Besmirching God with My Crazy

I’m sitting here in a volunteer medical clinic for a 60K attendee camporee. It’s humid and hot and we are seeing a lot of dehydration, amongst other things. 

As a psychiatrist, I’m humming the Hallelujah chorus as I discover how much general medicine I still remember, from gout, viral rashes, respiratory and ear infections, cuts and bruises, and so forth. The group I came with teases me that if someone comes in for a cough, two hours later they will have disclosed that they were abused as a child and be swallowing prozac.  I am ignoring this implication that I am missing “the point” by treating for psychiatric needs. Ignoring and missing, at least it’s consistent.

Our theme from this camporee week is appropriate.  We have been looking at the life of David. In these, we see a whole lot of psychiatry going on, both medical/biological, and that which has to do with volition. King Saul demonstrated a sure biological mental illness. And David pretended to be crazy – call it, “acting out.”  

God put this in the Bible for some reason(s). Question: What does this say about God’s character? I mean, we certainly don’t look up to people with acting out behavior, like David. Nor do we necessarily look up to people with mental illness like Saul, either. What does this say about who God is? Why does God put this in the Bible?

The Bible didn’t describe this as psychiatric, behavioral, acting out, or general medical.  It just told the story. These ages later, we can do more with the story. Here in time, with the knowledge that the generations have given us, we could say something psychiatric was going on. But generally, despite this knowledge, we ignore the medical condition. We still talk about them with a weighted moral perspective, as if they departed from their spiritual walk in these behaviors, rather than consider the medical condition of their brains.

David is getting a javelin thrown at him while playing the harp. Patton State Hospital for the criminally insane might have housed king Saul if he were alive today. Then, David is in front of the Philistines with King Akesh, where he “pretended to be insane; and while he was in their hands he acted like a madman, making marks on the doors of the gate and letting saliva run down his beard.” (1Sam 21.) 

Dr. Martorell, a neonatologist, told me,

“I see so many people afraid to discuss problems such as depression, anxiety, other psychiatric illnesses and even family problems or abuse.  Yes, partly due to the fact that they may be judged as not having enough faith or not taking care of their health or not following certain principles.  

Primary Care Nurse Practitioner Carrie stated, 

“God and psychiatry go hand in hand I believe, but many Christians don’t think psychiatry has anywhere to go in the church. This is sad because my mom had bipolar, but nobody could help her.  She needed the ‘extra help’. The church thinks we should be able to handle it ourselves.”

You may have seen the lock-down type who says, “Keep it in the family. Don’t tell others what goes on here. It’s none of their business.”  

Dr. Martorell said, 

Our cultural or family upbringing has a lot to do with how free we feel to discuss these issues.  In certain cultures mental health problems are simply not discussed.  If it gets brought up, the family directly or indirectly tells the affected person suffering not to discuss these outside the home, as though it were some dark secret that cannot be disclosed.

Nurse Carrie said, 

“Everyone thinks we should deal with things on our own, and we shouldn’t have to talk to people about our problems and what’s going on in our lives.”

Ironically she is describing a condition of the church of independence. Yet inherent to being a believer is the learning to depend on someone else, God. 

Nurse Carrie said, 

“Why is it with depression and such, we can’t work as a church and have medical get it done.”

Many say, ‘If you go see a psychiatrist, it’s a sign of weakness. You’re not a good Christian.’ These are the comments I’ve heard of through the years.  You should just pray, and God can take everything away.”  

When my aunt suffered colon cancer, she didn’t get medical treatment in the beginning, preferring to have herself anointed, and follow a “homeopathic” approach. Later as it progressed, she changed her mind and found it was too late. So although largely, it isn’t only in psychiatry that we misrepresent who God is, we need ask ourselves, Who is God if what we believe about this is true?

Dr. Martorell shared,

As a neonatologist, I see infants born prematurely. Their brain develops outside the womb and are simply not the same as those that develop in a dark, quiet environment listening to mother’s heart rate, free of noxious/painful stimuli inside the womb.  As much as we try to imitate a womb with our incubators we can’t provide the same care.  When these infants are followed up for years, some develop physical deficits such as cerebral palsy, blindness, the need for oxygen, and the inability to eat on their own. These physical problems are easily seen and various treatments can be provided.  They are also at greater risk for developing learning deficits, hyperactivity/inattention problems, depression, anxiety and some academic papers even suggest increased risk of schizophrenia.  The thought behind these is that billions of synapses are occurring during pregnancy and the way these synapses connect is different in premature infants.  It is also interesting to note that the brain volume preset at birth occurs during the last 4 week of pregnancy. As these children grow up they need treatment for physical problems as well as psychiatric problems they may develop.  

I realize that it is not just in our churches that we are afraid to address this issue but I see it in the families of my newborns.  So many of these moms self medicate with illicit substances in order to treat their anxiety or depression.  Our culture as a whole has neglected to look at these issues as a medical problem that needs treatment.  So many children and teens are committing suicide.  Our own “well educated” health professionals have some of the highest suicide rates and yes it is occurring in our christian institutions as well as outside.  

Nurse Carrie said, 

“In this kind of approach, people are saying S/He’s not a loving and forgiving God and S/He doesn’t understand us.  If you deal with psychiatry, you’re a sinner. Why can’t you get it done with God on your own. He’s not a loving God, saying this person is not allowed to take medication. The pastor’s describing a cruel God because he’s not allowing the person to get the help he needs.  Like if someone’s leg is bleeding and you refuse to give that person a band-aid. 

But, God is always loving. This can’t be true.

I don’t think the pastor has a right to tell the parishioner that.”

Maybe we just succumb to the awkwardness of it all.  Too awkward to talk about God in our community.  Too awkward to talk about psychiatry in our church. There are so many reasons we approach emotions and behaviors this way but in the church or outside of it, let’s consider the question, What does this ay about God’s character?

I was cleaning up a leg laceration about 1 1/2 inches long and 2cm deep. I placed the triple antibiotic ointment and approximated the edges with steri-strips, yet still encouraging the patient and her guardians to take her to the urgent care to get stitches. This wasn’t a sterile environment and our supplies were limited. While working on the wound of the young teen, I asked a few brief psychiatric intake questions. It turns out, no. She didn’t have anxiety, or depression, or psychosis. What do you know!? Not everyone does. But she and her guardians were super pleased to pray together before they left and I was blessed by them.  

God is a God of love and the kind of God that cares about all of it in all of us. S/He is kind and not miserly, discriminatory, or punitive in interest and connection to us.  

It sounds like from what i’m writing that psychiatry isn’t seen as a legitimate form of medicine in the church. Or maybe the church doesn’t refer to it, or support it.  

A friend from my group read this post and responded. 

“We hear a lot about emotions and behaviors in the church, and related directives. We don’t hear however about where emotions and behaviors come from. 

I hear, ‘just pray more,’ or that I am lacking in faith. The people in the church get defensive, as if they have to defend God. And that’s not it. Honestly, it’s not complimentary to me that they think I’m insulting God. They are in a way attacking my spirituality. But I know God is helping me and He’s here with me. But I’m still this way. I still feel this way.

There’s a taboo that mental health and disorders all get grouped into this one cringeworthy word, “Crazy.” We’re almost protecting God from crazy by staying away from it in the church. We forget about the sin factor. The separation between us and God. The loss of connection. The word crazy isn’t very nice. So if we say crazy and we say psychiatry and God, it’s almost like we are besmirching God.  

Self-Care tip:  Ask, and ask again, What does “this” say about the character of God? It comes back to “Me.”

Question:  Do see the Bible and your church talking about psychiatry? Where and how? What does it say about who God is? 

Keep on!

Personalizing Gossip; It Starts And Ends With Me

“Crying,” by Galway Kinnell

Crying
Crying only a little bit
is no use. You must cry
until your pillow is soaked!
Then you can get up and laugh.
Then you can jump in the shower
and splash-splash-splash!
Then you can throw open your window
and, “Ha ha! ha ha!”
And if people say, “Hey
what’s going on up there?”
“Ha ha!” sing back, “Happiness
was hiding in the last tear!
I wept it! Ha ha!”

I remembered this poem after visiting my friend Paul’s church when Paul told me that at least three of the people there asked him, in one way or another, if I had a disability. Poor Paul.

I’m pretty sure Paul was embarrassed but aside from that and my own begrudging unfortunate shame response, I have to say it made me laugh a lot. (I work with many labeled “disabled” and respect them. This community comment doesn’t come with the knowing of who is behind a simple word like “disabled.”)

Awesome!

I smiled at Paul’s daughter and she smiled back. What fun laughing with her. Apparently it was just that. My laugh.

Loud and disinhibited. (Laughing more.)

In high school a particular peer thought the same. In movie theaters when something hits that note, I have seen the looks. I have had sufficient opportunities to decide what to do with my laugh.

When weighing the risks and benefits of a “loud and disinhibited laugh,” the laugh has won out for Me. I get so much from it. Such pleasure of claiming that moment, that smile, that air passing through me and the intimacy.

Come join me! – “Ha ha!” sing back

One of the funniest kids I've met while travel...

Image via Wikipedia

It doesn’t mean happiness. For me, it is part of presence. Happy or not happy, and that brings me pleasure.

My sweet friend Paul is a sensitive guy in ways that I am not wired to be. He is so beautiful. I know how he cares about the people around him. I know he respects them and considers their thoughts. It is not so much that he would ever be ashamed of me, abled or disabled. Rather he cares and said these things because in his consideration, perhaps if I was more aware then I would make a different choice about the risks and benefits of my laugh. He doesn’t know that I am informed. I have decided with knowledge.

There is no way he would know this about me. No one could. It was, as always, a statement those church folk made that was mostly about them and not me. That is universal. We all say things that are more about Me than anyone or anything else. It’s friendly to remember this, to Me and them.

“Happiness was hiding in the last tear! I wept it! Ha ha!”

Self-Care Tip: To not personalize what isn’t personal, start and end with Me.

Question: What helps you remember that what people say is about them more than about you? Even when those people think they are talking about you? How do you

Related Articles From FriendtoYourself:

Whenever You Are Unsure, Go Back To “Me” – Self Care as A Reference Point

Church

Image by silent shot via Flickr

I’m back to everything starts and ends with Me.  It is such a delight to spend time in that space that I can’t help myself.  It draws me.  In that space, I find hope for conflicts in my life, a plan I believe in, I am accountable but not destroyed by my mistakes, I am less lonely and more connected to others and to God.  In that space, I am more a part of my life and the lives of others than I ever was in the “lose yourself in service” philosophy I was more familiar with or any other philosophical approaches to quality of life.  But I dont’ know sometimes how to share that with those who are afraid of Me.  I don’t know.

For example, sometimes when I’m in church and see the excellent people around me, I wonder what they would think if they read this blog.  I wonder if I were given the mike, would they be in their seats for long.  I’d want them to be.  I am a teacher and I get a lot out of sharing this message.  I thrive on connection so I’d be blessed that way too.  There’s much more about how that would roll back to Me and I to them.

Self-care is a reference point for me in these questioning times as well.  “What is the friendly thing to do?” I ask myself, “for Me?”  During these times, in any environment that turns me into a bunch of uncertain questions, I go back to “Me.”  That is where God is, my support network, my family, my coping skills, my health, my books and favorite toys.  That is what I call Me; my home.

Questions:  How do you share your self-care with other “cultures”?  Are you afraid?  In what ways have you been effective in doing it?  When you have done this effectively, what did it do for you?  Please tell us your story.

Self-Care Tip – Whenever you are unsure, go back to Me.

If you’d like to read some more about this, see “Related Articles:”

Everything Starts and Ends With Me
Are You Empowered to Start Everything and End Everything With Me?
Emotions and Behaviors Will Get Better As You Heal.
The Relationship Between God and The Me In Self-Care
Self-Care Works You, Pushes You, Tires You Out Until You Are Happily Spent On Your Friend – You

Self-Care is not unChristian

 

Don’t be afraid of self-care.

Self-care is Christian and scientific.  I have awareness of the culture that frowns on taking bad behavior out of the church and into the laboratory.

A few days ago we talked about self-care not being selfish.  That circuitously brought up the question about how “the church” feels about this blog.

Confusing “the church” with Christianity can be problematic.  I have confused them in the past.

When my brother started talking evolution, I felt cold and clammy suddenly.  After my mini-panic attack, he told me about reading the entire works of Darwin and I had another mini-panic attack.  “There’s no way evolution didn’t happen.  There’s just too much evidence supporting it.”  I was confused.

It took me a long time to realize that I didn’t have to be worried about differences between me, science and God.  Funny that my comfort level grew with this as I realized how little I knew.  In fact, my joy expanded, when I realized I would spend all eternity growing my knowledge.  That is a lot of everything that just won’t fit into any box I can think of.

iwantthatpainting.com/Why-does-it-always-rain-on-me.html

Now when something crashes through a pet-paradigm, I remember that it’s ok.  (Down fear!  Get down anxiety!  Heal dogs!)  I may see a different reality.  Parts of me may become changed by that knowledge, trauma, death of a dear one.  Becoming changed and different is ok.  Because God is the same.  God already knows whatever about evolution, or that the world is round.  He knows that we try to turn medical symptoms into something spiritual, like depressed mood.  He knows it and He’s still here.  He is the prototype of presence.  Now that people can look into the brain and say where feelings and behaviors come from, we can get past that and on to the next revelation.  So what if it is medicalized.  Science and spirituality are not exclusive of each other.

So is self-care Christian or scientific?  Things aren’t that binary.  Self-care is both.

Self-Care Tip #84 – Don’t be afraid of self-care.  Be a friend to yourself.

Connect With Others to Get Friendly With Yourself

Self-Care Tip #81 – Connect with others.  Be a friend to yourself.

So you have bought into the famous, “You are not alone” stock.  After 2 months on psychotropics (medications for emotional illness,) you finally have an interest in people.  You are at least a little motivated and less afraid of things that move.  You don’t feel like you are the reason for original sin and more often than not, you think happiness might be more than what shopping can offer.  What is this strange and unfamiliar sensation?  And what to do with it?

It is time to connect.  Many of us get to the point where we no longer want to hide, we don’t hate ourselves, and we don’t hate others.  We get to the place of showing our under-belly just a little to the big wide world and are shocked that the only thing we feel is the wind as everyone is rushing by!  Just when we start wanting what we spent so much time hiding from, we seem to have forgotten how to connect with others.

It is no secret.  America is culturally impoverished.  We have little of cobblestone streets to meander down, dressed in clean clothes after a days work, checking up on neighbors and gossip.  We have few degrees of activity between full throttle and dead/no heart beat.   Come now!  How to connect in a world where our parents expected us to pay rent when we turned 18years old?

If you find yourself in something of this situation try on one of these basic tools and see what fits.  You can’t expect them all to.  So if you strike out a few times, keep on!

1.  Volunteer – for example, and in no particular order…

2.  Meetup.com – an awesome site to find people interested in what you are interested in.  e.g. book clubs, skiing, small business, Italian

3.  Support groups

4.  Write!  Although this at first thought may appear isolating, it is not necessarily.

  • Blog!  🙂
  • Journal

5.  Toastmasters

There is so much more.  Please let me know your thoughts and I’ll keep adding to this list!

Self-Care Tip #81 – Connect with others.  Be a friend to yourself.

Down With Guilt!

Down with guilt, I say!  Let that mighty tree be felled and burnt and each season that brings up new creepers into life again – let them be taken down!  Guilt!  How many times it has weakened us.  A sickness, that ebbs the energy and confuses the mind.  Often unrelated to deed or intent, in comes the uninvited guest.  As in Mansfield Park, guilt is our own Henry Crawford courting Fanny Price.  He may dress well – in church attire, in a business suit, or in a child who thinks she should spend more time with grandma.

Like lucifer’s apple, guilt brings knowledge that can’t be trusted.  Swallow it and you’ll be looking for fig leaves.  See if any good will come of guilt.  I dare you.  See when you plant it, what will grow.  See when you hide it, how you are tethered.  Let it educate you and notice that you grow smaller.

Today a friend asked me how things were.  I remembered yesterdays.  Wonderful with sunny emotions.  A collection of connected moments.  I wanted to say something about them.  I was looking in at a shop window.  Chocolates on the shelves behind the glass.  But remembering today, I was denied.

I yelled from my darkened face.  And then I yelled again.  That was the morning.  Then the kids went to school and I went to work.  What a way to walk.  I thought of this and out popped:

I yelled at the kids which I hated, but I don’t hate myself.

It even surprised me.  Saying that to my friend, let me realize that today wasn’t an all-or-none parenting moment.  Many earlier days that began much the same weren’t so forgiving.  And because I didn’t forgive myself so easy, I didn’t forgive others so easy.  The anger chases it’s ratty tail, you know until Guilt tires him out.

Because I didn’t spend the day guilty, the afternoon and evening had a chance.  Down with guilt!  Up with new chances!  Hooray!

Self Care Tip #68 – Take the new chance!  Be a friend to yourself.

Question:  How have new chances redeemed you?  Please tell me your story.