Category Archives: christian counseling

Biblical Counseling is too focused on big truth?


Haven’t had much time to write of late since the pressure is on for more formal writing assignments. But, in prep for a presentation in a few weeks I have been thinking about this question. Is the biblical counseling model of change too much focused on truth? Heretical thought for some I’m sure. (For those who don’t remember I consider myself both a biblical counseling and a Christian psychologist).

Let me start with some shoddy diagrams of two classic models of change.

1. Presenting problem –>Diagnosis Made–>Counselor generated insight (reality/truth) –> Corrective action (counseling as troubleshooting ways to cement corrective action outside of session). Counseling in this model focuses on truth/reality applied to counselees life outside of session. Benefit? Problem/solution focused; objective change. Drawback? Feelings and Relational activity is minimized (though not denied). The relationship is used to get to the activity of change.

2. Presenting problem  –> Diagnosis Made (but may not be told) –>Counselor generated insight (NOT given) –>Introspection via counselor generated questions. Counseling in this model focuses on introspection and counselee generated insight. Benefit? No pressure to perform, feelings encouraged. Drawback? No real relationship focus as it is purely 1 way. No focus on objective change (assumed it will naturally happen).

So, model one is more cognitive. Model two is more dynamic. Both models want or respect the valuate of relationship but usually see it as a necessity to get to what really heals (truth or insight).

The biblical model is most like model one. In many respects, the focus on truth is good. We fallen creatures need constant reorientation. We are easily deceived. And yet, which truth? Notice Jesus with the woman at the well (John 4). He doesn’t start out with the biggest truth (she’s an adulterer). Notice that we often need more immediate truthes to be the focus. Peter needs the hand as he sinks, not a lecture. David needs Nathan’s story first. We learn that God doesn’t tell us all our sins right off the bat. We couldn’t take it. Do we in the biblical counseling world over-focus on the big truths of faith, trust, sin, idolatry, etc. that we miss the “smaller” truths that God is with us, that his hand is present right now in some small tangible way?

So, how about this model for change that is both solution focused AND interpersonal.

Presenting Problem –>Collaborative Diagnosis/Goal setting –> *[empathy ->validation ->here/now ->collaboration on meeting goals/objectives and responding to thoughts, feelings, behaviors] –> small habit change attempts –> post hoc insight.

In this model the primary work is in the interpersonal dynamics (the stuff in the brackets) and insight is more what happens after change takes place: “Oh, that’s what I was thinking then and this other way helped me to change that.” If this alternative model is a bit more accurate in portraying how people actually do change via God’s grace then this is my big question: how might this model change how we use the Scriptures in counseling.

Make any sense?  If anyone has artistic capability to render these diagrams I’d love to see how you’d do them.

Leave a comment

Filed under biblical counseling, christian counseling, christian psychology, counseling, counseling science, Psychology, teaching counseling

Society for Christian Psychology Conference


Folks, those interested in the field of Christian psychology and counseling should consider making last minute plans for a September conference in Chicago. The Society for Christian Psychology: www.christianpsych.org, a division of the AACC, is holding a great conference Sept 18-20 in the northwestern suburbs of Chicago. It will be small and very intimate conference and the speakers are great. You can read more on the site but with theologians Kevin Vanhoozer andTremper Longman, and quality counselors like Leslie Vernick, Mike Emlet, and many more doing breakouts, the conference ought to be quite meaty!

So, if you want to grow in your understanding of Christian models of change, haven’t decided to go and you’ve always wanted to take a road-trip to the windy city, then take the plunge and sign up.

1 Comment

Filed under christian counseling, christian psychology, Doctrine/Theology, Psychology

On the problem of cutting: The secret under the sleeve


Writer Amy Sondova, a former student and now friend of mine, has expertise in many areas including the problem of cutting. Playing on my friendship with her I asked if she would write here just a little on the topic. Here’s what she wrote (following her bio):

Who is Amy? Amy Sondova is a writer specializing in media writing, including interviews and reviews, as well as blogging. Having interviewed over 30 of the top musicians, writers, and speakers in the Christian media, Amy has also written countless columns, reviews, and articles on various topics including mental illness, self-injury, working with teenagers, and Christianity. As well as holding a B.A. in communications, Amy holds a M.A. in biblical counseling, and has worked as a professional therapist. You can visit Amy’s blog at amysondova.comor check out her online e-zine, BackseatWriter.com, a faith-based site focusing on God, culture, music, mental health, and photography.

Cutting: The Secret Under the Sleeve

 

By Amy Sondova  She’s a cutter—one of the many in a growing community of self-mutilators who wear their pain, anger, and frustration by cutting various parts of their bodies with sharp objects.  You would not know she’s a cutter to look at her; she smiles broadly, perhaps a little too broadly at times. She seems normal if not a little melancholy.  But look in her eyes and then you will see her torment. You can always tell a cutter by the lack of luster in her eyes.

 

Cutting is a form of self-injury–the act of purposely injuring oneself using a sharp object such as a razor, scissors, knife, etc.  In addition to cutting, self-injury also includes carving, scratching, branding, marking, picking and pulling skin and hair, burns or abrasions, biting, and head banging.   Most self-mutilators are between the ages of 11 to 30 and 97% are female.  

 

Not only is cutting a stress relieving coping mechanism, but the physical pain creates a sense of livelihood, and most times physical pain is dull compared to the piercing pain in her soul.   No one can see her inner turmoil, so she has transformed her emotions onto her flesh to make you and everyone else understand that she is hurting.

 

Cutting is not usually an act of suicide.  One cutter wrote on her website, “I don’t want to die.  I self-injure to stay alive, to deal with the unbearable.  If I wanted to die, then I wouldn’t be here now” (Secret Shame, 2004.) 

 

Along with sexual and other types of abuse, there are several mental disorders associated with self-injurious behavior, which include borderline personality disorder, obsessive-compulsive disorder, post-traumatic stress disorder, clinical depression, bipolar disorder, and multiple personality disorder.  Remember, even if an individual suffers from a mental illness along with her cutting, she is more than her diagnosis.  She is human being created in the image of God.

 

The only hope for a cutter lies in God because no one can ever understand the pain except for Him. He sees the inner torments and can provide relief.  There is no hope attached to the end of the razor blade…only the manifestation of a tortured soul.  Self-mutilation is still taboo in many churches today, but as their forms fill our pristine halls, the church cannot cover its eyes any longer.  We must be prepared to minister to what many are calling “the new anorexia” before a generation mutilates itself beyond recognition.

 

10 Comments

Filed under Abuse, christian counseling, christian psychology, Depression, Psychology

Divorce & Remarriage 14: Summary and application


In chapter 14 of David Instone-Brewer’s Divorce and Remarriage in the Church(IVP), we find a summary of the book and some practical applications. In this next to last chapter of the book, he summarizes each chapter. Here are some key points.

Chapter 1 points out that some things we thought were in the bible (re: divorce) aren’t actually there. Chapter 2 looks at how in the OT God corrects an ANE tradition of allowing men to abandon and then return to their wives at will by requiring them to give a divorce certificate to their wives if they refused to provide for her or to be faithful. This certificate allowed her to remarry. Chapter 3 runs down the rabbit trail of God as divorcee. Chapter 4 shows Jesus’ teaching to be in continuity with the OT. Chapter 5 looks at Jesus’ criticism of groundless divorce. Chapter 6 explores Paul’s rejection of groundless divorce and his recognizing that if one is victimized by a groundless divorce that they shouldn’t be enslaved to it and are free to remarry. Chapter 7 and 8 look at whether there is biblical teaching that divorce is always wrong (even for abuse) and that even if they get divorce, whether or not they are really are in God’s eyes. I-B believes there isn’t credibility for these teachings from Scripture and that the OT does allow for divorce in cases of neglect/abuse. Chapter 9 looks at whether remarriage is possible. He believes the NT doesn’t really address this matter in grounded (opposed to groundless) divorces since it was commonly accepted in the first century. He believes both Jesus and Paul assume this in their teachings and didn’t clearly exclude remarriage.

He cites early Reformers who also saw the Scriptures this way (Erasmus, Martin Luther, Zwingli, Cranmer) and allowed for divorce on grounds of abuse, abandonment, neglect as well as adultery.

He then cites modern writers who also have similar positions (although he admits they may hold these positions but fail to use proper biblical grounds).

Finally, he suggests these policies for consideration:

The biblical grounds for divorce are adultery, neglect and abuse, any of which is equivalent to broken marriage vows.

No one should initiate a divorce unless their partner is guilty of repeatedly or unrepentantly breaking their marriage vows.

No one should separate from their marriage partner without intending to divorce them.

If someone has divorced or separated without biblical grounds, they should attempt a reconciliation with their former partner.

Remarriage is allowed in church for any divorcee after a service of repentance, unless they have divorced a wronged partner who wants to be reconciled.

The final chapter (15) are several letters written to him asking his opinion on their situation. He replies to each with what he think can be said and what is not clear from Scripture.

——

So we have come to the end of Divorce & Remarriage. It seems I-B has helped us understand some of the cultural contexts in which the OT and NT texts are written. He helps us understand where some of the text may be repeating current “legal” language. A chunk of his viewpoint is based on silence in the text and that the bible may not stipulate every kind of divorce. So, how do you feel about this? Does his arguments have merit? Where? Does he help clarify places where the church has misread the text? For me, I think his work helps me better defend 2 beliefs: a unrepentant breach of the vows may allow the victim to seek a divorce and then remarry; and separation “just to see what happens” is not only unwise but unbiblical.

Will some abuse this work and proclaim their right to no longer suffer? Sure. But that is nothing new. Will a few more who are suffering silently be willing to talk about their victimization? Hopefully. And hopefully church leaders will take their concerns seriously.

I do wish he addressed matters of sexual abuse. Sexually abused individuals are easily triggered by sexual activity. I would be very much against the spouse of a victim of sexual abuse using “neglect of conjugal love” as a reason for divorce. There are other forms of love besides intercourse.

3 Comments

Filed under Abuse, Biblical Reflection, book reviews, christian counseling, Christianity, conflicts, divorce, Doctrine/Theology, marriage

Don’t Miss: Destructive Relationships Seminar


Shameless promotion for a class at Biblical. You can come for Friday night or both Friday and Saturday. Check it out and get a free book with your registration!

Summer Counseling Seminar at Biblical Seminary

Who should attend:

Counselors

Lay Counselors

Church leaders

 

Popular author and speaker, Leslie Vernick, is offering a weekend seminar on her new book

 Abusive and Destructive Relationships

Seeing Them! Stopping Them! Surviving Them!

Friday August 8th 6-9pm &

Saturday August 9th 9am-5pm

Audit rate only $142

Or

Friday night only for the Topic Overview for $30

Overview includes: general definitions, how to say “no” and mean it, having the courage to make choices, how to invite someone into healthy change to break destructive patterns, how to speak thoughts and feelings in a constructive way.

Sign up by Wednesday August 6th and receive the book FREE          http://cart.leslievernick.com/images/book_emotional_catalog_home.jpg

 

 

Call Bonnie at 1-800-235-4021 x 117

Leave a comment

Filed under Abuse, biblical counseling, Biblical Seminary, christian counseling, christian psychology, counseling skills, marriage, Relationships, teaching counseling

What makes you feel like a ______ (man/woman)?


In a weak moment last week when I couldn’t take NPR or news radio I surfed the local radio stations in my car. Here are two phrases I heard in the span of 5 minutes. I have no idea who the artists are nor am I all that interested…

“Man, I feel like a woman.”
“I’m yo man…” (but something about needing to get down at her place because he had a girl at home)”

Suffice it to say I’m not going back anytime soon to the music on the radio. But, I will admit it got me thinking about how we know what feelings are quintessentially male or female. In the first song the woman feels like a woman because she has the power of attraction but does her own thing. In the second song, I assume the male singer feels like a man because he can sexually please a woman all night long.

What makes us male or female? (No, I’m not talking genetics here.) Sometimes we look at behaviors and interests. Sometimes we look at attitudes or attraction to the opposite sex. But most of the time I think we look at how others perceive us. If they treat us the way we think our gender should be treated (or, is commonly treated even if we don’t like it), then we feel like our gender. When we are invisible to others, treated differently (or so we perceive) based on our interests, behaviors, body type, etc. then we may feel that we are not like most of our gender.

Why is this important to consider? I have clients who have wondered about their orientation due to their feeling different than most of their friends of the same gender.

The simple answer is to assume that God makes a diverse group of males and females and that we ought not interpret our differences as having that much meaning. Of course, we rarely find the simple answer helpful. So what are we to do when we do not feel like others of our gender? Is this a big issue out there or just something we counselors see?

4 Comments

Filed under christian counseling, christian psychology, Cultural Anthropology, Identity, Psychology, sexual identity, sexuality

How do you listen to people’s problems all day long?


This is a question we counselors get from time to time, especially when someone is embarrassed that they need a counselor or think they shouldn’t be having problems (or that they are weak for having them).

Today in staff meeting we watched a video on vicarious trauma. This term has been mis-identified with burnout and secondary trauma. In short it isn’t about our symptoms or having our own trauma but about the changes in us after taking in large amounts of other people’s pain.

Individually, hearing any one person’s problems isn’t much of a burden. But when you add all together it gets heavy at times. What do I mean? Well, we begin to see danger of abuse everywhere. We begin to think that all leaders are abusing power. Interestingly, one of the speakers on the video said that early career therapists tend to struggle more with fears and later career therapists struggle more with cynicism.

Most of the problem is the result of the loss of hope. And yes, therapists sometimes lose hope. That is why we have staff meeting so that we can remember that hope comes not from our ability to change the world but that we fallen creatures look to the power of the cross to change us and our clients.

I’m not sure what nonbelieving clients hope in and how they manage living with the weight of the brokenness in the world.

5 Comments

Filed under Abuse, christian counseling, christian psychology, counseling, counseling skills, Psychology

Power grabs by therapists


We counselors and therapists have ways of asserting our power over our clients. Usually, we do it via subtle messages and phrases. I was reminded of this fact last week during a seminar by Paul Wachtel of CUNY. He told of a case he had of a semi paranoid and hostile client who made many complaints. After one such complaint against him, Wachtel responded with,

Isn’t it interesting that you see me as being just the way your father was

These type of insights offer pseudo-neutral “observations” that are really accusatory and given to show our intellect (but draws them away from their affective state). Further, when we are irritated and make a statement like this we are really saying that my frustration isn’t about me but is about you. I’m objective here, you are not.

When we give insights to clients we need to ask whether or not the client already understands them, will feel that we are working WITH them (not talking at them), and be motivated to do more exploration. As Wachtel stated, insights are often “implicitly adversarial” (never about us either!).

These kinds of linguistic power grabs aren’t just done by analytic oriented therapists (who might be inclined to make distant insights into clients’ unconscious). Cognitive therapists do the same by implicitly and explicitly telling clients that they are irrational and if only they could think like we therapists, they would be so much better.

Let’s not forget that the words we use with clients tell something about ourselves–maybe more than we wish they would.

13 Comments

Filed under christian counseling, christian psychology, Communication, counseling, counseling skills, Psychology

Another training opportunity…


I’m probably doing too many ads here but as I’m off today for conference with Paul Wachtel (see my “on my nightstand” for a link for his book), I thought I would tell you all about a conference this fall by CCEF. This year they are teaching on addictions. I, along with Diane Langberg, Leslie Vernick, John Freeman, and the usual crew of CCEF faculty, are going to be doing a number of great teachings on the problem of addictions. My talk will be for counselors trying to work with addicts. Check out www.ccef.org for more details.

CCEF Annual Conference

Leave a comment

Filed under addiction, biblical counseling, christian counseling, counseling, counseling skills, teaching counseling, Uncategorized

Divorce & Remarriage VIII: 4 Biblical Grounds for Divorce


Last week I took a hiatus from reviewing Instone-Brewer’s Divorce and Remarriage in the Church  (IVP). This week we explore chapter 8. I-B starts with a story about a woman whose husband attempted to murder her. Her church leaders decided that it would be okay for her to separate due to the threat to her life but that she could not divorce because the Bible didn’t allow it. He suggests that this is a common response to abuse in marriages: Separation for safety but no possibility of divorce unless adultery.

I-B makes this very clear response: “…[this] solution is not biblical. A couple should not separate without getting divorced, because Paul specifically says that married couples may not separate (1 Cor. 7:10-11).” (p. 94-5)

But we have already witnessed I-B argue that the OT allowed the victim to decide to divorce in the case of abuse, neglect, and adultery. Did the NT abandon these grounds? I-B reminds the reader,

He [Jesus] spoke about the ideal of lifelong marriage, the facts that divorce was never compulsory and that marriage was not compulsory, about monogamy and, of course, about his interpretation of “a cause of sexual immorality’–that it means only sexual immorality and not also “Any Cause.” So if Jesus believed that neglect and abuse were valid grounds for divorce, why didn’t he say something about them? (p. 95)

I-B infers that Jesus didn’t say anything because it was so obvious a reason. It was not considered controversial as was the “any cause” debate that was raging at the time of his ministry. He argues that Jesus didn’t teach about rape, manslaughter, the oneness of God either. Does this mean he didn’t believe those things either? Bolstering his argument is the fact that he reports that no other ancient Jewish literature debates the validity of divorce for abuse/neglect. Therefore, it wasn’t an issue needing attention. He goes on to tell us that what was debated was how one defined neglect (i.e., minimum quantities of clothing and food and conjugal love needed in order to avoid being considered in neglect of one’s spouse).

So, to underline this, the Matthew 19:9 passage is in regard to the question of Deut. 24:1 and the debate about whether any cause divorces were valid and not to say that no other grounds were possible.

So, I-B suggests that Paul teaches 3 grounds for divorce (implicitly) in 1 Cor. 7: neglect of food, clothes and sex. The reason why he talks about the obligations to care for the spouse and not to withhold is because of the known (at that time) grounds for divorce existing in Ex 21:10-11. Further it is assumed that Paul accepted the cause of unfaithfulness as grounds but that he doesn’t speak to this issue.

So how do we apply these grounds for today? While it is easier to assess unfaithfulness, I-B says that we too frequently neglect the matter of neglect that may have helped cause the rift that resulted in adultery (p. 101). Neglect doesn’t excuse adultery but, “it is important to realize that the fault is often not just one sided.” (ibid).

What about frequency of sex a reason for divorce? The rabbis thought men should provide sexual love at least 2 times per week, less if you were an “ass driver” (HIS words not mine), and nightly if you were out of work! Of note were NO rules for women as to how frequently they would need to offer conjugal love. Despite these pieces of advice, I-B reports that, “rabbis were reluctant to allow a divorce on the ground of refusing conjugal activity…” Further, notice that while Paul encourages both parties to see sex as something they owe each other, I-B points out that nowhere does he give permission for one party to demand sex from the other. “…Love is something that we give and not something that we take.” (p. 102). Still further, I-B suggests that we should not define conjugal love as narrowly as intercourse, “because this can become impractical or inappropriate in cases of illness or frailty.” (ibid)

I-B wants us to look at the principles. The husband that never allows his wife to buy make-up, occasional leisure items and the husband that provides weekly sex but no other kind of affection may not violate the technical side of things but certainly has missed the spirit of the biblical mandate to protect and care for her.  

What about the couple who no longer finds themselves in love? Can they divorce? I-B says it would be improper to read back the idea of being in love into the biblical passage. Love is an act, not a feeling.

I-B ends with the question about what can be said to the abused party. Here’s what he would say to an abused wife,

First, we can tell her that God’s law has taken such sin into account. God’s ideal for marriage is for a husband and wife to be faithful to each other and, as we saw in the [OT], for them to support each other with food, clothing and conjugal love. If these vows are broken, then there are grounds for divorce.

Since there is no question that the abusing husband is “neglecting” to support his wife, she should be aware that she does have the option to divorce him…

We should not forget, though, that Jesus emphasized forgiveness…so we should not advise this woman to divorce her husband the first time he breaks his vows. However, if he continues to sin hardheartedly (stubbornly or without repentance), Jesus says she may divorce him. In practice we have to depend on the individual concerned to decide when enough is enough, because we cannot know what goes on inside a marriage. We cannot know how much emotional abuse is happening, and even physical abuse is largely unseen or unreported. (p. 103-4)

I-B speaks of the false facade that we erect or allow to be erected about “happy” marriages that in fact are not. This is sad and not the way it should be. God does, however, know our secret sufferings and so he says this to the abused,

“God is not a ruler who sits on a high throne in isolation, ignorant of the suffering of his people. He aches with us, even in divorce, which he too has suffered. God loves you and knows your secret sufferings. he wants to help you and has given us practical laws to help deal with your hurt.” That is what we say to a person in a neglectful or abusive marriage. p. 106

—-

So, do you agree? Where does your mind go when considering these as grounds for divorce that the victim uses to decide if she or he has had enough? I have found that while some concede these, they are very afraid that some will cry “victim” when they are not. That these grounds will be used for all manner of excuses and that “victims” will assert that only they can know that they have been abused.

While it is true that some and even many will abuse the divorce rules in the bible, it doesn’t make them any less true.

27 Comments

Filed under Abuse, biblical counseling, Biblical Reflection, book reviews, christian counseling, divorce, Doctrine/Theology, Relationships