Should you get a doctorate in counseling or psychology?


Over at the BTS faculty blog, I’ve written about the pros and cons of getting a doctorate in a mental health field. Of course, I focus on what I know and play to my biases. You can read that post here.

That post is missing a link in the first paragraph. Here’s the link to the APA book.

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Life in desolate places: Meditating on the state of my soul


[First posted on Sept 21, 2006]

Do not merely listen to the word, and so deceive yourselves. Do what it says. Anyone who listens to the word but does not do what it says is like a man who looks at his face in a mirror and, after looking at himself, goes away and immediately forgets what he looks like. But the man who looks intently into the perfect law that gives freedom, and continues to do this, not forgetting what he has heard, but doing it–he will be blessed in what he does. James 1:22-25

Forgotten Places

Forgotten places. Desolate faces of America whiz by my window on Amtrak train number 143 this morning. The sky is blue, the air crisp—a beautiful day. But I see many things that haunt me. Rusting steel, broken cars, abandoned buildings with broken windows, graffiti and forgotten parking lots litter my view. A collage of images zip by: a faded orange cone, a shell of a love seat, candy wrappers, and even discarded piles of dirt (probably contaminated at that).

These are sights suburbanites rarely see. We tear down old factories to make room for more Applebee’s restaurants, bookstores, and condos. We cart off rusty fences, brick facades, steel girders, and cement barriers. But where do they go? To be forgotten along our railways. I guess no one lobbies to clean up these “districts.”

Oh sure, I see many living things: plentiful sumac, vines, poplar and scrub pine abound. I’m amazed at how life thrives in these places. Blacktop gives way to grasses and little trees. A blue heron deftly moves among tires in a swamp and nabs a little fish. A man reads a newspaper in the morning sun in front of a burned out building. A beautiful 20 x 10 oasis appears in the midst of a brick and pavement housing development. The graffiti consists of vibrant colors and shapes that could easily be displayed in an art museum if not drawn by discarded and forgotten people.

I can’t decide if life growing amongst rubbish is a good thing or not.

We learn to live with a tremendous amount of debris in our lives. We clean up the exterior. Yet, we hide all sorts of things in the dark and hidden corners of our lives. Sure, we know it’s there and glimpse it as we race on by. But soon we’re on to something else and the desolate places are quickly forgotten again. That angry thought, that gluttony, that jealousy, that surge of despair, that demanding spirit—we see it but quickly move on to the next thing. If it lingers a bit so that others see it too, we have deft excuses: It was a mistake, a reaction caused by exhaustion, or miscommunication.

Somehow a once vibrant street decays and becomes a desolate place. I think it must happen slowly so that we rarely notice it until we are left with nothing. “Quite often,” Leo Tolstoy lamented as he looked back on his life, “a man goes on for years imagining that the religious teaching that had been imparted to him since childhood is still intact, while all the time there is not a trace of it left in him.”  How does this happen? Thomas Brooks, a great Puritan writer, says that if sin were presented to us without its usual glitter and paint, we’d surely fly from it. So, self-deception must happen slowly in our hearts until we wake up and notice that rotten and broken things are everywhere, no longer occupying just the secret places of our lives.

I contemplate these thoughts on my trip. I am thankful for the time to reflect on how easy it is to go on without noting the trash that piles up in my life. And I’ve decided that the life that grows up amongst the trash isn’t sad but an amazing sign of God’s grace. This life I see reflects God’s mercy and handiwork and plan for my future. In the words of C.S. Lewis, it’s winter, but Christmas is coming.

Dear Lord, show me those piles of refuse. With your grace, let me linger there so that I may turn from them and fly to you!

Now, our God, hear the prayers and petitions of your servant. For your sake, O Lord, look with favor on your desolate sanctuary. Give ear, O God, and hear; open your eyes and see the desolation of the city that bears your Name. We do not make requests of you because we are righteous, but because of your great mercy. O Lord, listen! O Lord, forgive! O Lord, hear and act! For your sake, O my God, do not delay, because your city and your people bear your Name. Daniel 9:17-19

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Watch this on shame and trauma


A couple of years ago Diane Langberg spoke on shame and trauma for the American Bible Society. I highly recommend this 56 minute presentation. She talks about the experience of shame, the stickiness of self, communal forms of shame, and the myriad ways we respond to shame across various cultures.

We watched it again in staff meeting today. Make sure you catch her discussion of what some cultures believe cleanse shame. And then notice how that is close but a huge distortion from a Christian view of what heals shame.

Watch it here.

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Spiritual Competencies for Clinicians


I will be presenting a 2 hour seminar at Penn Foundation today on Spiritually Informed Practitioners: Exploring Challenges and Opportunities. Over the last year or so I have been part of a multi-faith working group, Standing on Sacred Ground, that has been thinking about how to educate mental health practitioners to recognize, value, and work with the faith of clients (rather than see it as something automatically pathological or insignificant). Given the historic divide between mental health and faith communities (there have been haters on both sides) few clinicians have much training in understanding faith, religion, and spirituality beyond “be respectful.” Thus, religiously committed individuals often have had their faith marginalized or pathologized.

This presentation will look at roots of the historic divide, explore the complex relationship between faith and recovery, provide opportunities for MHPs to examine their own biases, and examine several key spiritual competencies needed for adequate provision of care.

Interested in the slides, check them out: Spiritually Informed Care.

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Advice to Young Marrieds? Why Michelle Duggar’s Newlywed Sex Advice Hurts Women AND Men


A couple of days ago my social media sites were all a rage about some advice given by Michelle Duggar (19 Kids and Counting fame) in one of her blogs. Here’s the oft-quoted part,

She told me: “Michelle, I know you’re so excited. You’re a bride-to-be, but some day you’ll be at this point. I’ve been married three years and I’m still happily married. I have one child, we’re expecting our second and I’m big pregnant. You’ve got to remember this. Anyone can iron Jim Bob’s shirt, anybody can make lunch for him. He can get his lunch somewhere else. But you are the only one who can meet that special need that he has in his life for intimacy. You’re it. You’re the only one. So don’t forget that, that he needs you. So when you are exhausted at the end of the day, maybe from dealing with little ones, and you fall into bed so exhausted at night, don’t forget about him because you and he are the only ones who can have that time together. No one else in the world can meet that need.”

“And so be available, and not just available, but be joyfully available for him. Smile and be willing to say, ‘Yes, sweetie I am here for you,’ no matter what, even though you may be exhausted and big pregnant and you may not feel like he feels. ‘I’m still here for you and I’m going to meet that need because I know it’s a need for you.’ ”

No wonder the rage. The message is quite simply awful in its meaning. Here’s my take on what she really says:

Your husband’s sexual need is so great you can never turn him down or bad things will happen. Always be ready no matter what has been going on in your life. Put a smile on and do it! The only way he’ll really know you are “there for him” is your sexual availability.

Okay, a little context is in order for those, like me, who have never seen the television show. The blog, entitled, “Michelle Duggar’s Advice to Newlyweds,” begins with a fan question: What advice will you give Jill [her daughter] as a newlywed wife to keep in mind throughout her marriage? She gives three points: be available (quote above is from that point), talk about disagreements in private, and get marriage advice when you need it. And while the context is all about what she wants to tell her daughter before her wedding, she does conclude with a single sentence to the guys about not approaching marriage as if they are all “macho” and above the need for advice and help.

The problem

The problem with this advice is there is a bit of truth in it mixed with a significant dose of false conventional wisdom. It is true that we need to pay attention to the desires of our spouses. It is true that sex can be more important to one spouse than the other and so it if you are the lower-desire-for-sex spouse, it means you one form of love for your spouse is to care about their desires. But notice that “care about desires” does not mean you have to do whatever they want when they want. That is the false conventional wisdom in her post. Men have this need, so the thought goes, and a godly wife will always meet it because that is what love does.

Some Better Sex Advice for Young Married Men

Sex is not the (sole) definition of emotional connection. You want a good marriage and the probability of a decent sex life? Connect with your wife’s emotional and experiential life. Regularly explore her dreams, fears, and aspirations. You may be shocked to find out that you didn’t marry someone who thinks exactly like you. Allow her to have her own thoughts and feelings. It won’t diminish who you are.

When you come home at the end of the day, seek her out. You may have had a hard day at work but your wife still needs you to be present. Ask about her day. Notice what needs to be done around the house and do it, without being asked. And when you see she is burdened with care for the kids, the house, or her own health, step it up a bit without looking for a pat on the back. Only you can offer that kind of support.

Remember too, sex is a great thing but it isn’t intended to be an antidote to herb (or your) boredom, sadness, or tiredness. Find out what helps her to be ready for sex and yet be understanding when she says “not tonight” (note: when you want sex, be sure to ask not hint). She’s not a vending machine that always responds because you put in the right amount of money. When she declines, stay close to her. If she says yes only to avoid your cold shoulder, you are ensuring that sex is all about you and not at all about her. Do not make sex the requirement for your love, compassion, and interest in your wife.

Finally, and most importantly, remember that sex is a want, not a need. Sure, it is a powerful want and a good desire. But that does not mean it is a must-have. Treat it as a right and you will kill your love life. 1 Corinthians 7 doesn’t give you the right to demand sex. Notice that your body is not yours to control. That control is given to your wife. Yes, the point of the passage is mutual care for each other. But in a broken world, that does not mean that we mutually care for each other in the exact way we want to be cared for. And so we will have times of unfulfilled desires. Do not believe for a moment that her lack of availability is what tempts you to porn, masturbation or other forms of infidelity. It’s not her, it’s you!

Obviously, there is much more sex advice to be given to young married couples. Find a good book and read it together. Stay away from blog posts (even this one!) as your final source. But if you are in need of pithy bullet pointed sex advice, try these:

  • Don’t be selfish
  • Laugh a lot (especially at yourself)
  • Don’t keep a record of wrongs
  • Do repent quickly
  • Make and keep a tradition that is something you both love
  • Don’t ignore or withhold what makes your spouse feel safe and significant

You do these well and I would bet your sex life will be just fine.

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Useful Book on Narcissism


Craig Malkin of Harvard Medical School has written a popular, easy to read book on the topic of narcissism and its opposite end of the spectrum, “echoists.” Rethinking Narcissism: The Bad–And Surprisingly Good–About Feeling Special (Harper, 2015) is worth your read if you think you might be on the spectrum or if you live with someone who does.

In the beginning he sets out to destroy the myth that narcissism is always destructive and that all narcissists act the same. To help describe the continuum of egocentrism Malkin defines the low side as “echoists,” those who have too little of it who feel special in becoming invisible to others only known for the help they offer to others. Further, he also describes narcissism as something that may ebb and flow, rather than a consistent trait. Malkin describes the continuum well with many real life examples. With a better understanding of the spectrum, it may help us look more closely at less pathological forms of egocentrism and be less likely to lump everyone together.

Worried that you might be a narcissist? Want to see where you fall on the spectrum? Try out his assessment tool.

In his book he describes the root causes and the experience of being around subtle and extreme forms. Unlike other researchers, he outlines ways that egocentric people can grow empathy toward others. This idea flies in the face of conventional wisdom that a narcissist can never change,

The problem is we’ve all had it drummed into our heads that narcissist can’t change. They think they’re perfect just the way they are, the argument goes, so why should they even try? But unquestioningly accepting this idea backs us into an impossibly tight corner….We’ll fall silent or vent our anger, or…we’ll try a little of each. And none of these reactions will make the relationship any healthier

When we withdraw, by swallowing our words or walking on eggshells, we only strengthen people’s narcissism. In fact, echoists and narcissists often pair up to create a “love” that’s toxic to them both.

What can we do? For those who are not extreme narcissists, one way to encourage growth is to validate their experiences even while we say “ouch” letting them know we are hurt. Too often our anger or our silence is the primary response. While validation and pointing out our pain is not a guaranteed solution, combining validation plus vulnerability can enable some to experience compassion for self and other at the same time.

Check out the book!

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Spiritual Trauma and Abuse: Assessments and Interventions


Today I will be presenting a break out at the AACC World Conference on spiritual abuse. If you are interested in seeing slides of my talk, click: Spiritual Abuse.

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Counseling Adult Survivors of Child Sexual Abuse: Phase 2 mis-steps and correctives


Today Dr. Diane Langberg and I will be offering a 3 hour pre-conference CE training at AACC’s 2015 World Conference here in Nashville, TN. Our focus is on some of the common counselor mistakes made during the phase of processing the abuse history and all that happens as a person tries to see self and history through different eyes. We focus on the relational approach to repair the mistakes we make. I have a small bit on reframing resilience and posttraumatic growth. Our perceptions of recovery and where we (counselors and clients) should be headed sometimes need to be examined.

For those interested in seeing the slides from my portion of the talk, click: AACC WC Pre-conf 2015

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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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Learn the Shape of Yourself and Other Advice for Counselors


The best counselors know themselves well. No, I don’t mean that the best counselors are self-centered. Rather, good counselors understand their biases, foibles, strengths and challenges. The best counselors know themselves inside and out and notice when they start to project their own thoughts and feelings onto others.

Why is this capacity so important? A counselor must see and note the difference between yourself and the client in front of you. This is vitally important if you are going to be of any help to that person. When we fail to see the difference, we end up counseling the other person as if they were an extension of ourselves. As a result, we fail to challenge our own biases and assume what helped us will help them.

Enter writer Mary Karr to illustrate this problem from the vantage point of writing a memoir.

Mary, author of several memoirs, has written a new book on how to write a memoir. I heard her being interviewed on NPR’s Fresh Air program today (find the audio here) and was taken by her advice to writing students. In response to a question about how to know if memory of events is accurately described, Mary tells of how she stages a fight (unbeknownst to her students) and then asks them to write about what they saw. As you might expect, each student sees something different. Why? Because they project their own lives and experiences onto the event. Even those with perfect recall, those who can get the dialogue just right, never fail to project their own assumptions into the story. Mary reminds listeners that it is impossible not to project ourselves into our observations. “We don’t so much as apprehend the world as we beam it from our eyeballs.” What can we do about this problem? She implores that writers to,

Learn the shape of yourself. Learn what you tend to project onto the landscape so that you can account for that tendency in your life and question it…

Learn to know the shape of yourself. What excellent advice for counselors.

Just last week I met with a man with decades of cross-cultural missions work on several continents. We spoke about the best ways to help students and new arrivals succeed cross-cultural ministry. This man reminded me that the best cross cultural education is not reading volumes about another culture (as good and helpful as that can be) but learning to know oneself inside and out so as to see the projections we tend to place on “the other.”

Want to avoid hurting others? You will surely need to know good counseling techniques and methods. you will want plenty of experience differentiating between types of problems. But, if you fail to really understand yourself and your tendencies, your utilization of those techniques may not be what the client needs.

Best advice to know yourself?

  1. Don’t take yourself too seriously.
  2. Ask your friends who you really trust to give it to you straight about your annoying habits.
  3. Get into your own therapy and don’t hide who you really are from the counselor.

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