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Exemple

(After a preparatory series of blogs, we now turn to proposing a response to the mental health crisis which has been our focus over the preceding weeks of this series.)

               Fourth, our responsive solution must focus the right amount of effort or force at the necessary root cause factors or else little will change, at least to the extent we are hoping for.  Sometimes, your child’s knotted shoelace needs a pointed object to be pressed at just the right place in order to pull out a loop that would otherwise be seemingly content with remaining entangled until the end of time.  The present mental health of our society exists because the factors identified earlier continue to exert pressure on individuals and communities to hold them in place, if not tightening the mental health dysfunction knot.  Until an appropriate countering force is pressed at the root of the problem, the mental health knot will continue to tighten under the influence of the worldly pressures.

               Before spending time considering true and proper responses to the root issue we just finished describing, we will briefly review the world’s flawed responses.  The world candidly exhibits its opinion of the nature of the mental health crisis by the solutions it offers.  Other essays on this Whole Person Whole Life website have addressed or will address how our Tennessee legislators view the mental health crisis with their proposed solutions during the Special Session this past summer.  Their proposals focused primarily on more money and more mental health professionals.   They proposed hiring more mental health experts in schools and the community and paying for more mental health care with government money.  They continue to look to governmentally based solutions working without regard to the underlying spiritual issues of those suffering.

               Another example of the world’s approach comes from a recent opinion piece in The Tennessean by guest columnist Scott Pierce.  There Mr. Pierce lamented that only 56% of psychiatrists accepted commercial insurance and expressed his belief that “The fundamental driver behind these stats” (referring to 1 million mental health diagnoses in Tennessee) “is inaccessibility to needed care. Simply put, there aren’t enough mental health providers. And most are concentrated in urban areas, often operating outside of the health insurance system.”  His solution is to increase the reimbursement for mental health services to mental health professionals.  Again, more money and more expert care.  He goes further later in the article to express how Blue Cross Blue Shield insurance company is changing its case management of these patients to increase the compliance with medications.  So, besides more money and more care, the problem needs more medications.  (“Scott Pierce is executive vice president and chief operating officer of BlueCross BlueShield of Tennessee.”)  These worldly responses have not taken into consideration the myriad factors of society which clearly lies at the root of this crisis.  They have definitely not considered the spiritual issues and goals discussed in prior installments of this series.

               From these descriptions and from our own experience, we repeatedly see and hear from the world that the mental health crisis needs more money, more experts, more mental health providers, and more regulation of society by government legislation.  Every last nuance of this comes wrapped in the worldview of materialism although it will often paint itself in the makeup of religion where the consensus of society still holds such supernatural views of the world.  They use the religious heart hook by claiming their approach is what Jesus would do for the sufferers or that it is our calling as Christians.  This flawed approach is what brought us to this point of a tangled shoestring, yet as is always the case, they keep pressing us to follow the same failed plan down the same doomed road promising that it will be different this time around.  We have thrown more and more money into health care for decades without receiving a worthy return on such an ongoing hefty investment.

               A Biblical response then stands out as our only hope against this backdrop of guaranteed failure of humanistic attempts at untangling the shoelaces.  Rather than starting with programs aimed at changing behaviors and diagnoses like the worldly approach, a Biblical approach begins with the human spirit as it relates to the one who created it.  No civil government can lead in this spiritual work, but instead must get out of the way and guard the boundaries of the two “institutions” which can do the real work.  These institutions are the family and the church when they operate according to a covenantal framework and move towards the spiritual goals of “shalom” and “Eirene” as described in prior blog installments. For the family and the church to have space to work on untangling the knot of mental illness, the state should step back rather than forward.  The fingers of the state will only get in the way of untangling the knot when it throws more money, more experts, more legislation, and more programs all tied to a faulty worldview at the crisis. 

               Once the government turns its hands away from the knot and towards giving the family and the church room to work, these God-ordained institutions must turn away from their own worldly patterns.  Both must wash themselves of their unbiblical methods which currently resemble the world more than the Bible.  While modern mankind can claim that it had advanced in terms of raising children and in terms of building a church, ultimately God’s original design still holds as the true instructional guide which leads to fruitful families and churches.  These two God ordained institutions must work together in moving not only themselves, but the whole of society towards God’s design of “shalom” for mental health. 

               We start by looking at the misdirected approach currently at work in the family.  In the setting of family from nuclear to extended, the world’s values have permeated and saturated the beliefs, the values, and the goals of family leaders and therefore refashioned the behavioral patterns and the actual individuals who result from these worldly fashioned families.  Parents and other adults in the family often view and treat children differently than the Bible instructs.  Many of these views are simply faulty extremes of otherwise Biblical values.  For example, the admonition to protect the weak (Psalm 82:3; Proverbs 31:8-9; Isaiah 1:17) often becomes an overprotective indulgence in which children receive so much doting and coddling that they do not mature with their own fortitude to handle life.  Having received every participation trophy possible, having been provided every entertainment as a child, having never been told “no”, and other similar overindulgences they frequently become adults who expect the rest of the world to baby them like their parents.  They more quickly crumble under conflict. They often run from challenges.  They complain that work is hard or wonder why someone expects them to earn their way.

               These generational products just described grow up to be the young adults who value themselves so much that they do not even want children.  Having children would hinder their own entertainment, travel, and lifestyle.  While one can live a fulfilled life if God calls them to be single or God withholds children from a marriage, a married couple’s choice to choose their freedom and lifestyle over having children indicates a lack of understanding about how children are a blessing from God.  This becomes an almost worse situation when such couples are blessed with children and the children are viewed either as a burden or become a surrogate to the parent’s own vicarious self-fulfillments.  In the former situation, the parents continue to live their dreams while the child is sent to various other care providers so as to stay out of the way.  In the latter, the child is pushed to perform in some way such as through academics, sports, or music so as to feed the parent’s pride and sense of accomplishment.  The dysfunction of each consequent generation only deepens and moves further from a Biblical approach if nothing intervenes in this cycle.

               Within these settings, the prevailing parenting advice of the world further misleads Christians in how to raise children.  They are urged to socialize their children in schools so that their children can function in a global economy.  They are encouraged to let their children have room to grow into their own adult lives by making their own life decisions.  They are convinced that it is necessary and good to send their children away to learn on their own and be more heavily influenced by others of their own age.  Each of these and other worldly values parading as good values, even couched in terms of being Godly values at times, lead away from a Godly design for families. 

               When the church does try to push back against the worldly advice, it sometimes swings the pendulum too far.  By overemphasizing strictness and control, some have advocated for hyper-religiosity and legalistic submission which produces its own rotten fruits in families’ lives.  Rather than resting in the simplicity of God’s instructions for parenting, they actually create another human-devised approach.  Without mentioning names that have been in the news in the past 10-20 years, such supposedly Christian leaders gather a following around what they promote as guaranteed Godly parenting strategies.  For the Christian families who attempt such approaches, they either suffer shame and guilt for not living up to the standard or produce resentful children who rebel against the control and legalism.  For those watching from the world, they then have more fodder to throw at Christianity for this harmful false portrayal of Christian parenting. 

               From each of these inappropriate approaches to parenting and family, the resulting next generation is set up for mental health dysfunction.  As mentioned earlier, some are set up to expect an easy life and frequently crumble when the world does not serve that easy life.  For others, they are so hurt by the bad view that they cannot respond beyond the trauma of life nor look to parents for support.  When their lives bring trials and storms, besides lacking internal fortitude, they do not have family support systems in which connected mothers and fathers provide a steadying force to the waves of life.  As examples of this common unfavorable outcome, many statistics show that sons without good fathers in their lives struggle either with mental health or turn to lives of sinful behaviors that lead to adverse consequences.  The National Center for Fathering describes real world consequences of children without fathers on their website.  Likely with a little searching we also find similar statistics for the results of children without a motherly presence in their lives.   These self-destructive patterns lead to more mental health dysfunction.  By following a worldly pattern of parenting and family life in contrast to Biblical pattern, we are producing a society of individuals far more prone if not pushed towards mental illness.


(Having described the dismal situation created by the worldly approach of patterning family after a non-Biblical pattern, we move in the next installment to considering a better pattern for family life that can counter the mental health crisis.)

Bibliography:

Pierce, Scott. “Partnerships to Improve Tennesseans’ Access to Mental Health Care Are Critical | Opinion.” The Tennessean, 26 May 2023, www.tennessean.com/story/opinion/contributors/2023/05/26/mental-health-improving-tennesseans-access-to-care-is-critical/70248377007/. Accessed 15 Sept. 2023.

“The Consequences of Fatherlessness.” National Center for Fathering, fathers.com/the-consequences-of-fatherlessness. Accessed 15 Sept. 2023.

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Exemple

(Having examined the Old Testament concept of “shalom” as including the goal of peace in mental health, we look to the New Testament for its further elaboration of this goal for mental health.)

             A New Testament counterpart to this connection between blessing and peace is found in John 14:27 where Jesus speaks to the disciples.  In this verse, Jesus tells them that “Peace I leave with you; my peace I give to you.”  The New Testament counterpart for “shalom” is found here in the word “eirene” translated also as “peace”.  As we know that Jesus loved His disciples and laid His life down for them, as well as reading that He next told them to not allow their hearts to be troubled, we can assume that this “peace” was a good thing, a blessing. 

             Paul reiterates this aspect of “peace” being an expected and desired blessing in Galatians 5:22-23 as well as Romans 5:1. In Galatians the fruits of the Spirit are listed and include “eirene” translated as “peace”. Obviously, in this context “peace” is a fruit born alongside the other blessings of a life lived in the Spirit.  In Romans 5:1, we are told by Paul that as a result of being justified by faith we now have peace with God through Jesus.  We are back to the beginning idea that the foundation of peace in life begins with having peace with God.

             Seeing that the “peace” described in these and other verses is clearly a good thing to desire, we are told not only that it begins with God, but also that it is through faith in Jesus by which we are justified.  While the simplicity of faith in Christ solely brings us into God’s kingdom and family, we should seek to understand what this simple faith means for how we live.  Both Jesus and Paul teach in Scripture that we should live responsively to this change in our status.  Jesus said “if you love me, you will keep my commands” (John 14:15 ESV).  Paul regularly urged his readers towards the ends of his various epistles to live like ones who have been made new.  This paints a fuller picture of the life of one seeking “peace” with God, but something deeper is still to be uncovered.

Throughout the Old Testament, God interacted with the children of Israel through covenants.  The most explicit ones include the Noahic, the Abrahamic, and the Mosaic.  Careful reading of the Bible also reveals covenants mentioned with Adam and with David in less explicit terms.  The people of God, the Jews, continued to fall short in keeping these covenants such that God promised a New Covenant to come in the words of Jeremiah chapter 31:31-34.  Several promises were made here including the forgiveness of sins and that God would fulfill the covenant Himself.  Jesus and other New Testament authors, especially the author of Hebrews connects Jesus’ work with this New Covenant foretold by Jeremiah.  The New Testament people of God would enter this New Covenant through the priestly work of Jesus. 

             Therefore, beyond the simple but true fact of coming to God through faith in Christ, we see that believers are now under this New Covenant.  The response of faith, as a gift of God, begins this Covenant relationship temporally yet it was established by God’s election in eternity past.  The response of one under this covenant should include obedience to the design of God for life as revealed in nature and as revealed in the Word.  To be given such a gift of life and after accepting it to then refuse His commands is not only unconscionable but guaranteed to bring about far different results than the “shalom” or “eirene” described earlier. 

             We must therefore view ourselves in covenant through Christ with the necessity of responding in gratitude for such an undeserved blessing.  To respond appropriately to God within this covenant framework, we must pursue it according to the His designed means of obtaining the “shalom” and “eirene” that comes with God’s blessing.  This includes learning how He has designed the natural world in terms its physical laws and how we has instructed us in the spiritual realm of relationship with Him and with others.  By beginning at the beginning of how we relate to God in Covenant through Jesus and following it through to the fruits of such a life lived in accordance with God’s design, we can offer hope for mental health.  By beginning with this as our goal for mental health, we can then hope for real changes which affect not only individuals within the society, but can also change society as a whole.

             I emphasize that this is an all or nothing process. Trying to take the first step of faith in Christ without the next step of seeking to follow God’s design for life in covenant will still leave us with the dis-ease of mental illness.  Even Christians who try to pursue mental health through the ways of the world will find themselves distressed and without the wholeness of “shalom” promised in the Word.  A Christian trying to live by the world’s rules will still find himself with a tangled knot of a shoelace wondering why God does not just untie it for him.  While the finished work of untangling must come from God, it must come through the work of our hands submitting to His design for life. 

             With this covenantal and Biblical understanding to the foundations of mental health firmly established before us as our primary goals, we will face the effects of the Fall differently.  The effects of Adam and Eve’s original sin will still present us with sin and its effects, temptations, trials of life, struggles, and ultimately death, yet the state of our hearts and minds will possess a heavenly sourced peace which transcends all understanding (Philippians 4:7).  As individuals, we will have a tower that defends us against fear as well as guarding us against the emotional pain of physical or relational losses.  As a society, we will find many blessings.  We will find mutual support and edification in the body of Christ rather than isolation.  The weaker brother will find support rather than disdain (Romans 15:1).  We will find forgiveness rather than rejection and also be conveyors of God’s forgiveness to others (Matthew 6:14-15). 

             Given the purpose of this longer than originally intended article is to point towards real solutions and away from superficial worldly solutions, we cannot stop at this point however.  Having pressed our search for the foundational reason for the mental health crisis and having found this lack of proper goals for mental health, we are now left with a variety of options. We could consider this to be an impossible goal and retreat back to more superficial levels, less challenging.  At best this would still fail.  We could continue trying to solve this spiritual problem with worldly solutions.  At best this would still fail.  We could give up hope and resign ourselves to living with tangled shoelaces.  At best, this doubts the very promises of God we have read about above and throughout His Word.  From here we move beyond the descriptive where we sought understanding of what is and what we have been told in the Bible should be. There we have been given clear instructions that mental health requires spiritual health and spiritual health requires peace with God lived out according to His design under covenant.  Therefore, we move next to considering how we should begin to live out untangling the mental health crisis’ shoelaces.


(With the last two installments in this series having elaborated a Biblical grounded view of how we should view the goals of mental health, in the next blog posting we finally reach the fourth of the original questions which offers an approach to solving the mental health crisis.)

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Exemple

Life Beyond Books – R.C. Sproul

“Our lives say much more about how we think than our books do. The theories we preach are not always the ones we actually believe. The theories we live are the ones we really believe.”― R.C. Sproul, Lifeviews: Make a Christian Impact on Culture and Society

              With this quote, R.C. tells us that the proof is in the pudding and our daily lives are the pudding which truly reveals what we think and what we believe. Others would point to the books which our society produces and which we read, or at least place on our shelves for future reading. Much fervor is exerted by many in proclaiming grand humanistic themes for life with some actions to support such professions. In reality we know that much hypocrisy hides behind these attempts at portraying oneself as noble.

              One of the books which we can most violate while boldly claiming to follow its tenets is obviously the Bible. While the influence of Christianity is waning, a great number of our nation would still tell their neighbor that the Bible on their shelf is important to them. If so many claim to be guided by the Bible, why is Christianity’s influence waning? From another angle, why do we hear so many versions of what the Bible says if we are all reading the same book?

              For the Word of God contained in the Old and New Testament to influence the society around us, it must first solidly influence the heart and mind within the individual of that society. Though God will reign over all creation despite no one believing His Word, a society’s reflection of God’s revealed truth depends on individuals taking His Word at face value.

              The second question challenges many as those proclaiming conflicting interpretations of the Bible can all claim to hold to the truths of the Bible. At times, there are simple misunderstandings due to our fallen nature affecting our reasoning and our frequent lack of effort expended to refine Biblical truth beyond the superficial reading of a verse or passage. At other times, the distortions are much deeper and broader indicating that someone has inflicted eisegesis out of their own bias rather than seeking to extract truth through exegesis.

              The proper approach of exegesis, by which one studies Scripture effectively to bring out the true meaning of the text is frequently forsaken when one wants to find their own beliefs and biases in a text. Eisegesis begins with someone wanting to prove their own beliefs by manipulating a real text to support such beliefs without shame in having distorted that text. That eisegesis allows them to proclaim adherence to the Bible without actually adhering to the real Bible.

              In the end, one looks down at their own pudding and must eat what their lives produced whether or not one’s proclamations matched their daily life. The books we read and produce, even the Bible cannot save us from ingesting this pudding. If we want to find our spoonfuls of pudding appetizing, we must begin with faith in the Christ of the Bible rather than the Christ of our imaginations. With the renewing power of salvation through faith alone in Christ alone, we must then shape our beliefs and our values according to His Word rather than what we wish His Word says. How we think and feel about everything should be shaped by these beliefs and values. From there, our practices of life individually and collectively will reflect these truths such that we can hope for the face of God to shine upon us with blessing.

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Exemple

(Having reviewed materialistically focused contributors to the mental health crisis, we now go deeper for real root causes.)

              Ultimately all these factors depend on our spiritual view of reality and our response to it.  How we harness technology to improve life rather than be pushed along by it depends on our beliefs about ultimately reality having purposes to pursue outside ourselves.  How we choose what work to do, how much work is right, and how we go about work depends on our beliefs and values about what is true and important in life.  The choices we make regarding work-life balance, whether regarding what we balance against work or how we balance it, depend again on values and beliefs shaped by our view of reality.  The composition and function of our families will depend on our spiritual values and beliefs.  Even our participation in government and our response to it depends on our view of ultimate reality.  Holding a correct view of the spiritual truths of reality and applying them to our lives can extensively modify the impact of each of these contributors to mental health as well as any other factors that could be named. 

              Viewing the totality of life as comprised solely of the material which we see, taste, touch, smell, and hear but ignoring the unseen reality of the spiritual will only lead to problems.  Ignoring the reality of a Creator God who continues to reign over all things with expectations of our compliance with His natural order of the physical world as well as our obedience to His ethical commands will only result in problems such as we are experiencing or worse.  Up to this point, these physically focused views of the mental health crisis’ contributing factors ignored this spiritual reality, while their overwhelming portrayal of the problem was mounting a depressing picture.  Looking solely at the physical realities in the mental health crisis is like untangling the shoelaces by looking at only one shoelace and pretending the other knot does not exist.  They are left staring in disbelief at the fact that the knotted shoelaces are still a mess, maybe even worse than before they started.

              With this acknowledgement that the materialistic reality focused view falls woefully short, we could reflexively shift our attention to a spiritually simplistic view which still oversimplifies the crisis.  For example, we could jump to blaming various sins and that would still be inadequate though not technically wrong to include.  Sinful drives for pleasure, greed, lusts, gluttony and other sins do affect mental health.  We all know countless examples of how each of these sinful desires have destroyed the lives of someone around us.  As a society we also recognize the role of drug addiction in the present crisis of mental illness.  Each of these sins drive personal and societal forces and predictably lead to poor mental health as they were never meant to produce mental health, but to tempt us away from true health.  Simply trying to satisfy these tempting desires will not lead to mental health, but simply trying to avoid these sinful drives does not automatically guarantee mental health either.  Simplistically restraining sin through legislation or individual self-control only addresses the spiritual aspect of reality superficially.

              Another woefully short attempt to address the spiritual reality behind the mental health crisis can be found in a man-centered spirituality.  While going beyond physical responses, such a self-directed attempt still fails to address the totality of the spiritual need.  At times, these man-centered responses are promoted for individuals to use in overcoming their mental illness or to prevent it.  They come in various forms.  Meditation and mindfulness offer some superficial comfort for mentally hurting, but their mind over life challenges approach does not address the fullness of the spiritual realities and thus cannot heal at the deepest levels.  Self-help strategies are promoted to strengthen individuals who tend toward the “feeling powerless to change” attitude in order to teach them how to pull themselves up by their own bootstraps.  Psychological strategies employed by a multitude of practitioners of different types also attempt to equip individuals to overcome their mental illness by learning to think differently and thus feel differently.  Their mind over emotion approach can lessen the suffering at times but without approaching life in its wholeness including a correct view of spirituality, the balm of relief only goes so deep and lasts so long.  Each of these individual responses falls short in fully or truly preventing or treating all the nuances and depths of mental illness.

              This same mindset of attempting to solve mental illness through man-centered means and philosophies can also be worked out in larger more systemically applied approaches.  One particular approach to life, the revolutionary mindset, claims it is aiming at solving the wrongs of individual and societal life while actually creating more mental disease through its forced application.  The revolutionary mindset refers to the age-old and often repeated worldview that the currently shared system of society is the primary source of our problems.  This mindset claims that our primary focus should be to overturn and replace that presently overarching worldview with something different, something revolutionary rather than simply reforming the current. 

              The claims that our society has been driven primarily by systemic racism for a few centuries serves as a present-day poignant example.  Those who promote this philosophy appear to see such systemic racism at work not only in the whole timeline of history but in practically every contemporary aspect of life which goes against their beliefs and values.  This mindset can then go beyond the racism one might think of in regards to skin color or nationality and extend into endless polarizations of us versus them regarding various lifestyles.  This revolutionary mindset at work in the proponents of modern-day systemic racism only creates more dysfunction in not only the broader mundane functions of society but also in the foundations of society, particularly families and churches.  Individuals are taught that they are being abused by nebulous forces working through their own neighbors, their own family, their own churches, and more.  Distrust and distress create angst and emotional disruptions which press them into mental illness.  Each of these man centered attempts at spiritual share the common approach of looking to self or to others for resolution so that we do not have to look to God for solutions. 

              Instead of these man-centered approaches, we must look deeper if we are to find a more wholistic picture of the mental health crisis.  The reality comes into focus that we as individuals and collectively as a society are not only pursuing the wrong desires, but we don’t even know what good mental health should look like.  (While a Christian’s goal is not technically primarily mental wellness / well-being, for the general audience seeking answers for mental illness, we approach from this angle so that we show that mental wellness requires spiritual wellness at its deepest foundation.) With respect to mental health we are trying to avoid the problem of mental illness, but don’t really know what we should be aiming at.  It must be more than satisfying a physical desire, sinful or not, and more than avoiding some bad feeling.  It must encompass more than pursuing something that we simply like better than something else and more than just a vague sense of feeling “good”.  We must have a better picture of the mental health shoelaces as they should look so we can pursue that ideal.  Then we have a chance of untangling the knot since we have no chance to just “start over” with the mess we see now.  We have to start from a tangled knot and work our way back to better mental health individually and societally.  

              We must understand what true mental health should look like based on something beyond us as looking no deeper than our own likes and dislikes and our own feelings will not provide a picture of what it should be.  The superficial goals will only partially explain what is now existent.  Instead, we must admit that a standard beyond us and an intended design for mental wellness exists.  We need to understand that standard and that design from the revelation of God’s Word in the Bible since our human view and understanding is inadequate due to the sinful natures which we all possess.  No matter how many human ideas we combine, the contamination of sin will never allow us to accurately reason out right from wrong, good from bad, mental health from mental illness in its entirety.  Only by revelation from the One who created all things can we hope to best understand what we should pursue in mental health.    Only by first understanding what mental wellness should look like can we then pursue it correctly.  

              In the revelation of the Bible, we can begin understanding God’s design for mental health by looking at some of the words used to describe health.  These words and their context describe what we should pursue.  This can begin by seeing mental health as just one part of the Hebrew word, “shalom” or the Greek word, “eirene”.  Another blog series (LINK HERE) spends its entirety working through these words and others in regards to what true health looks like, but for now I focus on these two words in regards to mental health.  “Shalom” refers to a state of wholeness in regards to physical, spiritual, and relational well-being having been derived from the Hebrew, “shalom” meaning complete.  (paraphrased from Brown-Driver-Briggs dictionary) “Eirene” similarly conveys individual or collective tranquility, freedom from war, peace between individuals, and also to the state of man after salvation through Christ as he or she stands before God (Thayer’s).

              Prior to delving into these Biblical words for well-being, we must acknowledge the reality of our condition.  Such conformity to a revealed standard will sound daunting in terms of understanding it and in terms of living it.  The conformity required by God is perfection (Matthew 5:48: could also be translated as “mature” but with same connotation of becoming “mature” like God which is unattainable by our own efforts).  Our human limits in terms of knowing, reasoning, and doing rightly fall short in terms of natural abilities and also in terms of our sinful natures.  Only through the work of the Holy Spirit within us can we rightly understand general revelation or special revelation (1 Corinthians 2:6-16).  In order to know God and his design rightly, we must know God in terms of relationship such that His Spirit makes our understanding as clear as is humanly possible. 

               Once we know God in relationship, we can then press into understanding God’s intent for us.  Aiming at “shalom” or “eirene” means that we attempt to live in that wholeness which only God gives.  We live in that wholeness when we live according to His given design for our bodies, our relationships, and even our environment. We do this by living according to the spiritual ethics of our Creator revealed supernaturally and according to the physical laws of our Creator revealed in nature.  This design applies to our relationships with family, with church, and with community, as well as with the physical environment (dominion mandate of Genesis). 

              We see this goal of “shalom” in various verses of the Bible as the ideal goals for the state of our whole-being.  Numbers 6:24-26 serves as a beautiful example as it connects this “shalom” in verse 26 translated as “peace” to God’s blessing in verse 24.  In the three verses of 24 through 26, blessing is connected with God’s keeping, His face shining on them, His grace towards them, His countenance upon them, and finally with giving them “shalom”.  This state of blessing and “shalom” depends entirely on God’s disposition towards them and is the basis for the well-being of our lives.

              We see a similar proclamation in Psalm 29:11 where the Psalmist first petitions for strength for His people.  Then the Psalmist petitions for the blessings of peace.  Given the inspired nature of the Psalms and no nearby Scripture context to refute this petition’s appropriateness, we can assume that this prayer for peace was consistent with God’s will.  Again, peace is connected as a core part of God’s blessing. 

Bibliography:

Thayer’s Expanded Greek Definition, Electronic Database.  Biblesoft, Inc.  https://www.studylight.org/lexicons/eng/greek/1515.html  Accessed 10/28/23

Brown-Driver-Briggs Hebrew and English Lexicon, Unabridged, Electronic Database.  BibleSoft.com.  https://www.studylight.org/lexicons/eng/hebrew/7965.html Accessed 10/28/23

(In the next installment, we will carry this concept of “shalom” into the New Testament with the Greek word “eirene”.)

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Exemple

(We continue to consider potential root causes contributors to the mental health crisis as begun in the prior installment.)

               Simultaneously with these economic forces, many today are entering the work force with a strong desire and expectation to achieve work-life balance.  Maybe their parents’ example of overworking for years leaves them with a longing for time and experiences of life outside the office.  Maybe they have been told that they can have their cake and eat it too in terms of work success and extracurricular fulfilment.  They often expect the benefits and wages of having invested years in a position at the very beginning of a career and may become disillusioned or resentful when those rewards are not forthcoming soon enough. The basic requirements for productive employment collide with the desires for a fulfilled life to create another source of stress.  Their responses of angst or wanderlust for something better creates stress for both them and the businesses they work for.

               Again, many hope that achieving such a balance will bring mental wellness and fulfillment.  The realities of our fallen world places great obstacles in achieving this balance.  The striving after such balance creates more stress and magnifies other challenges to mental health.  Sacrifices must be made to achieve such balance, often leaving these life balance seekers looking for more.  They too must go further upstream to find mental wellness.  That upstream insight, which can only come from a spiritual view of reality, can then guide them in overcoming the obstacles they wish to overcome. 

               With more information to process, more work to do, and more challenges to pursuing life fulfillment, some of us can find ourselves giving less attention to our physical well-being.  For some work leaves less time or less energy to exert our bodies in activities that not only make us feel better physically, but could improve our mental health (many studies support this).  Given the reality of aging and the reality of bodily dysfunction in a fallen world, lack of attention to our physical health will eventually reduce our capacity to handle the demands of life. 

               Even for those who press past the challenges, devoting the time to their physical health which leads to what society considers physical fitness, this only touches on the surface of the mental health crisis.  Healthy bodies contribute to healthy emotions but are not enough to guarantee it.  Going upstream from physical fitness into whole person fitness is still required.  A proper view of physical fitness will lead to a proper response to caring for the whole person, body and spirit.

               The pressures of life can also leave us with less time to gather with family or friends, thus resulting in less emotional support that could protect against threats to mental health.  Having others who provide perspective on life’s challenges, even if they just offer sympathy, empathy, and compassion makes the stress less burdensome.  Having relationships which provide tangible support when jobs fail or when financial hardship hits means that the stressed individual is protected from falling into mental illness.  In contrast, not having such relationships creates a sense of isolation which amplifies the stress rather than limiting its effects.

               Between the closing down of churches during the pandemic and the fracturing of many churches over politics and social issues, the fabric of life which held society and individuals together is wearing thin and giving way for many of us.  Social isolation has become all too common, preventing many from meeting their inborn need to socialize.  The societal safety nets of church, community, and government programs which try to catch the individuals who fall into mental illness cannot presently bear the weight of so many who are finding themselves on such life downward spirals.   

               Simply bringing these isolated people physically together would seem a promising approach, but so many attest to the feeling of greatest loneliness in the midst of a crowd.  Many are already surrounded by other people yet feel quite lonely and isolated.  Being located physically together does not guarantee a sense of belonging together.  The connection must go further upstream, although the increasing isolation does need a response.  Again, incorporating a spiritual view of reality is required.

               In the background of technology changes, work demands, life fulfillment expectations, and social isolation, society has devalued family as a foundation of society’s functioning.  The attempt of a revolutionary mindset to be discussed in the next section has attempted to undermine a traditional view of family and either restructure it or destabilize it into non-existence.  Families physically spread out at greater and greater distances thanks to the higher educational system and the world of labor.  Families spread out socially as teens are socialized to become their own person without regard to their parent’s legacy and beliefs.  Families spread out in what they stand for as the old-fashioned husband and wife with children are replaced by whatever combination of men, women, children, animals, or even inanimate objects.  The stabilizing force of family cohesion dissipates as each spreading out weakens the family structure and its supporting function.  Divorces multiply.  Depression and anxiety grow.  Children grow up without models or support to overcome their life struggles.  They grow into adults unable to withstand the pressures of life, succumbing to more and mental illness unless some other force intervenes.

               Many groups strongly emphasize a restoration of the family as an answer to the mental health crisis.  While this gets closer to the root as will be discussed in the final section of this series, an upstream answer to what is family and how to bring the family back together is required.  Restoring family as a foundational aspect of society requires a response, but is not the whole work of untangling the knot.  A restoration of family must include a spiritual understanding of what family is.

               As if we needed one more factor, we have the pressure which the government has forced upon us in its constant attempt to help us and protect us from ourselves.  While laws to limit sinful behaviors are needed to an extent, the extent to which government attempts to control can become a burden rather than a protection.  State and federal governments have a role in maintaining civil order, but their demand for the “rights” of real and imagined minorities again creates undue burdens on individuals and businesses.  Requiring handicapped access is one thing, but forcing compliance with immoral beliefs so that someone does not feel triggered by differing views goes too far.  The “Nanny State” has long moved from the mirage of a doting lady watching over little ones into the specter of a controlling and aggressive tyrant bent on micromanaging what it thinks is best for everyone else. Rather than offering relief from the burdens of modern life, this “nanny state” mentality intensifies these pressures of life and destabilizes the natural supports of family, church, and community.

               Still many others bemoan the growing influence of the government in contributing to life stress and thus to mental illness.  They focus on getting government out of the way which is another basic issue, but this still leaves factors unaddressed.  Mankind without any restraint leads to anarchy.  Finding the proper role of government requires us to again go upstream in exploring the purpose of government and its role in our lives.  We must respond to government’s contributions to the mental health crisis, but we must do so with a clearer and more robust worldview than just wanting the government to leave us alone.  Examining government and its role through a spiritual lens is required.

               Each of these materialistically oriented factors contribute to the dysfunctions of society leading to mental illness but biological factors impacting our mental health deserve their moments in the spotlight as well before going upstream.  We must momentarily consider the toxicity of our fallen world in terms of the living environment which we are creating for ourselves.    

               While the technological, social, and other factors are contributing to stresses and overburdening human limitations, the physical environment we are fashioning around ourselves as individuals and as a society is eroding our bodies’ abilities to withstand such stressors.  In the quest for the next technological breakthrough, chemicals are often produced which disrupt the normal functioning of our bodies.  The resulting inflammation, changes in metabolism, changes in brain function, changes in hormones, and more all alter our homeostasis, or balance of biochemical functions.  Our resilience to withstand the other previously mentioned stressors is diminished as conscious and unconscious resources are diverted to the effects of these toxins.  Besides the technologically produced toxins, our desire for aesthetics and youth drives the market demand for personal care products and cosmetics industries which introduce even more potential biochemical disruptors into our bodies.  Besides these chemicals we breathe and put on our skin, we have created a whole world of food additives to preserve shelf life, enhance flavor, and make food more colorful.  We then eat and drink to our own detriment from the formulations of the processed food industry.  Our physical bodies are presently challenged as never before, and we wonder why we are struggling so much with overall worsening health, including negative impacts on mental health.

               Removing toxins and sources of inflammation from our diet and our environment would definitely help but only so far.  Removing these triggers for mental and physical illness would make us feel better, but still does not guarantee mental wellness when so many other factors are present.  We must go upstream in not only finding the toxins, but understanding how we view our environment and how we view the stewardship of our bodies.  We can respond correctly only with these improved understandings. 

               When we look up on this materialistically focused description of the potential root causes of the mental health crisis, we could feel a little hopeless. Technological advances and their impact on how we live appear inevitable.  Inflation and the economic pressures of work life versus life goals seem unavoidable.  The breakdown of family seems to continue unabated.  The prospects of government’s increasing control of our daily life seems unstoppable. Environmental toxins appear to be encircling every area of life.  These physical factors are at their core, just sources of more and more stress.  Living in a fallen world will necessarily impress some elements of these or other stressors upon us.  Remove one source and others will fill in the gaps.   Pushing back on these societal changes mostly just creates more stress when one person or one family tries to live counterculture to everyone else around them.  Addressing any one of these only untangles one little loop of the knot and their interconnectedness makes a potential starting point impossible to find.  Rather than trying to simultaneously untangle all of these contributors plus others not mentioned, we must look upstream.  If we can move upstream in the factors to something that underlies multiple of the previously listed ones, we can find a common source which when addressed would solve these factors as whole rather than in parts. 

(In the next installment, we move upstream to look for spiritual root causes of the mental health crisis.)

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Exemple

(Having examined the mental health crisis from various angles in the prior two essays…”

               Third, once the big picture view has solidified as much as possible in our mind, we must think logically in terms of causality and find what led us to this current state so we can start at the right place to untangle the mental health knot.  Working past the superficial statistical and diagnostic layer, we need to understand the factors leading the collective society to these diagnoses and descriptions.  To solve problems and lower statistics, we must aim at deeper changes than just these numbers.  In medicine, we regularly consider whether genetics or the environment are contributing to a disease we are treating or diagnosing.  In functional medicine, we search deeper for root causes, the deepest factor underlying a disease process which when addressed allows the body to move towards healing and restoration.  Here in the broader world of mental health across communities, states, and our nation, we need the same effort towards root cause analysis.  By understanding how our child’s shoelaces came to the present state and by asking the right questions we can simplify and accelerate the actual un-entanglement.  Although the present complexity of mental health in our society immeasurably surpasses that of tangled shoelaces, identifying the contributing factors logically and chronologically for either challenge is required to formulate hopeful solutions.

               Hints of contributing factors and candidates for root causes have already been seen in the prior examination of the big picture.  We have societal changes which are impacting upon human capacities and expectations.  Individuals and their various groups cannot sustain the weight of this burden being expected of them.  Human beings have limits in time, energy, knowledge, emotional capacity, mental capacity, physical capacity, and resources among other limits.  As our society seems to be pressing higher and higher levels of stress upon us, eventually the stress and burdens of life will overcome these limits.  Life for many has become one big multitasking juggling act in which technological advancements, work demands, life fulfillment expectations, lack of self-care and relationship attention, isolation, family breakdown, and governmental pressures have combined with many other factors to push people over their edges into mental illness. This is layered on top of physiologic burdens of tons of toxic chemicals pouring into our world daily.  However, despite their individual and collective contributions to the mental health tangled knot, none of these contributing factors actually get to the root of the problem.   

               Instead of serving as a root cause directly, each of these can be traced back to our spiritual view of physical reality which is where the untangling of the knot must begin.  If you agree, then you can proceed to the spiritual explanation.  If you are unsure or disagree, take the time to read the remainder of this section and better understand why the materially directed approach to untangling the knot only addresses portions of the tangle at a superficial level without going deep enough to address the knot as a whole.

               Each of these  materialistically focused contributors deserve some elaboration here. First, the hastening speed of technology drives our lives both at work and at home to accomplish more and more, while it promises to make our lives easier.  Although technology has enabled us to do things unheard in generations past, technology also creates situations where are forced  to move faster in more directions.  Multiple lines of communication such as texting, multiple emails, and other instant messaging, on top of phone and face to face means we sometimes have multiple conversations going simultaneously.  As technology moves faster, we no longer have the luxury of thinking for a time as we wait for computers to process or for others to respond.  Now the multiple lines of communication can be rapid fire back and forth.  This is difficult enough at work to keep up with.  Even in our personal life with text or other messaging services, we feel awkward if a message is left unanswered for a few minutes.  We can feel ghosted – and stressed — if someone misses an email for 3 days and doesn’t respond. 

               The amount of information we can access through the internet and smartphones can also overwhelm us.  Knowing more about what is happening in another country where we can do nothing about the depressing news can lead to anxiety and hopelessness.  This can later lead to guilt and regret.   Simultaneously, excessive access and attention to the broader world’s events may draw us away from time with family and face to face friends leading to isolation and more shallow relationships.  This can increase your sense of isolation.

               These communication expectations are compounded by expectations that we should be accomplishing so much more given this technology.  We expect greater returns from our time which is stressful on already stressed human capacities, and this makes us more heavily dependent on these technologies. We may keep up for a time until this technology falters.  The complexity of technological advances then means that we need more experts to fix overly complex electronics or programs.  The days of fixing something yourself are becoming rarer and rarer.  Instead of being empowered by the technologies, we can become trapped by them.  Emotionally the stress from needing the technology to meet our own and other’s expectations can outweigh the increased capacities they offer.  Life with the technology can become more stressed than life prior to the technology.

               While we could push back directly against technology in various ways, this approach has minimal chance of significant impact.  The world around us continues to depend on technology’s present contributions to daily life and excitedly awaits the next innovation.  We can develop better patterns of interaction with technology, but the impact will only go so deep as an individual effort.  A clear strategy against the onslaught of technology requires a deeper understanding so that we know how to respond to inevitable changes to society brought on by technological advances.  Ignoring the problem or responding with a simplistic approach will only make it worse.  This deeper understand demands a spiritual view of reality. 

               Beyond the effects of technology on the demands of work life, several general economic factors and trends are combining to increase the pressure of contemporary life.  To some degree the rising cost of living due to rising inflation presses upon nearly everyone.  As a result of competing for these tightening budget’s expenditures, businesses are constantly working on efficiency and productivity leads to requiring more and more of employees.  In the world of big business, many employees become little more than a cog in the machinery of the 100’s, or even 1000’s of employees who can be replaced at the drop of a hat.  The pressures of having to work more and work harder to keep up the family economy while recognizing that your company’s leaders could replace you with a hundred others willing to do the same work can create a lot of stress, increasing the pressure for developing mental illness.

               While we could voice louder and louder protest against the rising costs of living brought on not just by our human desire for more, but also by the clear mismanagement of our economy by government, this will not change the momentum of society.  We can implement better budgets and set more realistic expectations for what we can afford, but at some point, we will cut all the excess and inefficiencies yet still face the need to work harder and longer for the basics of life. We must look at the economics of life that lead to inflation from an upstream viewpoint as well as understanding the purpose and function of labor in the flow of life.  Only by taking a spiritual view of these realities can we respond in a deeper and longer-lasting way that offers hope of providing for ourselves and others.

(The next installment of this series will continue to examine these stressors)

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Exemple

(Continuing the examination of the mental health crisis from part 2 of this series.)

             Looking next to the functional angle of mental illness’s impact, we see societal statistics describing how such illness alters one’s ability to function at home or in society as well from the personal angle.  Considering marriage and its success rate as a good indicator of a person’s functioning in the home setting, survey results by researchers suggest that mental illness both decreases the incidence of marriage as well as increases the rate of its failure in divorce rates.  In the report published in the Acta Psychiatrica Scandinavia (Breslau 2011), researchers described their findings from a 19-country survey.  All mental disorders studied demonstrated an increased odds ratio of 1.2 to 1.8, meaning a 20 to 80% increase in divorce. The negative impact of mental illness on life’s closest relationship of marriage can likely be extrapolated to other personal relationship struggles.

             The ability of those with mental illness to function in broader society can be extrapolated from their capacity to handle employment.  In an online publication by Psychiatric Services, Luciano and Meara report how the severity of mental illness impacted employment rates. Looking at data from a survey in 2009-2010, they found that while those without mental illness reported an employment rate of 75.9%, those serious mental illness reported only a 54.5% rate.  Beyond this statistic, the percent of survey respondents with serious mental illness that reported incomes under $10,000 per year was 38.5% while it was only 23.1% in those without mental illness.  From the positive angle, this shows that many individuals suffering with mental illness are pushing through and working under the burden of their illness, yet it does demonstrate that many appear hindered from life functioning by their condition.

             At the personal level experienced by many of us, our own or our families’ struggles in mental health have hindered our functioning at these same levels of life.  Other family members have had to step in to provide financially or to support others sufficiently so that employment is not lost.  Other family members have dealt with the aftermath consequences of marriage discord and divorce.  While mental illness is not required for divorce, when it is a part of the divorce, the challenges of life post-divorce family dynamics can be even more challenging for all involved.  In each situation you live through or are living through, the shared weight lies heavy on many shoulders.

             The spiritual angle completes the view that most people should consider in understanding the scope and magnitude of the mental health crisis.  Examples of clearly sinful behavior which are known to correlate with future mental illness include abortion, drugs and alcohol abuse, and homosexuality.  We must come to some conclusions of how to view mental illness in terms of sin as both a contributing factor for the person and in response to the person.  On one hand, the majority who see little or no spiritual component to mental illness promote a dangerous and simplistic approach.  They ignore this critical spiritual portion of the problem and thus undermine any hope of fully resolving it.  By denying any spiritual component, they make guilt and shame challenging to deal with while preventing the adequate handling of sinful behaviors which contribute to the mental illness.

             On the other hand, there are some who might lump any or all mental illness into the category of sin or its effects.  This simplistic approach makes it easier in one sense to respond to all mental illness with a “repent and change your attitude”.  So much harm is done by those in this camp as they ignore the factors already discussed as well as more to be discussed in the next section. 

             Between these two extremes, from those acknowledging the contribution of spiritual factors come a variety of potentially sinful options for responding to other’s mental illness.  While lack of compassion for the weaker brother can lead to sinful responses, overindulgence of one’s sinful behavior can also hinder efforts to overcome such patterns of sin.  Sometimes between these extremes, the emotional impacts of mental illness on friends and family may lead them to respond out of frustration, despair, or anger further amplifying the impact of sinful behavior and deepening a cycle for everyone involved. These sinfully inappropriate responses can further exacerbate both the depth of the mental illness and the obstacles to overcoming it.

             Instead, we must consider a Biblical view of how we should respond individually and societally.  When approaching an individual’s mental illness, the contribution of spiritual factors to the illness must be considered for full resolution.  Then the societal response, whether at the level of a family, a community or a church as well as the national level, must not ignore these spiritual factors if a proper and successful response is to be implemented.  A better approach of addressing the sufferer’s condition in the context of family and as a church will be discussed later.

             As a physician caring for many of these individuals suffering with or without actual mental illness diagnoses, I can add a further angle combining both personal and professional.  I look at the reported statistics on the increase in mental illness and can believe it as more patients present for evaluation in my office of these conditions.  Simultaneously, we are seeing more of the secondary physical complaints mentioned earlier in terms of chronic pain syndromes, irritable bowel type complaints, insomnia, and more.  We see how patients’ relationships are affected by their mental health symptoms as well as how they are struggling to function at home or at work.  For those willing to discuss the spiritual aspect, we hear their guilt and shame for not living up to other’s expectations along with their occasional despair in feeling alone or losing hope of recovery.  While we should never base a societal level response on the report of one doctor’s experience, my professional experience echoes the statistics being reported and I hear similar stories from other providers directly and indirectly.  I agree that we have a growing problem that is not being adequately addressed. 

               Before we give up hope of such an exhaustive understanding and return to the simplistic solutions offered by the world, we should recognize that omniscience concerning the mental health crisis is not the goal, but sufficient understanding so that we can eventually move towards a solution to the crisis that has a chance of success.  While we will never be able to identify and to fully understand the totality of factors contributing to even one person’s diagnosis of mental illness, we can understand enough about the nature of the individual’s condition or the societal patterns that we can plan and enact a response.  Understanding the root causes in the next section will overcome the immensity of the big picture and allow an appropriate response. For now, if you want more statistics on the impact of mental illness on functioning, go to The National Alliance of Mental Illness website on its “Mental Health By the Numbers” page where many insightful statistics are offered.  Statistics and experience show a growing problem.  The situation affects mental, physical, relational (isolation), spiritual and societal health and function.  The mental health knot is tightening while civilization unravels.

               Having examined the state of mental health from these various angles already encourages us to look for upstream foundational causes of such a complex crisis. Each of these angles offers a different perspective which will lead us in the next section towards finding remediable root causes. The potential causative factors must somehow answer the challenges of these psychiatric, physical, relational, functional, and spiritual angles at the individual and the societal levels.  We wean to untangle the whole knotted shoestring of the mental health crisis rather than just a portion of it. 

Bibliography:

Breslau, J., et al. “A Multinational Study of Mental Disorders, Marriage, and Divorce.” Acta Psychiatrica Scandinavica, vol. 124, no. 6, 30 Apr. 2011, pp. 474–486, www.ncbi.nlm.nih.gov/pmc/articles/PMC4011132/, https://doi.org/10.1111/j.1600-0447.2011.01712.x. Accessed 13 Oct. 2023.

Luciano, Alison, and Ellen Meara. “Employment status of people with mental illness: national survey data from 2009 and 2010.” Psychiatric services (Washington, D.C.) vol. 65,10 (2014): 1201-9. doi:10.1176/appi.ps.201300335

National Alliance on Mental Illness. “Mental Health by the Numbers.” NAMI, National Alliance on Mental Illness, Apr. 2023, www.nami.org/mhstats. Accessed 13 Sept. 2023.


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Exemple

(Having confirmed that a mental health crisis exists in America in part 1 of this series, we move to the next step in untangling the knotted shoelaces.)

               Second, now that we believe that a real problem exists and that it deserves an adequate response from us as a nation, we must pause to examine the nature of the problem before reflexively reacting.  Untying the wrong part of the knot or not seeing the superglue that your child used to hold things together will ultimately only lead to frustrations and failures.  In the case of our society’s mental health crisis, we need a better understanding of who is suffering and how they are suffering.  Once this picture begins to form in our minds, we should continue investigating until we have uncovered an adequate extent of the problem.  The length of this essay precludes such a full extent but those in positions of influence should go beyond this essay’s brevity.  From there we can work on root cause understanding in the next step towards a solution. 

               Once we decide to study a problem like the mental health crisis in greater depth than just whether or not it exists, we must determine how to study such a tangled knot.  The sources of information must cover a number of different angles to address an adequate scope.  These angles include examinations of psychiatric, physical, relational, functional, and spiritual effects of mental health dysfunction at individual and societal levels.  Each of these angles provide an essential view of the problem’s impact and combine to provide a 4-dimensional multi-faceted understanding as these angles interact over time. 

               The psychiatric angle stands out as the most superficial descriptive level and presents as the diagnostic statistics on one hand and a personal life experience on the other.  Medical codes provide labels such as major depressive disorder, generalized anxiety disorder, post-traumatic stress disorder, schizophrenia, panic disorder, bipolar disorder and more.  Each label categorizes a set of symptoms and disease expressions which allow not only tracking of prevalence but also the planning of therapy.  This therapy planning begins at the experimental level of determining what therapy works best for different diagnoses and at the individual level where a provider recommends an individual’s approach to recovery.  Regardless of labels chosen, at the core, each diagnosis describes an emotional pattern in which a change in one’s thinking or emotions diverges from the accepted normal range sufficiently  enough to produce dysfunction in the person’s life.  The dysfunction always impacts on the individual with the diagnosis and usually impacts on others around them, leading to a limitation of what the individual can accomplish in life.  The dysfunction resulting from large numbers of such individuals plays a major role in labeling this situation as a societal crisis. 

               As these diagnostic statistics increase, direct experience with those suffering becomes more common and more personal.  We either face our own diagnoses or experience them second hand in family members or friends.  This may come in the form of lifelong struggles or just a period of life, from months to years, where such a mental health condition impacts us or those we care about.  When this occurs over longer periods of time in families, a parent’s or siblings’ diagnosis can beget similar or different diagnoses in the succeeding generations.  The stress created from mental illness in one family member can push another into their own mental health diagnosis while leaving less resources to support another family member through their own stressful time.  The repetition of mental health illness in families arises from not only their shared genetics, but also from these shared psychosocial factors as well.

               The physical angle flows out of considering the contributors to psychiatric diagnoses and moves beyond simple medical statistics or psychosocial factors.  This angle considers the two-way street between physical illness and mental illness.  On one hand, the onset of mental illness has been shown to be triggered by such physical processes as inflammation, chronic pain, different toxins, some infections, nutritional deficiencies, and clearly genetics as previously mentioned.  While each of these potential triggers would each require a book-length explanation, for now we can just appreciate that they individually or cumulatively push their subjects towards mental illness yet less commonly serve as the sole factor in one’s mental illness.  Far more frequently, they serve as one more contributing tangle in the person’s mental health knot that needs untangling. 

               On the other hand, mental illness also drives more physical symptoms and diseases.  Several examples demonstrate this secondarily exacerbating contribution of mental illness to physical conditions.  Studies indicate the experience of pain, either acute or chronic, frequently increases with states of depression and anxiety.  The stress hormones triggered by mental illness can further raise blood pressure contributing to hypertension or raise blood sugar contributing to diabetes.  Through a more generalized means of influencing physical conditions, many mental health conditions simply create non-compliance with another condition’s treatment needs either out of despair or direct dysfunction.  In these situations, the person with mental illness cannot or does not appropriately care for an otherwise treatable medical condition. 

               Besides worsening medical diagnoses, mental health has been reported as a primary contributor to several medical diagnoses.  These include conditions like irritable bowel disease, insomnia, and headaches.  The psychiatric world long ago created the diagnosis of conversion disorder when it believed someone’s psychiatric state was the sole cause of subjective physical symptoms.  This condition when applied to any given individual should be used sparingly to avoid unnecessary labeling that prevents identification of a previously unknown physical cause but is still a legitimate diagnosis in a limited number of those with mental illness. 

               Again, as this number of those with mental illness increases and the severity of their condition begins to impact on these physical conditions, our personal experience hits closer to home.  For anyone who has watched a family member suffer more from a medical condition that was exacerbated by their mental illness, the frustration is real.  This second person view experience hits home as you watch your loved one struggle more and more but feel unable to truly help them.  Watching someone in the throes of despair due to mental illness as they mishandle necessary medical therapy multiples the sense of helplessness for this second person.  However, when you are the one in the midst of the mental health dysfunction, you may not be able to hear and apply what your loved ones are telling you.  You may even believe them when they say there is hope with proper therapy, but still not be able to follow through.  Diagnoses and statistics have their role in studying mental illness, but at the root, it still comes down to the reality of individuals and those around them suffering from these diagnoses in real life.

               The relational angle of approaching mental illness also travels a two-way street, producing adverse effects for the original sufferer through reactions from others that extend adverse effects for all involved.  As expected, and so often experienced, the one with mental illness can find themselves being misunderstood which can lead to others distancing themselves a little more.  The emotional or actual physical distancing will usually lead to a weakening of that relationship and add to isolation for the one with the mental illness.  This pattern can lead to the original sufferer either giving up hope for any relationship or even pushing others away to avoid the pain of losing relationships later.  When relationships are sustained, sometimes a co-dependency develops in which both parties support dysfunction in the other person. 

               At a more personal level within families, many of you can probably think of these situations in your family or with friends’ families.  The prevalence of mental illness means that many of you know what it feels like to be in these situations and feel the stress of such challenges.  You may be watching as someone you care about lives out these diagnoses and may be trying to determine the best approach to helping them.  For you and others in similar challenges, you may feel a variety of emotions from sadness to guilt to frustration and more, sometimes contributing to your own mental health conditions.  As several family members each with their own mental health illnesses come together, the potential for mutual exacerbation rather than cooperative recovery increases. 

               As the stress of these sufferers has grown in intensity and frequency, the capacity and wisdom of churches to respond effectively seems to have declined.  While many churches tout their addiction recovery ministries or divorce support groups, the actual day to day ministering to the average church member by church staff or other church members does not seem to be as effective.  As with the world’s approach, many feel more pressure to have their act together in order “serve” rather than be served such that they are less likely to share their own struggles.  When they do admit their mental illness, they are often shuffled off to the psychological experts rather than nurtured and ministered to by pastoral staff at the church.  This is something I hear frequently from patients in my practice.

               This is not to say that many churches do not have caring relationships established in which the hurting cannot find comfort and support in times of need.  Supporting others during grieving of lost loved ones or through cancer episodes and injury recoveries occurs for defined periods of time.  The challenge increases and the support often wanes when the problem involves mental illness lasting longer than a few months.  This is even more true if the condition includes minimal progress on the part of the sufferer.  Once the initial crisis wanes, the initial rally of support frequently trickles off, sometimes even blaming the one with mental illness for not getting over it.  Ask parents whose children have autism and you will find many who struggle to fit in at church with children who do not fit in with Sunday school and children’s church.  In a survey by Whitehead in Religion and Disability, the chances of never attending church services increased with several pediatric mental health diagnoses including: autism, depression, traumatic brain injury, conduct disorder, anxiety, speech problems, and others.  A blog by Key Ministry discusses the implications of this study on how the broader church is not caring for this demographic. This overall response of the body of Christ is disappointing outside the few the exceptions which do offer a sanctuary for the mentally ill rather than another source of stress for them.

(The functional angle is examined in the next continuing installment of this series)

Bibliography:

Whitehead, A.L. (2018), Religion and Disability: Variation in Religious Service Attendance Rates for Children with Chronic Health Conditions. Journal for the Scientific Study of Religion, 57: 377-395. https://doi.org/10.1111/jssr.12521

“It’s The Hidden Disabilities That Keep Kids Out Of Church” by Stephen Grcevich MD. Key Ministry Blog.  Published July 22, 2018.  Accessed November 7, 2023.  https://www.keyministry.org/church4everychild/2018/7/22/its-the-hidden-disabilities-that-keep-kids-out-of-church?rq=Whitehead

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Exemple

“…those who do not believe in truth are more likely, I believe to lie.” – Veith, G. E., Jr. (1994b). Postmodern Times: A Christian Guide to Contemporary Thought and Culture. Crossway, p. 51.

              We live in an age in which fewer people trust that which is labeled as truth, even to the point that one might despair of being able to know the truth, even if it exists. With the existence of truth in doubt or at least a loss in confidence that one can find the truth, the reality of a lie can be doubted as well. With a lie defined as that which is not true, a denial of truth suggests that lies do not exist.

              If one believes that there is no real truth to which one should hold, they may ask themselves why not just create one’s own reality. To claim that one is describing reality past or present without the restraints of truth’s existence means one can make up what pleases them. As Veith states in his book, lying becomes easier and thus more likely to happen.

              The participant of this mind game can simultaneously believe they are not lying as lying cannot exist if there is no truth in the first place, and yet still be lying due to the fact that their underlying premise of truth’s non-existence is erroneous. Our denial of the reality that this universe operates within the reality that truth exists does not change such reality. Truth still rules and a lie is still a lie.

              Yet, such a rationalization whether conscious or unconscious absolves the conscience of many of potential guilt. They play freely with their statements believing there are no boundary lines which when crossed lead to ditches. Their statements and claims wander to and fro between corresponding with reality and contradicting it with lies. They see no reason to worry about lying.

              As this denial of truth and its greater propensity to lie grows in our society, rather than freeing members of that society from truth’s bonds, it begins to limit them in different ways. They cannot be as productive in carrying out life when constantly contradicting reality, effectively trying to swim against the current. Relationally, participants in this rationalization begin to realize as Veith notes that they cannot trust what someone else tells them, when that person is comfortable with lies. When trust diminishes, knowledge begins to lose its foundations.

              In order to avoid the consequences of a society which is losing its belief in the existence of truth with the preponderance of relativistic thought, we must return to a foundation of believing that God has given us truth by which to live. When we believe in truth’s existence and God’s desire for us to know it, we can pursue it. We can strive to pattern our thoughts and feelings in line with the truth we discover. We can live daily as individuals pursuing truth and gather more productively when sharing truth and its pursuits with less need to distrust one another. Only in this approach to life can we hope to lead ourselves and other to whole life.

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Exemple

               Jill glances at the reflection before her but recoils not from the actual portrayal of her face by the light, but from the meaning overlaid by life upon her countenance.  The reflection reminds her that others have left her along the road of her long sorrow.  The reflection reminds her that the brokenness of family members’ own struggles strands her on a lonely island in the ongoing buzz of life which then cannot hear her cry in the night nor the day.  The reflection reminds her that nothing has relieved the suffering lying behind that reflection.  No therapy, no medication, no well-intended but misdirected words of friends have lifted that reflection out of darkness.  She knows that she will see that reflection tomorrow and the day after and so on until her eyes open no more.  She does not expect the spirit behind that reflection to remind her of anything different in those future encounters. 

               Jill does not realize that millions of others daily recoil at their own reflections.  They gasp at the reflected darkness of various mental illness shadow. The rest of today’s world continues on unaware of these millions until the news reports that one of them has chosen to put an end to the daily ritual of glancing at their own soul in the mirror.  Should we care? Should we act?  How far must this go and how many must fall before we acknowledge how tangled and knotted are the strings of life woven by today’s misunderstanding of reality as manifested in the mental health crisis presently weighing upon us..

               The specter of Jill’s suffering along with the millions of others rumored by the media deserves an answer.  Addressing such a problem as the multilayered complexity of our current mental health crisis requires understanding where the tangled mess begins and then following through the whole tangle to find the solution.  This stands out rather like a multilayered knot in your child’s shoelace.   Attempting to untangle and solve the knot starting halfway through it will either leave you at best with half a knot or possibly even worse with one and a half knots, i.e. a bigger mess than you started with.  The mental health in which we and millions of our neighbors are presently suffering, likewise, cannot be solved without going to the root of the tangle and working out from there.  The solutions offered by the secular world do not aim at the root of the tangle.  Similarly, the solutions currently present in the broader church are falling short and need revision.  The problem requires a solution that can only come from God’s design for the family and the church as the foundations of society, but which the current broader church is not leading as it is called to do.

               The process for untangling something so complex and so multilayered as the mental health condition of our society obviously requires more time, energy, and steps than untying your child’s knotted shoelaces, but the basic steps are strikingly similar.  First, we must be sure that a problem really exists.  Second, once we realize that the problem is real, we must take a big picture look and understand the depth and breadth of the problem (its nature).  Third, with a big picture understanding, we must find the best starting point from which to begin the disentanglement, or in other words, we must identify the root cause or causes of the tangle. Fourth, our response must be sufficiently powered and correctly focused while minimizing hindrances to have a hope of success.

               Over the coming installments of this series, I will walk through this process as it applies to the state of our society’s mental health crisis.  By answering each of these first three questions we will lead into the most important answer to the fourth question: how the work of the family and the church lie at the root of untangling this tangle mess of a mental health crisis.

Step One of Disentanglement: Confirmation that a Problem Exists

               Before allocating extensive time and resources to this issue, we should confirm the truth of the contemporary claim that a mental health crisis exists.  This applies whether referring to either the setting  of our own community or more broadly to our nation.  Just because your 4-year-old says that they can’t untie their shoe does not mean that it is knotted.  Just because the news media and experts say that we have a mental health crisis does it mean that we need to respond to their alarm bells.  Just because a Jill, as described earlier, looks into her mirror with sadness and despair does not mean we have a societal crisis.  We also don’t want to extrapolate our own mental health struggles of anxiety or depression across everyone assuming that every one of us “feels” the same as we do.  Before we devote much time, effort, or money into untying knotted shoelaces, we should be confident that a knot really exists.

               With these cautions in mind, we consider how we might assess the situation and determine if a problem truly exists or not.  Most of you reading this will not be mental health experts or public health experts with knowledge and extensive access to data sources that you trust.  We will have to find sources upon whom we can trust to provide sufficient and accurate evidence for a problem’s existence.  We must admit that looking to our own family and friends’ current experiences of mental illness does not mean that we have an epidemic or a national crisis.  We or our loved ones may have a crisis, but that is a somewhat different problem and solution than having a societal crisis.  The sources must be realistically free of bias, avoiding unnecessary conflicts of interest.  We don’t need a deceitful mechanic telling us that we need to replace our carburetor and we don’t need government officials telling us that a crisis exists so they can offer their solutions at our tax expense.  On the other hand, our sources will have to be sufficiently involved and knowledgeable in the mental health world for them to know something worth considering as a trusted and reliable/accurate source.

               We then want more than one source so that we can be more confident that even the well-intentioned and unbiased did not make an honest mistake in their assessment.  We might initially look to a governmentally derived report or study, but would also appreciate a study from a private or academic source that we trust.  We might also try to find sources from outside the usual ones which agree with our worldview so that we avoid having our own echo biases from other’s who think like us.  Then we would also consider personal experience whether in our family, our church, or our community.   For those of us in the health care world, we can also look to the experiences of our patients as informal surveys of what is happening in the broader culture.  Then we must evaluate each of these sources for bias, accuracy, breadth, depth and other factors to be sure it is worthy of our including it in our analysis.  Finally, by comparing and combining these sources we can develop a better appreciation for whether a problem exists or not.  This process also prepares us for later steps in our attempts to untangle the mental health knot.

               These quotes provide a starting point, offering different perspectives and statistics demonstrating why we should be concerned with our nation’s mental health:

               From Abilene Christian University: “The statistics are startling. Between 2007 and 2019, adolescents reporting a major depressive episode increased 60 percent. Tragically, during a similar time frame, the suicide death rate among 10–24 year olds increased 56 percent. This issue isn’t confined to young people. In 2020, anxiety and depression increased globally by 25 percent. Depression and anxiety rates exploded so rapidly that, at the end of 2021, the U.S. Surgeon General declared a “devastating” national mental health crisis.

               From CNN:  “Nine out of 10 adults said ​they believed that there’s a mental health crisis in the US today. Asked to rate the severity of six specific mental health concerns, Americans put the opioid epidemic near the top, with more than two-thirds of people identifying it as a crisis rather than merely a problem. More than half identified mental health issues among children and teenagers as a crisis, as well as severe mental illness in adults.”

From SAMHSA: 

               “Fact: Mental health issues can affect anyone. In 2020, about:

               One in 5 American adults experienced a mental health condition in a given year

               One in 6 young people have experienced a major depressive episode

               One in 20 Americans have lived with a serious mental illness, such as schizophrenia, bipolar                disorder, or major depression

               Additionally, suicide is a leading cause of death in the United States. In fact, it was the second                leading cause of death for people ages 10-24. Suicide has accounted for the loss of more than                45,979 American lives in 2020, nearly double the number of lives lost to homicide.”

From Pew Research Center:  “Mental health and the pandemic: What U.S. surveys have found:

               1. “At least four-in-ten U.S. adults (41%) have experienced high levels of psychological distress at                some point during the pandemic, …”

               2. “More than a third of high school students have reported mental health challenges during the                pandemic. …”

               3. “Mental health tops the list of worries that U.S. parents express about their kids’ well-being,                according to a fall 2022 Pew Research Center survey of parents with children younger than 18. In                that survey, four-in-ten U.S. parents said they’re extremely or very worried about their children                struggling with anxiety or depression….”

               4. “Among parents of teenagers, roughly three-in-ten (28%) are extremely or very worried that                their teen’s use of social media could lead to problems with anxiety or depression, according to                a Spring 2022 survey of parents with children ages 13 to 17.”

               5. “Looking back, many K-12 parents say the first year of the coronavirus pandemic had a                negative effect on their children’s emotional health.”

               As I find further helpful sources to support the existence of a crisis, I will try to return to this blog and post those sources at the end.  I am open to your sharing of ones you find, even ones that argue against a crisis if you find some.  For now, I have also mentioned a few sources of proof in other blogs and can say that between several studies I have read and my experience in our clinic where we are truly seeing more and more mental health issues in our patients, there is a mental health crisis which seems to be worsening.  Various studies indicate that people are more stressed and experiencing more mental health dysfunction with more diagnoses being made and more meds being prescribed.  Weekly, I receive the same comments from my staff in caring for our patients that we are seeing more and more suffering both physically and mentally in those seeking our help.  Many experts are expressing their concern in news interviews, articles, and books.  Government and media are beating the same drum over and over, proclaiming that we need more mental health workers (I will address this inadequate response soon, but for now, their repetition acknowledges that they see a problem).  The consensus of these sources indicate that we have a problem – that the mental health shoelaces are truly knotted.

               If you doubt this assessment, I applaud your diligence to be more confident before responding to a problem that you are not sure actually exists.  If this describes you, take time to solidify your opinion one way or the other before proceeding to the rest of this series.  On the other hand, if you are in agreement with the knot’s existence in our society as well as its importance, return to read part two describing the nature of the mental health crisis.  As you wait, do a little research on your own and begin formulating your own view of this issue.  This work will prepare you for understanding in the next essay.

Bibliography:

Gramlich, John. “Mental Health and the Pandemic: What U.S. Surveys Have Found.” Pew Research Center, 2 Mar. 2023, www.pewresearch.org/short-reads/2023/03/02/mental-health-and-the-pandemic-what-u-s-surveys-have-found/. Accessed 12 Nov. 2023.

Krause, Chelsi. “The Mental Health Crisis: What’s Going on and What Can We Do.” Abilene Christian University, 9 May 2022, acu.edu/2022/05/09/the-mental-health-crisis-whats-going-on-and-what-we-can-do/#:~:text=In%202020%2C%20anxiety%20and%20depression. Accessed 12 Nov. 2023.

McPhillips, Deidre. “90% of US Adults Say the United States Is Experiencing a Mental Health Crisis, CNN/KFF Poll Finds.” CNN, 5 Oct. 2022, www.cnn.com/2022/10/05/health/cnn-kff-mental-health-poll-wellness/index.html.

SAMHSA. “Mental Health Myths and Facts.” Www.samhsa.gov, SAMHSA, 8 Feb. 2023, www.samhsa.gov/mental-health/myths-and-facts. Accessed 12 Nov. 2023.

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