Category Archives: counseling

Coming to Peace with Psychology 4


Worthington’s Relational Model of Integration

**In case you are tempted to snooze through this long post or get bored by the endless attempt to construct a relationship between psychology and christian faith, skip to the last paragraph!**

In the conceptual world of integrating psychology and Christianity, there are four common depictions: Christian faith trumps psychology, psychological science trumps Christian faith, dialogical model, and parallel but separate levels of explanation. In Coming to Peace with Psychology (IVP, 2010), we have seen in the previous two posts that Everett Worthington wants to argue that psychological science (a) has something to offer beyond theory, (b) can teach us something about ourselves and God that Scripture does  not reveal, and (c) can interact with, influence, and be influenced by Christian faith. In sum, he argues for a relational, interactive levels of explanation view of integration.

Beginning in chapter six, he lays out a relational model, akin to a deepening love relationship,

…the fields of Christian theology and psychological science will become more committed to each other to the degree that we are satisfied with the union, invest in the union and don’t play around with alternatives (such as a conflict model). I believe that, in fact, psychological science and Christian theology are already married. In some ways it is like an arranged marriage. Because God reveals the divine character through both special and general revelations, the two disciplines are joined together. The question we face is, how committed will each discipline be to this arranged marriage? (p. 101)

In chapter seven and eight, Dr. Worthington digs deeper into the proposed relationship partners (psychological science and theology) and illustrates each domain’s way of collecting “data” and subsequent conflicts between the two. Psychological science deals in the realm of material.

Scientists can believe in many nonmaterial causes within reality but simply exclude them from the “map” of a particular science. They do so because, by convention, that science aims to explain materialistic relationships among variables. By analogy, an aerial photograph will not reveal the presence of an underground river…even though the photographer knows [it exists] (p. 107).

This material (data) is best collected using observational, correlational, and experimental methods. He acknowledges (ever so briefly) limits to these kinds of studies, especially alluding to the biases inherent in psychological hypotheses. Moving on, he reviews the nature of theology, its subsets (biblical, exegetical, historical, etc.), and methods reading its “data.” Finally, he reviews the relationship between the two. “At their root there is no conflict between God’s truths as revealed in Scripture and nature” (p. 115). However, both disciplines suffer from human error (e.g., errors in scientific conclusions, errors in translating or interpreting Scripture) and so he does not want to prioritize theology over psychology (the primary reason for this book—to correct what he sees as a mistake within some in Christian psychology).

What is the real problem between psychology and theology? In chapter eight, Dr. Worthington points out three problems that lead to unnecessary perception of conflict between the two disciplines:

  • trying to integrate clinical psychology and theology (rather than psychological science)
  • using a filter approach that presupposes a higher authority given to theology
  • denial that one can learn about God through nature by some Christian thinkers

While not devaluing clinical psychology, Dr. Worthington does not believe it to be “apt relational partner” to theology (though maybe more helpful to practical theology). Why? He lists a couple of reasons: clinical psychology is anecdotal, experiential and therefore not objective; clinicians may be more prone to having less theological training while pastoral counselors may have less than adequate knowledge of empirically supported treatments; therapists view people through their models rather than seek to construct data informed models.

Next he goes after Eric Johnson for his views on Scripture. Worthington wants to take Johnson to task for failing (his perception) to admit the weaknesses within human activities of theology and the interpretation of Scripture. While Johnson wants to argue for the uniqueness of biblical authority in Christian psychology, Worthington wants to argue for the ability (albeit limited) of general revelation to reveal surprising information about the nature of persons—even to those who reject Christian faith. I suspect that both agree with the other but see an imbalance (not enough credit given to Scripture re: human nature vs. too much credit given to Scriptural interpretation and not enough acknowledgment of disagreement amongst Christians).

Finally, Worthington concludes this chapter by summarizing his view of the impact of sin on science. His main point is that he is opposed to a Dutch Reformed emphasis on the noetic effects of sin. He quotes passages that state that nature communicates about God and the humans are therefore responsible for knowing God. He does not believe, however, that nature is sufficient in telling us about God and so we need Special Revelation for salvation. In the end, he wants mutual respect and humility to reign between experts of each domain in order to promote harmonious dialogue and learning.

A Challenge

In the remainder of the book Dr. Worthington intends to illustrate what psychological science has to offer the “marriage” between the two. Books like this are written to try to bring balance to what is perceived to be imbalanced. Here, Worthington thinks too little credit is given to researchers’ ability to perceive human nature in ways that might reveal new things about the nature of God and humanity—things beyond Scripture. In another book, you might find more criticism of the biases of psychological research and the failure to acknowledge the impact of belief systems on data collection and analysis. Notice both sides are reacting against a perception of bias and control.

Here’s the challenge. Whether you lean toward Worthington’s arguments or those that give priority to Scripture and the Christian faith, consider where your views might be shaped by (a) experiences of being mis-represented by someone on the other side, and (b) too easy use of an obvious error on the other side (e.g., Worthington seems to brush over the problem of presuppositional biases in science or gives general revelation too much credit when Rom 1 tells us that humans deny its message well; Johnson seems to brush over numerous biblical interpretation conflicts, fails to interact deeply with current psychological research). Instead, see if you can build your view by first detailing the weaknesses (or mis-uses) of your discipline or view and then construct a proposed relationship from a positive framework that accounts for the aforementioned weaknesses rather than builds off of the mistakes of your epistemological opponent.

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Filed under christian counseling, christian psychology, Christianity, counseling, counseling science, counseling skills, Psychology

Live Your Calling Discovery Group Starting Soon


Looking for career helps? Linda Channing (grad of our MA Counseling program at Biblical Seminary) is running a Live Your Calling discovery group on Tuesdays (7-9p) starting on September 28, 2010. If you are in the area and looking for some help with career decisions or moving from idea to action, you may find this space-limited group a use for you. It meets at New Life Presbyterian Church for 8 consecutive weeks. Attendance is mandatory for all eight sessions. Group members take the MBTI and the Strong Interest Inventory as part of the assessment. Cost is $75 for the whole group, the tests, and the group book.

For more info, contact Linda at Linda@channingcoaching.com or by phone at 215.642.0085

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Coming to Peace with Psychology 1


In the first chapter of Coming to Peace with Psychology: What Christians can Learn from Psychological Science (IVP, 2010) Ev Worthington makes this point: We’re not as good at predicting human behavior as we would like to think. Science can help us. Or, the flip side, we are really great at formulating post hoc explanations (after we read scientific data) that help us think that we knew it all along (p. 28). You know, like when you get the answer of some piece of trivia, you feel you knew it all along. He provides several examples of surprising data that prove that we aren’t that good at predicting human behavior. Why is this important? We humans need help understanding our world. We don’t always make good choices even though we have massive data about humanity (biblical, experiential, etc.). So, he asks at the end of chapter one, how does psychological science relate to theology given that theology looks not to “thin slices” of large amounts of data but to Scripture?

In chapter two, Ev shows how his approach to the scripture/science relationship differs from previous attempts. He starts with the origin of the debate, makes an allusion to the Renaissance but quickly turns to the issue of counseling because it is in counseling where Christians are most concerned about whether they are receiving godly or ungodly wisdom. He points to usual suspects: secular models, rejection of Christian worldview, especially in academia, rejection of traditions and authorities. These cultural phenomena lead many Christians to be wary of liberal, free-wheeling, therapists. The call for “Christian counseling that was centered on biblically consistent beliefs and values was answered by Christians trying to integrate current counseling theories with Reformed theologies.

While there are variations on this theme, Worthington thinks one belief ties them together: Scripture and our human interpretations of it provide a clearer picture of reality than do human attempts to read general revelation. And, those disciplines that cover the nature of person (vs. “harder” sciences) have more distortion to them. Thus, there is a need to develop Christian filters to get rid of distortions in psychology.

He then singles out a few individuals who have diverse but generally favorable takes on the filter model: Robert C. Roberts, Eric Johnson, and David Powlison. Each has a different take on the problem of psychology and theology but all agree that there needs to be some critical evaluation of the underpinnings of psychological science. Interestingly, he dismisses each view (gently) for not being able to survive mainstream psychology.

Following these three, he points to three scientists who happen to be Christian: Malcolm Jeeves, David Myers, and Fraser Watts. Each, says Worthington, uses some form of a perspectivalist approach: two disciplines looking at overlapping data from different points of view (and asking different questions).

He ends the chapter saying that psychological science (Not psychotherapy) can be the bridge between science and theology–though I’m not sure he has spelled that out yet. Further, instead of just making Scripture trump (filter model) or Psychological research trump (Myer’s approach), we need a longer dialog when there seems to be conflict between Scripture and psychology.

He will take up “who do we trust during a conflict” in the next chapter.

Some thoughts. For those looking for deeper philosophy of science dialogue, you will need to look elsewhere. This is not Worthington’s focus. Rather, he wishes to give scientific endeavors some room at the table so that it can be taken seriously. To do so, he needs to show how both the filter and the separate-but-equal approaches miss the mark.

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Filed under biblical counseling, christian counseling, christian psychology, Christianity, counseling, counseling science, Psychology, Uncategorized

Coming to Peace with Psychology I (Review)


I’ve arrived as a blogger! No, I’m not getting paid to write and I’m not getting millions of hits each day. But I am getting a new perk. Someone has seen fit to send me complimentary books just in case I might wish to review them here. Free books! Do you know how cool that is? To an academic and book lover, it is just about the best perk ever.

[I guess this is a good time for a disclaimer. I only review books I find interesting. And even if the book comes wrapped in Ben Franklins (this one wasn’t for some reason), I promise to tell you what I really feel about the book]

Today, I received Ev Worthington’s new book, Coming to Peace with Psychology: What Christians Can Learn From Psychological Science (IVP, 2010). You may be familiar with Dr. Worthington’s work on marriage enrichment, marriage and family therapy, and forgiveness. This is my first experience with him writing about the relationship of psychology and Christianity. Here are a few of his thoughts from the introduction and the enclosed “Author Q & A” about why we might need a new book on this topic:

  • “In this book I will claim that we can know people better, and even know God better, by heeding psychological science.” (p. 11)
  • “People have been integrating theology and psychology for years, but a vast majority of the integration has come from psychotherapists. Only a small minority of integrators have been psychological scientists…. While psychotherapists try to generalize about human nature on the basis of the clients they have seen and the models of helping they were trained in, psychological scientists measure the whole range of people–those 15 percent who were clients with some psychotherapist and about 85 percent more who are not.” (Author Q & A)

Wow. He lays down the gauntlet. The problem with previous integration has been the emphasis on anecdotes from therapists. If only we had more integration models by scientists. In fact, he is right–to a degree. Much of integration is highly theory driven. But is that bad?

[Rabbit trail: What are the common “sins” of theologian integrators? Clinician Integrators? Research Integrators? Theologians put far too much emphasis on their constructs and exegesis; clinicians put too much emphasis on “what works”; researchers put too much confidence in p values. In fact none have the corner on the market of truth. But again, Worthington’s book may be very helpful. He is right that both clinicians and biblical counselors fail to interact deeply enough with psychological research. Either they dismiss scientific methods by pointing out its weaknesses or they generalize from a small data point into a grand theory even though the data cannot bear the weight of the theory.]

Let’s hear some more from Worthington about the direction of his book:

  • His theses: Psychological science helps both Christians and non-Christians (a) understand God’s creation in human beings, (b) know about God more because the study of image bearers points to God, and (c) live more virtuously. (p. 13)
  • So, he sees psychology as a common grace to refine us all. This is very interesting. Usually integrative literature has cited common grace as what allows humans to rightly perceive. Here, the discipline IS common grace.
  • The relationship between psychology and Christianity is an “emerging marriage”– one that has possibilities of conflict and yet greater intimacy.

Finally, you might be interested in just what approach Ev Worthington will take in connecting psychology and Christianity. In the past some have described integration as a recycling project, a filter to get rid of non-Christian worldviews, a recasting effort, or a perspectival or level of explanation project. He mentions two: filter and perspectival approaches. The filter tries to have theological/biblical constructs as interpreting science. He finds this problematic. The perspectival model tries to separate the two disciplines as different ways of knowing.

So what does Worthington suggest? A new model he calls a relational approach.

That’s enough for this post. Next post I’ll make some comments on his first section (where he addresses some of the problems in previous integration by pointing to some psychological science).

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Filed under biblical counseling, christian psychology, counseling, counseling science, philosophy of science, Psychology

When is residential treatment an option for you or someone you love?


Harvest USA, a local Philadelphia ministry,  is just about ready to unveil a new booklet that will be available for purchase via download. I wrote this last year after trying to help someone consider whether or not residential care was necessary to address an ongoing battle with sexual addiction.  They sent me an advance hard copy to preview and so I’ve included a pic of the front page on this post. Sorry, I couldn’t provide a better, color shot.

As you might expect, when a sexual addiction is discovered, confusion reigns among the addict and the family. What should they do? What does it mean? Where can he/she go to get help? Strong emotions and the nature of the crisis may lead to quick decisions. Whereas one family wants to find the best, most intensive solution, another family may try to solve the problem “in-house” with accountability from the pastor.

This is a short booklet designed to help the reader cut through some of the confusion and answer 8 key questions to help them decide whether it is necessary to seek treatment in a residency setting. The booklet concludes with a list of books and short-term and residential programs around the country.

I’ll let you know when the e-version is available for download.

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Integrating Faith and Psychology: Book Notes


IVP just sent me a new (free!) book, Integrating Faith and Psychology: Twelve Psychologists Tell Their Stories (2010), edited by Glendon L Moriarty and with a foreword by Gary Collins. I’m looking forward to reading it. Each chapter is by a different psychologist and tells more of a personal story on how they came to the work they do and how their faith matured along the way. This is not a theory driven book but a group of narratives. While I very much appreciate theories of how psychology and Christianity function together, narratives sometimes provide a window into a more living integration. I might disagree with a theory but appreciate the heart behind it. Each author describes their development as a person and a professional, points to mentoring along the way, addresses key personal and philosophical tension points, mentions their experience with spiritual disciplines, and concludes with a personal letter in order to share key wise advice to those interested in the integrative  process.

I’m especially interested in reading several chapters written by those I know more closely than others: Mark McMinn and J. Derek McNeil (former professors), Jennifer Ripley, Siang-Yang Tan, Everett Worthington, Bill Hathaway (people I’ve met at conferences and whose work I appreciate), and Mark Yarhouse (influential scholar and fellow student at Wheaton College).

The foreword by Gary Collins gives a tiny window into the tensions he experienced between evangelical-fundamentalists and the profession of psychology. He first felt the tension of psychology colleagues who looked down on him for being a Christian. There were leading scholars of his day who felt that religion was the cause of most psychopathology. He notes that this view has shifted greatly and there is now much openness to spirituality within psychology (though I hasten to add this openness isn’t always felt in the Northeast United States). He then briefly mentions Jay Adams, Competent to Counsel, and the attacks he received from those Christians suspicious of psychology’s secular humanism.

I find his foreword less than helpful only in that it can only stereotype the conflict in 7 short pages (what else could he do?). But he does conclude by saying that not all the critical statements (about the integrative agenda) made by Christians were wrong and in fact many help to refine the work of Christian psychology. He lists quite a few names of those who have worked hard to build a psychology on biblical foundations. Nearing the end, he comments on a shift that happens somewhere in the late 80s and early 90s. “The integration movement began the shift to a younger, more pragmatic, less theoretical generation.” (p. 14).

I will blog here on a couple of the chapters as I make my way through the book. I’ll be looking for interesting historical threads that help me better understand some of the prominent leaders of the integrative movement.

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Counseling those with chronic conditions


My friends and colleagues here at Biblical Seminary–Jenn Zuck and Bonnie Steich–are teaching a class this weekend about the role of counseling in helping those with chronic conditions. Need CEUs anyone? Info here.

This is such an important issue given our increase in capacity to manage or maintain life with chronic conditions. Some cancers now are more like chronic conditions. HIV can be a chronic condition. And of course there are the more well-known problems such as MS, chronic fatigue, fibromyalgia, neuropathy, diabetes, liver dysfunction, etc.

How do you respond to those who seem to be struggling with a long-term condition? Especially when the condition is vague and not visible to the eye? Do you get worn out comforting that person?

I just read a study where they assessed whether major life events or daily hassles were more negatively impacting chronic pain conditions. It turns out that daily hassles increase chronic conditions symptoms far more than do major life stressors. It makes sense but also challenges us to consider how we might overlook the “normal” life of counselees and secretly want them to stop their whining and complaining about how hard it is to …

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Marriage & Family Conference


Biblical Seminary is co-sponsor of a Marriage and Family conference in Harrisburg, PA run by Shepherd Press Authors. The conference runs October 1-2, 2010. You can find out more information here. I tell you about our sponsorship because those of you associated with Biblical Seminary (friend, alum, student, etc.) are eligible for a discount. Using their website, http://www.SPA2010.com, enter BIBLICAL as a code to receive the discounted registration.

Maybe we’ll see you there.

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Filed under biblical counseling, Biblical Seminary, Christianity, counseling, Ed Welch, marriage

When helping harms


Just before vacation I caught a PBS television show on how economic development (funded by international aid) often ends up hurting while trying to help. Here’s a link to the documentary website. The show covers two areas of Kenya and the pros/cons of trying to raise the living standards of those who live there.

This is not a new problem and reminds me again that there is a book I need to read (When helping hurts).

As a counselor who has traveled to Africa to try to help, I am very interested in finding appropriate methods to provide emotional support and care to traumatized peoples. What are some of the ways we counselors might unintentionally hurt those we want to help?

1. Pressuring clients to do something we think is important (e.g., stand up for yourself, say no to a violent spouse, speak the truth about your abuse, etc.) without considering the consequences. I once read about some African women who sought counseling for rape. Problem was that by going to the rape counseling center, they communicated to their village that they had been raped–and were later killed for being defiled.

2. Assuming that counseling can only be done by licensed professionals. We could train counselors in another country but if these folks couldn’t get paid to counsel because their clients are all subsistence farmers, we have only created additional frustrated individuals.

3. Similar to the last point, if the trainers are all westerners, then they will likely fail to understand culture specific resources/challenges and may reinforce the assumption that only westerners are competent to provide the care.

What are some other ways you have seen western counselors unintentionally harm the helpee?

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Filed under counseling, counseling skills, Cultural Anthropology, Psychology, suffering

Ecstasy (MDMA) as treatment for PTSD?


Back from vacation and reading up on my piles of emails. This one came via my Medscape.com subscription to psychiatric news–Ecstasy-assisted Psychotherapy May Help Patients with Treatment-Resistant PTSD. You can read about it here on WebMD.

Interesting…a date rape drug being used to treat PTSD. There is some irony here I think in that many a date-raped woman was taken advantage of when slipped this drug.

How is it purported to work? By reducing or blocking symptoms (intrusive, emotionally laden feelings when thinking about traumatic events) and thereby allowing therapy to do its work. The therapy was done in an intensive manner rather than spaced out as most people do therapy. One wonders if prolonged exposure therapy was used as the therapy. If not, would PE therapy do as well or better than traditional PTSD therapy and MDMA?

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Filed under Abuse, Anxiety, counseling, counseling science, Post-Traumatic Stress Disorder, Psychiatric Medications, Psychology