Who is insane?
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I recently took in a great Illumined Heart podcast at Ancient Faith Radio entitled “Insanity or Demonic Possession?(*)” To give away the punchline a little bit, there isn’t some patent laundry list that a layperson can tell insanity from demonic possession (thank goodness, right?), but the Church acknowledges that both exist. They are distinct states (so insanity doesn’t always have demonic origin), and diagnosis and treatment can only be done by a gifted elder.
I’m glad to know we’re on the case. I’ve been wondering for some time: If mental disorders were sometimes a sickness of the soul as much as the mind, is it any wonder that secular treatments generally don’t work?
Well, I’m being harsh to say they don’t work. I suppose it depends on how you define things. Psychiatric medications can quiet people down; they can treat the symptoms. But is that all we want to do? There’s an old insane asylum near us in St. Joseph that’s been partly converted into a psychiatric museum(**). You get a look at the nostrums, contraptions, weapons and whatnot that the sane have used over the centuries to try to deal with the insane. There’s a lot there to chill the blood, but as bad as some of that stuff is, at least sometimes they were trying to cure them. We don’t really do that any more. The best drugs we have seem mostly about just deadening a person, or a part of them. We take it for granted that they can’t be cured. But what if we didn’t just find new way to silence parts of their brain?
We say that people who hear voices or babble incoherently are out of touch with reality, but I think it makes more sense to say that they’re out of touch with one reality but in touch with another. And we make judgments sometimes based on societal standards that aren’t part of the earliest Christian understanding. In the Illumined Heart podcast, Kevin Allen asks Mother Melania what it means to be insane in the patristic sense, and she answers:
Basically I think in a very broad sense you can’t perceive or respond correctly to reality, and in the case of your basic Westerner of our day and age, we only think of that in terms of everyday reality. So if you think that you’re a gorilla, well, you’re insane. But if you think that you can go to heaven by crashing into the World Trade Center and killing yourself and many, many innocent people in the process, you’re not insane, because your sub-culture not only holds that to be sane but actually laudable. Now, the Fathers would say that both of those people were insane.
And lest we think that these labels only refer to non-Christians, Mother Melania also mentions that “the Church Fathers considered everyone but a saint insane.”
I found this part of the discussion especially interesting, because earlier in the week I had come across a short essay in “Patristic Theology”**** by Protopresbyter John S. Romanides entitled “Who is mentally ill according to the Church Fathers?” that agreed and gave more specifics:
Everyone is mentally ill according to the Patristic meaning of mental illness. You do not have to be schizophrenic in order to be mentally ill. The definition of mental illness from a Patristic point of view is that people are mentally ill when the noetic energy they have insider them is not functioning properly. In other words, being mentally ill means your nous is full of logisimoi.
Your what is full of what? If you haven’t heard the term ‘nous‘ before, an oversimplification would be ‘the eye of your soul’ (fuller understanding HERE). But I had never heard ‘logisimoi‘ before. The footnote explains that it is the technical term in ascetic literature for thoughts combined with images. (singular: logisimos). I thought this was fascinating. Doesn’t this describe the sad state of all of us in this overstimulated, oversaturated culture? We’ve got memories and imaginings and old commercials and possible conversations going on in our heads all the time! (I think about my patron saint who was tormented for years when she went out into the desert by such remembrances.)
And these logisimoi don’t even have to be immoral or unseemly in nature to pollute the eye of your soul…
It makes no difference whether these thoughts are moral, extremely moral, immoral or anything else. In other words, according to the Church Fathers, anyone whose soul has not been purified from the passions and who has not reached the state of illumination through the grace of the Holy Spirit is mentally ill, but not in the psychiatric sense. (“Patristic Theology,” pg. 24).
I don’t know if that is depressing to some people or not, but I found it very liberating. It’s not to say that we’re not all still responsible for trying to avail ourselves of all the means at our disposal to overcome our spiritual sicknesses and draw closer to God. But maybe it helps me understand why I feel a strange kinship with those sad souls who suffer so publicly and exhibit their inner chaos flagrantly enough for all of us to see. I don’t cringe because I don’t understand them — I cringe because I do.
One last note: To get back to the subject of demonic possession for a moment, Kevin mentions that in the Christian charismatic tradition, exorcisms are performed quite commonly and by people that certainly don’t fit the Orthodox requirements of a ‘gifted elder.’ Mother Melania comments that such activity is not only foolhardy, but dangerous — spiritually and occasionally even physically. It’s so tempting for people who are hungry for mystery to go blundering in where they have no business going, and more tempting — unfortunately — for those who have been badly or incorrectly taught about such things to think that they can do anything as long as they remember to say ‘in Jesus’ name’ at the end. I watched an absolutely horrifying documentary once of one little Protestant church whose congregation came to believe that one woman’s father was a Satan worshipper who had performed child sacrifice and impregnated girls, in spite of a total lack of evidence. They started performing exorcisms and only found more and more demons that had possessed parishioners. It didn’t seem to occur to any of them that they might be under demonic influence. I can’t imagine where something like this ends.
And those kinds of activities are not, thank God, our way in the Orthodox Church. But I remember that story to warn myself as much as anyone. The only thing I’ve figured out where demons are concerned is that it’s best not to try to acquire expertise. Their ability to twist thoughts, emotions and words to their own ends have taken in many people much wiser and more accomplished than I am. Because — to bring things full circle — they can make ample use of the mental illness that I have, and fan that ember into a destroying fire.

(Thanks and a plug: Fr. Luke Hartung was so kind as to send me a copy of “Patristic Theology” when he sent “The Boundless Garden.” I don’t know what I did to deserve such niceness, but it’s turning out to be the favorite of my current Orthodox reading material. And people should know that in spite of that title, these aren’t supremely difficult or inaccessible essays. They were given by Fr. John Romanides to college freshmen in the ’80s, and they’re simply written, but profound and relevant. Interested Orthodox (and non-Orthodox?) folk definitely ought to look at some of the samples HERE.)
Related posts:
- Reading the lives of the saints
- Bright Friday and my wooden heart
- Is Orthodox conversion on the rise?
- About meditation
- Three quotes

3 Responses and Counting...
That was indeed an interesting podcast (since my preconstruction work was in the mental health field). A shameless plug: For more on “logisomoi” etc. the interviews I did with Mp Jonah on Our Life in Christ’s audio archives has some good stuff on “thoughts” in the context of the Jesus Prayer and monasticism. The interview with Papa Demetrios is on the “nous”, and is also good.
I’m gonna have to check this out! How interesting!
Glory to Jesus Christ!
Nice presentation. I really enjoyed that interview and have listened to it several times. Is the work that Mother Melania did published anywhere?
God bless,
Fr. Anthony
PS I just found your blog and enjoy it very much — thank you for sharing this ministry. FWIW, your remarks on Stephen King are what I really like about Flannery O’Connor (and Charles Williams is much better than Paretti). The encounters seem more “mundane” than King’s, but that is only when seen through the world’s eyes. If you haven’t read much of hers, “The River” is a great example of what happens when the innocent go into spiritual battle unarmed.