Category Archives: news

Alternative to talk or pharmacological therapies for depression?


For many of my clients, medications are necessary for their moderate to severe depression. With SSRIs or mood stabilizers, they are able to function at home and at work and can better benefit from talk therapy. But in every case my clients report side effects from their meds. It is always a bit of art-form to balance benefits and side effects. That is the world we live in and the best we can do now. One of the key problems with all psychopharmacological interventions is that drugs provide a systemic solution when often we may need a targeted approach. Consider a person with ADHD who takes a stimulant that will help them focus in class yet must deal with increased blood pressure, heart rate and potential for insomnia. The stimulant does not just target the frontal lobe but impacts the whole body.

Wouldn’t it be great if we could target an intervention to a particular part of the brain?

“The brain is not a bowl of soup and you add the chemical and you stir,” she says. “Chemicals work within networks, within systems, within pathways. And where in the brain a chemical may be working is as important as knowing what chemical you should use.”

I read the above quote in this news item about the problem of rumination in treatment resistant depression. Helen Mayberg, author of the above quote, is researching Broadman Area 25 and its connection to the problem of rumination–where a person struggles to turn off negative thoughts about self and the world. She and other researchers are wondering why some people do well with talk therapy while others seem not to benefit. Instead of looking at the possibility of a less helpful form of talk therapy, they wondered whether the problem is that the person cannot get away from their negative thoughts enough to engage in the work of counseling.

One of the interventions being tried is to practice disconnecting from ruminations by paying attention to what is going on in the present. To help with the learning of this skill one researcher is testing whether 5 sessions of having an electrode on your wrist create an itching sensation while the patient practices paying attention to a decreasing amount of electrical stimulation.

Sound crazy? It just might be. I am always wary of any “5 sessions or less” advertisement. But before we toss out the idea, if a targeted treatment could help turn down the volume on a rumination, wouldn’t that be a help to many?

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Filed under Depression, news, Psychiatric Medications, Psychology, Uncategorized

What can we do about the refugee crisis?


If you have any connection to the outside world you know that the Middle East, North Africa, and Europe is undergoing a refugee crisis of massive proportions. Syrian and Iraqi refugees are finding their way to Europe to try to escape the violence, hunger, and lack of basic resources resulting from ongoing conflicts in both countries. For years, Lebanon, Jordan, and Turkey have borne most of the brunt of the burdan from the crisis, but now refugees are risking their lives crossing the Mediterranean to Europe. What was a regional conflict is now a wider political and economic challenge. 

If you are like me you read the stories, see the pictures, dig into the complexities of the problem and end up feeling helpless or hopeless. Someone has to do something. But what? Is there anything you and I can do to help? We know we can pray and we know we can give money to aid organizations. However, I suspect we often fail to do either of these things because will my prayers or fifty dollars do anything, realluy? 

Can we do anything else? Here are a few things I think merit consideration as doing our part. They may not do anything at all in the big picture, but then again, they may help you take one more step, even if only helping you to pray more pointedly and persistently. 

  1. Choose to be continuously educated. It is easy to make sweeping generalizations about those who are fleeing violence, about those in host countries, about the various armed militias. Sometimes we are right but far too often we develop simplistic formulas for the problem and solutions. Read outside of your normal news sources. If you are in the U.S., check out the stories by BBC and Al Jazeera news corps. Especially look for news stories about the refugees, who they are and what they are looking for. Many journalists in this area tweet out their stories/blogs. Find them and read them. Don’t allow hopeless feelings keep you from bearing witness to the tragedies nor from calling on God to intervene.
  2. Study the Scriptures regarding the God who loves refugees, hears their cries (think Exodus) and his son who was himself a refugee (check out Matthew 2). What is God’s mind on caring for those who have nothing and who will cost us something if we do care for them? Too often we can become consumed with political and economic realities and forget that God’s word calls us to love immigrant and outsider among us. In doing so, challenge your common assumptions about how we should relate to Muslim outsiders. 
  3. Learn a lay-counselor trauma training model.  The American Bible Society has a program, Healing Wounds of Trauma. This program is Scripture-engaged, dialogical, lay-oriented, and cascade oriented. You can get trained by attending a low-cost equipping session (4-5 days) and then train others (hence the cascade effect). You do not need to be a counselor but plenty of counselors love this model because it is so easily transferrable. Translated and contextualized into many languages, you can teach in English and the participants can teach in their own communities in their own language. Wait, you migh think, I don’t know any refugees in my community. While there may not be any Syrian refugees (then again, there many well be!), immigrants and refugees are all around us. Find out who is serving them (e.g., Lutheran Social Services, World Relief, etc.) and see if you can use this materials with them. This particular program isn’t the only one out there but it is effective and budget friendly. 
  4. Of course, give and pray. Once you get connected to local refugee serving organizations, you will have a better sense of who is serving in your community and how your time, talent, and treasure could be used. 

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Filed under counseling, Justice, news, News and politics, Training, trauma, Violence

The weight of racial micro-agressions


During our 4 day trauma healing training, we had some discussion about the trauma experienced in the form of ongoing racism. It wasn’t a big portion of our training but certainly sparked some strong feelings. And rightly so. Those of us who live in a world of white privilege have trouble really comprehending what it is like to be stopped DWB (driving while Black) or other micro-aggressions where a person is stereotyped in subtle but powerful ways.

You might find Neil DeGrasse Tyson’s interview on Fresh Air pertinent to this topic (link here). About 20:10 into the interview (you can fast forward), he is asked, “When did you realize you had a gift communicating to people about science?”

Now, on the surface, you would likely agree with the interviewer. DeGrasse Tyson is a talented communicator and makes it   understand very difficult and complex physics concept.  But notice how DeGrasse Tyson responds. You might think he is over-sensitive but listen on. If you remember both Larry Bird and Michael Jordan, do you agree that this difference (Bird as a student of the game vs. the natural talent of Jordan) is the result of racial stereotypes?

Imagine living with constant surprise that you are a smart and hardworking individual.

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Filed under news, Race

Are perpetrators of abuse “other”?


I write, teach, and provide professional care about matters pertaining to child sexual abuse. I sit on a board of a fantastic organization designed to help christian organizations prevent child abuse and respond well when allegations arise. From these experiences I can tell you that victims of abuse struggle the most when they finally get the courage to speak up but then aren’t believed–whether by other family members or those within their community. Since most abuse happens in secret places and since most of us live with happy public facades, it is easy to disbelieve the victim. In fact, the temptation is great since believing the victim means we must alter our perceptions of the perpetrator and the system that supports them. And that alteration disrupts our own lives, threatens our own comfort zone. Since some reports could be, have been false, maybe this one is too…

The first problem in stopping child abuse is the failure to believe victim stories of abuse. Victims know their information will destroy life as it was before the revelation. Believing that they will be singly responsible for damage done by revealing their abuse, they keep silent. Silence always enables further abuse.

But there is another problem, a second problem faced in stopping child abuse: treating abusers as “other,” some sort of monster that is so unlike the rest of us, we can’t imagine being in their presence. Think about these words. Perpetrator. Pedophile. What garish images come to your mind? Or, do you imagine someone with virtue along with their obvious and destructive vices? Do you imagine the image of a victim in that same person?

“Does it make sense to discard an entire oeuvre of work? Or does it simply reflect an inability to live with messiness and ambiguity? To chalk it up as nothing more than the work of a monster, to cast it out of the village, is to senselessly re-affirm the same basic strategy of denial and dehumanization that, ultimately, allows abuse to continue.”

If you are interested in considering the complexities of the person of the perpetrator, I highly recommend this essay where I found the previous quote. It is written by a victim of abuse perpetrated by his father. How do we account for the virtues, the generosities, the humanness, the victim experiences found in individuals who choose to perpetrate against others? Like the author of this essay, I suggest that doing so is absolutely necessary if we are going to make any dent in the incidence of child abuse.

“Most of us would sooner discard all parties who have been tainted by this event than we would look at how tenuous the sanctity of children really is, how commonplace abuse is, or see the capacity for the mostly good to do periodic evil. We live in the same universe as those who abuse kids. We walk among them. If we want to end the sexual abuse of children, it will begin with the recognition that we are simply not that different from them.” (emphasis mine)

Won’t humanizing perpetrators harm victims?

Humanizing perpetrators of abuse does not minimize the need for justice for victims. It does not decrease the place for restitution or incarceration. Naming humanity in perpetrators does not lead to excuse-making (we do that for other reasons!) nor demand explanations for abusive behavior (though sometimes this can be helpful, most would rather have acknowledgement of abuse done). It need not change our triage policy to prioritize victim recovery over all else.

But when we recognize that perpetrators of abuse suffer from the human condition plaguing us all (self-deception, self as the center of the universe, seeing others as objects for self-comfort, choosing fig-leaves rather than truth in response to shame), we have the opportunity to name these conditions wherever they show up in our lives. Naming them early and often hinders the development of the “split-self” where we live publicly one way but privately nurse other shame-inducing habits. And when we are more able to identify these features in ourselves, we may also find that we can identify them in others as well. While we are not responsible for the abuse perpetrated by others, complicity with abusive behavior (failing to respond to evidence of abusive behavior, allowing cover-ups, etc.) does stand as judgment on us.

Let us acknowledge that we are not so different, that “treatment” must start first in our own hearts so that we can help others before abuse takes place.

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Filed under Abuse, christian psychology, news, Psychology, self-deception

Remember the “crack babies”? Results you might not expect


My local paper ran this essay this week: “Crack Baby” Study Ends With Unexpected But Clear Result. After 23 years, the study is over and the results might interest you. Turns out, cocaine is not the worst thing for you. It did not create underdeveloped children, mentally retarded children, emotionally disturbed children. Researchers found no evidence that cocaine accounted for clinically significant differences between exposed children and non-exposed children.

The Clear Result?

The clear result is not that cocaine has no negative impact (it does contribute to premature births and some other problems, but it doesn’t appear to contribute to life long problems in children born at full term.

The clear result is that both controls and exposed children were from the same environment: urban, minority, poor communities. The clear result is that POVERTY and VIOLENCE are significant contributers to things such as low IQ, exposure to traumatic experiences, etc.

Listen to some of these stats:

  • At age 4, control group average IQ: 81.9; exposed children average IQ: 79.0 (both significantly lower than average IQ of national population of children same aged
  • At age 6, 25% of kids in each group scored in abnormal range in math and letter/word recognition
  • By age 7, 81% had seen someone arrested, 35% had seen someone shot, 19% had seen a dead body outside
  • Drug use did not differ between groups: 42% had used pot (as young adults)

But some stats that astounded me:

Of the 224 kids, the researchers have kept track of 110. Here’s some additional data:

  • 2 dead, 3 in prison
  • 6 have college degrees, 6 on the way to getting a degree (these are the ones who they kept in touch with! I expect the percentage of college degrees to not would go down!)
  • and this one: 60 children born to the 110 participants (remember the ages of the participants must be between 23 and 26!)

Mix poverty with failing schools, fractured families, and you get folks who have few options to make it. Without much hope for a future, it is easy to give in to any pleasure or comfort for the moment. Thus, you see higher drug use and babies.

Good to remember that when we see a simple equation between problem and cause, we probably have it somewhat wrong.

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Filed under addiction, news, Uncategorized

Can you teach children to think before acting violently


NPR’s Morning Edition has a piece this morning on the problem of impulsive acts of violence by adolescents with guns and an attempt at a prevention plan. You can read and/or listen to the segment here. The researchers discovered that most of the violent gun crimes by teens were not premeditated. Instead, the shooters were in possession of a gun and when the problem became heated, they made the choice to use their gun to solve the problem–they failed to consider the consequences as they “solved the problem” with a weapon.

The intervention used in Chicago schools is a form of Cognitive Behavior Therapy to increase prosocial decision-making strategies. These interventions are not particularly new. The basis of this type of intervention assumes that if a person would pause before acting, step back and make an evaluation of the problem and consider alternatives, then the person would likely make a better decision. In previous research, these interventions are found not to generalize well from session to real life.

But, the research discussed in this piece seemed to point less to impulsive decision-making and more to the base assumptions they assumed others would make of them if they used polite speech to ask for something they wanted.

In one exercise, Ludwig says, the students were grouped into pairs, and one member of each pair was given a ball. The other was told to get the ball out of his partner’s hand. This invariably led to a fight, Ludwig says, as the kids brawled over the ball. After watching the fight, the program leader would ask the student who was trying to get the ball a question: “Why didn’t you ask the other kid to give you the rubber ball?”

None of the adolescents, Ludwig says, ever thought to ask their partners for the ball.

“The kids will say things like, ‘Oh, if I would have asked, he would have thought I was a punk,’ ” Ludwig says. “Then the group leader will turn to the partner and ask, ‘What would you have done had this other kid asked you to give him the rubber ball?’ And usually this other kid will say, ‘I would have just given him the rubber ball. What do I care?’ ”

The goal of such exercises, Ludwig explains, is to help the teens understand that their strong, negative reactions during confrontations are often based on what they falsely imagine is happening in other people’s minds.

Does it work?

You can read in the linked essay that those who received the intervention were FAR less likely to engage in violent crime. But notice that on 1 year follow-up after the intervention, the differences between those who received the intervention and those who didn’t were insignificant. In other words, the intervention works while it is being received, but is not a permanent change. So, one wonders what makes the program work at all. Is it the positive relationship between the students and those doing the teaching leading to more gracious responses to others?

In the past, I’ve read about stop-think-observe-plan interventions and assumed they were worthless since the students didn’t retain the skills to make better decisions after the intervention concludes. But note that the essay concludes with the researching noting that the benefits during the program are worth it in terms of cost-benefit. Maybe it would be good to see a 5 year program and whether the benefits really do continue during a longer program.

 

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Filed under Cognitive biases, conflicts, news, Relationships

Public responses to allegations of wrongdoing by your friends


You’ve seen the little clip: a person does something wrong and the camera crew films a neighbor–or family member–making a comment about the character of the person.

“He was a quiet boy, never caused any trouble.”

So, let’s say one of your good friends was accused of abuse of children. How would you respond to reporters (or bloggers asking for you to weigh in)? Should you speak? Stay silent? Would it matter if the friend was a regular Joe or a famous leader of a church? Would it matter if you were famous or in leadership? Would it matter if you both served on an important ministry together? Should you wait until the court case has finished or speak your mind about what you know even if the case is not completed?

This is the question that has been raging a bit regarding the ongoing complaints of clerical and child abuse (and now a civil lawsuit) against Sovereign Grace Ministries leaders. After many calls for colleagues of SGM leadership to speak out against child abuse as they had against Penn State, two different sets of public letters were published commenting on the cases.

You be the judge: would it have been better to publish this and this explanation or to remain silent?

It seems to me that silences and then explanations of any length rarely serve any good purpose. Those who wish for you to speak will not be happy you waited. Then when you speak, you are likely to say things that will say more than you intended and reveal more than you care to reveal. For example, if you point out the fact that civil lawsuits are notoriously hard to litigate, may arise from those desiring to receive monetary damages, may damage innocent reputations, you would be speaking the truth. All of these things are possible. But it is easy to reveal more than intended,

  • when you speak after a significant portion of the lawsuit has been dismissed, not on fact but due to missing a statute of limitations deadline
  • when you speak more sentences about questions of merit and only a few sentences about the need for justice for victims
  • when you raise doubts about civil allegations while you hide behind the fact that you are not finder of fact (AKA the judge or jury)

A better response?

Say something immediately or nothing at all.

Of course, it is ALWAYS easier to criticize and to offer hind-sight answers. I do not think that I am above protecting a friend. I suspect I would be tempted to act in just the same way. We want to protect those we know and love and to doubt those we do not know. But, consider for a moment, how this response:

Our friend has been accused of doing some very horrific acts (or failures to act). These are serious charges. We love our friend. These charges doe not seem to fit the man we know, and yet we know that anyone is capable of [sin/crime]. We will support him. And yet, our support does not hinder the need for truth, justice, and healing for all victims. We will be meeting with our friend and encouraging him to speak the truth, to admit any wrongdoing, no matter the risk to so-called reputation. We will examine whether we have any information that would help bring justice in this case and we will not hold this information back to protect our friend. If others have information, we implore you to bring it so that this case can be quickly concluded. We want you to know that we will not tolerate [sin/crime] in other leaders or ourselves. We serve the glory of God and not the glory of each other. We will not be making any further public comments until the case has concluded. This is a difficult time, please be in prayer for all those involved in this case.

Would that be enough? Probably not for some readers, especially if there were longstanding behaviors in question that suggest a system of cover-up. And yet, I think an early statement like this probably eliminates the firestorm that silence or blanket statements of approval create. Once the firestorm starts, there is almost nothing that can be done without a very simple, “we have erred in our silence.” Anything else will be an attempt to parse the silence and so any later words will be parsed by others…and found wanting.

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Filed under Abuse, Christianity: Leaders and Leadership, Justice, news, Relationships, Uncategorized

Do you see or hear things that do not exist?


English: Neurologist and writer Oliver Sacks a...

English: Neurologist and writer Oliver Sacks at the 2009 Brooklyn Book Festival. (Photo credit: Wikipedia)

What does it mean if you hear things that no one else hears? Sees things that no one else sees? Does it mean you are having a spiritual experience? Or, do you have some form of psychotic disorder?Thanks to a student (HT Heather), I submit for your reading pleasure a NY Times essay by Oliver Sacks. Dr. Sacks suggests there may be some other possible reasons why you might hear or see or feel something that isn’t heard, seen, or felt by others. In fact, he points to research that a large portion of those who do have these experiences never tell others or doctors about them for fear of being labeled falsely with schizophrenia.

Ever had either hypnogogic or hypnopompic hallucinations (ones that happen just as you fall asleep or awaken)? Did is scare you? Can you imagine telling others about it? If you find these kinds of unusual experiences interesting, I encourage you to read any of Dr. Sacks’ books.

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Filed under news, Psychiatric Medications, Psychology

What is missing in Camping’s apology? The link between repentance and restorative justice


Ever had someone hurt you, apologize, but you still felt like something was missing? Did you think it was your problem because you couldn’t forgive? Is it possible that their apology didn’t go far enough? Have you had a chance to hear about Harold Camping’s recent apology for picking dates in 2011 for the rapture to take place? The good news is that he admits what he did was a sin and that he will no longer seek to discover the date when Jesus returns. Read his apology on the Family Radio website.

But there are a few problems with his apology. I mean…problems beyond his attempt to focus more on the good his sin did for the kingdom of God than on actually apologizing for the actual sin. His apology amounts to something akin to, “I’m sorry I was reckless and crashed your car but I got out unscathed and people heard me thank God for surviving it so it’s all good.”

What is missing? Acknowledgement of hurt, willingness to restore

Read his apology again. You will see he fails to repent directly to those he hurt most–the ones who gave sacrificially to fund his insanity. He never names the specific sins committed nor the hurts he caused. Further, and this is most telling, he makes no offer to restore victims of his offenses. If he acknowledges he misled people and in doing so received benefit from his sin, might he not desire to follow the path of Zaccheus? To give back what he took (that would be a start) and even give back more?

He who has been stealing must steal no longer, but must work, doing something useful with his own hands, that he may have something to share with those in need. Eph 4:28

Repentance is then shown not just in stopping bad behavior but replacing it with behaviors that are righteous and good.

What is restorative justice?

This week I will be in Tennessee speaking on the relationship between repentance and restorative justice. Restorative justice (RJ) is the idea that victims, offenders, and community ought to be in dialogue together to (a) understand the impact of offenses, (b) determine together ways to restore both victim and offender, and (c) to allow the community to have a say in the matter. It doesn’t oppose the rule of law but believes that the judicial approach is not always the best approach and tends to focus on punishment to the exclusion of restoration. RJ does not work unless victims are interested in it and offenders are remorseful. But, in those cases where there may be interest and some remorse, it may allow offenders the opportunity to get the depth of the pain they caused and offer them opportunities to “restore what the locusts have eaten.” (Joel 2:25)

Restoring vs. penance?

If you are like me you may be tempted to swing between to polar opposites when you are confronted with your own offenses: defensiveness or penance. Sometimes we want our apology to be the last word. We want to be forgiven and our offense treated as if it never happened. Other times we want to grovel and do penance so that the offended party will think better of us. During this season of lent, let us be aware of our offenses and the necessary sacrifice to cleanse us. But let us also be willing to seek the betterment of those we harm “with joy.”

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Filed under Forgiveness, news, Relationships, sin, Uncategorized

The next generation will have less than us?


The western front of the United States Capitol...

Image via Wikipedia

I began the following post on March 1 of this year. I set it aside because I wasn’t so sure how to end it. But the recent squabbling about how to ensure the US will be able to pay its bills has me feeling pretty sure that the next generation is going to have a tough go at it.

I’m no economist. I stink at math. But, I’m pretty sure that my children’s generation is going to be worse off than my own. What makes me think this? Consider some facts

  • Our consumption oriented world cannot keep the economy afloat…debt is ballooning out of control
  • Educational costs are skyrocketing and do not necessarily bring greater income potential
  • We make few things in this country so jobs in industries are shrinking. At some point, don’t we need to do something other than service jobs?
  • Aging baby boomers (and those of us just a bit too young to be considered boomers) are going to need  a lot of help given that many live hand to mouth and with a ton of debt.
  • military cuts will mean fewer 18 year olds will be able to make a living in the service.

So, if my prediction is correct…what does it mean? I suspect it means families are going to continue to live together. I should probably expect my children to live with me a lot longer than I did with my parents (I went to college and never really moved back in except for 2 summer jobs). Families will need to pool their monies more. In some ways, this may not be all bad. Family members will grow in their sense of needing each other to accomplish daily life. This is how most of the rest of the world operates. Financial security, as much as I really do like it, may give us a false sense of independence that is neither healthy to our social or spiritual lives.

Okay, back to July 2011. Our lawmakers are playing chicken with the debt ceiling and hoping the other side will budge. No matter how this turns out, someone is going to get hurt. Probably our children’s generation.

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Filed under news, News and politics, Uncategorized