"The Lord is close to the brokenhearted and saves those who are crushed in spirit." (Psalm 34:18)
1
Spiritual distress (PDF)
What is spirituality?
Spirituality is the core
of our being’. The Apostle Paul suggests it is our ‘inner being’ (Eph
3:16 “I pray that out of his glorious riches he may strengthen you with
power through his Spirit in your inner being…”) This verse says a lot.
For the committed follower of Christ, God uses His Spirit to strengthen
our spirit – our inner being; the part of our life that is central to
our purpose and existence.
So, what is spiritual distress?
We
spend a lot of time thinking about our, or another person's
spirituality. This is something central to them which helps them, if it
is in a healthy state, to achieve comfort and peace of mind. Often
healthy spirituality can be tempered by an experience of spiritual
distress. This happens when a person finds that circumstances change and
they become very distressed in their spirituality, i.e. what is central
to their being.
We
always have to keep in mind what a broad understanding of spirituality
is. It includes a number of domains (or elements). It involves our
connection (in varying degrees) with our individual self, to others, to
something higher or bigger than ourselves (which may include religion
and our relationship to God), nature, and creative expression. Distress
may occur when there is a breakdown in the connection between any or all
of these domains - depending on the severity.
Some examples
We can become distressed within
ourselves if we become unhappy with the way that we are performing in
whatever activity we want to be successful. As a result of a number of
things in which we do not perform to the best we can, we might lose our
self-esteem and confidence which could create in us some despondency.
Another example might be our relationship with God. In this situation,
we might be distressed because we find that God does not seem to help us
in the way we would like. Another example might be the way a person
connects with nature. Many people who have a strong commitment to the
land and spend their life in a way that relies on the closeness of
themselves to nature, may find that when there is, for example, a
natural calamity, their spirituality has become distressed because they
are unable to connect in the way they have in the past. In this
situation it would seem that nature has let them down.
In younger
people, spiritual distress may develop when some of the person’s
aspirations – their work, or, desire for a companion, are not met. They
pray earnestly for something, yet it doesn’t happen as soon as they
would like, or, in some cases, not at all. The person can have their
faith and confidence in God shattered and become quite stressed.
What can we do about
this?
If we have a clear understanding of what we believe spirituality
is in terms of the domains we mentioned above, then when we are talking
to anyone, we can listen for the domain in which may seem to be having
difficulty. Say, for example, this is family relationships. We can
explore that domain with the person so that by understanding their
feelings about their situations, we may be able to help them reconnect
with the family or the person with whom they are having difficulties.
The aim of this would be to restore the
connection and reduce
their spiritual distress. The same approach could also be used to
identify for example, the lack of connection a person has with God.
Helping them to understand the relationship and talking through their
breakdown can help them understand their position in the scheme of
things and their distress might be reduced. The same can occur with
their own self-esteem.
Exploring with them the reason for their lack of self-esteem and trying
to encourage their greater self-belief, may help them to reduce that
spiritual distress which has become evident.
Some more details of other signs and symptoms and what we might do to
help
The most important thing to do is to listen
attentively. This means concentration, and the occasional noise of
affirmation that you are hearing what is being said . This might include
an “Uh huh” or, an “Mmmm” or, “Is that what is happening?” or, “Is that
how you feel?”
Something more specific... (The following basic headings have been suggested on the website https://www.crossroadshospice.com/hospice-palliative-care-blog/2018/october/10/signs-and-symptoms-of-spiritual-distress/ . The comments are contributed by the authors.
Feelings of anger or hopelessness
No one wants to feel angry. It is stressful, yet becoming angry probably happens to most of us at some time. This can often lead to a feeling of hopelessness – we want to get out of the anger feeling yet it stays with us. How do we help someone who seems like this to us? The first thing (as we often emphasise) is to listen to what the person is saying. We should try to explore the root cause of the person’s anger with them. Often talking about something will help them to clarify their own thinking.
Feelings of depression and anxiety
You will see by now that the essential aspect
of helping in stressful situations is to listen to what’s being said.
What is the cause of the person’s depression or anxiety? Is it health,
family, work, etc.? Can you explore this with them? You may not be able
to offer solutions but listening and showing interest can help
immensely.
Difficulty sleeping
This can often be traced back to depression
and anxiety. You know the situation – we have all been there. We toss
and turn, get up, go back to bed; walk around ... What is the root
cause of this anxiety? Can we encourage the distressed person to talk
about their anxiety and the cause of their sleeplessness?
Feeling abandoned by God
This can be debilitating. A not uncommon
situation with believers is that we are determined that something should
happen, and we pray about it. This might be an illness; a job
application; a wish for a close personal relationship with someone;
pregnancy and children. Yet, it doesn’t happen. We can think – “What is
the point of praying. God doesn’t hear my prayer. He hasn’t given me
what I asked for”! In the case of illness, it may be that we are not
returned to health the way we would like. It may be that our pain is
immense, and it is not being reduced, despite our earnest, sincere
prayer.
How do we help? Listen and offer to pray with
them. Sometimes, in these situations a person finds it very difficult to
pray for themselves. We can offer to pray with them. Often praying and
holding hands (depending on circumstances) can be a wonderful help to
someone. We might use the words that they would like to use but have
difficulty in finding themselves.
And, of course, in the days of digital media,
a telephone, text or media message, or an email prayer can be helpful.
The advantage of this in our helping is that firstly, we are placing
ourselves in God’s hands and secondly, we are showing practically that
we care.
Questioning the meaning of life or suffering
“Why bother!” is a phrase we sometimes hear.
A person is depressed that their efforts are not ‘rewarded’ when their
wishes not granted. This phrase seems to be more prevalent nowadays,
especially when it appears that society is becoming more unkind,
uncaring and more violent. It can be helpful for us to explore the
person’s core values with them – the hope they may have had; their
previous objectives in life. If we can understand the way they are
feeling we are more equipped to help them return to their faith and
purpose. A word of warning – while we may understanding Scriptural or
theological reasons for their situation, we should avoid facile Biblical
explanations. While these may arise, providing too much of such
explanations may take us away from the human feeling or the person we
are trying to help.
Questioning beliefs or sudden doubt in
spiritual or religious beliefs
A negative response to our prayers can often
lead to a questioning of our fundamental belief in God and His Word.
Things don’t go the way we would like. We might suddenly see something
in the Bible that may explain something in a very different light than
what we have been used to. We may see some event befalling a friend that
is catastrophic for them. We can ask, “Why has God allowed this to
happen to such a wonderful person?” And, nowadays, we often hear the
question, “Why does God allow so much suffering in the world?”
This goes back to a fundamental understanding of Scripture and God’s
purpose. We need to understand the Scriptures to see what answers God
provides. We should however, avoid dismissive Scriptural explanations,
especially if we are offering a “top-down” approach. Sensitivity is
vital in our dealings with those suffering.
Asking why this situation occurred
Something happens in a person’s life and we
do not know why. For example, a friend has a son who dies. He is a young
husband and father. There is no apparent reason for his death. The son
was exemplary in his behaviour. He was an up and coming faithful
Christian and potentially, was going to be a strong leader in his church
community. Or, a young wife and mother may have been diagnosed with a
terminal illness with the potential of leaving her headband and twin 2
year old children behind. What can we do?
When faced with these situations, spiritual
carers often find it useful to simply say, “I don’t know why this has
happened.” Again, a long involved theological dissertation may not help.
Understanding and asking God’s guidance to help us understand can be
much more effective.
Seeking spiritual help or guidance
In conclusion
Spiritual distress is not uncommon. Sometimes people may not want to discuss it as they may feel that it is an admission of weakness that they “do not want others to know about”. However, kind, compassionate listeners will not be judgemental but they may be able to offer some perspectives and help, in prayer that can assist you in reducing your distress.
The ultimate help we can provide for others
is to pray ourselves, and offer to pray with and/or for the