Showing posts with label therapy. Show all posts
Showing posts with label therapy. Show all posts

Saturday, October 13, 2007

Response to Christians who Counsel

Here are my personal thoughts on Chapters 1 - 3 of Christians who Counsel. Anderson's anthropology of humanity is one of the great strengths of his approach. Many who have discarded psychology, even Christian psychology, have lacked the insight into how human beings are "not good" when they are alone. We are created to become fully alive when we are in communion with others. Beginning here helps us challenge views of spirituality that claim that a relationship with God is sufficient for our growth as humans and as followers of Christ. This is where counseling can come in.

Counseling (which I will use as an equivalent term for therapy) states that all of our problems in life do not stem from spiritual issues. An example would be a young man who was physically and sexually abused as a child and who now acts out with sexual promiscuity and angry outbursts but is depressed and believes that he is worthless. A spiritual response would state that he needs to connect with God through prayer, accept his forgiveness, and be transformed by studying God's word. However, this would ignore the fact that he has not learned to have healthy relationships with other people. His sexuality is intertwined with his low view of himself and with his inability to cope with the pain in his life. And his view of himself will affect his spirituality and not just the converse.

A view of humanity that sees spirituality as being affected by social, personal, and sexual aspects will not dogmatically hold on to relationship with God as being supreme. God has created human beings to have dominion over the world and to live in loving relationships with others. While spirituality should never be downplayed, the more common approach is to overemphasize spirituality while neglecting the other realms. However, Christian therapists will sometimes overreact to this approach by neglecting the spiritual aspect of living. We do need to live in God's grace and forgiveness and in constant relation with him in all we do, think, and say. This model reminds those who counsel that spirituality IS an important part of emotional life and should not be downplayed.

As for the place of the agogic moment, where the three components, motive power, intermediary, and response, define growth while the hermeneutic moment is put on the sidelines, I have a couple problems. While I believe that it is true that creating an environment of love and parity between therapist and client is beneficial, I don't believe that it is always necessary. Those who are relatively healthy have the capacity to accept condescending advice and integrate it into their lives. Doing so is more difficult, because the person needs to remove the advice from the advisor, but it is possible. We have the capacity to grow through experiences with ourself, where we open ourselves up to the need for growth and can recognize growth promoting ways of thinking and acting, even when they come from non-equal sources. I do believe that people can change from listening to a sermon, though it is much less likely. This may be a mute point but I think it needs to be said. An agogic moment is not always required.

Finally, I think that Anderson's model lacks a theology of shame. If our starting point is creation then there must be at least some discussion of the fall. Humans now have a sense of shame in their lives, a pain that makes them feel that something has gone wrong in the world and in themselves. This pain is present in every single person but you wouldn't know it from Anderson's model. We all react not only to love that has been shown to us but also the the pain that is oppressing us. A person in pain will try to numb themselves in many ways. But they may also, after finding temporary solutions to the pain to be just that, realize that true growth will bring about healing. Pain, like love, can be a motivator for growth.

I hope these thoughts show my general satisfaction with Anderson's model and are taken as possibilities for what can be added. So far Anderson's approach as a theologian, rather than a psychologist, has been quite helpful.

Partnering for Growth

Chapter 3 of Christians who Counsel centers on the position that the possibility for growth is opened up when the client perceives that the therapist is a partner in the growth process. As Carl Rogers has often made clear, therapy involves removing the obstacles that were hindering process for growth. Thus, Anderson argues that the capacity for growth is within the person rather than from the therapist. But first of all the nature of growth is clarified as: integrative, relational, and open to change. The therapist, unlike the doctor who focuses only on the physical realm or the pastor who teaches only closeness with God, is concerned about integrating all the areas of our life. Asking questions like - how does my spiritual life affect my physical life? and vice versa - the Christian who counsels can facilitate wholeness in all realms of being. The therapist will also help the client develop relational closeness in the room and with others in order to facilitate new experiences of the self and others. The third aspect of growth is openness to change. Although openness to change is itself a consequence of growth, the role of this openness needs to be highlighted because it will, in turn, promote more growth.

But how does this growth occur? Rather than arguing that the therapist causes the client to grow in a stimulus-response manner, Anderson argues that the therapist merely creates situations for growth. Within the therapy room, two important moments are described. The first is the "hermeneutic moment," or aha! moment, where the client is able to change the way s/he looks at him/herself. The second is the "agogic moment" where the client gains a motive for change from an experience with the therapist that creates change. The agogic moment is where true growth occurs. It is a situation where the therapist places herself as equal with the client. Hermeneutic moments are often necessary, but never sufficient, to create an agogic moment.

As mentioned above, an agogic moment is created when the therapist and the client are perceived as equal human beings. This equality is the humanization of the client. The client no longer feels inferior and can have a real relational moment. To create this atmosphere, the therapist must engage the client wherever they are and enter into that experiential space. As the therapist attempts to do this, the client can see the therapist as a partner in the growth process rather than invader of the client's space.

Finally, the power of growth is that of love. As I pointed out in my look at Chapter 1, humans were created to be in relationship with one another. We are created to be set in motion towards growth by others. Anderson writes, "The power of selfhood is response power." The overwhelmingly most important aspect of therapy is to create an environment where the client feels loved and cared for. It is only in this situation that any growth can occur.

Summary:
1) Growth is integrative, relational, and open to change.
2) Growth occurs in the agogic moment, where the motive to change is released.
3) The counselor is an equal partner in this growth.
4) Love is the fundamental ingredient to produce change.

Thursday, October 11, 2007

Chapter 2 of Christians who Counsel by Ray Anderson discusses the human being as an integrated being that must be counseled through integrative means. Anderson states that humans are a gestalt of subsystems that include the social, personal, sexual, psychical, and spiritual. People progress through these subsystems in a developmental fashion, although not in a cut and dry stage manner. We continue to have difficulties in each subsystem throughout our lifetimes and problems in one subsystem will often create problems in other subsystems.

A second way in which we must be integrative beings is that we need to grow in relationship to God, others, and ourself. If we have problems in one realm that will create problems in the other realms. These realms are placed on equal standing, with no one relationship being more important than the others, which means that our relationship with God is not considered to the primary issue through which all other relationships are subject. Instead, relationships with others and self are considered to be so categorically different that they must not be treated as inferior in the quest for wholeness.

In order to facilitate growth towards an integrated being, therapy must utilize hermeneutics, narrative, and eschatology. Hermeneutics means the process of interpreting. Thus, counseling needs to help the client re-interpret life events so that they will have different meaning, perhaps even a spiritual significance. Next, counseling utilizes narrative by allowing the client to see his or her story as placed within the story of his community and thereby creates a value-oriented world for the client to enter. Finally, counseling must involve a look at eschatology or the end times. Having an eternal perspective can allow the client to gather a more global view of the world and their own personal and social problems.

What I enjoyed about this chapter was that it was anthropological. It began with a look into what a whole human being ought to be and therefore provided a goal for where therapy could lead. This is helpful because many theories for counseling do not have a clear vision for health and therefore can potentially remove one pathology only to have it replaced with another. But the chapter also described how wholeness could be promoted through specific growth promoting processes. I enjoyed that the hermeneutical task was more than just changing specific beliefs but was focused on changing entire worldviews. Overall, I really thought that this chapter laid a solid foundation for which therapy could be built upon.

Thursday, September 27, 2007

Being Human

I will be beginning a series of blogs on the book, Christians who Counsel, by Ray Anderson. He begins chapter one discussing a theological anthropology of human relationships. In the creation account of Genesis 2, where God says that Adam is "not good" by himself, we can often be completely dismissive of the true significance of what is being said here. God admits that his presence is not sufficient for the human creature to be complete. Even after bringing the animals to Adam, God realized that Adam needed a companion that would be the female to his maleness.

This declaration that the solitary human is not good is important. From it we can correct any belief that we have that unhappiness in life is necessarily a spiritual issue, between God and the individual. Here we see that God created us to be in relationship with one another. That relationship is to be one of equality and co-laboring.

Personally I find that this theological truth relieves me from thinking that my spiritual growth only comes from private prayer and meditation and that social relations fell into a different category. On the contrary, it is clearly evident that God created us to be in relationship with both God and other humans. Jesus taught that the two greatest commandments are to obey God and love your neighbor. Neither can be separated from the other.

Anderson's conclusion is that there are three parts of being human that support one another. They are relating to yourself, relating to others, and relating to God. Relating to yourself properly means that you see yourself as God's creation and thus see value and purpose in your life and beauty in your life. Relating to others means that you have relationships that create meaning for your life and that allow for mutual help in times of need. Finally, relating to God means placing yourself in humble obedience to God's will and living in his grace.

This theological anthropology reminds us that we were created for real relationships and so true "spirituality" means that we are living with others in a vulnerable and open position. For therapists, it is the reminder that we can bring the kingdom of God simply by having fellowship with those who are in isolation, whether physically or emotionally. We can help people who have tried to live a full life in 2, 1, or even none of the three relational areas and bring them to wholeness in God's image for them.

Wednesday, May 16, 2007

Homosexuality and Therapy

I have a set of beliefs about whether or not a homosexual lifestyle is sinful. Is it right for me to share that with my clients? Is it right for me to implicitly make them question the moral nature of their behavior, suggesting that it is inappropriate? Is it right for me to help them simply to behave however they want but free from guilt? I don't think any of these are correct. The following thoughts may not be helpful for those who do not think of homosexuality as sin, but for those who do, I hope it allows you to see how therapy can help a client without confronting them.

What is the role of a therapist? To alleviate mental illness. What is the role of a Christian therapist? To alleviate mental illness within the light of the presence of God. A therapist would simply want to help the gay/lesbian/bisexual/transgender client transition into their new lifestyle in a manner that decreases their mental illness. A Christian therapist differs in two main ways. The first is by allowing the moral language of the client to unfold. The client may have ambivalent feelings towards their own behavior and these should not be stripped of their moral content. The second is by creating a longing for God. Regardless of the faith of the client, simply helping the client accept that the world is unjust can lead to enhanced spirituality. By keeping the moral language of the client and by fostering a spiritual longing, the therapist is actually helping the client learn a way of critical thinking and relating that allows them to continue to pursue God while still alleviating their mental illness.

Why shouldn't therapists confront "sinful behavior"? To some degree, the therapist's viewpoints will certainly escape at some point. However, direct confrontation can actually harm the work of therapy and can cause the client to retreat. By fostering the moral language and desire for spirituality in the client, the therapist may actually allow the client to become a more faithful follower of God than by directly challenging them. The client has almost certainly already heard that homosexuality is a sin, the therapist who reminds them disempowers clients from making their own decisions.

Therapists must also remain humble. I've heard the arguments that suggest that homosexuality is not a sin, teleologically and Scripturally, and they have some weight to them. I should not be so prideful to claim the truth without question. Finally, love towards our clients should underlie everything we do. Within our cultural context, many people with alternative sexual orientations are not willing to accept that their behavior is sinful. By remembering that God's kindness, not his condemnation, leads to repentance, we can show grace to all people.