Trauma Recovery Work in Africa: Itinerary


Those of you interested in trauma recovery work can feel free to pray through our upcoming trip and itinerary (as well as for our families!). Our team (Diane Langberg, Carol King, Josh Straub, Baraka Unwingeneye, Josephine Munyeli, and me) will be providing a 3 day trauma recovery training for Rwandan nationals October 19-21 funded by generous donors from the AACC and WorldVision. Diane and I are leaving early for some assessment work with the American Bible Society and national bible societies in the region.

  • Oct 10-11: DL and PM to Entebbe, Uganda to meet up with African and American Bible Society leaders
  • Oct 12: DL and PM (via MAF plane) to Bunia, DRC to meet with Bible Society workers and those receiving care
  • Oct 13: DL and PM (via MAF plane) to Beni, DRC to meet with seminary/university professionals; then on to Goma, DRC
  • Oct 14-16: DL and PM meeting with Bible Society staff, trauma victims, and trauma recovery workers in Goma, DRC
  • Oct 14: JS and CK to leave for Kigali, RW
  • Oct 17: DL and PM to drive from Goma, DRC to Kigali, RW
  • Oct 18: Meetings, prep for conference
  • Oct 19-21: Conference lead by BU, JM, DL, JS, CK, and PM for WorldVision workers, clergy, educators, and others
  • Oct 21: Leave Kigali
  • Oct 22: Arrive Philadelphia

Pray for health, safety, ability to listen well, to teach well and to be flexible. Pray for our families in just the same way.

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Filed under "phil monroe", AACC, christian counseling, christian psychology, Democratic Republic of Congo, Goma, Rwanda, teaching counseling, trauma

Stopping addictive behavior: What works?


I taught Sunday School at my church a few weeks ago. The topic was finding practical and specific ways of escape from the cycle of addiction. If 1 Cor. 10:13 is accurate that there is “always a way of escape” for every temptation, then it was my suggestion that we ought to become experts at finding the gifts of escape offered by God.

I began with a reprise of the cycle of addiction that is often attributed to Patrick Carnes. That cycle goes something like this:

During a period of abstinence the person has the impression they would never fall prey to “old” temptations. But then,  triggers happen. These can be positive (a success) or negative (tired, hungry, lonely, angry, etc.). Triggers can be internal or external. These usually result in some immediate automatic thoughts/desires. We begin a script such as, “I need, I gotta have, if only, I can’t take this…” If we keep up the dialog for very long we find ourselves engaging in SUDs (Seemingly Unimportant Decisions). These behaviors aren’t addictive per se but they are the things we do in an unthinking way that set up us for use. So, the bored person just wants to surf the web and…surprise, surprise…they look at porn. Or, the person who has an alcohol problem is feeling lonely and so goes for drive and…surprise, surprise…they end up at their usual liquor store. After beginning to act out, the person often feels defeated and keeps engaging in the addictive behavior because they have already broken the promise they made to themselves and others. Finally, at some point the person breaks out of the acting out and often does some form of penance. This might include promising over and over to be good next time, doing good things for God and family, or punishing self to make up for the failure.

Stopping Addictions at the Last Minute

When addicts first begin to fight their cravings, they benefit from developing a list of many things they can do to avoid giving in. I recommend that individuals create very specific lists of things to do other than acting out. Most people aren’t good at brainstorming in a crisis so a solid, long list is essential. Items on the list can range from comfort actions (talking with a friend, a cup of  tea, a hot shower, listening to music, etc.) to distracting and positive activities (praying specific prayers, walks, exercise, etc.) to altruistic actions (doing something good for someone else). These lists work best when we share them with those who support our sobriety and who help us troubleshoot when the list doesn’t work well.

A Better way? Building a Different Narrative

But, aborting addictive behavior at the last-minute is a bit like running up to a cliff and hoping to stop before going over the edge. It is good to have a plan for how to stop but it is better to interrupt the cycle before it gets very far. To invoke another analogy, it requires that we change the script if we want to have a different outcome. I like the imagery of script because I think we tend to narrate our lives. Consider these examples of how we narrate life

  • Do you have a “pre-conversation” (fantasy dialog) with someone you know will be difficult? That “conversation” is rarely neutral. You imagine what you will say, what they will say, what you will say, etc. What you imagine is less about facts and more about how you have scripted them and yourself
  • Do you ever determine the unspoken motivations of another? “I know he meant to hurt me because he always does” is narrative. It may be accurate, but it is still your creation of a script and not the same as reality.
  • Do you ever replay a shame experience? A success experience? That is you narrating your life

“So, this relates to addictions how?” you might ask. Good question. Most of us script ourselves as either in a denial story or a despair story in regards to addiction.

  • Denial stories tend to focus on external causes to our acting out. It wasn’t me, it was the devil. I wasn’t going to do that but I was so tired from dealing with my mother. I was just checking ESPN when I clicked the wrong link and got to porn.
  • Despair stories tend to focus on failure and inadequacies. I’ve already failed so I might as well just keep on with my addiction. If anyone finds out I’ll ruin my reputation. No one else struggles like this.

Build A Better Narrative

  1. Identify the subtle ways you tell your own story (look at the typical thoughts, self-invalidations, fantasies, “if onlys”, comparisons, etc.). Find out how these story lines lead you down a four lane highway to your substance of choice.
  2. Practice telling new (and truthful) pieces of your story from God’s point of view. Check out with your trusted friends if they agree with these new pieces. For example, “I feel alone but what is true but God has put these people in my life. I feel like a failure the goal isn’t for me to rise above the struggle but to reach out in the midst of it.” “I am weak but God is present with me in my weakness and isn’t waiting for me to become strong.” Remember, you have practiced old and distorted story lines for many years so don’t expect that one or two attempts will dislodge solidified beliefs.
  3. These new story lines need new goals. The former goal of not using vs. getting “high” no longer works. The former goal of avoiding pain, guilt feelings, or quelling cravings do not work. New goals need to be crafted that work for you. Find one that works for you. Some create goals that focus on the next positive thing. Others focus on goals to stay connected to others during a craving. Still others focus on goals to meditate on something wholly other than their craving.

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Filed under addiction, christian counseling, christian psychology, counseling, Uncategorized

Desiring fame: When does it lose lustre?


When I was a kid I would sometimes fantasize about being famous or a hero. Maybe everyone does. As I became an adult, that desire shifted from being a crime fighter or sports star to being a famous intellectual, a professor somewhere. I distinctly remember a conversation with my friend Geoff. We mused that it would be cool if we could succeed the two more famous professors at our bible college. While we were thinking about future possibilities, I’m sure we were also driven by the desire to be somebody.

Fast forward to this past week. My colleague Bryan and I were sitting on his Opryland Hotel balcony and musing about the years we had been coming to the AACC World Conference, our years of presenting there and at other conferences, and how our feelings about presenting had changed. We both began presenting at conferences while at Wheaton College in the PsyD program. We both had aspirations to teach grad students. We both had looked up to a few we thought we would like to emulate. And, we both thought about books we might write one day. Some of the “highs” we experienced were,

  • Getting our paper presentation proposals accepted at CAPS and AACC
  • Getting fairly large crowds to come to these paper presentations
  • Getting published in a peer-reviewed journal
  • Getting academic jobs…moving up the ranks
  • Publishing a book (Bryan, not me)

In the early days when we first presented (as grad students) we found the cheapest ways to get to conferences and stayed in a pretty seedy motel a long walk away from the conference location. But on the balcony of a very nice hotel room, we both felt a bit melancholy and completely unimpressed with ourselves and our former aspirations. These things did not matter and were of little value. Bryan would undoubtedly trade all prior aspirations to have his wife back (she died a little over a year ago).

In many ways, we received some of the recognition we once desired: both had our ways paid to the conference and hotels comped because of our higher level work (pre-conference speakers, track leader). I even got 2 minutes to speak to the entire conference attendees.

Big deal…in light of far more important matters. 1 John 2:15-17 reminds us,

Do not love the world or anything in the world. If anyone loves the world, the love of the Father is not in him. For everything in the world–the cravings of sinful man, the lust of his eyes and the boasting of what he has and does–comes not from the Father but from the world. The world and its desires pass away, but the man who does the will of God lives forever. (NIV)

Fame is elusive, transitory, and dangerous to pursue. The desire for limelight will lead to decisions that will not honor God or benefit anyone but self. May those of us who want to be a somebody be reminded daily that the Kingdom of God is for the meek and lowly of this world. Fame here translates to nothing in heaven. Rather, our hunger must be for righteousness not fame.

So, when does fame lose lustre? When we are able to see greater things of value.

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Filed under christian counseling, Christianity, Christianity: Leaders and Leadership, counseling, Evangelicals, Uncategorized

Christian counseling theory and the bible: A dangerous mix?


Maybe Christian counselors shouldn’t use the bible when they promote their counseling theory. Maybe they should just articulate their theory and leave the bible verses out. Sound radical? An overreaction? Guilty as charged. But…consider with me that some of our most popular Christian models may be built on rather flimsy biblical data.

Some (simplistic) background thoughts

All Christian counselors recognize that the bible plays a unique role in counseling theory. Otherwise, they would just be “counselors.” But not all use the bible in the same way. Some view the bible as the primary (even sole) guide or resource for understanding human nature and recovery from every sort of relational and/or emotional struggle. These counselors would likely cite 2 Tim 3:15-16 as evidence that Scripture is powerful and primary in our fight against sin and suffering. Others view the bible as a helpful foundation designed to remind us who God is, who we are, and a resource for comfort, encouragement, and rebuke. But, these counselors might also look to other resources as well–psychological research, physiology, medicine, sociology, etc. They would not dismiss the value of the bible but would argue that the bible doesn’t intend to be the answer guide for all the questions we might have. Thus, sources of human knowledge are important to the work of good Christian counseling. Now within this second camp, counselors vary widely as to how important either Scripture or human sources of knowledge function in their given practice. Some seem to emphasize (or neglect) one source more than the other.

The problem…

No matter where a counselor falls on the above continuum, it is far too easy to use the bible to baptize a particular viewpoint or theory. From my most recent christian counseling conference, I heard a plenary speaker say something like this (not a quote but pretty near exact):

Men need respect. It is their airhose. Women need love. It is their airhose.

Along with this statement, the speaker bolstered their points with personal stories and biblical passages indicating the women should be loved and men treated as having authority (submitted to). Here the speaker used bible passages to indicate that men are designed to operate optimally when respected and women designed to operate optimally with love.

Is this true? It could be. I certainly think that this SEEMS to be true for most men and women. But, and this is the BIG BUT…does Scripture indeed teach this. Does Paul teach us that these are our basic needs in order to function well?

Close but way off

Notice that love and respect cannot be our “airhose.” Habakkuk 3:16f would suggest that when everything has been taken away, it is possible to have joy in all things. Notice that Ephesians 5 is about what each are commanded to do…not about what each of us needs to receive. Christ is our “airhose” and nothing else. This speaker would have been better served just teaching us about observations made about what actions tend to make for better marriages than to indicate that the Scriptures teach us we have these two needs.

So, the next time you pick up a cool book by a christian counselor. Check out how they use the bible. As a support for a good theory (e.g., this verse teaches us…)? Or, as a source for understanding the problem of evil and the nature of our God who leads, guides, and saves us?

If you are interested in this topic, let me give you a couple of resources.

  • October 2011 print issue of Christianity Today covers the general misuse of the bible. It is not just counselors who do this. They list the example of a book with anti-aging techniques supposedly gleaned from the bible.
  • 2 chapters in Care for the Soul:Exploring the Intersection of Psychology & Theology (IVP, 2001). Chapters 12 and 13 both cover the issue of hermeneutics. Richard Schultz addresses how counselors misuse wisdom literature and chapter 13 (myself and my colleague Bryan Maier) give more general recommendations for good hermeneutic work.

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Filed under biblical counseling, Biblical Reflection, christian counseling, christian psychology, Christianity, counseling science, counseling skills

Causes of Pastor Struggles?


I’ve spoken on this topic for the past several years and have shared thoughts on this blog about the unique stresses of being a pastor or being in a pastor’s family. During the AACC conference I was able to attend Michael and Kari MacKenzie’s presentation (Marble Retreat counselors). Here’s what they had to say…very much mirroring what I had just taught on several days ago.

Michael’s dissertation research on the topic resulted in the following list as the “top 6” most significant struggles in ministry

1. Stress, 2. Burnout, 3. Marital Problems, 4. Sexual Problems (infidelity, porn, etc.), 5. Depression, 6. Conflict (family or ministry). Interestingly, if you are on a missionary team, #6 is really #1.

What are the prime causes, according to their research?

1. Isolation, 2. Unrealistic Expectations, 3. Poor Boundaries.

I would comment here that these are not really causes but deeper layers may need to be discovered. Just why does the ministry leader have unrealistic expectations, poor boundaries, etc.? What is driving these issues? Some of those reasons can be found in the culture as well as in the desires of the pastor/leader. For example, a refusal to be vulnerable may be causal…as well as a congregation’s expectation that pastors never need help.

What helps protect pastors from massive stress? According to Mark McMinn: 1. a Personal Devotion to Christ (outside of sermon prep), 2. Hobbies, 3. Exercise, 4. Regular Time Away, 5. a Good Marriage.

The 64,000 question:

Why don’t pastors (why don’t we all) do the most basic things we know are good for them? Why don’t we exercise and eat well? Why don’t we take time away? Why don’t we get enough sleep? Why don’t we maintain a healthy devotional life? Rarely is it a matter of not knowing how to do these things. If you find yourself not doing basic self-care, ask yourself this: what other motives take priority in my life? Some other goal/motivation is getting in the way. What is it? When you can answer that question then you have a greater chance to decide what you are going to do about it.

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Filed under Christianity: Leaders and Leadership, pastoral renewal, pastors and pastoring

Baking Cakes in Kigali: Book Note


I have just finished Baking Cakes in Kigali, by Gaile Parkin (Bantam Books, 2010). This is BY FAR, the best book I have read this year. I would urge anyone interested in understanding life in Rwanda as well as life of women in much of the world. It is a novel but it conveys in beautiful artistic phrases and tones the experience of a woman who must overcome much adversity, who must understand her world, who must come to terms with her own difficult history and help those in your community overcome their own difficulties.

Read it if you want to see beautiful images of lay counseling, of family and relational challenges, of hope and realistic images of healing. Gaile Parkin is a counselor and it shows. She gets interpersonal relationships, trauma, and how to weave a story together.

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Filed under Abuse, counseling, Rwanda

Healing Trauma in International Settings: AACC Seminar


Today, Carol King and myself will be presenting this PowerPoint show for our 1 hour breakout at this year’s AACC World Conference. Feel free to check out what we talk about by following the link.

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Filed under AACC, counseling, counseling science, counseling skills, Uncategorized

Supervisors: FREE Ethics CE at Biblical, 11/5/11


If you supervise counselors, would be willing to consider supervising a Biblical Seminary MA Counseling student for a practicum or internship, then we have an offer for you. On Saturday, November 5th, 2011, we will be holding our annual fieldwork expo. It is a time when supervisors come and meet first and second year MA students over lunch. Students get to find out about potential sites and supervisors get a quick feel for the students and may even be able to identify ones that would make good interns.

During the 3 hours, we offer a one hour CE (NBCC approved) for all supervisors, an ethics update. The CE and certificate are free of charge! Check out Expo Flyer for all the details.

Coming does not mean you have to take a student as an intern (though you should be open to it) nor that you will automatically receive an intern. But, by coming you do get a CE for your efforts and students get a chance to see those doing the work they one day hope to do.

If you are coming be sure to follow the directions on the flyer and register. Last minute walk-ins may not get to eat!

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Filed under counseling and the law, counseling science, counseling skills

Off to Nashville!


This marks the 6th trip to the Opryland Hotel for AACC’s World Conference. It is quite the spectacle. I love meeting up with old and new friends. I love the opportunities to teach and learn. I don’t love the Opryland. It is behemoth (though good for exercise) and feels fake after a day or two in the climate controlled indoor bubble. Nice greenery and all but still a bit stifling for my taste.

This year I will be present at the following

  1. 9/27
    1. Speaking to Salvation Army Officers on ministry challenges and spiritual renewal (slides on slides page)
    2. Speaking to golfers at the Project Tuza Golf fund-raiser and dinner about Rwanda and the work we will do there in a few weeks.
  2. 9/28
    1. Presenting with Diane Langberg on Complex Trauma (3 hour pre-conference seminar)
    2. Meeting with the American Bible Society, AACC, and others about supporting global trauma recovery
    3. Meeting with those going to Rwanda to make final plans on our 3 day training of World Vision workers
  3. 9/29 Conference opens!
    1. Attending as many plenary and breakouts as possible
    2. Representing Christian Psychology to counseling students at “Awakenings” event
    3. Pizza with Langberg & Associates staff who will be there!
  4. 9/30
    1. Presenting a 1 hour breakout with Carol King on international trauma recovery (slides on slides page)
  5. 10/1
    1. Making a pitch from the main stage to all attendees during the “ask” for support for Project Tuza.

I think I will be plenty busy. This doesn’t count all the interactions with friends and colleagues I often have. So, I look forward to it and look forward to it being over and returning home to family. Feel free to pray for their stamina as well!

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Filed under AACC, christian counseling, christian psychology, Christianity, counseling, counseling skills

Diane Langberg on 9/11 “heap” experience


I know, 9/11 remembrances have come and gone. However, this reflection from Diane Langberg speaks to the struggle of the workers on the “heap” and her experience with them while they were uncovering their colleagues who had died trying to save others. As usual, Diane has a way of seeing God in the midst of death.

Here’s the link.

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Filed under Doctrine/Theology, Post-Traumatic Stress Disorder