Beyond the Binary: Giving Voice to Religious Experiences in Mania and Psychosis

Cook (2019), a psychiatrist and theologian, observes that religious experiences during mania and psychosis are often framed within a binary perception — that “either someone is psychotic, or they are having a genuine spiritual experience, but not both.” This framework dismisses and silences those who report profound religious experiences during mania or psychosis, reducing their accounts to purely illness narratives. Individuals experience epistemic injustice as diagnosis and psychiatry are prioritised over an individual’s interpretation of their experience as meaningful and spiritual. These experiences are consistently pathologized through the lens of mental illness, psychiatry, and medicine. Drawing on phenomenology of illness and epistemic injustice literature, this paper utilises first-person accounts of Christians who have reported religious experiences during mania and psychosis. The research highlights the significance of first-person narratives, amplifying an often-overlooked community, and advocating for freedom to interpret their experiences as both illness and meaningful religious encounters.