John Swinton’s latest book is a helpful addition to the Christian theology of mental illness, based on his deep experience as mental health nurse, then chaplain and now researcher, and on the experience of Christian service users interviewed over 2 years. By reporting on these discussions with those with lived experience this book combines phenomenology with lived theology, reflection and best practice. The author tackles head on the most difficult questions, the meaning of health and of suffering, the silencing of many of those who live with mental illness, and the challenge of evaluating spiritual experiences occurring during an episode of mental illness.

The conclusion looks at healing at different levels, with the understanding that health is the presence of God, not the absence of difficulties. The author focuses on the need for the voice of those with severe mental health challenges to be heard and respected in the church and wider society, so that people can speak honestly of God’s action in healing, and of the times when God has seemed absent, without having to censor their truth. The author highlights the need for more mental health aware church services and liturgy, and accurate preaching and education on the topic, so that the church can be more fully a healing community.
As Prof Swinton says
“Small acts of kindness, tenderness and thoughtfulness bring healing. It’s really not that complicated.” p215

This is a clear and well-argued book which I would recommend to all those who wish to understand more about the Christian theology of mental illness, particularly researchers and mental health chaplains.