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Religion and Spirituality in Psychiatry

Religion and Spirituality in Psychiatry

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166 Pierre-Yves Br<strong>and</strong>t, Claude-Alex<strong>and</strong>re Fournier, <strong>and</strong> Sylvia Mohr<strong>in</strong> the representation of what constitutes the <strong>in</strong>dividualon the basis of <strong>in</strong>dependent choices. Theself is also shaped by the environment that guidesthe choices. The self-image an <strong>in</strong>dividual projectsthus results from a compromise between whatthe <strong>in</strong>dividual emanates <strong>and</strong> what the societyexpects. The quality of an <strong>in</strong>dividual’s <strong>in</strong>tegration<strong>in</strong> her life environment will depend on the extentof this compromise of comb<strong>in</strong><strong>in</strong>g <strong>in</strong>dividual <strong>and</strong>collective expectations.11. COLLECTIVE SYMBOLIZATION OFTHE INDIVIDUAL IDENTITYAny given society proposes a culturally sharedconception of self-identity. The cultural representationsthat convey it vary. It can be expressedthrough artistic productions. Self-awareness,attitudes, <strong>and</strong> behaviors that can be lent toan <strong>in</strong>dividual are def<strong>in</strong>ed <strong>in</strong> novels, children’sstories, documentary films, <strong>and</strong> fiction movies.Advertisements, <strong>in</strong>terviews, news stories,social roles dictated by professional activities,law, education, <strong>and</strong> health systems are all vectorsthat shape the conception of a given society’sself-identity. Religious <strong>in</strong>stitutions or thecircumstances responsible for the relationshipwith the unpredictable, transcendence, <strong>and</strong> theafterlife also contribute to the conception of theself. Hence, tales display<strong>in</strong>g mythological, div<strong>in</strong>e,ancestral, or exceptional historical figures serveas a support to identification. Christian traditionheavily emphasizes the imitation of Christ . To citeonly a few examples, Moses is the classic examplefor a Jew, Buddha for a Buddhist, <strong>and</strong> a Sufi masterfor certa<strong>in</strong> Islamic groups. Thus, <strong>in</strong> variousreligious traditions, exemplary figures contributeto the foundations of identity. Accounts of thesefigures’ lives are told, <strong>and</strong> episodes from theselives are taken as examples to follow. By read<strong>in</strong>gor listen<strong>in</strong>g to these accounts, the reader or listenersets up the processes of identification necessaryto underst<strong>and</strong> the story. The identity canthen be built by complete or partial appropriationof the figure brought out <strong>in</strong> the story, or, on thecontrary, by antagonistic reaction to this figure.In this case, the account can waken experiencesof the self to which the subject had not previouslyhad access. In other words, at certa<strong>in</strong> moments oftheir lives, <strong>in</strong>dividuals can manage to make senseof the situation they are <strong>in</strong> by identify<strong>in</strong>g similaritiesto a situation experienced by a central figureof the religious tradition they have chosen.It is then an already-experienced situation thatis retold through a story about a figure fromthe past. In all these cases, the cohesion of theidentity is found follow<strong>in</strong>g the narration mode.The transformation of identity, threaten<strong>in</strong>g thecont<strong>in</strong>uity of the self, is supported by the narrativeplot: By tell<strong>in</strong>g the story of this transformation,<strong>in</strong>dividuals reestablish cont<strong>in</strong>uity beyondthe rupture. Here<strong>in</strong> lies the identity, <strong>in</strong> the senseof the ipse -identity, such as suggested by PaulRicoeur.(1) The stag<strong>in</strong>g of identity construction<strong>in</strong> stories shows the narrative character of the<strong>in</strong>dividual identity. The stories are the collectivesymbolization.Another form of symbolization of self-identityis its mise-en-scene dur<strong>in</strong>g rites. Rites are culturaldevices built to shape the identity of those tak<strong>in</strong>gpart <strong>in</strong> them. Thus, there are rites of passageto mark com<strong>in</strong>g of age, marriage, or death. Thewords, the concepts, or the behaviors establishedby these rites often conta<strong>in</strong> an important religiousor spiritual dimension. Although each riteof passage is generally experienced only once byan <strong>in</strong>dividual, other rites, such as collective or<strong>in</strong>dividual prayers, tak<strong>in</strong>g part <strong>in</strong> the Eucharist,confession, family or community celebrations,or pilgrimages, are reiterative. Whichever formthey take, these rites provide bear<strong>in</strong>gs that can beused for identification shared by those adher<strong>in</strong>gto the tradition that conveys them. Their functionis one of facilitat<strong>in</strong>g <strong>in</strong>tegration <strong>in</strong>to society<strong>and</strong> social roles.As for rites of passage, they could be thoughtto only spur a transformation <strong>in</strong> the <strong>in</strong>tended<strong>in</strong>dividuals. However, every person present at theevent reflects on his or her own path. Participationmeans putt<strong>in</strong>g oneself <strong>in</strong> a position of identification.For some of them, it means prepar<strong>in</strong>g forwhat they will one day be called on to experience;for others, reliv<strong>in</strong>g a past rite. In a narrativeor ritual manner, stories <strong>and</strong> rites symbolize

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