Category Archives: christian counseling

DRC/Rwanda Trip: Final Days


October 21-22, 2011, Kigali, Rwanda

Friday morning and we are up by 6 am. Have to pack this morning because we have to be out of our rooms. As soon as we finish the conference we must say our goodbyes and get to the airport. We have breakfast with Robert Briggs of the American Bible Society. He’s on his way to a United Bible Society meeting in Kenya. Our conference begins with Diane

Planning the next steps

Langberg and Carol King covering the topics of lament and grief. After their presentations, the participants practiced writing their own laments. We made time for sharing them with others. We concluded this section with a choral reading of Scriptural laments. This choral reading was compiled by Lynn MacDougall and quite moving for all. We had enough time before lunch for me to teach a bit on vicarious trauma.

After lunch, I did a short teaching on peer supervision. It is important for these caregivers to support each other and so I taught on how to do case consultations and to write-up case study/questions. After finishing this teaching, Baraka led the participants in a “What next” brainstorm. Their main recommendation was to form an association of counselor/caregivers–Rwandan Association of Christian Counseling as a place to get further support, training and to share resources. They wanted a website that would allow them to connect via social media. As they explored their current needs, many said that the number one need is ongoing mentoring. Others talked of finding ways to get paid for their work in counseling. Many spoke of the need for skills and training in dealing with drug and alcohol issues, sexuality, gender-based violence, depression, and anxiety. They asked for trainings 2 times per year. The group decided to appoint a few of the attendees to a committee to see these recommendations to completion.

We concluded our time by asking them to tell us what parts they liked the most. They liked the small group activities. They wanted these to go longer. They liked the role plays and want more. They would like PowerPoint slides (we didn’t do these but handed out outlines) and for speakers to speak slower English. We promised to send them a PDF of our talks and outlines for them to have in electronic form.

Our final activity was to hand out the certificates for real. I got the pleasure of doing this and getting a hug and a picture from each attendee. We said our goodbyes, made a quick change of clothes and headed off to the car to take us to the airport. Just as we were about to get in the car, we were given handkerchiefs each with notes and signatures from the attendees. A sweet parting gift!

Friday night at 7 pm, we boarded our plane (Brussels Air) to start the trip back home. The flight was full and our seats were all over the plane so no debriefing for us. For the next 10 hours (including a stop in Nairobi), I was jammed into a middle seat without leg room (front role of cattle class). Arriving in Brussels by 6 am, we managed to get coffee, chat a bit with each other, and buy some Belgian chocolates for the family. After a total of 28 hours of travel, we arrived back in Philadelphia, PA. 42 hours of no sleep (all day Friday and the night and then most of Saturday) but I arrived home wired and ready to tell my family about what I had seen. Funny, as I tried to tell them about my trip, I found I was having a hard time making sense of everything. I’m not sure it was just because I was tired but more because I had too many thoughts and feelings and was without words to express it all.

As I post this, I am now 1 month from the end of this trip. It is still hard to be concise about the trip. We learned much, saw much, and have ideas about how we can have an impact on future counseling training in Rwanda and the DRC. Clearly, we need to do more live vignettes for the counselor trainees. And we can impact the area by offering materials to existing schools.

I am blessed to have been able to do this work. Probably more blessed than the recipients! I couldn’t have asked for a more successful trip, better travel connections (well, unless someone has a teleporter lying around), or better travel companions. Can’t wait til the next time.

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Filed under christian counseling, Christianity, counseling, counseling skills, Uncategorized

Counseling as Global Mission of the Church


A few days ago I wrote this for our seminary’s blog regarding how counseling supports the global mission of the church. If you are interested in international counseling work…you need to read this blog and follow the link I promote.

Counseling as Global Mission of the Church.

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Filed under christian counseling, christian psychology, Christianity, counseling science, counseling skills, Cultural Anthropology, ethics, Uncategorized

The Mission of God to the Mentally Ill: What Role Does the Church Play?


The Mission of God to the Mentally Ill: What Role Does the Church Play?.

 

Check out my blog on Biblical Seminary’s new faculty blog. Addresses the most frequent search terms and comments on this blog.

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Filed under biblical counseling, Biblical Seminary, christian counseling, christian psychology, Christianity, counseling, Psychology

Trauma Recovery Work in Africa: Itinerary


Those of you interested in trauma recovery work can feel free to pray through our upcoming trip and itinerary (as well as for our families!). Our team (Diane Langberg, Carol King, Josh Straub, Baraka Unwingeneye, Josephine Munyeli, and me) will be providing a 3 day trauma recovery training for Rwandan nationals October 19-21 funded by generous donors from the AACC and WorldVision. Diane and I are leaving early for some assessment work with the American Bible Society and national bible societies in the region.

  • Oct 10-11: DL and PM to Entebbe, Uganda to meet up with African and American Bible Society leaders
  • Oct 12: DL and PM (via MAF plane) to Bunia, DRC to meet with Bible Society workers and those receiving care
  • Oct 13: DL and PM (via MAF plane) to Beni, DRC to meet with seminary/university professionals; then on to Goma, DRC
  • Oct 14-16: DL and PM meeting with Bible Society staff, trauma victims, and trauma recovery workers in Goma, DRC
  • Oct 14: JS and CK to leave for Kigali, RW
  • Oct 17: DL and PM to drive from Goma, DRC to Kigali, RW
  • Oct 18: Meetings, prep for conference
  • Oct 19-21: Conference lead by BU, JM, DL, JS, CK, and PM for WorldVision workers, clergy, educators, and others
  • Oct 21: Leave Kigali
  • Oct 22: Arrive Philadelphia

Pray for health, safety, ability to listen well, to teach well and to be flexible. Pray for our families in just the same way.

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Filed under "phil monroe", AACC, christian counseling, christian psychology, Democratic Republic of Congo, Goma, Rwanda, teaching counseling, trauma

Stopping addictive behavior: What works?


I taught Sunday School at my church a few weeks ago. The topic was finding practical and specific ways of escape from the cycle of addiction. If 1 Cor. 10:13 is accurate that there is “always a way of escape” for every temptation, then it was my suggestion that we ought to become experts at finding the gifts of escape offered by God.

I began with a reprise of the cycle of addiction that is often attributed to Patrick Carnes. That cycle goes something like this:

During a period of abstinence the person has the impression they would never fall prey to “old” temptations. But then,  triggers happen. These can be positive (a success) or negative (tired, hungry, lonely, angry, etc.). Triggers can be internal or external. These usually result in some immediate automatic thoughts/desires. We begin a script such as, “I need, I gotta have, if only, I can’t take this…” If we keep up the dialog for very long we find ourselves engaging in SUDs (Seemingly Unimportant Decisions). These behaviors aren’t addictive per se but they are the things we do in an unthinking way that set up us for use. So, the bored person just wants to surf the web and…surprise, surprise…they look at porn. Or, the person who has an alcohol problem is feeling lonely and so goes for drive and…surprise, surprise…they end up at their usual liquor store. After beginning to act out, the person often feels defeated and keeps engaging in the addictive behavior because they have already broken the promise they made to themselves and others. Finally, at some point the person breaks out of the acting out and often does some form of penance. This might include promising over and over to be good next time, doing good things for God and family, or punishing self to make up for the failure.

Stopping Addictions at the Last Minute

When addicts first begin to fight their cravings, they benefit from developing a list of many things they can do to avoid giving in. I recommend that individuals create very specific lists of things to do other than acting out. Most people aren’t good at brainstorming in a crisis so a solid, long list is essential. Items on the list can range from comfort actions (talking with a friend, a cup of  tea, a hot shower, listening to music, etc.) to distracting and positive activities (praying specific prayers, walks, exercise, etc.) to altruistic actions (doing something good for someone else). These lists work best when we share them with those who support our sobriety and who help us troubleshoot when the list doesn’t work well.

A Better way? Building a Different Narrative

But, aborting addictive behavior at the last-minute is a bit like running up to a cliff and hoping to stop before going over the edge. It is good to have a plan for how to stop but it is better to interrupt the cycle before it gets very far. To invoke another analogy, it requires that we change the script if we want to have a different outcome. I like the imagery of script because I think we tend to narrate our lives. Consider these examples of how we narrate life

  • Do you have a “pre-conversation” (fantasy dialog) with someone you know will be difficult? That “conversation” is rarely neutral. You imagine what you will say, what they will say, what you will say, etc. What you imagine is less about facts and more about how you have scripted them and yourself
  • Do you ever determine the unspoken motivations of another? “I know he meant to hurt me because he always does” is narrative. It may be accurate, but it is still your creation of a script and not the same as reality.
  • Do you ever replay a shame experience? A success experience? That is you narrating your life

“So, this relates to addictions how?” you might ask. Good question. Most of us script ourselves as either in a denial story or a despair story in regards to addiction.

  • Denial stories tend to focus on external causes to our acting out. It wasn’t me, it was the devil. I wasn’t going to do that but I was so tired from dealing with my mother. I was just checking ESPN when I clicked the wrong link and got to porn.
  • Despair stories tend to focus on failure and inadequacies. I’ve already failed so I might as well just keep on with my addiction. If anyone finds out I’ll ruin my reputation. No one else struggles like this.

Build A Better Narrative

  1. Identify the subtle ways you tell your own story (look at the typical thoughts, self-invalidations, fantasies, “if onlys”, comparisons, etc.). Find out how these story lines lead you down a four lane highway to your substance of choice.
  2. Practice telling new (and truthful) pieces of your story from God’s point of view. Check out with your trusted friends if they agree with these new pieces. For example, “I feel alone but what is true but God has put these people in my life. I feel like a failure the goal isn’t for me to rise above the struggle but to reach out in the midst of it.” “I am weak but God is present with me in my weakness and isn’t waiting for me to become strong.” Remember, you have practiced old and distorted story lines for many years so don’t expect that one or two attempts will dislodge solidified beliefs.
  3. These new story lines need new goals. The former goal of not using vs. getting “high” no longer works. The former goal of avoiding pain, guilt feelings, or quelling cravings do not work. New goals need to be crafted that work for you. Find one that works for you. Some create goals that focus on the next positive thing. Others focus on goals to stay connected to others during a craving. Still others focus on goals to meditate on something wholly other than their craving.

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Filed under addiction, christian counseling, christian psychology, counseling, Uncategorized

Desiring fame: When does it lose lustre?


When I was a kid I would sometimes fantasize about being famous or a hero. Maybe everyone does. As I became an adult, that desire shifted from being a crime fighter or sports star to being a famous intellectual, a professor somewhere. I distinctly remember a conversation with my friend Geoff. We mused that it would be cool if we could succeed the two more famous professors at our bible college. While we were thinking about future possibilities, I’m sure we were also driven by the desire to be somebody.

Fast forward to this past week. My colleague Bryan and I were sitting on his Opryland Hotel balcony and musing about the years we had been coming to the AACC World Conference, our years of presenting there and at other conferences, and how our feelings about presenting had changed. We both began presenting at conferences while at Wheaton College in the PsyD program. We both had aspirations to teach grad students. We both had looked up to a few we thought we would like to emulate. And, we both thought about books we might write one day. Some of the “highs” we experienced were,

  • Getting our paper presentation proposals accepted at CAPS and AACC
  • Getting fairly large crowds to come to these paper presentations
  • Getting published in a peer-reviewed journal
  • Getting academic jobs…moving up the ranks
  • Publishing a book (Bryan, not me)

In the early days when we first presented (as grad students) we found the cheapest ways to get to conferences and stayed in a pretty seedy motel a long walk away from the conference location. But on the balcony of a very nice hotel room, we both felt a bit melancholy and completely unimpressed with ourselves and our former aspirations. These things did not matter and were of little value. Bryan would undoubtedly trade all prior aspirations to have his wife back (she died a little over a year ago).

In many ways, we received some of the recognition we once desired: both had our ways paid to the conference and hotels comped because of our higher level work (pre-conference speakers, track leader). I even got 2 minutes to speak to the entire conference attendees.

Big deal…in light of far more important matters. 1 John 2:15-17 reminds us,

Do not love the world or anything in the world. If anyone loves the world, the love of the Father is not in him. For everything in the world–the cravings of sinful man, the lust of his eyes and the boasting of what he has and does–comes not from the Father but from the world. The world and its desires pass away, but the man who does the will of God lives forever. (NIV)

Fame is elusive, transitory, and dangerous to pursue. The desire for limelight will lead to decisions that will not honor God or benefit anyone but self. May those of us who want to be a somebody be reminded daily that the Kingdom of God is for the meek and lowly of this world. Fame here translates to nothing in heaven. Rather, our hunger must be for righteousness not fame.

So, when does fame lose lustre? When we are able to see greater things of value.

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Filed under christian counseling, Christianity, Christianity: Leaders and Leadership, counseling, Evangelicals, Uncategorized

Christian counseling theory and the bible: A dangerous mix?


Maybe Christian counselors shouldn’t use the bible when they promote their counseling theory. Maybe they should just articulate their theory and leave the bible verses out. Sound radical? An overreaction? Guilty as charged. But…consider with me that some of our most popular Christian models may be built on rather flimsy biblical data.

Some (simplistic) background thoughts

All Christian counselors recognize that the bible plays a unique role in counseling theory. Otherwise, they would just be “counselors.” But not all use the bible in the same way. Some view the bible as the primary (even sole) guide or resource for understanding human nature and recovery from every sort of relational and/or emotional struggle. These counselors would likely cite 2 Tim 3:15-16 as evidence that Scripture is powerful and primary in our fight against sin and suffering. Others view the bible as a helpful foundation designed to remind us who God is, who we are, and a resource for comfort, encouragement, and rebuke. But, these counselors might also look to other resources as well–psychological research, physiology, medicine, sociology, etc. They would not dismiss the value of the bible but would argue that the bible doesn’t intend to be the answer guide for all the questions we might have. Thus, sources of human knowledge are important to the work of good Christian counseling. Now within this second camp, counselors vary widely as to how important either Scripture or human sources of knowledge function in their given practice. Some seem to emphasize (or neglect) one source more than the other.

The problem…

No matter where a counselor falls on the above continuum, it is far too easy to use the bible to baptize a particular viewpoint or theory. From my most recent christian counseling conference, I heard a plenary speaker say something like this (not a quote but pretty near exact):

Men need respect. It is their airhose. Women need love. It is their airhose.

Along with this statement, the speaker bolstered their points with personal stories and biblical passages indicating the women should be loved and men treated as having authority (submitted to). Here the speaker used bible passages to indicate that men are designed to operate optimally when respected and women designed to operate optimally with love.

Is this true? It could be. I certainly think that this SEEMS to be true for most men and women. But, and this is the BIG BUT…does Scripture indeed teach this. Does Paul teach us that these are our basic needs in order to function well?

Close but way off

Notice that love and respect cannot be our “airhose.” Habakkuk 3:16f would suggest that when everything has been taken away, it is possible to have joy in all things. Notice that Ephesians 5 is about what each are commanded to do…not about what each of us needs to receive. Christ is our “airhose” and nothing else. This speaker would have been better served just teaching us about observations made about what actions tend to make for better marriages than to indicate that the Scriptures teach us we have these two needs.

So, the next time you pick up a cool book by a christian counselor. Check out how they use the bible. As a support for a good theory (e.g., this verse teaches us…)? Or, as a source for understanding the problem of evil and the nature of our God who leads, guides, and saves us?

If you are interested in this topic, let me give you a couple of resources.

  • October 2011 print issue of Christianity Today covers the general misuse of the bible. It is not just counselors who do this. They list the example of a book with anti-aging techniques supposedly gleaned from the bible.
  • 2 chapters in Care for the Soul:Exploring the Intersection of Psychology & Theology (IVP, 2001). Chapters 12 and 13 both cover the issue of hermeneutics. Richard Schultz addresses how counselors misuse wisdom literature and chapter 13 (myself and my colleague Bryan Maier) give more general recommendations for good hermeneutic work.

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Filed under biblical counseling, Biblical Reflection, christian counseling, christian psychology, Christianity, counseling science, counseling skills

Off to Nashville!


This marks the 6th trip to the Opryland Hotel for AACC’s World Conference. It is quite the spectacle. I love meeting up with old and new friends. I love the opportunities to teach and learn. I don’t love the Opryland. It is behemoth (though good for exercise) and feels fake after a day or two in the climate controlled indoor bubble. Nice greenery and all but still a bit stifling for my taste.

This year I will be present at the following

  1. 9/27
    1. Speaking to Salvation Army Officers on ministry challenges and spiritual renewal (slides on slides page)
    2. Speaking to golfers at the Project Tuza Golf fund-raiser and dinner about Rwanda and the work we will do there in a few weeks.
  2. 9/28
    1. Presenting with Diane Langberg on Complex Trauma (3 hour pre-conference seminar)
    2. Meeting with the American Bible Society, AACC, and others about supporting global trauma recovery
    3. Meeting with those going to Rwanda to make final plans on our 3 day training of World Vision workers
  3. 9/29 Conference opens!
    1. Attending as many plenary and breakouts as possible
    2. Representing Christian Psychology to counseling students at “Awakenings” event
    3. Pizza with Langberg & Associates staff who will be there!
  4. 9/30
    1. Presenting a 1 hour breakout with Carol King on international trauma recovery (slides on slides page)
  5. 10/1
    1. Making a pitch from the main stage to all attendees during the “ask” for support for Project Tuza.

I think I will be plenty busy. This doesn’t count all the interactions with friends and colleagues I often have. So, I look forward to it and look forward to it being over and returning home to family. Feel free to pray for their stamina as well!

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Good Read! New book out for lay counseling training


I am frequently asked about the best materials out there for churches interested in building a lay counseling ministry. There are materials out there that help to teach people to be good listeners. There are materials out there that give lay counselors an education on the nature of problems and how God is in the business of changing hearts and minds. These same materials help readers realize that lay counseling can be a credible and highly important ministry in the church. While professionals are needed for difficult cases, many counseling needs can be handled “in-house” if the church supports and supervises wise lay counselors.

Well, a new book is out and though I have not read it all, I have gotten a flavor of it, enough to recommend it to you all if you are looking for such a book. It is written by Robert Kellemen, author of a number of counseling texts and frequent blogger. Don’t miss his answer to a question of mine at the bottom.

Why is this an important book?

Here’s why:

  • Most prior books on this topic present lay counseling either as an anemic listening only task or speak only in theological terms and fail to actually train lay counselors to listen well. This book considers both the biblical basis for lay counseling AND is concerned about listening skills as well.
  • Most prior books forget to bring the WHOLE church along in the vision of biblical counseling. Bob has the readers consider the church culture and health. If the church (leaders) aren’t buying in to this, there won’t be a counseling ministry.
  • Bob focuses on the character of the counselor. This is HUGE. What’s worse than a poorly trained counselor? One who is well-trained but arrogant and un-reflective.
  • Bob covers practical matters of a counseling ministry including the ethics of lay counseling. This is extremely important if a church doesn’t want to make mistakes that could lead to lawsuits.

Click here for more on the book including a table of contents, video trailer, and sample chapter.

So, I asked Bob this question:

Most churches seem divided between those who support lay biblical counseling and those who think counselors should be specialists outside the church. How does your book speak to both?

Bob’s answer is extended but helpful:

That’s an excellent question. Anyone who knows the focus of my ministry knows that I tend not to be an either/or person, but rather a both/and person. I believe God calls both biblical counselors in the church and those who counsel outside the church.

Equipping Counselors for Your Church, by the very nature of the title, is much more focused on local church-based equipping. However, in chapter one I address More Than Counseling: A Vision for the Entire Church. Here I outline seven different “styles” of meeting counseling needs in the Christian community–including the “specialist model.”

A main reason I choose to focus on equipping counselors for the church is that very few others are doing so. While we have scores and scores of books about training professional Christian counselors, the last book written on equipping counselors for the church was Tan’s 1991 book–based upon his 1980s dissertation which in turn was based upon research from the 1970s. We’ve gone an entire generation without a book on equipping counselors for the church! Frankly, that’s inexcusable given the Bible’s clear mandate that we equip God’s people to speak the truth in love so that we all grow up in Christ (Ephesians 4:11-16).

Further, we have 100s of counselor education programs in Christian colleges, graduate schools, and seminaries, but in my research, few of those programs have required courses in equipping counselors. In the one course I took on the topic in my seminary MA, we were told that it was not possible to equip counselors for the local church! I couldn’t disagree more. I always tell pastors, counselors, and students that if you are going to obtain a Master’s Degree that means you have so mastered the topic that you not only are able to do the work of counseling, you should be able to equip others also.

So, we could debate the issue forever (biblical counselors in the church or specialists outside the church), but the fact is, there’s a dearth of biblical, best-practice material available for those who are committed to equipping one-another ministers for the church. Equipping Counselors for Your Church brings together two-dozen best-practice churches who are doing it successfully now, plus my experience launching and leading biblical counseling ministries in three very different churches. It provides a biblical, logical, theological, relational, field-tested, practical step-by-step “4E” process: envisioning, enlisting, equipping, and empowering.

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Filed under biblical counseling, christian counseling, counseling skills, Doctrine/Theology, Good Books

Sneak preview: Healing Trauma in International Settings (AACC seminar)


Cascade Atrium, Gaylord Opryland Resort & Conv...

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Just completed preparing my breakout seminar for this year’s AACC World Conference at the beautiful but outlandishly expansive Opryland Hotel in Nashville (Sept 28-Oct 2). This time around I presenting with my colleague Carol King on “Healing Trauma in International Settings: Best Practices.” Carol has had some experience in Rwanda and Goma, DRC and will be with our group in October when we do trauma recovery training in Kigali. Come back to the blog on the 30th and you can see and download the slideshow we will do.

What will we be talking about? 3 main points:

  • Listen…don’t assume you already know trauma or treatment practices
  • Train…don’t do the interventions yourself (train local leaders)
  • Utilize…don’t reinvent the wheel (use existing models)

Now obviously we will be fleshing those points out. Our goal is to help prepare interested counselors to develop short and long-range intervention strategies that utilize the cultural and human resources of the people they will serve. The only way to do this well is to have a listening and collaborative/support role approach. To that end I will talk about hoe to build an effective area case map.  We end by reviewing a few models for trauma recovery (both Christian and secular).

Check back on the 30th for the full set of slides.

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Filed under AACC, Abuse, christian counseling, christian psychology, Christianity, counseling, counseling science, counseling skills, Post-Traumatic Stress Disorder