1. No Other Gods: A Decision-Making Model for Transformational Heart Surgery Karl Benzio, MD

2. For if you remain silent at this time, relief and deliverance for the Jews will arise from another place, but you and your father’s family will perish. And who knows but that you have come to your royal position for such a time as this? Copyright 2012 - Lighthouse Network 2

3. Your wish is my command!

4. SOLOMON 1 Kings 3:5, 9-11

5. The Most Important Spiritual Discipline: Copyright 2013 - Lighthouse Network

6. Decision-Making Classes in DM? Bible – Jesus, Paul, Solomon, David, Peter, James – Biographies of good and bad Most people – Random – E-M-M-M, R-P-S, Dice, Magic 8 Ball, Coin Flip Bible – Gideon’s fleece, Cast lots, Urim and Thumim, Prayer Dreams Strategy Necessary Copyright 2013 - Lighthouse Network

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8. HELP! I prayed, took meds, and love my mother! Psychological Defect, Tell me about your mother! Sin, Have more Faith! Disease, Take your MEDS! Copyright 2013 - Lighthouse Network

9. Today’s Goals Understand Decision-Making Better – Importance – Mechanics – Spirit, Mind, Body Integration Practical Equipping for You – Personally – Help those you work with – Today – Matrix Moments Copyright 2013 - Lighthouse Network

10. Darwin and Freud Faith: the assurance of things hoped for, the conviction of things not seen. Science: Hard Data, Measurables Definitions Collide Do they work together? Copyright 2012 - Lighthouse Network 10

11. Science is: The study of what God made Understanding how He designed it to work Learning how to maximally steward it for God’s glory and our abundant living Copyright 2012 - Lighthouse Network 11

12. God’s Great Gifts Mind/Heart Free Will: Decision Making Copyright 2012 - Lighthouse Network12 Science is a tool. So let’s not ignore the science. Science is a tool. So let’s not ignore the science.

13. Karl’s Story Why did I become a psychiatrist? Copyright 2012 - Lighthouse Network 13

14. Karl’s First Beer Copyright 2012 - Lighthouse Network14

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16. American Society of Addiction Medicine  Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry.  Dysfunction in these circuits leads to characteristic biological, psychological, social, and spiritual manifestations.  This is reflected in the individual pursuing reward and/or relief by substance use and other behaviors. Copyright 2013 - Lighthouse Network

17. 5 Levels of SA/Addiction EXPERIMENTAL USE: trying substance once or twice. RECREATIONAL USE: using a substance socially, only with friends or at a party CIRCUMSTANTIAL USE: using a substance to escape or avoid personal problems or life circumstances OR using a substance to get through a challenging situation (e.g.: taking caffeine-laced pills to stay awake to study for exams). INTENSIFIED USE: increasing over a long period of time. This describes the regular user who experiences on-going symptoms because of their drug use (physical, psychological, emotional, spiritual). COMPULSIVE USE: True addicts who can’t “voluntarily” give up their substance abuse. They can no longer choose not to use, and suffer significant life and heath disruption because of their addiction. Copyright 2013 - Lighthouse Network

18. Real Addiction Goes deeper than behavior or brain chemistry Is an idol of the heart Ezekiel 14 Idols of the heart lead to destruction. God condemns Romans 13:14 – Let us behave properly as in the day, not in carousing and drunkenness, not in sexual promiscuity and sensuality, not in strife and jealousy. But put on the Lord Jesus Christ, and make no provision for the flesh in regard to it’s lusts Copyright 2013 - Lighthouse Network

19. Bible Definition Exodus 20:3 You shall have no other gods before Me. Exodus 20:4,5 You shall not make for yourself an idol, or any likeness of what is in heaven above or on the earth beneath or in the water under the earth. You shall not worship them or serve them; for I, the Lord your God, am a jealous God, Copyright 2013 - Lighthouse Network

20. Bible Definition Mark 12:30 – Greatest Commandment God – Greatest Need – Losing Him is Greatest Threat – Life Depends On – All our Confidence – All our Motivation Copyright 2013 - Lighthouse Network

21. Real Dysfunction Rom 7:15 For what I am doing, I do not understand; for I am not practicing what I would like to do, but I am doing the very thing I hate 17So now, no longer am I the one doing it, but sin which dwells in me. 18For I know that nothing good dwells in me, that is, in my flesh; for the willing is present in me, but the doing of the good is not. 19For the good that I want, I do not do, but I practice the very evil that I do not want. 20But if I am doing the very thing I do not want, I am no longer the one doing it, but sin which dwells in me. Copyright 2013 - Lighthouse Network

22. Real Dysfunction 21I find then the principle that evil is present in me, the one who wants to do good. 22For I joyfully concur with the law of God in the inner man, 23but I see a different law in the members of my body, waging war against the law of my mind and making me a prisoner of the law of sin which is in my members. 24Wretched man that I am! Who will set me free from the body of this death? 25Thanks be to God through Jesus Christ our Lord! So then, on the one hand I myself with my mind am serving the law of God, but on the other, with my flesh the law of sin. Copyright 2013 - Lighthouse Network

23. Real Addiction Goes deeper than behavior or brain chemistry. Worship is: Perceiving God accurately and responding appropriately Addiction: Misplaced Worship, Worshipping the wrong thing Addiction: Promoting something other than Jesus to the center of your life/heart Solomon: all is vanity, under the sun Copyright 2013 - Lighthouse Network

24. Real Addiction Why Addiction: coping skill to ‘help’ deal with life/stress – Circumstantial Use We all have behaviors to help us cope with life/stress that qualify as addictions that grow out of the idols in our heart Benzio Definition of Addiction: – Choosing or pursuing something other than God (or Him + the healthy solution He provides) in a habitual, patterned, or repetitive way to get a particular need/needs met – A Coping mechanism not focused on God Comfort We’re ALL addicted to ……….. Comfort Copyright 2013 - Lighthouse Network

25. Real Addiction Addiction Role = Coping skill for stressor management Addiction Goal = COMFORT Addiction Object = the element we turn to thinking it delivers the comfort we desire – Usually a process rather than a concrete object Trading addictions Treatment: Needs to get at the root issues that cause discomfort leading to dysfunctional decisions Copyright 2013 - Lighthouse Network

26. Mind of Christ! Jesus’ Brain = Perfection! 1.Perceived everything from a Godly perspective 2.Responded with Biblical skills Copyright 2013 - Lighthouse Network

27. BrainWorks – My Brain Based on new scientific research, my brain does 2 things 1.Perceives 2.Responds Copyright 2013 - Lighthouse Network

28. BrainWorks Research Skin GI / Cardiac Panic Disorder Study Copyright 2012 - Lighthouse Network 28

29. Panic DO, Depression, and Anxiety Before and After St. John’s Wort, therapy, and EMDR Copyright 2013 - Lighthouse Network

30. Heart of Transformation: Decision-Making No biological Intervention But Brain Chemistry Improved/Renewed Decision-making is exercise for brain Good decisions = stronger brain Bad decisions = injured brain Copyright 2012 - Lighthouse Network30

31. What determines accurate Perception and Response? Human Manuals – Distort lenses and response Holy Bible – God’s Instruction Manual DM: Science and Faith Meet Integration and DM are Key! Copyright 2012 - Lighthouse Network 31 Mind SpiritBody Decision-Making = Spirit, Mind, & BodyIntegration

32. What Determines Good Decision-Making? Creators create awesome things – You and Your Brain Your Creator was kind enough to give you an instruction manual What do you use for your instruction manual? – How is that going Why not use the creators Instruction Manual? – The Holy Bible vs Spiritual Warfare But How?!?!?!?! Copyright 2012 - Lighthouse Network 32

33. Bread Analogy Copyright 2013 - Lighthouse Network

34. Deuteronomy 30 10 The Lord your God will delight in you if you obey his voice and keep the commands and decrees written in this Book of Instruction, and if you turn to the Lord your God with all your heart and soul. 11 This command I am giving you today is not too difficult for you to understand, and it is within your reach. Copyright 2013 - Lighthouse Network

35. 19 Today I have given you the choice between life and death, between blessings and curses. Now I call on heaven and earth to witness the choice you make. Oh, that you would choose life, so that you and your descendants might live! 20 You can make this choice by loving the Lord your God, obeying him, and committing yourself firmly to him. This is the key to your life. And if you love and obey the Lord, you will live long in the land the Lord swore to give your ancestors Abraham, Isaac, and Jacob. Copyright 2013 - Lighthouse Network

36. John 10:10 The thief comes only to steal and kill and destroy. I came that they may have life and have it abundantly. Copyright 2013 - Lighthouse Network

37. Proverbs 4:23 Keep thy heart with all diligence; For out of it flows the wellspring of life. As a man thinks in his heart, so is he. Proverbs 23:7

38. Romans 12 : 1-2 I therefore urge you, brothers, in view of God's mercies, to offer your bodies as living sacrifices that are holy and pleasing to God, for this is the your spiritual act of worship. Do not be conformed to this world, but continually be transformed by the renewing of your minds so that you may be able to determine what God's will is- what is proper, pleasing, and perfect.

39. 1 Peter 1:13-15 Therefore, prepare your minds for action, keep a clear head, and set your hope completely on the grace to be given you when Jesus Christ is revealed. As obedient children, do not be conformed to the passions of your former ignorance, but as he who called you is holy, you also be holy in all your conduct.

40. Casting down imaginations, and every high thing that exalteth itself against the knowledge of God, and taking every thought captive to the obedience of Christ 2 Corinthians 10:5

41. Ephesians 4:22-24 Regarding your former way of life, you were taught to strip off your old man, which is being ruined by its deceptive desires, to be renewed in the spirit of your minds, and to clothe yourselves with the new man, which was created according to the likeness of God in righteousness and true holiness. Copyright 2013 - Lighthouse Network

42. Consequences of Wrong DM Mark 12:30-31 Spiritual: – Interferes with our relationship with God – Flesh on throne of heart – Fruit of Flesh Psychological: – Interferes with our relationship with ourselves – Interferes with our relationships with others – Impairs psychological development/maturity Physiological: Short circuits/injures brain chemistry Copyright 2013 - Lighthouse Network

43. There is a strategy to transform The Holy Spirit is perfect We are not. DM is the key Spiritual Discipline Therefore, a strategy exists that we need to follow. All 3 Spheres! Reflect, Detect, Resurrect Nobody ever teaches us thoroughly about decision-making skills. – Jesus, James, Peter, Proverbs, Paul’s letters Copyright 2013 - Lighthouse Network

44. Decision-Making Strategy How many Decisions per day? Decisions Determine the course of your life. Decisions determine whether your brain gets stronger or weaker How do you make decisions? Copyright 2012 - Lighthouse Network44

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46. SPEARS All the elements Right sequence Requires thought Requires intention Requires practice Copyright 2012 - Lighthouse Network 46 Stimuli Perception Emotion Assessment Response Summary Thought

47. Stimuli Stimuli is anything that acts on or mobilizes your coping mechanisms All stimuli is neutral God is sovereign Copyright 2013 - Lighthouse Network Stimuli Perception Emotion Assessment Response Summary Thought

48. What word do you see? Copyright 2012 - Lighthouse Network 48

49. What do you see? Copyright 2013 - Lighthouse Network

50. Test How many squares are there? Hint: What is the most important question? Is this the only way to view this? Copyright 2012 - Lighthouse Network 50

51. Perception Exercise Things are not always as they seem: 84! Assumptions Jumping to conclusions Knee-jerk reactions Copyright 2012 - Lighthouse Network 51

52. Perception Perception is what really drives the decision-making process Subconscious We are usually unaware of perception because it occurs so fast in the decision-making process Adversary with a Strategy Copyright 2012 - Lighthouse Network Stimuli Perception Emotion Assessment Response Summary Thought 52

53. Devil Dogs Copyright 2013 - Lighthouse Network Bell Meat No Drool Drool

54. Perception Satan gets to us as early as possible, when we are most gullible Unpack Life - FOO Our brains our easily influenced as kids (neuroplasticity) Relationships Maturity is seeing life clearly Copyright 2013 - Lighthouse Network Stimuli Perception Emotion Assessment Response Summary Thought

55. Filters Greatest Perceived Threat GPT Greatest Perceived Need GPN Life Depends On LDO Confidence C Motivation M

56. Acts 28:26,27 Go to this people, and say, You will indeed hear but never understand, and you will indeed see but never perceive. For this people’s heart has grown dull, and with their ears they can barely hear, and their eyes they have closed; lest they should see with their eyes and hear with their ears and understand with their heart and turn, and I would heal them.’ Copyright 2012 - Lighthouse Network56

57. Emotions Copyright 2012 - Lighthouse Network57

58. God has lots of emotions! Anger – Mat 23, Mark 3, John 2, 2 Kings 24 Jealousy – Exodus 20, Deut 6 Sad/Wept – Luke 19, John 11, Heb 5 Troubled – John 12 Forsaken – Matt 27 Abandoned – Matt 27 Tempted – Matt 4 Worried – Luke 22 Copyright 2012 - Lighthouse Network58

59. Emotion Warning system Not a decision- making system Distort reality -Court -Doctors Volume Buttons Biblical truths soothe Copyright 2012 - Lighthouse Network 59 Stimuli Perception Emotion Assessment Response Summary Thought

60. Assessment Who is stronger: a tiger or a man? Emotional and intellectual volume – We fail when we let our emotions rule our intellect – Poor tolerance and soothing of negative feelings Copyright 2012 - Lighthouse Network Stimuli Perception Emotion Assessment Response Summary Thought 60

61. Assessment Options Pros and Cons Weigh pros and cons using the filters (GPT, GPN, LDO, C, M) – SMB Damage/growth – Motivators Copyright 2012 - Lighthouse Network Stimuli Perception Emotion Assessment Response Summary Thought 61

62. Ephesians 2:10 For we are God’s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do. Proverbs 4:23 Watch over your heart with all diligence, For from it flow the springs of life. Copyright 2012 - Lighthouse Network62

63. Response We need a relationship with God We need to put on the Armor of God Is this helping me or others become more Christ-like? WWJD? Mark 12:30 Sometimes a combo of options Copyright 2012 - Lighthouse Network Stimuli Perception Emotion Assessment Response Summary Thought 63

64. Summary Thought After review of each element Celebrate our successes, and learn from our failures Are my responses working for long term health Heart Change Self-reflection and assessment is paramount Autopsy Copyright 2012 - Lighthouse Network Stimuli Perception Emotion Assessment Response Summary Thought 64

65. Driving Force for Dysfunction Stimuli Perception Emotion Assessment Response Summary Thought Copyright 2012 - Lighthouse Network65

66. Main Problems OLD Beliefs-LiesNEW Beliefs-Truth Negative feelings are badNegative feelings are our warning system I am all aloneJesus is with me, hook his yoke We can’t endure negative feelingsWe can endure and grow and God will meet us We only have skills and of 8 yoWe have skills and of an adult Talking about them is badTalking abut them is good One variable is same, so all are same One variable is same, so only one is same

67. Deconstruction/Reconstruction Prospective Retrospective – Autopsy Flexibility Journaling Thinking about it more – then real time use Skills need Practice Behavioral Change Examination of Heart Heart Change leads to Real Transformation Motivators for Change Copyright 2013 - Lighthouse Network

68. Deconstruction S – “Screen Door is Broken” P – Rubic – Intruding on my agenda for the day GPT – not good enough, incompetent, not in control GPN – control, competency, power, authority LDO – me being in charge to minimize pain C – my ability to control and manipulate, verbally argue, control = power = soothing M – not feel the pain, be in charge or in control, do what I want to do when I want to do it

69. Deconstruction E – incompetent, worthless, failure, poor husband, falling behind, angry, E Volume = 8 T Volume = 1 A – ignore, yell(leave me alone, I’m busy), shift blame(you and girls broke it), pick on her(laundry not done), pros/cons based on my filters/motivators R – ignore, then blame them ST – got her off my back and on a different topic, get to do my agenda and watch the game Pain – incompetence, no control, exposed, out of agenda old beliefs: I’m a little kid, people telling me what to do, blaming me, I’m responsible for their feelings, this will ruin my day and all the other activities

70. Reconstruction Pain – new beliefs: Neg feelings are only warning system, God is sharing my yoke, God provides peace and comfort, I’m an adult, Won’t last long He brought this for a reason for my growth so embrace it

71. Reconstruction S – “Screen Door is Broken” P – Rubick – Opportunity and chance to serve my wife GPT – dishonoring God, Flesh on throne, out of God’s will SMB impact, hurting my wife GPN – God’s will, please God, SMB growth, fruit of Spirit, LDO – Mind of Christ – SMB growth, Ambassador C – God’s promises, Love, Forgiveness, Character, Instruction, His plan has worked in the past M – SMB growth, Fruit of Spirit, giving back to God

72. Reconstruction E – interested, curious, connected to wife, slight excitement, sl financial worry but know God provides E Volume = + 4 -1.5 T Volume = 8 A – “wait till I am finished”, teamwork – call handyman, check our budget, go to home depot together pros/cons based on my filters/motivators R – ask her to wait 15 minutes then we check it together, agree we can live with it but if it gets worse, call handyman for advice ST – honored God, wife, myself, SPEARS was good, SMB +, fruit of spirit, no fruit of flesh Pain – not much relational and was able to rely on God to see me thru the slight disruption and financial concern

73. Summary Science and Spirituality can fit together well Matrix Moments Need a Strategy Learned a sound and SMB Integration model Decision-making is the key spiritual discipline and core competency everyone needs to learn Decision-Making is the exercise of the brain SPEARS is a complete decision-making model – Integrates all 3 spheres – Practical to implement and utilize – Core to any treatment level and modality Copyright 2013 - Lighthouse Network

74. Hardware Summary Most important Spiritual Discipline Bible talks the most about DM Exercise for the Brain, Spirit, Mind Intersection of S,M,B Intersection of Science and Faith Need a Strategy, Slow the Mind Reveals what’s in the Heart Easiest way to reflect/detect/resurrect Copyright 2012 - Lighthouse Network 74 DM Key Points

75. Lighthouse Network Resources WITHIN REACH: Disciplines for Real Life Change – 10+ Hours of DVD – 140 Page Workbook EDGING FORWARD: Mastering the Art of Godly Decision-Making – 8 Chapels(25 min each) on DVD Free Stepping Stones Daily Devotional – Emailed daily Solomon’s Portico – Devotional for Teens/Young Adults Addiction: Sin, Disease, or Psychological Defect (DVD) Can Psych Meds Help Christians? (DVD) Parenting and other workshops available on DVD Copyright 2013 - Lighthouse Network

76. Finds addiction and MH treatment options. Expertise about all elements of the system Free to client Saves the clinician incredible amounts of time We find great options for struggling people 877-562-2565 x:101 Copyright 2012 - Lighthouse Network 76

77. Any Questions? Copyright 2013 - Lighthouse Network