Reflections on Olavʹs Therapy: The Roles of Religious Experience, Self Psychology, and Mentalization

Commentaries on the case study of Olav (Stalsett, Engedal & Austad, 2010) by Richards (2010), Jones (2010), and Malitzky (2010) identify and discuss a number of key issues associated with the case study, including the studyʹs scientific value, the importance of religious experience in relation to psychopathology and psychotherapy, and the roles of self-psychology, attachment, and mentalization in the therapy change process. In our response to the commentaries, we address these issues. We conclude that all of the perspectives reviewed help to explain the factors that contributed to Olavʹs success in our VITA treatment program. This multi-perspectival approach was supported by one of the core principles of VITA: the creation of a "culture of inquiry," which specifically helped Olav to experience and regulate his intense negative affects and to understand and integrate his dialectically opposed visions of God and spirituality from a variety of points of view and within a diversity of therapeutic activities.