Islamic psychological therapy interventions applied by mental health practitioners: A qualitative study

Year 2025, Volume: 10 Issue: 1, 47 - 67, 01.02.2025

Selvira Draganović , Mevludin Hasanovic Belma Oruc Ajla Pervan

https://doi.org/10.37898/spiritualpc.1340227

Abstract

Not only normal functioning like thinking, feeling or willing are impaired by psychological problems but also individual’s social, cultural existential and spiritual functioning and each need be addressed. Incorporating religious and spiritual considerations into evidence-based practices should be an iterative process in therapy particularly when treating practicing Muslim patients. This qualitative study of content analysis of semi structured interviews aims to investigate and identify Islamic oriented treatment approaches applied by Bosnian mental health professionals in their own practice. A total of 11 (N=11) mental health professionals were recruited in this study. Results indicate that participants mostly use Qur’an and Sunnah and religious practices like remembrance, repentance and gratitude as therapy interventions with practicing Muslims and Open and Nonjudgmental (acceptance and warmth) and individualised way to approach all the other clients to generate self-awareness and psychological/behavioural and spiritual changes in clients. Such approach, as reported, results in client’s (re)turn to Allah and help in quitting unhealthy habits. The study also reveals specific issues and needs mental health practitioners reported facing whilst working with religious Muslim clients.

Keywords

Religion, spirituality, therapy interventions, mental health, Bosnia

Supporting Institution

No

References

• Abdul-Hamid, W. K. (2011). Thematic paper: The need for a category of ‘religious and spiritual problems’ in ICD-11. International Psychiatry, 8, 60-61.
• Abu Raiya, H., & Pargament, K. I. (2010). Religiously integrated psychotherapy with Muslim clients: From research to practice. Professional Psychology: Research and Practice, 41(2), 181.
• Adams, W. C. (2015). Conducting semi-structured interviews. In Handbook of Practical Program Evaluation, Wiley.
• Al-Karam, C. Y. (2018). Islamic psychology: Towards a 21st century definition and conceptual framework. Journal of Islamic Ethics, 2(1-2), 97-109.
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
• Anderson, N., Heywood-Everett, S., Siddiqi, N., Wright, J., Meredith, J., & McMillan, D. (2015). Faith-adapted psychological therapies for depression and anxiety: Systematic review and meta-analysis. Journal of Affective Disorders, 176, 183-196.
• Badri, M. B. (2014). Cognitive systematic desensitization: An innovative therapeutic technique with special reference to Muslim patients. American Journal of Islamic Social Sciences, 31(4), 1-12.
• Beshai, S., Clark, C. M., & Dobson, K. S. (2013). Conceptual and pragmatic considerations in the use of cognitive-behavioral therapy with Muslim clients. Cognitive Therapy and Research, 37(1), 197-206.
• Braun, V., & Clarke, V. (2012). Thematic analysis. American Psychological Association.
• Dein, S., & Illaiee, A. S. (2013). Jinn and mental health: Looking at jinn possession in modern psychiatric practice. The Psychiatrist, 37(9), 290–293. https://doi.org/10.1192/pb.bp.113.042721
• Dervic, K., Grunebaum, M., Burke, A., Mann, J., & Oquendo, M. (2006). Protective factors against suicidal behavior in depressed adults reporting childhood abuse. The Journal of Nervous and Mental Disease, 194(12), 971-974.
• Gergen, K. J. (2015). Relational ethics in therapeutic practice. Australian and New Zealand Journal of Family Therapy, 36(4), 409-418.
• Goyal, M., Singh, S., Sibinga, E. M., Gould, N. F., Rowland-Seymour, A., Sharma, R., … & Haythornthwaite, J. A. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Internal Medicine, 174(3), 357-368.
• Hadi, M. A., & José Closs, S. (2016). Ensuring rigour and trustworthiness of qualitative research in clinical pharmacy. International Journal of Clinical Pharmacy, 38(3), 641-646.
• Haque, A., & Keshavarzi, H. (2014). Integrating indigenous healing methods in therapy: Muslim beliefs and practices. International Journal of Culture and Mental Health, 7(3), 297-314.
• Haque, A., Khan, F., Keshavarzi, H., & Rothman, A. E. (2016). Integrating Islamic traditions in modern psychology: Research trends in last ten years. Journal of Muslim Mental Health, 10(1).
• Harris, K. P., Rock, A. J., & Clark, G. I. (2019). Religious or spiritual problem? The clinical relevance of identifying and measuring spiritual emergency. The Journal of Transpersonal Psychology, 51(1), 89-118.
• Hasanović, M. (2021). “A Good/Beautiful Word Is like a Good/Beautiful Tree…” From the Perspective of Creative Psychopharmacotherapy. Psychiatria Danubina, 33(suppl 4), 1065-1080.
• Hasanović, M., & Pajević, I. (2010). Religious moral beliefs as mental health protective factor of war veterans suffering from PTSD, depressiveness, anxiety, tobacco and alcohol abuse in comorbidity. Psychiatria Danubina, 22(2), 203-210.
• Hasanović, M., & Pajević, I. (2013). Religious moral beliefs inversely related to trauma experiences severity and depression severity among war veterans in Bosnia and Herzegovina. Journal of Religion and Health, 52(3), 730-739.
• Hasanović, M., & Pajević, I. (2015). Religious moral beliefs inversely related to trauma experiences severity and presented posttraumatic stress disorder among Bosnia and Herzegovina war veterans. Journal of Religion and Health, 54(4), 1403-1415.
• Hasanović, M., Hodžić, A., Hodžić, S., & Pajević, I. (2015). The association of the religious moral beliefs, anxiety, depressiveness, aggressiveness, family relations and addictive behaviors of the school adolescents in the postwar Bosnia-Herzegovina. European Psychiatry, 30(S1), 1-1.
• Hasanović, M., Pajević, I. (2011). Religijska moralna uvjerenja i depresivni poremećaj kod veterana rata u Bosni i Hercegovini nakon rata 1992-95. Motrišta, 62, 114-126.
• Hasanović, M., Pajević, I., & Hasanović, M. (2021). Islamic approach to the psychotrauma: Animation, growth and transformation. Psychiatria Danubina, 33(suppl 4), 870-881.
• Hasanović, M., Pajević, I., & Sinanović, O. (2017). Spiritual and religious Islamic perspectives of healing of posttraumatic stress disorder. Insights on the Depression and Anxiety, Heightened Science Publications, 1, 023-029.
• Hasanović, M., Sinanović, O., Pajević, I., & Agius, M. (2011). The spiritual approach to group psychotherapy treatment of psychotraumatized persons in post-war Bosnia and Herzegovina. Religions, 2(3), 330-344.
• Hassan, M. K. (2021). Contemporary psychological disorders and the spiritual therapy from the Qur’an and the Sunnah. Revelation and Science, 11(1).
• Hipolito, E., Samuels-Dennis, J. A., Shanmuganandapala, B., John Maddoux, J., Paulson, R., Saugh, D., & Carnahan, B. (2014). Trauma-informed care: Accounting for the interconnected role of spirituality and empowerment in mental health promotion. Journal of Spirituality in Mental Health, 16(3), 193-217.
• Hofmann, S. G., & Gómez, A. F. (2017). Mindfulness-based interventions for anxiety and depression. Psychiatric Clinics, 40(4), 739-749.
• Hook, J. N., Worthington Jr, E. L., Davis, D. E., Jennings, D. J., Gartner, A. L., & Hook, J. P. (2010). Empirically supported religious and spiritual therapies. Journal of Clinical Psychology, 66(1), 46-72.
• Howitt, D., & Cramer, D. (2017). Introduction to research methods in psychology (5th ed.). Pearson.
• Howitt, D. (2019). Introduction to qualitative research methods in psychology: Putting theory into practice. Pearson.
• Ismail, S., Husain, R., Omar, S. H. S., & Mohamad, N. (2018). An application of healing verses (As-Syifa verses) as therapy approach to reduce stress in drug addiction. International Journal of Civil Engineering and Technology (IJCIET, 9(9), 165-173.
• Khashab, A. S., Khashab, A. M., Mohammadi, M. R., Zarabipour, H., & Malekpour, V. (2015). Predicting dimensions of psychological well-being based on religious orientations and spirituality: An investigation into a causal model. Iranian Journal of Psychiatry, 10(1), 50.
• Keshavarzi, H., & Haque, A. (2013). Outlining a psychotherapy model for enhancing Muslim mental health within an Islamic context. International Journal for the Psychology of Religion, 23(3), 230-249.
• Khaledian, M., Pishvaei, M., Karami Baghteyfouni, Z., & Smaeili, M. (2017). Effect of Islamic-based spiritual therapy on self-esteem and mental health of addicts. Journal of Research and Health, 7(2), 719-728.
• Khalifa, N., Hardie, T., Latif, S., Jamil, I., & Walker, D. M. (2011). Beliefs about jinn, black magic and evil eye among Muslims: Age, gender and first language influences. International Journal of Culture and Mental Health, 4(1), 68–77. https://doi.org/10.1080/17542863.2010.503051
• Littlewood, R., & Dein, S. (2013). The doctor’s medicine and the ambiguity of amulets: Life and suffering among Bangladeshi psychiatric patients and their families in London-an int. study1. Anthropology & Medicine, 20(3), 244-263. http://doi.org/10.1080/13648470.2013.827427
• Martinez, J. S., Smith, T. B., & Barlow, S. H. (2007). Spiritual interventions in psychotherapy: Evaluations by highly religious clients. Journal of Clinical Psychology, 63(10), 943-960. https://doi.org/10.1002/jclp.20399
• Mayers, C., Leavey, G., Vallianatou, C., & Barker, C. (2007). How clients with religious or spiritual beliefs experience psychological help‐seeking and therapy: A qualitative study. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 14(4), 317-327.
• Meadows, L., Kaslow, N., Thompson, M., & Jurkovic, G. (2005). Protective factors against suicide attempt risk among African American women experiencing intimate partner violence. American Journal of Community Psychology, 36(1/2).
• Mintert, J., Tran, A. G., & Kurpius, S. (2020). Religious and/or spiritual social justice advocacy: Guidance from the multicultural and social justice counseling competencies. Counseling and Values, 65(1), 2-14.
• Moodley, R., & West, W. (Eds.). (2005). Integrating traditional healing practices into counseling and psychotherapy (Vol. 22). Sage.
• Moreira-Almeida, A., Net, F., & Koenig, H. (2006). Religiousness and mental health: A review. Revista Brasileira de Psiquiatria, 28(3), 242-250.
• Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1).
• Owens, J., Rassool, G. H., Bernstein, J., Latif, S., & Aboul-Enein, B. H. (2023). Interventions using the Qur’an to promote mental health: A systematic scoping review. Journal of Mental Health, 32(4), 842-862.
• Pajević, I., Hasanović, M., & Delić, A. (2007). The influence of religious moral beliefs on adolescents’ mental stability. Psychiatria Danubina, 19(3), 173-183.
• Pajević, I., Sinanović, O., & Hasanović, M. (2005). Religiosity and mental health. Psychiatria Danubina, 17(1-2), 84-89.
• Pajević, I., Sinanović, O., & Hasanović, M. (2017). Association of Islamic prayer with psychological stability in Bosnian war veterans. Journal of Religion and Health, 56(6), 2317-2329. https://doi.org/10.1007/s10943-017-0431-z
• Pasha-Zaidi, N., Al-Seheel, A., Bridges-Lyman, K., Dasti, R., Pasha-Zaidi, N., Al-Seheel, A., & Bridges-Lyman, K. (2021). Gratitude and wellbeing: Cultivating Islamically-integrated pathways to health and wellness. In Toward a Positive Psychology of Islam and Muslims: Spirituality, Struggle, and Social Justice (pp. 207-234). Springer International Publishing.
• Pearce, M. J., Pargament, K. I., Oxhandler, H. K., Vieten, C., & Wong, S. (2019). A novel training program for mental health providers in religious and spiritual competencies. Spirituality in Clinical Practice, 6(2), 73.
• Post, B. C., & Wade, N. G. (2014). Client perspectives about religion and spirituality in group counseling. The Counseling Psychologist, 42(5), 601-627.
• Presidency of Religious Affairs (Türkiye). (2018). Fetvalar. Retrieved from https://dinhizmetleri.diyanet.gov.tr/Documents/FETVALAR-2018.pdf
• Prusak, J. (2016). Differential diagnosis of “Religious or Spiritual Problem”—Possibilities and limitations implied by the V-code 62.89 in DSM-5. Psychiatria Polska, 50(1), 175-186. https://doi.org/10.12740/PP/59115
• Rafique, R., Anjum, A., & Raheem, S. S. (2019). Efficacy of Surah Al-Rehman in managing depression in Muslim women. Journal of Religion and Health, 58(2), 516-526.
• Rassool, G. H. (2021). Sins, tawbah and the process of change. International Journal of Islamic Psychology, 4(1), 26-33.
• Rassool, G. H. (2023). Islamic Psychology: The Basics. Routledge.
• Rothman, A. (2021). Developing a model of Islamic psychology and psychotherapy: Islamic theology and contemporary understandings of psychology. Routledge.
• Rothman, A., & Coyle, A. (2020). Conceptualizing an Islamic psychotherapy: A grounded theory study. Spirituality in Clinical Practice, 7(3), 197.
• Sabry, W. M., & Vohra, A. (2013). Role of Islam in the management of psychiatric disorders. Indian Journal of Psychiatry, 55(Suppl 2), S205–S214. https://doi.org/10.4103/0019-5545.105534
• Scott, S. K., Sheperis, D. S., Simmons, R. T., Rush‐Wilson, T., & Milo, L. A. (2016). Faith as a cultural variable: Implications for counselor training. Counseling and Values, 61(2), 192-205.
• Seidman, I. (2006). Interviewing as qualitative research: A guide for researchers in education and the social sciences. Teachers College.
• Skinner, R. (2010). An Islamic approach to psychology and mental health. Mental Health, Religion & Culture, 13(6), 547-551.
• Shafranske, E. P. (2016). Finding a place for spirituality in psychology training: Use of competency-based clinical supervision. Spirituality in Clinical Practice, 3(1), 18.
• Smajić, A., & Draganović, S. (2021). Indigenous Islamic psychology in Bosnian context: Achievements of Muslim theologians, thinkers and psychologists. Context: Journal of Interdisciplinary Studies, 8(1), 65-85.
• Sudan, S. A. (2019). Stress management among students: Conventional and Islamic perspectives. Australian Journal of Islamic Studies, 10, 50-64.
• Tahir, M., & Zubairi, S. U. (2019). Exploring Quranic stance on mental health: An analytical review. University of Wah Journal of Social Sciences, 2(2), 46-71.
• Uyun, Q., Kurniawan, I. N., & Jaufalaily, N. (2019). Repentance and seeking forgiveness: The effects of spiritual therapy based on Islamic tenets to improve mental health. Mental Health, Religion & Culture, 22(2), 185-194.
• Weld, C., & Eriksen, K. (2007). Christian clients’ preferences regarding prayer as a counseling intervention. Journal of Psychology and Theology, 35(4), 328-341.
• Worthington Jr, E. L., Hook, J. N., Davis, D. E., & McDaniel, M. A. (2011). Religion and spirituality. Journal of Clinical Psychology, 67(2), 204-214.
• Zakaria, N., & Mat Akhir, N. S. (2017). Theories and modules applied in Islamic counseling practices in Malaysia. Journal of Religion and Health, 56(2), 507-520.