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    A Psychotherapy of Virtue:Reections on St. Thomas Aquinas Theology of Moral Virtue

    Frank J. Moncher, Ph.D.Institute for the Psychological Sciences

    Journal of Psychology and Christianity, 20(4) pp.332-341ISSN 0733-4273

    Copyright 2001 Christian Association for Psychological Studies

    Please address correspondence regarding this article to Frank J. Moncher, Ph.D., Institutefor the Psychological Sciences, 2001 Jefferson Davis Highway, Suite 102, Arlington VA 22202.e-mail: [email protected]

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    Abstract

    This article explores St. Thomas Aquinas theology of moral virtue, and discusses how it can be animportant means for facilitating the improvement of clients with emotional problems. Because psy-chological health is related to being able to freely choose ones actions, encouraging the exercise ofvirtue can have benecial effects on an individuals emotional well-being as well as growth in their

    journey towards holiness. Because the human person is rational, Aquinas emphasizes the superior-ity of reason over the emotions. Through the exercise of reason, one is able to order their emotionsand achieve self-mastery and discipline in the living of a truly good, virtuous, and fully human life.A clinical case is presented which demonstrates the manner in which addressing virtue can be inte-grated into a standard psychotherapy process

    This article will focus on the concept of virtue, and how virtue can play an important role in the

    improvement of patients who are struggling with emotional or psychological issues, as well as being a means

    by which the human person responds to the universal call to holiness. Virtue is understood as the power to do

    the right thing, at the right time, in the right way (Aquinas, 1966). Although patients do not generally iden-tify themselves as needing to improve their virtue when they enter therapy, improvements in their presenting

    symptoms will inevitably result in an increase in their ability to exercise virtue. In addition, as patients become

    increasingly free to act and make choices in their lives, encouraging the exercise of virtue can have a dramatic

    impact on their mental health in terms of self-acceptance and trusting that they are worthy of love. For Chris-

    tians, virtues are not an end, but a means towards living the fully human life that results in harmony, self-

    realization, and true happiness (Hughes, 2000). Psychological health ultimately is related to being able to

    choose the good, and act in like manner; in other words, natural virtue.

    What is the good? Thomas Aquinas (1999) states that an individuals good lies in living in accord

    with reason. Problems ensue when one is prevented from acting towards that which they know is the truly

    good; prevented by needs, wants, feelings, or passions that compel one towards different goals. Generally, to

    live in accord with reason three things must exist: First, the individual must know what they are doing; second,

    the individual must choose deliberately; and third, the individual must act rmly and unwaveringly. Individu-

    als who are suffering from emotional problems may be compromised in one or all three of these areas. In

    this way, those who are hindered in their ability to know, freely choose, or implement their choices because of

    psychological illness, are compromised in their ability to demonstrate virtue. Psychological health is thus a

    prerequisite for being completely free to develop virtue. More importantly, virtue can be utilized in the therapy

    process with those who ascribe to the Christian doctrine.

    Virtuous people have acquired certain dispositions which permit them to act to perfection in the moral

    realm. The acts of virtue, however, are not pure unconscious reexes or sheer habits. Virtuous reexes are

    the product of two spiritual faculties (i.e., intelligence, will) that the acting person shapes and forms so that

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    they have transformed these faculties into perfect servants (Pinckaers, 1962). Passions rightly controlled by

    reason, the intellectually illuminated will, are the occasions of virtue. But when the will permits a disorder in

    the passions, evil can result. Some may argue that people should not have to develop virtues, but should use

    their judgment to work out solutions on a case by case basis. However, the problems of living a full life are too

    involved to be resolved all over again each time they arise (Klubertanz, 1965), so the development of virtue

    is a huge asset in living a mentally healthy and balanced life. Furthermore, the ability to exercise virtue, and

    use practical reason in the enterprise, is most important to the study of psychology, because this is that which

    makes us specically human.

    Biography of the theologian and philosopher (from Brunson, 1994; Chesterton, 1956)

    Thomas of Aquino was born near Naples in 1226 into an aristocratic family, the cousin of the Holy

    Roman Emperor. His parents suspected that he might be suited to life in a cloistered monastery, and had his

    education begun with Benedictine monks. However, instead of traditional monastic life, Thomas joined the

    Order of the Friars Preachers, a new monastic order. His familys disdain for his choice of the Dominicans

    was such that his brothers kidnapped him at the request of their mother, and had him secluded in a tower,

    making multiple efforts to persuade him to join a more suitable order. Thomas resolve was rm, however,

    and legend has it that members of the Church hierarchy or perhaps his sisters eventually assisted him in gaining

    freedom.

    Following his release, Thomas spent time in Rome, and then France where he studied with Albert

    Magnus (the Great), who recognized his intellectual prowess and potential as a leader. Thomas worked with

    St. Albert to assist in the dialogue occurring within the Church about Aristotles writings. His main goal was

    to defend the Faith against attacks coming from the then popular understanding of Aristotelian philosophy.

    Rather than attempting to eliminate Aristotles ideas, Thomas boldly defended the faith by supporting the use

    of the truth evident in Aristotle, demonstrating its consistency with orthodox Christian thought. In the process

    of speaking out against heresies, Thomas traveled a great deal, becoming well-known in Paris and the German

    Universities. Throughout his life he continued to study and write, supporting and defending Church teachings,

    until his accidental death on a journey intending to continue in kind.

    The Principle of Virtue

    Among the many philosophical and theological concepts of Thomas Aquinas which are relevant for

    psychology, this article will focus on the concepts developed in Aquinas works on virtue and habit: Summa

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    Theologiae I-II, Questions 49-70 (Aquinas, 1966), and Disputed Questions on Virtue (Aquinas, 1999). Before

    exploring virtue in detail, however, one must understand Aquinas perspective on both the rational nature and

    the emotional life of the human person, and how each of these provides a foundation from which one can

    understand how living a virtuous life is not only possible, but essential in achieving true happiness and the

    epitome of psychological health.

    The place of reason as the superior ordering concept in man is essential to Aquinas teaching related to

    psychology. Aquinas asserted that both revealed truth and rational thought are not only compatible, but that

    it would be impossible for them to be in conict, because they both originate from the same ultimate source.

    Virtue is natural to man in an incipient state to his specic nature insofar as certain naturally known prin-

    ciples in regard to both thought and action are in mans reason naturally and there is in the will a certain

    natural appetite for good in conformity with reason (Aquinas, 1966). Similarly, Aquinas states that all of our

    emotions are good and necessary for healthy living. Although we may act badly under their inuence, emo-

    tions themselves are not inherently disordered. Virtue thus stems from the control and employment of emotion

    (see qq. 22 to 48 of the Summa, for complete treatment of the passions). Because of their ability to motivate

    and energize, the cultivation of emotions in developing virtue is as important as the education of reason and

    the strengthening of the will.

    Virtue is that disposition or perfection in sense appetite by which it easily obeys reason (Aquinas,

    1999), and is an inclination toward the doing of the good actions commanded or permitted by the moral law,

    and the avoiding of the evil actions forbidden by the moral law (in Pinckaers, 1962, p. 68). Aquinas further

    states that virtue is a habitus operative of the good. There is a natural tendency to translate this phrase into

    the modern language usage of habit, which is not the same as virtue. The difculty is, that while both habit

    and virtue share some supercial similarity [e.g., both are stable, surely successful and consistent dispositions,make for ease of acting, and allow acting with joy from not resisting an inclination], habit creates an automatic

    action which diminishes the moral tone of the action (Klubertanz, 1965; Pinckaers, 1962). That is, an action

    performed on the basis of habit does not retain the participation of reason nor the engagement of free will, and

    thus to a certain extent deprives people of their full human worth. Virtue possesses a creative power, which

    surpasses any mere repetition of material acts, allowing the persons reason and will to achieve their maximum

    capacity on the moral plane.

    In psychological terms, what can be behaviorally trained through well-known reinforcement and pun-

    ishment principles does not necessarily lead to the most healthy outcome. In fact, mere development of habitwith no real compass can actually lead to psychological dysfunction, whereas virtue makes the one who pos-

    sesses it good and renders good his work (Pinckaers, 1962). We must note that some habits are related to evil,

    as in the case of habits of vice but virtue is always related to good (Aquinas, 1966). For example, place-

    ment of money in the collection plate can indeed be a virtuous act, though it can easily become an habitual and

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    meaningless response without the exercise of virtue. In summary, virtue is a rm disposition to do the good

    and choose the good in concrete actions, and the more we acquire these strengths, the less we must struggle

    with ourselves to do what we choose, resulting in the true joy of virtuous living.

    Four Cardinal Virtues. The properly lived human life consists in the exercise of the moral virtues

    (Aquinas, 1999). Since the time of Socrates, western philosophers have largely agreed that there are four

    principal or cardinal moral virtues: Prudence, Justice, Temperance, and Fortitude (Pieper, 1965). These virtues

    are cardinal in the sense that they are the hinge on which hangs, the door through which one enters into a

    truly human life, a life lived according to human nature (Ashley, 1995). Virtue has things to say about

    (a) human person; it speaks of the kind of being which is his when he enters the world and the kind of

    being he ought to strive toward and attain toby being prudent, just, brave and temperate (Pieper, 1965, p.

    xii). Every virtuous act must be done with directive knowledge, rightness, stability, and moderation, though

    each virtue has a special importance in certain matters (Aquinas, 1999). The cardinal virtues thus deal with the

    most important of problems, and perfect the psychological powers of human persons.

    The cardinal virtue which is most easily distinguished from the others is that of prudence (Aquinas,

    1966). Prudence is involved in the capacity to reason. Through prudence, we are able not only to judge rightly

    but also to command ourselves to actually execute our judgments. Moral virtue cannot exist without the virtue

    of prudence. The other cardinal virtues require its input to determine what is the good in the here and now

    situation; it involves a search for and judgment of the way to achieve the end of the other virtues (McInerny,

    1999).

    The other cardinal virtues imply a certain participation with reason by applying reason to appetites

    (i.e., emotions) or acts (Aquinas, 1966). Justice involves the will, being the ability to consider the state of

    another when confronting a situation. The other two cardinal virtues are concerned with areas of direct interest

    for psychology: drives, emotions, and passions (Klubertanz, 1962). Temperance involves the concupiscible

    appetite (or drives for pleasure). Its exercise involves moderation, especially in matters where a passion is

    compulsive, and reason must restrain oneself so that the middle course is maintained (Ashley, 1995). Fortitude

    involves the irascible appetite (or aggressive drive), and the exercise of this virtue allows for one to remain

    rm in situations where fear or anxiety might lead one to avoid responding or ee.

    The cardinal virtues are not completely distinct, however, and the existence [or lack] of one virtue in

    an individual impacts the ability to exercise another. The reason for the connection of the virtues is apparent,

    for rmness is not commended as virtuous if it is without moderation or rectitude or discretion (Aquinas,

    1966). For example, temperance does not consist in eating only so many ounces of food daily, but in eating a

    suitable amount, such an amount as can only be determined by the intellect, using the virtue of prudence (i.e.,

    considering ones health, circumstances, etc.). Furthermore, Aquinas believes that the deterioration of one

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    power of the soul should be healed and supplemented by the still undamaged core of some other power (e.g.,

    quenching the limp intemperateness of an unchaste lustfulness by attacking a difcult task with the resilient

    joy generated in the full power of wrath) (Klubertanz, 1965).

    Application to Clinical Work

    In the psychotherapeutic process, the most reasonable focus is on that which makes us most human:

    practical reason and the related ability to make choices, which either strengthen, or weaken, our self-mastery

    and moral virtue. From this articles perspective, the goals of therapy can generally be described as (1) man-

    agement of emotional life, (2) so one can better live in community, leading towards (3) the building of virtue.

    The ultimate goal is the ability to live the morally good life, which is to say, a happy, fullling life.

    Managing emotions. A person whose life is dictated by emotions is not guided by that which is distinc-

    tive of human beings, namely, reason. Reason puts the pleasures and pains to which we respond emotionallyinto relation with our integral good (Aquinas, 1999). However, individuals often need to learn how to utilize

    their reason to direct and control their appetites or emotions. Any therapeutic activity which seeks to free

    persons from negative feelings must be accompanied by a sensitivity to the circumstances surrounding the

    affect, and how correct reason has or has not been utilized. For example, in therapy with an individual who

    comes to treatment complaining of feelings of guilt and depression, it is essential to determine if the guilt is

    from a real, that is, true wrong (I had an abortion) versus a wrong imposed from a mere social convention

    (I only call my mother once a week); in addition, for real guilt, there must be a willingness to pursue themes

    of forgiveness and reparation, and if and how reconciliation has been sought with God becomes an important

    issue. Training our emotions to respond to the direction of reason is a most difcult task. Its achievement is

    called virtue (McInerny, 1999).

    Living in community. Another goal of therapy and improved psychological health is to help persons

    live in community (Robinson, 1997). If therapy has as its goal providing beneciaries with the means to a

    better life, then, the aims must include an understanding of the person assessed in terms of the contributions

    made to others. What history teaches is that those who scorn traditional virtues justice, temperance, or forti-

    tudebecome stunted and solitary. They fail to excite respect and affection; their friendships are counterfeit,

    lasting only as long as others nd them useful or fearful (Robinson, 1997). Thus, a clear indication of progress

    in clinical work is growth in the patients ability to selessly consider the good of others in their life.

    Building virtue. Clinically, most patients are suffering psychologically from a restriction in their abil-

    ity to choose freely. Therefore, the exercise of moral virtue on a regular basis cannot be realistically expected.

    However, virtuous outward behavior can have a strengthening or weakening impact on the inner order of the

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    patient. It is from this point of view that all practice of outer discipline obtains its meaning, its justication,

    and its necessity, in the growth and healing of emotional illness.

    Neurotic behavior is behavior that is nonfree; compulsively consistent; motivated by fear,

    anxiety, or some similar emotion; not rationally successful in solving a problem, though

    concretely effective in reducing psychological needs. Once it has become habitual, there

    is much less opportunity to practice virtuous behavior. But suppose education has taken

    place, so that the person comes to see personally that there are other ways of solving his

    problem; then he is in a position of being able to help himselfto acquire virtue. (Kluber-

    tanz, 1965, p. 263-4).

    A person must take positive steps to prevent an habitual, poor action from recurring. The virtues are

    by their nature inclined to action, so it is impossible to utilize a merely negative position to acquire virtue. For

    example, while an intemperate person, whose intemperance occurs in a certain place, may usefully avoid that

    place, if the object is not avoidable but within himself, he cannot avoid it by telling himself not to think about

    it, as this will in effect cause him to rst think of it (e.g., as can occur in cases of scrupulosity) (Klubertanz,

    1965). The therapist, through careful conscious reports obtained through empathically listening in an effort to

    understand a patient, may be able to assist an individual in their conception and understanding of their interior

    life. Through temperance, ones desires are not excessive and his impulses are controlled. Through cour-

    age, he can face his failures instead of hiding from them; he can remain calm under difculty and so solve his

    problems in an objectively, rationally successful way (Klubertanz, 1965, p. 263-4). The therapist, however,

    must remember that the patient must play the principal role in the therapeutic process. Any inordinate imposi-

    tions by the therapist may weaken the person to a point where they can no longer grow. The power of an

    educator can be conceived of as placing oneself at the service of the personal development of those who havebeen conded to your care (Pinckaers, 1962, p. 81), and assisting them in understanding how his action can

    be generalized in different ways, to become closer to the ideal of universal goodness (Klubertanz, 1965). A

    similar role might be recommended to the therapist.

    The process of a psychotherapy of virtue is as follows: The therapist begins by addressing the psycho-

    logical or emotional problem that is inhibiting the individuals ability to freely choose the good in their lives.

    Many of the standard techniques that have been proven effective in treatment of emotional disturbance can be

    utilized, so long as they are consistent with the inherent dignity of the human person and moral virtues being

    pursued. As therapy progresses and the patient becomes more free of their troubles, the notion of virtue isthen introduced, and the specic virtues related to the problem are explained and their exercise encouraged.

    Although perfect exercise of virtue is not expected at this stage, it is important for the patient to begin to prac-

    tice and become familiar both with the idea of virtue as well as how it is applicable to their life. Through their

    efforts to practice virtue, positive habits will begin to develop, at least externally, and as the therapy progresses

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    and barriers are removed, the truer, interior acts will be maturing. It is essential for the clinician to monitor the

    development and ensure that the patient is not merely developing an automatic response (i.e., make sure that

    reason, through prudence, is exercised in decision making), nor that an intellectual virtue is being developed

    (in itself, a positive skill) without the guidance of the moral virtues, the danger here being that this could lead

    to skillful operation of immoral or unhealthy behavior. Finally , it should be noted that the work of striving to

    become virtuous is difcult. The difculty arises from the intensity of effort which it often requires to make the

    correct acts. Pain occurs because one is still in a state of imperfect virtue; if ones state of virtue were perfect,

    they would experience pleasure, not pain, in practicing virtue (Oesterle, 1966; Klubertanz, 1965). Furthermore,

    patients can become discouraged if they are not aware that the practice of virtue, initially, will not feel good,

    though they should be given the hope that with attainment of the perfection of virtue, by denition, they will

    be attaining a good, which will be more beautiful than can be imagined, and will in time increase their content-

    ment. Truly virtuous living is exceedingly joyous living, because it is the real power to live consistently with

    our deepest choices.

    Case Example. Joe and Mary come for therapy concerned about their marital relationship and strug-

    gling with raising their three children, particularly the youngest, a 4 year old girl, Beth. The parents report that

    they are having a difcult time controlling Beth, who was a colicky baby and has had multiple health problems

    in her young life. Joe and Mary have been married several years, and report that their two older boys appear to

    be developing well, having bonded with both parents, and being particularly close to their mother who states

    that she has no trouble in parenting them.

    Mary was physically abused by her mother during her own childhood, and states that she is now afraid

    of abusing Beth. She reports that at times she becomes so frustrated and angry with Beth, that she feels like

    throwing her against the wall. When reecting on her relationship with her own mother, she reports that shefelt as if she could never please her, and was never good enough in my mothers eyes in anything she tried

    to do. Marys growing irritability with Beth is also impacting the marital relationship, as Joe is seeing a side

    of her of which he was previously unaware.

    Joe gives a history of coming from a good family in which there was little conict, and with whom

    he remains fairly close. Mary interjects, however, that Joes mother was an alcoholic and that she has recently

    begun to feel very criticized and unwanted by his family, with whom she now avoids contact. Joe is upset by

    this change in how she is relating to his parents, as well as by the mean, nasty remarks that he reports Mary

    has been making. Joe alludes to being at the end of his rope and possibly considering leaving if things donot improve.

    Therapy begins with a clear focus on the psychological issues that are manifest in the familys func-

    tioning. Because of Marys disclosure regarding her painful personal history, and her openness to therapy,

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    individual sessions are scheduled to help free her from the emotional distress which appears to be preventing

    her from showing the same temperate, just patience with her daughter that she had been able to do so success-

    fully with her sons. Exploration of her past memories and feelings results in Marys realization that her intense

    emotional reaction when unable to comfort her daughters distress is related to her feeling of never being able

    to please her mother either. Grieving the loss of obtaining her mothers nurturing love, and realizing that she

    may experience some healing when able to provide her own daughter that love, frees Mary to choose to love

    Beth unencumbered by the emotional reactivity from her own life experiences.

    With these issues in the process of becoming resolved, the focus of treatment shifts to the current

    problems in Marys interactions with Beth: the inability to control her temper. Joe is now invited to join the

    sessions, as Marys anger problem was identied not only in the relationship with her daughter but also her

    husband. The couple is educated about the ultimate goal of the therapy as helping both spouses grow in love of

    each other and their children, and that for this to occur, each will have to embark on an effort of building moral

    virtues in their lives (for Mary, Temperance in her emotions; for Joe, Justice in his honoring his marital com-

    mitment by making a decision to choose Mary in difcult times instead of tacitly joining his parents negative

    comments). It should be noted that the therapeutic process is a uid one in which the psychological and the

    virtue aspects are moved between as issues resurface or new issues arise.

    The building of virtue is presented as generally the notion of putting anothers need before ones own.

    Journaling and cognitive behavioral techniques are utilized to assist Mary in engaging her ability to use her

    reason (or rational powers) to place her emotional reactions in context and to identify unhealthy patterns which

    she can then break. The long-term benet of developing Prudence is also explored, as parents will be faced

    with difcult decisions regarding how to raise their children as they grow through adolescence; having the

    ability to prudently discern what is best for a child, without being overwhelmed by ones own emotional reac-tion, becomes more important as children grow, and decisions to be made do not always follow a rigid, precise

    standard but must be prudently discerned given the context and the particular child involved. Joe is helped to

    see that manifesting his disappointment with his wife by comparing her with her own past results from focus-

    ing on his own needs and expectations. The antidote for which is a more virtuous, that is seless and generous,

    attitude towards her to which he is called.

    As the spouses parenting issues began resolving, the focus shifted to the marital relationship. The

    therapist modeled virtue through empathic listening, and teaching the skills necessary for the couple to focus

    on the others need before focusing on their own. Although initially each spouse was rather stilted in theireffort to respond empathically, the practicing of the skill, they saw developing the virtues as a valuable step.

    Care was exercised that the skill itself was utilized in a framework that emphasized a focus on building love

    through Justice and Prudence in any comments made. Eventually, as each began to trust that the other would

    truly make an effort at understanding their point of view, the courage (i.e., Fortitude) they manifested in taking

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    the risk to begin this process and openly share their feelings with each other was rewarded. Mary was able to

    communicate and have understood her need for Joes support in the face of any comments made by his family

    about her, and Joe was able to acknowledge more openly the imperfections of his own family of origin, and

    more freely choose his relationship with his wife as primary.

    Conclusion

    The ultimate goal of a psychotherapy of virtue is to allow one to attain the fullness of life that is our

    natural destiny, unencumbered by disorder. True happiness can be approached more closely as one is more able

    to freely choose virtuous acts without the obstacles from reactivity that can arise when emotions are controlling

    us, instead of properly informing our reason in the decision making process. Our fallen human nature resists

    this path, thus, psychological growth is best seen as a lifelong process, not as a destination that is achieved and

    then permanent. Ultimate fulllment will only come in union with our God, towards which the virtues dispose

    all the powers of a human being.

    The happiness which is proportioned to mans nature, and obtainable by means of a

    mans natural capacities, is the happiness to which the moral and intellectual virtues are

    immediately ordered; man is directed ultimately and primarily to a happiness surpassing

    the capacity of human nature, and obtainable from God alone (Oesterle, 1966, p. xvi).

    The cardinal virtues free the human person from undue attachment to temporal values, facilitating ones open-

    ness to the theological virtues, faith, hope, and love, by which the human person attains direct contact with the

    living God (Ashley, 1999). It is thus in a persons capacity to produce from within themselves and to invent

    perfect actions, that they show themselves to be in the image of God the Creator (Pinckaers, 1962): Be trans-

    formed by the renewal of your mind, that you may discern what is the will of God, what is good, pleasing, and

    perfect (Romans 12:2, NAB).

    References

    Aquinas, T. (1999). Disputed questions on virtues. (R. McInerny, Trans.). South Bend, IN: St.Augustines Press.

    Aquinas, T. (1966). Treatise on the virtues (J. A. Oesterle, Trans.). Notre Dame, IN: Universityof Notre Dame Press.

    Ashley, B. (1995). Thomas Aquinas: The gifts of the spirit. New York: New City Press.

    Brunson, M. (1994). Angelic doctor: The life and world of St. Thomas Aquinas. Huntington, IN:Our Sunday Visitor.

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    Chesterton, G.K. (1956). Saint Thomas Aquinas The Dumb Ox. New York: Image BooksDoubleday.

    Hughes, J. (2000, March). The integration of cognitive behavioral therapy and Christian humanism.Paper presented at Boston chapter of the Society of Catholic Social Scientists, Newport, R.I.

    Klubertanz, G. P. (1965). Habits and virtues: A philosophical analysis. New York: Meredith

    Publishing.

    McInerny, R. (1999). Preface. In T. Aquinas, Disputed questions on virtues. (R. McInerny, Trans.).(pp. vii-xix). South Bend, IN: St. Augustines Press.

    Oesterle, J.A. (1966). Introduction. In T. Aquinas, Treatise on the virtues (J. A. Oesterle Trans.). (pp.xiii-xvii). Notre Dame, IN: University of Notre Dame Press.

    Pieper, J. (1965). Four cardinal virtues: Prudence, justice, fortitude, temperance. New York: Harcourt,Brace and World.

    Pinckaers, S. (1962). Virtue is not a habit. (Trans. Bernard Gilligan). Cross Currents, 12, 65-81.

    Robinson, D.N. (1997). Therapy as theory and as civics. Theory and Psychology, 7(5), 675-681.

    Sutton, P. M. (1995). Personalist themes in the applied Thomistic psychology of Anna Terruwe andConrad Baars. In J. Dubois (ed.) The nature and tasks of a personalist psychology. Lanhan, MD: UniversityPress of America.

    Author Notes

    Frank J. Moncher completed the Ph.D. in Clinical-Community Psychology from the University of

    South Carolina. An Assistant Professor at the Institute for the Psychological Sciences in Arlington, VA, Dr.

    Monchers teaches psychotherapy and assessment, and his research interests include the integration of Catholicthought and psychotherapy, and child and family developmental issues.

    I would like to thank the following individuals for their help during the research and writing of this

    article: Thomas Berg, LC, Romanus Cessario, OP, Thomas Cronquist, Francis Fusco, Stephen Grundman, Wil-

    liam J. Nordling, Daniel Robinson, Phillip Sutton, and Gladys Sweeney.