Cognitive Biblical
Therapy Coursework
Counseling Through God’s
Transformative Word
Course 4, Chapter 12
Section 3: Relationship Situations
Chapter 12 Spiritual Concerns in Marriage
Spiritual Issues are of concern for all people because we were made by God in His image. CBT will work with non-Christians, nominal Christians and mature Christians.
Essay Questions: Answering the section questions (red buttons) is a great way to prepare for the end of the Chapter Quiz. Chapter 12 questions require you to analyze the case study and apply both present and previous course understanding, while using common sense. The section questions will provide Dr. Wilkinson’s feedback to your answers.
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Chapter 12
Spiritual Concerns in Marriage
Three Types of Spiritual Dysfunction
Next will be the issue of spiritual concerns in Case Study 12, for an active man and the woman is active-sincere. In your Symptoms and Treatment Text (see Materials tab), you will find the heading Spiritual Concerns, looking at symptoms of dysfunction. Spiritual concerns are interesting. Many times, when I talk about the method and initially introduce CBT, they'll say, “Well, it sounds like a good method, but it's too bad it's so limited in its application, because you certainly couldn't use this with a non-Christian.” And that's the farthest thing from the truth. And I tell them, “If you ever meet someone without a soul, then you're right, this isn't going to do any good.” But the fact is that everyone is created by God, and so everyone has a relationship to God, whether it's distant or almost unknown. I've worked with people that have never read the Bible, that have accepted the Lord, or people that have been scholars, academicians, pastors, theologians or seminarians. Everyone has a level of a relationship to God. So don't ever be intimidated by someone who is not a Christian, or don't seem to be open to the ideas about Jesus or salvation. I stopped at Midwest Cycle to get parts for my Harley Davidson. And those who waited on me began to ask me questions about where I worked and what I did. They looked rough with tattoos, long hair, and biker clothes. After a year or so, the chief mechanic from there called me to see if I would work with one of his friends who was having trouble with his lady roommate.
Spiritual concerns are usually one of the main issues for most cases in counseling. For many of us trained in psychology, it’s hard to consider how our relationship with God and His Agape love is related to the cause for issues like within a mood disorder, obsessive compulsive disorder, or post traumatic stress disorder. Can a person’s faith apply to the Rock and the Ripple effect? In this chapter, you will find an explanation how a person’s relationship with God impacts their presenting issue. In future chapters, you will find more application of spiritual impact within mental and emotional health issues.
Within spiritual concerns are symptoms of dysfunction with three categories of individuals: those who are unsaved, nominal or saved Christians, and mature Christians. In the unsaved category, people have lifestyles like self-reliance, indifference, drug dependent, violence, passivity, poverty, or a continual sense of failure. They have difficulty with relationships of all kinds. Regardless of the situation, they use and depend upon the same methods for making decisions, how they parent, how they are married, how they do their job, how they treat themselves. Also, you will find that they may over dramatic, yet have experienced traumatic situations almost constantly. It's very common for these clients to go from one crisis experience to another; a victim mentality, helpless and inability to care for themself or pay their bills. The utility companies shut off their electricity or gas. They don't have a good car. They get in a wreck. They get it fixed. It breaks down, they get laid off. They have troubles with bosses. They have trouble with their taxes. They have trouble with their kids. They are a challenge to counsel, because so much is wrong. While you try to get to the source of their problems, and equip them to deal with things differently, you will live in their mess with them for a while, continually refocusing them on their underlying issues. You can help them address some of the present problems, while you help them evaluate how they spend their money, or set up a budget, or establish a parenting process, or see how to begin to change in their marriage relationship. Counseling those who are unsaved, who are living in their own world of constant crisis, will seek to be rescued, get problems fixed and may not decide to return for counseling when you will not problem solve for them.
The next category of people will probably encompass the largest number of those individuals that you work with who profess Christ or say they're Christians. That is a sad statement, but I find through client data analysis that most Christians don't read their Bible daily or weekly, but only three or four times a month, like at church. They may have good intentions, pray a bit more at times, but their church attendance, reading Scriptures and prayer are done because of a life crisis. It seems odd, but they don't actually pursue their faith outside the church walls; they separate their faith from their life and have one foot in the world and one foot of faith in God.
I talked to a person who was having trouble with his job, and he said, “Well, I don't think about my faith when I'm at work. I don’t pray to ask God the Holy Spirit, for guidance or input in those areas.” Now this person may be experiencing immaturity due to a lack of spiritual knowledge described in the Symptoms section. They'll almost always be frustrated due to their lack of spiritual growth or maturity. They may have relationship difficulties, but not as severe as the unsaved individual. And then the mature Christian may have concerns over spiritual growth, and struggle with this over a period of time. They're probably praying, seeking God, and have a relationship with Him, but there's a quality to it that's lacking. They don't know what it is, and they're not really sure how to deal with it. They also may have concerns over proper Biblical ways to cope with difficulties, showing that they don’t understand the concept, the practice or process of patience. Once they realize their brokenness and express a desire to seek a different way, treatment starts with evaluating their personality type and spiritual condition through the Agape questionnaire.
If you need to explain salvation, lead the person to the acceptance of Jesus Christ as his or her personal Savior. Next is to teach the concepts of Agape love to the individual, along with coping mechanisms of patience, and then apply the information to the presenting problem. As you have heard from me in previous chapter, our human distress is fundamentally a broken relationship with the Creator, in need of a rebirth into Christ Jesus. The only Scripturally sound, clinically effective way for humans to discern truth if from a genuine, saving faith in Jesus Christ. The counselor’s task is to present the Gospel clearly, invite the client to submit to God’s authority, and then apply the Biblical‑based therapeutic process. This is done with respect for the client’s freedom, with referral when necessary, never against the client’s will, and always under the authority of Scripture alone.
Fully answer the following question from the content you just read and submit your answer to find your score and Dr. Dan's answer to the question.
Discuss your reasons for believing or disbelieving that Cognitive Biblical Therapy can be used with any client, regardless of their knowledge of God, or their total lack of any exposure to Christian beliefs and values.
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Dr. Dan's Answer:
The only way that CBT will not work is if the counselor would ever work with someone that does not have an eternal soul and hence cannot communicate with God or receive His conviction through the Holy Spirit. Everyone has some degree of a relationship to God, and given that God has created everyone, all people have a spiritual yearning to know God and can receive the guidance and urgings of the Holy Spirit.
In your own words, answer the following question and submit to see Dr. Dan's answer. This question is for your personal reflection -- no score is given.
Write a brief statement in defense of your belief or disbelief that it is appropriate to lead someone to the acceptance of Jesus Christ as their Lord and Savior as part of therapy, in particular as part of Cognitive Biblical Therapy.
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Dr. Dan's Answer:
This therapy differs from psychology in that it is grounded in the Gospel message of Jesus Christ, resting on the conviction that only through spiritual rebirth can anyone discern or receive those things that come from God -- things understood by the Presence and authority of God within the regenerated soul, spirit, and mind of a Christian. Human distress is fundamentally a broken relationship with the Creator, in need of a rebirth into Christ Jesus, and the only Scripturally sound, clinically effective way for humans to discern truth is from a genuine, saving faith in Jesus Christ. It is therefore acceptable and necessary to establish, through salvation, or to deepen, that relationship in the client.
Accordingly, the counselor's task is to present the Gospel clearly, invite the client to submit to God's authority, and then apply the Biblical-based therapeutic process. This work is carried out with respect for the client's freedom, with referral when necessary, never against the client's will, and always under the authority of Scripture alone.
Case Study
In the Symptoms and Treatment Text (Materials tab), you will see the potential impact of spiritual issues on a marital relationship. Such as, escalating arguments, silent treatment, lack of openness and transparency, resentment, household tension, coldness in relationship, parenting disunity, avoidance of verbal and emotional abuse, financial and scheduling disputes, domestic abuse, little or no intimacy, dominance and controlling spouse. As the counselor assessing the client’s behaviors, it is easy to just see the symptoms, considering treatment to address the presenting problem, not realizing what is underneath the surface.
Let me take it down to the real practical in this particular case. The parents came to me concerned over their daughter (presenting problem). The woman came first, describing her daughter's behavior as belligerent. She'd yell and scream. She would slam doors, she would disobey. After talking to the mother, I realized that the daughter was imitating her mother. The mother was fairly sincere, but very strong willed. And the father was probably either just fed up or had given up. He may be anything from an active to a passive person. He could be just a manipulator or like to control through emotion and playing the victim. So, I said to the woman, “I think that the problem with your daughter is at least partially you, and probably you and your husband. Your relationship to her is probably not one that promotes security. Perhaps your marriage relationship is not one that gives her confidence, a sense of safety or strength.” Needless to say, she was pretty upset. I was not sure I would see her again.
She did come back, and was willing to bring her husband. I saw them separately, and the first thing that he said was, “This marriage has absolutely no love in it. It is loveless, sexless, and I absolutely hate it. If I wasn't a Christian committed to Christ, I would leave the whole family and just get out.” When I talked to the wife, her statement was that the marriage was one of disrespect, and that she felt disgusted with her husband for his lack of leadership. She didn't have any respect for him. That was where the problem was coming from. Once again, another example of “the rock and the ripple” metaphor; daughter as the ripple, the parents’ resentment and disrespect as the rock. The daughter, who was fairly strong willed and active personality, had a sense of discernment. She knew there was unrest there, and saw that in the way they parented, then displayed in their AQAL scores.
Please look at the man’s Agape Love Analysis Profile (ALAP). It turned out that he really wasn't a passive person at all. His strongest scores are: B kind (15), C envy (15), D boast (19), G self-seeking (18). He had some problems with: E pride (13), F rude (11), I keep a record (12), L protect (11), N hope (11), and O persevere (11). The lowest scores were in: A patience (9), H easily angered (8), J-K delight in evil ((9), M trust (6), and P fails (8). These scores show his tendency to fly off the handle and get mad. He had come to the point where he just got quiet and gave up. He had trouble with hopes and perseveres. He tried to do things on his own strength, even if it was giving up, which is a form of saying, I can't do anything about this, and God can't help me. His biggest trouble was with the area of patience, because when he tried to be patient, she wouldn't listen. He wasn't getting through, because he tended to be easily angered and provoked all kinds of fear and emotions in her. He went from one extreme of being angry to the other of being quiet. From the beginning of their marriage, they had a lot of power struggles. He also had sort of a perpetual dark cloud over his head, and saw the worst in a situation. He had a lot of trouble with trust, because he didn't know God very well. In growing up he was somewhat abandoned by parents who were not very active in their faith. So, to him the person of God was distant and not trustworthy. His understanding of God’s nature wasn't very well established at all.
He has the basic score pattern of an active person: the low score on patience, build to a high point at envy or boast, then that downward slope towards easily angered. It's a little unusual for the high score on self-seeking. It's usually a little bit lower. His scores bottom out on easily angered and trust. If you remember, the pattern for an active person in general is that their low scores will be in patience, easily angered, trust, and never fails. And that's a pattern. He has his scores come up a little bit on I keep records. The scores level out through the rest of them showing his poor concept of God. His tendency of being active altered over time. When they first married, he was quick to make decisions; to go from perception to reaction. He was doing things on his own strength, did not stop to seek God, and was absolutely confused over why he had problems. He was not getting the insight and perceptions he needed from the Holy Spirit, because no one taught him how.
Now looking at hers, you will notice that she doesn't tend to be envious or boastful, nor does she tend to be selfish or hold grudges to keep records of wrong. She's somewhat different than he is in that she doesn't see things in a negative sense (delight in evil), and she wants to be protective which goes along with her being active-sincere. Now her problems start with not understanding how to deal with situations, impatience (15). His score was worse (9). So, you can imagine what happened when they tried to solve problems. Both are quick to make decisions, and neither one really willing to back off. Neither of them knows how to gain insights or perceptions, nor has a clue about the process of patience. Rather than attempting to relate to each other with kindness, they would argue about their views through that haze of impatience. She has a problem with kindness, understanding how to relate in a way that's useful or that builds him up or is good for herself. One of their main concerns was that her presence although not domineering, was something sensed immediately in just her appearance, and tone of voice. When in a good mood, she was a perky individual with bright, sparkly, and flashing eyes. She was the kind of person who was noticed by everybody, not because she was pushy, but she was fun, likable, happy and talked a lot.
When she was mad, she could push with that same force of personality which would go from entertaining to this extremely strong presence, demanding action no matter what. This strong angry person was threatening to him. Initially, he liked her spunk and liveliness. But recoiled at this angry, demanding person acting inappropriately, and over time their relationship deteriorated. She became sarcastic, loud, caustic and quick-tongued, and very cutting and manipulative. This action was more out of frustration than anything. Her low score on rudeness shows that she could be doing this to manipulate. She wasn't really a rude person, no attempt to feign ignorance, or pretend she wasn't trying to be honest. She gave that appearance because of her personality type, her tone of voice, her physical bearing and presence. His score on being easily angered, resulted from her ability to provoke anything from a sense of security, love and tenderness to the opposite of fear and self-defense. Because her daughter was more like her; they tended to get into power struggles. One of her lowest scores was pride. The active-sincere person gives the impression of pride, but it's not a true impression. Because the active-sincere person is inconsistent in solving issues with so much effort, they can appear to be prideful to other people. Her other low scores are like his in trust through persevere and feeling like a failure. In a case of an active-sincere person, the extreme variance of the scores will be the issue because they are confusing. Her low score being P never fails (9), and her highest score being G self-seeking (23). You can see how he was confused. The initial reasons he was attracted to her were: she wasn't G selfish (23), had a forgiving spirit, I didn't keep a record (22), and wasn’t boastful (22) so she did have an appearance of being that way. And yet, after a time, he began to get confused, because she could appear to be E prideful (14), or hard to M trust (12) or like she was headstrong and lived life on her own strength, O persevere (14).
These types of people give mixed signals. They're confusing. They're not boastful, and yet they can appear to be proud, they're not selfish, and yet they can appear to be rude and easily angered. They don't keep records of wrongs, and yet, at times they're hard to trust. They have a sense of being positive, JK delight in evil (19), and yet, sometimes they feel like failures. After about 12 or 13 years of her pattern, it had just about driven them both crazy. She grew up in a church family where her father was a pastor and extremely strong, willed and dominating. Her mother gave in to it and allowed it. She witnessed many times where the mother was yelled at and picked on, and mistreated without doing anything about it. As a young girl, she made a decision in her mind that was not going to happen to her. She sought out her husband because he tended to be soft spoken, had a gentle appearance, and would be tender and compassionate.
Both husband and wife brought their spiritual immaturity into the relationship. See their ALAP scores from L protects (except for wife’s protect score, a sincerity strength) through P never fails. Both have the same trend of low to lowest scores that drop down from their average scores from B Kind through G Self Seeking. Second, these L - P scores are fairly clustered together. Remember, this scoring pattern can identify their lack of relationship with God and/or spiritual immaturity found in nominal believers, as discussed earlier. Along with their other low scores impacts their ability to express Agape love towards one another in their marriage, as parents and be an example for their daughter. I explained to them all of the spiritual issues as I have described them to you. She appeared to be proud, but instead she put up a wall to protect yourself when you get frightened and scared. When she didn't like what her daughter or husband did, she would use old behaviors of getting mad and demanding, and she justified what she did. All these behaviors, like being impatient or appearing to be proud, or actually being proud, or not trusting God, they all came out.
She listened and agreed and was very willing and ready to find help. They had both been praying for over six months that the Lord would send them to someone, who was be a Biblical counselor. This case was rather unique in that they were very willing and ready to hear what I said, and act on it. She was very thankful for understanding, finally, what had gone wrong: to learn how she had reacted to her parents, why she was having trouble, and what to do about it. He reacted the same way. I explained to the man, that he was not necessarily being prideful or rebellious against God, but his tendency to go from a perception to a reaction is what has caused your problems. In order to change that, you have to stop this quick reaction by using the process of patience, in order for the Holy Spirit to guide you in your perceptions, and how you should react and speak. It only took about three months of counseling for the two of them to get to an absolutely new relationship through their surrender to God and growing in their relationship to Him.
Fully answer the following question from the content you just read and submit your answer to find your score and Dr. Dan's answer to the question.
How did the couple's different low scores on their Analysis Profile feed into and escalate their marital issues? How did their lower scores on L Protects and P Never Fails impact their marital relationship? How do the combination of these types of scores play an underlying factor to the couple's symptoms in their marriage and parenting?
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Dr. Dan's Answer:
His lowest qualities of love (patience, easily angered, delighting in evil, trust, and never fails) lacked practical communication skills and antagonized her, provoking her lowest qualities of love (patience, pride, trust, hopes, perseveres, and never fails).
Their L (Protects) and P (Never Fails) scores displayed a distant, immature, and nominal relationship with God without a foundation of Agape love. This combination of scoring patterns and spiritual issues in Agape love means a couple will rely on their own abilities, lack control to stop arguing, lack the ability to listen, take responsibility, and change (transformation).
Change’s Impact on Their Parenting, Intimacy and Church
I spoke to them about the parenting procedure, and they implemented it with some very good results. Their daughter was about 14 years old, so unfortunately, they had waited quite a while to get help. She did respond, though rather quickly. I gave her the questionnaire, showed them the results and explained them, and they explained her results to her. She understood them, and they got some spiritual help with their parenting process. Their old method of parenting was taking away all of her choices, and her age made that unacceptable. They had been repeating the same process from the past generation. The girl responded fairly well even though she was headstrong, she was making progress.
The other issues that they had, like sexuality and sense of respect were addressed once they learned the process of patience. They each understood their own and the other’s personality tendencies, and we were able to talk through and get answers relatively quickly. Another interesting thing happened, they had been in the church for many years, and people knew that they had trouble in their relationship. Their relationship changed so dramatically that they became an example in the church of love, a good marriage, and effective parenting. Being more Christ-like, the Lord began to use them to disciple numbers of couples, and refer them for counseling. Over a period of about four years, many couples from this same church (8-12) came to counseling with the same issues of brokenness in the relationship. This couple was the inspiration. They discipled those in counseling and formed a group of people very committed to the Lord, and modeled being Christ-like to each other. That group grew and strengthened that church.
This couple was a model couple, in a sense. But it doesn't matter what personality type, passive, active, or active-sincere the issues are always the same. You get their questionnaire results, and you find out where their strengths and weaknesses are. You talk to them about the realities of salvation, and find out if they are saved or not. And if they aren't, you try to lead them to the Lord while you take them through their scores, pointing out their needs, so they also see it. If they are saved, you may need to point out how their surrender to God’s love will strengthen their faith. Or if they're mature, like these folks became, you may need to just help them gain some basic, simple tools that deal with how they relate to God, how they talk to the Holy Spirit, how they solve problems, and how they live under grace. What you'll find is that the needs always the same: to have a practical , working relationship to God, so that they have coping mechanisms that rely on the Holy Spirit and a surrendered heart. In that process of maturity, they learn their blind spots, broken concept of God, and by grace, fill in the blank spots in their faith. Their relationship with God will be evidenced by expressing the fruit of the Spirit (Galatians 5:22-ff) and qualities of Agape love.
In your own words, answer the following question and submit to see Dr. Dan's answer. This question is for your personal reflection -- no score is given.
In your own words, how would you define a practical, working relationship to God as noted at the end of the Case Study discussion?
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Dr. Dan's Answer:
A practical relationship with God means frequently interacting with God (praise, the process of patience, seeking wisdom, discernment, strength, etc.), surrendering to Him, and living out Agape love -- resulting in internal peace, confidence, joy, gratitude, etc.
It is functional in God's gracious partnership that moves a person from self-reliance to Holy-Spirit-dependence, evidenced by the fruit of the Spirit and the qualities of Agape love.
When People Struggle to Engage God
Watching the people God sends to you, who accept Jesus as their Savior and Lord, then grow in their faith and dependence upon Him, is such a blessing in all aspects of counseling and eternal life. Watching the nominal Christ follower and the mature grow in the Lord and Agape love is the same. While the acceptance and/or growth is not the same for others. They appear to be intentionally seeking the Lord, wanting to understand and apply the principles of Agape love, yet for some reason they sense a disconnect with God's Presence. They struggle with their inability to apply God's Word to their life, or with a clear focus or thinking in seeking to practice Agape love or simply the process of patience. In these situations, further assessment is needed.
The first question to ask is whether there are medical reasons impacting the client's cognition. Is there a physical health or mental health issue causing interference with the client's capacity to engage with God. This may sound odd, yet within CBT clinical practice, counselors have referred clients to their medical doctor and found a brain tumor or swelling in the brain impacting their thought processes. Other times, a heart condition and blood circulation issue impacting the brain's capacity to think, reason and remember Scripture. In some cases, these clients received immediate medical attention that probably saved their life. In other situations, they struggle with hearing voices in their head or auditory hallucinations that make it hard to function in daily life; solving the problem in their own way by taking an opiate street drug that calms the voices, trading one problem for another. Ideally, we pray clients use psychiatric care with medication that helps them function and engage with God. We do know the realities, some clients do not follow through in identifying what is blocking their disconnect with God, and eventually abandon counseling.
Now, for the client who continues in counseling, yet their medical provider has ruled out any medical and mental health condition and they continue feeling the disconnect with God. They come to counseling and ask, "I am still stuck, feel hopeless. What's next?" How does the counselor respond? Having earlier ruled out willful rebellion toward God, since the client appears to be sincerely seeking godly discernment and daily presence with God, the next step for many is to assess the client's understanding of Satan's influence and goal "to steal, to kill and to destroy," as Jesus stated in John 10:10. Turning the counseling session toward educating the client will help the unsaved, the saved-nominal Christian, and the mature believer alike, and will challenge them to consider mankind's adversary, who is Satan. Many Scriptures provide Christ followers an understanding of the Enemy and how to stand equipped against him, including James 4:7-10; 1 Peter 5:8-9; Ephesians 6:10-18; 2 Corinthians 10:3-5; 1 John 4:4; Psalm 91; Romans 8:31-39; and Revelation 12:11. This topic may be an area of further study for the counselor's own spiritual development and formation.
For clients less knowledgeable about God's Word and Satan's destructive activity, the counselor points out that Satan is the primary agent of deception, whose activity distorts a person's mind, heart, and life, forming the root of sin. Satan is responsible for mankind's broken relationship, or disorder, with God, while God points mankind to the solution, which is the client’s solution, John 3:16-17. Leading the client to see God desires to heal and remedy our distance with Him through His Son Jesus, then empowering us with His Spirit is the same answer for breaking Satan’s strongholds in us. As a believer in Jesus Christ, through faith we can ask God to intervene, to reveal obstacles in the way of knowing Him personally. This is a practical CBT step toward the Ownership Phase of counseling, as pointed out in Course 1, necessary to become transformed the freedom of Jesus Christ. Yet, in the mind, Satan inserts false facts, distorts God and His Word, and fuels emotional rumination that presents itself as truth. Patterns of prideful thought such as "I can handle everything by myself," or fear-based catastrophizing about failure can still reside in the believer. These cognitive distortions surface in the Analysis Profile as low scores in the "protects-through-never-fails" cluster. Such low scores can initially reveal a low understanding of God, but also a distorted functional God-concept in which the client views God as distant, punitive, or unreliable, Our distorted understanding of God can lead to relying on self-effort, feeling hopeless or fearing abandonment, blind to how Scripture applies to personal problems, and not experiencing peace from the Holy Spirit.
This same deception corrupts the heart, taking the form of spiritual blindness or a lack of regeneration, whether the client is saved-nominal or unsaved. Also found in believers who have a history of abuse, trauma, family crisis, violence, natural disaster and work related to critical care or death; can be impacted over time, drifting away and preoccupied by pain/abandonment/loss. Like previously discussed, mental and emotional health issues that impact the heart, mind and soul, being vulnerable to Satan’s attacks. Feeling alone in their brokenness, a believer can lack a surrendered heart to God, Satan's influence can turn their heart into a vehicle of self-centered motives, manipulation, and record-keeping. Here, the heart becomes dominated by pride, rebellion, and fear rather than the selfless love described in 1 Corinthians 13:4-8. The client's “will” can progress to conforming to the body's wishes and the mind's solutions; the mind may know Biblical facts without a surrendered heart to apply them. Prayer feels empty, the Holy Spirit's guidance is absent, cynicism sets in, and opportunities to love remain self-centered despite the client's awareness of God's Agape love. The darkness embeds a pride-driven rebellion, an inward refusal to submit to any authority, such as God's call to repentance. The client can treat counseling as a power struggle, treat a spouse's practice of the process of patience as a threat, and frequently rationalize sin as justifiable.
As you read this section, you may feel pretty down, anxious and uncertain about helping people in a state of demonic oppression. Though, Paul says in Ephesians “You were once that way".” You may ask, what way? If so, stop and read Ephesians 2: 1-3.
Then, Paul writes:
“But God, being rich in mercy, because of the great love with which He loved us, even when were were dead in
trespasses, made us alive together with Christ, by grace you have been saved and raised us up with Him and
seated us with Him in the heavenly places in Christ Jesus, so that in the coming ages
He might show the immeasurable riches of His grace in kindness toward us in Christ Jesus,” (2:4-7 ESV).
Practically remind the client, for the believer seeking a return to a place of surrender to Christ, the Analysis Phase in CBT points out where the darkness resides and the cure, God's abiding Presence. The Analysis Questionnaire and Analysis Profile scores on protects, trusts, hopes, perseveres, and never-fails (scores that cluster together) identifies the client's relationship to God. As the counselor, dig into the reasons for the client's low scores that signal a potential distorted image of God, blocking Biblical and spiritual understanding.
After discussing the comparison of their relationship with God and what these qualities represent (Biblical Norm), it is essential to pause, pray, and seek the Holy Spirit to reveal to you and the client, the condition of their heart and mind. Is the client convicted, receptive to what has been revealed or are they defensive, apathetic or unmoved? Their response and discernment of the Holy Spirit may reveal what is blocking and interrupting God's Word and Spirit. Guide the client to petition God through grace (for whatever the client is unable to do for themselves) now in the Ownership Phase, to acknowledge their need and brokenness, surrendering to His power and authority needed to redeem and sustain His Light.
When the client is ready, reading Scriptures about Jesus or the words of Jesus, with the client, is a good step forward. If they are able to hear God’s Word without opposition, encourage them to read His Word out loud with you and eventually with other faithful followers of Jesus, then pray for God to draw near. If the client encounters or reports oppositional thoughts, identify what they hear. Together, pray for God to bind these thoughts, assessing if the client is willing and able to do the same. During this portion of counseling, do not take steps to bind the oppression yourself, leave that up to God. In time, the client must be the one who has grown in their confidence in God, trusting Him to take authority over any oppressive spiritual force when they stand up to oppressive thoughts and attacks.
Encourage or challenge the client (if they are open and ready), with a surrendered heart to God, to seek God’s Presence to dwell within him/her, which gives them the ability to stand up against any oppressive spirit and for freedom from any oppressive spirit's hold on you. As the deceptive roots are exposed and the client moves toward the sanctifying work of the Holy Spirit, they will perceive a new freedom to engage with God and sense His peace and confidence unlike the past. The sanctifying work of the Holy Spirit in taking away the ground the client surrendered in their former life is happening. As the client continues counseling in a heart of surrender, further exploration of the Agape love attributes as concrete standards for love will continue to expose the heart's deviation from these attributes. If the client does not have a church home or active in a community of believers, challenge the client through God’s Word to engage in the fellowship with other believers, in worship, Bible study and prayer. Last note, encourage the client to stay aware of any random oppressive thoughts during their week and when attending church, listening to God’s Word, teaching/preaching messages and taking the Lord’s supper. The client is free, near the heart of God, while still vulnerable to oppressive thoughts and attacks, yet now clothed in the armor of God (Ephesians 6:10-20).
Copyright 1987, 1990, 1993 by Daniel D. Wilkinson. All rights reserved. For more information concerning this material, write to:
The Biblical Christian Counseling Ministries, Inc., 2730 Radcliffe Dr., Florissant, MO 63031.
Any reproduction of this material without the express written consent of the author is prohibited. Printed in the U.S.A..
In your own words, answer the following question and submit to see Dr. Dan's answer. This question is for your personal reflection -- no score is given.
Do you envision your role as a therapist to assess what is blocking a client's relationship with God? If so, how would you go about assessing, initiating next steps if/when medical, psychiatric and pride have been ruled out? If not, what are your options?
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Dr. Dan's Answer:
Separation from God and the reasons why vary in many forms and angles, and are fairly common within counseling cases. From a general analysis of the AQAL scores to a specific assessment of oppressive strongholds can be part of identifying the resistance to change. Initial steps of medical and psychiatric referrals are needed. Referring to another provider is an option if you are led not to engage in further assessment and treatment.
When led to take further assessment after rule-outs occur, the counselor can educate and increase the client's awareness of oppositional forces and confidence in reliance on God's authority -- not your own. Memorizing Scripture is another step forward.
When the intensity of opposition (blockage) increases, especially as the client moves through crisis points or issues of submission to God and spiritual maturity, seek God's intervention and discernment. It is reasonable and necessary to ask the client to engage prayer warriors, as you also do. Then ask God to reveal the road blocks, illuminate the client's awareness over time, and to bind Satan's attempts to frighten or upset the client -- through prayer with explanation to the client.
Keep you and the client's focus on the long game and end goal of growing closer to the heart of God, toward a practical, working relationship with Him.
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