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Mental Illness and Faith in Christian Perspective

Christian perspectives on mental illness are varied, but generally acknowledge suffering and seek to integrate faith with understanding and care. The Bible frequently addresses physical sickness and distress, often linking them to sin or divine judgment, but also portraying God's compassion and healing [5].

The Old Testament, as interpreted by Torrey's Topical Textbook, describes sickness as sometimes sent by God, or permitted by Him for the devil to inflict, as seen in the case of Job [5]. It can also be a consequence of intemperance or a punishment for sin [5]. However, God also promises and exhibits healing, demonstrating His mercy, power, and love [5]. Despair, a state often associated with mental distress, is depicted as a consequence of divine judgments for the wicked, leading to continued sin and blasphemy [4]. Yet, saints are sometimes tempted to despair but are enabled to overcome it through trust in God [4]. Cain, Ahithophel, and Judas are cited as examples of individuals who succumbed to despair [4].

The New Testament continues to address illness and suffering. The Apostle Paul, in his letter to the Philippians, mentions Epaphroditus's severe sickness, stating, "For indeed he was sick, nearly to death, but God had mercy on him; and not on him only, but on me also, that I might not have sorrow on sorrow" [2]. John Gill, in his commentary on Philippians, notes that Epaphroditus's illness was "not a light disorder, a slight indisposition, but a very dangerous illness" [20]. This passage highlights that even devoted individuals can experience severe illness and that God's mercy is evident in their recovery [2, 20]. The book of James also speaks to sickness, stating, "and the prayer of faith will heal him who is sick, and the Lord will raise him up. If he has committed sins, he will be forgiven" [1]. This verse connects prayer, faith, healing, and forgiveness of sins, suggesting a holistic approach to well-being that encompasses both physical and spiritual dimensions [1].

The concept of "spiritual blindness" is also relevant, as it describes a state of spiritual inability to perceive divine truth, which can be seen as a form of mental or spiritual affliction. Torrey's Topical Textbook explains spiritual blindness as an effect of sin, unbelief, and uncharitableness, and even a work of the devil [3]. It leads to evil and can affect even ministers, while the wicked and self-righteous are often described as being in this state [3]. However, it is noted that spiritual blindness can be consistent with communion with God, implying a complex relationship between spiritual perception and one's walk with God [3].

The compassion of Christ is a central theme in addressing suffering. Torrey's Topical Textbook emphasizes Christ's compassion and sympathy as necessary for his priestly office [6]. He manifested this compassion for the weary, heavy-laden, weak in faith, tempted, afflicted, diseased, poor, and perishing sinners [6]. This compassion serves as an encouragement to prayer [6]. John Chrysostom, an early Church Father, frequently commented on various biblical texts, often emphasizing the spiritual and moral dimensions of human experience, which would include mental states, though not using modern psychological terminology [9, 11, 14, 17].

Reformed theologians like John Calvin, in his commentaries on Isaiah and Genesis, often interpret suffering and human frailty within the broader context of God's sovereignty and humanity's fallen state [7, 8, 13, 16, 18, 19]. While not directly addressing "mental illness" as a modern medical category, his theological framework would understand such conditions as part of the brokenness of creation due to sin, yet also subject to God's providential care and redemptive work. The Jamieson, Fausset & Brown commentary, a Presbyterian work, interprets "work of faith" as the "working reality of your faith; its alacrity in receiving the truth, and in evincing itself by its fruits," not merely an "otiose assent" [10]. This highlights the active and transformative nature of faith, which can be a source of strength in times of distress. The same commentary also connects "peace" with the "work" of righteousness, suggesting internal and external well-being [15].

The historical development of Christian thought on mental illness has evolved. Early Christian writers, while not having a modern understanding of mental health, often viewed severe mental distress through a spiritual lens, sometimes attributing it to demonic influence or sin, but also recognizing the need for care and compassion. Over time, as medical understanding advanced, Christian thought began to differentiate between spiritual and physical causes of mental distress, though the spiritual dimension often remained significant. The emphasis on Christ's compassion and the role of prayer and faith has remained consistent across various traditions [1, 6].

It is important to distinguish mental illness from spiritual failings. While some biblical passages link sickness or despair to sin [3, 4, 5], this does not mean that all mental illnesses are a direct result of personal sin or a lack of faith. The Bible also presents instances of suffering that are not directly attributed to personal sin, such as Job's trials or Epaphroditus's illness [2, 5]. The emphasis on God's mercy and Christ's compassion for the afflicted suggests a pastoral approach that recognizes suffering as a part of the human condition, regardless of its immediate cause [2, 6]. The "hope of Israel," as interpreted by Jamieson, Fausset & Brown on Ephesians, refers to the anticipation of Christ's coming and the salvation he brings, offering a foundational hope that can sustain individuals through various trials, including mental distress [12].

Sources

  1. James “and the prayer of faith will heal him who is sick, and the Lord will raise him up. If he has committed sins, he will be forgiven. -- James 5:15”
  2. Philippians “For indeed he was sick, nearly to death, but God had mercy on him; and not on him only, but on me also, that I might not have sorrow on sorrow. -- Philippians 2:27”
  3. Torrey's Topical Textbook “Torrey's Topical Textbook: Blindness, Spiritual — Explained -- Joh 1:5; 1Co 2:14. The effect of sin -- Isa 29:10; Mt 6:23; Joh 3:19,20. Unbelief, the effect of -- Ro 11:8; 2Co 4:3,4. Uncharitableness, a proof of -- 1Jo 2:9,11. A work of the devil -- 2Co 4:4. Leads to all evil -- Eph 4:17-19. Is consistent with communion with God -- 1Jo 1:6,7. Of ministers, fatal to themselves and to the people -- Mt 15:14. The wicked are in -- Ps 82:5; Jer 5:21. The self-righteous are in -- Mt 23:19,26; Re 3:17. The wicked wilfully guilty of -- Isa 26:11; Ro 1:19-21. Judicially inflicted -- Ps 69:23; Isa 29:10”
  4. Torrey's Topical Textbook “Torrey's Topical Textbook: Despair — Produced in the wicked by divine judgments -- De 28:34,67; Re 9:6; 16:10. Leads to Continuing in sin. -- Jer 2:25; 18:12. Blasphemy. -- Isa 8:21; Re 16:10,11. Shall seize upon the wicked at the appearing of Christ -- Re 6:16. Saints sometimes tempted to -- Job 7:6; La 3:18. Saints enabled to overcome -- 2Co 4:8,9. Trust in God, a preservative against -- Ps 42:5,11. Exemplified Cain. -- Ge 4:13,14. Ahithophel. -- 2Sa 17:23. Judas. -- Mt 27:5.”
  5. Torrey's Topical Textbook “Torrey's Topical Textbook: Sickness — Sent by God -- De 28:59-61; 32:39; 2Sa 12:15; Ac 12:23. The devil sometimes permitted to inflict -- Job 2:6,7; Lu 9:39; 13:16. Often brought on by intemperance -- Ho 7:5. Often sent as a punishment of sin -- Le 26:14-16; 2Ch 21:12-15; 1Co 11:30. One of God's four sore judgments on a guilty land -- Eze 14:19-21. God Promises to heal. -- Ex 23:25; 2Ki 20:5. Heals. -- De 32:39; Ps 103:3; Isa 38:5,9. Exhibits his mercy in healing. -- Php 2:27. Exhibits his power in healing. -- Lu 5:17. Exhibits his love in healing. -- Isa 38:17. Often manifests saving grace to”
  6. Torrey's Topical Textbook “Torrey's Topical Textbook: Compassion and Sympathy of Christ, The — Necessary to his priestly office -- Heb 5:2,7. Manifested for the Weary and heavy-laden. -- Mt 11:28-30. Weak in faith. -- Isa 40:11; 42:3; Mt 12:20. Tempted. -- Heb 2:18. Afflicted. -- Lu 7:13; Joh 11:33,35. Diseased. -- Mt 14:14; Mr 1:41. Poor. -- Mr 8:2. Perishing sinners. -- Mt 9:36; Lu 19:41; Joh 3:16. An encouragement to prayer -- Heb 4:15.”
  7. CCEL (Reformed) “Calvin, Commentary on Isaiah, Vol. 2, section 53.2: 64:7 66:24 Jeremiah 4:31 5:8 5:28 7:4 7:4 9:1 10:23 10:24 10:24 11:21 17:1 17:5 18:16 19:6 19:8 22:24 22:28 25:9 25:13 25:18 28:10 28:11 30:11 31:15 43:2 48:2 50:11 Lamentations 1:7 2:5 2:8 3:29 Ezekiel 15:3 16:26 20:11 20:24 20:25 26:2 26:14 37:1 43:15 43:15 47:11 Daniel 5:28 5:30 5:31 7:10 7:17 8:20 Hosea 1:7 6:4 8:14 9:6 13:3 Joel 1:13 2:13 2:23 2:28 Amos 1:3 3:6 4:1 4:1 5:10 5:19 8:11 Micah 1:3 1:11 2:11 7:9 7:16 Nahum 3:8 Habakkuk 2:1 2:1 2:1 2:2 3:2 3:2 3:13 Zechariah 9:14 13:4 14:3 Malachi 1:4 1:11 4:2 Matthew 2:14 3:12 3:12 3:12 3:12 ”
  8. CCEL (Reformed) “Calvin, Commentary on Genesis, Vol. 1 (Gen 1-23), section 28.1: Index of Scripture References Genesis 1:1-6 1:1-31 1:2 1:28 1:29-30 2:1 2:1-25 2:15 2:19 3:1 3:1-24 3:7 3:16 4:1 4:1-26 4:7 5:1 5:1-32 6:1 6:1-22 6:11-16 7:1-24 7:11 8:1-22 9:1 9:1 9:1-29 9:2 9:24 10 10:1 10:1 10:1-32 10:21 11:1 11:1 11:1-32 11:28 12:1 12:1 12:1 12:1-20 12:4 12:4 12:6 13:1 13:1-20 14:1-24 15:1-21 15:7 16:1-16 16:2 16:8 17:1 17:1 17:1 17:1 17:1-27 18:1 18:1 18:1-33 18:19 19:1-38 20:1 20:1 20:1-18 21:1-34 21:15 22:1-24 22:18 23:1-20 24:31 25:1 25:13-16 35:7 48:1 Exodus 6:3 12:40 Leviticus 7:18 17:4 18:25 Numbers 6:2”
  9. CCEL/NPNF (Eastern Orthodox) “John Chrysostom, Homilies on Acts & Romans: Index of Scripture References Genesis 1:26 2:10 2:18 2:21 2:21 2:24 2:24 2:24 3:5 3:6 3:11 3:16 3:16 3:16 3:19 3:19 4 4:2 4:6 4:7 4:7 4:7 4:9 4:9 4:10 4:10 4:10 4:11 4:14 6:3 6:3 6:9 9:5 9:20 9:22 11:8 11:31 12:3 12:7 12:7 14:14 15:12 15:13-14 18:3 18:3 18:3 18:7 18:17 18:19 18:27 18:33 21:12 22:3 22:18 25:33 27:27 27:41 27:45 28:12 28:20 29:23 30:1-2 31:7 31:15 31:40 32:10 32:21 32:28 32:29 33:19 37:18 39:1-20 40:23 41:40 41:42-43 42:21 45:5 45:5 45:9 45:24 48:16 49:7 60:8 Exodus 1:14 1:22 2:11 2:13 2:15 2:22 3:1 3:2 3:2 4:10 4:22 5:2 9:11 17:4 18:2”
  10. 1 Thessalonians (Presbyterian) “Jamieson, Fausset & Brown on 1 Thessalonians 1:3: work of faith--the working reality of your faith; its alacrity in receiving the truth, and in evincing itself by its fruits. Not an otiose assent; but a realizing, working faith; not "in word only," but in one continuous chain of "work" (singular, not plural, works), Th1 1:5-10; Jam 2:22. So "the work of faith" in Th2 1:11 implies its perfect development (compare Jam 1:4). The other governing substantives similarly mark respectively the characteristic manifestation of the grace which follows each in the genitive. Faith, love, and hope, are the ”
  11. CCEL/NPNF (Eastern Orthodox) “John Chrysostom, Homilies on John & Hebrews: Index of Scripture References Genesis 1:1 1:2 1:3 1:20 1:26 1:26 2:7 2:17 2:18 3:5 3:9 3:9 3:10 3:16 3:18 3:19 4:4 4:7 4:7 4:9 4:10 6:2 6:5 6:9 7:1 11:4 12:1 12:7 12:7 13:15 13:15 15:5 15:6 17:14 18 18 18:15 18:17 18:21 18:21 21:12 22:1 22:1-2 22:12 23:4 25:27 26:18-22 27:41 28:20 37:7 37:9 37:10 47:9 47:9 47:31 49:9 Exodus 2:14 2:14 2:14-15 3:6 3:14 6:9 12:3 12:46 14:21 17:12 17:12 19 19:16 19:16 19:18 19:19 19:19 19:19 19:20 19:20 20:9 20:13 20:19 20:21 23:3 32:10 33:13 33:20 35:23 Leviticus 15:18 Numbers 5 6:3 9:12 11:12 14:3 14:29 16:5 17:12 Deu”
  12. Ephesians (Presbyterian) “Jamieson, Fausset & Brown on Ephesians 1:12: (Eph 1:6, Eph 1:14). who first trusted in Christ--rather (we Jewish Christians), "who have before hoped in the Christ": who before the Christ came, looked forward to His coming, waiting for the consolation of Israel. Compare Act 26:6-7, "I am judged for the hope of the promise made of God unto our fathers: unto which our twelve tribes, instantly serving God day and night, hope to come." Act 28:20, "the hope of Israel" [ALFORD]. Compare Eph 1:18; Eph 2:12; Eph 4:4.”
  13. CCEL (Reformed) “Calvin, Commentary on Isaiah, Vol. 1, section 23.2: 62:10 65:20 65:24 Jeremiah 1:6 1:17 2:21 2:21 7:4 7:4 7:21 7:22 9:23-24 9:26 10:14 17:5 17:5 22:7 23:5 23:19 23:36 25:11-12 29:10 30:9 30:9 31:34 32:18 33:15 41:5 48:7 48:13 48:29 48:30 48:32 48:32 48:32 48:34 Lamentations 2:22 3:22 Ezekiel 4:16 13:9 18:20 20:22 34:23 34:23 36:25 37:11-12 37:16 37:24 37:24 47:1 47:1 Daniel 2:44 7:10 7:14 7:27 9:24 9:27 Hosea 2:5 2:13 2:18 2:19-20 2:23 3:4 3:5 6:6 13:11 14:2 14:9 Joel 2:31 2:32 2:32 Amos 2:4-5 3:11 5:11 5:18 5:20 5:21 6:11 9:11 9:11 Jonah 1:2 3:10 Micah 1:16 5:10 6:7-8 7:8 Habakkuk 1:16 2:2 2:”
  14. CCEL/NPNF (Eastern Orthodox) “John Chrysostom, Homilies on Acts & Romans: 1:19 1:20 1:20 2:1-2 2:2 2:8 2:8 2:9 2:9 2:12 2:14 2:14 2:15 3:2-9 3:5 3:8-12 3:16 4:13 4:13 4:19 5:5 5:6 5:16 5:20 5:23 5:23 6:2 6:8 6:9 6:9 6:10 6:10 6:13 2 Timothy 1:5 1:5 1:16 2:9 2:9 3:2 3:12 3:15 4:6 4:6 4:10 4:11 4:11 4:13 4:15 4:17 4:20 Titus 1:7-9 1:12 1:12 1:16 2:12 3:5 Philemon 1:1 1:2 1:2 1:9 1:22 5:13 Hebrews 1:5 1:14 2:2 2:2 5:11-12 6:9 8:11 8:13 9:16 9:26 9:26-28 10:12 10:24 10:28-29 10:28-29 10:29 10:34 10:37 11:31 12:2 12:24 12:29 13:3 13:3 13:10 13:17 13:17 13:21 13:22 13:24 James 1:9 1:18 2:6 2:23 3:4 4:6 5:14-15 5:17 1 Peter 3:21 ”
  15. Isaiah (Presbyterian) “Jamieson, Fausset & Brown on Isaiah 32:17: work--the effect (Pro 14:34; Jam 3:18). peace--internal and external.”
  16. CCEL (Reformed) “Calvin, Commentary on Isaiah, Vol. 1, section 29.2: 62:10 65:20 65:24 Jeremiah 1:6 1:17 2:21 2:21 7:4 7:4 7:21 7:22 9:23-24 9:26 10:14 17:5 17:5 22:7 23:5 23:19 23:36 25:11-12 29:10 30:9 30:9 31:34 32:18 33:15 41:5 48:7 48:13 48:29 48:30 48:32 48:32 48:32 48:34 Lamentations 2:22 3:22 Ezekiel 4:16 13:9 18:20 20:22 34:23 34:23 36:25 37:11-12 37:16 37:24 37:24 47:1 47:1 Daniel 2:44 7:10 7:14 7:27 9:24 9:27 Hosea 2:5 2:13 2:18 2:19-20 2:23 3:4 3:5 6:6 13:11 14:2 14:9 Joel 2:31 2:32 2:32 Amos 2:4-5 3:11 5:11 5:18 5:20 5:21 6:11 9:11 9:11 Jonah 1:2 3:10 Micah 1:16 5:10 6:7-8 7:8 Habakkuk 1:16 2:2 2:”
  17. CCEL/NPNF (Eastern Orthodox) “John Chrysostom, Homilies on Galatians–Colossians–Thessalonians: Index of Scripture References Genesis 1:11 1:11 1:26 1:26 1:26 1:27 1:27 1:27 1:31 1:31 2:2 2:7 2:17 2:17 2:18 2:23 2:24 2:24 2:24 3:5 3:16 3:24 4 4:9 4:14 6:2 6:3 6:4 6:9 6:12 7:7 8:21 12:1 12:4 12:16 13:10 13:10-11 14:14 14:21-23 15:16 16:5 16:6 17:8 18:11 18:12 18:14 18:21 19:13 19:14 19:24 21:10 21:12 21:12 22:7-8 22:16 22:18 22:18 24:1-67 24:22 24:65 25:21 25:21 26:4 27:46 28:1 28:13 31:42 31:45 32:48 35:18 37:9-10 37:20 39:1 39:6 40:4 40:7 40:8 40:14-15 40:22 41 41:16 42:36 43:14 43:30 45:5 48:15-16 49:9 64:28 Exodus 2:11 2”
  18. CCEL (Reformed) “Calvin, Commentary on Isaiah, Vol. 1, section 23.4: 29:10 30:9 30:9 31:34 32:18 33:15 41:5 48:7 48:13 48:29 48:30 48:32 48:32 48:32 48:34 Lamentations 2:22 3:22 Ezekiel 4:16 13:9 18:20 20:22 34:23 34:23 36:25 37:11 37:12 37:16 37:24 37:24 47:1 47:1 Daniel 2:44 7:10 7:14 7:27 9:24 9:27 Hosea 2:5 2:13 2:18 2:19 2:20 2:23 3:4 3:5 6:6 13:11 14:2 14:9 Joel 2:31 2:32 2:32 Amos 2:4 2:5 3:11 5:11 5:18 5:20 5:21 6:11 9:11 9:11 Jonah 1:2 3:10 Micah 1:16 5:10 6:7 6:8 7:8 Habakkuk 1:16 2:2 2:2 Zephaniah 1:5 1:7 Haggai 2:9 Zechariah 2:8 2:8 3:2 6:12 Malachi 2:10 4:3 4:4 Matthew 1:5 3:2 4:15 4:16 5:10 5:11 ”
  19. CCEL (Reformed) “Calvin, Commentary on Isaiah, Vol. 2, section 53.1: Index of Scripture References Genesis 1:1 1:27 1:27 3:17 3:17 3:18 4:11 4:13 4:14 6:5 7:11 8:1 10:4 10:11 11:29 11:31 11:31 12:1 12:1 12:17 14:6 14:16 15:1 17:7 17:7 19:24 19:37 20:2 20:8 20:14 21:2 21:5 25:1 25:14 25:14 27:38 27:38 32:3 32:10 32:12 36:8 36:9 Exodus 3:8 7:13 8:15 13:3 13:5 13:8 13:14 13:17 14:14 14:21 14:22 15:10 17 18:21 19:5 19:6 19:6 19:6 19:6 20:1 20:2 20:24 20:25 23:32 27:1 29:45 33:3 34:6 34:6 34:15 34:30 Leviticus 19:9 19:10 26:3-13 26:8 26:12 26:12 26:16 Numbers 3:1-4:49 10:36 12:6 13:22 23:19 24:13 30:3 32:34 Deutero”
  20. Philippians (Baptist/Reformed) “John Gill on Philippians 2:26: For indeed he was sick nigh unto death,.... It was not a mere rumour, or a false alarm, but was real matter of fact; and it was not a light disorder, a slight indisposition, but a very dangerous illness; though the sickness was not unto death, yet near it. Good men, such as Christ loves, as he did Lazarus, are sometimes sick; though their spiritual diseases are healed, and their sins forgiven, so that the inhabitants of Zion have no more reason to say that they are sick, since Christ has took their infirmities, and bore their sickness, yet they are not exempt fro”
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