Sermon

Session 3: Ministry to Therapeutically-Minded People

Trinity Cambridge Church

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  1. So this is Ministry to Therapeutically Minded People. Don't you love my vivid titles?

  2. !

  3. I was there one time years ago, I just stopped because I was looking at something and I just

  4. stopped by myself and there was an old man who came up to me when I was there and he said

  5. I'm a fair taker. He said, what are you looking for? He said, I'll show you that but let me

  6. show you something else. So he took me to this grave and he would have found it otherwise.

  7. And the guy, the employee told me, he said, I've been here for 50 years. I've been here

  8. 50 years. And so he took me to this grave and it was the grave of the guy named William

  9. Han, William H. H. N. And the gravestone said, all it said was I told you I was sick. That

  10. was the grave of the grave. And so, he said, well, Bill Han was a guy who lived in the area

  11. of the grave. And his family owned this plot. And he was a hypochondriac. And as he would

  12. come and he would sit in the family plot with a folding chair and he would just sit here and

  13. he would just lament because he kept thinking he was dying and his family wouldn't agree. And he said, he did this for years.

  14. He said, well, I'm sort of with this. If I got six blinds, that's all, you know, and he would never die. And so, and so eventually, they got to be in a relationship where he said, listen, I want you to make sure that all my tombstones are, I told you I was sick. Because one of these times, I'm going to be right.

  15. And he was, right? The point is, we are in self-incessant self-diagnosticians. We love diagnosing ourselves. It's, again, a very Western mindset. Self-orientation. We diagnose everything about us. We hack ourselves.

  16. We're self-assessors. We're self-hackers. We're self-diagnosers. We're attracted to personality tests. We're attracted to life coaches, to self-understanding through talking. We're enamored with influencers. Am I healthy? Am I smart? Am I socially aware? Am I too aware? Am I conservative enough? Am I too conservative? Am I emotionally healthy? Am I emotionally at risk?

  17. Am IOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO

  18. over racial and ethnic,

  19. and particularly

  20. age, generational

  21. lines. And we talk about things.

  22. We talk about a lot of stuff.

  23. But we did an episode on fitness.

  24. Because Jared's a

  25. college wrestler.

  26. And

  27. we learned that

  28. a 30-year-old and a

  29. 65-year-old have very different

  30. ideas of what it means to be fit.

  31. And what it takes to

  32. get there. So he was describing his workout

  33. routine, and I was describing mine.

  34. And it was just, you know.

  35. So we shouldn't be surprised

  36. when our friends,

  37. our family members,

  38. reach for ways

  39. to understand themselves

  40. that are different than ours.

  41. And sometimes

  42. people who reach for those

  43. understandings reach into the

  44. therapeutic world.

  45. So I've said that we're all

  46. psychologically

  47. oriented.

  48. That's the worldview that we have.

  49. But there are people

  50. in our lives,

  51. and it could be us,

  52. who in some sense

  53. have really kind of

  54. gone into the world

  55. of therapy and have found

  56. the meaning and

  57. self-diagnosis

  58. from the therapeutic world.

  59. And so we as Christians,

  60. if you're tracking

  61. what I'm saying today,

  62. need to recognize

  63. that that world

  64. doesn't easily

  65. translate toward

  66. a biblical understanding

  67. of life,

  68. and therefore translate

  69. into a real hope

  70. in the gospel.

  71. It's a

  72. false

  73. gospel.

  74. And it

  75. presents false

  76. hopes,

  77. and false

  78. savings,

  79. and false

  80. sanctification,

  81. and false

  82. eternities.

  83. And so

  84. we have to recognize

  85. that,

  86. but some people

  87. who are Christians,

  88. well-meaning,

  89. in their search for

  90. how to make sense

  91. of who they are,

  92. what they're dealing

  93. with,

  94. what's going on in life,

  95. they find the

  96. therapeutic world

  97. giving them answers,

  98. and those answers

  99. seem to fit

  100. their experience.

  101. So how do we

  102. relate to this?

  103. How do we

  104. minister to people

  105. who seem more

  106. comfortable with

  107. therapeutic diagnosis

  108. than biblical diagnosis

  109. in their self-understanding?

  110. I was talking to Sean

  111. for a second there,

  112. and we were talking

  113. about how do you

  114. deal with somebody

  115. like this,

  116. and do you just

  117. confront that language?

  118. And I,

  119. and I,

  120. and I'm going to

  121. share this.

  122. My experience

  123. is that people

  124. who use therapeutic

  125. language in a

  126. self-descriptive language

  127. or even have a

  128. diagnosis that they,

  129. that they hold to

  130. will only tend to

  131. defend that if they

  132. feel like their,

  133. their,

  134. their understanding

  135. is being threatened.

  136. They don't have a

  137. depth of understanding

  138. of what they're saying.

  139. They have something

  140. that makes sense

  141. to them,

  142. like we do with

  143. everything.

  144. What do we do

  145. when we do,

  146. when we do internet

  147. searches?

  148. How many people

  149. go on an internet

  150. search looking for

  151. something that's

  152. different than

  153. what they think?

  154. Nobody does.

  155. Internet search is

  156. about self-validation.

  157. We go and refine

  158. something that fits

  159. what we already

  160. think to validate

  161. what we're thinking.

  162. That's proven

  163. study after study

  164. after study.

  165. 90% of the people

  166. who do internet

  167. searches are actually

  168. validating something

  169. they already think

  170. that they didn't get

  171. from anywhere.

  172. They just think it

  173. and the internet

  174. supports it.

  175. That's what happens

  176. and so,

  177. so people can

  178. have these ideas

  179. about things

  180. that they feel

  181. very supported

  182. but they're

  183. really not that

  184. deep in their

  185. self-understanding

  186. so we don't

  187. necessarily want

  188. to just,

  189. that's wrong,

  190. you've got to

  191. stop thinking

  192. like that.

  193. All that's going

  194. to do is create

  195. antagonism

  196. and not really

  197. help us serve

  198. somebody.

  199. So I want to

  200. talk a bit about

  201. this and talk

  202. about therapeutic

  203. terms and language.

  204. There are a few

  205. categories of terms

  206. and language

  207. and language

  208. is not simply

  209. words,

  210. language is the

  211. expression of meaning.

  212. all our language

  213. matters.

  214. So eventually

  215. we have to let

  216. the language

  217. of God's word

  218. shape how we

  219. view things.

  220. So there are

  221. different functions

  222. of terms and

  223. language.

  224. There are categories

  225. of terms and

  226. concepts that

  227. scripture claims

  228. authority over.

  229. For example,

  230. love.

  231. love is defined

  232. in the Bible.

  233. If you have a

  234. view of love,

  235. and frankly,

  236. I mean,

  237. it's just

  238. unbelievable

  239. how much

  240. the word love

  241. is used and

  242. defined in a

  243. way that is

  244. so destructive

  245. in our culture.

  246. love.

  247. But love

  248. has a specific

  249. understanding and

  250. definition of the

  251. Bible.

  252. And so we

  253. never want to

  254. use the word

  255. love in a way

  256. that is contradictory

  257. to how the

  258. Bible,

  259. we are in a

  260. relationship with

  261. someone.

  262. Do we love

  263. them or not?

  264. The world would

  265. say,

  266. how do you feel?

  267. What's your

  268. attraction?

  269. The Bible says

  270. those are not

  271. what love is.

  272. Love is,

  273. do I care,

  274. do I want to

  275. live for the

  276. betterment of

  277. this person?

  278. When we get

  279. married,

  280. we don't get

  281. married based

  282. on attraction.

  283. I think we're

  284. not attracted.

  285. Don't go find

  286. out the person

  287. you're least

  288. attracted to.

  289. Attraction

  290. sometimes gets

  291. you there,

  292. gets you close

  293. to it,

  294. and even

  295. connects you

  296. to the person,

  297. mutual

  298. attraction.

  299. But,

  300. at the end

  301. of the day,

  302. if you're

  303. getting married

  304. and you're

  305. a Christian,

  306. it's not

  307. because you

  308. feel love.

  309. It's because

  310. you want a

  311. covenant together

  312. that my life

  313. lived out with

  314. you will draw

  315. you closer to

  316. the world.

  317. That's what

  318. marriage is meant

  319. to do.

  320. The effect of

  321. my life on you

  322. is to draw

  323. you closer to

  324. the world.

  325. It's not to

  326. draw you closer

  327. to me.

  328. Culture says

  329. it's to draw

  330. you closer to

  331. me.

  332. The Bible says

  333. it's to draw

  334. you closer to

  335. the world.

  336. You cannot

  337. give up on it.

  338. You cannot

  339. give way

  340. on that issue.

  341. Truth.

  342. We're talking

  343. about my

  344. truth.

  345. What is your

  346. truth?

  347. Everybody has

  348. a truth.

  349. The truth for

  350. you.

  351. The truth as

  352. you see it.

  353. Truth is not

  354. a word you

  355. can put into

  356. play because

  357. it has specific

  358. meaning.

  359. It means

  360. truth as in

  361. Jesus Christ

  362. who is the

  363. way and the

  364. truth.

  365. And so we

  366. can't give

  367. that word

  368. over.

  369. We can't

  370. say if

  371. someone says

  372. to us in

  373. the context

  374. of ministry

  375. or counseling

  376. well I just

  377. like that's

  378. my truth.

  379. In a

  380. gracious way

  381. say I

  382. don't think

  383. you have

  384. your own

  385. truth.

  386. Let's look

  387. at how the

  388. Bible defines

  389. truth.

  390. So see there

  391. are certain

  392. terms in

  393. English that

  394. we can't

  395. give over

  396. to the

  397. culture.

  398. They must

  399. remain

  400. biblically

  401. defined.

  402. Whatever we

  403. think about

  404. these terms

  405. they must

  406. be submitted

  407. to the

  408. scriptures.

  409. There are

  410. categories of

  411. terms and

  412. concepts,

  413. second point,

  414. that have

  415. both biblical

  416. weight and

  417. cultural weight.

  418. A couple of

  419. those words

  420. might be

  421. freedom.

  422. Freedom is a

  423. word that has

  424. significant

  425. biblical

  426. implication.

  427. It's also a

  428. word that has

  429. significant

  430. cultural

  431. implication and

  432. political

  433. implication.

  434. And they're

  435. both relevant.

  436. What do you

  437. mean by

  438. freedom?

  439. Freedom in

  440. the culture

  441. is the right

  442. to do or

  443. not to have

  444. something done

  445. to you.

  446. Freedom in

  447. the scriptures

  448. is liberty

  449. from sin

  450. through

  451. redemption

  452. purchased out

  453. of bondage

  454. into freedom

  455. for the sake

  456. of obeying

  457. Christ.

  458. That's

  459. freedom in

  460. the Bible.

  461. So we have

  462. to understand,

  463. we have to

  464. say, what do

  465. you mean by

  466. freedom?

  467. I still feel

  468. free to do

  469. that.

  470. What does

  471. that mean to

  472. you?

  473. It may mean

  474. they're using

  475. a cultural

  476. definition,

  477. which they're

  478. okay to make.

  479. Okay, that's

  480. great.

  481. You probably

  482. don't have the

  483. freedom to do

  484. that.

  485. You don't

  486. have the

  487. freedom to

  488. kick your

  489. 14-year-old

  490. out of the

  491. house because

  492. that's against

  493. the law

  494. in the

  495. states.

  496. You know,

  497. that's not

  498. a freedom

  499. you have.

  500. But you,

  501. so freedom

  502. needs to be

  503. understood.

  504. Another one

  505. is trust.

  506. Trust is a

  507. major word.

  508. Guess what?

  509. The Bible

  510. nowhere says

  511. we're called

  512. to trust

  513. one.

  514. It doesn't

  515. exist in the

  516. Bible.

  517. We're not

  518. called to

  519. trust pastors.

  520. We're not

  521. called to

  522. trust each

  523. other.

  524. We're not

  525. called to

  526. trust institutions.

  527. Trust is

  528. only in

  529. God.

  530. But in

  531. our vernacular,

  532. culturally,

  533. we trust

  534. various things.

  535. You know,

  536. I trust my

  537. government to

  538. do this

  539. for better

  540. or worse.

  541. I trust

  542. this.

  543. I trust

  544. my pastor.

  545. In other

  546. words,

  547. the nature

  548. of trust

  549. in culture

  550. is something

  551. that is

  552. earned.

  553. We earn

  554. trust.

  555. God doesn't

  556. need to

  557. earn trust.

  558. God is

  559. trustworthy.

  560. So again,

  561. if someone

  562. uses the

  563. word trust,

  564. how are they

  565. understanding

  566. that word?

  567. Are they

  568. using it

  569. in the way

  570. the Bible

  571. uses it?

  572. And sadly,

  573. people will

  574. say,

  575. I feel like

  576. I can no

  577. longer trust

  578. him.

  579. What does

  580. that mean

  581. to you?

  582. Can you

  583. begin to

  584. trust him

  585. again?

  586. Can you?

  587. Well,

  588. no.

  589. Well,

  590. it sounds

  591. like your

  592. view of

  593. trust,

  594. you place

  595. trust in

  596. him that

  597. should have

  598. only been

  599. placed in

  600. God in

  601. the first

  602. plan.

  603. Did he

  604. let you

  605. down?

  606. Because he's

  607. a sinner like

  608. you.

  609. So you see,

  610. those are words

  611. that have

  612. meanings.

  613. They have

  614. meanings clearly

  615. in scripture

  616. and clearly

  617. in the

  618. culture.

  619. And then

  620. there are

  621. categories of

  622. terms that

  623. are largely

  624. defined from

  625. human experience

  626. and culture.

  627. Words like

  628. diversity,

  629. equity,

  630. and inclusion.

  631. Most

  632. psychological,

  633. and I'm not

  634. evaluating those

  635. words,

  636. I'm just saying

  637. they're not

  638. in the Bible.

  639. They don't

  640. categorize people

  641. from a

  642. biblical

  643. perspective.

  644. Most

  645. psychological

  646. language is

  647. non-biblical

  648. language.

  649. These kind

  650. of terms

  651. need to be

  652. evaluated with

  653. biblical language.

  654. What are the

  655. biblical concepts

  656. that come into

  657. play when people

  658. use these words?

  659. Otherwise,

  660. people end up

  661. using,

  662. Christians end up

  663. using a lot

  664. of non-biblical

  665. words that

  666. actually don't

  667. lend themselves

  668. to thinking

  669. biblically about

  670. life.

  671. So we get

  672. three categories

  673. of words.

  674. And this is

  675. important for

  676. your language

  677. as you're

  678. listening to

  679. people.

  680. These are

  681. important.

  682. Are they

  683. using terms

  684. that the

  685. Bible defines

  686. and they're

  687. using it

  688. in unbiblical

  689. ways?

  690. Are they

  691. using the

  692. terms that

  693. the Bible

  694. does speak

  695. to and

  696. they're

  697. speaking to

  698. it this

  699. way?

  700. How do

  701. they

  702. understand

  703. that?

  704. What are

  705. they really

  706. saying?

  707. And then

  708. are words

  709. that are

  710. clearly not

  711. biblical

  712. that at

  713. some point

  714. we're going

  715. to have

  716. to challenge

  717. if they're

  718. attaching them

  719. to their

  720. self-understanding.

  721. So any

  722. question about

  723. that?

  724. Language is

  725. huge.

  726. And

  727. understanding

  728. how people

  729. use languages

  730. and expressions

  731. of how we

  732. love them

  733. is how we

  734. understand.

  735. unbiblical

  736. life

  737. meanings

  738. and that's

  739. what happens.

  740. Language that's

  741. unbiblical

  742. creates life

  743. meanings that

  744. are unbiblical

  745. and they're

  746. like a maid.

  747. You can always

  748. find a way to

  749. move around

  750. within the

  751. problem but

  752. you're lost if

  753. you're trying to

  754. find a way

  755. out.

  756. If you're

  757. really trying to

  758. help somebody

  759. and they're

  760. insistent on

  761. using non-biblical

  762. language you're

  763. going to find

  764. yourself trying

  765. to figure out

  766. how to help

  767. them but

  768. nothing actually

  769. taking root.

  770. Nothing actually

  771. making a difference.

  772. They need

  773. redemptive reality

  774. that comes from

  775. the scriptures

  776. defining their

  777. problems and

  778. helping them

  779. think through

  780. them.

  781. We must

  782. understand how

  783. a person is

  784. using language

  785. to know how

  786. counsel.

  787. So how is

  788. therapeutic

  789. language used?

  790. It's used

  791. in three ways.

  792. This is really

  793. important these

  794. days because of

  795. the nature of

  796. the way we get

  797. stuff off of

  798. social media and

  799. how quickly terms

  800. proliferate and

  801. become commonly

  802. understood.

  803. We have to

  804. really be aware

  805. of this when we're

  806. talking to people

  807. because people

  808. grab things off

  809. whatever sites

  810. they're on and

  811. they make them

  812. fit themselves.

  813. So there are

  814. three ways

  815. therapeutic language

  816. is used.

  817. One is in

  818. diagnostic

  819. categories.

  820. Diagnostic

  821. language has a

  822. formalized

  823. consensus

  824. meaning which

  825. is necessary to

  826. allow conditions

  827. to be categorized

  828. for the state

  829. of consistent

  830. assessment and

  831. treatment.

  832. So the DSM-4,

  833. 5 uses

  834. diagnostic

  835. categories.

  836. They're defined

  837. categories.

  838. They're understood

  839. a certain way.

  840. When somebody's

  841. looking at it

  842. there's no

  843. question about

  844. what this

  845. means.

  846. Now there's

  847. question about

  848. whether diagnosis

  849. is appropriate

  850. or not.

  851. That's a

  852. judgment call.

  853. But the

  854. terms themselves

  855. that's why you

  856. have various

  857. kinds of

  858. depression

  859. because there

  860. are different

  861. categories for

  862. those depression

  863. tendencies.

  864. And so these

  865. diagnostic categories

  866. when someone says

  867. they're clinically

  868. depressed what

  869. they mean is

  870. that their

  871. experience has

  872. been categorized

  873. according to

  874. the DSM-5

  875. as a

  876. depression

  877. category.

  878. And it's

  879. specific.

  880. Nobody's

  881. clinically depressed

  882. without having a

  883. further definitive

  884. reality.

  885. Depression type

  886. this,

  887. potentially this,

  888. it's going to

  889. have,

  890. if they're

  891. really clinically,

  892. so that's why

  893. when someone says

  894. they're clinically

  895. depressed,

  896. often what they

  897. mean is that

  898. they ran it

  899. on a medical

  900. site.

  901. It doesn't

  902. mean that they

  903. actually had

  904. somebody diagnose

  905. them.

  906. If you're

  907. clinically,

  908. anything means

  909. you've been

  910. diagnosed in a

  911. clinical setting.

  912. So the

  913. first one you

  914. see, and this

  915. is the highest

  916. level, is what

  917. I would call

  918. these diagnostic

  919. categories.

  920. The second is

  921. what I call

  922. descriptive

  923. terms.

  924. Descriptive

  925. language is

  926. language that

  927. can be deployed

  928. in a general

  929. way to help a

  930. client or patient

  931. make sense of

  932. a particular

  933. experience or

  934. struggle.

  935. So then, in

  936. this one, you

  937. may go into a

  938. therapist and

  939. they may not

  940. feel qualified to

  941. diagnose.

  942. That may not

  943. be what they

  944. feel their

  945. specialty is.

  946. They may not

  947. be able to do

  948. this.

  949. But they can

  950. look at you and

  951. they can talk

  952. to you and

  953. based on their

  954. training and

  955. based on their

  956. experience of

  957. other people,

  958. they can say,

  959. I feel like what

  960. you're dealing

  961. with is depression.

  962. Let's use

  963. depression, for

  964. example.

  965. I feel like

  966. you're depressed.

  967. That's descriptive.

  968. There's a certain

  969. weight to it because

  970. it's coming from

  971. someone who's

  972. doing some

  973. level of

  974. evaluative view

  975. of you.

  976. And they're

  977. not biased in

  978. that.

  979. They're simply

  980. trying to

  981. describe this.

  982. This, to me,

  983. presents like

  984. depression or

  985. anxiety, whatever

  986. it is.

  987. That's what

  988. someone says,

  989. my therapist

  990. has said I'm

  991. struggling with

  992. depression.

  993. It's a totally

  994. appropriate way

  995. to understand it.

  996. It's descriptive.

  997. It's not a

  998. formal diagnosis.

  999. The third level

  1000. is what I would

  1001. call definitive

  1002. labels, labels

  1003. that define

  1004. this language

  1005. that individuals

  1006. and groups

  1007. employ to

  1008. galvanize

  1009. identity and

  1010. meaning with

  1011. their experience

  1012. or struggle.

  1013. In other words,

  1014. this is where

  1015. I adopt

  1016. language that

  1017. gives me a

  1018. certain sense

  1019. of identity

  1020. or defines

  1021. my experience,

  1022. but I'm the

  1023. one who

  1024. determines it.

  1025. So I'm

  1026. depressed.

  1027. I feel

  1028. depressed.

  1029. I'm depressed

  1030. is not the

  1031. same as

  1032. clinical

  1033. depression.

  1034. I'm depressed

  1035. is not the

  1036. same as a

  1037. reasonably trained

  1038. therapist saying,

  1039. you know what,

  1040. yeah, I think

  1041. what you're dealing

  1042. with is depression.

  1043. It's me saying

  1044. I feel this

  1045. way.

  1046. The danger

  1047. we face is

  1048. most people

  1049. who are using

  1050. terms, and you

  1051. will find this

  1052. if you're talking

  1053. to folks,

  1054. they're using

  1055. that language

  1056. in the third

  1057. category.

  1058. It's self

  1059. descriptive.

  1060. It's self

  1061. defiant.

  1062. They pulled

  1063. something up.

  1064. They've researched

  1065. it.

  1066. Maybe they've

  1067. talked to other

  1068. people.

  1069. Based on what

  1070. this person has

  1071. said, I think

  1072. I got what they

  1073. have.

  1074. This is what

  1075. it is.

  1076. The large

  1077. majority of

  1078. people we're

  1079. going to

  1080. relate to

  1081. are not

  1082. diagnosed

  1083. in these

  1084. terms.

  1085. They're

  1086. self-diagnosed.

  1087. the other

  1088. thing that

  1089. happens with

  1090. this, the

  1091. other thing

  1092. that happens

  1093. is because we

  1094. have this

  1095. phenomenon now

  1096. of being able

  1097. to diagnose my

  1098. experience based

  1099. on a group

  1100. experience,

  1101. somebody else.

  1102. somebody else

  1103. might have done

  1104. work, even

  1105. studies to

  1106. describe this

  1107. and I can

  1108. fit myself

  1109. into that.

  1110. Now I can

  1111. take that

  1112. whole cloth

  1113. into my

  1114. life regardless

  1115. of my

  1116. experience simply

  1117. because I'm

  1118. an oppressed

  1119. !

  1120. individual.

  1121. That has

  1122. extra validity

  1123. in them, but

  1124. it's still a

  1125. self-diagnosis.

  1126. What I do,

  1127. just to make

  1128. it simple,

  1129. if I've got

  1130. somebody sitting

  1131. down there

  1132. using a

  1133. category, we're

  1134. going to talk

  1135. about trauma

  1136. at the end

  1137. of this, to

  1138. apply this

  1139. trauma.

  1140. But if

  1141. someone is

  1142. coming talking

  1143. to me and

  1144. they're using

  1145. therapeutic

  1146. language, I

  1147. want to engage

  1148. them.

  1149. I want to

  1150. get to know

  1151. what they're

  1152. saying, what

  1153. they mean.

  1154. It's part of

  1155. my loving

  1156. and understanding

  1157. them.

  1158. I want

  1159. them, I

  1160. want to

  1161. esteem them

  1162. as a person,

  1163. I want to

  1164. make sure

  1165. they know

  1166. that their

  1167. experience is

  1168. valid to me,

  1169. I'm not

  1170. questioning

  1171. very

  1172. time.

  1173. I just

  1174. want to

  1175. hear, I

  1176. want to

  1177. know their

  1178. story.

  1179. I want to

  1180. know a

  1181. person in

  1182. their

  1183. story.

  1184. In that

  1185. story, I

  1186. might hear

  1187. language that

  1188. I have

  1189. questions about.

  1190. I might

  1191. want to

  1192. engage that

  1193. language.

  1194. So when

  1195. you said

  1196. this, how

  1197. did you

  1198. know that?

  1199. And I

  1200. don't do

  1201. it trying

  1202. to kind

  1203. of, I'm

  1204. not

  1205. investigating,

  1206. I'm just

  1207. simply trying

  1208. to understand.

  1209. So you

  1210. say you

  1211. have

  1212. dealt

  1213. all your

  1214. life with

  1215. depression.

  1216. What is

  1217. that like?

  1218. Tell me

  1219. what that's

  1220. like.

  1221. And let

  1222. them describe

  1223. what that's

  1224. like.

  1225. Sometimes

  1226. you'll find

  1227. that they

  1228. tend to

  1229. have a

  1230. negative

  1231. outlook on

  1232. life and

  1233. tend to

  1234. prefer me

  1235. time.

  1236. Sometimes

  1237. they'll

  1238. presume that

  1239. because I'm

  1240. not a big

  1241. social person

  1242. and because I

  1243. have a

  1244. difficult time

  1245. developing

  1246. relationships,

  1247. I must

  1248. struggle with

  1249. this.

  1250. that's the

  1251. answer they

  1252. come up

  1253. with that

  1254. makes most

  1255. sense to

  1256. them.

  1257. That's a

  1258. chance to

  1259. reinterpret

  1260. that.

  1261. So we

  1262. listen to

  1263. understand and

  1264. we seek to

  1265. engage.

  1266. Tell me

  1267. what that's

  1268. about.

  1269. We want to

  1270. understand.

  1271. The goal

  1272. though, and

  1273. this is where

  1274. biblical

  1275. counseling comes

  1276. into play

  1277. and its

  1278. function,

  1279. is eventually

  1280. we want to

  1281. reinterpret.

  1282. Not get

  1283. rid of,

  1284. not destroy

  1285. their self

  1286. understanding,

  1287. but help

  1288. them reinterpret

  1289. it through

  1290. redemptive

  1291. lens.

  1292. If Jesus

  1293. Christ is

  1294. real, and

  1295. if he has

  1296. died for

  1297. you, and

  1298. if you

  1299. know him,

  1300. what is

  1301. that reality?

  1302. Often you'll

  1303. find people

  1304. who profess

  1305. to be

  1306. believers

  1307. have so

  1308. downgraded

  1309. that reality

  1310. that it

  1311. doesn't

  1312. function in

  1313. their life.

  1314. But if

  1315. that's true,

  1316. it should

  1317. have an

  1318. impact on

  1319. how they

  1320. view

  1321. themselves.

  1322. And so

  1323. you'll find

  1324. deficiency

  1325. there, and

  1326. so that's

  1327. where you

  1328. go to

  1329. work.

  1330. How

  1331. therapeutic

  1332. practices

  1333. emerge,

  1334. this kind

  1335. of goes

  1336. back a

  1337. little bit,

  1338. because I

  1339. just want

  1340. you to

  1341. know, when

  1342. people go

  1343. to counseling,

  1344. for the most

  1345. part, I'm

  1346. not talking

  1347. about

  1348. hospitalization,

  1349. I'm not

  1350. talking about

  1351. high-end

  1352. intensive

  1353. mental health

  1354. treatment, but

  1355. just counseling,

  1356. practices

  1357. emerge, it

  1358. begins with

  1359. psychological

  1360. research.

  1361. I just

  1362. mentioned some

  1363. of the

  1364. challenges with

  1365. psychological

  1366. research, but

  1367. we want to

  1368. acknowledge that

  1369. responsible

  1370. academic work is

  1371. producing

  1372. psychological

  1373. research, and

  1374. that research

  1375. has value as

  1376. it relates to

  1377. understanding the

  1378. human condition.

  1379. Again, it's

  1380. rarely, if

  1381. ever, going to

  1382. have God

  1383. involved.

  1384. they may

  1385. talk about

  1386. religion, but

  1387. they talk about

  1388. religion in

  1389. terms of

  1390. particular

  1391. religious beliefs

  1392. and how that

  1393. affects psychology,

  1394. but there's

  1395. nothing I want

  1396. you to hear

  1397. from me today

  1398. that would

  1399. denigrate the

  1400. fact that in

  1401. these schools

  1402. here, there's

  1403. responsible,

  1404. credible,

  1405. helpful,

  1406. academic research

  1407. being done in

  1408. psychological

  1409. departments.

  1410. I'm not saying

  1411. that at all.

  1412. It is very

  1413. helpful.

  1414. It's helping a

  1415. lot of different

  1416. ways.

  1417. But here's the

  1418. key.

  1419. Upstream

  1420. psychology, this

  1421. level of study

  1422. that results in

  1423. these papers with

  1424. their abstracts

  1425. and everything,

  1426. when you read

  1427. them, if you have

  1428. a chance to read

  1429. them, you will

  1430. find that their

  1431. conclusions are

  1432. very circumscribed.

  1433. They don't make

  1434. broad claims.

  1435. And if they're

  1436. good, they stick

  1437. close to the

  1438. data.

  1439. The data seem

  1440. to show this.

  1441. We can't say

  1442. this.

  1443. Further study

  1444. needs to be

  1445. this.

  1446. And so the

  1447. claims of most

  1448. studies, if

  1449. they're responsibly

  1450. done, are fairly

  1451. limited.

  1452. So when someone

  1453. says studies show

  1454. blank, and they

  1455. make a broad

  1456. statement about

  1457. studies show it

  1458. blank, typically

  1459. they're not reading

  1460. the studies.

  1461. They're reading

  1462. what someone else

  1463. has said about

  1464. the studies.

  1465. The actual

  1466. academic studies

  1467. are very

  1468. responsibly

  1469. handled.

  1470. And most

  1471. often if they

  1472. find something

  1473. significant, they

  1474. say further

  1475. studies needed, and

  1476. that happens

  1477. when you develop

  1478. more detail in

  1479. something.

  1480. And upstream

  1481. psychology rarely

  1482. offers specific

  1483. treatment recommendations.

  1484. These studies are

  1485. not about treatment.

  1486. They're about data,

  1487. and how to

  1488. understand the

  1489. implications of

  1490. data.

  1491. So then out

  1492. of that,

  1493. sometimes a

  1494. theory creates

  1495. the need for

  1496. studies.

  1497. Sometimes studies

  1498. reveal or begin

  1499. to orient

  1500. themselves into

  1501. theory.

  1502. Psychological

  1503. research is

  1504. utilized to

  1505. develop theories

  1506. of motivation,

  1507. thinking,

  1508. motivations, and

  1509. behavior.

  1510. New descriptive

  1511. terminologies are

  1512. developed to fill

  1513. out theoretical

  1514. understandings and

  1515. categories.

  1516. If this works

  1517. well, this is

  1518. what happens.

  1519. They're trying to,

  1520. okay, we're seeing

  1521. this data.

  1522. What do we call

  1523. this?

  1524. And so you come up

  1525. with these different

  1526. labels and names,

  1527. and they're

  1528. responsibly handled,

  1529. and those kind

  1530. of things.

  1531. Theories, though,

  1532. are drawn from

  1533. research, but are

  1534. prone to broad

  1535. inferences based

  1536. on finite data

  1537. pools.

  1538. Basically, just

  1539. saying the

  1540. tendency in

  1541. theories is to

  1542. make claims that

  1543. are larger than

  1544. the data themselves

  1545. propose.

  1546. So the

  1547. research can't

  1548. keep up with

  1549. theories.

  1550. The one

  1551. challenge these

  1552. days is a lot

  1553. of these terms,

  1554. a lot of terms

  1555. aren't really

  1556. drawn from

  1557. studies.

  1558. A lot of

  1559. terms that are

  1560. most often used

  1561. these days are

  1562. not drawn from

  1563. any studies.

  1564. I use the

  1565. word neurodiversity

  1566. for one.

  1567. Neurodiversity

  1568. is not drawn

  1569. from any studies.

  1570. It was coined

  1571. by a sociologist

  1572. who was trying,

  1573. and actually she

  1574. wanted to say,

  1575. Judy Singer,

  1576. I think she

  1577. made it,

  1578. she actually

  1579. said,

  1580. the reason I

  1581. used that term

  1582. is because I

  1583. wanted to make

  1584. a political

  1585. statement.

  1586. I wanted to

  1587. attach diversity

  1588. into something

  1589. so that this

  1590. understanding of

  1591. people who

  1592. didn't fit a

  1593. certain norm

  1594. would be now

  1595. understood as a

  1596. potentially oppressed

  1597. category.

  1598. She was politically

  1599. motivated.

  1600. She says that.

  1601. It's not an

  1602. expert base,

  1603. it's what she

  1604. says.

  1605. It doesn't mean

  1606. there isn't

  1607. neurodiversity.

  1608. It doesn't mean

  1609. that we shouldn't

  1610. be aware that

  1611. people have

  1612. different strengths

  1613. and weaknesses

  1614. related to

  1615. neurological

  1616. things in the

  1617. brain.

  1618. The question is

  1619. it's not based

  1620. on study,

  1621. and it's not

  1622. really verified

  1623. by studying,

  1624. because what

  1625. do you study?

  1626. The range of

  1627. possible variations

  1628. of diversity

  1629. compared to

  1630. neurology is

  1631. impossible to

  1632. quantify.

  1633. Who knows what

  1634. the standard

  1635. mean is?

  1636. What is the

  1637. norm out of

  1638. which you

  1639. determine whether

  1640. it's diverse

  1641. or not?

  1642. It's always been

  1643. a challenge with

  1644. psychology.

  1645. It presumes a

  1646. norm that

  1647. nobody can

  1648. establish.

  1649. So the point

  1650. is that these

  1651. terms which have

  1652. a scientific

  1653. feel are often

  1654. not scientific

  1655. in the way

  1656. they're oriented

  1657. and they're

  1658. generated.

  1659. But out of

  1660. theories come

  1661. therapies.

  1662. General theories

  1663. lead to downstream

  1664. applications in the

  1665. form of therapies.

  1666. Therapies tend to

  1667. become popular

  1668. because they claim

  1669. to address current

  1670. cultural psychological

  1671. problems.

  1672. Therapists tend to

  1673. be pragmatists

  1674. who are not

  1675. married to any

  1676. particular psychological

  1677. theories and

  1678. will tend to move

  1679. toward whatever

  1680. seems to be working

  1681. for the clientele

  1682. they're seeking to

  1683. serve.

  1684. So they're out

  1685. shopping for what

  1686. might work.

  1687. So EMDR was a

  1688. very popular

  1689. therapy and

  1690. everybody was

  1691. doing EMDR.

  1692. It's kind of

  1693. played out now.

  1694. What tends to

  1695. happen in these

  1696. different therapies

  1697. is that it works

  1698. in some ways for

  1699. some people.

  1700. It's used to

  1701. cover a lot

  1702. different things.

  1703. It's proven to

  1704. not be as

  1705. reliable and

  1706. effective as it

  1707. is.

  1708. Then it falls by

  1709. the wayside and

  1710. something else

  1711. comes in.

  1712. So therapies

  1713. are very prone

  1714. to fatism not

  1715. only in popular

  1716. culture but also

  1717. in treatments.

  1718. And really at

  1719. this level there's

  1720. very little

  1721. research-based

  1722. therapy.

  1723. People are not

  1724. basing it.

  1725. It doesn't mean

  1726. that people aren't

  1727. reading studies.

  1728. And I don't want

  1729. to portray anyone

  1730. who's doing

  1731. therapy as

  1732. being somebody

  1733. who doesn't

  1734. care about

  1735. what the

  1736. studies show.

  1737. I'm just

  1738. saying by the

  1739. time people are

  1740. doing therapy

  1741. not to make a lot

  1742. of money because

  1743. they don't.

  1744. And they're doing

  1745. therapy not because

  1746. they love science.

  1747. They're doing it

  1748. because they want to

  1749. help.

  1750. So what's going to

  1751. help?

  1752. That's what drives

  1753. people to do the

  1754. therapy.

  1755. And so we want to

  1756. know that so we

  1757. don't think that

  1758. they're operating from

  1759. a knowledge base that

  1760. they don't really

  1761. have.

  1762. Over time,

  1763. research findings tend

  1764. to change relatively

  1765. little.

  1766. Theories morph and

  1767. fall out of fashion

  1768. and therapy lose

  1769. their popularity.

  1770. That's what a fad is.

  1771. So there's very little

  1772. of the changes up at

  1773. the upper stream.

  1774. Things change at a

  1775. certain level and

  1776. things change wildly

  1777. at the bottom end.

  1778. Particularly through

  1779. publishing.

  1780. So bottom line

  1781. there, an important

  1782. point, don't be

  1783. intimidated by the

  1784. therapeutic world.

  1785. Don't be intimidated

  1786. when someone says

  1787. I'm going to a

  1788. counselor.

  1789. That person like you

  1790. is most likely

  1791. someone who just

  1792. wants to help and

  1793. is trying to find

  1794. something that will

  1795. help this person.

  1796. They're not a

  1797. threat.

  1798. And most people

  1799. who find that they

  1800. have, my experience

  1801. with most people who

  1802. find that they

  1803. live with a counselor

  1804. who has a very

  1805. definitive approach

  1806. they want to take

  1807. and they're pushing

  1808. that way, they don't

  1809. keep clients long.

  1810. Because you have to

  1811. have a pretty

  1812. compliant client.

  1813. And people don't

  1814. want to pay to be

  1815. told what to do.

  1816. So most often the

  1817. best therapists are

  1818. ones who basically

  1819. fall back on this

  1820. idea that I know

  1821. how to use a

  1822. help to describe

  1823. yourself.

  1824. I know how to

  1825. speak to you in

  1826. ways that give you

  1827. a sense of agency

  1828. and personhood

  1829. and I'm able to

  1830. walk you along

  1831. steps toward changes

  1832. that you want to

  1833. make.

  1834. That's most

  1835. therapists that are

  1836. good to do.

  1837. Four ways people

  1838. acquire therapeutic

  1839. diagnosis.

  1840. There's a DSM

  1841. diagnosis,

  1842. professionally trained,

  1843. follows the DSM-5

  1844. category to assess

  1845. patients.

  1846. Practical

  1847. categorization is

  1848. another one where

  1849. basically a high-level

  1850. psychologist or

  1851. therapist may not

  1852. always be able to

  1853. offer formal

  1854. diagnosis according

  1855. to DSM-5 but

  1856. they'll put DSM-5

  1857. codes into charge

  1858. we just talked

  1859. about so insurance

  1860. companies will

  1861. accept responsibility

  1862. and pay for

  1863. treatment.

  1864. That's still

  1865. responsible in my

  1866. mind.

  1867. It's just the

  1868. nature of the

  1869. industry that you

  1870. have to do it that

  1871. way.

  1872. Therapeutic

  1873. description.

  1874. Typical

  1875. therapists using

  1876. diagnostic language

  1877. to label a

  1878. client's self

  1879. descriptions without

  1880. considering requirements

  1881. formal diagnosis.

  1882. I do get concerned

  1883. about this.

  1884. I get concerned

  1885. when I hear from

  1886. somebody at my

  1887. church where the

  1888. counselor they're

  1889. going to is

  1890. throwing terms

  1891. around as if

  1892. they really know

  1893. what they're talking

  1894. about.

  1895. And I get

  1896. concerned about

  1897. that.

  1898. It's hard to know

  1899. what to do because

  1900. I don't want to

  1901. necessarily confront

  1902. somebody who's not

  1903. in my room.

  1904. But I start to be

  1905. concerned when I

  1906. feel like the

  1907. person is enamored

  1908. with terminology

  1909. because it sounds

  1910. medical and isn't

  1911. really understanding

  1912. what they're doing.

  1913. And then self

  1914. diagnosis.

  1915. Online tests

  1916. furnished by various

  1917. therapy practices.

  1918. You'll go online.

  1919. You can say, do I

  1920. struggle with this

  1921. or this?

  1922. There's going to be

  1923. an online test you

  1924. can take.

  1925. Five questions,

  1926. ten questions.

  1927. Yes, you probably

  1928. do.

  1929. Usually they're a

  1930. lead-in to

  1931. therapy.

  1932. Please call us.

  1933. Those kind of

  1934. things.

  1935. It doesn't mean

  1936. they're illegitimate.

  1937. It just means

  1938. they're superficial.

  1939. And some people

  1940. are like, okay,

  1941. I've got my

  1942. diagnosis now.

  1943. I filled out the

  1944. questionnaire.

  1945. I've got my

  1946. diagnosis.

  1947. Good to go.

  1948. Instagram, TikTok,

  1949. and social media

  1950. influences are

  1951. probably the major

  1952. way people get

  1953. diagnosis at this

  1954. point.

  1955. And then opinions

  1956. of others or

  1957. internalized

  1958. self-definition.

  1959. Somebody you

  1960. trust or tells you

  1961. something about

  1962. yourself and you

  1963. buy into that.

  1964. We must not be

  1965. disfaceted with a

  1966. person's use of

  1967. therapeutic language.

  1968. We know we can do

  1969. better with biblical

  1970. truth.

  1971. We must also do

  1972. better with a

  1973. biblical attitude.

  1974. My biggest concern

  1975. for pastors in

  1976. particular, but I

  1977. think also for

  1978. people in the

  1979. church, is a

  1980. condescending

  1981. attitude.

  1982. I feel like my

  1983. use of Bible

  1984. language is superior

  1985. to your use of

  1986. therapeutic language.

  1987. I'd much rather

  1988. say we're both

  1989. trying to figure out

  1990. how to understand

  1991. something.

  1992. The Bible speaks

  1993. to this.

  1994. Can we consider

  1995. what the Bible

  1996. says?

  1997. And let's learn

  1998. together.

  1999. So let's talk

  2000. about trauma.

  2001. This is kind of

  2002. where we'll end

  2003. up.

  2004. Trauma is the

  2005. thing right now.

  2006. How do we apply

  2007. this to trauma?

  2008. There's four ways.

  2009. Again, we'll go

  2010. through these ways

  2011. that diagnosis

  2012. happens.

  2013. There's a trauma

  2014. diagnosis.

  2015. There's different

  2016. kinds of trauma.

  2017. There's PTSD,

  2018. different categories

  2019. of PTSD, acute

  2020. distress disorder,

  2021. post-traumatic

  2022. stress disorder.

  2023. Again, this

  2024. requires somebody

  2025. who is trained in

  2026. the field to

  2027. diagnose trauma.

  2028. There are

  2029. certain things you

  2030. look for when it

  2031. comes to trauma

  2032. to do a PTSD

  2033. diagnosis.

  2034. That's one way

  2035. they get it.

  2036. There's a

  2037. practical

  2038. categorization

  2039. that's done by

  2040. a psychologist

  2041. or therapist.

  2042. They're not

  2043. always following

  2044. the DSM,

  2045. but they'll,

  2046. again,

  2047. use a trauma

  2048. diagnosis.

  2049. Call something

  2050. PTSD

  2051. or ESD

  2052. because

  2053. insurance

  2054. is required.

  2055. That becomes

  2056. the diagnosis

  2057. from an

  2058. insurance

  2059. standpoint,

  2060. but they're

  2061. not convinced

  2062. it fits

  2063. all the

  2064. categories.

  2065. There's a

  2066. therapeutic

  2067. description of

  2068. trauma.

  2069. It's not

  2070. uncommon for

  2071. therapists to

  2072. use trauma-related

  2073. language to

  2074. label a client's

  2075. self-descriptions

  2076. without considering

  2077. the requirements

  2078. for formal

  2079. diagnosis.

  2080. trauma-informed

  2081. screening tests

  2082. which provide a

  2083. relatively simple

  2084. self-assessment for

  2085. trauma experiences

  2086. that is meant as a

  2087. basis for establishing

  2088. a therapeutic

  2089. approach.

  2090. Again,

  2091. you can go online.

  2092. You can do a

  2093. trauma assessment

  2094. of yourself.

  2095. And again,

  2096. the same thing.

  2097. So the way we

  2098. diagnose this,

  2099. the way trauma

  2100. is diagnosed now,

  2101. either at a

  2102. formal PTSD

  2103. or ESD level,

  2104. at a trained

  2105. observant level,

  2106. at a general

  2107. descriptive level,

  2108. trauma,

  2109. and then as a

  2110. self-diagnosis.

  2111. Same with

  2112. language.

  2113. Same with

  2114. language.

  2115. When someone

  2116. says,

  2117. you know,

  2118. trauma is my

  2119. struggle,

  2120. targeting this

  2121. where that comes from. That's fairly rare. PTSD is not an overly common diagnosis because

  2122. of the nature of the various aspects of it that need to come into play to describe it

  2123. that way. Most often you'll see it with people who've come out of first responders in military

  2124. situations, disasters, common there, but in general population not so much. The second

  2125. way people get it is someone knowledgeable but not necessarily diagnostically says you're

  2126. dealing with trauma. And right now I just find therapists are so quick to call and experience

  2127. trauma and what you're dealing with is trauma. And I think that's a real problem because

  2128. I think that it's robbing people of a way to deal with what they're experiencing because

  2129. it's not giving any antidote. It's just saying that's what you deal with and it becomes a

  2130. self description. I start with trauma. And then the third way you do it yourself. You

  2131. just, this is a traumatic experience for me. You take what you have heard from other places

  2132. that you self describe. Here's the challenge with trauma in particular. If someone, and I

  2133. don't want to say this is a really good fully understanding of this, but the treatment approach for trauma,

  2134. particularly fully diagnosed trauma, is to move somebody from life controlling traumatic response

  2135. trauma to a level of resilience to what that response might be to a level of freedom to no longer

  2136. being entrapped by that trauma response. That's what trauma treatment is meant to do. When someone is just, in this day and age when trauma is everything,

  2137. what trauma diagnosis, whether it's done informally or done itself, does the exact opposite of what the treatment is supposed to do.

  2138. It actually says live in your trauma. Find identity in your trauma. Demand from others, acknowledgement of trauma. Don't become resilient. Don't get free. Create an identity around it.

  2139. And so you, so in this case with trauma, this is my concern about trauma, is the way you would treat trauma is exactly the opposite of the way people understand and self-treat trauma.

  2140. And that creates the danger, particularly for believers, because they're led to this idea that my trauma is a self-definitive limitation on my life.

  2141. What is trauma-informed care?

  2142. Do I even talk about this? This is more people who are...

  2143. I thought we should get that.

  2144. Yeah, let's get that.

  2145. Thoughts on unhelpful use of trauma languages is where we'll kind of end up.

  2146. Our current cultural climate emphasizes an absolute right to self-definition, and we've already covered this, but importantly,

  2147. emphasize an expression, my truth, and the absolute obligation of others to validate me in that.

  2148. It also promotes a category of group political oppression that validates a collective or identity-based trauma mentality,

  2149. even if a person cannot point to personal traumatizing experiences.

  2150. But because my ethnicity or my social status or my gender or my whatever it is, because they've experienced it, then I can claim to it.

  2151. But a growing concern in the mental health world is that the proliferation of trauma diagnoses will undermine identification for diagnosable ASD and PTSD.

  2152. When everybody has it, it's very difficult to know who's really struggling.

  2153. Except, you know, I know we talked about this before, the goals of trauma care are the exact opposite of what cultural trauma response tends to be.

  2154. And for the believer, this is where he tried to help somebody who's living in this.

  2155. We're dealing with a woman right now in our church who has imbibed this trauma self-description.

  2156. And we're just, over time, just trying to see wherever that colors her life, the gospel gets lost.

  2157. There's no salvation. There's no redemption.

  2158. Jesus is not your shepherd if he isn't your shepherd in your trauma.

  2159. Jesus has no power for you if he doesn't have power in your trauma.

  2160. If you protect your trauma in self-identity, though it may have come from a horrific experience,

  2161. the last thing you want to do is let that horrific experience find you for the next 40 years.

  2162. Is that how you want your life to go?

  2163. Somebody who's in their 20s doesn't think that far away.

  2164. They're laying the groundwork for a life of living, defending their trauma as opposed to life, freedom from it.

  2165. So I want to go back to the previous outline and close.

  2166. I'm actually going to close at the end.

  2167. I wrote something. I'm just going to read it. I don't know if it's even in there.

  2168. But this is kind of my part.

  2169. And then we can take questions.

  2170. Sixty years ago, C.S. Lewis saw the epistemological implications of a naturalistic view of the self when he wrote,

  2171. If minds are wholly dependent on brains and brains on biochemistry and biochemistry in the long run on the meaningless flux of the atoms,

  2172. I cannot understand how the thought of those minds should have any more significance than the sound of the wind in the trees.

  2173. And this is where the Bible needs to be heard.

  2174. The significance of the mind, the innate dignity of personhood, and the purpose and meaning of suffering, the frailty of our mortal bodies, the need for life and community,

  2175. the value of moral choices and character in a world filled with evil, the eternal destiny of mankind.

  2176. These are the things that the culture sacrifices in the reliance upon psychological solutions and pharmacological treatments as the ultimate answer to life problems.

  2177. This is precisely where the gospel will make a difference.

  2178. The gospel honors the personhood of people, even people in disorder and sin.

  2179. Our deepest essence is not our chemistry.

  2180. It is our existence as image bearers of our Creator with the potential to reclaim that dignity in union with Jesus Christ.

  2181. The gospel proclaims that the greatest need underlying any other need is still reconciliation with God and deliverance from sin.

  2182. We stand before a holy God as unholy people and deep down below our presenting problems we know it.

  2183. The fact that properly administered medication can be helpful means to allow someone with a significant struggle with a mental disorder to begin to address the conditions of their soul before God is not a problem for the church.

  2184. It's the place of opportunity.

  2185. It's exactly at the limits of medicine that the power of the gospel always shines bright.

  2186. As pastors, we want to help people see that they're more than just wearers of diagnostic labels.

  2187. We want to help people create in the image of God, live lives for their eternal happiness and His ultimate glory.

  2188. We want to tell people if you're struggling with a diagnosed mental disorder, depression, anxiety, bipolar, trauma, whatever, we're glad you're here.

  2189. This is the place of hope for you.

  2190. Believe it or not, the people around you are more like you than they're different.

  2191. We're all on the spectrum of life controlling problems in some way.

  2192. But we and you are not stuck there.

  2193. Even in our suffering, we're here on this earth for far greater purposes than simply playing out the string of human existence.

  2194. As the scriptures say, 1 Peter 1.3,

  2195. Blessed be the God and Father of our Lord Jesus Christ.

  2196. According to His great mercy, He has caused us to be born again to a living hope.

  2197. Attach this on to your understanding of mental illness.

  2198. He's caused us to be born again to a living hope through the resurrection of Jesus Christ from the dead.

  2199. To inheritance that's imperishable, undefiled, and unfading, kept in heaven for you.

  2200. You, by God's power, are being guarded through faith for a salvation ready to be revealed in the last time.

  2201. In this you rejoice.

  2202. Though now for a little while, if necessary, you've been grieved by various trials.

  2203. So the tested genuineness of your faith, more precious than gold, that perishes through it though it's tested by fire,

  2204. may be found to result in praise and glory and honor at the revelation of Jesus Christ.

  2205. Though you have not seen Him, you love Him.

  2206. And you can say this to someone in the throes of depression, in the battle with anxiety.

  2207. If they are known by God, they know Him, even in those dark times.

  2208. Though you do not now see Him, you believe in Him and rejoice with joy that is inexpressible and filled with glory,

  2209. obtaining the outcome of your faith, the salvation of your souls.

  2210. The U. Warfield said, if ever the evils of this life are to be relieved, the forces of disease and decay, of injury and death, to be broken.

  2211. It would be only by Jesus that it will be done.

  2212. Only His name, by faith in His name, can give that perfect soundness for which we long.

  2213. That's where we're going to end up.

  2214. Before we close, any questions, any comments?

  2215. I suggested this to Sean because I feel like you guys, where you're located, and the population who you will interact with and serve,

  2216. are going to be people who think in a very sophisticated way about food,

  2217. but maybe buying the things because they're cultural, and you need something to gird you up to say,

  2218. you know what, no, we don't have to have this choke out the room to go to the house.

  2219. We can think through this.

  2220. We can establish the goodwill.

  2221. We can navigate through this difficult situation

  2222. and keep Jesus Christ, who is the person of salvation at the center of everything we do.

  2223. That's cool.

  2224. And can you, during our brief conversation before lunch,

  2225. you have kind of an outline of the process that you have in mind to get to read the education in the office?

  2226. Yeah, yeah, yeah.

  2227. Yeah, basically, if somebody, you know, even if it's somebody I don't know,

  2228. somebody who comes into the church and that's my first time I'm chatting with them,

  2229. and they're coming in and they're just, you know, you can just tell in the conversation that this is their self-description,

  2230. and they're therapeutically oriented that way.

  2231. They just use those kind of words.

  2232. And so, at that point, I just, I kind of say, I just want to, I want to engage.

  2233. Engage, yeah.

  2234. Yeah, I want to, by engagement, I mean, I want to get to know how they use language.

  2235. How does language serve them?

  2236. Are they, are they storytellers, and they just like to use language to fill out the story?

  2237. Are they engineers, and they have very precise categories?

  2238. Are they, you know, what, how strong does it seem that these things matter to them?

  2239. I mean, I have people in my church who, they'll come in and say,

  2240. oh yeah, I was diagnosed with depression, I was diagnosed with this, I was diagnosed with this.

  2241. You know, and they're like, you know, I don't know, I got somebody diagnosed, I don't do it at all.

  2242. Okay, that person's not married to their diagnosis.

  2243. You know, then I got some people who come in and that's what they want to know.

  2244. You know, before you know anything about me, they're not saying it like this,

  2245. but before you know anything about me, you need to know this is my struggle.

  2246. And now you're on, now you're on, you're up, you're in the docket.

  2247. And I'm, I'm drilling you on whether you're going to buy it or not.

  2248. So you get to know them a little bit, you get to know how they want to use that language.

  2249. And then you want to understand, you want to understand in the bigger picture of their story.

  2250. Sometimes that language is not even the most significant thing that's going on in their lives.

  2251. You realize they're using this term, but they've got a wreck happening over here.

  2252. Why are they not giving attention to the wreck that's happening over here?

  2253. But they're very fixated on this.

  2254. They're leading with this when this seems to be a much more significant issue.

  2255. They're starting with this, but they've got this diagnosis of a physical illness,

  2256. you know, a cancer, you know, something like that.

  2257. That, you know, that becomes something you're trying to understand why this is important to them

  2258. and how they want me to understand it.

  2259. The goal though is that you're trying to kind of come alongside.

  2260. I want to look at your, yourself the way you look at yourself.

  2261. And then I want to just, as a friend, if they're professing believer, as a brother or sister, Christ,

  2262. how do you think about this the way God wants us to think about it?

  2263. Have you thought about, where would you go in the Bible to find help for this?

  2264. People who live in the therapeutic world have a very thin Bible.

  2265. They've usually got a few Psalms, or maybe just Psalm 23.

  2266. That's it, that's a whole Bible.

  2267. You're going to say, well, let's fatten up our Bibles a little bit.

  2268. Let's see what else might be in there.

  2269. Or maybe they don't trust God's Word at all.

  2270. Maybe they've already given over the fact that, well, I don't think that's God's Word.

  2271. If someone gives you the language where they're really giving over the essence of faith,

  2272. then I think it shapes how we approach people.

  2273. You know, you may not confront, but eventually you say, I think one of the challenges you face is,

  2274. you sort of say you are Christian, but the things that define a Christian don't define you.

  2275. So why do you say this?

  2276. Why does this?

  2277. This doesn't seem like it should be that important to you if you call yourself a Christian.

  2278. You know, you seem to be insistent on that, but the way you're defining what it is seems to be your own thinking.

  2279. Is that a religion that you necessarily want to hold to?

  2280. I mean, you set that up, and you set the terms up.

  2281. Who is God?

  2282. One of the things I try to do is at some point, in an almost only account, I stop talking about theology.

  2283. And I start talking about Jesus as if he's in the room.

  2284. Right?

  2285. So Jesus, what do you think Jesus wants from us right now?

  2286. I don't want to do theology today.

  2287. I've got a friend who sits closer to the road, and he wants to help us both.

  2288. And I'd like to invite you in, and we bring him into the room.

  2289. In counseling training with pastors, we talk also about a trial on that whenever I'm in conversation with somebody,

  2290. if I'm a believer, there's a third party, and that's the Holy Spirit.

  2291. And he wants to speak.

  2292. So as I'm interacting, I don't really care that much about whether somebody engages in what I have to say.

  2293. I want to find a way.

  2294. Where is the Spirit of God?

  2295. I want to get in the way of that.

  2296. You have to be biblical to do that.

  2297. He's not going to bless your semi-lack of biblical clarity.

  2298. But I want to do it in a way that I've invited the Spirit of God to speak into this.

  2299. Sometimes confessionally.

  2300. This is where I struggle.

  2301. This is where I, you know, as I hear your story, I think about this.

  2302. Does that have any relevance for you?

  2303. This happened to me.

  2304. You've got to be very careful using your own story as if I get it.

  2305. I understand your struggle.

  2306. But you can say, you know what, I'm trying to understand this better.

  2307. I had this experience.

  2308. Is that at all?

  2309. Or this is how I feel?

  2310. You know, it's totally okay.

  2311. You're creating relationship.

  2312. But you're looking to reinterpret.

  2313. You're looking to sort of say, I love our conversations ultimately resolve.

  2314. And you have different categories.

  2315. Maybe you don't agree with them.

  2316. But you're certainly going to wrestle with them now.

  2317. I just dropped something into your life that you can't ignore.

  2318. And I'm going to let the Spirit of God go on.

  2319. Our evangelism at the bridge is simply that.

  2320. We're just dropping things into people's lives.

  2321. And watching this work.

  2322. That's the beauty of evangelism, right?

  2323. We don't have to close the deal into something.

  2324. And then we're what God knows who is to use.

  2325. So it's that.

  2326. It's reinterpreted.

  2327. For professing believers, there are times, let's say, we began to say something like,

  2328. you know what I think, I think one of the problems is your self-understanding isn't rooted in the Bible's understanding of you.

  2329. It's rooted in something else.

  2330. What do you think, can you articulate the Bible's understanding of you?

  2331. And I may have to do that.

  2332. You meant to be gravitational, but you know.

  2333. Rarely are you shouting at someone and saying, stop!

  2334. You know, you're just inviting them into something better.

  2335. Engage, understand, reinterpret.

  2336. And they reinterpret.

  2337. Yeah.

  2338. The kind of mirrors Paul Tripp's love, knows, speak, do.

  2339. Yeah.

  2340. But it's a little bit more descriptive.

  2341. Yeah, yeah.

  2342. And you know, you're doing it in a way that you're conscious of the fact that it's not my agenda.

  2343. That's Paul Tripp.

  2344. It's not my agenda.

  2345. It's Christ's church.

  2346. Any other questions?

  2347. Any other questions?

  2348. You guys have been very, very gracious and patient to sit on a beautiful day like this and talk about this kind of stuff.

  2349. So thank you so much.

  2350. Yeah, I have a question.

  2351. When you're having conversations and I feel like you live in a society where it's a lot about yourself.

  2352. Yeah.

  2353. And like you're saying self-diagnosis is very common.

  2354. And as someone who's not a counselor but talks more with people and shares relationships with people, how do you navigate a conversation where you feel like a self-diagnosis is incorrect?

  2355. Or maybe like they just are, have suppressed so much in their lives that they just can't even like realize that maybe they are going through trauma or maybe like they can't even self-darn.

  2356. Yeah, yeah.

  2357. How do you have that?

  2358. Yeah, yeah.

  2359. Well, I think that's a great question.

  2360. I want people to tell their story, not give a self-description.

  2361. They may start with a self-description but I want to move past that and know their story.

  2362. Because their story is what's going to be alive to me.

  2363. Their story is their, is their life interpretation.

  2364. Their, what we might be getting in their diagnosis, possibly, is just simply some categories.

  2365. If the person can tell a story, and kind of, if they're going to tell a story, I'm hearing that right now, who just can't tell a story.

  2366. He's just, he's just so on the side of logic that he can't put himself in his own story.

  2367. He just describes, as if he's not ever there.

  2368. You know, he's not ever there.

  2369. Someone goes through something and they were there when they went through it.

  2370. Just have it around them.

  2371. So, that's where I'll use emotion questions.

  2372. How do you, how do that make me feel?

  2373. What do you, again, I'm not trying to base everything on feelings, but I'm trying to get an idea of what the effect.

  2374. Because somewhere, there's been an effect on them.

  2375. And they, they process it in a way that's left them sure of what God wants for them.

  2376. And I don't want to confront that.

  2377. I want to help them see that there's a better way.

  2378. You know, so it's, so I don't really get hung up too much on the other language as much as I just want to hear your story.

  2379. If you can tell it to me.

  2380. So you're building trust all the time.

  2381. You know?

  2382. And you're refraining from saying things that you know they eventually need to hear.

  2383. You're holding back.

  2384. If you are meeting with someone, if there's a tendency you have to sort of say, I gave them everything I had.

  2385. You probably gave them too much.

  2386. Right?

  2387. What is one thing, they tell you something about one truth or one situation.

  2388. Let's leave it at that.

  2389. As we mature as counselors realize, less said better.

  2390. Just carefully said.

  2391. And usually the world needs that because people are not used to talking to people who are developing the skill of listening.

  2392. They're talking to people who you want to talk to others and who are fighting them to tell their self story.

  2393. Right?

  2394. Isn't that what most conversations are?

  2395. Well, you know, that's true.

  2396. Well, I got this story.

  2397. And then you know, like, if my story's been into your story, let's talk about me.

  2398. You know?

  2399. That's enough of what I was talking about.

  2400. About you.

  2401. That's not talking about me.

  2402. And to be able to let somebody talk about themselves actually can be more free and more.

  2403. And open them up to me as they're here for me.

  2404. I have a question.

  2405. So like, if you're in that conversation and you're listening, right?

  2406. Yeah.

  2407. But at some point you find that maybe it's a narrative that's not always accurate or it's unhelpful

  2408. to them.

  2409. Yeah.

  2410. And you discern that.

  2411. Like, what do you do to, yeah, what do you do about that?

  2412. Like, at some point, like, do you just listen and kind of let them continue on in that narrative?

  2413. Or do you, like, yeah, try to speak into it?

  2414. Yeah.

  2415. Yeah.

  2416. Well, memory's a funny thing, right?

  2417. Yeah.

  2418. Memory's interpretive.

  2419. Yeah.

  2420. And so we interpret ourselves in the best possible way and most of the stories we tell.

  2421. And so I don't presume on accuracy.

  2422. Accuracy is never ignored.

  2423. The way people choose to tell certain things and not tell other things reveals more to me

  2424. than whether they're accurate.

  2425. Yeah.

  2426. Yeah.

  2427. Yeah.

  2428. And some people, if there are, you know, mentally they're, if they're, if they're

  2429. sequence oriented, they're getting it right and it flows and working and you know, right?

  2430. Other people are mosaic.

  2431. I call them mosaic and they start to think about it.

  2432. Yeah.

  2433. And so I think that's the way people choose to tell certain things and not tell other things

  2434. reveals more to me than whether they're accurate or not.

  2435. How do they do this detail?

  2436. Yeah.

  2437. How do they do this detail?

  2438. Yeah.

  2439. How do they do this detail?

  2440. How do they do this detail?

  2441. Yeah.

  2442. How do they emphasize that detail?

  2443. That's much more significant to me.

  2444. Yeah.

  2445. Whether they got the sequence right or whatever it is.

  2446. Yeah, yeah.

  2447. And some people are, you know, mentally they're sequence oriented, so getting it right and it flows

  2448. and it works and it works and it's important.

  2449. Yeah.

  2450. And I'm like, other people are mosaic, I call them mosaic and they start talking and you're

  2451. like, ah, I lost you.

  2452. You know?

  2453. Okay.

  2454. And I'm not going to interrupt and say, well, tell me what happened next.

  2455. Yeah.

  2456. This is a way to tell a story and I've got to pick out.

  2457. Okay.

  2458. So, that doesn't get to me too much.

  2459. Yeah.

  2460. If I feel like over time somebody is changing their story and I get a different version of

  2461. it depending on what they seem to be trying to get from you, which can happen, then

  2462. I'll say, what happened?

  2463. Like, last time I talked about this, I'll say, am I missing something?

  2464. Did I misunderstand that?

  2465. Mm-hmm.

  2466. And that's a general way to catch them and say, you better clean up your own.

  2467. I am paying attention.

  2468. Mm-hmm.

  2469. Yeah.

  2470. Yeah.

  2471. Yeah.

  2472. Yeah.

  2473. Yeah.

  2474. Yeah.

  2475. These are real, I mean, these are, if you're working on this level of stuff, it's really

  2476. fairly sophisticated ministry if you're weeding through this.

  2477. So, I don't want to portray this as just easy.

  2478. This takes, you usually get it through failure.

  2479. Oh, that didn't work.

  2480. You know?

  2481. I have to recover that.

  2482. I have to, you know, and, or I was jacked up on coffee and I talked too much.

  2483. And I was done.

  2484. Well done.

  2485. Which I have done.

  2486. Or, I was after lunch and I was very boring.

  2487. I did fall asleep on somebody one time in California.

  2488. So, I know that feeling.

  2489. So, great.

  2490. So, thank you so much.

  2491. Yeah.

  2492. Thank you, Andy.

  2493. Thank you.

  2494. Thank you.

  2495. Thank you.

  2496. Thank you.

  2497. Thank you.

  2498. Thank you.

  2499. Thank you.

  2500. Thank you.

  2501. Thank you.