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Do You Trust God

“Do you trust God?” the visiting speaker asked, “raise your hand if you do.”

We lifted hands enthusiastically.

“Of all those who just rose your hands, raise your hand again if you have house insurance,” he said.

Many members of the congregation lifted their hand again.

He looked at us meaningfully. “You have all just confessed that you trust God, so why then, I ask you, do you have house insurance? If you truly trust God, then show that trust by your actions…”

I am going to draw the curtain over that particular sermon at this point and shout “STOP!”

This speaker had twisted trusting in God to mean, “Trusting in God means trusting Him to keep you safe from suffering, to keep you away from the storms of life.”

That is not what trusting in God means. We must maintain realistic goals, bearing in mind that everyone goes through trials and experiences times of discouragement and disappointment. To trust in God means to trust Him in all circumstances, in the hard times and the good times, as David shares in Psalm 23:4:

Even though I walk
through the valley of the shadow of death,
I will fear no evil,
for you are with me;
your rod and your staff,
they comfort me.

Being a Christian is not a game of Monopoly, God does not give us a “get out of suffering” free card. But He does take us by the hand and lead us through the hard times, comforting, protecting, and strengthening us.

When I was afflicted by severe depression, the suffering was beyond my comprehension, but I never let go of Jesus, I never stopped trusting in Him, and He lead me through and eventually out of that storm.

Let us consider for a moment a person who believes that trusting in God equates to never having to undergo suffering of any kind. What will happen when that person encounters a major trial or life-storm:
1. They will mostly likely blame God, saying, "God, I trusted You - how could you let this happen?"
2. Or the alternative is to turn upon themselves, saying, “There is something wrong with my faith!”

Having house insurance does not equate to a lack of faith. We do not know what our future holds. We do not know what natural or man-made disasters or accidents lie in our future. Insurance is simply common sense, not to mention mandatory for all Australian drivers.

A couple of years ago two pipes burst in my bathroom ceiling, causing half of it to collapse. This did not happen because I lacked faith. This happened because of physics – the builders who had renovated the house decades ago had deliberately bent the copper pipes to make room for the new plastic ones… For the next few months, while we waited for the insurance company to arrange for it to be repaired, we had to use a bathroom with a hideous, gaping hole above our heads, with dirty insulation, spiders, and even a lizard coming into the bathroom through it.

My initial desperate reaction was for it to be fixed immediately because I could not relax or find peace in such uncomfortable circumstances, for our skin crawled every time we used the bathroom. But the Lord soon began a work in my heart, showing me that peace did not come from having a clean, secure bathroom, but from Him. So I placed my faith and trust in Him and my heart was no longer troubled.

Consider it pure joy, my brothers, whenever you face trials of many kinds, because you know that the testing of your faith develops perseverance. Perseverance must finish its work so that you may be mature and complete, not lacking anything.’ James 1:2-4

Jesus also said that we will share in His sufferings, and that it is an honour if we are persecuted because of Him. This is not something that we see so much in the Western nations, but in many countries, to become a Christian means being ostracized from one’s family or worse. In the book of Acts, Christians were frequently driven from their homes, but God used this for good for they took the gospel with them when they fled to new countries.

“Blessed are you when people insult you, persecute you and falsely say all kinds of evil against you because of me. Rejoice and be glad, because great is your reward in heaven, for in the same way they persecuted the prophets who were before you.” Matthew 5:11

When I was in junior high school, I was bullied and persecuted unmercifully because I was a Christian and different from the other children. Those years were very difficult for me, but I clung to Christ and relied upon Him to get me through them and my faith grew and matured. I was even able to be a witness for Christ because of it.

'Now if we are children, then we are heirs—heirs of God and co-heirs with Christ, if indeed we share in his sufferings in order that we may also share in his glory. I consider that our present sufferings are not worth comparing with the glory that will be revealed in us.' Romans 8:17-18

My answer to the question, “Do I trust God?” is: Yes, I do. I trust God to take me by the right hand and lead me along paths of righteousness for His name's sake, to lead me to green pastures and still waters, and also to lead me through darkened valleys beset with storms, and even be with me when surrounded by enemies.

Psalm 23
The LORD is my shepherd, I shall not be in want.
He makes me lie down in green pastures,
he leads me beside quiet waters,
he restores my soul.
He guides me in paths of righteousness
for his name's sake.
Even though I walk
through the valley of the shadow of death,
I will fear no evil,
for you are with me;
your rod and your staff,
they comfort me.
You prepare a table before me
in the presence of my enemies.
You anoint my head with oil;
my cup overflows.
Surely goodness and love will follow me
all the days of my life,
and I will dwell in the house of the LORD
forever.

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To Tell the Truth

A new internet-based survey of 2,020 patients who had received treatment for depression, conducted by a Dr. Sawada and presented at the Annual Congress of the European College of Neuropsychopharmacology, revealed something that I have known about for a very long time.  A lot of patients lie to their doctors. 

About 70% admitted lying at least once!  66% stretched the truth about daily activities such as work while almost 53% were untruthful about their symptoms - on purpose.

That patients can be less than honest should come as not surprise to anyone familiar with the literature on patient compliance with doctors' orders.

In the United States, according to some estimates 20-30% of prescriptions are never even filled at the pharmacy.  According to the World Health Organization, only 50% of people complete long-term therapy for chronic illnesses as they were prescribed. According to the US government's Office of the Inspector General, research indicates that 55 percent of the elderly do not follow the medication regimens prescribed by their physicians.

As described in my post of August 10, 2010, Don't Ask, Don't Tell, I  had an exchange with another psychiatrist that included the following:

Me: Family members will not usually volunteer the whole truth during a superficial visit with a doctor. Anyone who thinks that family members act the same way at home as they do in front of an authority figure, or that they will be totally honest about things like family violence or abuse, needs to get out more.

Other Psychiatrist : This broad statement essentially implies and equates pediatric mental disorders with the family abuse and neglect... The reasoning goes along the line "if child has problems, someone in the family caused them." And if the family does not offer any evidence of maltreatment,they are lying. A fundamental fallacy, in my opinion, that for decades prevented psychiatrists from understanding the nature of mental disorders... Suspecting family members of hiding "the whole truth" is a regrettable statement from a professional. 

It sounded to me like it is the writer who is saying that poor discipline or even child abuse is never an issue in any behavior or psychiatric problem at all! And apparently he believes patients never fib or hide information! And the statement about offering evidence of maltreatment?  First, that implies that this psychiatrist probably never even asks about it in the first place but waits for the parents to "offer" evidence. And since we were talking about children, if the parents had been abusive or neglectful, does anyone think that they would admit this to someone who was legally required to turn them in to the authorities?  REALLY?!?

I pointed out in that last post: Obviously this psychiatrist has never done any serious psychotherapy, or he would know that a patient may not reveal absolutely essential information about their situation until they have been seeing a therapist for months.



I've gotten into similar argument with folks who are against psychiatric meds and who demonize antidepressants and mild sedative/hypnotics by telling tales of people they talk to who claim to have had horrible and never-ending side effects from these drugs.  While some of the people such folks talk to undoubtedly did have very bad reactions to the drugs in question, many are also taking other illegal drugs and/or a concoction of several different prescribed psychiatric and/or somatic medications.

More importantly for purposes of this discussion, they may be scapegoating the drugs for personality and family problems that are the real cause of their "side effects." 

When I make the latter point, the usual response I get is something to the effect that "I've met plenty of people who have none of the additional issues you are talking about."  My answer: And you know this how? Do you think people just advertise all the things they are ashamed of and brag about family dysfunction?

Going back to survey that is the subject of this post, the reasons that the subjects gave for not being truthful to their doctors were very instructive.  Although males often withheld or altered the facts due to a fear that the doctor would recommend that they take sick leave or quit their job, the two most common reasons given for lying to the doctor were:

1. The patients found it difficult to talk to their doctor, particularly about things they were ashamed of or embarrassed about (49%).
2. They thought that the doctor would not take it seriously, even if they they told him or her (36%).  In particular, females said they could not trust their doctor or that "he looked busy."

Both of these reasons concern relationship issues between doctor and patient.  For want of a better term, they concern a doctor's bedside manner.  In therapy circles, these issues are referred to as the therapeutic relationship (or as transference and counter-transference, respectively, if the patient and doctor are reacting to one another subconsciously).



In my experience, A doctor - particularly a psychiatrist who must deal with a lot of skeletons in closets - who is not in a rush, who appears empathic and non-judgmental, and who does not seem uncomfortable with highly emotionally-charged or typically squirm-inducing subjects, is far more likely to get the truth out of a patient than one who lacks these qualities.

If the psychiatrist sees the patient frequently in psychotherapy and maintains these qualities, more of the truth will emerge from the patient.

Many of today's psychiatrists only see patients for a few minutes (thereby appearing to be "busy"), and are only interested in the patient's symptoms and not in the environmental and psychological context in which those symptoms take place).  One can safely assume that in many cases such doctors are getting a highly-distorted picture of the patient's clinical condition.

These problems are magnified in randomized controlled drug studies (RCT's).  In such studies, diagnostic interviews and self-report instruments focus only on symptoms and researchers do not even bother to take a psychosocial-relationship history from research subjects. 

Furthermore, researchers do very little to establish a trusting therapeutic relationship with their subjects.  Many do not know how to establish this type of relationship, but even if they did know how and really wanted to try, doing so would increase the placebo response rate and should therefore not be done in a so-called empirical study!

Since they are not based on lab tests, the data from these studies is almost all dependent on the truthfulness of the subjects, which as I have been arguing is highly questionable in many cases. When lab values are available, such as blood levels of such drugs as lithium, depakote, and tricyclic antidepressants, they are seldom checked frequently if at all. 

And even if they were, they are still subject to manipulation by the research subjects.  Most drug levels should be so-called trough levels - the lowest level that a medicine is present in the body over a 24 hour period.  Levels should generally be drawn 10-12 hours after the last dose of the medication taken and before the next dose is taken.  All a patient has to do to appear to be taking the drug more often than he or she actually is is to take a dose just prior to the blood draw.

This is another big reason why randomized controlled studies should NOT, by themselves, be the gold standard of so-called "evidence-based" psychiatry.

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Guest Post The Challenge of Prosperity

Today's guest post concerns the work of Dr. Cheryl Rampage, Senior Vice President for Programs and Academic Affairs at The Family Institute at Northwestern University. She has shown how a family's being financially well off can at times actually increase the risk of anxiety, depression, and substance abuse in their children.

Cheryl Rampage, Ph.D

When we think of wealth, we often think of all the opportunities and perks that come with it. However, the common misconception that wealth is the solution to all of our problems is negated by recent research that shows while money can give children a head start in life, it can actually impede on their personal and emotional growth as they get older. 

In fact, adolescents who come from a wealthy household are 20 to 30 percent more likely to suffer from depression or anxiety than other teens. But there are ways to combat it. 

Cheryl Rampage's Counseling@Northwestern’s paper, “The Challenge of Prosperity: Affluence and Psychological Distress Among Adolescents,” sheds light on this issue—and ways to address it. Interested readers can click on the title of the article to read the whole paper.

While her research shows that prosperity can impose psychological distress on youth, parents and guardians can step in by following best practices. According to Dr. Rampage, parents can mitigate the risks of wealth by providing structure at home, unconditional love and consistent communication with their adolescents. The infographic below illustrates the ways in which affluence affects children’s mental health in early childhood and adolescence and what parents can do to positively contribute to children’s overall development.

Learn more about the challenges of wealth and prosperity from an infographic. It is shown below and available in a larger image at http://counseling.northwestern.edu/mental-health-of-affluent-teens-the-challenge-of-prosperity/:

Brought to you by Counseling@Northwestern’s Online Masters in Counseling

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Willful Blindness

A week or two ago I was riding home on the train from work, and I'd had enough of the sting of my contact lenses, which were burning my dry and computer-dazzled eyes. So I plucked them out and threw them on the floor. (The lenses, not my eyes, silly readers...although I would have delighted in shouting "Out, vile jelly!" and causing the commuters to make hideous typos on their Blackberrys.)

Without my lenses to guide me home, I might as well have been legally blind. I walked off the train in a sort of daze, moving along with the stream of commuters. Surely, I would have been left for dead in the days before corrective eyewear, always stumbling to catch up with my sure-footed tribe, glaring through a water droplet on the edge of a plucked blossom, shouting "Hey, fellas! I can't see you. Is that you, Og?" Eventually they would have tipped me into a watering hole or failed to mention an approaching mammoth.

So I walked home blind through the dappled leaves, my face open to the world because I could not construct a symmetrical response to whomever or whatever was looking at me. My expression was as bland and naked as my hands, and my hands swept through the air. The pink house on the side street, a blur, looked like that Cezanne painting we had to turn upside-down in art class so very long ago, to look for the shapes and contours only. "Forget what you are seeing, for an instant," said the art teacher. "That is not a house. Look for the spaces between the houses; look for the colors, and the light."

Something glimmered on the edge of the sidewalk: A lost credit card? A candy wrapper? Whatever it was I could not tell. It flickered blue and metallic, like a strange fish swimming away before me through the hotness of green and the light all falling down.

The world seemed softer when I was blind. It seemed to cradle me, and I was a small thing moving safe and warm through it. And I remembered that as a child—as a teen, really—I hadn't wanted to wear my glasses at all, and sometimes hid them in my coat pocket upon arrival at school. I would mark the colors my friends were wearing in the morning, and spot them that way throughout the day. Sometimes I would make a pinhole lens of flesh by curling my forefinger tight next to my thumb, and sight the world through that. (More often than not I would be felled in gym class by the rubbery thump of a dodgeball to the side of the head, and wish I were not so vain.)

Now, on this walk home through a suburban spring, I heard birds, whispers, my own breath. I saw human shapes, walking, a distance away. Someone was coming up behind me, swinging a bag. Did I know him or her? I turned and framed a quick smile so I would not insult. A stranger, the person may have smiled back; I'll never know. Did it matter? I could assume love from the universe.

Trees seemed to be lit from within by their blossoms; honeysuckle, red rhododendron, pink azalea (dying when viewed closely, but still alive to the half-blind). And the patches of light, dancing on the green trees. Shadows of trees on the sides of houses, houses as big as barns. I looked and was amazed. I saw nothing. I saw everything. The world cast its gaze on me as I stumbled home unseeing and alive. 

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