- · the ability to effectively regulate emotions
- · maintain effective real-time interactions with others
- · resolve conflicts
- · think creatively or resourcefully
- · impulse control
- · motivation and goal-directed behavior
- · understand the emotional consequences of behavior
- · focus attention
Gentle Ripples in a big pond
A place where ideas stir the waters of our mind.
Thursday, March 19, 2015
Is Marijuana HARMFUL to your health?
Thursday, February 19, 2015
"Getting high" and Medical Marijuana
Monday, February 16, 2015
Is Marijuana addictive?
For years, pro-marijuana lobbyists, users, and potheads have vociferously defended marijuana as non-addictive. Arguing that marijuana's non-addictive POTENTIAL made it a safe and relatively harmless substance, marijuana proponents have pushed for legalization and strong liberal protections for the medical use of marijuana.
But is it really non-addictive?
The new Diagnostic and Statistical Manual of Mental Disorders (DSM-V) disagrees.- Cannabis Use Disorder (While the DSM-IV included separate categories for substance abuse and dependence, the DSM-V has included both abuse and dependence in its new cannabis use disorder.)
- Cannabis Intoxication
- Cannabis Withdrawal
How is Cannabis Use Disorder diagnosed?
Cannabis use disorder is defined as the following:A problematic pattern of cannabis use leading to clinically significant impairment or distress, as manifested by at least 2 of the following, occurring within a 12-month period:
- Cannabis is often taken in larger amounts or over a longer period than was intended.
- There is a persistent desire or unsuccessful efforts to cut down or control cannabis use.
- A great deal of time is spent in activities necessary to obtain cannabis, use cannabis, or recover from its effects.
- Craving, or a strong desire or urge to use cannabis.
- Recurrent cannabis use resulting in a failure to fulfill major role obligations at work, school, or home.
- Continued cannabis use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of cannabis.
- Important social, occupational, or recreational activities are given up or reduced because of cannabis use.
- Recurrent cannabis use in situations in which it is physically hazardous.
- Cannabis use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by cannabis.
- Tolerance, as defined by either a (1) need for markedly increased cannabis to achieve intoxication or desired effect or (2) markedly diminished effect with continued use of the same amount of the substance.
- Withdrawal, as manifested by either (1) the characteristic withdrawal syndrome for cannabis or (2) cannabis is taken to relieve or avoid withdrawal symptoms
In my years of working in this field, I've always known that addiction is characterized by tolerance, withdrawal, the disruption of normal psycho-social and relational functioning. These are the kinds of issues that are discussed in typical intake interviews and bio-psycho-social assessments. In looking at the co-occurring issues that must be present in a diagnosis of Cannabis Abuse Disorder, one can clearly see a similarity between harmful use of marijuana and other drugs.
Notice the presence of cravings, which may often occur despite serious impairment in health, schoolwork, relationships with family and friends, employment, and threats to one’s own health and safety. These cravings and the urge to “use” which are the subject of some pretty funny stoner movies and stories, are really no laughing matter. The urge to use marijuana is perfectly capable of destroying family, friends, and motivation for school, work, and home.
It is interesting that the DSM-V recognizes the development of tolerance in the use of marijuana. Tolerance means that our body requires increasing amounts of the same substance to achieve the desired effect. In other words, it takes more marijuana to get the same high. For years I heard that it was impossible to develop tolerance for marijuana. It seemed that tolerance was an issue related to heroin or later stage alcoholism – but not use of cannabis. I was wrong!
I also heard that there was no withdrawal associated with the use of marijuana. Proponents of legalized marijuana and potheads argued that the awesome “buzz” had no push back. They could quit anytime they wanted to, but they just didn’t want to. Now it seems clear that one of the factors that drives ongoing use of marijuana is withdrawal. Users are not just chasing the buzz; they are trying to stave off the physical and psychological symptoms of withdrawal. With heavy use of marijuana withdrawal symptoms can include: irritability, anger, or aggression, anxiety, nervousness, decreased appetite, restlessness, and a depressed mood. Physical symptoms can include: significant discomfort, abdominal pain, shakiness/tremors, sweating, fever, chills, or headache. I don’t know about you, but these symptoms describe use of a drug that is far from harmless for serious users.
The debate over legalization and the medical use of marijuana will continue. The pro-marijuana lobby seems committed to a world in which marijuana is readily accessible for all who want it. This is not likely to change anytime soon. As we move forward, it’s important that we consider the full addictive potential of marijuana for already committed stoners as well as casual or curious users. Nobody sets out to become addicted. It is the addictive nature of marijuana that takes the unwary as well as heavy users captive.
It’s time to stop inhaling the smoke exhaled in our direction by those who simply want to pursue their high, and come to grips with the addictive potential of this supposedly "harmless" drug.
Saturday, October 18, 2014
What is Healing? Part 5
Our Relational Design: Ideal or Real?
Is God’ relational design for our lives more than a nice theoretical guideline – or are loving relationships with God and others something we need to take seriously?
Many of us long to live for God more deeply. We want to see God move more powerfully in us and through us to accomplish His purposes. We’d like to have the kind of joyful, loving fellowship described in the Book of Acts. Some of us would even like to see the miraculous in our day. Why does it seem that despite our deepest longings, our desires for “more of God and His works” often seem unfulfilled?
Perhaps the heart of the matter is this: it’s hard to experience or express the life of Jesus when we live outside of His relational design for our lives. According to His design specs for our lives, God created us to function best only when we are connected with Him and others in love. Love, experienced and expressed in relationship with God and others (and not more power, authority, influence, ministry opportunities, miracles, church attendance, memorized Bible verses, miracles, signs and wonders) is the “Gold Standard” in Christianity.
The failure to take seriously Jesus’ commands to love God and each other with His love keeps us weak, frustrated and unfulfilled in our lives as Christians. Furthermore, it blinds us from recognizing our overwhelming need for healing.
What does Jesus tell us?
On the night before He died, Jesus shared a last meal with His disciples. Knowing that His arrest was only a few hours away, Jesus poured out His heart to His dear friends one last time. This was not a moment for empty words; Jesus used the short time he had to tell his disciples what was most important.
Here Jesus established a new and more demanding vision for love than they’d ever heard before. He said, "A new command I give you: Love one another. As I have loved you, so you must love [Greek tense: love and continue to keep loving] one another. By this everyone will know that you are my disciples, if you love one another." (John 13:34-35, NIV, parenthesis mine). Here, there is little room for negotiation or debate; Jesus is quite clear. He commands His disciples to love each other with the same love that He has for them.
What did his disciple John say?
Fifty years later, John the beloved disciple had not forgotten Jesus' commands. Addressing the influences of Hellenism, early Gnosticism, Eastern Mysticism and Roman pagan religion on the early church, John takes us back to the Last Supper as he writes,
- Whoever claims to live in him must live as Jesus did. (1Jn 2:6)
- And this is his command: to believe in the name of his Son, Jesus Christ, and to love one another as he commanded us. (1Jn 3:23)
- This is love: not that we loved God, but that he loved us and sent his Son as an atoning sacrifice for our sins. Dear friends, since God so loved us, we also ought to love one another. (1Jn 4:10-11)
- Whoever claims to love God yet hates a brother or sister is a liar. For whoever does not love their brother and sister, whom they have seen, cannot love God, whom they have not seen. And he has given us this command: Anyone who loves God must also love their brother and sister. (1Jn 4:20-21)
I don’t know about you, but it seems to me that if we claim to follow Jesus, then we are commanded to love God and each other – just like Jesus.
Love isn’t a one-time event – Jesus intends it to be our lifestyle.
The idea of Christianity marked by signs, wonders, power, authority, spiritual gifts and ministry opportunities without love is a myth – and a poor substitute for the life of Jesus. As much as I would like to at times, I just can’t find any wiggle room to avoid the commands to love God and others like Jesus!
The challenge of love, the need for healing
Healing is the restorative work of returning me to my original relational design so that I can mature in love and overcome my own internal resistance to love.
When I take God’s design for loving relationships seriously, I am confronted by my own lack of love – and secret wish that I could exclude really annoying people from the list of those I am supposed to love. I come face to face with my own internal resistance to both receiving and allowing God’s love to flow through me to others. Jesus’ command to love as He does is hard – and makes me realize how much I need to mature in love and deal with my own internal resistance to love. I desperately need to be restored to God’s relational design for a life of love. We’ll continue discussing our need for restoration in our next blog.
Love challenges me to leave my comfort zone and enter the hard work of engaging with the love of God in Jesus so that I can learn to love and live like Jesus with those around me.
Friday, September 26, 2014
What is Healing Part 4
What is Healing? Part 4
Our Relational Design: Sharing Life Together
God’s Love Initiates
- God’s loves us first and takes the initiative to show us love.
- We receive His love and life.
- We respond to His love with love.
- We relate to others with the same love.
Reflecting God’s Love
God’s Design Specs and the “3 R’s”
Coming Attractions
- Is broad enough to include physical healing as well as healing for those who are hurting on the inside.
- Uses terminology explicitly found in Scripture to end the “is it Biblical or not” controversy.
- Proactively focuses on healthy growth and maturity, and avoids a self-limiting emphasis on pain, problems and suffering.
- Is Invitational, and helps all members of church community recognize the significant role they play in healing and maturity.
- Multiplies easily from one person to another (self-propagates).
Friday, September 19, 2014
What is Healing? Part 3
The Reality of Relationships
Our Father, Jesus and the Holy Spirit are an eternal, joyful, loving, relational Trinity. Created in God’s image and likeness, everything about us is relational too! He designed us so that we function best when we are joyfully connected to Him and to others, and learn to see ourselves through these eyes of joy. That’s why relationships are the foundation for life, growth and healing.
As we move towards a fresh definition of healing, I want to spend my next several blogs exploring God’s relational design for our lives. We’ll explore why both scripture and neuroscience agree that relationships are foundational for life and growth. We will also discover why joy-based relationships are essential for healing and equipping in the Body of Christ. I will also discuss the role that grace plays in healing of all kinds.
Remember, we are working towards a new definition of healing that must be:
- Broad enough to include physical healing as well as healing for those who are hurting on the inside.
- Use terminology explicitly found in Scripture to end the “is it Biblical or not” controversy.
- Proactively focus on healthy growth and maturity, and avoid a self-limiting emphasis on pain, problems and suffering.
- Invitational, and help all members of church community recognize the significant role they play in healing and maturity.
- Multiply easily from one person to another (self-propagate).
Today, our journey begins with a look at what scripture has to say about God’s relational design for our lives and His desire for life giving connections with us.
From the beginning
We need to look no further than the book of Genesis to discover God’s relational design for our lives. In Genesis 1:26-27, we read:
Then God said, "Let Us make man in Our image, according to Our likeness; let them have dominion over the fish of the sea, over the birds of the air, and over the cattle, over all the earth and over every creeping thing that creeps on the earth." So God created man in His own image; in the image of God He created him; male and female He created them. (NKJV).
When God said, “Let us make man in our image, according to our likeness”, we catch a glimpse of God’s eternal relational nature. Always in harmony, each member of The Trinity moves in everlasting unity and love. There is no strife, no jealousy, no selfish ambition. The Father, Jesus and the Holy Spirit do not argue about “who gets to be in charge and make decisions now.” The Father never has to referee arguments between Jesus and the Holy Spirit about anything.
You are I are created in the image and likeness of a relational God to be just as relational!
The divine attributes of God revealed to us in Jesus are present at creation. Love, joy, peace, wisdom, compassion, mercy, patience and humility pour into our design. Righteousness and justice are the foundation of God’s throne, and He weaves a hunger for these into our design. The drive to share the life, character and gifts God has given us with others in new places is part of our God-given spiritual DNA. The “one another” passages in the New Testament describe what it looks like when we follow Jesus and share His relationship with each other.
The relational nature of our design means that our deepest desires and needs are for lasting connections with God and others that reflect His character and nature. God’s design means that you and I literally function best in these relationships. God never intended us to live an isolated life, and living in a relational vacuum is antithetical to His design for us.
The greatest commandments are relational
In chapter 22, Mathew’s Gospel records a fascinating interaction between Jesus and one of the Pharisees, who were the religious leaders of his day. The Pharisees were experts in the details of Old Testament law, (as well as the hundreds of other commands they created) and were usually much more concerned with rules and behavior than they were with love for God or others. In verses 36-40, Mathew reports the interaction between Jesus and a Pharisee who wanted to know which commandment in the law was the greatest
"Teacher, which is the greatest commandment in the Law?"
Jesus said to him, 'YOU SHALL LOVE THE LORD YOUR GOD WITH ALL YOUR HEART, WITH ALL YOUR SOUL, AND WITH ALL YOUR MIND.'
This is the first and greatest commandment.
And the second is like it: 'YOU SHALL LOVE YOUR NEIGHBOR AS YOURSELF.'
On these two commandments hang all the Law and the Prophets." (Mat 22:36-40, NKJV)
What a relational response and revelation of God’s heart as revealed in the Old Testament! Here Jesus tells us that God’s intent for us is loving relationship with Him and with each other. Furthermore, Jesus is telling us that everything in Old Testament Law and in the prophets can only truly be understood when approached from the understanding that God’s greatest desire is for relationships of love.
Everything about us – and scripture – testifies to our relational design and God’s desire that our relationship with Him would be reflected in our interactions with each other.
Finding real life in real relationship
Have you ever wondered how to find real, authentic life? Volumes have been written on the subject and the “Self-Help” sections of bookstores are packed with answers. Today, people have become wealthy by packaging trendy new techniques to help people enhance their lives. Christians have also explored this question extensively, and devised many ways to help people make a “profession of faith” in Jesus to find eternal life.
Perhaps nowhere is the answer to this question expressed more clearly than in John 17:3. Not surprisingly, we discover that God’s answer is relational, and consistent with His relational design for our lives found throughout scripture:
“And this is eternal life, that they may know You, the only true God, and Jesus Christ whom You have sent.” John 17:3, (NKJV).
The relational nature of this statement becomes absolutely clear when we look to the original Greek that is translated “that they may know you” in English. In Greek, this portion of the verse means “should keep on knowing,” which indicates an active, growing and ever-deepening relationship with God in Christ. It means that we find eternal life only in an ongoing relationship with God in Christ. Eternal life, it seems, is much more than a one-time profession of faith, or mere intellectual assent to a “Christian” belief system. You and I find life and are restored to God’s design only in relationship!
There is much more to say about God’s love and our relational design, especially John’s declaration, “We love Him because He first loved us,” (I John 4:19, NKJV). Here, we find that love is our relational response to God’s initiating love. However, if I pursue each scripture describing our relational design, and God’s desire for relationships with us, I would never complete this blog!
A preview of coming attractions
In my next blog, we’ll explore how God designed us to relate to each other. We will discover how joyful relationships with other followers of Jesus help us heal, become equipped and grow in maturity as we connect to each other in love.
In future blogs, we’ll also look why Grace is foundational for healing, consider what neuroscience is learning about our relational design.
All Photos: Thinkstock.com
Thursday, August 28, 2014
What is healing? part 2
Those Pesky Emotions
In
Whack-a-Mole, the player stands with a large foam “whacker” in hand, and faces
a flat surface with a series of holes in it.
The object of the game is to “whack” a mole on the head every time he
pops up randomly from one of the holes.
Once whacked, the mole disappears back into his hole – and another one
pops out somewhere else. Good whackers discover that the faster they dispatch a
mole, the faster and more frequently multiple moles appear simultaneously.
Before long, the moles are moving too quickly for the player to respond to them
all.
Discussions about emotions and emotional healing generate questions in the same way! Here are only a few of the kinds of questions that quickly arise:
- What’s the best way to deal with emotions such as anger, sadness, shame or hopeless despair?
- Are emotions like these inherently “sinful?”
- Do we eliminate these primarily through repentance and renewal of the mind with God’s Word – or is the capacity to experience these emotions part of our God-given makeup?
- Is emotional healing much more than changing our belief systems to change our behavior?
- If negative emotions are part of our humanity, how do we learn to manage them?
- Are deeply troubling emotions signs of a deep wounds and a painful past that needs healing?
- Isn’t it better to “stuff” emotions than act out when we’re upset?
- If we’re really walking with Christ, should we ever experience emotions like these?
- And where in the Bible is the term “emotional healing” found anyway?
And lists like this tend to multiply exponentially for 2
very profound reasons. First, the
subjects of emotions and emotional healing generate controversy in the church.
Second, we all experience sometimes confusing emotions to one degree or another
as part of our human experience.
Healing should:
- Be broad enough to include physical healing as well as healing for those who are hurting on the inside.
- Use terminology explicitly found in Scripture to end the “is it Biblical or not” controversy.
- Proactively focus on healthy growth and maturity, and avoid a self-limiting emphasis on pain, problems and suffering.
- Be invitational, and help all members of church community recognize the significant role they play in healing and maturity.
- Multiply easily from one person to another (self-propagate).
Emotions are important
Second, emotions are some of the most personal things about us, and to a large degree, tend to motivate our behavior. Ignoring or dismissing the importance of how God, others or we feel is a grave mistake. This kind of behavior explicitly communicates, “God, others or self, I don’t really care what you feel or are experiencing emotionally right now.” As a result, we also implicitly, convey the message that we don’t value God or others – or our relationships with them – too highly either. Sadly, the tendency to ignore/dismiss the importance our own emotions tends to indicate that we don’t value ourselves as highly as God does. These messages of rejection bless no one, perpetuate relational breakdowns and prevent us from learning to regulate emotions in the way that Jesus did.
An example will help make this point more clearly. Suppose a child falls, skins her knee, bleeds a bit and starts to cry. What kind of parent would ignore their daughter’s obvious distress and continue to check email on their smartphone? What message would that communicate to a child in pain? Suppose the parent stopped looking at their phone long enough to say, “Stop crying and let me get back to this important task.”
What kind of message would this communicate about God? What would the child learn from this experience?
- When I am in pain, no one (including God) cares or comes to help.
- I am on my own and must take care of myself.
- I cannot trust others to help me.
- My pain is unimportant, especially when I am upset.
- Nobody cares when I am in pain.
- I am not very important.
Clearly, this kind of behavior is not OK and the messages learned create serious emotional and relational distortions in the life of the child. We could run scenarios involving the death of loved ones, overt racial intolerance, beatings and all manner of abuse, and the messages would be the same. Ironically, we communicate the same kinds of rejection messages when we dismiss/ignore positive emotions.
Dropping a Bombshell
Having described the importance of emotions, let me now make a statement that may surprise many in the “emotional healing” community. I want to make this point now, and promise to develop much more fully in my next several blogs.
While emotions are important, they are not the most important things about us and are not the primary issue that must be addressed in the context of “inner healing.” From a Biblical and Neurological perspective, the real problem with negative (and sometimes intense positive emotions) is that they damage, distort and disrupt our relational connections with God, with others and with ourselves.
In my opinion, the term “emotional healing” sows confusion. I would very much like to banish the term from the healing language used in church. Not only is this un-Biblical, it runs contrary to good neuroscience.
By definition, the name “emotional healing” suggests that emotions should be the real focus of healing ministry, and leads us off track in the inevitable and unending quest to “fix” our emotions so that we feel better. This term elevates emotions to a place they are not intended to be, and unintentionally makes emotions and “feeling better” an idol. I would like to smash that idol right now!
Biblically, the restoration of relationships and the ministry of reconciliation are quite clear. We are created to learn to love God with all of our being and to love our neighbor as ourselves. We called to grow together into the “whole measure of the fullness of Christ,” (Eph. 4:13). The calls to love and relationships are Biblically non-negotiable.
Developments in neuroscience increasingly reveal that the brain really only learns to manage, regulate and express emotions in the context of relationships when those relationships are joyful. To my brain, joy does not mean that I’m happy. Joy is the fruit of an interaction with someone who is glad to be with me. Neuroscience defines joy as coming from others, and emphasizes the role that others have in helping us learn emotional regulation. As a Christian, I believe that interactions with God, who is always glad to be with His children, are also an excellent source of life-transforming joy.
This is why reconciliation and restoration of relationships to God’s intended design are the solid foundation upon which healing ministry should rest.
As we’ve pointed out, emotions are important. God feels deeply, is willing to share our distress and asks us to help bear one another’s burdens. We never want to minimize the importance of anyone’s emotions. But, we also do not want to elevate emotions in life – whether positive, negative or horribly traumatic – to a place not found in scripture.
In my next blogs, we will take a look at what I believe is a proper focus for “inner healing” that is both Biblical, relational and true to the brain’s design. I will also begin to lay out exactly what I believe about emotions from both scripture and neuroscience as we move towards a fresh, clear definition for healing.