Valuable Child Protection Website


I want to tell you of a great website for those needing help in fighting against child abuse, for child protection. It is the website for the National Child Protection Training Center. The center is run by Victor Vieth and has a host of resources, webinars, conference notices, and more. Especially check out their publications page. On this page you can find some excellent full-text, free, information about the legal process and how to navigate child testimony and deal with defense attorneys who are trying to discredit children. Check out some of the titles:

“A children’s courtroom bill of rights: 7 pretrial motions prosecuting attorneys should routinely file”

“Vicarious trauma in child sex abuse prosecutors”
The website has a few hiccups but I recommend you check it out for helps if you know of folks going through the legal system regarding child abuse and neglect.

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Webinar on Complex Trauma: April 19, 2011


Diane Langberg and I are scheduled to do a three hour webinar for the American Association of Christian Counselors (AACC) on the topic of complex trauma and sexual abuse. It will run live April 19, 2011 from 6p to 9p. You can learn more about the content of the webinar by visiting this link.

Use the above link to register. Cost is $59 to “attend” via your computer or $69 if you want CEUs. AACC is able to give 3 CEUs for those needing APA and NBCC approved continuing ed.

Our presentation will be broken into 4 segments with Q & A. Topics include: overview, differential diagnoses, 3 phase treatment approach, educating the church about trauma, connecting victims to God, counselor self-care, and next steps for church leaders.

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Filed under Abuse, christian counseling, christian psychology, counseling science, counseling skills, Diane Langberg

Your experience with electronic medical records?


I will confess that I wish I could snap my fingers and could start using electronic medical records (EMR) for my private practice. I would be so nice to have all the records at my fingertips. I could make a quicker review of their chart, chart progress in visual way to show the client, keep track of billing and insurance referrals.

But what are your experiences in being the patient of a doc with EMR?

My family doc uses EMR. He does a fine job of entering data and putting aside the laptop to chat with me. He uses good eye contact.

But yesterday I had to take a child to another provider at another site. The doc spent most of the time looking at his screen and trying to get his voice recognition software to work right. He had to fix a couple of mistakes, he made comments into the machine.

On the plus side, I know exactly what my child’s record says because I heard the notes: “___ weighs ___ and blood pressure is _____. Patient is tolerating the medicine well and shows improvements in_____”

Then he would fix errors in the dictation.

I calculated that the 17 minutes of “face time” with the doctor included 5 minutes of exam, 3 minutes of discussion about treatment and the rest fiddling with the EMR.

Didn’t feel like the most productive use of time.

Your experiences? Anyone have that experience in the mental health world (vs. general medicine)?

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Relationship’s role in therapy?


How important is it to get the right kind of counseling/therapy modality? How important is it to get the right person?

These questions plague both researchers and the people looking to get better. Why do some clients get better and others do not? Why do some therapists have a better success rate and others do not? Does the kind of therapy matter?

Well, as you can imagine, the answer is, “it depends.”

Yes, diagnosis and assessment do matter. If your child begins to struggle with bed-wetting after having been continent, you need to know what the problem is and what to do about it.

But, consider this: various studies make overlapping comments as to what really is going on when people get better

  • One researcher suggests that some 85+% of the reason for change are factors pertaining to the client and what is called “extratherapy” factors (social support, physical health, etc. )
  • Another places the portion the therapist plays in the 13% or so

Confusing? Consider this stark fact presented at a recent conference I attended

Patients receiving placebos from the top (best?) 1/3 psychiatrists fared better than patients who received actual medications from the bottom 1/3 psychiatrists. This was cited from the following study: Kim, D., Wampold, B. E., & Bolt, D. M. (2006). Therapist effects in psychotherapy: A random-effects modeling of the National Institute of Mental Health Treatment of Depression Collaborative Research Program data. Psychotherapy Research, 16(2), 161-172.

So, when you are looking for a therapist or psychiatrist, you may want to know if he/she studied at Harvard or a degree mill. But, you may be better served to by one who listens to you, doesn’t fall asleep, and is able to collaborate with you to find a solution that works for you.

The moral of the story? Better to have a good psychiatrist with no meds than a poor one with a gunnysack full of pills.

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Overheard on Sunday


On Sunday, David White of HarvestUSA was preaching at our church. He was preaching on the topic of justice from Titus. I didn’t write his quote word for word but it was something like this,

Sexual scandals are bad but never destroyed a church. But gossip and quarreling surely will.

Now I know David and I know he isn’t minimizing the terrible damage of sexual misconduct on families or churches. And, he isn’t commenting on all the sundry ways churches fail. What he is highlighting that gossip and quarreling…backbiting will destroy any organization.

In days gone by, this truth has been used by some to silence dissent and victims of injustice within the church. There are right ways to speak the truth in love. Gossip is not one of them. Slander, as pointed out in the Titus passage, is in opposition to doing good and that which is profitable.

Sadly, we in the church are known too much for willingness to slander those inside and outside the community. Let us instead devote ourselves again to what is good for all. Why? Because we have the Holy Spirit and are justified by grace.

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Trafficking and Abuse Conference: Next Steps?


Posted at the conference website are a list of “Top Ten” next steps you can do following the conference. The point is not to be hearers only but also doers. Most of us aren’t going to be in the rescue business like IJM and probably most of us won’t be doing 10 years of intensive therapy with complex trauma victims. BUT, we all can do our part. So, even if you didn’t attend the conference…you can do something. As Bob Morrison said…”if you have no experience, no money, and no time…then you are perfect to be doing something about the problem of trafficking.”

DVDs can be purchased here.

The conference ended with a panel discussion. I was the emcee and collected a large grouping of questions. I won’t list them all here but let me give you the categories:

1. Victim questions. How to help as a counselor? As a pastor? What to do if you have been one and never came forward?

2. Church questions. Best policies to deal with offenders and victims? How to sensitize male leadership? How to address the problem of spiritual abuse?Aren’t victims who have sex with the pastor responsible, at least in part?

3. Spouse questions. What if you didn’t abuse your wife but she cannot tolerate intimacy? What is the best way to help as a spouse?

4. Offender questions. Can offenders be restored? What should the church role be? Are there any Christian offender programs out there?

Interesting set of questions. Good discussion. You can see the answers to some of these on the DVD.

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Are you a delay discounter?


Delay discounting is a term coined by those researching various types of impulsivity: risky behaviors, ADHD, gambling, obesity, etc. In appears that people may be inclined to one form of delay discounting over another. And monetary delay discounting is predictive of a number of serious problems (e.g., obesity, willingness to share needles with other drug users, sexual acting out).

One researcher defined delay discounting as a,

preference for smaller, immediate rewards over larger, delayed rewards.

It can also be used to explain why I say yes to things long in the future without adequately counting the cost. I jump at the impulse to do something fun or interesting without adequately evaluating just how much work is involved. What is interesting is that many of us “delay discounters” fail to learn from our experiences. I’d like to think I can learn from mistakes and sometimes we do…for a short-time. But memory for the pain of saying yes fades and then I’m back saying yes without fully counting the cost.

How about you? Are you a delay discounter? What entices you to discount the cost?

Feel free to respond but I won’t be able to get back to you…I’m off to an academic presentation in Indianapolis that I agreed to 9 months ago, something I signed up for without thinking fully about the timing in the semester.

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Abuse and Trafficking Conference: Final Plenary


The abuse and trafficking conference hosted by Biblical concluded by hearing from Dr. Diane Langberg about the problem of sexual abuse in Christian communities and a panel discussion of the speakers.You may order DVDs here for a ridiculously low price.

Diane began her talk by acknowledged that the very title of her talk, abuse in christian communities ought to be “the king” of oxymorons, something that makes no sense to us. But sadly, abuse does happen in our midst. She provided several examples, from missionary kids being abused, to pastors abusing counselees and camp counselors their children.

While the abuse is horrific, what is even more problematic is the way the Christian community often covers up and protects the “head” or their reputation at the cost of the victim’s right to justice and protection.

People in power are protected because they are gifted, important, and successful or considered necessary to the furtherance of the work of the kingdom of God.  Vulnerable sheep, who have not found it safe to graze, have been thrown out, silenced, slandered and frankly, abused yet again by the power structure of the body that is not following its Head

How does this happen? Diane listed several contributing factors

1. a culture of systems.While systems are not inherently bad, they do have a tendency to be self-preserving over against rooting out sickness. Families have ways of tolerating great sicknesses via denial:

No system – family, church, community or institution – is God’s work unless it is full of truth and love.  Toleration of sin, pretense, disease, crookedness or deviation from the truth means the system is in fact not the work of God, no matter the words used to describe it. We have a tendency as humans to submit ourselves to some command or idea of men, of the past, of tradition, of a systemic culture and in so doing, refuse to listen to and obey the living and ever present God.

2. Deception. “Sexual abuse requires both deception and coercion or an abuse of power.  The deception must first be of the self and then of the victim and the community.” Diane pointed out that a significant problem happens in the Church when abusers use spiritual language to deceive.

3. Power. There are various types: positional, verbal, theological, emotional, etc. We have the power to speak up for those who have been silenced. Our failure to do so is complicity with the crime of abuse.

4. Misunderstanding of repentance. Quoting a convicted abuser, Diane told us that many see Christians as easy to dupe…with a few tears and emotions. But repentance must take time and bear the fruit of acceptance restrictions, seeking the welfare of others (not the end of punishment). Anyone who asks for trust and believes he/she is worthy of it (after abuse) does not understand the Scripture’s teaching on deception and is therefore at risk for further abuse.

Finally, She ended with some principles to remember. Some of them included remembering that sexual offenses against minors are crimes and therefore we are to utilize the criminal justice system. Sex between a leader and a parishioner is NOT an affair but an abuse of power. Systems are not to be protected but the weak and God’s name. God is glorified by truth, not lies and cover-ups.

May we, who are already in positions of power and influence, lead the way by falling down on our faces, imploring God to make us like Himself no matter the cost to our positions, our programs, our organizations, our ministries, or our traditions so that His precious sheep may safely graze.

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Abuse and Trafficking Conference: Day 2b


I attended Pearl Kim’s presentation in the afternoon. Pearl is the assistant DA in Delaware county. She works on SVU cases. I did not take notes during this presentation due to her excellent PPT and visuals (video clips, case materials). Sadly, she did not want her talk recorded so I cannot forward anything to readers. But, here are some important takeaways:

1. Abusers almost always “find Jesus” while awaiting sentencing. Pearl believes one of her many cases was in fact true. How does she know? This person asked her to give him the maximum sentence so he could get help and so he would not be able to abuse others. She commented on another convicted offender (rapist, attempted murder) who claimed to have found Jesus and even acknowledged that if it hadn’t been for Pearl’s work, he might not have stopped his behavior. However, this offender continued to violate an order of protection by mailing letters to the victim from jail. His refusal to obey a protection order suggests he is less than repentant.

2. Churches are too gullible. Repentance is not in a few words and tears (also mentioned by Diane). Recognize that the average! number of abuse victims for an offender before first arrest is about 50 with about 150 before incarceration.

3. Allow the legal system to do its job. While not perfect, the legal system is designed to work with victims and offenders. When churches try to determine truth (rather than reporting the possible abuse), they may make it impossible for an offender to be convicted. It is easy to contaminate a case, especially when child victims are involved.

4. Churches can do some good things: background checks for all childcare workers, policies for ministry leaders and their time with vulnerable parishioners, making the church a safe place.

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Trafficking and Abuse Conference, Day 2


Continuing my reflections on our conference last week…

On Friday, Bethany Hoang of IJM and Diane Langberg of her own practice gave their 2nd plenary talks. Bethany explored some of IJM’s work in Cambodia and how a particular town/village (Svay Pak) has been transformed by the work of rescuing girls and shutting down brothels. One particular brothel was purchased by a church in the US and turned into a center for healing.

Diane explored the problem of domestic trafficking. We’d like to believe that most prostitutes get into the business on their own accord. But, Diane told us that 90% of prostitutes got their start as minors and with the “encouragement” of an adult. In other words, they were pimped…trafficked. She described the usual way this happens with vulnerable adolescent girls. The pimp starts off offering all sorts of gifts and love. These girls often come from homes with domestic violence, addiction, and abandonment. The “love” of the pimp is attractive. Later he manipulates her into prostitution after he has emotional control. We often think of this as a problem with internationals being trafficked into the country but all too often these girls are US citizens.

Diane left us with this quote which convicted us of turning a blind eye. In telling us that the only way we could not see the problem is to not look,

Whoever has the world’s goods, and sees another in need and closes his/her heart against them, how does the love of God abide in him?

In the afternoon, two other individuals gave presentations. Robert Morrison, founder of FREE (www.FREEtheenslaved.net), a grassroots group in Reading working to eliminate trafficking told listeners how they could be effective even without money, time, or experience. His presentation gave the following facts

  • While awareness of trafficking is increasing, prosecutions have not risen. Only 1% of trafficking cases are solved.
  • Trafficking is the fasting growing criminal activity in the world because, unlike guns and drugs, human victims are reusable
  • 4 forces fuel trafficking: huge profits with little fear of being caught (32B annual profits), an abundance of vulnerable people (1/3 of runaways are contacted by traffickers), a growing demand (porn and on-line ads), and a disconnected society (sees porn as “free speech” and resignation to the problem).
  • Average citizens can do something about 2 forces: speak up about demand and make a connection between porn and trafficking
  • Best practices in fighting this is building awareness, finding “networkers” and others who who people, find “trainers” who can educate on the problem. There are lots of resources out there to train law enforcement and others to understand the true problem
  • Also, start with direct influence. Ask stores that carry papers/mags that advertise sensual massages to stop their practice. In the Reading area, they were able to shut down 10 of these parlors which often have trafficked women in them

Bob handed out a free activism kit. Included was a DVD and brochures. The DVD is 12 minutes long and educates audiences to the key facts re: trafficking. These materials are produced by the US government and are free. You can get your own at http://www.acf.hhs.gov/trafficking/campaign_kits/index.html. Bob reminded us that 1/3 of victims are rescued by someone who was suspicious and took action to get help.

In my next post I’ll comment on Assistant DA Pearl Kim’s presentation. She provided us an intimate look into the world of trafficking and abuse from a prosecution perspective.

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