• Adamantios Avgoustidis University of Athens



interdisciplinary working


In this presentation, we are called to draw up an outline of the spiritual dimensions of healthcare focusing on the differences between psychologists, psychiatrists, psychotherapists, social workers, priests and chaplains. Some basic questions, which need to be answered, are why we still face so many major problems in the relationships between some of the basic healthcare specialists, including chaplains. Given though, modern therapy and healthcare are multidisciplinary tasks by definition. What is the role of spiritual care in health care? Why are the tensions often sharply visible in the assumptions that chaplains, psychologists and psychiatrists have about each other? We will try to answer these questions by following a spiral ascension which starts from history and moves to recent definitions and the framing of each discipline. From these tensions and assumptions we will move to the boundaries of chaplaincy and the chaplain's identity. Here, some unconscious conflicts of the chaplains will be discussed. Finally, we attempt to formulate some conclusions and proposals on the discussed issues.

Author Biography

Adamantios Avgoustidis, University of Athens

Adamantios Avgoustidis is a Psychiatrist, Theologian, President of the “European Council of Pastoral Care and Counselling (ECPCC) and a lecturer at the University of Athens, School of Theology


ALLEN J.J., The Ministry of The Church, Image of Pastoral Care, St Vladimir’s Seminary Press, NY, USA, 2004.

ANDREASEN N. C., BLACK D. W., Introductory Textbook of Psychiatry, American Psychiatric Publishing, Inc, USA, 2001, pp. 6-7.

BEGZOS M., Psychology of Religion, Ellinika Grammata, Athens, Greece, 1996, pp.8-9, (in Greek) Anton Boisen and the Beginnings of the Clinical Pastoral Education Movement, pp. 60-63.

BONFANTI L., The Witchcraft Hysteria of 1692, Old Saltbox, Massachusetts, USA, 1992.

CABOT R.C., DICKS R., The Art of Ministering to the Sick, Mackmillan, NY, USA, 1936, pg. 3.

CARBINE M.E., Religion, Psychology, and Mental Health: The problem of Partnership, Journal of Religion and Health, Vol. 19, No 1, 1980, pp. 40-47.

CASSEL E. J., Reactions to Physical Illness and Hospitalization. In: Psychiatry in General Medical Practice, G. Usdin, J. M. Lewis (eds), McGraw-Hill, NY, USA, 1979, pp. 103-131.

CORSINI R., Psychiatry, in: The Dictionary of Psychology, J.C. Reil, J.C. Heinroth, E.von Feuchtersleben (eds), Brunner/Mazel, Taylor and Francis Group, USA, 2002, pg. 777.

CRAPPS R.W., Augustine of Hippo, in: Dictionary of Pastoral Care and Counseling, Abington Press, USA, 1990, pp. 57-58.

CUNNINGHAM R.J., The Emmanuel Movement: A Variety of American Religious Experience, American Quarterly, Vol. 14, Spring 1962, pp. 48-63.

DEPOORTERE K., A Different God, A Christian Overview of Suffering, Peeters Press Louvain – W. B. Eerdmans, Belgium, 1995, pg. 8.

DOHRENWEND B.S, DOHRENWEND B.P., Stressful Life Events and their Context, Rutgers University Press, New Brunswick, 1984.

DRAPER E., Psychiatry and Pastoral Care, Fortress Press, USA, 1970, pg. 21.

FAHRER R., LIPSITT D., Integration of Psychiatry, Medicine and Primary Care, Its’ Importance for the Future of Psychiatry, in: Advances in Psychiatry, G. N. Christodoulou (ed), Beta Medical Publishers, Greece, 2002, pp. 147-152.

FOSKET J., The Need for an Order of Pastoral Care Bound to End in Tears, The Journal of Pastoral Care and Counseling, Vol. 59, No 3, Fall 2005, pp. 279281.

FREUD S., Psychoanalysis and Faith, The Letters of Sigmund Freud and Oscar Pfister, H. Meng, E.L. Freud (eds.), Basic Books, New York, 1963, pg. 17.

GERKIN C.V., The Social Gospel Movement, in: An Introduction to Pastoral Care, Abington Press, Nashville, USA, 1997, pp. 57-60

HARTOKOLIS P., An Introduction into Psychiatry, Themelio, Greece, 1991, pp. 37-39 (in Greek).

GUGGENBÜHL – GRAIG A., Power in the Helping Professions, Spring Publications, Zürich, 1971, pp. 5-9.

HALL C.E., Head and Heart, The Story of the Clinical Pastoral Education Movement, Journal of Pastoral Care Publications Inc., USA, 1992.

HEITINK G., Practical Theology, History, Theory, Action Domains, William B. Eerdmans Publishing Co, UK, 1999.

HERGENHAHN B.R., An Introduction to the History of Psychology, Wadsworth, USA, 2001.

JACOBS M., Still Small Voice, An Introduction to Pastoral Counseling, SPCK, UK, 1982.

JONES E., The Life and Work of Sigmund Freud, Basic Books Inc, UK, 1961.

JONSON D., Self – Understanding in Pastoral Counseling, in: The Ministers Own Mental Health, W.E. Oates (ed), Channel Press Inc., USA, 1961, p. 140.

KAPLAN H.I., SADOCK B.J., Synopsis of Psychiatry, Behavioral Sciences, Clinical Psychiatry, Williams & Wilkins, USA, 1988, pg. 2.

KOENIG H.G., LARSON D.B., Religion and Mental Health: evidence for an association, International Review of Psychiatry, Vol. 13, 2001, pp. 6778.

KRAMER H., SPRENGER J., The Malleus Maleficarum, (1487), (trans. M. Summers), Dover, NY, USA, 1971.

LARCHET J-C., The Theology of Illness, St Vladimir’s Seminary Press, Crestwood, New York, 2002.

LOEWENTHAL K.M., Mental Health and Religion, Charman & Hall, London, UK, 1995.

LOEWENTHAL K. M., The Psychology of Religion: A Short Introduction, Oneworld Publications, Oxford, 2000.

MOYER F.S., Pastoral Care in the Hospital, The Journal of Pastoral Care, Vol. XLIII, No 2, Summer 1989, pp. 171-183.

MUSE S., Physicians for this World and the Next, in: Raising Lazarus, Integral Healing in Orthodox Christianity, Holy Cross Orthodox Press, Brookline, Massachusetts, USA, 2004, pg. 4.

NILSSON M.P., A History of Greek Religion, Oxford University Press, USA, 1949.

OATES W.E., Behind the masks, Personality disorders in Religious Behavior, The Westminster Press, USA, 1987.

OLSON D.H., DeFRAIN J., Marriage and the Family, Diversity and Strengths, Mayfield Publishing Company, USA, 1994, pg. 132.

PFISTER O., Das Christentum und Angst, Zürich, 1944.

RABKIN J., STRUENING E., Life Events, Stress and Illness, Science, Vol. 194, 1976, pp. 1013-1020.

RICHARDS Gr., Putting Psychology in its Place, a Critical Historical Overview, Psychology Press, UK, 2002.

ROBINSON D.N., An Intellectual History of Psychology, The University of Wisconsin Press, USA, 1986.

SCHERZER C. J., Ministering to the Physically Sick, Fortress Press, Philadelphia, USA, 1971.

STEFANIS C.N, ECONOMOU M.P., Perspectives on the Stigma of Mental Illness, A. Okasa, C. N. Stefanis (eds), World Psychiatric Association, 2005, pg. 8.

VANDERPOOL H., Religion and Medicine: A Theoretical Overview, Journal of Religion and Health, Vol. 19, No 1, 1980, pp. 7-17.

WEISMAN R., Witchcraft, Magic and Religion in 17th-Century Massachusetts, The University of Massachusetts Press, USA, 1984.

WORCESTER E., McCOMB S., Body, Mind and Spirit, Marshall Jones Co, Boston, USA, 1931.



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