Category Archives: suffering

What to do with Psalm 89?


Check out this blog entry from my colleague, Steve Taylor. Steve helps us consider what to make of the “unrebutted” charges against God found in Psalm 89. If you ever struggle with feeling that God has not kept his promises or struggled with what to do with OT passages that seem to charge God with failure to keep his promises…read this:

Jesus Redeems a Psalm: What a Difference “Christotelicity” Makes!.

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Filed under biblical counseling, Biblical Reflection, Biblical Seminary, Doctrine/Theology, suffering

Observing and Remembering Grief


On September 11, 2001, and for some time thereafter, Americans observed and experienced the grief of individuals and a nation. Now, ten years later, we observe and remember it anew–whether our own or the grief of strangers.

If you caught any of the television coverage you probably saw family members reading the names of the dead or tracing the names of loved ones carved into the memorials at ground zero. These images are both beautiful and heartrending, especially those of the children who are growing up without a parent. Or, you may have watched some of the surviving firefighters and police officers tell of their struggle to breathe or to fight the cancer that is likely the result of breathing in the toxic dust as they dug in the pit without proper protection.

As the names and ages scrolled across my television screen, I noted how many were so young, hardly even into the prime of their lives. Though I lost no one in my family or circles, I feel some small portion of the grief families continue to feel and am glad they have a beautiful place to go to remember their dead. Remembering the dead with ceremonies, markers, and moments of silence is an important part of living and grieving well. It is an active means to recall who we are (whether individual or nation), what we are, and where we are headed. As a people, we tend to do funerals pretty well. We recall someone who has died and how they influenced our lives. And, we endeavor to keep a part of their legacy alive in how we live our own lives.

I think these kinds of memorials have the opportunity to do the same thing.

But, and this takes nothing away from our collective grief, I am also aware that so many around the world die in obscurity without even the dignity of a thoughtful burial, with no one remembering their life or death. This is especially true in war-torn, impoverished areas. One militia erases the village of an opposing faction. Most are killed, a few survive by escaping into the bush or forest. The dead range from infants to elderly. They are left to be raided for any remaining goods, picked over by wild dogs, and whatever bones are found are later bulldozed into a mass grave.

In the West we may hear of these deaths and shake our heads at the senselessness of human atrocity. But distance and disconnect with other parts of the world rarely cause us to rise up as a nation and observe (stop if possible) and remember the grief of others.

One such arena of senseless and invisible slaughter happened in DRC. Bryan Mealer gives you an inside look at suffering and death and the desperate attempts of many Congolese to stay alive during the great African war. What I noticed was how little time there was to remember and grieve. Remembering is done by those who do not fear for their safety.

So, as we remember our own grief, let us also recall and remember those victims who get no grave nor remembrance.

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Filed under suffering, trauma, Uncategorized

Surprised by peace? Surprised by suffering? What do you expect?


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What is your baseline perspective on life? Do you tend to believe that life should work pretty well and are surprised when suffering and pain enter your life? Or, do you tend to believe that life is hard and are surprised and pleased when it is not so hard or when you have moments of peace?

Perspective is pretty much everything. If you are driving during rush hour and you expect that traffic will be really bad but it turns out to be better than you feared, you probably feel great. But, if you were thinking your drive would take you one hour but it took two, you probably feel a bit frustrated. Both drivers might travel exactly the same amount of time but have opposite perspectives.

Expectations shape our feelings and perceptions of how life is going for us. Now, I am NOT arguing that if you just think happy thoughts, you won’t be bothered by problems in this life. No matter your perspective, you will suffer. To think otherwise would be denial of reality. But behind most of our “this is not fair…why would God allow this…I’m not sure I want to believe in a God who allows pain to happen” kind of comments are some assumptions and expectations that reveal what we believe life should be like.

Consider these assumptions or expectations. See one that gets you?

1. Life should be fair and should work. This could be called the Jonah perspective. Yes it should. But since sin entered the world, it isn’t. Instead of blaming God, might we not want to notice how many times in life, things are fair, just, and good? Might we not want to see that God is giving us better than we deserve? How might that mindset modify our general view of God’s care for us?

2. I have sacrificed much for God, why hasn’t he given my good and decent desires)? This one is similar to the 1st point but focuses along the lines of Psalm 73. Fairness is seen along the lines of righteousness. The good guys get blessings and the bad guys get suffering. If we hold this expectation then it is common to feel gypped when we don’t get our good desires met.

3. Suffering is something that is temporary, something to get through. This is an American viewpoint. We can overcome obstacles, we can heal the sick, we can fix problems. Once we get our education, get married, get the job we wanted, get our 401Ks then life will be good.

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Filed under Christianity, Doctrine/Theology, Insight, suffering

Suffering and infertility


Some 18-19 years ago my wife and I were struggling with the secret pain of infertility. When everyone around seemed to be getting pregnant we couldn’t…and didn’t. Now, almost 2 decades later, the pain is a distant event in the past. I hesitate to say this because too often suffering people are patted on the back and given trite words of “encouragement”, but…I am thankful for the suffering because it has improved my sense of compassion for others and also my awareness of how God meets us in our pain.

But make no mistake, it wasn’t easy. And I don’t want to go through it again.

Some years ago we wrote about our experience and our spiritual struggles in an essay in the Journal of Biblical Counseling (CCEF’s journal). I mention all this because a friend of mine on staff at a church in NC wrote a short note about it (following a sermon on Zechariah and Elizabeth) and linked to the journal article. You can read my friend Brad’s intro here in their church blog.

Funny thing, this article seems to get more comments from readers than all of the other writings I’ve published put together. I guess it really touches a nerve. And not just with infertile couples. We’ve had comments from those who have had other kinds of losses as well.

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Filed under "phil monroe", CCEF, christian counseling, Christianity, parenting, suffering

What causes mental illness and do you have any choice?


The common medical assumption is that mental illness is the result of multi-faceted vulnerabilities in combination with stressors. A person may have some vulnerability markers but those alone are not likely to result in mental illness without biologic, social, or environmental stressors “turning on” the markers.

If you want to see this model in action, you should watch a most troubling episode of “Independent Lens” on your local PBS channel. It aired in Philadelphia last night. You can find more about the episode here on their website and watch clips of the show.

The hour long episode follows a 16 year old girl, Cyntoia, facing life for murder. You will see extended conversation with the girl, her adoptive mother, her biological mother (who she never really related to). Her bio mother drank throughout her pregnancy, smoked crack and prostituted herself. Cyntoia was being prostituted and was at a “john’s” house when she shot him thinking he was going to kill her.

You can see that Cyntoia probably meets criteria for Borderline Personality Disorder. Watch her mother for a bit and you can see that she comes by it quite naturally. They both have a similar pattern of speech and attitude. There is a long history of suicide and paranoia in the extended family. Very interesting to see how this young woman talks to the forensic psychiatrist.

Choices?

Watch and wonder how Cyntoia could have avoided her predicament. She started out with poor genes, alcohol exposure and poor attachment opportunities. She lists 36 people she had sex with (she felt obligated to have sex with those who wanted her). The issues are legion.

Even more brutal is to watch the interviews with her adoptive mother who is trying to wrap her head around the facts that come out during the investigation. Watch also how Cyntoia talks about her and to her. Notice that there is love.

Very rarely would you get this kind of information from 3 generations of rape and sexual abuse (and adoptive mother’s story).

Watch the episode and consider this question: just how much choice do some people have? Even with her incredible insights (e.g., “everybody wants admiration, everybody wants to be desired. That is my **** problem too.”), this young woman had 3 strikes against her.

The truth is we often believe people have easy choices to avoid trouble. Cyntoia’s story reminds us that trouble begins generations before some people are conceived.And even when we acknowledge that Cyntoia could have made choices to tell adults about her abuse or to escape her pimp, we are left with the gnawing question, would we have made any different choice if in her place? For the record, I am a firm believer in that we do have choices to make. But some have a whole lot more than others and the roadsigns to better choices are bigger for some of us than others.

Challenging story which also pulls on your vision of redemption, restoration and appropriate punishment for minors who commit murder.

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Filed under Abuse, addiction, cultural apologetics, Psychology, stories, suffering

Report on sexual violence in the DRC


I’m coming late to this but just finished reading an April 2010 report on the problem of rape in the Eastern Democratic Republic of Congo. The report is supported by Oxfam and is written by the Harvard Humanitarian Initiative. You can read the 66 page report or quick overview by clicking here.

What they document (between years of ’04 and ’08) is a retrospective study of 4,311 rape victims at post-rape interview at Panzi Hospital in South Kivu area (well-known for their pelvic surgeries to repair fistulae caused by rape). The results indicate that while war-related rape may be decreasing, there is an over 1700% increase in civilian rape. Evidence of a culture change as a result of a war?

Very difficult read. Most victims were gang raped at night, in their homes, in front of their families. Necessary for those who want to understand the experiences of these women. Most of the efforts to help are about either (a) surgical repair or (b) economic recovery. This makes total sense since these are the top two issues victims face (often victims are abandoned by their families or lost their families during the rapes). But what to do about psychological trauma? What works for these women who do not have the time nor the money to go to therapy?

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Filed under Abuse, Congo, counseling science, suffering

Pessimism and Powerlessness


What is the most dangerous threat in your life? In society at large? Is it economic stress? Job insecurity? Relational conflict? Health-care challenges? Amorality? Wall Street Journal columnist Peggy Noonan believes there is a deeper danger afoot (Thanks Darryl Lang for telling me about this op-ed!):

Inner pessimism and powerlessness. That is a dangerous combination.

Noonan says this just before the previous (and concluding line):

When the adults of a great nation feel long-term pessimism, it only makes matters worse when those in authority take actions that reveal their detachment from the concerns—even from the essential nature—of their fellow citizens. And it makes those citizens feel powerless.

She is trying to make the point that Americans are coming to terms that the country is not going to provide the next generation with a better life. Parents now hope their children will have about as good a life but they even fear that is not possible.

I’m not so interested in what she is discussing in this column (politicians and the immigration debate). But I am interested in what happens to us (how we respond to life) when our personal and collective narratives shatter.

Noonan mentions that Americans do not have pessimism in their DNA. I have seen this to be true  with most Caucasian Americans. They may be unhappy with their life but they are optimistic that things will get better. This is in opposition to those from other parts of the world who seem quite happy but not at all optimistic about a better life. We Americans generally feel empowered and independent. When we do not have the power to change our situation it drives us to re-write our understanding of self, the purpose of life, and assumptions about God.

What will we write? Will we cave to pessimism and powerlessness? Or will we develop realism and creativity in finding life in the middle of brokenness?

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Filed under Christianity, Cultural Anthropology, Great Quotes, News and politics, Psychology, suffering

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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Filed under christian counseling, christian psychology, counseling, counseling science, counseling skills, suffering, teaching counseling

When life doesn’t follow the “plan”


One of the more significant causes of emotional/psychological suffering is the experience that life isn’t turning out as expected. While we all conjure up something different when we hear “normal”, we do have something that we assume is the normal expectation for how life should unfold. Most of us assume we will go to college, graduate on time, get married, have kids, start a career (or several over the course of our life), develop economic stability and growth, stay healthy, retire, find fulfillment, etc. Unexpected events will happen, we tell ourselves, but the general plan or trajectory should continue.

But then we hit more than a bump in the road. We don’t get married, can’t have kids, lose a job, divorce, get sick (or watch a loved one die before their time). When we suffer we are forced to come face to face with the fact that life does not have guarantees–except that there will be suffering and that suffering is not something we can get beyond, try as we might.

Christians are not immune from having expectation. In fact, we may have even more than those who don’t have the “hope of heaven.” We assume we will have peace and joy and that God will deliver us just as he delivered Daniel, David, Esther, etc. We recite Psalm 23 but gloss over the hard parts (death, enemies). Or, consider, for example, the pattern found in Psalm 107: Sin/Weakness leads to suffering…the people cry out in their trouble…the Lord hears and saves/blesses them with good things…  We like this pattern and expect to get the “happily ever after” that the pattern seems to promise.

Notice that as soon as God isn’t delivering us from our pain, we begin to look for the reasons. Maybe there is a new technique to prayer to try. Maybe there is a sin to confess. Maybe it is due to judgment on our country for its errant ways. We want to blame someone!

The truth is the “plan” isn’t as detailed as we would like it to be. Yes, there is a normal trajectory of life: growth…maturation…passing on to the next generation. But promises for obtaining specific outcomes are not given. We only assume they are assured until we discover one of our assumptions blown up by reality.

The same goes for our assumptions of the “rescue plan.” Either God does not deliver on his promises to care for his children OR his care looks markedly different from what we assumed it would be. And, it appears that God’s plan for rescue is global rather than individual. He did repeatedly rescue Israel during the time of the Judges…but some years and oppression went by each time and some of the chosen people did not survive.

Does this depress you? It can. Especially when we take note of more and more suffering and see less of the “normal” life we once expected. As we age we notice that death is everywhere–as if it wasn’t there so much when we were younger. If it doesn’t depress you, you may find yourself struggling with bitterness. How can God really exist or be good?

Or, you can consider John Calvin’s words (thanks John Freeman for showing them to me) and consider one blessing amidst the disrupted “plan.”

With whatever kind of tribulation we may be afflicted, we should always keep this end in view–to habituate ourselves to a contempt of the present life, that we may thereby be excited to meditation on that which is to come. For the Lord, knowing our strong natural inclination to a brutish love of the world, adopts a most excellent method to reclaim us and rouse us from our insensibility, that we may not be too tenaciously attached to that foolish affection…the whole soul, fascinated by carnal allurements, seeks it felicity on earth. To oppose this evil, the Lord, by continual lessons of misery, teaches His children the vanity of the present life.(as quoted in L. Boettner’s Immortality, p. 31)

If Calvin stopped there we might think he was a stoic–one who hated any pleasure. However, he is not. He says this “contempt” of this life should not lead to hate pleasure or “ingratitude” for good things.

So, consider for a moment what “plan” you expected and your reaction to not getting it. Or, better yet, what “plan” did you expect that you actually got but then found out that said plan didn’t deliver the goods you thought were to come with it?

How might your mood, your attitude, your perspective change if “the plan” was focused on meeting/seeing God each day? What would you stop striving for? What would you set aside as a waste of time? What would you notice that right now escapes your glance?

One final comment. I don’t think that this change in “plan” reduces the pain of suffering or stops our goal-directed activity in this life. We are designed to growth, develop, change, find pleasure, pursue economic stability for self and other. Further, suffering always hurts, no matter what good comes of it. Just because good comes from pain doesn’t mean pain is itself good. Our problem is that we sometimes often forget a deeper design of relationship with God.

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Filed under Biblical Reflection, christian counseling, Christianity, Doctrine/Theology, suffering

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