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The main difference between the Second Vatican Council and the twenty ecumenical councils that preceded it is the the first twenty councils were always primarily concerned with doctrinal concerns and with pastoral concerns secondarily. I believe all of the previous councils had been called to deal with particular heresies that had arisen, from the First Council of Nicaea which dealt with Arianism to the Council of Trent with dealt with Protestantism, I'm not sure about the First Vatican Council. The Second Vatican Council, however, dealt with no doctrinal issues whatsoever and was not called because of any problems with heresies but was primarily a pastoral council. Blessed Pope John XXIII called the Council to deal with updating or making the Church more sensitive to the issues in the modern world. Unlike the previous Councils which settled heresies, the Church had to deal with a number of heresies that arose after the Council.

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