Spiritually Integrated Treatment of Depression: A Conceptual Framework

Table 1

A framework for intervention.

	Identity	Hope	Meaning/purpose	Morality	Connection
Emotional; (I feel…)	As if I don’t; know who I am	Despairing	Directionless	Guilty	Lonely
Insight oriented, CBT
Existential; (I experience the world as if…)	there is nothing; special about me	Life is; hopeless	Life is; meaningless	I am guilty	I am alone
Spiritually oriented; Rx
Spiritual (I’m inclined to believe…)	God is punishing/ignoring me	No ultimate basis for hope exists	The universe is random and empty	No ultimate basis for morality exists	I am rejected by God/ultimately alone