Trauma Informed Pastoral Care
- Joanna Naomi Douglas
- Jul 22
- 9 min read

Introduction
This post aims to delve into how trauma-informed care can be woven into church practices to foster healing and prevention.
Understanding Spiritual Abuse
Spiritual abuse is a delicate and often painful form of emotional and psychological harm that happens within a religious setting. It involves a consistent pattern of controlling behaviour, which can show up as manipulation, exploitation, enforced accountability, censorship, demands for secrecy, pressure to conform, misuse of scripture, and an assertion of a “divine” authority. This kind of abuse can leave a survivor/victim with lasting and often debilitating scars, holistically affecting their spiritual, emotional, and psychological wellbeing.
When considering the issue of pastoral and spiritual abuse The Evangelical Alliance points out the challenges experienced when addressing spiritual abuse within legal systems, noting that as spiritual abuse overlaps with coercive, emotional and psychological abuse, it is tough to define and prosecute separately. They believe that existing laws for emotional or psychological abuse or coercive behaviours should be enough to prosecute, without needing a separate or extra category for spiritual abuse.[1] On the other hand, organisations like The Church of England stress the need to acknowledge spiritual abuse in safeguarding practices, emphasising that as it involves coercive and controlling behaviours specifically in a faith context, spiritual abuse calls for specific awareness and intervention to protect those who are vulnerable.[2]
The Prevalence and Impact of Pastoral and Spiritual Abuse
It is a troubling reality that studies have shown high rates of abuse happening within religious environments. I will now consider three main theological concepts which play a role in the issue of pastoral and spiritual abuse.
o Authoritarian Ecclesiology and the Divine Right of Clergy
In certain church traditions, clergy and leaders are viewed as having divine authority that should never be questioned. This mindset often flourishes in hierarchical structures where leaders—like pastors or bishops—act as spiritual gatekeepers, wielding immense power over their congregants. Theologian Martyn Percy pointed out that when leaders are seen as above reproach their spiritual authority becomes untouchable. He noted, “When pastors or priests are placed above reproach, their spiritual authority is seen as sacrosanct, and any challenge to their decisions is framed as rebellion against God.” This kind of setup creates a lack of accountability, making it all too easy for abusive behaviours to thrive unchecked.
The Prophetic Authority Model
In some charismatic and Pentecostal circles, certain leaders assert that they receive unquestionable direct revelations from God, placing their authority beyond any critique. This can lead to unhealthy dynamics where questioning a leader feels like opposing the Holy Spirit. Bennett discussed this manipulation in 2018, saying, “The claim to prophetic insight grants certain leaders an unchallenged position of power. When these leaders declare their guidance as divinely inspired, followers may fear questioning them, believing they risk spiritual consequences.”
Gendered Power Structures
Some theological interpretations that stress male leadership and female submission contribute to power imbalances that can enable abuse. While supporters argue this reflects biblical gender roles, critics point out that it’s often used to justify coercion and control within Christian communities. Rachel Held Evans said “When authority is given solely based on gender rather than character or gifting, it creates an imbalance that fosters unhealthy power dynamics.” This atmosphere makes it easier for spiritual abuse to grow when questioning authority is viewed as defying God’s order.
Integrating Trauma-Informed Care into Church Practices
Bringing trauma-informed care principles into church life can be a powerful step towards healing for survivors and a way to help prevent future harm. A trauma -informed church understands how deeply trauma affects individuals and communities, recognising the signs of trauma in its members and working hard to avoid causing further trauma. As Gregory Jones pointed out in 2009, “A theology of healing requires not just an individual focus but a transformation of community structures that have enabled harm.” I t’s essential for churches to adopt specific strategies to cultivate a more trauma -sensitive environment. Theologian N.T. Wright highlighted in 2006 that “True Christian leadership is not about power or status, but about responsibility and self -sacrificial love.” This perspective underscores that reforming pastoral authority through the lens of trauma - informed care isn't just a logistical change; it's a vital theological mission aimed at restoring the Church as a haven of healing, trust, and Christ-like compassion.
One effective framework to consider is the Four R’s by Harris and Fallot, which is today used in many secular organisations to ensure support for trauma survivors within the organisations. It is a framework which can guide churches in reshaping their pastoral care. In their 2001 work, Harris and Fallot noted that “Trauma-informed care is not a treatment itself but a framework that guides an organisation in responding to the effects of trauma.” This insight reminds us that the aim isn’t just to treat trauma but to transform the environment where care is offered.
The first principle of “the four R’s” to do this is, Realise, churches must gain a deep understanding of the widespread impact of trauma on both individuals and systems. This awareness helps us see how trauma shapes behaviour and choices at every level.
Next, Recognise involves spotting the signs and symptoms of trauma among individuals and within church practices. This step is crucial for tailoring responses that truly meet the needs of survivors.
The third element, Respond, emphasises the need for churches to put policies and practices in place that not only passively support but actively foster recovery.
Finally, Resist highlights the importance of creating safeguards against re- traumatisation through thoughtful structural changes. This means building an environment where power is shared, and accountability measures are established to protect those who are vulnerable. A second framework that recognises the far-reaching effects of trauma and weaves this understanding into the practices of trauma-informed care comes from The Substance Abuse and Mental Health Services Administration (SAMHSA). They highlight five key principles that are vital for creating environments that foster healing and help prevent re- traumatisation: Safety: It’s crucial that everyone feels safe—both physically and emotionally—when they step into the church. This means creating spaces where people can share their thoughts and feelings without worrying about being judged or harmed.
Trustworthiness and Transparency: Trust is built on honesty. That’s why it’s important to have clear communication and decision-making processes. Establishing and sticking to policies that protect against abuse and misconduct is essential to this principle. Peer Support: Encouraging congregants to support one another can really strengthen the sense of community and shared healing. This might involve setting up support groups or mentorship programs where individuals can talk about their experiences and share coping strategies. Collaboration and Mutuality: It’s all about sharing power and making decisions together. By promoting collaboration between church leaders and members, we can break down the rigid hierarchies that sometimes lead to abuse. Empowerment, Voice, and Choice: Everyone’s experiences matter. It’s important to ensure that all congregants feel heard and valued, especially when it comes to decisions that impact their lives. This principle is about recognising each person’s strengths and creating an environment where they can make choices for themselves. By embracing these two frameworks, we could cultivate a supportive and healing church community. Practical Applications for Trauma-Informed Church Leadership
• Creating Accountability Structures
One of the main issues at the heart of spiritual abuse is the absence of strong accountability systems. When church leaders operate without oversight, it creates an environment where abusive behaviours can thrive. To combat this, churches need to implement layered accountability structures that involve not just elders and denominational leaders, but also lay members. As Sande pointed out back in 2004, a well-functioning elder board can help curb the autocratic tendencies that sometimes lead to spiritual and emotional abuse. It’s crucial to empower lay members, giving them a voice in decisions and educating them on recognising signs of abuse. They should have safe and conidential ways to raise concerns without fearing retaliation.
• Restorative Justice and Pastoral Accountability
For a church to truly be trauma-informed, it must take reports of pastoral abuse seriously and respond with integrity. This means creating external reporting systems, perhaps by partnering with survivor advocacy organisations or independent investigative bodies. These reports should be treated with conidentiality, focusing on the survivor’s needs and ensuring there are clear consequences for any misconduct. When abuse occurs, the emphasis should be on justice for the victims/survivors rather than rushing to restore the ofender. As Galli highlighted in 2018, true theological repentance involves not just personal accountability but also making necessary changes within the institution. Public apologies, reparations for survivors, and systemic reforms are crucial steps toward healing and rebuilding trust.
• Trauma-Informed Discipleship and Pastoral Care
For those who have faced pastoral or spiritual abuse, the scars run deep—both spiritually and psychologically. Pastors involved in ministry need to be aware that survivors might wrestle with issues of trust, guilt, and a skewed perception of God. Research by Johnson & VanVonderen points out that "abused individuals often need to deconstruct toxic theology before they can heal." For many survivors, their experiences twist their views of God, themselves, and the church community.
• Lament as a Theological and Pastoral Practice
Biblical lament ofers a vital outlet for survivors to voice their grief, anger, and hard questions to God. It’s essential for churches to carve out intentional spaces for lament, recognising that the feelings of survivors are entirely valid. Lament is woven throughout Scripture—from the Psalms to Lamentations and the prophetic writings. This raw expression of pain serves to honour the emotions of those who have sufered. It acts as a powerful theological protest, urging both God and the community to acknow ledge and take sufering seriously. To truly be trauma-informed, churches need to weave lament into their worship services, sermons, and small group discussions.
• Training and Education for Leaders
Creating lasting cultural change requires churches to prioritise trauma-informed training for leaders at all levels. As Miller-McLemore argues, seminaries and theological colleges should embed trauma-informed theology into their programs, including courses on pastoral ethics, psychological irst aid, and how to respond to abuse. Beyond formal education, churches should also hold regular workshops focused on trauma-informed ministry for both ordained leaders and lay members. A trauma-informed church is one where everyone is actively engaged in cultivating a safe and supportive environment for all congregants.
By prioritising these practices, churches can foster an environment that promotes healing, accountability, and genuine care for all members of the community.
A Theological Call for Change: Embracing Servant Leadership Again
Spiritual abuse happens when power is used to manipulate, coerce, or take advantage of others instead of genuinely serving them. Within Christian theology, there’s a powerful alternative to authoritarian leadership: the model of servant leadership, beautifully embodied by Jesus Christ. To truly reform, we need to return to a Christ-centred model of servant leadership. At the core of Christian leadership is Jesus himself, who turned away from top-down, authoritarian styles in favour of serving others. He showed us that being a leader means choosing self-sacriice over self-promotion and humility over power.
Dietrich Bonhoefer once said, “The Church must be the Church of the sufering servant Christ, not the Church of the self-exalting leader.” This is a powerful reminder for church leaders to adopt structures that hold them accountable. Churches can no longer aford to sit quietly when it comes to justice. Since justice is integral to God’s character, it should be central to how the church responds to abuse. As Boz Tchividjian points out, “Churches that fail to address injustice within their own ranks betray the very Gospel they claim to preach.”
Healthy churches share leadership among many voices, which helps prevent any one person from holding too much power. Research indicates that “churches with strong lay leadership are far more resistant to authoritarian abuses than those where all authority is centralised in one individual.” It's vital for church members to understand what pastoral abuse looks like and how to respond when they see it happening. Creating survivor advocacy groups within the church can make a big diference, providing a safe spa ce for victims to speak out. Tchividjian reiterated in 2017, “When church members are educated and empowered, abusive leaders lose their ability to manipulate in secrecy.”
In Conclusion: A Call to Action
Creating a Church that truly understands and heals from trauma is a journey we must take together, with intention and heart. Here’s how we can make a real diference: Establish Clear Safeguarding Policies: It’s essential for churches to have straightforward procedures for handling allegations of abuse. These should prioritise transparency, fairness, and, most importantly, the well-being of survivors.
Cultivate a Culture of Openness and Accountability: We need leadership that welcomes dialogue and feedback from everyone in the congregation. This kind of environment helps prevent unchecked power and fosters shared responsibility.
Ofer Trauma-Informed Training for Leaders and Volunteers: By educating church staf and volunteers on trauma and its efects, we prepare them to respond with sensitivity and care, ensuring that our support is compassionate and informed.
Build Support Networks Within the Church: Setting up peer support groups and can create a sense of community and understanding for survivors, aiding their healing journey.
Relect on Theological Concepts of Power and Service: Engaging in conversations about Christ’s example of servant-leadership can help us rethink how we understand authority, focusing on serving rather than controlling.
These are just some of the steps that can help transform our churches into safe spaces that not only prevent abuse but actively foster healing and justice, mirroring the Kingdom of God here on earth. At the heart of our faith is Jesus Christ, whose life embodies love, justice, and healing. He consistently showed deep empathy for those on the margins, ofering them dignity and hope. Remember when Jesus washed His disciples' feet? In John 13:15 This act, typically reserved for the lowest servant, was His way of saying, “Follow my lead”. It beautifully captures the spirit of servant-leadership—an invitation to humility and sellessness while uplifting others.
Inspired by Christ’s example, we’re called to look closely at our church structures and practices, ensuring they relect love and justice. This means confronting abuse, advocating for those in need, and nurturing communities where healing thrives. Integrating trauma-informed care in our worshiping communities isn’t just a good idea; it’s essential to our faith. It’s how we live out the Gospel’s call to love our neighbours, pursue justice, and walk humbly with God. By embracing this mission, our Church can shine as a source of hope and restoration in a world that desperately needs it.


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