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Islamic Perspective On Stress Management

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Health Concerns For BELIEVERS

Contemporary Issues

(Shahid Athar , M. D.)


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While stress may be necessary for human survival, the excess of it certainly affects our health and productivity. It is claimed that in the United States nearly 20 million people suffer from stress in terins of attributing their illness or symptoms to it. Stress related compensation costs nearly $200 million per year. Loss of productivity and stress related illness directly or indirectly amounts to $50 billion per year. Many corporations and individuals are spending nearly $15 billion a year on the stress management of their employee. (Newsweek 4-25-88). There is enough medical evidence to link stress to the causation of peptic ulcer disease, hypertension, coronary artery disease and depression. In addition, many common problems like tension headache, insomnia, impotency (in men), frigidity (in women), are stress related. There is now some evidence to suggest that stress is also related to the causation of diabetes, the suppression of immune system and the development of cancer. In our day to day life, stress affects peace at home, job performance at work, grades in school and even our eating and mating behavior.




The earliest warning signs of stress is irritability, mood swings, difficulty in sleeping, fatigue, lack of concentration, abdon-tinal distress, extreme sensitivity to criticism, weight gain or weight loss, fear of failure, poor appetite or hunger, and increase dependence on tranquilizers or alcohol for sleep.




Psychiatrists have identified some fifty stressors. In fact any change, good orbad, is stressful. A change injob orjob description, in. school, residence, financial status, loss or gain of a family member or close friend, injury or illness, national calamity or news of riots or violence all can be extremely stressful. Muslims living in a non-Muslim society may acquire some additional stress. These may include such factors as preserving their identity, practicing Islam (i.e. in food matters or timing of prayer), defending Islam on a hostile media and settling conflicts between family members: the spouse, parent/child, and practicing/non-practicing factions.




Although stress spares no one including children, certain professions get more than their share. They include the sales person, the stock broker, the secretary, the inner city school teacher, the air traffic controller, the medical intern, the police officer and those handling complaint departments. It is interesting to note that qualities like being ambitious, compulsive, high achieving, productivity oriented are looked upon as signs of efficiency by the employer, are also the type A personality traits, so dangerous to our health. So the art is to have these qualities, with a cool type B personality in order to live happily and have a longer life.




Although we are all exposed to stress, why can some of us cope with it better than others? Is it the way we deal with the stressor or the way we are built? There is some evidence to suggest that some of us may be genetically predisposed to depression or have deficiency in the level of neurotransmmitters, the mood regulating hormones, or just do not produce enough adrenalin on demand.


A person's religious belief has an important bearing on his personality and his outlook in life. By putting the trust in God, a believer minimizes the stress on him by reducing his responsibility and power to control his failures.


Proven ways to handle stress as being practiced now range from meditation, sleep, exercise, socialization, biofeedback, psychotherapy and tranquilizers. In this essay we are going to discuss how to deal with stress in the light of the Quran and the Sunnah.


Psychologically the stress results from the following factors.

a. Fear of the unknown, and our inability to recognize, foresee and control it.

b. Loss of things and people in our life dear to us and our inability to recover these losses or accept them.

c. Our inability to see through the future. In fact we might be more stressed if we do see the future.

d. Conflicts between the mind and reality and our failure to accept the reality (i.e. the phase of denial). It is the lack of inner peace due to our internal conflicts which leads to the external disturbances in our behavior and affects our health.


Let us examine how the Quran deals with such situations. Our losses are a part of trial for us, "Be sure We will test you with something offear and hunger, some loss in goods or lives, but give glad tidings to those who are steadfast, who say when afflicted with calamity, 'To God we belong and to Him is our return.'They are those on whom (descend) blessings from God and mercy and they are the ones that receive guidance" (2:155),


Whatever we are given is a gift from God. We are not its owner. Everything belongs to God and returns to Him. So if we do not own these things, why moum their loss or wax proud on receiving them.


Only God knows what our ultimate destiny is. We cannot peek into our future. We do, however, have a limited free will. We are free to choose between good or bad, to believe in God or not to believe in Him, but we have no control over future not related to our ability to act in the present- whether my wife will have a son or daughter, whether his /her eyes will be brown or black, or whether I will have an accident tomorrow or not. Worrying over such things is of no use.


Rejection of faith in the Quran is described as a disease. Its cause being arrogance and reluctance to accept truth. "In their heart there is a disease and God has increased their disease and grievous is their penalty because they lie to themselves" (2: 1 0).

Thus when a man lies to himself, he creates an inner conflict between his heart and mind. In order to contain that conflict, the mind sends signals to glands for secretion of hormones like adrenalin which leads to rapid heart rate, perspiration, tremor, the basis of a lie detector test. This conflict could be due to "small" crimes like theft or adultery, or big crimes like rejection of God.



The Passionate Soul (nafs ul-ammara): "I do not absolve myself. Lo the (human) soul is prone to evil, save that whenever my Lord has mercy. Lo, my Lord isforgiving; merciful" (12:53). This soul inclines toward sensual pleasure, passion and self gratification, anger, envy, greed, and conceit. Its concerns are pleasures of body, gratification of physical appetite and ego. In a Tradition we are told, "Your most ardent enemy is your evil self which resides within your body" (Bukhari). If this evil soul is not checked, it will lead to unusual stress and its resultant effects.


The Reproaching Soul (nafs ul-lawammah): "Nay, I swear by the reproaching soul" (75: 1). This soul is conscious and fully aware of evil, resists it, asks for God's grace and pardon, repents and tries to amend and hopes to achieve salvation. "And (there are) others who have acknowledged theirfaults. They mix a righteous action with another that was bad. It may be that God will relent toward them. Lo God is relenting, merciful" (9:102). "There are two impulses within Us. One, spirit, which calls towards good and confirms the truth. He who feels this impulse should know that it comes from God. Another impulse comes from our enemy (the devil), which leads to doubt and untruth and encourages evil. He who feels this should seek refuge in God from the accursed devil" (hadith). This soul wams people of their vain desire, guides and opens the door to virtue and righteousness. It is a positive step in spiritual growth.


The Satisfied Soul (nafs ul-mutmainnah): "O (you) soul in (complete) rest and satisfaction. Come back to your Lord, well pleased (yourself) and well pleasing unto Him. Enter you then among My devotees, enter you in My heaven" (89:27-30). This is the highest state of spiritual development. A satisfied soul is in the state of bliss, contentment and at peace. The soul is at peace because it knows that in spite of its failures in this world, it will return to God. Purified of tension, it emerges triumphant from the strug- gle and resides in peace and bliss.




In panic situations non-believers behave differently from believers. They have no one to turn to, to ask for mercy and forgiveness. They know and believe not in any life other than this worldly life, over which they have no control. Naturally they get more depressed which in turn leads them to even more wrongdoing. If they were used to casual drinking, after drinking, they will increase their consumption of alcohol and end up as alcoholics or habitual criminals.


In a state of depression a believer, on the other hand, is advised to do the following: Increase remembrance of God (dhikr): "He guides to Himself those who turn to Him in penitence those who have believed and whose heart have rest in the remembrance of God. Verily in the remembrance qf God, do heartsfind rest" (13:27-28).


Be constant in prayers: "O you who believe, seek help with steadfastness and prayer For God is with those who are steadfast" (2:153).


Pray to God for Forgiveness: "And I have said: Seek forgiveness from your Lord. Lo He was ever forgiving" (71:10). In addition to the above believers are also expected to constantly struggle to better ourselves. "Surely God does not change the condition in which people are until they change that which is in themselves" (13:11).



"O mankind! There has come to you a direction from your Lord, and a healingfor (the disease in your) heart, andfor those who believe a guidance and mercy" (10:57). The echo of sound has a medical effect and is now widely utilized. The recitation of the Quran or listening to the same has a wholesome effect on the body, the heart and the mind. It is said that the letter 'alif' echoes to the heart and the letter 'ya' echoes in the pineal gland in the brain. Dr. Ahmed El Kadi of Akber Clinic (Panama City, Florida) conducted and has published the effects of listening to the Quranic recitation on physiological parameters i.e. the heart rate, the blood pressure and the muscle tension and reported improvement in all, irrespective of whether the listener is a Muslim or non-Muslim, Arab or non-Arab. Obviously it can be postulated that those who can understand and enjoy the recitation with a belief in it as the Word of God will get maximum benefit.




All the prophets, being human beings, had to undergo tests and trials which resulted in temporary stress. They constantly remembered God and received peace through His remembrance. Prophet Muhammad (PBUH) for example, himself used and advised his followers to use the following prayers in times of distress.


"God is sufficient for us. He is an excellent guardian. We repose our trust in God."


"Surely we belong to God and to Him shall we return. 0 God, I beseech you for the reward of my hardship. Reward me and compensate me for it with something good."


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