Association of Certified Biblical Counselors and Southern Baptist Theological Seminary: People With Delusions May Be Faking It and Christians With Schizophrenia Are Probably Not Christians!

Bruce McCandless -NASA

Dedicated to ACBC and SBTS: “Some people say I’m unique, that there aren’t other people with Schizophrenia like me. Well, there are people like me out there, but the stigma is so great that they don’t come forward”. Elyn Saks


I needed to take a break today, and this is a post I wrote in 2021. I have some interesting posts planned for the next couple of weeks.


TWW posts on ACBC

Trigger warning for those who suffer mental illness or for those who love them.

Over the past week, Julie’s story has been getting much attention and will get even more next week. The part of her story that concerned me was the obvious lack of training inherent in the ACBC system. I have been discussing this for several years now, but nothing has demonstrated it any better than Julie’s experience. Today, I want to delve into ACBC a bit more. I will finish off this post with a look at how they view Schizophrenia. Let me warn those of you who have struggled with this disorder/disease or any of the other similar infirmities that this post will most likely trigger you. Not because of what I believe, but because of what ACBC (Association of *Certified* Biblical Counselors) or what is taught during the counseling degree process at Southern Baptist Theological Seminary. Yes, this stuff is floating around the Southern Baptist crowd, and it is disturbing, to say the least. I’ll show you.

Before we begin, let me reassure those of you who struggle. You will find acceptance and understanding at TWW. Yes, there will be a few *certified* biblical counselors who may try to explain their nonsense. Their views are outside the mainstream and are founded on a bunch of presuppositions about what the Bible says. I believe that they are wrong, unbiblical, and in many instances, they can be dangerous.

The history and current-day affiliations between ACBC and SBTS

If you were to consider receiving a Masters of Arts in *Biblical Counseling* (as it is called by SBTS,) you would find that the ACBC teachings are recommended during your course of study.

What you would not be told, at this point, is that the so-called *certification* by ACBC is not recognized by any professional organization outside of a particular church that may allow one to counsel or some *biblical counseling* groups that will allow you to practice without a license. But beware. Read Julie’s story listed above.

Heath Lambert is arguably the most significant person in bringing ACBC to the forefront and, in particular, in linking it to SBTS. If one were to look at Lambert’s training, one would find that he has only received training in theological studies. He has NO medical/psychological training whatsoever.

Heath earned a bachelor of arts (B.A.) in biblical and theological studies and political science from Gordon College in 2002, a master of divinity (M.Div.) in Christian Ministry from Southern Seminary in 2005, and a doctorate (Ph.D.) in biblical counseling and systematic theology from Southern Seminary in 2009.

In 2016, he ditched his gig at ACBC, as well as his professorship at SBTS, to become a senior pastor of the rather infamous FBC Jacksonville.

ACBC rejects psychology in any form.

I have written extensively on ACBC’s training of counselors (*see list at the top of the post). Today I took a look at their membership covenant which clearly expresses the disdain of this group for the study of psychology. What is particularly disturbing about this statement is that they appear to lump in all of their Christian brothers and sisters, who study and practice psychology, in with unbelievers!! There appears to be no case for Christians in this field if ACBC is to be believed.

In order to be a *certified*counselor with this group, one must affirm this entire covenant to be true.

We deny that the findings of secular psychology make any essential contribution to biblical counseling.

God’s goodness allows that secular psychology may provide accurate research and make observations that are helpful in understanding counseling issues. Because unbelievers suppress the truth of God in unrighteousness the efforts of secular psychology at interpreting these observations lead to misunderstanding. Because their observations are distorted by a secular apprehension of life their efforts at counseling ministry will be in competition with biblical counseling. They cannot be integrated with the faith once for all delivered to the saints.

In order to be a *certified*counselor with this group, one must affirm this to be true.

Medicine, the mind and ACBC

For those of you who like to read really confusing, poorly explained, and medically insufficient material when it comes to counseling problems, I have no better example than the one on the ACBC website titled Mental Illness and Medicine. Do you know why the specialty of psychiatry exists? Psychiatrists have completed and passed the boards for an MD. Then, they spend one year in an internal medicine or family practice residency to understand how diseases manifest themselves in clinical settings. Then they proceed to their 3-4 years of psychiatry residency training, sometimes adding on more years to subspecialize. Psychiatrists are trained to understand the physical, chemical, and biological aspects of mental health. They also understand what is clearly a psychological process without any biological components. Do you see any similar rigorous training by the leaders of ACBC or SBTS seminary?

Given this, how does a person who is poorly trained in counseling (see the above post on the training process for ACBC counselors) make the following decisions found under the above-linked Mental Illness and Medicine?

Biblical counselors shall encourage the use of physical examinations and testing by physicians for diagnosis of medical problems, the treatment of these problems, and the relief  of symptoms, which might cause, contribute to, or complicate counseling issues.

Biblical counselors shall be committed to counseling those with medical problems, but should not attempt to practice medicine without the formal qualifications and licensing to do so. When they have questions or concerns of a medical nature they should refer their counselee to a competent medical professional for diagnosis and treatment.

How do they know what is and is not a medical problem? How do they even know how to ask the question? Even more difficult, how do they know if the physician is practicing *biblical counseling malpractice* by diagnosing something that is a *no-no* in ACBC’s rather bizarre spiritual world? I don’t think they can, and I think these counselors can be quite dangerous when confronted by difficult situations. For example, how do they know the difference between real postpartum depression, which has a physiological component, postpartum psychosis, which is an emergency, and simple * baby blues?*  Then, let’s say the consulted (if they had enough knowledge to do so which they don’t) OB/GYN has concerns, refers the patient to psychiatry to figure out what meds might work for a rapidly developing psychosis and the patient returns with meds and followup with a trained psychiatrist? Does the ill-trained counselor tell the patient to stop the meds, ignore psychiatry and *buck up?*

The best example comes from ACBC’s view of Biblical intervention for Schizophrenia.

This posting on the ACBC website on January 19, 2021, was a gift to all of us. Biblical Answers for Schizophrenia: Is Schizophrenia a biological or a spiritual issue?

Whenever you read a paper or a posting, always check to see the background of the person who is being held up as an expert.

The experts:

John Street:

John is a professor of biblical counseling at The Master’s University and Seminary, and he serves as the chairman of the Masters of Arts in Biblical Counseling program. Prior to coming to this program, he taught at Cedarville and Cornerstone Universities. John also served as a pastor for 22 years, and as a church-planter in Ohio. He completed seminary at Grand Rapids Baptist Seminary, and earned his doctoral degree from Westminster Theological Seminary in Philadelphia, Pennsylvania. Currently, he is an elder at Grace Church and serves as co-pastor of the Joint Heirs fellowship group.

He has NO medical background. Remember that.

Dale Johnson:

 Southeastern Baptist Theological Seminary where he graduated with a Master of Divinity in 2005. For seven years after seminary, he served as Associate Pastor of Family Life at Raiford Road Church in his hometown of Macclenny, FL. After a call from God to pursue post-graduate work, he completed the Ph.D. in Biblical Counseling from Southwestern Seminary in 2014, while serving in the Biblical Counseling Department of the Terry School of Church and Family Ministries until coming to Midwestern Seminary in January 2019.

Johnson also serves as the Executive Director of the Association of Certified Biblical Counselors,

Again, NO medical background whatsoever.

Folks, we are dealing with individuals who are unfamiliar with the medical field, making judgments about who needs medical attention and who does not. And that should worry you. So, should you go to these folks when you are experiencing schizophrenic symptoms? Even worse, should you go to one of their certified counselors in your local church, who has gone through what I believe to be a substandard training program?

Take a look at what they say in this article on Schizophrenia.

We’ve got to take seriously what happens in the body, and we’ve got to make sure that there are no physiological problems masquerading as a kind of spiritual problem. That’s going to be critical for a good biblical counselor to do and to check out.

Later in the segment:

The first one is we have to make sure that we are ruling out organic issues that are there. That is consistent with biblical counseling in our history.

I disagree. There is no way that a biblical counselor in the community trained by ACBC as a weekend warrior counselor is in any position to consistently spot or realize that someone has a physiological problem requiring the need for MD intervention. The problem is that they are not trained to know when someone is ill. As a trained nurse, I was involved in home health nursing. I was often called into situations in the home that I found confusing. It is only through the training that I received that I was able to spot the subtleties. These *certified* counselors don’t have what is needed.

Let’s look at what these biblical experts have to say about Schizophrenia and compare it to medical experts. Are the Biblical experts telling us the truth?

Do psychiatrists/psychologists claim that Schizophrenia is only a physical disease?

ACBC

I think we have to be very careful about professionals who want to label this only as a physical disease.

Medical experts:

Look what the NIH/NIMH has to say on the subject of Schizophrenia. The people in these institutions have far more training than Johnson and Street. Not only do they understand the potential physical causes and the need for medication, but they also recognize the need for psychosocial and family intervention.

Is there a problem with the disease diagnosis?

ACBC

When you label it a disease, then you begin to believe that change is possible only through some kind of drug regimen.

Medical experts

Take alcohol use disorder (aka alcoholism). According to the National Institute of Alcohol Abuse and Alcoholism, a person most likely needs medication while going through withdrawal in order to prevent seizures and other issues. There are a couple of medications that are helpful in reducing the urge to drink. However, it is well known that long-term counseling and psychosocial support groups are needed in the aftermath of withdrawal.

Delusions: It is in this area that we begin to see the breakdown of the lack of medical training.

ACBC:

the biblical view of delusion is that it is a highly desirable false view of reality that people have allowed themselves to believe and if maintained it will eventually end in madness.

Medical experts

From the NIH-Understanding Delusions:

  • A delusion is a belief that is clearly false and that indicates an abnormality in the affectced person’s content of thought. The false belief is not accounted for by the person’s cultural or religious background or his or her level of intelligence. The key feature of a delusion is the degree to which the person is convinced that the belief is true.
  • Delusions can be difficult to distinguish from overvalued ideas, which are unreasonable ideas that a person holds, but the affected person has at least some level of doubt as to its truthfulness. A person with a delusion is absolutely convinced that the delusion is real.
  • The last decade has witnessed a particular intensification of research on delusions, with cognitive neuroscience-based approaches providing increasingly useful and testable frameworks from which to construct a better understanding of how cognitive and neural systems are involved.

Our understanding has increased to the extent that soon:

Taking this translational approach will enhance our understanding of psychotic symptoms and may move us closer to the consilience between the biology and phenomenology of delusions.

Which of these two makes more sense: ACBC or the intensive study ongoing by extensively trained medical experts?

When it gets tough to know what to do, tell the counselees that you know they’re faking their delusions!!!!

Unfortunately, when the going gets tough, biblical pastors and counselors can often appeal to the time when David feigned madness. In fact, biblical counselors take it lots further.

ACBC

Fearful expectations can cause a person to deceitfully impersonate delusional madness. I mean, we can see this in first Samuel 21 with David. David feigned that he was mad. And why did he do it? Because fear was ruling and dominating his life for a time. Or Scripture tells us that sustained oppression, life crisis situations, and disobedience to the truth will often result in mental impairment.

…The Bible also tells us that a mentally unstable person can be seen in disorganized and sometimes very harmful personal behavior, so we have to take that into account as well.

So, if a weekend warrior biblical counselor can rule out psychosis from neurosyphilis and the like (read the article), then the counselee is probably faking it!!!! This is dangerous and continues to convince me that ACBC counseling is poorly conceived by people without sufficient training to understand just how much they don’t know.

It gets worse. Did you know that, according to ACBC, most schizophrenics are not even Christians, even if they think they are?!!

And isn’t this the perfect excuse for charlatans? They claim that a person isn’t saved so they can blow off the pain and suffering that a counselee is experiencing is due to the fact that they are not Christians.

The other issue is as a biblical counselor you’ve got to begin with the gospel. You really do because that’s the most loving thing that can be done, and it’s the most hopeful thing that can be done. You begin with a gospel, no matter how well you think you know the person that you’re counseling. Because the overwhelming number of schizophrenics may say that they’re Christian, but they are really not believers. God’s Word must determine their view of reality—not their voices or not what they see in their visions.

This line of reasoning is as despicable as it is unproven. Careful research in this area is sadly lacking, and judgmentalism is overwhelming. I have a family member who clung to the Gospel during her delusions and diagnosis. Yet, ACBC claims and SBTS support that, even if she thought she was a Christian, she probably wasn’t. It must be nice being able to ghostwrite for the Book of Life. Here is one person who agrees with me.

Final Thoughts:

  • ACBC’s untrained counselors in churches should be able to determine when something is of physiological origin and consult physicians. I say they can’t. They don’t have the training.
  • ACBC, and by extension, SBTS, make claims about the beliefs of psychiatrists and psychologists that are easily refuted if one believes that the NIH knows more than ACBC.
  • The leaders in ACBC/SBTS have no medical training. They are biblicists.
  • According to ACBC/SBTS, delusions and madness are often faked. The Bible tells us so.
  • According to ACBC/SBTS, most schizophrenics are not Christians. In my opinion, people with mental illness should never receive counseling from ACBC or anyone who graduated from SBTS in the counseling program.
  • Do the leaders in the SBC know what SBTS and ACBC are saying and doing?
  • Is the SBC prepared to announce that anyone with Schizophrenia is probably not a Christian?

Let me leave you with a thought submitted by a clinical psychologist (Ph.D.) who is involved in medication trials.

While our current science quite honesty leaves much for our continued research as to the etiology and most effective treatment for many/most of these disorders, the reduction to “sin” is objectionable on numerous grounds. iIhave often wondered (and occasionally expressed) as to the frequency of medication use by these same pastors for disorders like hypertension, type 2 diabetes, weight loss and the like (valid medical conditions with effective treatments) when “sinful” choices related to eating, exercise, and the like may have in fact caused or contributed to those conditions as well. This kind of hypocrisy is all to rampant in the church, as you have documented for years. Psychiatric disorders are complex, multifactorial, and usually impossible to explain easily.

I laughed so hard that coffee got all over my screen.

On Monday, I will demonstrate how the ACBC leaders will throw their counselors under the bus. I have proof, and it ain’t pretty. Update: link and link.


Comments

Association of Certified Biblical Counselors and Southern Baptist Theological Seminary: People With Delusions May Be Faking It and Christians With Schizophrenia Are Probably Not Christians! — 49 Comments

  1. A neighbor, who lived about 1/4 mile down our dead-end road from us, passed away about a month ago. He was a paranoid schizophrenic. Primary cause of death: severe malnutrition. Over the ten years he lived here, we watched him grow more and more paranoid, more and more distant, more and more suspicious……. He had already distanced himself from his family when he moved here.
    He had no electricity….. people spied and gathered info through the electric wires….. he blocked certain things on his cell phone so aliens couldn’t track him……. he refused to take medication….. that was just the beginning, when he first moved here. He grew worse over time.
    I would have loved to see an ACBC counselor try to work a miracle with him.

    I have also had students in some of my classes I would like to see one of them counsel: students with severe ADHD, epilepsy, and autism for starters.

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  2. Ted:
    There are several absolute statements in that covenant, which appear to erect a wall of separation between “secular psychology” and biblical counseling.ACBC has built a system that allows for little, if any, dialogue.

    Does anyone else notice this is exactly like Scientology?
    Just substitute “Auditing” for “Biblical Counseling” and add a Hubbard E-Meter.

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  3. I have bipolar.

    It went untreated for over 10 years, because my devoutly religious parents did not believe in hippy nonsense like psychology or mental health. Having a less-than-perfect child might disrupt their standing as pillars of their church and community.

    I lived a good portion of my life thinking I was lazy, irresponsible, and selfishly squandering God’s gifts. Every day, for over a decade, I beat myself up for being a horrible person.

    After I was diagnosed in my late 20s, I spent several years on medication and learning Cognitive Behavioral Therapy to recognize and minimize the effects of the depressive and manic periods.

    Since then, I have been happily married for 25 years, with three great daughters, and built a side hustle (while being the primary caregiver for our daughters) into a successful business. The depressive and manic episodes still occur, but by knowing what to expect and how to manage them, we have been able to prevent them from having any long-term negative effects.

    My oldest daughter was able to recognize an oncoming cycle before anyone else. As a young girl, she would proudly announce, “Daddy is going cattywampus!” 🙂
    —-
    The irony of the situation is that about five years ago, at a family Christmas, one of my nieces was asking her cousin, my daughter, what bipolar was. My sister, an MD, exploded in rage, saying that there was no such thing as mental illness, “It was just God punishing bad people for their sins.”

    Mental illness still has a very negative stigma in many religious communities.

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  4. davewis: My sister, an MD, exploded in rage, saying that there was no such thing as mental illness, “It was just God punishing bad people for their sins.”

    Which begs the question:
    DOES GOD HAVE ANY REASON FOR EXISTING OTHER THAN TO PUNISH! PUNISH! PUNISH! ?
    WOULDN’T THIS ATTITUDE IN ANYONE ELSE BE HEAVY-DUTY ABUSIVE?

    And doesn’t this kind of God make Satan into the greatest Hero of All Time because he dares to stand up to such a Cosmic Abuser?

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  5. davewis: I have bipolar.

    It went untreated for over 10 years, because my devoutly religious parents did not believe in hippy nonsense like psychology or mental health. Having a less-than-perfect child might disrupt their standing as pillars of their church and community.

    Having to be Perfect All The Time alone is a recipe for burnlut, meltdown,or suicide. And when you add the depresso episodes to that…

    I would not be surprised if the only reason you came out of those 10+ years alive was Fear of Hell keeping your from Suicide. And that just puts you between two Destructions with no way out.

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  6. Headless Unicorn Guy: Satan into the greatest Hero of All Time because he dares to stand up to such a Cosmic Abuser?

    Some believe that the snake in the Garden represents great evil.

    On the other hand:
    “Snakes, particularly the ouroboros (a snake eating its own tail), often represent wisdom, transformation, and the cyclical nature of existence. The ouroboros, in Gnostic thought, can symbolize the unity of all things, eternity, and the cyclical process of death and rebirth. Some Gnostic sects, like the Ophites, even revered the serpent as a symbol of knowledge and liberation from the material world.”

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  7. Muff Potter,

    It appears to me that States do not regulate religious counseling. Insurers won’t pay for it unless the counselor has state licensure in a recognized counseling method.

    If you wanted to regulate it, it might be possible to criminalize the taking of payment for counseling by unlicensed counselors, but that would still permit no-fee counseling (IIRC, Dee has reported cases of churches with ACBC-trained counselor employees offering no-cost counseling, but without confidentiality protections (so that the counselee’s words could be used in church discipline proceedings)).

    I think it’s going to be hard to forbid ‘pastoral counseling,’ but one could wish for higher standards. Not sure how to achieve that in US unregulated-religion context.

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  8. Headless Unicorn Guy: I would not be surprised if the only reason you came out of those 10+ years alive was Fear of Hell keeping your from Suicide.

    I was injured in the Army. 70% disability rating. As a result, my transition from the military to civilian life was bumpy. For several months, I was seeing physical and mental therapists multiple times a week.

    It was during this period that someone said, “Hey, this looks more like rapid cycle bipolar than PTSD.” Within weeks, my life took a 180-degree turn.

    I mentioned in an earlier post that through college, I worked as a peer counselor at the VA…. For the next four years, I ended up working under a grant supervised by the same psychiatrist who correctly diagnosed me, got me started on the right medications, and connected me with a psychologist who was well-known for his success with CBT.

    I met my wife when she was a third-year med student, assigned to observe the group sessions I was leading. So, while there were some detours along the way, things worked out pretty well 🙂

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  9. A few thoughts re:

    > ACBC:

    the biblical view of delusion is that it is a highly desirable false view of reality that people have allowed themselves to believe and if maintained it will eventually end in madness.

    —————–

    Me thinks there might be a teeny bit of “projection” at this point. The “sufficiency of Scripture” for all of “life and Godliness” crowd is, from its standpoint, engaged in a jurisdictional battle with the secular mental health establishment. It may be a highly desirable view, from their standpoint, to minimize organic influences in behavioral disorders. (This is not to say that I think the secular mental health establishment has all the answers; my perception is that people are still in many ways deeply mysterious, and the current state of approved therapies is a work in process.)

    I am increasingly of the view that a widespread delusion in the churches is that “I understand this ancient text well enough to confidently make decisions based on it.” It seems to me that, granting the premises of the theologians, the diversity of theologies is profoundly puzzling. Humility is in order.

    And it occurs to me that “humility” is not included among the Galatians 5:22 “fruits of the Spirit.” Probably it ought to precede them all, but I think that in practice, it is something that one begins to gain only after painful experience of failure.

    I think one can see hints of a lack of humility in the ACBC certification requirement of only 50 sessions (presumably on order of 50 hours) of supervised counseling. That strikes me as a grievous deprecation of the importance of case-wisdom and a hint of excessive confidence in the soundness of their theory. State licensure in secular counseling methodology requires multiple thousands of hours of supervised counseling.

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  10. Samuel Conner: Me thinks there might be a teeny bit of “projection” at this point.

    To say the least. Today it might seem hard to imagine how Christians could ever have opposed the idea of a spherical earth, or that the earth actually revolves around the sun. The persecution of Galileo by the Catholic church feels like something that could only have happened in medieval times.

    But statements like the ones from ACBC make it clear that delusional & primitive thinking is alive & well in the 21st century. They make it easy to imagine what it might have been like to live in a different time. Their use of proof texts for their bizarre take on mental illness is just as bad as taking ‘the earth is fixed and cannot be moved’ as the final word on modern astronomy.

    What makes ACBC’s views more harmful IMO is their misleading use of the term ‘counselling’ for what they offer. This means many vulnerable & hurting people, some with medical conditions, will come looking for help & get the opposite.

    As a relative of someone with a mental illness who is a Christian, I can say that this type of ‘counselling’ would likely lead to a serious episode of self harm. I hope it doesn’t take a tragedy to stop them from practicing incompetent & unlicensed medicine on people who are already suffering enough.

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  11. Max: dee,

    Of course Heath Lambert is a stealth Calvinist! He is a Mohlerite, Grudem groupie, and a prominent leader of the New Calvinist movement … their modus operandi is stealth and deception. He is one of the slickest of the bunch.

    This group, Mohler and his disciples, use Calvinism as a cover to advance their own agenda of control under the guise of “superior theology”. If a different theological system loaned them the tools they needed to accomplish their plans, I believe they would abandon “Calvinism” without a second thought.

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  12. Burwell Stark: This group, Mohler and his disciples, use Calvinism as a cover to advance their own agenda of control under the guise of “superior theology”. If a different theological system loaned them the tools they needed to accomplish their plans, I believe they would abandon “Calvinism” without a second thought.

    “The only goal of Power is POWER.”
    — Comrade O’Brian, Inner Party, Airstrip One, Oceania, Nineteen Eighty-Four

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  13. Burwell Stark: If a different theological system loaned them the tools they needed to accomplish their plans, I believe they would abandon “Calvinism” without a second thought.

    I can’t think of a theological system with more stealth and deception in their toolbox than New Calvinism. It’s the cult of choice these days among young evangelicals who are needed (used) to make the new reformation happen so the big boys can get the theo-political power they want. Jesus will have nothing to do with it.

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  14. Christie24: I hope it doesn’t take a tragedy to stop them from practicing incompetent & unlicensed medicine on people who are already suffering enough.

    An unarticulated thought in my prior comments was that it might take a critical mass of bad experiences to produce some kind of backlash that leads to higher standards within the BC movement. To lift a deplorable episode out of the history of psychiatry as an example, prefrontal lobotomy was an accepted form of therapy for a while before being abandoned as bad practice.

    Something that I think BC might be able to offer mainstream psychology is … a contrary but valid vision of what “human function” ought to be — love of God and love of neighbor. For obvious reasons, secular approaches to counseling leave part of this out. Unfortunately, it’s not clear to me that the churches are doing a great job of forming this even in people who don’t seem to need therapy. Something is missing, IMO.

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  15. Max: It’s the cult of choice these days among young evangelicals who are needed (used) to make the new reformation happen so the big boys can get the theo-political power they want.

    An old school, former-DOM friend of mine once told me several years ago that he thought many of the young SBC leaders were embracing “Reformed theology” because it let them drink alcohol and smoke cigars.

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  16. Samuel Conner,

    50 hours….. just 6.25 standard work days to learn how to “diagnose” and “heal” mental diseases. Most of what we call “mental diseases or “disorders” are caused by chemical imbalances, genetic disorders, environmental toxins, etc.

    If ACBC counselors (ahem, with 6 days of “training”) can diagnose and heal illnesses/disorders like schizophrenia, why can’t they heal people with muscular dystrophy, Down’s syndrome, ……. even cast out kidney stones and cure diabetes???

    (6 days….. …. hair stylists and Class B truck drivers have to go through much more training than that! That’s worse than me being issued a Class A CDL for watching 5 minute video on how to drive an 18-wheeler. Man, oh man. These people need to get their own heads examined!)

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  17. Samuel Conner: Something that I think BC might be able to offer mainstream psychology is … a contrary but valid vision of what “human function” ought to be — love of God and love of neighbor. For obvious reasons, secular approaches to counseling leave part of this out.

    All of the secular psychology I’ve been taught has been based on love. Just not the love of God (who in the Old Testament at least is something of a failure at love.)

    “Sigmund Freud famously stated that love and work are the cornerstones of our humanness, emphasizing their crucial role in a fulfilling life. He believed that the ability to both love and work productively were key indicators of mental health and overall well-being. For Freud, love encompassed various forms of interpersonal connection, including family, friendships, and romantic relationships, while work represented engagement in meaningful activity.”

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  18. or that the earth actually revolves around the sun.
    Christie24,

    Joshua 10:13:
    And the sun stood still, and the moon stayed, until the people had avenged themselves upon their enemies. Is not this written in the book of Jasher? So the sun stood still in the midst of heaven, and hasted not to go down about a whole day.

    https://www.sbc.net/resource-library/resolutions/on-biblical-scholarship-and-the-doctrine-of-inerrancy/
    WHEREAS, Southern Baptists have affirmed historically and consistently our unshakeable belief that the Bible in its entirety has “truth, without any mixture of error, for its matter,” and is therefore “totally true and trustworthy” (The Baptist Faith and Message, Article I

    The Bible almost flat out says that the sun revolves around the earth, so why don’t should preach it from the pulpits?!!!…….. and see what happens!!!

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  19. Nancy2(aka Kevlar),

    That’s the supervised counseling aspect of the ACBC certification requirements. There are other requirements — classwork to learn the theory, exams to demonstrate that one has absorbed the theory, etc. Here’s the list:

    https://biblicalcounseling.com/training/certification/?srsltid=AfmBOoreg5vdY1KR5gP2xIjINj0Hy-Dzkqjx5nxaRDv0GRPpJ5-QxYsG

    My point was that even if the theoretical training were sound, such a short period of supervision is inadequate to develop a meaningful amount of individual case-wisdom. I’m guessing that the reason this requirement is set so low is that ACBC certification doesn’t equate to state licensure (which is needed for insurance billing), and it was considered too great a burden to ask would-be BC-style counselors to do that level of supervised counseling AND the work required for state licensure.

    Some of the BC training programs “out there” may be respectable; doubtless opinions will very. Westminster Theological Seminary, East has (or had, back when I was paying closer attention) a M.Div with Counseling Emphasis program that requires 4 years to complete — the entire 3-year regular M. Div program plus 30+ hours of “Practical Theology, Counseling” classes. Back in the mid-90s to 2010 timeframe, I took some of these classes through CCEF’s layperson’s extension, and found them helpful. I know nothing about other programs, such as the one at SBTS.

    Sandy,

    A question that is worth asking is, “if the consensus Christian understanding of the reality of God and the human predicament is valid, does that have implications for counseling or mental health therapy?”

    BC advocates think it has significant implications. One can disagree with their premises (perhaps the consensus Christian understanding of “the reality of God and the human predicament” is mistaken), but if one grants the premises, one can appreciate why they might consider secular approaches to mental health to be missing something important.

    I would like to see “money where mouth is” and published research on the efficacy of BC methods. Perhaps a biblically informed understanding of human nature (opinions will vary on what that would be) can improve counseling outcomes in some or perhaps even many cases. Regulate the practice, impose strict standards on the practitioners. Become a “normal” sub-profession of the mental health world.

    I would think that the advocates of the BC approach to mental health therapy would welcome opportunity to demonstrate the efficacy of their methods.

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  20. While I do have significant issues with the way some churches and their member deal with mental health issues, I would encourage more care in nomenclature and vocabulary.

    This is a complicated issue because many people use terminology interchangeably. The field is primarily regulated at the state level, and different states use varying standards, criteria, and terminology for various mental health care professionals.

    As a layperson, I regularly work with and refer people to five different classes of mental health professionals. Each class has its strengths and weaknesses: psychologist, psychiatrist, therapist, counselor, and social worker.

    1. Psychologist. They typically hold a doctoral degree (PhD or PsyD) in psychology, complete a period of supervised practice, pass an exam, and then receive a license. They tend to focus on understanding, diagnosing, and treating the behavioral and cognitive sides of mental health issues.

    2. Psychiatrist. They are medical doctors (MDs) who have undergone standard medical training and then specialized in psychiatry, which involves understanding, diagnosing, and treating the medical issues underlying mental health issues.

    3. Therapist. A therapist is a broader term. Education can vary from undergraduate to PhD, depending on the level of care and specialization provided. In most states, they generally require a period of supervised practice. They are licensed by the state in which they practice.

    4. Counselor. Counselors are the wild west of Mental health professionals. There are dozens, if not hundreds, of organizations that accredit counselors. Education can vary from an Associate’s degree (or a few ad hoc credits) to a PhD. Some are very good, and some are not.

    5. Social Workers. If you work with government agencies or at risk individuals it is common to encounter social workers. They tend to do ‘in situ’ assessments, risk assessments, and coordinate and monitor care. Education varies from undergrad to Phd. They are typically licensed by the state.

    A counselor is not necessarily worse than a psychologist or psychiatrist… if that counselor is acting within their area of competence. The problem arises when someone attempts to operate outside their area of expertise. The old adage, “If your only tool is a hammer, everything looks like a nail,” applies.

    An effective mental health care system depends on each of these different classes of professionals performing their specific jobs effectively. They must be willing and able to refer patients to other experts for additional diagnosis, treatment, and care.

    —-

    Funding is not always straightforward. Depending on the insurer or government entity paying for the service, payment can be complicated.

    Some insurance plans cover certain types of counseling or therapy directly, while others do not. In some cases (possibly many cases, this is outside my area of expertise), insurance will cover counseling if a psychologist, psychiatrist, primary care provider, or social worker recommends it and the counselor is on the approved provider list.

    This is a useful article at https://www.verywellhealth.com/counselor-vs-therapist-5220991 that might do a better job of describing the various different roles than I can.

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  21. Samuel Conner,

    “Not sure how to achieve that in US unregulated-religion contexts.”

    Yes, in the relation to “religious freedom” this is a significant problem that gives licence, pardon the pun, for anyone to open a religious, health & wealth shop-ministry where often those who run the shop-ministry endeavour to consciously or unconsciously attend to their own inner needs and aspirations before that of “clients.” Talk about poor self-awareness.

    Also find it strange when religious people push back or cherry-pick with empirical studies related to psychology, and for that matter other studies on human thinking and collective behaviour such as sociology, yet will freely go about their lives and making decisions each day based on social norms, personal experiences, bodies of evidence and drawn conclusions.
    Lastly, there are professionals within mental health who though
    not people of faith themselves, will respectfully utilise the positive aspects of a persons faith or faith heritage for the purpose of bringing about solace and levels of functioning well-being. Remedial, preventive, life enhancement.

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  22. davewis: A counselor is not necessarily worse than a psychologist or psychiatrist… if that counselor is acting within their area of competence. The problem arises when someone attempts to operate outside their area of expertise. The old adage, “If your only tool is a hammer, everything looks like a nail,” applies.

    An effective mental health care system depends on each of these different classes of professionals performing their specific jobs effectively. They must be willing and able to refer patients to other experts for additional diagnosis, treatment, and care.

    Good point. To be fair, most of the things that could go wrong with BC would fall into the area of ‘counselling without a licence’. However IMO their approach to mental illness could be seen as providing advice on psychological or medical issues, which might lead to questions of liability if someone was injured/harmed as a result. It’s surprising this doesn’t seem to have happened already.

    Also ACBC seem really out of touch with how the medical field works. Many people with mental illness get diagnosed & treated through a long process of multiple doctor visits, rounds of testing, specialist referrals, & trialling different combinations of medications & other treatments. It seems naive to assume the counsellee can just visit their doctor once & have them rule out all non-spiritual issues.

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  23. CLC only did biblical counseling and I personally knew one person with severe mental illness that was more messed up by that, but thankfully left the church. After at least one suicide, the church had to rethink their position on it, and I heard they had counselors coming to the church that weren’t your standard biblical counselors.

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  24. Christie24: It seems naive to assume the counsellee can just visit their doctor once & have them rule out all non-spiritual issues.

    An interesting thought experiment is “how would the churches react to an emergent widespread medical problem that resulted in impairment of brain function?” Evidence thus far suggests to me that they would, for the most part, ignore the medical issues (perhaps because the most effective preventive interventions might impair cash flow). I suppose that we will discover whether preaching and in-church counseling is an adequate compensation for things like “impaired executive function.”

    Here’s a survey of literature, limited to reviews (the underlying body of research is much larger)

    https://pubmed.ncbi.nlm.nih.gov/?term=COVID+executive+function++review

    (and yes, this is a tendentious comment, an appeal to readers to take measures to delay their next CV infection.)

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  25. Dee, thank you for this deep dive. Currently, my brother remains hospitalized since December with schizophrenia (Sz), catatonia, sepsis, pneumonia, and other medical conditions. But the Sz exacerbates everything because it causes him to to refuse treatment, i.e., meds, tests, IVs, etc. He’s on a feeding tube and oxygen. He desperately needs to be stabilized medically so he can start ECT because none of the drugs have worked.

    My brother has been a Christian his whole life.
    No one can tell me that Sz isn’t biological. For someone to call themselves a “counselor” and say that Sz is from sin, or that people with Sz aren’t Christians, is from the pit of hell. It is grounds for malpractice.

    Could you imagine a mom with postpartum depression being told it was her sin and then killing her child because her “counselor” didn’t believe in recommending psychiatric treatment?

    I wish the terms “counselor” and “therapist” and such were legally regulated so they couldn’t be used unless you are state licensed. For God’s sake, don’t we do that for other professions?

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  26. Unfortunately, I expect this problem to become worse before it gets better. I use the term ‘insularity’ when I think about this issue.

    Insularity is defined as — The quality of only being interested in your own group and not being willing to accept different or foreign ideas.

    Within the US, we are increasingly separating (bifurcating) ourselves into various groups based on our cultural, political, and religious beliefs. There is a growing distrust of anyone outside of one’s own group. It is becoming fairly common in my area for people NOT to have any meaningful relationships with anyone outside of their church.

    As such, people tend to seek out mental health care from within their own group.

    Unfortunately, within these groups, the individuals with the loudest voices often act in their own best interest rather than the best interest of the group as a whole.

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  27. I feel like we need to be sure to make some serious distinctions in the field of psychology and therapy because the latest trend is some state boards care very little about the worldview of the therapist where you have therapists supporting things like open marriages. Neuropsychology and development psychology are very legitimate fields that get ignored by both extremes.

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