Category Archives: counseling

Global Trauma Recovery Intensive: Day 1


20 students along with myself and Dr. Diane Langberg just finished a 3 day marathon together at Biblical’s Hatfield campus. This inaugural cohort has been studying together via our e-campus since January. We’ve read books, articles, watched slides shows, and discussed a wide variety of topics (e.g., the psychological, social, spiritual, biological impact of trauma, shame, culture, strengths-based listening skills, and faith and psychological intervention strategies). At this meeting, we continued to consider how to listen andGTRI - First Graduating Class respond to traumatized individuals in places other than our own.

Morning Session: Romania

Our morning consisted of a live engagement (thank you Google Hangout!) with mental health practitioners in Romania. Dr. Ileana Radu and Stefana Racorean hosted the meeting. The Romanian contingent consisted of mental health therapists, psychiatrists, and Christian leaders. As part of their conference, they took time out to ask us questions about trauma, trauma recovery interventions, and integration of psychology and Christian faith practices. In return, we asked them about the mental health scene in Romania, the most common forms of trauma and intervention models in their practices. From our conversations, it appears that they experience a significant divide between secular mental health models or “bible only or prayer only” models.

The conversation bolstered our students understanding of Romanian culture and put a human face to what they had read about regarding torture trauma resulting from pre-revolution days in that country. In addition, students had the opportunity to discuss a couple of PTSD cases written up by mental health practitioners in the conference.

The entire conversation and connection (bridge, according to our new Romanian friends) was the result of Dr. Langberg’s inability to travel to Romania in April. She was to be their keynote speaker but due to the death of her mother, she was unable to attend. The conference was rescheduled and Dr. Langberg spoke via SKYPE and previously recorded DVDs.

Afternoon Session: North Philadelphia

Elizabeth Hernandez, executive director and founder of Place of Refuge, led our afternoon session by giGTRI - appendix photoving us a window into the trauma work going in North Philadelphia among the latino population. She shared with us some of the groundbreaking work they are doing with low-income population who have experienced many traumas. The class also engaged around the matter of syncretism (Catholic faith practices mixed with witchcraft and other superstitions) and how faith-based counseling services are delivered.

We ended the day with some brief use of video to “listen” to trauma stories in Eastern Europe and the US. After these engagements, we had our students explore writing their own laments as means to connect with God and concluded with a corporate lament. The purpose of lament is to confess (one’s own sin or the sins of others!), converse with God and others, question God about what we see that is not the way it is supposed to be, and by questioning acknowledge hope in God that he is in the process of redeeming and rescuing a broken world. Lament is not a tool to get better but to connect to each other and to talk to God about our suffering.

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Filed under Abuse, Biblical Seminary, christian counseling, christian psychology, counseling, counseling skills, Diane Langberg, Post-Traumatic Stress Disorder, trauma, Uncategorized

DR Congo’s Withcraft Epidemic: 50,000 Children Accused of Sorcery – IBTimes UK


When we hear about abuse within churches these days we often think about sexual abuse by leaders. But there are other forms of abuse that happen in other parts of the world. The following link talks about abuse that happens as a child is accused of being a witch or engaging the demonic world. In our Global Trauma Recovery course, we looked at some of the ways adult women in Ghana are accused of sorcery and who must then flee to witch camps to save their lives. The link below addresses the abuse of children labeled demonic in the DRC.

When you finish reading, you might sigh with relief that this isn’t a problem in the US church. Well, maybe not so fast? If you check out the lawsuit against Sovereign Grace Ministries, there are equally distressing accounts of abuse and cover-up.

DR Congo’s Withcraft Epidemic: 50,000 Children Accused of Sorcery – IBTimes UK.

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Filed under Abuse, church and culture, counseling, Doctrine/Theology, DRC, stories, suffering, trauma

5 Minute Antidote to Anxiety repost


Over at the Biblical faculty blog, I have a post previously posted here. You can read it here. The trick to this antidote? It starts every 5 minutes.

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Of dogs and addictions


Our six-year-old cocker spaniel has learned a new trick. After having lived with us for over 1.5 years, she has figured out that she can open the pull-out cabinet drawer that contains our trash. This only happens when we leave her penned in the kitchen. I suspect we left some wonderful smelling meat scraps in it one night and the desire enabled some higher level problem-solving skills (she’s not the brightest dog in the world). Now that she has learned how to do this, we’ve taken to bungy cording the drawer. A few nights ago, we forgot and came home to a mess of coffee grounds and torn up trash all over the floor.

Interestingly, our dog responds in quite a predictable manner. Normally, when we come home, she is at the door to greet us by dancing around and putting her front paws on our legs. But each time we have come home to a mess she has made, we see her cowering and ready to bolt. The last time we came home to this mess, she squeezed out the door before we could get into the house so she could run away. No, we don’t beat her. She knows she has done wrong.

I’ve wondered what goes on in her head during the time she is into the trash. Does she know it is wrong? When does she start feeling bad. The moment we arrive? Has she been cowering and feeling guilty as soon as she spreads trash around? One more funny behavior: when we send her to her crate (in the basement) for a time out, she goes right away. But then, after a bit, we see her outside of her crate but sitting patiently. Then, she’s at the bottom of the stairs looking to see if we will let her up. Then, her front paws on the first step, waiting in anticipation that we’ll say all’s forgiven.

And this relates to addictions how?

Most individuals who struggle with an addiction have the strong feeling of guilt even as they partake. Guilt rarely is enough to stop us from acting out. Even knowing that we may well be caught does not stop us as much as you might think it would. The desire to have what is right at our fingertips can easily overwhelm all sensibilities and logic–that will race back to us as soon as we finish partaking or as soon as someone finds out. Our initial response may include running away. Guilt and shame prevail for a time and then we creep back into life hoping that the troubles we have caused will blow over and life will return to normal.

Of course, we are not dogs and so we must use the gifts God has given us (a brain capable of higher order planning, the Spirit) to learn from our mistakes and misdeeds. We can

  • remove ourselves from proximity to the addictive agent
  • plan for accountability, especially during vulnerable times
  • examine the roots, shoots, and fruits of our addictions with a trusted friend/counselor
  • remind ourselves of the power to say no and the foolish, false promises of addiction

For more of what I have written about addictions and interventions search the word in the seach box at the top of this page.

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Filed under addiction, christian counseling, christian psychology, counseling, Psychology, sexual addiction

Psychopharmacology for counselors? Take a class at Biblical!


This summer, Jim Owens, PsyD will be offering a one weekend class (Aug 23-24) entitled, Essential Psychopharmacology for Counselors. Jim is a board member here at Biblical and has extensive training in psychopharmacology. In fact, he is board certified by the Prescribing Psychologist Registry. He will review traditional and alternative medicines commonly used today as well as best practices for engaging prescribers. In his course description he says,

The ever-growing use of medications, both traditional and complementary, to treat mental health problems, has both helped and harmed many people. Approximately 80% of all psychoactive medicines are prescribed or recommended by non-specialists, who frequently have little time, training or experience to accurately diagnose the person’s condition. Therefore, trained counselors and psychotherapists are in a crucial position to aid their clients in getting appropriate treatment. This involves knowing some basics regarding which available talk therapies as well as medications are most likely to be helpful for those struggling with certain problems. It is also important to know how to interact with your clients’ physician(s) and other health care providers.

Get CEs!

The course is 1 graduate credit (includes some pre and post course work) OR, 9 CE hours for counselors. Biblical is an approved provider of CES for counselors by NBCC. To read more on costs and other CE approved courses this summer, click here.

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Filed under Biblical Seminary, christian counseling, christian psychology, counseling, counseling science, counseling skills, Psychiatric Medications, Psychology


[A version of this post was first published here on February 24, 2009. Given the content of my previous post, I decided to place it back at the top by republishing today]

Now for the matters you wrote about: ‘It is good for a man not to have sexual relations with a woman.’ But since sexual immorality is occurring, each man should have sexual relations with his own wife, and each woman with her own husband. The husband should fulfill his marital duty to his wife, and likewise the wife to her husband. The wife does not have authority over her own body but yields it to her husband. In the same way, the husband does not have authority over his own body but yields it to his wife. 1 Cor. 7: 1-4

In the past year I have had several conversations with men about these verses. In every situation one spouse (not always the woman) had refused to engage in certain sexual practices with their spouse. These they found unappealing or disconcerting for a variety of reasons (e.g., a husband did not wish to use sex aids, a wife did not wish to receive oral sex, a spouse found a position brought back memories of abuse, or either found themselves undesirous of any sexual activity).

And so the frustrated spouse remembered these verses and wished to use them to compel their spouse or at least remind them of the duty to provide sex.

So, whose desires trump if the gist of the passage suggests that neither has full ownership of their own body nor has the right to demand in the bedroom? 

Sadly, I have listened to  men argue that women must submit to their husband’s sexual requests. She should fulfill her marital duty, should abstain only for prayer, and that her body is her husband’s. They appeal to this text and to Ephesians 5 which commands women to submit to their husbands.

Here is what is missing in that argument:

1. The husband is commanded to sacrifice everything to love his wife. That would include his desires.

2. This passage clearly states that the wife has control over her husband’s body and thus gets veto power over how he wants to use it in bed.

Some other things from the text that get neglected:

1. The Corinthian church wanted Paul’s opinion about sex and marriage. Paul does not affirm their position. In fact, he says that given the problem of immorality, couples should not unnecessarily tempt each other.

2. Sex is not the highest good in life or in marriage. It would be better to not marry and no, not everything is beneficial. Thus our desires cannot be a god to us.
2. The mutuality of sex is obvious. No one gets trump. The goal of the passages is to encourage each other to look out for problems of temptation.
3. And yet, these aren’t commands but advice (v. 6).

Now consider these application Q & As:

1. Should a spouse comply to a request for sex if they aren’t interested?

Interested is a key word here. Some spouses may wish to engage in sexual activity even as they know their own level of desire isn’t nearly as high as the requesting spouse. But the one who wishes to please their spouse ought not feel compelled or asked to do something they find distasteful or compromising. Couples that can talk through sexual desire differences in a manner where both the asker and the assenter feel heard and supported should not face much difficulty here. It is only when either the asker feels rejected or the assenter feels forced/guilty does differences in sexual desire create trouble.

2. Should one ever use these verses to urge their mate to engage in certain sexual behaviors?

There is a big difference between asking and urging (aka compelling). Lauren Winner says that God oriented sex is unitive and sacramental. It is about giving rather than getting and/or performance. It is hard to imagine how a person would use these verses  in a manner that wouldn’t violate the law of sacrificial love. Recall that these texts are not providing “rights” for either party. The entire Christian life is a “dying to self” experience.  

3. Are there situations that might cause a couple to abstain from sex other than for prayer?

Absolutely. The text doesn’t cover every situation. Health factors obviously limit sexual activity. These may include non-genital disease, STDs, and even past or present traumas. Generally speaking, married individuals enjoy sex. So, if one is resistant to sex or to certain sex practices, it probably won’t take much time to uncover problems in the relationship or other illnesses. Note here that this 1 Corinthian text focuses on the problem of sexual immorality. Paul gives several pieces of advice (give yourself to ministry, avoid marriage, get married, watch out for each other, etc.) but nowhere does he command any of these activities. His goal is to help the church avoid the sins of idolatry and adultery. When we take the text and look for a passage to defend our “must-haves”, we miss out on the larger context and purpose and fall into the very sin Paul is exhorting us to avoid–idoloatry.

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March 8, 2013 · 5:07 am

“Schizophrenic and Successful”? What are the factors in success?


This recent New York Times Opinion Page essay is written by Law Professor, Elyn Saks. She tells a bit about her diagnosis of Schizophrenia years ago and her fight against those who thought that she would not amount to much. While we shouldn’t assume that everyone who struggles with delusions and hallucinations will rise to Dr. Saks level of accomplishments, we should take note where we give in to hopelessness when someone we love receives such a similar diagnosis. Such hopelessness will surely hamper our loved one’s prognosis for recovery.

There are two important factors that predict both recovery from mental illness and future recurrence of symptoms.

  1. Acceptance of diagnosis and treatment compliance
  2. Absence of family and social stressors

These factors are found in nearly all forms of mental illness, but especially pertinent for depression, mania, and psychotic disorders. When a person accepts the existence of a problem and commits to a treatment strategy, they are likely to be more cognizant of the signs and symptoms re-appearing and therefore willing to seek additional help. When medications create irritating side effects, the committed person will either find ways to tolerate these irritations or work with their doctor to find alternative treatments.

The absence or minimization of family stress requires the family or community to not behave in ways that exacerbate the problem. The family must also accept the limitations and not act in ways that place unrealistic expectations on the patient. This of course requires a great deal of sacrifice–on top of existing grief and loss over relationships that will not be what they could be (e.g., caretaking a spouse with mania, supporting an adult child who needs a sheltered environment). This means releasing the demand for the patient to reciprocate empathy or have insight about their impact on the family. Still further, when we loved ones maintain a hopeful perspective–identifying a patient’s value, capacity, and possibility for a future–we offer that person the greatest chance for success.

For some, success may mean being able to hold down a steady cashier job. For others, success may mean staying out of the hospital. Still others may rise to Dr. Saks level of success in academia. If you have a family member who suffers with mental illness, work hard to see them beyond their illness and evaluate their current capacities (rather than by their best or worst day). Oh, and be sure to find someone to talk to. Your family member isn’t the only one who needs help coping with a difficult world!

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Filed under counseling, counseling science, Psychology

A Danger in Christian Counseling Theory?


The faculty blog at Biblical Seminary (where I teach) has published an edited version of an older post here on this site. If you like cheeky titles, try this on for size:

Christian Counseling Theory and the Bible: A Dangerous Mix?

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

The Christian Counselor’s Greatest Temptation?


Ask any beginning counselor and they will tell you that the one thing they most want to know is, “What do I say? What do I do?”

No one gets into the world of Christian counseling just to see messes. No, we take up the work because we want to see people recover life and health. But with the desire to see others get well, we also face the large temptation to push people into places of health. We want to tell people what to do

  • For those we find disagreeable or resistant: We want to tell them the full extent of their problems (rip the bandages off and make them see!)
  • For those we have compassion: We want to tell them it will be all right
  • For those we see are stuck: We want to tell them specific steps to wellness
  • For those we find to be much like us: We want to tell them they are doing just fine

Telling, exhorting, (or less nice words: cajoling, forcing, pushing) is a great temptation for every counselor. We want to impart our wisdom. We want to feel good by solving other people’s problems. We want others to experience our successes or our love for the Bible.

What does Jesus know and do?§

Do you find it odd that Jesus asks the blind man, “What do you want me to do for you?” Do you think Jesus didn’t know what he wanted? Or what about Jesus’ question, “Who touched me?” after the woman touched the hem of his garment. Did he not already know? We see that Jesus frequently uses the form of question in order to draw out the heart and mind of the person seeking help.

Do you want to be well? Where are your accusers? Where is your husband? Whose image is on this coin? When you went into the desert, what did you go to see? Where is your faith?

While we I don’t intend to argue that Jesus’ question asking somehow makes a rule for us, I do intend to argue that questions are more likely to lead to the client’s active engagement of a topic than telling them the conclusion. When we listen to others tell us values, facts, ideas, it is easy to slip into a passive acceptance or passive neutral stance. But when asked a question, we who answer more frequently engage the question.

§These biblical passages were discussed by Rev. Rick Tyson in our annual worship service at our counseling practice.

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Filed under christian counseling, christian psychology, counseling, counseling skills, Uncategorized

What happens after a trauma may be the key in the formation of PTSD


Thanks to a friend I read this essay today about a possible way to model PTSD formation–by considering what does or does not happen in the trauma victim’s social environment after the trauma experience. The article discusses 2 different studies, one animal and the other human.

The animal study concludes that kidnapping a mother rat from her pups for more than 15 minutes will result in anxious activity upon reunification in the same cage where the trauma happened. Mother and pups will continue to be over-reactive well beyond the event. However, if mother and pups are reunited in a new environment, the trauma reactions (racing around, stepping on each other, aggressive behaviors) seem not to be present. Might it be that they have a shared job of exploring the new environment?

The human study points to the importance of having reunification symbols or rites of re-entry when bringing child soldiers back into the community. This appears to have value over just quietly pretending that nothing happened.

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Filed under Abuse, counseling, counseling science, Post-Traumatic Stress Disorder, Psychology, trauma, Uncategorized