Free CEs! faith and trauma in the public sphere


On April 23, 2014, I will be the keynote speaker for the 8th annual Faith & Spiritual Affairs Conference put on the Philadelphia Department of Behavioral Health and Intellectual disAbility Services (DBHIDS). The conference theme: Trauma and Healing: Faith Communities Respond. My particular talk is geared to illustrate the necessity of engaging the faith community in trauma recovery efforts. Trauma almost always challenges a person’s faith and when mental health professionals do not pay attention to spiritual matters, treatment will likely stall. I will highlight several faith founded trauma recovery interventions being used today in church settings. 

The conference is free to all who register. But registrations are limited. Held at the Philadelphia Convention center. The breakout speakers list includes the Director of Place of Refuge, Dr. Elizabeth Hernandez.

To register click here. NOTE: enter fsac2014 as the redemption code to get into the conference website. CEs provided for SW and PC. Biblical Seminary, an NBCC approved provider, is the co-sponsor to offer counseling CEs. Other CE providers offering CEs as well.

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Comparing ACA and AACC ethics codes: Addressing counselor values impact


Over the next few post I plan to review similarities and differences between the ACA and AACC codes (see this post for the first in this mini-series). Today I want to look at how the two codes talk about counselors as they manage their own value systems with their clientele.

The ACA code raises the issue of values like this:

  • Section A Introduction

Counselors actively attempt to understand the diverse cultural backgrounds of the clients they serve. Counselors also explore their own cultural identities and how these affect their values and beliefs about the counseling process.

  • A.4.b. Personal Values

Counselors are aware of—and avoid imposing—their own values, attitudes, beliefs, and behaviors. Counselors respect the diversity of clients, trainees, and research participants and seek training in areas in which they are at risk of imposing their values onto clients, especially when the counselor’s values are inconsistent with the client’s goals or are discriminatory in nature.

In addition, the ACA clearly states that when there are significant values differences, a counselor is NOT to make referral on the basis of values differences alone. Values clashes cannot be treated as lack of competency in a particular area of counseling.

  • A.11.b. Values Within Termination and Referral

Counselors refrain from referring prospective and current clients based solely on the counselor’s personally held values, attitudes, beliefs, and behaviors. Counselors respect the diversity of clients and seek training in areas in which they are at risk of imposing their values onto clients, especially when the counselor’s values are inconsistent with the client’s goals or are discriminatory in nature.

The AACC code addresses the value systems of the counselor in these sections

  • ES1-010 Affirming Human Worth and Dignity

…Christian counselors express appropriate care towards any client, service-inquiring person, or anyone encountered in the course of practice or ministry, without regard to race, ethnicity, gender, sexual behavior or orientation, socioeconomic status, age, disability, marital status, education, occupation, denomination, belief system, values, or political affiliation. God’s love is unconditional and, at this level of concern, so must that be of the Christian counselor.

  • ES1-120 Refusal to Participate in Harmful Actions of Clients

Within this section are paragraphs discussing the application and limits of the “do no harm” virtue to certain client behaviors deemed not to fit within the biblical framework articulated at the beginning of the ethics code. The AACC code expressed an ethic to avoid supporting or condoning (while respecting and continuing to help) in the following areas: abortion-seeking, substance abuse, violence towards others, pre or extramarital sex, homosexual/bisexual or transgender behavior, and euthanasia. On this last issue, the ACA notes that the duty to breach confidentiality may be optional (thus indicating a values insertion since in all other cases we have a duty to breach confidentiality so as to warn others or protect the life of our client).

  • 1-530: Working with Persons of Different Faiths, Religions, and Values

Counselors work to understand the client’s belief system, always maintain respect for the client and strive to understand when faith and values issues are important to the client and foster values-informed client decision-making in counseling. Counselors share their own faith orientation only as a function of legitimate self-disclosure and when appropriate to client need, always maintaining a posture of humility. Christian counselors do not withhold services to anyone of a different race, ethnic group, faith, religion, denomination, or value system.

  • 1-530-a: Not Imposing Values

While Christian counselors may expose clients and/or the community at large to their faith orientation, they do not impose their religious beliefs or practices on clients.

  • 1-550: Action if Value Differences Interfere with Counseling

Christian counselors work to resolve problems—always in the client’s best interest—when differences between counselor and client values become too great and adversely affect the counseling process. This may include: (1) discussion of the issue as a therapeutic matter; (2) renegotiation of the counseling agreement; (3) consultation with a supervisor or trusted colleague or; as a last resort (4) referral to another counselor if the differences cannot be reduced or bridged (and then only in compliance with applicable state and federal law and/or regulatory requirements).

Differences between codes?

There are many but let me identify two. Notice that the most significant difference between the two is on the basis of the AACC code biblical/christian ethic regarding what is good and what is harmful behaviors. Both codes express the need to respect persons without regard to their beliefs, values, identities, and actions. The AACC code differentiates between imposing of values and exposing of values. What is the difference between exposing and imposing? I suspect it will be in the eye of the beholder. However, I suspect that one of the results of the ACA code is that faith and spiritual values will be less likely to be brought up by counselors since “not imposing” is more emphasized than “exploring.” There is much literature out there suggesting that the failure to explore and utilize spiritual resources actually harms clients in that it slows recovery.

Both codes address the issue of values differences between client and counselor. Both point to a path (though different) about what to do when this happens. The ACA code places pressure on the counselor to work it out while the AACC code suggests a path to resolution either with re-negotiation or referral. Which one sounds better to you?

When the difference is with a colleague? 

Both ACA and AACC codes addresses differences with colleagues. In section D (Relationships with other professionals), the ACA code states,

D.1.a. Different Approaches. Counselors are respectful of approaches that are grounded in theory and/or have an empirical or scientific foundation but may differ from their own. Counselors acknowledge the expertise of other professional groups and are respectful of their practices.

The AACC codes says something similar,

1-710-a: Honorable Relations between Professional and Ministerial Colleagues. Christian counselors respect professional and ministerial colleagues, both within and outside the church. Counselors strive to understand and, wherever able, respect differing approaches to counseling, and maintain collaborative and constructive relations with other professionals serving their clients—in the client’s best interest.

Fun facts

The ACA code never uses the word “faith”, does suggest counselors need to address self-care (includes spirituality), and does suggest counselors seek to utilize client’s spiritual resources…”when appropriate.”

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New Ethics Codes for Counselors


Both the American Counseling Association (ACA) and the American Association of Christian Counselors (AACC) have published 2014 editions of their codes of ethics (links above to pdf of codes). Given these new documents, I highly encourage all Christian counselors (both professional and pastoral/lay) to review these two codes. Even if you do not belong to either the ACA or the AACC, you should spend some time with these documents. Here’s why:

  • The codes represent the current thinking of the ACA and the AACC about best practices for counselors. Even if you disagree, you need to know where you diverge (both for integrity sake with clients and for protection from unnecessary risk)
  • It is easy to become sloppy about ethical matters. We tend to believe what we do is good. Reviewing our practice habits against a standard can reveal slippage
  • It can be helpful to clients to know what code of ethics you subscribe to. Reading codes can help you determine which code you subscribe to and your reasons for doing so

Comparing Values and Principles

The following chart shows similarities and differences regarding the bases for ethics codes. It is worth reviewing these to see how they compare and contrast. In the next post, I will compare a few specific standards.

Content AACC ACA
Mission 1. help advance the central mission of the AACC—to bring honor to Jesus Christ and promote excellence and unity in Christian counseling;

2. promote the welfare and protect the dignity and fundamental rights of all individuals, families, groups, churches, schools, agencies, ministries, and other organizations with whom Christian counselors work;

3. provide standards of ethical conduct in Christian counseling that are to be advocated and applied by the AACC and the IBCC, and are respected by other professionals and institutions; and

4. provide an ethical framework from which to work in order to assure the dignity and care of every individual who seeks and receives services.

1. enhancing human development throughout the life span;

2. honoring diversity and embracing a multicultural approach in support of the worth, dignity, potential, and uniqueness of people within their social and cultural contexts;

3. promoting social justice;

4. safeguarding the integrity of the counselor–client relationship; and

5. practicing in a competent and ethical manner.

Principles Compassion in Christian Counseling – A Call to Servanthood Competence in Christian Counseling – A Call to ExcellenceConsent in Christian Counseling – A Call to Integrity

Confidentiality in Christian Counseling – A Call to Trustworthiness

Cultural Regard in Christian Counseling – A Call to Dignity

Case Management in Christian Counseling – A Call to Soundness

Collegiality in Christian Counseling – A Call to Relationship

Community Presence in Christian Counseling – A Call to Humility

autonomy, or fostering the right to control the direction of one’s life;nonmaleficence, or avoiding actions that cause harm;beneficence, or working for the good of the individual and society by promoting mental health and well-being;justice, or treating individuals equitably and fostering fairness and equality;

fidelity, or honoring commitments and keeping promises, including fulfilling one’s responsibilities of trust in professional relationships; and

veracity, or dealing truthfully with individuals with whom counselors come into professional contact.

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GTRI featured in an online, free journal


Our Global Trauma Recovery Institute is featured in the most recent issue of the EMCAPP Journal for Christian Psychology Around the World. Pages 172-211 include an overview of GTRI, two essays by Diane Langberg (The Role of Christ in Psychology; Living to Trauma Memories) and one by me (Telling Trauma Stories: What Helps, What Hurts).

The journal also contains an essay by Edward Welch (www.ccef.org) where he muses his development as a biblical counselor, explores the matter of emotions and some of the stereotypes of biblical counseling. The journal also includes a large number of essays about Paul Vitz as well as a number about the Society of christian Psychology.

Take a look!

 

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Filed under "phil monroe", biblical counseling, Biblical Seminary, christian counseling, christian psychology, counseling, counseling skills, Diane Langberg, Ed Welch, Post-Traumatic Stress Disorder, trauma

Whose eyes do you see when you look at the suffering?


A friend of mine has written the most exquisite Lenten devotional based on the passage in Mark about the evening of anguish spend alone in the garden.

I commend it to you here.

Why do we suffer? Why is it not removed? This we cannot say. But we can say, as Josh says, that in suffering we see the eyes of Jesus. It is difficult to keep both the depth of our suffering and a sovereign God in sight at the same time. But Josh shows us how without fancy theological argument.

Read it.

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The Power Behind Domestic and Political Dictatorships


The quote by Anjan Sundaram in Stringer continues to rattle in my head. I mentioned him here when I spoke about the power of small-time tyranny–that it lasts only when those close to the dictator look the other way.

Here’s the quote as he talks about being the victim of the dictator’s myth:

It startles me how steadfastly I believed, growing up, that our dictator was just, good and wise. I was never told anything to the contrary. … the indoctrination that holds up the dictator as a savior, a sage, as all-powerful. Until recently this myth usually invoked God, a divine right to power. These days dictators have less need for mysticism: they us the tools of liberty–elections, business, schools, art, the media. The successful dictator creates at once a terror of his presence and a fear of his loss. (p. 61-2)

Terror of presence, fear of absence. Sounds similar to the experience of victims of domestic abuse. Afraid of being hit, afraid of being abandoned. In order to have someone excuse violent and abusive behavior of a dictator, you have to believe that you need them, that what they do is necessary or acceptable in light of a worse outcome. While Sundaram may be right that dictators speak less of divine right, I suspect many religious abusive husbands use a variant on divine right to excuse lording it over their wives. And abusive wives can claim that their husband’s (supposed) failure to lead gives rights to engage in verbal abuse.

What is the power behind a dictator? Myth. Pay no attention to the man behind the curtain. 

True power does not grasp its right but willingly gives up power for the sake of others.  Philippians 2 gives us this clear picture.

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Mapping urban domestic trauma


Our community of practice continues with a presentation by Michael Lyles, MD who presented on the problem of trauma in urban settings. [Watch his talk here] He pointed out how we often think about violence and the connection with trauma in international settings but fail to connect the two in American urban settings. We see angry young men and women who seem calloused and do not value life. Yet, often what is happening is that we have hypervigilant individuals who choose to manage their trauma reactions by being alert and on edge and ready to attack before being attacked. When you bring together poverty, violence and a traumatized population, you develop a chronically traumatized person, meeting most criteria for PTSD but never getting diagnosed.

One study mentioned a few statistics about violence prevalence. 55% of urban children have experienced sexual abuse (compare that to about 15% of US population); 39% have witnessed domestic violence. 27% experienced physical abuse.

To highlight the problem he pointed out a 2o12 Philly Magazine report on trauma in our city. Between 2001 and 2012, more than 18,000 people were shot. During that time some 3800 murders. He noted that suicide rates run about 20% and that number goes even higher when you include “academic suicide”–dropping out of life. In addition, he pointed to the connections between trauma and adrenal overload, hypertension, diabetes, and other physical illness. He also pointed to the scarring that takes place in the amygdala.

He noted a good book to consider: John Rich, MD (Drexel University) Wrong Place, Wrong Time: Trauma and Violence in Lives of Young Black Men.

He ended his presentation considering the role of “Chief Musician” as found in the Psalms. These are folks who listen to the story, don’t debate it, set it to words/music that are appropriate.

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Mapping Global Trauma


This week I am participating in the American Bible Society sponsored Community of Practice for trauma healing interventionists. The audience represents many organizations, Exile International, Wycliffe, SIL, the Seed Company, Food for the Hungry, as well as many bible societies. Attendees come from places such as Sri Lanka, Nigeria, South Sudan, CAR, Rwanda, Uganda plus several more.

Today, we heard from successes and challenges in several specific areas. Then, Dr. Matthew Stanford (Baylor) gave us an overview of trauma around the world. When we look at armed conflict, we see much on the continent of Africa. Natural disasters take even more of the globe. Trafficking, HIV and sexual violence cover the rest. While some 50% of the US population are exposed to traumatic events, only about 8% will meet criteria for PTSD during their lifetime. In other parts of the world, 90% are exposed to trauma and 40% will meet criteria for PTSD during their lifetime. One of the challenges missionary/humanitarian efforts face is learning about the symptoms and impact of trauma on populations. Too often people either neglect trauma or only focus on a few symptoms. We can try to work on one problem (domestic violence) but without addressing the deeper roots of trauma, it is likely not to be very effective.

After Matt, Rebecca Deng spoke of the experience of being a refugee (South Sudan) and coming to the US as a refugee. Some 42 million refugees worldwide. Some 25 million internally displaced (IDPs) on the continent of Africa. She told a bit of her story of loss and struggle even as she came to the US as an unaccompanied youth. She spoke this very important question

You can grow food, purify water, but who can clean the wounds of the heart?

We ended the morning session with a presentation from Bethany Haley of Exile International. Dr. Haley spoke about the impact of trauma on children. (Exile has work in the DRC and Uganda.) She reviewed the many sources of trauma (armed violence, sexual violence, trafficking, child labor, orphans, recruitment into armed gangs) and how it commonly impacts capacity to develop well and learn. We know that trauma changes brain structure and function. She pointed us to the work of Karyn Purvis at Texas Christian University who has done work on the effects of trauma on developing brains. In addition, she pointed us to Unicef materials available to teach about child trafficking around the world.

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The roots of genocide? Guest post at www.biblical.edu


In light of the upcoming 20th anniversary of the genocide in Rwanda, I’ve written a short post about the roots of genocide. You can find it here at the faculty blog site at biblical.edu. I interact with some material by Ervin Staub in order to go beyond either the superficial response–that it just sin and evil that causes genocide–and to go beyond the naive response that it is something we could never do.

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How does small-time tyranny last?


Tyrants use fear to control subjects. Thus, we understand how North Korean leader Kim Jong Un is elected by 100% of his constituency. To abstain or cast any other vote would be suicide. But since most do not live under such oppression we may wonder how individuals cave to lower-level tyranny here in democracies or locations where we have choice about who we vote for and where we live and work. Why do organizations allow dictatorial leadership? Can’t we all just walk away?

Thanks to one of my students, Dan McCurdy, I pass on this recording from This American Life about a “small-time” tyrant in an upstate New York school district. The story is about the dictatorial dealings of a facilities manager of the school district–not of a principal, teacher, or even a school board member.

How is it possible for one with so little power (so we would normally assume) could wield such power over employees? How could he set off bombs, fire individuals, vandalize homes, threaten others with harm, simulate sex, and more without getting fired?

How? It is simple. He was,

surrounded above and below, by people who looked the other way. (near the end of the above recording)

Why do we look the other way?

We look away for all sorts of reasons. Consider a few of them:

  • Fear that no one will come to our defense if we stand up to abuses (which of course will be true if no one else sees or responds)
  • Need to protect what we have (e.g., position, income, career, reputation, etc.)
  • Cover up own failings (e.g., if he goes down…I will go down)
  • Perceive benefits outweigh consequences (i.e., in this case, school board received lowered energy costs, fewer worker complaints)
  • The people who complain of injustice matter little to us
  • Believe psychological abuse does not really happen

In Anjan Sundaram’s Stringer, he describes the most powerful of dictators are ones who instill fear when present and yet also instill fear of what life might be when that person is gone.

What to do?

When we hear of crazy stories such as the one in the recording, we shake our head and imagine ourselves standing up to power, standing up for the little guy. Too often our imagination never see the light of day. So, how can we keep ourselves sensitized to injustice and ready to act for the good of the weakest community member?

  • Identify our current fears. Who has power over us? What does love and grace look like when responding to this power?
  • Identify places we have chosen safety over truth. Who can help us rectify this problem?
  • Identify those places where we have power over others. Who do we have power over? How do we wield it? Who has God-given us the responsibility to protect? Where do we need to give power back (when taken or used inappropriately)?
  • Fix eyes on how Jesus uses power. How does he wield it with those who have the most power? The least power?
  • Identify habits of cover-up. Where, for reasons of shame, guilt, or comfort do we cover up and present self as someone we are not?

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Filed under Abuse, Christianity: Leaders and Leadership, counseling, deception, Justice