Mental Health

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Exemple

               The church, if it is to act as Christ’s body must “metanoia” as Biblical Greek requires.  To “metanoia”, we as Christ’s body must repent of these patterns and turn towards different Godly patterns.  We must acknowledge that we are following worldly patterns and not only stop those patterns, but also move in a different direction towards Godly patterns under covenant.  In contrast to the above patterns, churches should relearn to function by families rather than age groups.  The older generations have much wisdom to impart to the younger at multiple levels.  The younger generation will have many opportunities to provide for the needs, tangible and intangible, of the older generations. 

               In contrast to the fear of offending someone sitting in the pews, pastors should preach what the word says without sugar-coating the clear condemnations of sin where simple or stylish.  Paul did not water down his message to the Corinthian regarding their member who married his father’s wife (I Corinthians 5:1). Jesus did not hold back in calling the pharisees “whitewashed tombs” (Matthew 23:27-28).  This should be done in a loving way whether addressing the unconverted or the one already professing a faith.  Either way, churches need and deserve a clear trumpet sounding (I Corinthians 14:8) in order to guide them away from worldly patterns of life.

               In contrast to attempts to modernize church services and functions for the sake of making them more seeker sensitive, we should focus our attention more on God in the service and life of the church.  While different churches in different cultural settings do have room to express their cultural tendencies in music styles or building decorations, the focus should be on loving God and loving one another in Godly ways.  Loving God includes honoring and glorifying Him in ways He has prescribed while avoiding the ways which diminish His honor.  Attempts to make visiting sinners feel comfortable in God’s presence do not introduce them to the real God, but a caricature which is powerless to save them from their sins.  Churches must be God-centered rather than man-centered.

               In further contrast to these vain attempts to make God and His church more attractive to the world, churches need pastors and teachers who understand the critical role of covenant in believer’s relationship with God and the church’s responsibility regarding family.  While other essays explore covenant in great breadth and depth, for now we must at least acknowledge that frequent and foundational use of the Greek word “diatheke” in the New Testament provides convincing proof that New Testament believers are to approach God through Christ in a covenantal framework.  Christ proclaims at the last support that He fulfills the New Covenant prophesied by Jeremiah in Jeremiah 31:31-34.  Hebrews repeatedly emphasizes the continuing reality of covenant built on the prior Old Testament covenants, Christ having fulfilled them and inaugurated the New Covenant. This covenant framework confirms that although Christ’s work of salvation is complete in the believer, the believer’s response is expected as they are a new creation (2 Corinthians 5:17), indwelt by the Spirit (John 7:39 and 16:7), whose change of heart should be proven by loving one another (I John 4:20) and obeying Christ’s commands (I John 2:3-6).  We were created and chosen for good works according to God’s design (Ephesians 2:10).

               Based on this covenantal understanding which the Bible tells us continues through generations of families in Acts 2:39 (“For the promise is for you and for your children and for all who are far off, everyone whom the Lord our God calls to himself”) churches should put a greater emphasis internally and externally on the role of family in the growth and function of the church.  The internal emphases could begin by equipping fathers to lead families spiritually and holding them accountable to do so.  Under this leadership churches should train young boys and young men to become Godly men capable of leading at home, in the church, and further in the broader society.  Likewise, the church should train young girls to become Godly women in the likeness of Proverbs 31, capable of leading alongside their husbands, providing for their children and providing a model of godliness for their broader community.  In this model for family, each member is trained for strength and resilience to stand against not only the temptations of the world, but the inevitable storms of life in a fallen world. 

               In further contrast to the average present-day church, a covenantal church which understands its relationship to the God ordained institution of the family will seek to move beyond this internal strengthening and provide external support against the world seeking to undermine God’s design for the family.  As efforts build to refashion Godly families comprised of a father and mother into an endless variety of two or more fluid genders, the church must proclaim that God’s design stands firm and unchanging.  As efforts build to replace the role of parents with the services of the state and/or its experts (educational, psychological, sociological, bureaucratic, or others), the church must stand firm that God ordained parents, not a village, to raise children in the fear and admonition of the Lord.  No other institution was delegated that responsibility. 

               As efforts build and continue their perversion in the entertainment industry to draw children into all sorts of sinful behaviors, the church must speak against not only the obvious vileness of pornography, but also the superficially benign, yet truth undermining worldviews promoted in children’s entertainment.  These deceitful entertaining worldviews include not only Disney and its subsidiaries, but also a multitude of new children’s shows as well as the distorted remakes of past children’s stories which replace traditional values with various forms of contemporary propaganda.  Until church leaders overcome their fear of offending their members with the truth of God’s word, families will continue to be overly influenced by these ungodly entertainment industry sourced worldviews.

               So, how does such a return to a family and church focused on a Biblical and covenantal model of life address the statistics and description provided in prior essay editions.  Here are quick summaries of how those issues are addressed.

               Diagnoses:  Instead of diagnoses, insurance, more mental health providers, more legislation, and more money spent, we produce more resilient individuals through family and church with support networks of family and friends.  This will cost far less, be more personal and personalized, and avoid the underlying bad worldviews which try to use the crisis to control us.

               Technology:  Rather than being ruled by technology we apply technology towards Godly goals.  Rather than the advance of technology serving as a goal, we should use technology to advance family and church for God’s glory.  The vices and trappings of technology can be minimized or avoided when we know the correct purpose of technology.

               Sinful behavior:  By learning what constitutes sin from family and church as well as having those institution steer children away from sin, we avoid patterns which would ultimately harm us and contribute to mental illness.  The relationship of family and church will serve as bulwarks against individuals pursuing sinful lifestyles which contribute to mental illness.

               Government interference When family and church produce resilient adults with support networks, we will need less government programs, money, and interference. We as a people will stop looking to government for answers and solutions.

               Isolation:  The presence of family and church pulls the mentally ill out of isolation, lessening the severity and impact of these conditions.

               Need for medicines and experts:  Between the prevention of mental health triggers and the handling of mental health within family and church without the need for experts, both experts and their medications will be used more rarely.  Experts and their medications will be reserved for the most severe and the ones who have truly biochemical dysfunctions.

               Speed of life:  The steady force of family and church will slow down the speed of life providing greater fulfillment without the need to press full throttle on life’s gas pedal.  As relationships are valued more highly, priorities will shift time away from speed and towards family and community.

               Economic pressures:  Resilient adults will be more productive when mentally healthier and less likely to pursue self-destructive work patterns.  Wiser and mentally healthier adults will make wiser decisions leading to better financial situations. 

               Work life balance:  Well-grounded adults will then be more fulfilled and less stressed as they pursue Godly goals.  Better financial decisions will enable the possibility of better life balance.

               Toxic environment:  By applying the concept of stewardship to the environment and holding companies responsible for their poisoning us, we can lessen the impact and frequency of toxins on our health.  By acknowledge the stewardship of our bodies before God, we will make better everyday decisions in how we care for our physical health which impacts our mental health.

               Therefore, the reorientation of family and church towards a Biblical view of mental health will move us as individuals and as a society towards mental wellness.  These Godly goals of “shalom” and “eirene” applied through the work of families and church following God’s design in covenant rather than the world’s design will bring about a faster, deeper, and longer lasting resolution to the mental health crisis we face.

SUMMARY

               With the acknowledgement at the beginning of this essay that the mental health crisis as portrayed by the medical system and echoed by the media does exist, Christians can agree that such a situation deserves a response by society.  While there is a measure of shared self-interest given the burden of mental health on not only the medical system, but on society in general, Christians can also recognize that fellow man made in the image of God deserve a metaphorical cup of cold water (Matthew 10:42).  At this point, the individual Christian and the church as a body, should not follow the simplistic and superficial plans of the world.  The world’s methods led us here in its materialist worldview which erroneously believes that more money, more experts, and more state control will somehow lead us out of this crisis.  By pressing deeper into the roots of the problem, not just into the reality of living in a fallen world nor the reality of sin in each of our hearts and lives, but into the absence of a Biblical view of the causes and a resulting lack of a Biblical response, we can hope for untangling the woefully knotted mental health shoelaces.

               We as Christians must not get drawn into the world’s simplistic and reflexive response out of guilt.  We must return to the basics of God’s design for society based in covenant, grounded on Godly functioning families within churches leading according to Biblical principles.  The emotionally resilient citizens of the broader society which will arise from this approach will produce self-supporting communities of people who provide further support beyond themselves rather than requiring continual care by the state or any other external source.  God’s fingers working through His people operating according to His design through families and the resulting church bodies will untie the knots otherwise choking our society not only in terms of mental health crises, but other societal challenges as well. 

Praying for Reformation, Dr. Eric Potter

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Exemple

(With a clearer picture of the role the family must play in solving the mental health crisis explained in the last installment, now we consider the role of the church alongside the family.)

             When the church of God gathers these resilient adults and the children within these families, the church finds itself far better prepared to withstand the world’s pressures.  While the church can then divert attention from remedial efforts, the church should still reinforce these beliefs, values, and behaviors regarding family as well as safeguard the family from the world’s attempts to pervert this ideal for the Godly family.  The church is called to work alongside in support of the family from the beginning rather than just try to benefit from the family’s foundation without contributing to its continuance.

             The modern church does not always view its relationship with the Christian family in this way, but often sets itself over the family.  The attitudes of the church as an institution towards the family as an institution often resemble the state in that the church looks directly to the individuals within the family for connection rather than viewing the family as the primary level of interaction.  This attitude arises from the fact that the church considers itself as God’s primary institution of relating to God, as the primary manifestation of God’s people.  There is no denying that Jesus emphasized that the church was His body on earth (Ephesians 1:22-23) and each one engrafted into Him was part of this church body.  Yet, we cannot ignore the fact that God interacted with His people in the Old Testament through covenants which extended to the children and descendants of the covenants’ recipients.  From there we must acknowledge that the apostle’s recorded proclamation in Acts 2:39 concerning the New Covenant was promised to the hearers and their children.  God still works solely through covenant in the New Testament times and that work of God includes working through the generations of Godly families today as well as prior to Christ.   

             The institution of the family should be emphasized as strongly as that of the church in the propagation of the Gospel from one generation to the next.  Furthermore, they should not be set in contrasting interests, but in terms of mutually beneficial concerns and goals.  The family institution, when directed at the Godly beliefs, values, and behaviors previously noted will set the groundwork for a sturdy and resilient church.  With this in mind, the church’s response of supporting the family becomes not only a command of God, but unavoidably simple logic for the church’s own benefit.  By strengthening the families within the church and defending them from both worldly deceit and worldly intrusion, the church grows stronger.

             With the commands for Godly families and the clear self-interest, churches can and should support families in several ways.  Churches should instruct families, particularly parents on the Godly pattern for families.  Without such clear instruction, the family may pursue worldly ideals for family rather than Godly ones.  Besides the regular instruction delivered by preaching and teaching, this should also come in the form of modeling by church leaders.  The qualifications for such elders and deacons (I Timothy 3 and Titus 1) requires Godly leadership at home for the men and this must be held up as a model for other families.  For those families within its fold, the church should support them in various ways as the family is challenged by ordinary or extraordinary pressures of life. This should occur regularly in terms of mutual prayer and edification in the relationships of the church as well as discipling families to live under God’s covenant.

             As these internal activities are occurring, the church must also speak to the broader culture in support of family, defending the Godly family from perversions by the claims of the world’s experts.  In the church’s silence, families can be engulfed in false portrayals of the ideals for families or for parenting.  For example the deceitful philosophy of “it takes a village to raise a child” can infiltrate even Christian families when the church is silent.  This worldly philosophy distorts the emphasis of having community around a family and makes such community involvement in parenting to be on an equal footing with the child’s parents.  It sounds enticing until you step back and realize its contradiction of Biblical instruction. 

             In another example, the capitulation of Godly principles to the repeated proclamations of the so-called experts occurred. Decades ago, Dr. Spock’s dreadful parenting guidance became prominent in the absence of the church’s true voice, even being echoed by the church.  His book, Common Sense Book of Baby and Child Care, has sold over 50 million copies since first being published in 1946.  One Christian parenting website wrote about the effects of this book on our society:

             “Well, many politicians and church leaders blamed Dr. Spock’s advice for raising the rebellious              hippie generation of the 1960s. Former Vice-President Spiro Agnew called hippies “the work of              Spock”. Former Chicago Mayor Richard Daley blamed the ills of Chicago on Spock’s “corrupting              influence”.

             Critics also blamed Dr. Spock for undermining parental authority and producing an entire              generation of disrespectful and disobedient children. In 1968, Minister Norman Vincent Peale said              that the U.S. was paying the price of two generations that followed the Dr. Spock baby plan of              instant gratification of needs.

             Dr. Spock eventually revised his book several times because he realized much of his advice didn’t              actually turn out well. Dr. Spock later ran for president as the candidate for the socialist People’s              Party in 1972.”

             Parenting with Focus Website.

             Spock’ book, apparently by someone who considered socialism as something worth implementing in America, taught parents to be more permissive, allowing children to vent their anger.  It taught parents to minimize consequences for bad behavior.  The parenting website also notes:

             “Dr. Spock advocated making the home child centered, instead of parent centered. He              encouraged a more democratic approach to parenting, where children and parents had an equal              say. Instead of training children to have respect and self-control, Spock advocated freedom of              expression and less restrictions.”

             Another Christian parenting web article noted:

              “Doctor Spock was aware of his negative influence upon parents. In a 1968 interview with the               New York Times, Spock admitted that the first edition of his child-rearing book had contributed               to an increase of permissive parenting in America. “Parents began to be afraid to impose on the               child in any way,” he said. In his 1957 edition he tried to remedy that, but his rewrite didn’t               succeed. Spock failed to see the deeper problems of his philosophy, so subsequent editions               continued to promote parenting that cultivated narcissism, entitlement, and victim thinking.”                   How Dr. Spock is Destroying America

              The true church as a whole should have stood up against this flagrant disregard for Biblical truth.  Parents are clearly told to raise up a child in the way he should go (Proverbs 22:6) not in the way the child wants to go or in the way the child feels like he should go.  The Biblical teaching makes explicit that a right way exists and therefore other ways are wrong.  Both the Bible and Dr. Spock cannot be right when they are opposed one to the other. 

               Besides these flagrant examples, the church itself has been further influenced to follow more subtle worldly patterns rather than Godly patterns when an active stance is not taken against such influences.  In the church we see several subtle patterns and effects.  In a general way, the church follows the worldly pattern of segregating its members by age during services rather than integrating families and instead of bringing different generations together to support one another.  At various times, the church desires to minimize offending others and thus ignores various sins from the simple ones like gossip and favoritism to the cultural sins of homosexuality and social justice racism.  For some churches, they follow worldly approaches to church services such that the service sounds like a production instead of worship.  They can also strive after seeker sensitivity so much that they forget to seek after God.  While not as obvious, their lack of understanding and preaching on the covenant between God and man leaves their guard down allowing many of these and other ungodly patterns to take root. Collectively these patterns then contribute to the church not being willing or able to stand for a Godly pattern in families as the state and the entertainment industry continue to pervert God’s design for life in the body of Christ.

(Having looked at ways the Church has followed the world rather than lead it as it is called to do, next time we consider how the Church should now respond.)

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Exemple

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

              If we humbly accept that the family unit, including the Christian families of our society, have played a role in the mental health knot by following the world rather than God’s design, we have a choice to make. We can continue this self-destructive pattern and wait hopelessly for the state or those with worldly resources to untangle the knot or we can turn to a Biblical pattern.  In such a Biblical approach we should evaluate whether our basic principles of family line up with God’s prescriptive and proscriptive principles.  The foundations of society in family must be directed at the “shalom” and “eirene” which I described earlier as God’s intentions for man’s peace in this world.  We must not only turn away from the world’s failed man-centered approaches but also turn towards God-centered approaches and goals.

              In breaking from the patterns of the present, we must start at the beginning with the correct beliefs about family.  From beliefs, we then move to knowing what to value.  After that we can change our actions and develop new patterns of family life which then lead to different outcomes than what we currently experience.  At the heart of the change, some of the core Biblical principles and beliefs underlying a God-centered approach to family include:

              Children are a gift from God to parents.

              Children are first and foremost entrusted to their parents for raising up.  

               Children are to be raised in the fear and admonition of the Lord.  

              Parents are accountable to God as stewards.  

              Parents are commanded to raise children to obey God.  

              Marriage is between one man and one women till death parts them or the covenant is violated.

              Children are accountable to parents and ultimately to God.

              Parents are under covenant with God to raise children His way.

              The goal of parenting is Godly children who continue under this covenant.

               Children are born into this family covenant with obligations.

               The family institution is a foundational means by which God produces both thriving individuals but also a thriving mentally well society.

(Psalm 127:3-5; Ephesians 6:1-4; Deut. 6:6-7)

               Such beliefs and principles then lead to values that we as parents then pursue.  Beliefs serve as the foundation for how we view the reality in which we live out family life.  If we truly believe these truths, we will choose daily based on these beliefs.  The impetus then turns to what we value, what we hold to be worthy of our time and effort to pursue or appreciate.  The world in its attempt to supplant God’s values claims the opposites of these values, but the following values must undergird the beliefs just mentioned:

               Godly children who walk in God’s ways are more important than worldly successful children.

               Pleasing God is more important than pleasing other men. (1 Thessalonians 2:4)

               While temporal life has value, eternal life has more value. (1 Timothy 4:8)

               Worldly pleasures which violate God’s Word are to be avoided. (1 John 2:15-17)

               Family relationships have a precedence over non-familial relationships. (Ephesians 5:25, Proverbs 11:29)

               Understanding the covenant we and our children live under is worthy of time and effort.

               We value relational connections over hyper-individuality and independence (1 John 4:20).

               A family legacy of Godly children is worth the sacrifice (Deuteronomy 6:5-7

               Once we come to believe the principles and agree with these values, then our behaviors will begin to conform to these foundations.  If our behaviors do not conform, then we must ask if we believe and agree as much as we claim.  Some, but not all of our appropriate responses include:

              Children are taught to submit to God’s commands.

              Children are taught Godly values.

              Children are taught to function as part of a family rather than only as individuals.

              Children are taught to consider family needs and the needs of others.

              Children are taught to honor the relationships within the family and outside the family.

               Children are taught responsibility which continues into their adulthood and future work.

              Children are protected and guided through providential adversity rather than solely shielding from adversity.

              Family relationships are honored by considering how our actions affect our family.

              We stop trying to replace the roles of the family with governmental programs.

              We stop following the world advice on educating our children.

              Individuals within families recognize their responsibilities to the family and act accordingly.

              With such beliefs and such values leading to these behaviors, we can realistically hope for different fruit than the current worldly approach.  We can look around us and see the obvious fruits of the present worldly approach.  These rotten worldly fruits are the primary reason we are having this discussion and looking for alternative answers.  Enacting more previously faulty solutions based on the beliefs and values of the world will only tangle the shoelaces even further.  Returning to the original design of the Designer becomes the only hope for bearing the following fruits:

              Emotionally more resilient children and adults.

              Such children and adults who are not overcome by the challenges of life in a fallen world.

              Families and the churches or communities arising from them which function more harmoniously.

              Familial, church, and community support networks which prevent mental health decline rather than looking to the state or worldly experts.

              Such networks naturally providing support at a fraction of the cost that government solutions cost.

              More productive individuals and a society without a mental health crisis.

              Children are taught to submit to God’s commands.

              Children are taught Godly values.

              Gods peace of “shalom” and “eirene” will arise more abundantly from such families.

              I agree that this sounds almost too simple and overly optimistic.  You will ask me if it is really this straightforward.   I agree that this is not that simple to carry out in our fallen world with both the pressures of false worldviews contrary to God’s standard and the realities of the fallen physical world.  However, I do emphasize that the work does begin with families committed to the Biblical standard for family function, relationships, and purpose.  Without the foundation of Godly families, the church must carry an even greater weight and perform much more remedial work in discipling the up-and-coming generations towards a Godly sourced “shalom” and “eirene”.  As we turn to the responsibilities and roles of the church, we must recognize that the church’s role generally flourishes more when the family foundation is present and sturdy on these principles, beliefs, values, and behaviors.

(With a clearer picture of the role the family must play in solving the mental health crisis, in the next installment we consider the role of the church alongside the family.)

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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

(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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