Obsessional ideation among evangelicals is often highly spiritual in tone and fearful in mood. After a discussion of the diagnosis and incidence of this symptom complex, a case study, a clinical survey, and a survey of Scripture are presented to demonstrate how these symptoms occur in evangelical populations. The article concludes with a survey of theories regarding the origin, development, and treatment of obsessional ideation and a discussion of how treatment of the symptom complex may have integrative implications for the evangelical therapist.
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