Self-Belief in a Secular Age: Can Holistic Psychiatry Bridge the Gap?
"Explore how Charles Taylor's philosophy challenges modern psychiatry and the quest for holistic care in a world of fragmented beliefs."
In contemporary Western society, understanding the self has become a complex endeavor, especially with the decline of traditional belief systems. David Crossley's work highlights the importance of Charles Taylor's insights into modern identity and secular society for psychiatric practice. Taylor's exploration of moral dimensions in our understanding of selfhood sheds light on challenges in holistic psychiatry.
Taylor's work encourages us to consider what kind of self is deemed 'good' in our secular age, and how this form influences our self-perception when flourishing. Mental disorders can significantly distort this perception, impacting well-being. However, Western psychiatry often lacks interest in fundamental concepts of selfhood and identity, focusing instead on pathology.
While agreeing with Crossley, this article presents a slightly different perspective on the implications for holistic psychiatry. It emphasizes the need to address the challenges of self-understanding in a secular context, where individuals often grapple with fragmented beliefs and a sense of disconnection.
The Tension Between Self and Holism: Understanding Taylor's Perspective

Crossley highlights the tension between viewing the self as a responsible agent, disengaged and acting instrumentally, and attempts to envision it in broader, more holistic terms. This suggests that the disengaged self is seen as less holistic. While acknowledging concerns about the disengaged self, it's important to recognize that it can have its own holistic self-understanding.
- Inwardness of Self-Identity: Taylor suggests an increased awareness of our self-identity, leading to a sense of being 'buffered' and 'disengaged'.
- Individual Perspective: Individuals perceive themselves as capable of objectively and dispassionately viewing the world from their own standpoint.
- Impact of Mental Disorder: Mental disorders can distort or undermine this sense of self, hindering human flourishing and creating disharmony.
- Therapeutic Goal: The aim is to restore the self to a healthy state of disengagement, which emphasizes objectivity.
Navigating the Treacherous Terrain of Belief: Empathy as the Guiding Light
Taylor argues that our secular age is characterized by a 'malaise of immanence,' marked by a loss of meaning and transcendence. This results in cross-pressures that leave individuals torn between religious belief and unbelief. The proliferation of moral and spiritual options creates a 'nova effect,' leading to mutual fragilization and insecurity.
This phenomenon presents challenges in clinical encounters. The cross-pressured self must become vulnerable to the clinician, who may hold beliefs that implicitly invalidate those of the patient. Clinicians must be aware of their own beliefs and ensure they don't impinge upon the patient's. It's essential to affirm, rather than further fragilize, the patient's beliefs.
Any clinician aiming to be truly holistic must find authentic ways to address belief systems, whether consonant or contrary to their own. Empathy is crucial in clinical engagement, not the dubious objectivity of disengagement. As Crossley notes, language about mental illness can suggest a particular moral status, and professional help is often needed to resolve resulting tensions. Understanding what our patients think and say about themselves and their beliefs is paramount.