Presentation on theme: "Chris†ian Psychia†ry Medical Seminar “Wilt thou be made whole?” 18 - 22 October 2006 Wildwood Lifestyle Center and Hospital Cesar V. Souza, M.D."— Presentation transcript:
Chris†ian Psychia†ry Medical Seminar “Wilt thou be made whole?” October 2006 Wildwood Lifestyle Center and Hospital Cesar V. Souza, M.D.
Chris†ian Psychia†ry Centered in Jesus Christ as our Model of mental health and behavior. Jesus Christ – ultimate source of healing. Brings back the need for spiritual care and development to achieve mental health. Sees religion as relevant, not neurotic or bothersome. Rooted on the concept or theory of man found in the Bible anthropology.
Bible Anthropology 1)God created man and woman – Gen.1: )Constitution of man and woman – Gen. 2:7 dust Man/woman = of the + breath of life = living soul ground
Human Being = Living Soul Physical Spiritual Mental In a social enviroment
Mental Thought s Actions Feelings
feelings thoughts physiology actions
The Human Mind Before and After the Fall in Eden Before – Gen. 2:25 “And they (Adam and Eve) were both naked, the man and his wife: and they were not ashamed.” No shame. No guilt. No anxiety. No sadness. No fear. After – Gen. 3:7-10 “…I (Adam) heard Thy voice in the garden, and I was afraid, because I was naked…” Shame. Guilt. Anxiety. Sadness. Fear.
The Human Mind After the Fall in Eden “Man was originally endowed with noble powers and a well-balanced mind. He was perfect in his being, and in harmony with God. His thoughts were pure, his aims holy. But through disobedience, his powers were perverted, and selfishness took the place of love. His nature became so weakened through transgression that it was impossible for him, in his own strength, to resist the power of evil.” Steps to Christ 17
The Human Mind After the Fall in Eden “It is impossible for us, of ourselves, to escape from the pit of sin in which we are sunken. Our hearts are evil, and we cannot change them. "Who can bring a clean thing out of an unclean? not one." "The carnal mind is enmity against God: for it is not subject to the law of God, neither indeed can be." Job 14:4; Romans 8:7. Education, culture, the exercise of the will, human effort, all have their proper sphere, but here they are powerless. They may produce an outward correctness of behavior, but they cannot change the heart; they cannot purify the springs of life. There must be a power working from within, a new life from above, before men can be changed from sin to holiness. That power is Christ. His grace alone can quicken the lifeless faculties of the soul, and attract it to God, to holiness.” Steps to Christ 18
Concept of Psychiatry Psyché = the soul iatreia = healing Psychiatry = The branch of Medicine concerned with the study and treatment of disorders of the mind. Psychology = The science dealing with the mind and mental process, feelings, desires, etc.; the science of human and animal behavior.
“The true principles of psychology are found in the Holy Scriptures.” Ellen G. White Mind, Character and Personality, vol.1, p.10
Concept of Mental Health Bible – the capacity to (1) love God with all your heart, with all your soul, with all your strength, and with all your mind, to (2) love your neighbor and to (3) love yourself. Luke 10:27 1 Corinthians 13 – the concept of love. Galatians 5:23 – fruit of the Spirit. Colossians 3:1-23 – developing healthy behavior. Ephesians 4:17-32; 5:1-33; 6:1-9 – ibidem. Philippians 2:1-8 – the model of Jesus. Isaiah 58 – prescription for health and happiness.
Concept of Mental Health For the Bible, mental health has to do also with spiritual awakening and transformation. ?
Spiritual Mind x Natural Mind “But the natural man does not receive (understand) the things of the Spirit of God, for they are foolishness to him; nor can he know them, because they are spiritually discerned.” 1 Cor. 2:14 Natural man = psychic = natural mind Spiritually discerned = spiritual mind
“But the natural man does not receive the things of the Spirit of God, for they are foolishness to him; nor can he know them, because they are spiritually discerned. But he who is spiritual judges all things, yet he himself is rightly judged by no one. For "who has known the mind of the LORD that he may instruct Him?" But we have the mind of Christ.” 1 Cor. 2:14-16
World Health Organization 450 million people worldwide are affected by mental, neurological or behavioral problems at any time. About 873,000 people die by suicide every year. 79 per day. One in four patients visiting a health service has at least one mental, neurological or behavioral disorder but most of these disorders are neither diagnosed nor treated. 24 Sept 2006www.who.int/mental_health/en/
Restoration of complete mental health can only be achieved when God makes new all things. “Then He who sat on the throne said, ‘Behold, I make all things new.’” Rev 21:5
Anxiety and Depression in Human Being Before fall Eden After fall New Jerusalem True normal mental health Mental Disorder Partial Neurotic Psychotic normal True normal mental health AnxietyDepressionfree Anxiety and Depression Anxiety and Depression Mild Moderate Severe Anxiety Depression free
Mental Disease 1)Genetic influence Pre-Natal influences = Constitution 2)Constitution Pos-Natal Influences = Pre-disposition 3)Pre-disposition Normal Life experiences = Mental Status Neurotic Psychotic
Causes of Mental Disorders 1)Physical – psychosis due to a general medical condition, symptomatic psychosis. 2)Genetic – “Both parents transmit their own characteristics, mental and physical, their dispositions and appetites, to their children.” Patriarchs and Prophets, 561
Causes of Mental Disorders 3) Psychological – “The lessons given during the first years of life determine the future of the child.” RH Oct 9, 1900 “In the discipline given during the first years of childhood, parents are making lasting impressions upon the minds of their children. It is in these early years that they are laying the foundation of character.” 7 MR 8
“…feelings of abandonment, …is the core of addictive longing.” Don’t Call it Love, Patrick Carnes, Ph.D., 76, “…investigators had previously found that these same adults with severe psychosocial adversity in childhood also had an earlier age of onset and a more severe course of their bipolar illness than those without such a history.” Gabriele S. Leverich, Robert M. Post, Biological Psychiatry Branch, NIMH, NIH, DHHS, USA. “Course of bipolar illness after history of childhood trauma.”, The Lancet, vol.367, p. 1040, April 1, 2006.
4)Social – moral principles. Rollo May – patients back to crazy society. Materialistic lifestyle facilitates poor affective attachments, and disseminates that happiness depends on how much you have. Jesus “Do not lay up for yourselves treasures on earth...” Jesus Media – TV, radio, Internet spread violence, sexual exploitation. Drug and other addictions. Hedonism – “...In the world you will have Jesus tribulation...” Jesus
General Guidelines for the Treatment of Mental Disorders Jesus A.God, Bible, prayer, Nature – “Come to Me…”, “…do not worry about your life...” Jesus Prevention B. Prevention – true education, functional lovely family, healthy physical lifestyle, teach children to develop self- goverment. “The lessons of temperance, self-denial, and self-control are to be taught to children even from babyhood.” PP C.Herbs, Hydrotherapy, Physical Exercices, Vegetarianism C. Herbs, Hydrotherapy, Physical Exercices, Vegetarianism, etc. Temporary anti-psychotics?
D.Counseling and/or Psychotherapy – “It is only as the Holy Spirit leads and guides a man that he is a safe counselor.” 3SM 301 E.Community support groups – church, friends, teachers. “In the visible creation, divine wisdom is manifested in an endless variety of processes. Uniformity is not the rule that is followed in the kingdom of nature. Neither is it the rule that is followed in the kingdom of grace. In different ways God works to attain one purpose--the saving of souls. By different methods the gracious Redeemer deals with different minds. The change of heart is as truly wrought out by one process as by another. It is the Lord working upon minds and molding characters.” This Day with God 67.1
“To deal with minds is the nicest work in which men ever engaged.” Testimonies vol. 3, p.269 (1873) Mind, Character and Personality, vol.1, p.3 “It is the nicest and most critical work ever given to mortals to deal with minds.” Mind, Character and Personality, vol.1, p.78
Counseling - Psychotherapy The use of words for the psychological recovering. What makes words helpful? What are helpful words? Phil. 4:13,14 – “I can do all things through Christ who strengthens me. Nevertheless you have done well that you shared in my distress.” Prov. 27:9 – “Ointment and perfume delight the heart, And the sweetness of a man’s friend gives delight by hearty counsel.” Jer. 3:15 – “And I will give you shepherds according to My heart, who will feed you with knowledge and understanding.” Isaiah 50:4 – “The Lord GOD has given Me The tongue of the learned, That I should know how to speak a word in season to him who is weary.”
Counseling Listen Offer advice Exhort different behavior Probe (analyse) into forgotten memories or buried pain Provide reassurance Quote Bible verses Empathize Interpret the meaning of certain actions and tie them to internal choices and external influences Pray
What needs helping that words can do something about? Repressed emotions that uncovering words can surface. Indifference to responsibilities that need rebuking words. Confusion about what to do then looking for wise counsel. Problems from forgetting that God cares and few people do too. Problems that need encouraging words. Feeling of emptiness in need of words that can pour into the soul.
Psychotherapy Did you have important loss in the past? Do you need to grieve losses? Are there important disappointments today that hurt and are not resolved? Is there an exaggerated need for love to build self-appreciation? Is there self-rejection? Is there repressed anger against yourself or another person from whom you are waiting for receiving affection?
Is there difficulty to have intimacy (emotional contact). Are you a perfectionist? Do you have burn-out? Are you able to express and experiencing painful emotions? Do you assert yourself and set limits or ask for things? Are you open and tender with someone you love? Are (this is usually at the base of the anguish) you blocked in feeling compassion for yourself, self care, self-appreciation?
Importance of Religion for Health “(religion) is a careful and scrupulous observation of what Rudolph Otto appropriately called ‘luminosum’, that is, a dynamic existence that can not be caused by an arbitrary act of the will; on the contrary, it constitutes an experience that dominates and controls the human individual, who lives it passively.” Carl Jung – quoted by Erich Fromm in “Psychoanalysis and Religion” (“Psicanálise e Religião” – Portuguese edition, Livro Ibero Americano Ltda., p.XIII e XIV, 1966.
Scientific Data on the Importance of Religion for Health Religious beliefs and practices are associated with: Better immune system function – 5 of 5 studies. Lower death rates from cancer – 5 of 7. Less heart disease or better cardiac outcomes – 7 of 11. Lower blood pressure – 14 of 23. Lower cholesterol – 3 of 3. Harold Koenig, M.D. – Dept. of Psychiatry and Medicine, Duke University Medical Center - “Religion, Spirituality, and Medicine: Research Findings and Implications for Clinical Practice.” – Southern Medical Journal, vol.97, Number 12, Dec 2004.
Scientific Data on the Importance of Religion for Health Religious beliefs and practices are associated with better health behaviours: Less cigarette smoking – 23 of 25. More exercise – 3 of 5. Better sleep – 2 of 2. Religious persons live significantly longer – 39 of 52 (75%). Harold Koenig, M.D. – Dept. of Psychiatry and Medicine, Duke University Medical Center - “Religion, Spirituality, and Medicine: Research Findings and Implications for Clinical Practice.” – Southern Medical Journal, vol.97, Number 12, Dec 2004.
Scientific Data on the Importance of Religion for Mental Health Well-being, hope, and optimism – 90 of 114. Purpose and meaning in life – 15 of 16. Less depression and faster recovery – 60 of 93. Lower suicide rates – 57 of 68. Less anxiety and fear – 35 of 69. Greater marital satisfaction and stability – 35 of 38. Higher social support – 19 of 20. Less substance abuse – 98 of 120. H. Koenig, “Impact of Religion on Health”,
Is religion-spirituality an opium? Karl Marx in XIX Century said that “religion is the opium of the people”. Dr. George Vaillant, psychiatrist from Harvard said: “The opiate produces the same sensation of oceanic peace that we find in the deep spiritual encounter of the religious ecstasy. The famous declaration of Karl Mars may disguise a therapeutic principle extremely important. Religion can really offer an alleviation that the use of drug only promises.” George E Vaillant – “Alcoholics Anonimous: Worship of Magic Pill?” – 13º. Brazilian Congress of Alcoholism, Rio de Janeiro, August 1999.
Is religion a “universal obsessional neurosis” as Freud stated? Even though religion can be used and practiced in neurotic and perverse ways: “The religion of Christ, so far from being the cause of insanity, is one of its most effectual remedies; for it is a potent soother of the nerves.” EGW, Counsels on Health Religion of Christ? How is that?
Religion of Christ “In those who possess it, the religion of Christ will reveal itself as a vitalizing, pervading principle, a living, working, spiritual energy. There will be manifest the freshness and power and joyousness of perpetual youth.” EGW, Christ’s Object Lessons 130
Mental Thought s Actions Feelings
Human Being = Living Soul Physical Spiritual Mental In a social enviroment
Anxiety and Depression in Human Being Before fall Eden After fall New Jerusalem True normal mental health Mental Disorder Partial Neurotic Psychotic normal True normal mental health Anxiety Depression free Anxiety and Depression Mild Moderate Severe Anxiety Depression free