Existential Psychotherapy for Christians

Over the last months, I have given a great deal of thought to counseling Christians. Part of the motivation for these thoughts is my own religious background. I was religious for seventeen years and a theologian for seven of those years. Part of the stimulus for these thoughts has also been my hesitancy to counsel Christians. Clients and counselors should have a good fit – never simply go with a therapist for convenience reasons! – and for me as a therapist, counseling Christians has never been desirable. To attempt to work with a client through their issues when there is, as the saying goes, “an elephant in the room” seems less than honest and suggests an absence of one of Carl Roger’s cornerstones for the therapeutic relationship – congruency on the part of the therapist.

So while I traditionally have eschewed working with Christians, of late I have had a chance to reconsider this in the light of the theories of Existential Psychotherapy and in the light of the rise of efforts to counsel clergy leaving religion (e.g., The Clergy Project at www.clergyproject.org/). In this article I will very briefly discuss the application for Existential Psychotherapy for clergy wishing to leave their faith, but the principles apply equally for anyone who is questioning or desires to put aside their Christian beliefs.

Existentialism as a Counseling Framework for Questioning Religious Beliefs

In order to understand how Existentialism is suitable for counseling those questioning their faith, a cursory examination of Existential Psychotherapy is required. Existentialism is about freedom and the anxiety which arises as a result of this freedom. The philosophy began with Søren Kierkegaard (1813 – 1855) and found its greatest spokesman in Jean-Paul Sartre (1905 – 1980). While these thinkers developed Existentialism as a philosophy and therefore deserve mention, the integration of Existential philosophy into psychotherapy is generally accredited to Irvin Yalom (USA) and other therapists such as Emmy van Deurzen (UK).

In a nutshell:

Existential psychotherapy is a philosophical method of therapy that operates on the belief that inner conflict within a person is due to that individual’s confrontation with the givens of existence [Yalom, I (1980). Existential psychotherapy. New York: Basic Books. p. 9.]. These givens, as noted by Irvin D. Yalom, are: the inevitability of death, freedom and its attendant responsibility, existential isolation (referring to Phenomenology), and finally meaninglessness. These four givens, also referred to as ultimate concerns, form the body of Existential Psychotherapy and compose the framework in which a therapist conceptualizes a client’s problem in order to develop a method of treatment. In the British School of Existential therapy (Cooper, 2003), these givens are seen as predictable tensions and paradoxes of the four dimensions of human existence, the physical, social, personal and spiritual realms (Umwelt, Mitwelt, Eigenwelt and Uberwelt).

(Source: http://en.wikipedia.org/wiki/Existential_therapy, Accessed 05 April 2012)

These four ultimate concerns of death, freedom, isolation and meaninglessness can serve as a framework for counseling clergy and others leaving their faith. In considering these givens of existence, it is worth noting initially that Existential Psychotherapy is not for everyone! This therapy requires that the client be willing to question the basis of his or her very existence. Many are either not willing or not up to this challenge. In my experience, this modality of counseling works best with clients who come to therapy already in existential crisis – that is, already asking themselves significant questions (or having significant doubts) about their lives. Clergy seeking to question or leave their faith arguably fit into this category.

Considerations of Death

The fear of death is difficult for any of us to confront. Upon considering the likelihood that religious beliefs are not based upon a solid foundation (i.e., a “real” deity), the Christian can feel overcome with anxiety, fear and grief – anxiety for the end of one’s existence at death, fear of death itself and renewed grief for the loss of loved ones which were previously imagined to be residing in a heavenly abode. As the fear of death is one of the reasons to create an afterlife in the first place, confronting this fear can be one of the main reasons to push rational thought from one’s mind and cling even more tenaciously to religious faith.

Considerations of Freedom

Christians believe that their lives are controlled, both at the micro and macro levels (we will not go into the theological minutia here of the concept of “free will”) by an omnipotent being. Once that being ceases to exist in the mind of the former believer, the realisation of freedom can be extremely anxiety provoking. As Kierkegaard so eloquently stated, “Anxiety is the dizziness of freedom”. Freedom within their own minds, freedom of action and the individual responsiblity for such freedom can seem overwhelming to those who formerly believed themselves under the guiding hand of a benevolent and omniscient being.

Considerations of Isolation

We all create support systems to fight the isolation of life and death. We fight the isolation of life by creating family and other support networks and by valuing such concepts as “loyalty”. We fight the isolation of death by imagining an afterlife, by creating eloborate death rituals and by trying to imagine our loved ones by our side when death comes for us (but try to also forget that we will die alone, no matter how many may be at our bedside). When a person casts aside their god(s), the isolation can be overwhelming. Not only does the former believer lose the imagined deity, but can end up losing family and friends who refuse not only to consider the life change of the individual, but who also often shun the former believer. The isolation is not only theoretical, but very real.

Considerations of Meaninglessness

We all fight meaninglessness in many ways. We attempt to “better” ourselves through work, study and other pursuits that we consider meaningful. We attempt to imagine that we are somehow eternal through our offspring. We attempt to imagine that we are making meaninful contributions to the lives of our friends. Upon casting aside religious meaning, the former Christian can feel that their life to this point was meaningless. Theology studies were meaningless (experienced this one, myself). Preaching, teaching and work in churches was meaningless. Feeling such a lack of meaning can lead to depression in the former believer (something to watch out for and perhaps the topic of another article).

This cursory examination of Existential Psychotherapy is intended to suggest that this framework can be of significant benefit in conceptualising working with Christians attempting to challenge their beliefs. At no point would I advocate the use of this approach to “convert”, but rather as a paradigm for helping people work through their own questions and psychological issues.

Finally, while Existential Psychotherapy can provide a loose framework to understand the client, the actual therapeutic process could take place within the context of a more concrete methodology, such as Cognitive Behavioral Therapy (CBT). CBT is one of the most fully researched and clinically effective therapy approaches and could prove invaluable in such areas as helping the client to challenge dysfunctional thinking. Perhaps yet another article in the making!

Challenging our thinking can be the most confronting act imaginable. Those who are brave enough to look into their belief system are worthy of our respect and support. As one who has made this journey, I would say to others that it can be extremely anxiety provoking, but you can make it through to the other side, where you can find a greater understanding of self and peace.

Wishing all the best of mental health!

Dysfunctional Thinking of CBT applied to Christianity

I have been away from this site for some months – apologies for that! I have been very busy with work and moving and haven’t been working on this site as much as I would have hoped. What I would like to do in the coming months is to create a number of articles applying the theories of Cognitive Behavioral Therapy (CBT) to Christian (Xn) clients. More specifically, I would like to look at how CBT deals with dysfunctional thoughts within the context of the Xn belief system(s).

Treating Christianity with Cognitive Behavioral Therapy

Cognitive Behavioral Therapy is used to help people see the defects in their thinking. Those with mental issues tend to have thoughts which are absolutist or otherwise not helpful and CBT has been found very effective at helping clients process their beliefs and the effects of these beliefs on their emotions and actions (and vice-versa).

Therapists should stop fearing possible backlash from religious groups and start treating the extreme beliefs of their clients regarding religion as they would any other extreme and personally unhelpful mental constructs.

Help free the religious from such self-defeating thoughts!

Christchurch Earthquake Volunteer Counselling Services

[Note to readers: I received the following message from my contact form and have, with Kirsten's permission, posted it below. If you are in Christchurch and have been affected by the earthquake(s), feel free to contact Kirsten.]

Hi

I live in South Taranaki and am trying to find a coordinated effort in providing counselling services to Christchurch people that I can join.

I work for an NGO here I’m hoping will release me for a couple of week long stints over the next few weeks.

I know Christchurch well having lived there in the past. I am prepared to camp out if necessary.

I have at least 20 years experience as a counsellor/psychologist/psychotherapist and am a registered psychologist working as an alcohol and drug counsellor currently.

I would like to help out in a coordinated network in any way that I can.

My phone number here in the meantime for any night phone work is 06 273 8822. I am also available to see any people relocating into this area in the meantime.

My heart goes out to you all…

thank you so much for your initiative.

Kirsten

Envision Psychotherapy as a Spiritual Path – Thomas Bien

“I want to suggest, to all of my colleagues in the art of deep listening, that in order to withstand the difficulties of our work and the ups and downs of its valuation in the marketplace, we require a powerful inoculation. And in my experience, the best inoculation is the capacity to envision our work as that of a healer, as part of a long and honorable lineage – to view it as a path of service, a calling as well as a business – and to sincerely offer up this work to the good of all beings.” Mindful Therapy (Bien 2006:5)

Jack Kornfield Audio Files on Buddhist Psychology

Jack is a prominent Western Buddhist, a Clinical Psychologist and a well-known author on Buddhism and meditation. Some introduction to his teachings can be found on audio files at this web site:

http://diydharma.org/audio/by/artist/jack_kornfield

Very much worth a look. If you are interested in psychology from a Buddhist perspective, check out the URL referenced above.

Emphasis on Diagnosis in Therapy – A Quote by Irvin Yalom

“Today’s psychotherapy students are exposed to too much emphasis on diagnosis. Managed-care administrators demand that therapists arrive quickly at a precise diagnosis and then proceed upon a course of brief, focused therapy that matches that particular diagnosis. Sounds good. Sounds logical and efficient. But it has precious little to do with reality. It represents instead an illusory attempt to legislate scientific precision into being when it is neither possible nor desirable.” (Irvin D. Yalom, in “The Gift of Therapy”)

Coaching and Mentoring Association of New Zealand – Humorous Spam

I don’t like it when people send me unsolicited email, more commonly referred to as “spam”.

I found the following quite humorous, however, so I have included a response that I would have given them, if their spam was worthy of an email (at the beginning), followed by the spam email that I received (below).

Enjoy!

My response:

I looked at your site (http://www.familymatters.org.nz/) and nowhere does it mention that any of you are actually “life coaches” or “mentors”, but rather counsellors. I was tempted to email you back and say that I could see what was in it for you (e.g. control of an industry that you don’t even seem to be a part of, the opportunity to provide paid supervision required for membership, etc) but to then ask you what would actually be in it for me (you don’t actually bother to provide any details on this important point).

Also, I have no interest in joining an organisation (points above aside) which wishes to lump me in with “pastoral workers”.

Cheers,

Jerry Jordan, MBA, MEd

Beginning of Spam Email

———- Forwarded message ———-
From: Alison
Date: Thu, Nov 18, 2010 at 9:09 PM
Subject: FYI
To: [my email address was here]

From: Alison
Subject: FYI

Message Body:
Bar Set for Coaches and Mentors
A Kapiti NGO, Family Matters Foundation, has launched a new professional organisation for life coaches, mentors and pastoral workers. They are creating the first national set of ethical standards and processes for auditing workers in these fields.

Paraparaumu, November 15, 2010 – A new professional body launched today in Paraparaumu is setting national ethical standards for life coaches, mentors and pastoral workers.
The Coaching and Mentoring Association (CAMANZ) will use the ethical standards in issuing practicing certificates based on proof of nine areas of competency.
A private-sector counseling agency, Family Matters, called for the national association to encourage professional standards for social services providers not already covered by existing associations.
“This is a step forward for consumers and providers alike as no longer will clients have to guess about a worker or volunteer’s competence,” said Family Matters chair David Atkinson.
Ethics and membership panels had been established, and standards had been published on the organisation’s website camanz.org.nz.
It would take over 100 hours of supervised practice to apply for full membership.
This was lower than for other professions such as counsellors, but Mr Atkinson said it was a realistic starting point for workers who did not have a professional body of this type. Complaints about a member’s practice would receive a written response within one month, and sanctions could be imposed on a member if a breach of standards was found.
Where complaints were received, a resolution team would work with both parties to find a satisfactory solution, or a formal hearing could be held.
The first audits for full membership are expected within a few weeks.
CAMANZ is an initiative of Family Matters Foundation NZ Incorporated, a Charitable Trust established in 2003 to provide counselling, support and training to children and families.
For more information about Family Matters Foundation, please contact David Atkinson at 021 939 681. www.familymatters.org.nz

Contact:
Coaching and Mentoring Association of New Zealand
Alison Hobcraft
Project Leader
Phone: 027 4418770
Email: alison@camanz.org.nz
Web www.camanz.org.nz
PO Box 317
Paraparaumu
5254

End of Spam Email

The New Zealand College Of Clinical Psychologists – Violence Risk Assessment: Can we do it? Yes we can!

[I received the following notice as an unsolicited email, but have put it here in case any site visitors might be interested in attending this event. I do not necessarily endorse the content.]

NZCCP

The New Zealand College Of Clinical Psychologists

Canterbury Branch

Presents

Violence Risk Assessment: Can we do it? Yes we can!

Presenters: Annmaree Kingi, Sue Galvin, Craig Prince

Description:

All mental health professionals assess risk all the time, but clinical psychologists can be leaders in this area. This workshop includes lectures and practical exercises designed to give psychologists the confidence to conduct and present an assessment of risk of physical or sexual violence by people with mental illness.

Presenters:

Annmaree Kingi studied psychology and clinical psychology at The University of Canterbury, and has worked at the CDHB’s Forensic Service for 5 years. She has special interests in sexual deviance, borderline personality disorder, and psychopathy.

Craig Prince qualified as a clinical psychologist at the University of South Africa in 1994, and has worked in the CDHB Forensic Service for 11 years, as well as having a private forensic psychology practice. He has interests in sexual offending and a wide range of other forensic matters, and has given expert evidence in many high profile cases. He serves on several consultative bodies.

Sue Galvin studied mathematics and psychology at Victoria University and the University of Rochester, New York, lectured in psychology for ten years at Otago University in Dunedin, then qualified as a clinical psychologist at the University of Canterbury. She has worked at the Forensic Service for four years. She has special interests in neuropsychology and the mathematics of risk assessment.

Date: Friday 3rd September 2010
Time: 12.45pm – 4.30pm
Venue: University of Canterbury, Sociology Theatrette, Room 252 (Level 2, Department of Sociology – next to Department of Psychology)

PLEASE RSVP to Petra: Pah74@uclive.ac.nz by Friday 27th August (afternoon tea provided)
$50 for non-members ($15 for non-member students – with ID)
Free to College members.

All are welcome.

Men’s Mental Illness: A Silent Crisis

“It’s being called a silent crisis, a sleeper issue. But there are signs that this sleeper is at last awakening. Around the world studies, surveys, web networks, journals and newspaper articles are shedding light on a shadowy subject: men’s mental health.

Among the findings is the revelation that new fathers are also vulnerable to postpartum depression. In Canada, young and middle-aged men are being hospitalized for schizophrenia in increasing numbers. The gender gap among people with mental illness is much narrower than might be suspected. The StatsCan Canadian Community Health Survey on Mental health and well-being found that 10% of men experienced symptoms of the surveyed mental health disorders and substance dependencies, compared to 11% of women. In the United Kingdom, studies of depression show a major shift in the traditional gender imbalance, with depression rising among men and decreasing among women.

The greatest evidence of male vulnerability is in suicide statistics. Among Canadians of all ages, four of every five suicides are male. In the UK, men are around three times more likely to kill themselves than women. In New South Wales, Australia, suicide has overtaken car accidents as the leading cause of death in males since 1991.” (http://www.cmha.ca/bins/content_page.asp?cid=3-726, Accessed 18 August 2010)

Men’s mental illness is largely ignored in many parts of the world. Men are expected to be “tough” and while there are mental health programs for women, child, migrants and other groups (and rightly so), men are somehow assumed invulnerable.

We must begin to talk about this topic openly!