T.S. Elliot pretty much describes what we all know in his book, Cocktail Party, which there is something wrong in this world.
Celia is having an affair with a married man and when she realizes the emptiness of this relationship, her life is shaken profoundly, she turns to her physician for advice. Thereās something not quite right, she tells him:
Celia:āI should really like to think thereās something wrong with me ā
Because, if there isnāt, thereās something wrong
Or at least, very different from what it seemed to be,
With the world itself ā and thatās so much more frightening!
That would be terrible. So Iād rather believe
There is something wrong with me, that could be put right.ā
Celia: āIt sounds ridiculousābut the only word for it
That I can find, is a sense of sin.ā
Doctor: āYou suffer from a sense of sin, Miss Copleston? That is most unusual.ā
Celia: āIt seemed to me abnormalā¦
My bringing up was pretty conventional ā
I had always been taught to disbelieve in sin.
Oh, I donāt mean that it was never mentioned!
But anything wrong from our point of view,
Was either bad form, or was psychological.
⦠And yet I canāt find any other word for it.
It must be some kind of hallucination;
Yet, at the same time, Iām frightened by the fear
That it might be more real than anything I believed in.ā
Doctor: āWhat is more real than anything you believed in?ā
Celia: āItās not the feeling of anything Iāve ever done,
Which I might get away from, or of anything in me I could get rid of ā
but of emptiness, of failure
Towards someone, or something, outside of myself;
And I feel I must⦠atone ā is that the word?
Can you treat a patient for such a state of mind?ā
The answer of course is no. Freud himself recognized these limits, when he said, āIt would be absurd for me to say to a patient, āI forgive you your sinsā.ā The psychotherapist has no power to do this.
According to its Greek root, the word āpsychiatristā literally means, ādoctor of the soulā. And yet, the psychiatrist has no cure for this greatest of all psychological maladies ā the problem of sin. If he is astute, he can perhaps define and describe guilt; but he can in no way cure the guilty conscience. All of our human attempts to do so, whether by psychological defense strategies, medical ministrations, or therapeutic techniques, ultimately prove insufficient. But we need not despair. For our own failures suggest to us what faith has already revealed: that, in the last analysis, there is only one true and effective Doctor of the soul.
Dr Aaron Kheriaty is assistant clinical professor of psychiatry at the University of California, Irvine, and director of the university's Psychiatry and Spirituality Forum. He can be contacted at akheriat@uci.edu
Despite efforts to reduce conscience to conditioning, guilt persists, and science is powerless before it.