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The New American Bible isn’t Orthodox and this verse has never been understood by the Orthodox as the RCC doctrine has used it.Some members of the Orthodox Church will tell you that the Orthodox don’t believe in original sin. If you run into that, ask if the Orthodox teach that all men and women are immaculately conceived.
Indeed, in guilt I was born, and in sin my mother conceived me.
Psalm 51:7 (New American Bible)
This is Psalm 50 in the Orthodox Bible Septuagint (the Orthodox have an extra Psalm).
The Orthodox Study Bible doesn’t follow the LXX form, but says this:
"51 (50 LXX) This is a psalm of repentance and God’s mercy, and a prophecy about the salvation through baptism (vv. 2,7). It is also a teaching about worship in spirit (vv 17-19). Of all 150 psalms, this is the one most used in the Orthodox Church. It is a psalm of repentance said three times daily - Matins, Third Hour, and Compline - as well as in every Divine Liturgy, where it is recited by the priest as a sign of repentance while he censes before the Great Enterance. Historically, this psalm is David’s prayer of confession after his sin with Bathsheba (2 Sam,. 12:1-15).
Verse 5 is clarified in the LXX: "Behold I was brought forth in iniquities and in sins (plural) did my mother conceive me." Far from seeing conception and childbirth as sinful in themselves, or as a means of passing on Adam’s guilt, this passage tells us every action in this fallen world is accomplished by sinful people in sinful circumstances.
This psalm is a liturgical deposit of gold in the Church, prayed by clergy and laity, expressing the most basic things that need to be said by the faithful before their God. It is best learned and understood through its use in prayer."
NB clergy and laity do not have the same meanings in the Orthodox Church as in the RCC.