Mental Health
by Allen E. Bergin
Encyclopedia of Mormonism, 1-4
vols., edited by Daniel H. Ludlow (New York: Macmillan, 1992), 890
© 2001, Deseret Book, GospeLink 2001, Used
by permission
Recognizing the need for
mental health services, The Church of Jesus Christ of Latter-day Saints,
like other religious organizations, supports a network of agencies through
LDS Social Services that provides short-term care as needed and offers
referral services when more extensive treatment is required. The Church
endorses the work of licensed mental health practitioners provided that
the suggestions and treatment offered are consistent with Church moral and
lifestyle expectations.
Historically some critics have ascribed
various mental afflictions of members to the influence of the Church.
Today the assertion is sometimes made that as a result of their religion
Latter-day Saints have high rates of divorce, drug abuse, depression, and
suicide. This is not surprising, since stereotypes are frequently applied
to new and different leaders and their followers. Virtually identical
defects have been attributed to Jews, Native Americans, Roman Catholics,
the Irish, and other groups (Bunker and Bitton; Bromley and Shupe).
Research findings, however, show no evidence of unusual mental or social
problems among Latter-day Saints.
National statistics show that the state of
Utah, which is 70 percent LDS, has lower rates of mental and addictive
disorders than U.S. averages. A National Institute of Mental Health report
for 1986 ranked Utah as the second-lowest U.S. state in new inpatient
admissions to state mental hospitals as a proportion of population. The
National Association of State Mental Health Program Directors report for
1986 showed Utah's rate of outpatient mental cases per million population
to be lower than that of thirty-six other states. These reports also show
lower-than-average rates for alcohol and drug abuse, a finding confirmed
in Utah in Demographic Perspective (1986). This report indicates
that Utah ranks lowest of all the states in per capita alcohol
consumption, and thirty-fifth in alcoholics per 100,000 population. Drug
use among adolescents is low compared with national statistics. The
overall mortality rate for suicide is slightly above the national average,
but slightly below the average for the Rocky Mountain states.
Comparisons of LDS students at Brigham Young
University with students at other schools on standard psychological
measures, such as the Minnesota Multiphasic Personality Inventory, show
more similarities than differences. On accepted indices of mental health,
BYU students rank normal. Studies of divorce rates in Utah show that those
counties with the highest proportions of LDS have the lowest divorce rates
and are significantly below national averages. Studies of depression among
BYU students and returned missionaries reveal average or lower levels.
Studies of depression among women in three
Utah urban areas show LDS women to be no more or less depressed than their
non-Mormon counterparts. For example, using the Beck Depression Inventory,
a study of women in the Salt Lake Valley found no differences between LDS
women and others (Spendlove, West, and Stanish). Women who were more
active in the LDS Church were found to be less depressed than those who
were less active, but causal connections to Church activity were
inconclusive. Educational level appeared a better predictor of depression
scores than religious affiliation: The more educated were less depressed.
Responses to a national questionnaire indicated LDS women to be in the
middle range on depression when compared with other groups. LDS men had
the lowest depression scores of any group (Bergin and Cornwall).
Overall, on average, Latter-day Saints as a
group are psychologically normal. They do not manifest unusual rates or
kinds of mental disorders, and they do not differ much from national
normative samples. In some studies they show less illness, but results may
be questioned because of the nature of the population sampled. Statistics
for the state of Utah often look better than the national average because
of the state's lack of large minority and poverty populations. Other
states with similar demographics, such as Wyoming, Idaho, and the Dakotas,
manifest similar statistical advantages.
For mainstream, middle class people,
denominational affiliation is less relevant to variations in mental health
than are such factors as family background, educational level, economic
class, marital status, and intrinsic versus extrinsic religious
orientation. General findings obscure considerable individual variation
because there are diverse ways of being religious. "Intrinsically"
religious persons, who hold to personal convictions and do not depend on
religion as a crutch, manifest better mental health than the
"extrinsically" religious, those who focus on the external trappings of a
religious or "righteous" social image. Such variation occurs among
Latter-day Saints, as it does among other groups. Thus, the relation
between religiosity and pathology is complex. How specific denominations
enhance or undermine mental functioning is currently a matter of
speculation and controversy.
The LDS culture and lifestyle manifest an
interesting combination of possible positive and negative influences for
mental functioning. These may cancel each other and create a normal
average profile. Some possible negatives include tendencies toward
perfectionism and the self-negation that inevitably accompany failure to
match unreasonably high expectations. Negative emotions are not readily
expressed, and thus conflicts are often difficult to resolve. LDS
subcultures are very "group-oriented." Numerous organizations and
activities define and reinforce the lifestyle. People "out of step" are
easily recognized, and conformity is valued. Individuality and personal
self-expression may be inhibited to a degree, while obedience to authority
is encouraged.
In theory, these negatives may be balanced
by the warmth and social support provided by a cohesive and caring social
network, marked by high emphasis on family commitment and active
participation in a diverse system of social, religious, athletic, and
cultural activities. While members may despair over having "too much to
do," they can always find sympathetic peers. Hope is engendered by a
positive philosophy of human nature and the eternal potential of human
beings.
LDS philosophy is growth-oriented, so there
is constant encouragement toward self-improvement. Problems occur when
there is not enough tolerance for human imperfection in the process. When
virtues like self-sacrifice, self-control, and hard work are overdone,
they can take a toll, but when balanced with honest self-reflection and
mutual support, they can be a stimulus for growth.
In establishing itself as an institutional
partner in human civilization, the Church has manifested some growth
pains. Insecurities that have accompanied being part of a new group are
slowly giving way to the securities associated with having arrived as an
established entity in the joint enterprise of cultural evolution. As this
process has continued, these stresses have given way to a balanced
subculture comparable to other mainstream groups.
Bibliography
Bergin, Allen E., and Marie Cornwall. "Religion and
: Mormons and Other Groups." Annual Meeting of the Society for the
Scientific Study of Religion. Salt Lake City, 1989.
Bromley, David G., and Anson Shupe. "Public Reaction
Against New Religious Groups." In Cults and New Religious Movements,
ed. M. Galanter. Washington, D.C., 1989.
Bunker, Gary L., and Davis Bitton. The Mormon
Graphic Image, 1834-1914. Salt Lake City, 1983.
Martin, Thomas K.; Tim B. Heaton; and Stephen J.
Bahr, eds. Utah in Demographic Perspective. Salt Lake City, 1986.
National Institute of . Additions and Resident
Patients at End of Year 1986. Rockville, Md., 1988.
Spendlove, David; Dee West; and William Stanish.
"Risk Factors and the Prevalence of Depression in Mormon Women." Social
Science and Medicine 18 (1984):491-95.
State Program Indicators-1986.
Alexandria, Va., 1989.