From a brochure about a now-past seminar given by Dr. Marius Koga, a look at the transpersonal therapeutic approach to PTSD and spirituality. I shared his comments with a friend, an Iraq veteran with PTSD, and she affirmed how completely his remarks fit with her impression of her situation. In her words: "He explained the exact reasons why I thought God hated me and was punishing me and why I turned to drugs. I always thought I was the only one who thought that way, and so it was nice to hear that from him."
In Dr. Koga's words:
"It is common for PTSD clients to seek religion and spirituality as part of their healing process. However, most psychotherapies are focused on the ego and personality constructs, while religious or spiritual considerations have been traditionally ignored. It is only in recent years that a therapeutic modality known as “transpersonal psychology “ has emerged which reintegrates psychology and the personality with the soul. The client is encouraged to actively maintain his/her individual self-concept in order to participate actively in his/her recovery. Concurrently, the client is guided to incorporate his/her individuality into the larger plane of the collective identity (including family, community, and religious and spiritual helping resources) to undergo personal transformation and growth. Our military especially, coming home from Afghanistan and Iraq, are seeking answers to painful questions about the gruesome realities of warfare, the value of personal faith, and the worth of human life itself. Many find that their faith in a God that is always available to respond to one’s personal tragedy can be utterly shattered. Soldiers and others who are unable to resolve such challenges find themselves lost in a spiritual flatland, which can take many nightmarish forms. They may feel abandoned by God, they reject or curse God, and they feel that God was powerless to help or even non-existent. They may even rationalize that their body mutilation, PTSD, or Traumatic Brain Injury was deserved punishment from God, or, in extreme, believe that their eternal damnation is God’s ultimate punishment. All too often, they feel they have no recourse but to numb their pain with drugs and alcohol. Their families suffer with them. By providing the opportunity for introspection about the meaning of trauma for the client’s life, transpersonal psychology helps soldiers, their families and friends, and others who have experienced PTSD and other traumatic events, to renegotiate the passive and silent state of the sick role and regain a sense of journeying, integrating, and healing." Marius Koga, MD, MPH, is a Diplomate of the American Academy of Experts in Traumatic Stress and an Associate Clinical Professor of Public Health at UC Davis School of Medicine. He is also a Professor at the Institute of Transpersonal Psychology in Palo Alto where he is directing a pilot center for trauma studies. Dr. Koga has developed courses in mental health and spirituality for Chapman University and has been the Course Director for Transcultural Mental Health and Spirituality at Tulane Medical School. A former political prisoner, torture survivor, and refugee from communist Romania, Dr. Koga’s interest is on PTSD in refugee populations and US military who are Afghan and Iraq war veterans. He has given numerous presentations, and workshops on spiritual dimensions of trauma in US and Europe.