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  1. Elsa Coimbra says:

    I wish to thank Emma for posting this important article and I would like to share some impressions on my first reading (apologies for a somewhat simplified analysis). I strongly salute the authors’ work in seeking to “ to integrate spiritual, clinical, and scientific paradigms to promote beneficial outcomes and avoid harmful ones” (p.17). This is by no means an easy task, because the gaps and the entrenchment of different worldviews runs deep.
    Also on a positive note, I liked the discussion around the popular concept of “altered states of consciousness”. I too disagree with the superficial acceptance of the latter. It is very good to see the inclusion of some knowledge of wisdom traditions particularly around “knowledges of suffering”. This, in one hand, counteracts the cultural proclivity for avoiding suffering as potentially fertile and meaningful in the human condition, not least in the meanders of mental health (such proclivity goes hand in hand with rushing to suppress symptoms rather than sourcing deep causes). On the other hand it opens up a much needed understanding about what is and is not detrimental in a process of spiritual emergence. Overall, it places the focus on individual process. That, in turn, pushes for a broader evolutionary cosmology of human development beyond the materialistic viewpoint to which psychiatry, unfortunately, is often in bondage with.
    The interesting discussion on the term spiritual (and the reasons why the authors wish to avoid ‘spiritual’ emergence) is complex and debatable. Here starts what I consider shortcomings regarding the ontological and epistemological frame (aka worldview/paradigm) of the article.
    When the authors pose the possibility of “there are not necessarily any intrinsically spiritual experiences” (p.13) they could equally pose the assertion ‘all experiences are intrinsically spiritual’. The reason they don’t do that is because they are coming from an atheistic viewpoint in which “(…) spirituality and religion are not primarily phenomenological, but mostly cultural and contextual, related to individual and collective meaning-making, respectively”. And, like most atheists, have difficulties in understanding that atheism too is a belief system, along side Jainism or any other cosmology.
    From here, they stumble and fall in another classic atheistic trap, namely the clunky and often tense opposition between subjectivity and objectivity, regarding the first as avoidable and the second as desirable means to neutrality. More specifically, their way of understanding the reality of spiritual phenomena a) doesn’t integrate the first person knowledge and b) and doesn’t seem to be conscious of their own rational atheistic perspective and the consequences therein.
    In congruence with this ontological position, they adopt what methodologically is the etic, not emic perspective (the “emic” approach is an insider’s perspective, the “etic” is an outsider’s perspective), assuming that good science can only be etic: “We explicitly aim to avoid directly contradicting the core assumptions of major scientific and orthodox traditions, and instead adopt a clinically pragmatic stance which focuses on what frameworks add value to care, improve outcomes and human flourishing” (p.11).
    Impressively encompassing, the article is still operating within the confines of rational-empirical science with the familiar emphasis on accumulating data in a somewhat mechanical manner. Their methodology is therefore conventional, as they proceed to map bottom up all manner of phenomena, creating categories derived from empirical observation applied to what is the inner life, in yet another taxonomy. Knowing the profoundly fluid and interactive nature of the soul, this may prove to be not too wise an enterprise…
    The recognition that their own viewpoint stems from a rational-logic approach doesn’t seem to be obvious to the authors. When they declare “we are interested in the pre-reflexive level associated with specific experiences and less about how they are related at the reflexive level”. For those that feel they are inside a spiritual emergence process, does this article convey a sense that the authors “grok” what is going on?
    The other typical trait of a materialistic informed science is displaying a naif wish to reach neutrality, including juggling ethics to avoid bias or what the authors’ call “cultural baggage”. What they fail to recognise is that there are ways of knowing that can lift beyond detrimental bias and cultural debris, that work beyond assumptions and cultural conditioning but that are not rational but trans-rational in nature (that include and transcend the rational).
    Fortunately such knowledge is emerging too ? announcing a new, more integrative way of doing science, one that includes first person (“subjective”) and second person (intersubjective) knowledge. One that goes beyond the mere outer form of things (natura naturata) to discern a more inner nature (natura naturans) that is not simply descriptive but participatory and empathic. For more on this, I suggest reading material on Goethe’s way of science with its ‘organic’ logic – which demands life-experience (rather than the scientific experience associated with inorganic logic).
    To conclude, this rather long list of observations by no means wishes to diminish the recognition of the impressive amount of work, good will and relevance that sustains this article. In my view, it comes across as a very honest and committed way of establishing bridges that hopefully will transform the way mental health is being carried forth, in particularly using spiritual emergence as key stone for a new social architecture.

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