
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Rigid/binary gender roles & expectations
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Shame & exclusion for non-conformance
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Patriarchy, subjugation of women
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Pathologizing of queer identities, fear mongering
ECONOMIC CONTROL
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Required financial investment from members
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Shaming for “worldliness” or enjoyment of material things
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Demands of total trust in divine provision and reliance on the group
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Restrictions on education & employment of women
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Exploitation of free labor from members
THE CYCLE OF RELIGIOUS ABUSE
Adapted from The Cycle of Abuse by Walker, L.E. (1979) The Battered Woman. New York: Harper and Row.
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Indoctrination: The member is trained to conform and their fear of displeasing God, spiritual leaders, or the group builds.
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Rebuke: The member is shamed, punished, or publicly humiliated for a spiritual failure.
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Reconciliation: The member is blamed or invalidated and told to forgive.
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Belonging: The member is showered with love and promises of unconditional acceptance, reinforcing the continued cycle.
CONVERSION PRACTICES
Conversion practices (aka. Conversion “therapy”) are extremely damaging.
Definition: Programs designed to change a person’s sexual orientation, gender identity, or gender expression.
PART 3: THERAPEUTIC INTERVENTIONS
TREATMENT MODALITIES
​Research-validated treatment modalities include:
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Eye Movement Desensitization & Reprocessing (EMDR)
Internal Family Systems (IFS)
Somatic Experiencing
Psychedelic-Assisted Therapy
Trauma-Focused CBT
THERAPEUTIC RELATIONSHIP
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​Your top priorities are to show acceptance and encourage autonomy
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Model healthy boundaries and be intentional about how you use self-disclosure
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Be attentive to the client’s readiness to change
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You may need to slow down and anticipate reactivity when challenging biases
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Things to Avoid:
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Don’t inadvertently recreate guru/teacher dynamics
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Acknowledge when you don't understand or don’t know
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Set goals that aren’t performance-based
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Watch out for retraumatization or potentially triggering interventions
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Journaling, meditation, yoga, EMDR, even self-affirmation
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Check-in when discussing taboo subjects
MANAGING COUNTER-TRANSFERENCE
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Prioritize your self-care and know your limits
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Process your own adverse religious experiences separately
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Notice your automatic disgust responses related to beliefs and religion
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Notice any impulses to rescue or instruct the client
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Challenge your personal biases about what "healthy" spirituality looks like
MANAGING RISK
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Retraumatization in therapy (including religious-based counseling)
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Perpetuating abuse as a survival mechanism
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Repeated cycles of abuse because of normalized relationship dysfunction
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Consequences of leaving the group and high risk of returning
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All of the above risks can lead to increased suicide or self-harm risk
STAGES OF RELIGIOUS TRAUMA RECOVERY
Based on Judith Herman’s Stages of Trauma Recovery:
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Establishing Safety
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Remembrance + Mourning
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Reconnection
SAFETY + AUTONOMY
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Ask for consent at every juncture to reinforce their autonomy.
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Educate on nervous system responses to threats: Fight, Flight, Freeze, and Appease.
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Identify what physical and psychological safety feels like and encourage the client to listen to their body for signs of activation.
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Affirm their right to be sad, angry, or afraid, prioritize their safety and comfort, make autonomous decisions, and set protective boundaries.
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REMEMBRANCE + REFRAMING
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Encourage the client to tell their story and acknowledge the wound
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Take time for them to mourn the losses
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Use appropriate terms like grief, abuse, manipulation, etc.
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Identify abusive cycles, power dynamics, triggering words or phrases
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Identify coping mechanisms they developed in order to survive
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Investigate their internal narrative that may be trauma-based
CONNECTION WITH SELF
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Explore the client’s identity, values, and roles apart from the group.
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Normalize having likes and dislikes and expressing needs and wants.
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Increase body awareness and integrate feelings and sensations.
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Help them develop and practice self-affirmation.
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If they want to, help them reimagine what spirituality could look like.
CONNECTION WITH OTHERS
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Redefine what healthy relationships look like (family, friends, marriage, etc)
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Experiment with new ways of relating to others; create new templates.
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Educate on dysfunctional relationship patterns and attachment styles
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Practice setting and upholding boundaries instead of making requests
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Build skills of assertiveness and communication
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Normalize what it looks like to slowly build trust over time
DECONSTRUCTION
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Religious deconstruction is a process of breaking down and analyzing the various parts of a belief system and its practices.
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Deconstruction CAN be therapeutically beneficial for some clients but not all
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Raise the client’s awareness of their gut reactions and biases
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Differentiate the client’s values from the group's values
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Investigate any incongruence between their beliefs and personal values
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Identify patterns of spiritual bypassing that come from religious beliefs
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ALWAYS: Connect cognitive processing with the client’s emotional experiences
FINAL THOUGHTS
Take a stance of non-judgmental curiosity.
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Spirituality can be an important part of someone’s well-being.
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The most valuable thing you can offer a religious trauma survivor is AUTONOMY to think and feel for themself.