University Press of America
Pages: 308
Trim: 6 x 9
978-0-7618-4182-1 • Paperback • September 2008 • $64.99 • (£50.00)
Donald D. Denton, Ph.D., is Coordinator of Assessments and Publications at Virginia Institute of Pastoral Care. A Licensed Professional Counselor and Licensed Marriage and Family Therapist, he is also a Fellow in the American Association of Pastoral Counselors.
Part 1 Part I. The Structure of Diagnosis
Chapter 2 Chapter 1: The Purpose of Diagnosis
Chapter 3 Chapter 2: The Types of Diagnostic Systems
Chapter 4 Chapter 3: Is It Diagnosis or Assessment?
Chapter 5 Chapter 4: Non-Clinical Diagnostic Systems
Part 6 Part II. Ethical Guilt: the Feeling of Blame
Chapter 7 Chapter 5: Realistic and Subjective Guilt
Chapter 8 Chapter 6: Punishment and Seeking Redress
Chapter 9 Chapter 7: Forgiveness, Reconciliation and Restoration
Chapter 10 Chapter 8: Illustrative Vignettes
Part 11 Part III. Idolatry: the Feeling of Betrayal
Chapter 12 Chapter 9: Knocking on Heaven's Door
Chapter 13 Chapter 10: Feeling Terror and Expressing Rage
Chapter 14 Chapter 11: Confession, Lament, and Hope
Chapter 15 Chapter 12: Illustrative Vignettes Resumed
Part 16 Part IV. Dread: the Feeling of Defilement
Chapter 17 Chapter 13: Waking up In Gomorrah
Chapter 18 Chapter 14: Feeling Abandoned and Receiving Cleansing
Chapter 19 Chapter 15: Communion, Vocation and Joy
Chapter 20 Chapter 16: Illustrative Vignettes Concluded
Part 21 Part V. Special Considerations for Special Cases
Chapter 22 Chapter 17: What About Children?
Chapter 23 Chapter 18: What About Substance Abuse?
Chapter 24 Chapter 19: What About Stress Disorders?
Chapter 25 Chapter 20: What About Mass Bereavement?
Part 26 Part VI. Summary
Chapter 27 Chapter 21: Wither DSM-V and Axis VI?
Chapter 28 Chapter 22: Secular Counseling in a Spiritual Society
Denton's book is a modern masterpiece. It is, in some ways, at the mainspring of modern diagnoses. It places diagnoses and patient care within a cultural context. In particular, Denton is most concerned with the spiritual context of mental health disorders. He suggests that spiritual diagnoses could be centered on blame, betrayal, and defilement as dimensions, or even axes, on which disorders—that must be interpreted in light of the web of meaning in which people experience them—can be better understood. He takes spirituality seriously, and poses a serious challenge to the next generation of the DSM (DSM-V), also to consider spirituality in more nuanced detail than merely making a nod and a wink at its importance. This book should be read by anyone engaged in understanding mental health diagnoses and treatment in cultural context.
— Everett L. Worthington, Ph. D., Professor of Psychology, Virginia Commonwealth University, Richmond, Virginia.
Even the most conservative of mental health diagnosticians ought to find Denton's volume an eye-opener, if only to take very, very, very seriously Axis IV of the Diagnostic and Statistical Manual of Mental Disorders. Whether a clinician be secular or religious, he or she should find Naming the Pain and Guiding the Care, rich and potentially expansive material to take into account in many diagnostic categories, including the V-code 62.89, Religious or Spiritual Problem. A must-read for those who desire to acknowledge the person-culture dynamic.
— Orlo C. Strunk, Jr., Ph. D., Professor Emeritus of Psychology of Religion & Pastoral Psychology, Boston University; Managing Editor, The Journal of Pasto
Naming the Pain and Guiding the Care not only builds on his first volume, Religious Diagnoses in a Secular Society, but advances the field both conceptually and pragmatically, a rare and notable accomplishment indeed. . . . one has to say that the spiritual and religious experiences of a human being, touch the most sensitive cord of the science vs. humanism dichotomy. The book ends with a suggestion and a challenge: Will there be any intentional integration of the spiritual or religious diagnoses within the official lexicon of diagnosis?
— Renato D. Alacron, M. D., Chairman, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.
Pastoral counselors / psychotherapists will find in Don Denton's second volume on diagnosis a responsible, readable and realistic approach to diagnosing the whole person, taking the bio-psycho-social spiritual forces into account. Although this is something that has been implicit in the formation and education of pastoral counselors, it too often has been truncated in the face of managed care and the demands of short-term treatment. This volume ought to find a place in correcting much of the superficial treatment approaches that characterize much of what passes for mental health care in the 21st century.
— Orlo C. Strunk, Jr., Ph. D, Professor Emeritus of Psychology of Religion & Pastoral Psychology, Boston University; Managing Editor, The Journal of Pasto
Naming the Pain and Guiding the Care is an important text within the world of pastoral theology. It assists in building a bridge between human and sacred sciences. It offers a diagnostic schema that is grounded in pastoral theology and resonant with the deep themes that reside at the core of our humanity. Given these qualities, my thought is that the text would be of great benefit to pastoral clinicians, parish clergy, spiritual directors, emergency measure personnel, clinical pastoral educators, and theological schools. Another group for whom the book would be of us are secular psychotherapists who are sensitive to the spiritual themes that arise during a therapeutic process, and who are interested in expanding their theoretical perspective . . . Denton has produced a significant resource, one that begins and ends with an emphasis on the moral demands that are placed on those willing to accurately respond to the experience of pain.
— The Journal Of Pastoral Care and Counseling, Spring/Summer 2009
A truly comprehensive diagnostic approach, Denton's thesis enriches and makes meaningful the shibboleth that clinicians take into account culture forces in arriving at an authentic diagnosis of real people in a real world. Naming the Pain and Guiding the Care ought to be in every clinician's library and on the required reading list of every professor who teaches courses in diagnosis and psychopathology.
— Orlo C. Strunk, Jr., Ph. D., Professor Emeritus of Psychology of Religion & Pastoral Psychology, Boston University; Managing Editor, The Journal of Pastoral
I wanted to tell you how much your book Naming the Pain and Guiding the Care has helped me. I'm in the process of preparing to teach Diagnosis and Treatment Planning. Thank you for your thoughtfulness in working through these spiritual issues which need attention.
— Ned Stewart, Professor and Lecturer, Thailand Baptist Theological Seminary