Tag Archive - Pastoral Counseling

‘Taking’ a Triune God Into Our Pastoral Counseling Work

A book that I read about seven years ago, and have flipped back and forth through on occasion in the last few years…I have just recently picked back up again and started re-reading it because of my interest in the integration of theology and psychology, especially pertaining to pastoral counseling in the context of the Christian community. The book is a wonderful book, and one that I recommend for all pastors, counselors, etc…those who are trying to integrate these two disciplines (psychology and theology) into their counseling work.

The book is called Theology and Pastoral Counseling: A New Interdisciplinary Approach by Deborah van Deusen Hunsinger. In the book Hunsinger applies the theological method of Karl Barth to pastoral counseling, and I think the outcome for the reader is a real deep appreciation of how the disciplines of theology and psychology can so effectively work together in bringing about transformation in people’s lives.

In the opening chapter of the book Hunsinger draws on the work of Shirley C. Guthrie and his article “Pastoral Counseling, Trinitarian Theology, and Christian Anthropology. Hunsinger goes on to say:

Guthrie’s article is perhaps best characterized as an exercise in theological application. Drawing on central insights from Barth’s theological anthropology, Guthrie asks how a (Reformed) Christian doctrine of the human person might inform the pastoral counselor’s work. Guthrie is thus not interested in interpreting Barth so much as in using Barth’s anthropology to make his own constructive contribution. Guthrie’s essay sheds considerable light on our question of what it means to bring a theological perspective to the therapeutic task. Pastoral counseling’s distinctiveness as a profession, he argues, comes precisely from its theological self-understanding. (p. 18)

Guthrie writes:

What makes Christian pastoral counseling unique is that fact that without arrogance but also without apology the work of counselors is based on the attempt to understand both themselves and their counselees in light of the God who is Creator, Redeemer and Life-Giver and thus the answer to questions about the ultimate origin, meaning and goal of life which lie behind all other problems and questions. (p. 18)

What are the implications of this then in our work as pastoral counselors? Hunsinger says:

From the above quotation it is already evident that Guthrie has adopted Barth’s methodological procedure of basing his theological anthropology on the doctrine of the Trinity. Following this method, Guthrie outlines a Christian doctrine of the human person on the basis of a doctrine of the triune God. Human beings are thus understood from a threefold perspective: first, as created in the image of God (derived from knowledge of God the Creator); second, as sinners who fail to live out God’s purposes and who stand in need of redemption (derived from knowledge of Christ, the Redeemer); and third, as people who are promised a new humanity in Christ (derived from knowledge of the Holy Spirit). Guthrie emphasizes the importance of the pastoral counselor’s keeping all three aspects of human reality in a kind of creative tension, so that the created goodness, the sinful fallenness, and the promised new life of human beings are all clearly seen and affirmed as being simultaneously true….Counselors are ministers who may indeed have specialized skills but who, like their counselees, are themselves ‘limited, fallible, sinful human beings who themselves are judge, need reconciliation and salvation, and can only receive the wisdom and power they cannot produce from themselves to help others. (p. 18-19)

Beautiful. I love the idea that we must keep a ‘kind of creative tension’ between those three aspects of the Trinity as we do our work in the context of pastoral counseling.

Some Observations on Social Media and the Emerging World of Therapy and Pastoral Counseling

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[image by Ben Zvan]

I’ve been thinking a lot about the topic of social media and the role of therapists (pastoral counselors) in the midst of it. There is a large percentage of therapists who thinks being online should be super limited, if online at all. And there is an emerging demographic of therapists who are making a splash online and venturing forth to help people in some unprecedented ways. As I work through these things myself, I just wanted to share 3 areas that I have some observations about.

Online Social Media As Catalyst for Face to Face Therapy
Back in July of 2009 I was invited by Tony Steward to come to LifeChurch.tv and film four short videos on depression that correlated with their At the Movies series. It was a great opportunity to work with Tony and the team at LifeChurch.tv; to experiment with online technology/social media around the topic of depression; and to see how online accessibility affected my work as a therapist and a counselor.

Several things came out of our time together that are continuing to blossom, and I’m learning a great deal about combining my work as a therapist in an online medium. One of the real beautiful stories that emerged out of that experience was that I was contacted on Twitter by someone who had come across my video and said “I felt like you were speaking directly to me…yet, you didn’t know me.” That video, led to a Tweet, to an email conversation, to face to face therapy. That’s an amazing story I think.

I continue to receive emails from those videos I shot, and I also continue to follow up on people’s progress who emailed me on Facebook about things they were going through.

We will continue to see social media as a catalyst to help get people into therapy–either face to face in person, or face to face online.

Being Accessible to Help
One of the things about being online, present on Twitter, Facebook or a blog is that you present the image of being accessible. I say present the image of being accessible because not everyone online is accessible. Continue Reading…

Depression: Discernment in Pastoral Caregiving

Discernment
As we talk and think about the issue of depression in ministry one of the most important factors that we have in helping us determine what exactly we are dealing with is discernment.

the quality of being able to grasp and comprehend what is obscure

Discerning what type of help a person needs can be tricky. Should they see a therapist? A psychiatrist? Both? Is a recommendation for meds necessary? Are we dealing with depression, melancholy, burning out, etc? Maybe it’s all, maybe it’s some, maybe it’s none. But the act of discernment is a process and often involves multiple people helping one through their difficult journey.

In the book Depression and Hope: New Insights for Pastoral Counseling (which I mention quite a bit, is a great resource, and which I will reference and quote from heavily in this post), Howard W. Stone says:

Depression disturbs one’s most important relationships; for melancholics this may mean family members or close friends. For the mystic or hermit monk, and indeed for all faithful Christians, that most important relationship is with God. When people feel the absence of God, when they doubt, when religious ritual and service lose meaning, their experiences are very similar to the symptoms of depression.

Pastoral caregivers listen in a certain way to the words of those who are disconsolate, a way that is distinct from other helping professionals. To clergy and other professionals in ministry, despair, suffering, struggle, and adversity are laden with spiritual import, because reflection on the experience of melancholy and spiritual desolation can bring depth and meaning to those who are trying to be faithful to the call of Christ (Stone, 21).

When dealing with issues of such vital importance, you can see why discernment is key.  In fact, I would say that it’s quite rare for most people entering into ministry to have a decent understanding of mental health issues and the role of the pastor in pastoral caregiving.

In his book Stone talks about four experiences that “compare strongly to depression: the dark night of the soul, ‘accidie’, desolations, and Martin Luther’s understanding of ‘Anfechtungen’”. Fascinating stuff! Let me just mention them briefly here:

Continue Reading…

LifeChurch.tv: Sharing Stories & Impacting the Kingdom

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I’m pretty much stating the obvious when I talk about the amazing ministry impact that LifeChurch.tv is having all around the world. So go ahead and say “Duh, Rhett!” But the reason I bring them up is not specifically the impact that they are having, but their ability to share the stories of life change with others on the web.

I see this as a huge encouragement not only to Christians who try and walk daily with Christ, but I also see it as a huge encouragement to those who are seeking. I think that the Church, and we as Christians have to do a better job of sharing our stories of what God has been doing in our lives and the communities we are a part of.

I also see this as a huge encouragement to those in ministry, whether on staff or in a volunteer position. I have found that ministry, and the job we perform is often based around metrics, usually numbers (i.e. attendance, tithe, retreat numbers, etc.), and I think there is a larger metric that is more difficult to measure, but more valuable…and that is the stories that are told about the work of redemption, grace, salvation, etc. in our lives. Often these stories go untold because there is no outlet…which is a shame.

I remember that the question I most often got on a Thursday morning in my 7 years as a college pastor (college group was Wednesday night) was, “How many college kids were there last night?” THAT’S IT! I kept thinking how about the question, “Tell me a story of how a kid’s life was changed last night?” Or “How is God working in the lives of the students in the college ministry?” Those can not be quantified in easy to grasp metrics and numbers.

I appreciate the online ministry team there at LifeChurch.tv. I count it as a blessing to be able to call Tony Steward a great friend, and I’m looking forward to getting to know Brandon Donaldson better, and still looking forward to meeting Terry Storch and the rest of the crew soon.

So check out some of the great stories that they have been sharing the last two weeks….

This is one of my favorites. Tony is getting interviewed by social media guru Chris Brogan at SXSW. Chris writes this in his blog,

Originally, I thought of LifeChurch.tv as a place to cater to those who couldn’t make it to church, like shut-ins and others who are physically infirm. Tony explained that it went far beyond that. Quite interesting, to say the least.

Tony didn’t miss a beat when Chris made cracks about people getting into church so their money could be taken, and by the end of the interview Chris is quite blown away. Way to represent Tony. And way to make Kingdom impact at SXSW.

Continue Reading…

Depression, Burnout & Ministry: Showing Hospitality

This is my 8th and final post in my series on Depression, Burnout & Ministry. There are lots of things I wish I would have written about in this series, and lots more that has been left unsaid. Hopefully this will be an ongoing topic because it is an issue that is so prevalent among us, but often ignored.

What I hope that these 8 posts accomplish is bringing to light the reality that depression is all around us, and it knows no boundaries. It does not matter if you are a Christian or non-Christian. It doesn’t matter if your spiritual life is going well, or not so well. It doesn’t matter if you are male or female, young or old. Depression is real and affects many, many people.

That being said, one of my hopes is that we interact with those suffering from depression in loving, compassionate and non-judgmental ways.

There are many ways to do this, but let me leave you with one idea: HOSPITALITY.

“One way to build upon people’s strengths is to show them hospitality. The counseling session needs to be a place where counselees are welcomed, encouraged, and complimented for what they are doing well, not where their past wrongs or present pathology is dredged up….Showing hospitality has for centuries been one of the vital tasks of pastoral care (Depression and Hope: New Insights for Pastoral Counseling, 61).

Just as a therapist welcomes, as well as provides an encouraging environment where one’s strengths and possibilities for the future are opened up, those in the Church need to do the same.

My hope is that one day those suffering from depression will not just seek the safety within the therapist’s walls, but will find a safety within the walls of the Church.

Questions:

  1. Do you know anyone right now who is suffering from depression?
  2. What can you do to come alongside of them and show hospitality?
  3. What might hospitality look like for someone in the context of depression?

Previous Posts in the Depression, Burnout & Ministry Series
Depression, Burnout & Ministry: Deciding to Get Honest About Our Journeys
Depression, Burnout & Ministry: Anne Jackson Interview, Part 1
Depression, Burnout & Ministry: Anne Jackson Interview, Part2
Depression, Burnout & Ministry: Assessment
Depression, Burnout & Ministry: Christians and Medications
Depression, Burnout & Ministry: Discernment in Pastoral Caregiving
Depression, Burnout & Ministry: Soren Kierkegaard on Actuality, Freedom and Possibility

Disclaimer: This blog post is not to be a substitute for professional help or advice. Please consider seeking out professional help if you consider yourself to be at risk for depression.

Depression, Burnout & Ministry: Christians and Medications

Credit: depressionofspirits.com

“you may have questions about whether Christians should take this or that. You get in that state, I assure you, you will take rat dung.” Pastor Tommy Nelson

Why the Stigma?
Let me start this post by saying this. When it comes to the issue of taking medication for depression…there are some Christians who believe in it, and those that do not.

I believe in them. And I’m not trying to convince you otherwise. That will require circumstances, experiences convincing beyond my control.

I have worked long enough in the ministry and therapeutic setting to see the amazing and beneficial results that they have had in the lives of the co-workers, students and clients that I have journeyed through life with.

I believe God has given scientists/doctors/researchers amazing minds to create some medications that can help.

As one friend says, “If someone is diabetic, they are going to take insulin…aren’t they?”

Or I tell my friends, “If you have a heart condition, you are going to the cardiologist, right?”

So what’s the stigma around mental health and medications in the Christian life? I’m not completely sure. There is some disconnect it seems. Or rather than disconnect, there is some inconsistency in how we pick and choose what areas of our lives we seek help on, and what areas we think we should be able to pick ourselves up by our own bootstraps.

Continue Reading…

Thanks Bel Air for a Great 7 Years…

It was about six months ago when I announced my resignation to the staff and students at Bel Air Presbyterian Church and The Quest, and now the day has finally arrived. I’m sitting at my desk for the last time as the college director and it’s a bittersweet feeling. I’m super excited about the next step in the journey for my family and I, but I am also leaving behind a lot of great friendships, and a work place that was as much family as it was co-workers.

So I just want to thank all the students and staff who have really made an impact on my life the last seven years. The students I came across where as much an influence in my life as I was in theirs, and I’m thankful for that.

My family and I are preparing for a move to Dallas, TX (hopefully by mid-summer; I know, bad time to leave the beaches and head to TX), and we are excited about the new opportunities that await us. It’s definitely a new adventure for us, and we are particularly happy about moving closer to family, as well as living in a more affordable city that will helpfully allow us to keep our priorities organized, work schedules, etc. in a manner that keeps family first.

As some of you know I will be working full-time at the Pastoral Counseling Education Center in Dallas, pursuing my state licensure for Marriage and Family Therapy, which is something I have been wanting to do for a while. I love the intersection of marriage, family, theology, pastoral counseling, etc, and this should be a good place to do that.

I will also be working at a church part-time in Dallas, working in the area of social media and ministry, which is something I am super, super excited about. I will fill you in on more details about this later as my job description gets cemented.

And last, I hope to continue to connect with a lot of ministry tech people out there which I have already been doing, because I’m passionate about the blend of new social technology in the Church. And Dallas seems to be a great place to do this.

Please keep us in your prayers during this time. And I hope that before we leave town we can get together and hang out.