Tag Archives: mental health

Making Up Your Mind about Mindfulness

As Christians we are somewhat conditioned to look east, for east has long been believed to be the direction that Our Lord’s triumphant return.  While we wait however there are some of us who have looked further east and sought to adopt spiritual elements from the religions in the Far East.  The latest practice to be pondered is Mindfulness.

One of the most vocal proponents of Mindfulness is Dr. Gregory Bottaro.  As a practicing clinical psychologist and Catholic, he has sought treatments to help his patients in ways that are consistent with the Catholic vision of man.  To that end, he has been using Mindfulness within a clinical setting and has even written a book called The Mindful Catholic defending its use.

Mindfulness finds its origins in modern Theravada Buddhism and purports to create within the practitioner an awareness and acceptance, without judgment, of what he or she is thinking or feeling.  Or, to use Dr. Bottaro’s simple definition, mindfulness is “paying attention to the present moment without judgment or criticism.”  It is this inherent connection to a “New Age” practice that has many people concerned about its use.

Dr. Bottaro believes, like the Church herself, that even if a technique is borrowed from a New Age religion, it does not automatically make it wrong.  Instead we must look to see whether the technique can be stripped of its spiritual elements so that it can be “baptized” and used and prescribed licitly by Catholics.  In the case of Mindfulness, Dr. Bottaro claims that it is possible and that Mindfulness is not just a therapeutic technique, but one that all Catholics should be practicing.  This, of course, has been met with serious opposition questioning whether or not it can be severed from its Buddhist roots, including a book written by Susan Brinkmann as well as those at EWTN.  We will not add another voice to that particular debate here, but instead will examine Mindfulness from a different angle, namely Catholic anthropology.

Mindfulness and Catholic Anthropology

In the opening line of Appendix I of his book, Dr. Bottaro makes the claim that “Catholic mindfulness is built on Catholic principles.”  It is not clear from the rest of the article which principles he has in mind.  He seems to spend the bulk of his time defending its use against New Age claims that he never gets around to discussing how mindfulness harmonizes with Catholic anthropology.  It is in this arena of Catholic anthropological principles that mindfulness fails.  Rather than leading to mental health, it can facilitate further mental illness.

In anticipation of an immediate objection, what qualifies me, a theologian, to answer the question as to whether Mindfulness can lead to mental health?  To ask the question is to admit just how steeped we have become in the empirical mindset.  There is a distinction of vital importance to be made between what I will call the philosophy of psychology and the science of psychology.  The philosophy of psychology is concerned with, to use Dr. Bottaro’s terms, “Catholic principles” while the science of psychology is concerned with the clinical application of those principles through various techniques.  The theologian or philosopher can ask whether a given technique can lead to mental health (i.e. it leads to actions in accord with human nature) while a psychologist, once he knows the answer to this question, can ask if a given technique does in practice lead to mental health.

Foundational to Catholic anthropology is the fact that each one of us, to greater or lesser extents, is mentally ill.  This is said not to make us all victims or belittle those who suffer greatly because of serious mental illness.  Instead it is to point out a fundamental flaw in that we have a tendency to embrace the brokenness that comes from the Fall.  We equate natural (what we are) with normal (what everyone around us is doing).  This means that mental health can only come about through practices that restore what is natural and not necessarily what is normal.

Man, by nature, is an intellectual creature.  This means that he was made to rule himself by right reason to do the good passionately.  In other words, the intellect in man was to reign supreme, guiding the will to the good which had full cooperation from the bodily powers including the emotions, memory and imagination.  Post-edenic man finds his intellect darkened by ignorance, the will weakened and the bodily powers running amok.  The Fall left man in disarray, but not beyond repair.  God, using supernatural means such as actual and sanctifying grace can heal us.  But there are also natural means at our disposal to heal these effects.  Primary among those means are the virtues by which we develop habits that overcome the effects of the Fall.  The virtues rescue what is natural from what is normal.

Secondly because man is (and not just has) body and soul, the soul depends upon the body for its operation of knowing.  It does this primarily through the imagination and memory.  They provide the “raw material” upon which the intellect works.  The intellect abstracts the contents of its thoughts from the image (called a phantasm) provided it by the imagination, an image it received either from the outside world or from the memory (or both).  It is not just productive, but also reproductive in that it exercises insight and control to produce images as reflections of ideas.  This puts flesh to concept so to speak.  When we think of a concept, say like God, some image comes into our mind, even though we have never seen Him.  The images we form greatly affect our thoughts.  Imagine a demon who looks like a terrible dragon.  Now imagine a demon wearing red tights with horns.  Which of these reflects right thought about demons?

Given the material prominence of the imagination and to a slightly lesser extent the memory, one can readily see how important they are to mental health.  Whether we like it or not, they affect not just what we think about, but also how we judge.  A trivial example might help.  Suppose I fall out of a chair because I wasn’t being careful.  The next time I see a chair that memory will be invoked and I may recall the pain of the fall.  Chairs (and not just that one chair) will become associated with pain and something to be feared.  My intellect must then make a judgment on the phantasm that the chair poses no danger.  If I do not make that judgment, or I judge wrongly that chairs are bad then the association becomes stronger causing fear each time the phantasm is present, reinforcing the idea that chairs are dangerous.  A feedback loop is created and mental illness is comes about.  This can only be corrected when the judgment that chairs are not harmful is adopted and the intellect “corrects” the phantasms attached to chair.  Until the imagination comes under the complete control of the intellect, the person will still be torn between reality and perception.

Quieting the Interior Chatter

Obviously the memory and imagination are necessary faculties for mental health and therefore we can’t simply shut them off.  Instead they must be schooled so that they do not, as Adolphe Tanqueray says in his classic book The Spiritual Life, “crowd the soul with a host of memories and images that distract the spirit” but fall under the control of the intellect and the will.

Although he never says so explicitly, it is these two faculties, memory and imagination, which mindfulness attempts to govern.  Dr. Bottaro says that the goal is to turn away from the “interior chatter.”  This interior chatter comes from overactive memories and imaginations that lead to wrong ways of judging reality.  He suggests that by focusing on the present moment through mindfulness exercises you can begin to bring these powers under the control of the “mind.”

In this regard Dr. Bottaro is no different from many of the spiritual masters who say that one of the best ways to mortify the interior senses of memory and imagination is by focusing on the present moment.  However, there is one important difference—none of them would say that you can learn to govern the interior senses by “paying attention to the present moment without judgment or criticism.”  Mental health consists in the right judgment of reality.  The remedy to judging incorrectly is not to cease judging.  Any exercises that promote this lead away from mental health and not towards it.

Why is this the case?  Because the mind judges “automatically.”  It judges because that is what it does.  The mind has three acts—understanding, judgment and reasoning.  Once the mind has grasped what a thing is (understanding), it immediately attempts to relate it to other things (judgment).  As Blessed John Henry Newman put it, “It is characteristic of our minds to be ever engaged in passing judgment on the things which come before them.  No sooner do we learn that we judge; we allow nothing to stand by itself.”

Inevitable Path to Buddhism?

Dr. Bottaro says that “mindfulness does not meaning turning off the thoughts in your mind, but using them as a door to greater awareness of yourself.  This is actually one of the essential differences between Catholic mindfulness and Eastern-based forms of meditation.”  But one cannot simply turn off judging without doing violence to the natural process of reasoning.  In essence by trying to abort the second act of the mind, it shuts down the mind completely, precisely what the Eastern-based forms are proposing.  It seems the very thing he is trying to avoid, he inadvertently brings about.  Perhaps those who are concerned about the spiritual traps of Buddhist practices are right after all.  Mindfulness may be not just a practice that Buddhist use, but a Buddhist “sacrament” that brings about the desired outcome of emptying the mind.  This happens regardless of the intention of the practitioner.  Perhaps there is a “genius” in the technique that, by doing what a Buddhist does, it causes the person to think like a Buddhist.  And once they think like a Buddhist they begin to act like one.

This may explain why, given that the doctor is also a “patient” of mindfulness that his book has a number of New Age red flags in his book when he attempts to articulate some Catholic principles.  Under the sub-heading Finding Peace, Dr. Bottaro sounds more New Age than he does Catholic.  He describes Jesus as “the human person of God, Jesus Christ.”  As Nestorius found out in the 5th Century, Jesus is not a human person but a Divine person who took to Himself a human nature.  One might excuse this merely as a lack of theological precision except he goes further making the reader wonder whether the label Catholic can be applied.

In the same section he also says “You have heard that you are a temple of the Holy Spirit, but you are also more than that.  You exist in the form that God Himself would take if He were to enter into the created universe…”(emphasis added)  To say that we are more than temples of the Holy Spirit has a very Buddhist “feel” to it.  The only thing “more than” being a creature with the indwelling Holy Spirit is to be God Himself, something a Buddhist would readily accept.  Christ did not take to Himself a human nature because human nature was so great, but because He is so great.  In other words the doctor gets it backwards by putting man at the center instead of God.  We should not be surprised then when he says that “the central being that is consistently in your awareness in each present moment is you.  Therefore, mindfulness is a journey to find peace with yourself.”

Buddhism is a journey to find peace within yourself.  Catholicism, however, is a journey to find peace with God; peace that is only found outside of man.  The two are not compatible.   You will look forever, perhaps we might say eternally, for peace with yourself and you will never find it.   For Buddhists peace is found within because God is found within.  But for Catholicism the interior division that we experience is caused by our division with God and only when that is healed, can be even begin to experience the “peace with surpasses all understanding” (Phil 4:7 ).  Perhaps it is better not to let our gazes go any further east than Rome and leave Mindfulness to the Buddhists.

Psychological or Demonic?

As followers of Christ, true God and true man, it is hard to avoid the truth that we inhabit two worlds—the seen and the unseen.  This is so basic a tenet of Christianity that we easily forget it and gravitate towards one or the other, the natural or the supernatural.  We have all met people who supernaturalize everything, referring all that happens in our world to the angelic and demonic.  On the other hand there are also those who tend to only accept natural explanations for what happens.  Our Lord however taught us to keep one foot in each of those worlds.  There were the sick whom He healed and those whom He exorcised.  There is perhaps no arena where this dichotomy is more obvious than mental illness.

On the one hand there are those who think that the remedy is simply to pray the problem away.   Prayer must always be part of anyone’s therapy (more on this in a moment) so this is a difficult point to contend.  But for most people prayer isn’t enough.  Or, more accurately, the answer to their prayer is found through the help of therapists.  God rarely acts in a vacuum.  He always uses secondary causes when they are available to carry out works of His Providence.  We may pray and pray for healing, but only receive it when we go to the doctor.  Does this mean that God did not deliver?  Of course not.  He simply wanted to share His power of healing with one of His creatures.

Removing the Stigma

Within Christian circles, mental illness is stigmatized.  Mental health problems are not just problems because someone’s faith or trust in God is not strong enough.  That can always be the case, but it need not be the direct cause.  There are people of incredible faith that nobly carry the cross of mental illness.  If anything, those who think this way are the ones who do not understand the Faith.

An authentic Catholic understanding of the human person, as both body and soul, leads to the recognition that because of our fallen nature, defects in our bodies can spill over into the way we see reality.  Think about the person who is drunk—their judgment is impaired.  Did the alcohol somehow drip into the seat of judgment, the intellect?  No, but when our senses are impaired we cannot judge correctly.  That which is in the intellect, was first in the senses as the Scholastics were fond of saying.

So too with the person with mental illness.  They may have a bodily defect which causes them to judge reality incorrectly.  Or, their early experience or exposure to a trauma may have hindered their ability to judge reality properly.  Perhaps they need a medication to restore the body back to its proper function so that it can send clean data to the intellect.  They may additionally need counseling on how to judge reality correctly.

As an aside, many Catholics fear receiving counseling because the counselor may not be Catholic.  This is a reasonable fear, but just because they are Catholic doesn’t make them good therapists.  What one should look for is someone who has a correct definition of mental health.  Mental health consists in the ability to judge reality correctly.  This means they have an understanding of man as a body/soul composite with a purpose outside of himself.  Only once this is established would you assess their clinical capabilities.  In this regard, it is no different than choosing any other kind of health care provider.  If a cardiologist thinks that a healthy heart is one in which only one ventricle is functioning, you would not choose him, even if he was the most clinically gifted doctor in the world.  Simply asking the therapist what his or her definition of mental health is, can often protect you from wasted time and doing more harm.

Psychology and Catholicism have been in conflict since the advent of modern methods, but this need not be the case.  Anyone who reads St. Thomas’ Summa on human nature and the virtues realizes he would have made an excellent psychologist.  This is because of his correct anthropology.  There has been a rediscovery of sorts of St. Thomas’ works and many schools are teaching them to those training in psychology.

It used to be that anyone who was mentally ill was thought to be possessed.  In this regard the pendulum has swung to the opposite extreme where everyone assumes that the problem is clinical.  However, just because there were cases in the past where a supernatural explanation was sought when there was a natural one, doesn’t mean that they weren’t right some of the time.  Supernatural explanations still remain valid.  While not everyone who is mentally ill is demonically tormented, this does not mean nobody is.  In short, sometimes when someone claims to be hearing voices, they actually are.

A Third Way?

This opens up a third possibility—one in which we acknowledge that we are standing in two different worlds.  This is the one that most people overlook because they fall into an either/or mentality, when in many cases it is both/and.   The person can be suffering from some natural mental illness which is only exacerbated by the presence of the demonic.  The devil is a bully and loves to kick people when they are down, especially when he can hide within some natural illness.

One of my boys suffers from Autism and this has made him a target of the diabolical bully.  It was his condition that attracted the evil one and made it easy for him to hide while he tormented my son.  The demonic oppression got so severe that we had to seek the prayers of an Exorcist.  Through the prayers of Exorcism, he was freed from the oppression.  But, and this is a very important but, he was not healed of his Autism.  His symptoms were greatly reduced and his response to therapy since then has been overwhelmingly positive.  But the clinical condition remained—for that God is using natural means.  For the supernatural problem, He used the supernatural solution of the Rites and Authority of the Church (as a side not, for those of you interested in hearing about my son’s story, I did an interview with my friend Pete for his podcast in which this among other topics related to Spiritual Warfare).

The point is that there are many cases where the problem is really both natural and supernatural.  For the good of the person we need to recognize this as real and likely option.  In the majority of cases it will not be necessary to seek out an Exorcist, but still spiritual remedies will need to be applied.

This is where the “just pray and it will go away” folks have a point.  There is almost always a mixture of the natural and supernatural causes involved and it is always good advice to apply spiritual medicine to all mental health problems.  Prayer alone may not be sufficient, but it is always necessary.  Psychotherapy should always be accompanied by an intense prayer life and an active Sacramental life, including regular Confession and Communion, along with a healthy dose of Eucharistic Adoration.  When someone has been in therapy for a long time, making minimal progress adds these practices to their regular therapy they usually begin running towards mental health.