When a good label loses its value, or, should we rethink labels altogether?


Ever found a word, term, idea that had great meaning for you become useless or degraded because it became popular? Well, maybe that only happens to academic and clinical types. As a counselor terms like idols of the heart, Biblical counselor, integration, christian psychology all are meant to help individuals identify themselves and shape a conversation. At Biblical Seminary, we are attempting to train students to think “missionally.” When we started down this path, not many were using the word. But now it seems everywhere and used in so many ways that make you question whether the word really has any meaning.

So, I’ve had these thoughts from time to time but last night I was reading Paul Wachtel’s (professor at CUNY) “Relational Theory and the Practice of Psychotherapy” and he had this to say about one of his terms, relational. You could easily replace all the relational words with your own favorite term.

[The relational movement] is a loose coalition that is encouraging a diversity in viewpoint rather than seeking to impose a new orthodoxy. But this diversity of meanings also introduces confusion. Students in particular often are unclear about just what it means to be relational, both theoretically and clinically. Some, for example, (mis)understand being relational as being almost relentlessly self-referentially interpreting everything that transpires as being about the therapist.

In part, the problem lies with the very success of the relational movement. As the term “relational” has come into broader and broader use in recent years, there has been a corresponding decrease in the degree to which it communicates a clear and unambiguous meaning. This is perhaps an inevitable cost of success; relational perspectives have become increasingly prominent in the field of psychotherapy, and we have reached a point where many people want to jump onto the bandwagon. As more and more people use the term, sometimes more as a token of membership in a movement to which they wish to belong than as a substantive reference to a clearly specified set of theoretical premises and practices, the ripple of meanings makes a phrase like relational psychotherapy less than ideally precise.

Labels like relational, object relational, classical, or contemporary Freudian (to use examples from the psychoanalytic realm) often serve less as a medium of illuminating discourse than as a functional activity of boundary making, akin to the way our animal cousins leave their  scent to mark off the boundaries of their territory. “I belong here, you belong there,” may be a sentence; but it is a sentence whose message is not very different from what is conveyed by the glands of our mammalian kin. (pp 7-8)

He goes on to say that words should not merely make boundaries but to “alter and complicate” them through the act of conversation. While there are boundaries, they do move and change and no one human created word will adequately separate the sheep and goats, to mix my metaphors.  

So, what do we do with labels if they lose explanatory power when others find them helpful? Get rid of them? Or, do we use them with greater and greater humility. I like Wachtel’s description of the problem with another set of labels, 1person and 2 person approaches to counseling (1 person refers to analysis where the client monologues and interacts with their own psyche and 2 person approaches tend toward a relational, experiential interaction). Wachtel holds a 2 person theory. But here’s what he says,

To begin with, it is worth noting that the distinction [between the two labels] is almost always employed by putative two-person thinkers, as a critique of one-person modes of thought. There are rather few writers who defiantly proclaim, “I am a one-person theorist and proud of it,” although there are, of course, many writers who declare themselves to be proponents of the models that are called one-person models by two-person theorists. Writing as someone who, if the dichotomy is usable at all, would without question fall on the “two-person” side of the divide, I must say I find it disquieting to be characterizing competing theorists in a way they do not acknowledge as the basis of their own thinking.

This lack of acknowledgment on the part of “one-person” theorists, of course, does not in itself invalidate the critiques. It is certainly possible that critics of one-person models are recognizing something about the theories they are criticizing that their advocates do not. Indeed, in certain respects I myself believe this to be the case. It does, however, raise a question as to whether there might be a way to frame the critique that would be more illuminating and experienced as less of a straw man by more traditional theorists.” (p. 11)

I think Wachtel is helpful here and I have said similar ideas in the past. We need to be willing to come at a situation with differing dividing markers than we may have used in the past. For us Christian counselors, this is especially true. Mark McMinn considers himself to be an integrationist. But, his recent book, reviewed here, shows willingness to describe his model in ways that might make older integrative folks uncomfortable (i.e., giving Scripture trump power). So, we need new ways of looking at the data and less focus on division and more focus on description. Maybe we take a little longer look to see what is shared in our venn diagrams… 

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Filed under book reviews, christian psychology, Communication, Cultural Anthropology, Doctrine/Theology, Great Quotes, missional, Missional Church, Psychology

Divorce & Remarriage IV: Jesus and the OT


Chapter 4 of Divorce and Remarriage in the church is quite short and has one primary point: Just because we live in the NT age, we do not ignore the OT. Jesus clearly comes to fulfill and to expand on the Law and does not speak against any of the OT–only against false interpretations of it. Some quotables:

Jesus called us to take note of every letter of God’s law, so we cannot simply ignore it. (45)

Jesus fulfilled the ceremonial parts of the law on the cross, but he wants us to fulfill the moral parts of the law, and he even said that he wanted us to be perfect like our Father…. he affirms the principles of these laws [in Matthew 5] and widens their application. (49)

Jesus never criticizes what the Old Testament says, though he frequently criticizes the way people interpret it. He condemns the way some people tried to sidestep the command about oaths by claiming that they were not making a real oath if they swore by “by heaven”… (50)

As you can see, Instone-Brewer is telling us that in the next chapters where we look at the NT data, it ought not be seen as in opposition to the OT but as further explanation of the underlying principles of the OT.

As an aside, he explores 3 possible ways people look at the relationship between the OT and the NT:

1. The OT contains ceremonial and moral laws. In the NT, Jesus fulfills the ceremonial by his sacrifice, leaving us with the moral parts. I-B says the problem with this is that we may not agree as to which is which.
2. Christians follow OT moral principles but not the details (e.g., we no longer stone individuals caught in adultery but we recognize the moral principle behind the prohibition).
3. Ignore any OT laws not mentioned in the NT. Problem here is that rape is not mentioned in the NT.

Finally, I-B warns the reader against seeing the OT as legalism and the NT as grace. God is just as forgiving in the OT as he is in the NT.

Not much for me to add to this except to underline his point about the NT expanding and highlighting the principles of holiness. We recognize that the sin behind adultery is in all who ever lust after another. This helps us avoid pride and arrogance. Now from here we’ll look at the NT writings that relate to divorce and remarriage.  

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Filed under Biblical Reflection, book reviews, christian counseling, divorce, Doctrine/Theology, marriage

Greed, groupthink, and the housing/debt crisis


This week I heard a great program on “This American Life” (NPR) regarding the housing and mortgage crisis and how the heart of this problem is simply greed. Well, the problem is pretty complex. But, what is clear is that all involved–from the homeowner, insurance agent, Wall Street broker, to Banking Organizations looking to invest–everyone either turned a blind eye for personal gain or knowingly sought something that was too good to be true. You hear the stories of individuals choosing massive loans because they can (without any income verification), agents making 100,000 dollars per month selling loans that they knew couldn’t be repaid, large brokers who felt they HAD to satisfy larger companies desires for these bundled mortgages because they could get such a better return on investment. And everyone conspired to think that it was all going to work out. They had data on their side (unfortunately telling them about the predictions of loan worthy individuals repaying their loans but assuming that those completely unable to pay back loans would act like those who could pay them back), they had larger corporations demanding to invest and willing to offer mortgages too good to be true. A classic case of group-think!

If these kinds of situations interest you and you are wondering, “how in the world did anyone fall for this kind of thing?” then you should check out the link above and listen on-line.

As an aside, greed and group-think doesn’t just happen on a secular level. Years ago, many Christian organizations (along with some large Philadelphia organizations like the Academy of Art, UPENN, etc.) got sucked up into a ponzi scheme better known as New Era Philanthropy. It was a classic case of nonprofit greed (give .5 million dollars to Mr. Bennett and get back 1 million in 6 months). It was too good to be true but most only focused on the good part. Lots of well-meaning folk, including my own Biblical Seminary, came out quite wounded.

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Filed under Cultural Anthropology, news, News and politics, self-deception

Practicum Monday: Scott Stanley on Couple Conflicts


Last week in our staff meeting we listened to the end of Scott Stanley’s conference presentation on couples communication. You may remember I blogged previously on his funny but too-true analogy of dogs and marriage (We fall in love with the front end of the puppy/marriage, but they both have backs ends that need to be managed).

In this section of the presentation he makes this statement: events trigger issues. Couples tend to fight about events but really most conflicts are about issues that are deeper (e.g., Who gets the say around here, Do I have influence, Do you care, and other expectation clashes). The challenge is to get couples to see past events to the issues.

Problem: most couples only talk about issues during emotionally charged events. Why? It would be easy to say avoidance. But take that a step further. If the couple is no longer in conflict, why bring up something that is likely to trigger it? As Stanley says, “We’re really getting along right now, so I don’t want to screw it up by talking about a problem.” Seems good in the moment, but bad over time.

Stanley’s point is to deal with this problem by (a) handling events well (time out, staying in the moment, etc.), and (b) being proactive by maintaining safe, open communication about issues. This takes sacrifice, he says. Healthy sacrifice (not martyrdom) is pretty powerful and helpful in moving toward the desires of the other.

Here’s a couple of my thoughts:

Stanley has some great techniques and seems to have a good handle on what goes wrong in conflict. I think many couples can benefit from better care of the “back end” and making sure to remember and reinforce the front end as well. He rightly points out that we can easily miss the good sacrifices others do daily and then only recognize the good when it stops for some reason. If we’re not careful we take for granted the sacrifices of others and come to expect and even demand them as rights.

Stanley’s techniques seem not to work with couples where insight is low, trauma or violence has been a part of it, when folks have personality disorders, or when the couple are deeply entrenched in their bitterness towards each other. All events have meaning. The couple that is not willing to reconsider the meanings they apply to events (she is evil, that is why she leaves the kitchen that way), little couple work is possible. In fact, maybe even contraindicated. Techniques that should help become

weapons to hurt and destroy. Couple counseling is based on the capacity to observe self and other and to withhold judgment to see life from another perspective. Without this, it is hard to make much progress outside of painstaking experiential work.

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Filed under christian counseling, conflicts, counseling, counseling science, love, marriage, Psychology

children, sexual identity, and counseling


“All Things Considered” on NPR ran a two day story on children and gender identity. Two days ago, they ran a story on two families with toddler to preschool boys who are attracted to girl-oriented toys, colors–one of whom sees himself as a girl, changing his name from Jonah to Jona as he entered school. His parents now refer to him as their daughter. Yesterday, they ran a story about a prepubescent boy wanting to take hormones to delay or stop puberty. You can click here to read or hear the stories and additional content on their site.

What makes this fascinating is the two psychologists interviewed. The first, Dr. Ken Zucker, sees the problem as gender identity confusion, something to be modified. The second psychologist, Dr. Diane Ehrensaft, sees it as something biological and fixed and then the job is to help the child and parents transition to transgender. Dr. Zucker rejects that idea and likens the acceptance/transition approach to that of accepting that a Black child wants to be thought of as white (I wonder if he would also liken it to accepting a psychotic child’s hallucinations were real). His response sounds behavioral in that the boy has his dolls and dresses removed and play with boy type toys is reinforced. Dr. Ehrensaft opposes this as controlling and suggests the best treatment is to go with the flow and allow the child to express him/her self as they see fit:

Ehrensaft, however, does not use that label [gender identity]. She describes children like Bradley and Jonah as transgender. And, unlike Zucker, she does not think parents should try to modify their child’s behavior. In fact, when Pam and Joel came to see her, she discouraged them from putting Jonah into any kind of therapy at all. Pam says because Ehrensaft does not see transgenderism itself as a dysfunction, the therapist didn’t think Pam and Joel should try to cure Jonah.

“She made it really clear that, you know, if Jonah’s not depressed, or anxious, or having anything go on that she would need to really be in therapy for, then don’t put a kid in therapy until they need it,” Pam says.

Ehrensaft did eventually encourage Joel and Pam to allow Jonah to live as a little girl. By the time he was 5, Jonah had made it very clear to his parents that he wanted to wear girl clothes full time — that he wanted to be known as a girl.

While I disagree with his approach, I would humbly suggest that Zucker’s diagnostic view is more accurate. Children may go through fixations and personality response types that do not carry into adulthood. To treat even an entrenched viewpoint of a small child as fixed is unethical. A child simply does not fully understand themselves and the world yet. We do not accept our children’s fears of monsters as normal, we do not accept our children’s hitting to get their way. Why? We know they are not old enough to understand. We empathize but correct.

This is not like trying to make a left handed child be right-handed, to force feed peas when the child gags. Our identities may be rooted in biology, they are not fixed. Zucker rightly accuses some of being essentialists–a form of biological reductionism. Even the APA does not do that when it comes to personality. A child cannot be given a personality disorder until 18 because we know that personality is flexible even when shaped and rooted in early years.

However, Zucker seems harsh in that his treatment is to remove all girl playtoys. While I would not want a child of one gender to accept and believe they are the opposite gender, I would want they and the parents to expand their view of gender. If a boy likes pink, silky things, dolls, etc. so what? There is nothing essentially male about trucks. My wife as a child was a cowboy. She’d be more likely to have six shooters than a doll. Thankfully, her family didn’t make it an issue (which may be the cause of some folks’ gender identity confusion). 

Of course, a family will want to draw some lines, such as saying no to referring to oneself as the opposite sex. “No, God made you a boy, but he gave you interests in soft things…” Instead of wearing dresses which in our culture isn’t the norm, the boy might be able to enjoy softer materials.

It would seem that some, in the interest of helping everyone self-actualize, lose their ability to think critically about child development. This is not unlike the misguided notion that all bad behaviors are about low self esteem and so we should only praise. In fact, many have too much esteem of self and so abuse others.

ADDED: Check out this link for a local Philly news article on the subject of a transgendered 9 year old and see that they spoke to the ever controversial Paul McHugh from Johns Hopkins.

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Filed under Cultural Anthropology, Identity, News and politics, parenting, Psychology

Risk factors for pastoral infidelity


Today, I listened to a CD of Dave Carder at last year’s AACC convention. He is the author of Torn Asunder, a book about affairs. I’ve not seen his newest book, just out in April, is entitled Close Calls. Both available on Amazon.

He presented a talk entitled, “Emerging Trends in Pastoral Infidelity.” He summarized data gleaned from 5 studies between 1987-1998. He continues to collect information that will be out this year.

Here’s some surprises in his data and risk factors:

1. suspected rate of sexual impropriety: about 40% (though this is perceived because of underreporting. Actual reporting number is 21%, though 15% admitted to lying on the surveys)
2. pastors affair partners are now more likely to be outside the church
3. 90% of pastors report being blindsided by the affair–they didn’t see it coming
4. The vast majority of improprieties are never discovered
5. Risk factors increase with:

  • History of sexual molestation, family history of infidelity, adolescent promiscuity, learning disabilities/ADHD, female friends with private conversations, conjoint ministry with opposite sex, lingering outside of ministry to share personal matters
  • Lower age in conversion to Christianity increases risks
  • Higher education increases risks as does increased bible education
  • both ministry exhausted and ministry connected pastors 

Any of these surprise you?

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Filed under Christianity: Leaders and Leadership, church and culture, Evangelicals, pastors and pastoring, Sex

Divorce & Remarriage III: God as divorcee


In chapter 3 of David Instone-Brewer’s, Divorce and Remarriage in the church (IVP), we find that adultery in the OT results in either literal death or death of the marriage. But do other things also end marriage (abuse, neglect, cruelty)?  Why, I-B asks, “wouldn’t God allow divorce in these situations?”

The author argues that God DOES have other grounds for divorce:

Consider Ex 21:10-11. This text suggests to the author that God makes provision for a woman to be free from the marriage if her husband marries a second wife and fails to provide food, clothes and sex for the first. Instone-Brewer makes the important point that this is considered “case law” and not a statute. 

“Case law is a collection of decisions made by judges in actual cases that established a new legal principle. These rulings can be applied to other cases that share something in common with the case that established the principle….[this passage] is case law, so we ignore the details about slavery and polygamy and look for the principles that apply to all marriages that involve neglect. The rabbis found the following principles in this text, and I think they were right. They reasoned that if a slave wife had the right to divorce a husband who neglected to supply food, clothing and conjugal love, then a free wife would certainly also have this right. And they argued that if one of two wives had this right, so did an only wife.” (p. 36) 

So, I-B argues that there are 4 total grounds for divorce in the OT: neglecting food, clothing, sex, AND adultery. He reports that these 4 obligations are found in Jewish vows. He does admit that in the rabbinical literature, men could not be divorced for adultery since they could choose to have a second wife. And her reminds the reader that Jesus ends this “loophole”  by teaching monogamy.

I-B uses this text to remind the reader that only the victim could choose to enact the divorce. And the OT is replete with evidence that God marries Israel and Judah and both break the marriage vows or covenant/contract. God, the victim of this spiritual adultery, chooses to divorce Israel and separate from Judah (later to be reconciled) (Jer 3:8).

Israel did not know anything about God’s wonderful future plans while she was heading for divorce, and she stubbornly continued to break her marriage vows. All the prophets portray God acting in a forgiving and patient manner–he didn’t divorce her immediately and gave her many changes to repent. But Israel, his wife, continued to sin, refusing to honor her vows, and God reluctantly had to divorce her. The marriage was broken and dead, and God merely carried out the legal formalities of divorce that recognized that fact. (p. 41)

Why does God hate divorce? I-B says it is because he has personal experience of the pain of it.

God does not criticize the legal process of divorce or the person who carries it out; otherwise he would criticize himself, because he had to divorce Israel. God hates the breaking of marriage vows that results in divorce. He says that breaking these vows is being “faithless,” because it breaks the marriage covenant or contract. (p. 42)

So I-B concludes by recognizing the OT view of marriage as a contract (agreeing to be faithful and to provide food, clothes, and love) that can be dissolved (not required to dissolve) by the victim if the contract is broken. He will look next to Jesus’ words in the NT

MY THOUGHTS? The OT is very concerned about abandonment of vulnerable and weak individuals (e.g., widows, orphans, aliens). And so the divorce statements in the OT is to men who have the power to abandon. Women did not. But, I-B seems to make a strong case for these issues to brought forward to today. Where it gets messy is who interprets abandonment? Sinners! Sinners who can shape interpretations to their own benefit. I wanted more sex, more clothes, more of you and less of your work. Are these also all grounds for divorce? While I like I-B’s work with the Ezek. passage it seems like it raises many more questions.  

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Context and our perceptions


It shouldn’t be a surprise that context is everything when it comes to perception. Win the the 10 million dollar lotto and then have your car run over by a Mack truck (assuming no one was in it) and you probably laugh it off and go buy your dream car. Context changes how you perceive the event.

I had two reminders of the effect of context last Friday. First, I was on my way to a meeting and listening to an NPR show. The host of the show was interviewing Gary Marcus, NYU psychology prof and author of Kluge (a book on the mind). Though parts of his interview annoyed me greatly, he talked about contextual perceptions by pointing out this research tidbit (my words not a quote).

If researchers ask individuals (a) if they are happy, and (b) how many dates they have had lately they get one set of results. If they reverse these questions, the answer to the happiness question is clearly influenced by the answer to the dates question. I may in fact be happy until you remind me that I haven’t had any dates lately.

Second, at my meeting we were discussing perception of change in clients. Imagine this scenario:

You are working for 6 months with a man helping him to accept responsibility for his addictive behavior (you can substitute addictive with just about anything that needs change). The change has been painstaking but he has indeed begun to see his self-deception and begun to stop blaming his past for his present behavior. About this same time you hear that his wife would like to come in to a session. You invite her and when she comes with her husband you ask him to tell his wife what he has been learning. As he does you see her roll her eyes and smirk. You check in with her and she is absolutely livid. From her vantage point he hasn’t changed a bit. Sure, he’s not drinking anymore, he’s not beating her up, but did you know that he’s become rather obsessed with work, he still doesn’t call to tell her that he’ll be late and he won’t stop overspending each month. And worse for her, now he wants to have sex (in the past he avoided her) all the time. You acknowledge he has lots of work to do but you also realize she feels threatened to admit he has begun to change. If she does, maybe he’ll stop…

Notice how context influences our perceptions. If you think someone has come miles and miles in personal growth you likely get pretty excited. If, however, you focus on how far they have to go, your perceptions will be a bit more pessimistic.

Now here’s the challenge. How do we stop believing that our context is the only context for viewing experiences? It takes openness and empowerment and ability to see two things at once without demanding that one view overpower another. As Christians we must live in this bifurcated life. We are sinners…saved by grace. We are maturing…but never arriving. We are mistreated…and protected by God.

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Filed under Abuse, christian psychology, Cognitive biases, Insight, Psychology, Relationships

Practicum Monday: Choosing where to intervene


Most practicum students worry about their ability to do or say something intelligent in their counseling sessions. Will we have something to say? Will we know what to do? In order to know where to intervene, it may be helpful to think about various points in the counselee’s life that may need intervention–and then consider which point to choose and what kinds of interventions would be most helpful.

To help set the stage, I’ve constructed a few slides :

1. Every client constructs and maintains a sense of self and a sense of the world. A number of factors influenced that sense of self, some of which I’ve listed here:

 

 

 

 

 

 

2. We shape and reshape that sense of self through experiences and interpretations that either reinforce or reconstruct/challenge our sense of the world and self:

3. The counselor may wish to intervene in several places. (1) Stop and start behaviors; encouraging environmental changes; mercy ministries, (2) Challenging interpretations, Encouraging a change in what is attended to (mindfulness), and (3) Reflecting back on the sense of self and world (uncovering core beliefs and experiences). Note  2 things however. First, none of these points of intervention will be of much value if there isn’t a working relationship that enables the client to trust the counselor enough to be vulnerable. Second, choosing a point of intervention is important but equally important is the kind of intervention (open or closed questions, reflections of content or feeling, advice/information, summarizing, confrontation, etc.)

 

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Sexual Harassment vs. Bullying: Which is worse?


In my latest edition of the Monitor on Psychology magazine (39:5/2008) I read an article about worker well-being. In it the writer describes a recent conference on the topic and some of the data discussed. One piece of research suggests that workplace bullying, “such as belittling employees and persistently criticizing their work, harms employees more than sexual harassment.” (p. 26)

Aparently a review of 110 studies reveals that people who are bullied and have interpersonal conflict are more likely to quit, be less satisfied and have lower sense of wellbeing. Both sexual and emotional harassment are bad, but this researcher suggests that aggression has more severe consequences.

Is it that bullying is worse or that it is more prevalent and harder to detect and so it lasts longer?

Which do you think is worse to experience? No matter your answer if you have ever experienced either, you know that your voice and your personhood have been assaulted.

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