Tag Archives: christian psychology

September 21, 2010 · 4:00 pm

Coming to Peace with Psychology 4


Worthington’s Relational Model of Integration

**In case you are tempted to snooze through this long post or get bored by the endless attempt to construct a relationship between psychology and christian faith, skip to the last paragraph!**

In the conceptual world of integrating psychology and Christianity, there are four common depictions: Christian faith trumps psychology, psychological science trumps Christian faith, dialogical model, and parallel but separate levels of explanation. In Coming to Peace with Psychology (IVP, 2010), we have seen in the previous two posts that Everett Worthington wants to argue that psychological science (a) has something to offer beyond theory, (b) can teach us something about ourselves and God that Scripture does  not reveal, and (c) can interact with, influence, and be influenced by Christian faith. In sum, he argues for a relational, interactive levels of explanation view of integration.

Beginning in chapter six, he lays out a relational model, akin to a deepening love relationship,

…the fields of Christian theology and psychological science will become more committed to each other to the degree that we are satisfied with the union, invest in the union and don’t play around with alternatives (such as a conflict model). I believe that, in fact, psychological science and Christian theology are already married. In some ways it is like an arranged marriage. Because God reveals the divine character through both special and general revelations, the two disciplines are joined together. The question we face is, how committed will each discipline be to this arranged marriage? (p. 101)

In chapter seven and eight, Dr. Worthington digs deeper into the proposed relationship partners (psychological science and theology) and illustrates each domain’s way of collecting “data” and subsequent conflicts between the two. Psychological science deals in the realm of material.

Scientists can believe in many nonmaterial causes within reality but simply exclude them from the “map” of a particular science. They do so because, by convention, that science aims to explain materialistic relationships among variables. By analogy, an aerial photograph will not reveal the presence of an underground river…even though the photographer knows [it exists] (p. 107).

This material (data) is best collected using observational, correlational, and experimental methods. He acknowledges (ever so briefly) limits to these kinds of studies, especially alluding to the biases inherent in psychological hypotheses. Moving on, he reviews the nature of theology, its subsets (biblical, exegetical, historical, etc.), and methods reading its “data.” Finally, he reviews the relationship between the two. “At their root there is no conflict between God’s truths as revealed in Scripture and nature” (p. 115). However, both disciplines suffer from human error (e.g., errors in scientific conclusions, errors in translating or interpreting Scripture) and so he does not want to prioritize theology over psychology (the primary reason for this book—to correct what he sees as a mistake within some in Christian psychology).

What is the real problem between psychology and theology? In chapter eight, Dr. Worthington points out three problems that lead to unnecessary perception of conflict between the two disciplines:

  • trying to integrate clinical psychology and theology (rather than psychological science)
  • using a filter approach that presupposes a higher authority given to theology
  • denial that one can learn about God through nature by some Christian thinkers

While not devaluing clinical psychology, Dr. Worthington does not believe it to be “apt relational partner” to theology (though maybe more helpful to practical theology). Why? He lists a couple of reasons: clinical psychology is anecdotal, experiential and therefore not objective; clinicians may be more prone to having less theological training while pastoral counselors may have less than adequate knowledge of empirically supported treatments; therapists view people through their models rather than seek to construct data informed models.

Next he goes after Eric Johnson for his views on Scripture. Worthington wants to take Johnson to task for failing (his perception) to admit the weaknesses within human activities of theology and the interpretation of Scripture. While Johnson wants to argue for the uniqueness of biblical authority in Christian psychology, Worthington wants to argue for the ability (albeit limited) of general revelation to reveal surprising information about the nature of persons—even to those who reject Christian faith. I suspect that both agree with the other but see an imbalance (not enough credit given to Scripture re: human nature vs. too much credit given to Scriptural interpretation and not enough acknowledgment of disagreement amongst Christians).

Finally, Worthington concludes this chapter by summarizing his view of the impact of sin on science. His main point is that he is opposed to a Dutch Reformed emphasis on the noetic effects of sin. He quotes passages that state that nature communicates about God and the humans are therefore responsible for knowing God. He does not believe, however, that nature is sufficient in telling us about God and so we need Special Revelation for salvation. In the end, he wants mutual respect and humility to reign between experts of each domain in order to promote harmonious dialogue and learning.

A Challenge

In the remainder of the book Dr. Worthington intends to illustrate what psychological science has to offer the “marriage” between the two. Books like this are written to try to bring balance to what is perceived to be imbalanced. Here, Worthington thinks too little credit is given to researchers’ ability to perceive human nature in ways that might reveal new things about the nature of God and humanity—things beyond Scripture. In another book, you might find more criticism of the biases of psychological research and the failure to acknowledge the impact of belief systems on data collection and analysis. Notice both sides are reacting against a perception of bias and control.

Here’s the challenge. Whether you lean toward Worthington’s arguments or those that give priority to Scripture and the Christian faith, consider where your views might be shaped by (a) experiences of being mis-represented by someone on the other side, and (b) too easy use of an obvious error on the other side (e.g., Worthington seems to brush over the problem of presuppositional biases in science or gives general revelation too much credit when Rom 1 tells us that humans deny its message well; Johnson seems to brush over numerous biblical interpretation conflicts, fails to interact deeply with current psychological research). Instead, see if you can build your view by first detailing the weaknesses (or mis-uses) of your discipline or view and then construct a proposed relationship from a positive framework that accounts for the aforementioned weaknesses rather than builds off of the mistakes of your epistemological opponent.

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August 30, 2010 · 2:27 pm

When is residential treatment an option for you or someone you love?


Harvest USA, a local Philadelphia ministry,  is just about ready to unveil a new booklet that will be available for purchase via download. I wrote this last year after trying to help someone consider whether or not residential care was necessary to address an ongoing battle with sexual addiction.  They sent me an advance hard copy to preview and so I’ve included a pic of the front page on this post. Sorry, I couldn’t provide a better, color shot.

As you might expect, when a sexual addiction is discovered, confusion reigns among the addict and the family. What should they do? What does it mean? Where can he/she go to get help? Strong emotions and the nature of the crisis may lead to quick decisions. Whereas one family wants to find the best, most intensive solution, another family may try to solve the problem “in-house” with accountability from the pastor.

This is a short booklet designed to help the reader cut through some of the confusion and answer 8 key questions to help them decide whether it is necessary to seek treatment in a residency setting. The booklet concludes with a list of books and short-term and residential programs around the country.

I’ll let you know when the e-version is available for download.

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August 23, 2010 · 9:05 am

Integrating Faith and Psychology: Book Notes


IVP just sent me a new (free!) book, Integrating Faith and Psychology: Twelve Psychologists Tell Their Stories (2010), edited by Glendon L Moriarty and with a foreword by Gary Collins. I’m looking forward to reading it. Each chapter is by a different psychologist and tells more of a personal story on how they came to the work they do and how their faith matured along the way. This is not a theory driven book but a group of narratives. While I very much appreciate theories of how psychology and Christianity function together, narratives sometimes provide a window into a more living integration. I might disagree with a theory but appreciate the heart behind it. Each author describes their development as a person and a professional, points to mentoring along the way, addresses key personal and philosophical tension points, mentions their experience with spiritual disciplines, and concludes with a personal letter in order to share key wise advice to those interested in the integrative  process.

I’m especially interested in reading several chapters written by those I know more closely than others: Mark McMinn and J. Derek McNeil (former professors), Jennifer Ripley, Siang-Yang Tan, Everett Worthington, Bill Hathaway (people I’ve met at conferences and whose work I appreciate), and Mark Yarhouse (influential scholar and fellow student at Wheaton College).

The foreword by Gary Collins gives a tiny window into the tensions he experienced between evangelical-fundamentalists and the profession of psychology. He first felt the tension of psychology colleagues who looked down on him for being a Christian. There were leading scholars of his day who felt that religion was the cause of most psychopathology. He notes that this view has shifted greatly and there is now much openness to spirituality within psychology (though I hasten to add this openness isn’t always felt in the Northeast United States). He then briefly mentions Jay Adams, Competent to Counsel, and the attacks he received from those Christians suspicious of psychology’s secular humanism.

I find his foreword less than helpful only in that it can only stereotype the conflict in 7 short pages (what else could he do?). But he does conclude by saying that not all the critical statements (about the integrative agenda) made by Christians were wrong and in fact many help to refine the work of Christian psychology. He lists quite a few names of those who have worked hard to build a psychology on biblical foundations. Nearing the end, he comments on a shift that happens somewhere in the late 80s and early 90s. “The integration movement began the shift to a younger, more pragmatic, less theoretical generation.” (p. 14).

I will blog here on a couple of the chapters as I make my way through the book. I’ll be looking for interesting historical threads that help me better understand some of the prominent leaders of the integrative movement.

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March 29, 2010 · 2:23 pm

Another shot at understanding integration of psychology and christianity


Over the 40 plus years of our profession’s existence, Christian counselors have tried in numerous ways to model the relationship between Christianity/theology/bible and the study of psychology. Unfortunately, many model building efforts created more barriers than dialogue among brothers and sisters. Counselors staked out territory with titles such as biblical counseling, integration, levels of explanation.

However, in recent years, more authors have tried hard to articulate a distinctly Christian view of persons and a humble articulation of the change process that builds on the good insights of others (e.g., McMinn & Campbell’s Integrative psychotherapy, Johnson’s Foundations of Soul Care, Malony & Augsburger’s Christian Counseling, etc.). These authors have taken the time to examine their control beliefs, theological assumptions, and more in order to make their psychology truly Christian and not merely a rehash of secular ideas.

If you like thinking about epistemology and yet still interested in application to real life, you ought to check out John Coe and Todd Hall’s Psychology in the Spirit: Contours of a Transformational Psychology (IVP, 2010). I’m just getting into it and so do not have much to say just yet. However, this is a great time to be a Christian psychologist. After a decade or more of avoiding these kinds of treatises for being practical (to a fault) and superficially Christian in our psychology, we have something substantive to sink our teeth into. This is no superficial treatment of Christian theology and human efforts (and their failings) to understand the nature of persons-in-relationship. For example,

1. They start out with the Fall. They acknowledge its full impact on human knowing and observing, that psychology from human eyes will always contain some distortion.

2. They acknowledge that redemption and not merely creation is what shapes our identity. “By creation, human love, and natural goods, we discover a “self.” By redemption and transformation, we are enabled to slowly die to our autonomous self and open to our new identity as self-in-God.” (p. 35)

3. “Ultimately, we are not merely arguing for a new model or a way to relate psychology to Christianity; rather, we are arguing for a new transformational model for doing psychology and science, which inherently and intrinsically is already Christian and open to the Spirit.” (ibid)

4.   They are interested in a spiritually formative and relational psychology that cares about the person, the process, and the product (p. 37)

I’m looking forward to the ride. Not sure I’m going to be happy. I’ve read a bit further and am not sure why they spend more time knocking down models that most of us would consider their first cousins (e.g., Christian psychology). That seems to be something from our profession’s past that isn’t as helpful. However, I really appreciate that an early chapter tells both of their stories; their maturation through a period where their faith wasn’t as central to their work as Christian professors of psychology. Often, these kinds of books do NOT include admissions of growth and change. Too often, authors act is if they have always thought this or that way.

I’ll keep you posted with book notes as I go.

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March 25, 2010 · 5:02 am

Considering a doctoral program?


In recent weeks I have had several students ask me about the pros/cons of doctoral programs in psychology. I would point those who know they want to attend a traditional clinical psych program to this book by the APA. It offers lots of helpful data on programs and what they require.

For those not sure what they want to do or if they should pursue doctoral studies, consider the following. If readers have additional questions we should consider, post them in a response and we’ll expand on these. This is my first pass:

What career doors do I want to open that are not available to me now? Do I want to teach? Do I see myself in private practice? In a research job? in the business world?

The PhD in Clinical Psych from an APA accredited program (and with an APA approved predoctoral internship) probably opens the most doors of all. This degree allows you to teach in both undergrad and grad depts., work in research settings, government settings, private practice, etc. There are specific kinds of jobs that it might not help: such as an area focusing entirely on social psychology or developmental psychology.

One caveat. If you want to teach in a MA Counseling program that is either seeking or already obtained CACREP accreditation (counseling accreditation sponsored by the ACA), you will need a PhD in Counselor Education (which entitles you to work towards an LPC credential). This is a recent and troubling change (turf warfare with psychology).

Part of your work dream should answer whether or not you are looking to work in either a secular or faith environment. Now, you can change your mind but there will be some doors that are easier to open with secular degree and other doors that a Wheaton/Fuller/Regent degree will open more easily.

What areas of counseling/psychology most excite you?

Try to be creative here. Think more than just private practice, 50 minute hour. Who do you know who is doing what you would like to do? Find out where they got their education? Be bold, ask them (even if you do so by email) what they would recommend as an educational route to do the kind of work they do now.

Programs tend to have both a model of psychology (some are CBT others are more analytic) and a focus (specialties). Further programs tend to either be scientist focused or practitioner focused.

Many programs are generalist, but it is helpful to have a specialty. Child? Forensic? Neuropsych? Geropsych? Marriage & Family?

Look at what the professors are publishing at the schools you are thinking about attending. Anything there excite you? FYI, professors love those who are excited to help them with their research

PhD or PsyD?

There are some differences. Typically, the PhD student completes a very rigorous dissertation (has more coursework in research and stats) but has fewer practice hours (maybe 800 total) leading up to their yearlong pre-doctoral internship year.

PsyD students tend to have a less rigorous dissertation (though my PsyD program acted more like a PhD) but have far more practice hours under their belts (maybe 2000!).

PsyDs do get teaching jobs but less likely in undergrad programs because of old assumptions (i.e., PsyDs are practitioners and PhDs are scientists).

Secular vs. Christian programs?

The first question: what is your current theological/biblical literacy level? How well do you understand the depths and complexities of your faith? How well versed are you in the controversies surrounding Christianity, Psychology, biblical counseling, integration, etc.? Your answer will dictate how ready you are to jump into a PhD or PsyD in clinical psychology. If your faith is weak, then you may want to strengthen it in an MA program at a Seminary. Or do some reading on your own. Psychology is not just an art and science, but a philosophy. You want to know what philosophy, even religion, you are imbibing. Sometimes the glittering images of psychology cause students to neglect the source of the power of change.

Practical matter: Christian doctoral programs in Psychology tend to be a year longer (because of extra bible/theology courses). Being a graduate of these programs will not harm you in secular settings (usually) if the program is accredited by the APA.

Obviously, programs and schools have identity. You graduate from Harvard, you get an identity. You graduate from Fuller, you get an identity—fair or not.

In my experience, secular programs tend to have less issues about a student’s Christian faith than do quasi-Christian programs or those housed in catholic institutions. These programs have had more fundamentalist-liberal wars and so you find faculty more sensitive.

If a student has a strong theological base, I would probably go for a secular institution unless you want the Wheaton/Fuller credential to open Christian doors.

Counseling Psychology vs. Clinical Psychology programs?

Not much of a distinction here anymore. I think the clinical one is more valuable (my bias) but once you have the degree, no one explores your transcript.

Would you rank the Christian doctoral program?

No. Each one has their own strengths and liabilities. I would look at the professors at each and what they are writing/doing. Try to go learn from some professors you’ve come to respect. For example (and this is a limited sample. Some schools I haven’t really known much about)

Regent University (VA Beach): Mark Yarhouse, Jen Ripley and Bill Hathaway are topnotch Christian psychologists. With Mark you get the sexual ethics research as well as someone well-versed in Puritan writings. With Jen, you might get access to her and Ev Worthington’s work (forgiveness, couples, etc.). Of course Ev is at VA Commonwealth and so you might want to go right for him.

Wheaton: There are a number of great faculty there. But let me mention just three. Sally Schwer Canning is doing child and urban stuff. Bob Gregory is doing neuropsych stuff and William Struthers just published on porn and the male brain.

George Fox: At Wheaton I came to really respect Mark McMinn. He is now at George Fox (Oregon). He’s great to study under for psych testing and his integrative model. Plus, if you get in on his research team, he’ll teach you how to be a survey king or queen. He is a publishing machine!

Biola: Todd Hall and Jon Coe just published a key work called Psychology in the Spirit. It is going to be a significant work.

On-line vs. residential programs

Online programs only if they are APA accredited (psychology programs that is). You have to be a self-starter. These still get negative reactions from some of those in the position to hire you. In the PhD in counselor ed, both Regent and Liberty have programs with good quality eworlds.

Residential provides lots of time to interact with profs on a daily basis. There isn’t a way to really do this in the on-line programs (which tend to have lots of students in them!). You can get good peer relationships in on-line programs, sometimes even better than in person.

I’m sure I’ve left something out. What else should we consider? Of course, you should get your MA from Biblical Seminary. That way, you will be prepared to think Christianly, biblically, and yet able to think psychologically about the world. 😉

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February 1, 2010 · 5:49 am

Blogging this month for the Society of Christian Psychology


This month (really, the 4 Mondays of February), I’ll be the guest blogger at the Society for Christian Psychology’s site. You can find it at www.christianpsych.org or from my links on this page. Here’s a tease from my first post:

Should Christian Psychology become a Profession?

Right now, in the Commonwealth of Pennsylvania, lawmakers are considering a bill that would place more restrictions on who can provide counsel. Currently, the state has a number of mental health credentials. Among those is the Licensed Professional Counselor credential for those with a requisite master’s degree and post graduate supervised practice. If passed, the new bill will not only protect the title of “Professional Counselor” but also the practice of professional counseling. Per the law, one may not “style” themselves as a counselor unless they are licensed as such.

Who does this effect? This will especially impact the many Christian counselors who are not licensed but practice a form of counseling (aka biblical counseling, Christian counseling, etc.). While these counselors do not provide diagnoses or bill insurances they do collect fees, keep progress notes, maintain confidentiality, and provide counsel for those struggling with issues such as anxiety, anger, depression, marital conflict and the like. So, the 64 million dollar question: Do these unlicensed Christian counselors “style” themselves as professional counselors? And who decides the line between the two? As an aside, the bill does contain an exemption for pastoral counselors. Pennsylvania does not yet define that title but in other locales that title is reserved for those ordained, trained in a pastoral counseling graduate program, and doing work in church-related institutions.

Here’s where the bill gets interesting. It describes what typifies a profession that might overlap with counseling but have a separate (and thus exempted) identity and practice. Here are some of the criteria they might use to discern a separate profession (note my bolded text to emphasize interesting details):

[For the rest of this post, click here.

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November 9, 2009 · 5:44 am

Thinking about moral responsibility and agency in TBI


Tonight I will assigned my Counseling & Physiology students a response paper to the following case study. As you read this fictional case, consider how you might answer these two questions:

  1. What are the spiritual issues in this case and how do you consider Tim’s limitations in considering these spiritual issues? What is his personal accountability in light of his functional limitations and injury?
  2. How might you advise Tim’s wife and pastor as they struggle to understand and respond to Tim’s inappropriate behavior?

Tim is a 34-year-old, married man and deacon in his church. Prior to a serious car accident 2 years ago, Tim was a successful general contractor generating income over $200,000 a year. 2 years ago, Tim suffered a traumatic brain injury when a drunk driver, traveling at a very high rate of speed, slammed into his vehicle. Damage to his brain was located in the frontal and temporal lobes. Tim spent a total of six months in the hospital and in rehab. Initially, He was in a coma for 3 weeks and not expected to recover. However, he did emerge from unconsciousness and with rehab regained his capacities to walk and talk. His memory is mostly intact, missing only the week prior to the accident and the five weeks post accident. He seems to be able to form new memories but complains that he has to write everything down or he will forget tasks. He also complains that it is hard for him to find words. His friends notice that his speech is slower now. He is oriented to person, place, and time.

Tim’s wife and pastor ask you to meet with him. Tim complies. In session he is affable, talkative, but unsure why others think he needs counseling. He notes that he works hard every day, uses his daily contacts in business to talk about God’s miraculous work in his life. He admits that he smokes now and should quit but that shouldn’t be reason enough to warrant counseling. He signs a release to talk to his wife and pastor.

You learn from his wife that Tim has numerous problems that did not exist prior to the accident. Most notably: he doesn’t complete work; fails to bill clients properly; seems to over-estimate what he can complete; work done does not meet his pre-accident quality; he is easily angered and even aggressive; he curses and smokes 2-3 packs per day (none prior to accident); he drinks; he spends beyond his means; he has periods of deep depression; he engages in foul language about sex; is demanding of sexual activity with his wife (but cannot perform since the accident); he flirts with other women.

Tim refuses to return for further appointments. His wife and pastor come to you to discuss options and how to think about Tim’s behavior. The church board has removed Tim from his diaconal position this week and is likely to initiate church discipline after it was discovered that he made a sexual comment to an 18-year-old girl (he commented (spoke admiringly) about her breast size).

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October 20, 2009 · 9:12 am

Diane Langberg on the web


Dr. Diane Langberg now has her own website. Check out www.dianelangberg.com for more information about her speaking (both schedule and available audios–both free and for purchase) and her counseling practice. You can see a list of her associates and their specialties. Her resources page has lots of good book, article, and website suggestions regarding a wide variety of issues.

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September 18, 2009 · 5:13 am

Engaging Biblical Texts in Trauma Therapy


Today I present my 1 hour CE training at the AACC conference. In this presentation I briefly review (a) complex PTSD and its typical symptom presentation, (b) material from my recently published work on best practices for using Scripture in counseling. Then I consider the particular application to therapy with trauma survivors. The goal is not get individuals to believe the truth but to experience it via the interpersonal relationship of therapy.

If you are interested in more, see the pptx slides I have up on my page “Articles, Slides, Etc.” (# 15 on the list).

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September 15, 2009 · 5:19 am

AACC World Conference


the 2009 AACC World Conference begins tomorrow at the Opryland Hotel, Nashville, TN. On Wednesday, I’ll be presenting a 3 hour pre-conference workshop with Dr. Diane Langberg where we explore the counselor’s role in addressing pastoral sexual abuse. The conference proper begins Wednesday night and runs to Saturday evening. During that time I’ll be attending various presentations, meeting with colleagues, attending a meeting about next steps in Rwanda and presenting my own hour long training (Friday afternoon) entitled, “Engaging Biblical Texts in Trauma Therapy”. Check out my articles, slides, etc. page for PPT slides.

If possible, I’ll blog a few extra entries to give you a flavor of what the conference is like. I’m hoping to be able to link you all to the special video to be shown regarding Rwanda and our “ask” card where we will be asking attendees to consider donating to the Rwanda project. I hear they are selling coffee there to benefit our work as well. Can’t wait to buy some more Rwandan coffee.

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