Category Archives: counseling science

Science Monday: What is most helpful in counseling?


What really helps counselees get better? A colleague handed me a newspaper editorial from the Bangor, Maine Daily News, written by Thomas Gaffney and published July 12, 2006. The editorial reviewed the situation in psychotherapy: Some 400 treatment approaches, 100 that are considered “evidenced based”, and yet many research studies show that most treatment approaches work equally well, about 80% of the time compared to non-treatment.

The editorial goes on to state that there are 4 factors for successful treatment: Continue reading

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Science Monday: What you think you say and what is heard are two different things


Been musing on the divide between what we think we communicate and what others actually hear us say. This, of course, is a key issue for counselors. We think we are communicating empathy, but maybe the client hears judgment. We think we are just asking penetrating questions, the client hears we don’t know what we think.

Why am I thinking about this right now? Mark Yarhouse and some others at the recent CAPS conference presented their findings of a survey of some Christian College and University students about their school’s climate regarding those who struggle with same sex attraction. I’m not going to summarize their findings but one little factoid was presented: Students who struggle with same sex attraction do not think the faculty address these issues in class (positively or negatively). Faculty, on the other hand, seem to think they talk about it all the time.

Why do we think we address some issue and others think we never talk about it? I think several reasons may be possible/probable:

1. Speaker overconfidence bias. We overestimate our frequency of addressing issues. When we allude to something, we think others will think the same way we will and therefore have more confidence in what others pick up from us. We think we are more cutting edge than others perceive us.

2. Student issues. Besides only remember a small percentage of what another says, listeners tend to pick up more on feelings, especially those that tap into their already formed/forming belief system. Hence, if a speaker avoids a topic that the listener really wants to hear (but already believes people like the speaker tend to avoid the topic), the listener is more likely to “record” the event as “typical” than when the speaker actually gives a few comments to the topic. This is a type of confirmation bias.

Its a wonder we ever communicate with each other at all!

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CAPS conference break the rest of the week


I’m attending the national conference of the Christian Association for Psychological Studies (CAPS) the rest of this week. So, I’ll not be posting much until Monday. However, these kinds of things tend to stimulate my thinking and so one never knows…

I’ll be presenting with a colleague from Eastern Univ. on the fun topic (really, it is!) of teaching the history of Christian psychology. For those interested in see the slides on the page above, articles slides, etc.

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Diagnosing and connecting to those with paranoid schizophrenia


In the throes of meetings and class prep (childhood disorders, personality disorders) for 6 hrs of teaching so I’m not going to do a review of literature. Planning tomorrow to hit the issues of parenting books again. But today I’m going to make mention of a letter that every faculty member got here at Biblical this past week. This letter advised us of the connections between a minor prophetic book, celestial military engagements, sinful patterns, and the earth’s rotations (or imminent stoppage thereof).  

On a frequent basis I get letters from well meaning individuals who want to help me understand some hidden truths that many Christians have missed down through the millenia. These letters have differing content but several similarities worth mentioning. I do so here NOT to make fun of them but to recognize the world they live in and offer a possible way to connect with someone in your life with similar issues. Far too frequently, we run from those we deem are “crazy” without looking at the deeper connections we might have with them:

Here are common threads of these kinds of letters: Continue reading

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Science Monday: Treatment for body image problems?


One of the key hallmarks of those suffering with eating disorders is their tendency to define their self-worth primarily by body shape/weight or should I say by their perception of their body shape/weight as this group tends to overestimate their size and shape.

What treatments help a person to regain a realistic sense of body shape as well as to us a different measuring stick to measure their worth? Given the obsessive-compulsive symptoms (weight checking and compulsive restricting) do OCD treatments help here as well? Continue reading

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Science Monday: is the APA afraid of internet porn?


This week my students are exploring the world of addiction. In prep for class, I did a little search on PsychARTICLES regarding Internet over-usage/addiction and pornography usage. PsychARTICLES contains a full-text database of 60 APA peer-reviewed journals from the 1870s to the present. As of February 2007, it contained 121,000 articles. Here’s what I found. NOTHING. Continue reading

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Science Monday: Is anger something to be managed?


This week in class I’ll be exploring anger, from explosive to silent, from holy to sinful. Simple definition of anger: We want something, don’t get it, and feel wronged for not getting it and justified for feeling and acting the way we do. In this sense, anger is neutral–neither good nor bad. Except one small problem, the people who get angry aren’t neutral. Seems most popular writings on anger either focus on the sinfulness of it or on the healthy expression of it. The scientific study tends to focus on the best steps to managing it (STAR: stop, think, act, review).

In a 2004 article in Psychotherapy(41:2, 161f) Andrew Rothman asks if anger is something to be managed. Good question. Continue reading

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Science Monday: Shocking treatment for depression


I will be teaching on depression (types, causes, treatments) and despair in class today. In light of that I want to highlight two medical treatments that try to shock the brain into a better mood state. Will follow with more posts on depression through the week. Continue reading

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Science Monday: The physiology of fear


Am teaching on anxiety, panic, and OCD tonight. Definition of anxiety: Responding to ambiguous stimuli (life situations) by reading them in the worst possible light. The Scriptures teach us that fear and worry are not good things. Time and time again God tells his people not to be afraid. We see that God wants us to see life through a different set of eyes, much as Elisha wanted his servant to see the army of angels instead of their enemies (2 Kings 6). But given the numerous encouragements to not give in to fear, we must admit it is a common struggle for every human being. Some struggle more than others.

What is going on with those whose lives are filled with worry and fear? Are they less spiritual? More sinful? It is easy to say, “buck up” to folks who are anxious–and entirely unhelpful to most. Logical challenges may help some in the moment, but usually don’t get to the root of the matter. Jesus encourages fearful people by pointing them to seeing life from 40,000 feet. He doesn’t deny risk and suffering but encourages folks to keep their eyes on him. And with Peter, he reaches out to grab ahold of him even when he does start looking at the waves.

But what of the physiology of anxiety? What do we know and how does the christian counselor make use of the data. First, what do we know? Continue reading

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Science Monday: Freud thinks forgetting is healthy?


I’m stretching the science end of things here to include some historical data. In chapter 8, Volf looks at the works of Kierkegaard, Nietzsche, and Freud on the topic of forgetting. The chapter is interesting but I’m going to skip blogging on Kierkegaard and Nietzsche and only make a small comment on Freud. Volf argues that Freud never saw forgetting as always having a deleterious impact on mental health. We know that Freud believed that bringing repressed memories to the surface so as to release pent up energy. But did you know that he also talked about removing or erasing memory? Volf recounts one of Freud’s cases (Emmy von N.) in Studies on Hysteria where he says the following:

…and I made it impossible for her to see any of these melancholy things again, and not only by wiping out her memories of them in their plastic form, but by removing her whole recollection of them, as though they have never been present in her mind. (Volf, p154).

How did he do it you ask? Hypnosis. Later when he abandoned hypnosis, he talked about the fading of memories through something called “effacement.” The idea is that when you “starve” memories by releasing/removing the affect given them, they fade into the misty past. This is not motivated forgetting in order to reduce distress, but the reduction of distress that causes memories to fade.

Makes sense. I forget things every day that have no meaning to me. But nearly hit me on my way to work with your massive SUV and I’ll remember it well. However, since most days I don’t have near misses, I’ll begin to forget…

All well and good, but if the abuse or wrongs suffered are so big or at such a critical time in life, can I ever really forget? Its certainly a lot easier to forget and go back to a “normal” time but much harder to do so if there never was a “normal” time.

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