Saturday, August 28th, 2004
Thanks Kent. I’m still tinkering with that essay. It’s released so many memories, I can’t stop adding sentences.
I wanted to make clear that I totally agree with you. I never in any way wanted to imply that someone skips church and God sends depression as a punishment for backsliding. My father’s genetics, biochemistry, choices, actions, relationships and many other things combined into depression. Sin- as defined in Christian theology- is wound tightly throughout the whole experience. I want to emphasize again that I believe that if I REMOVE the element of our own decisions, choices and actions from the mix, I am removing one of the key elements of recovery. Let me use an example.
We have a friend who is a classic case of manic depression. No doubt, genetics and biochemistry are the foundation of this problem. But at every turn, treatment for this person has emphasized MEDICATION ONLY. Not counseling. Not personal responses. Not self-understanding. Not rational therapy. Not spiritual issues. Because of this “one dimensional” approach, this person takes meds and sees some rather dramatic improvements, followed by the predictable and discouraging return to manic symptoms and behaviors. But at least so far, to my knowledge, counseling has been almost totally avoided. No books read. No spiritual paths pursued. No support groups joined. No personal engagement with issues like responsibility for living with a problem, patterns of relating and repeated mistakes in relationships that result in a return to depressed feelings.
I really fear the American, therapeutic idea that those with “disease” model problems (i.e, alcoholism, rage, depression, etc.) are not “sinners.” Think about it. Not from the aspect of “these are rotten sinners and that’s why they have these problems.” NO!! Rather, we are fallen, and that’s why we have these problems. But we are sinners, and that’s why we deal with them so poorly. We need the grace, love and acceptance of God in the Gospel to deal with aspects of these problems that aren’t part of the “biochemical” explanation.
Can I be blunt? That I am depressed, have an anger problem and a weight problem may not be things that are ultimately my responsibility. What I say and do to my wife, children, co-workers and neighbors as a result of these issues may (may)- and usually are- very much be my responsibility. Once I have some understanding of these problems, and the path of living with them, I have an increased responsibility. This is why I deal with students who have diagnosis like Oppositional Defiant Disorder, as responsible people. Responsible to take their meds (we discipline if they don’t.) Responsible to get up, show up and do what’s right. So far, the overwhelming evidence I have from my experience is that this works far more effectively than telling that student, “You’re ODD. You won’t be punished for verbally abusing teachers.”
My dad never got counseling for his problem. He never- to my knowledge- had even a rudimentary understanding of it. I could see him constantly interpreting his problems as the curse of God because he was divorced. (This “curse of God” thinking is very much part of mountain culture, and I have it running around in my head as well.) So dad did a lot of thinks that were hurtful, and knew they were wrong, and sank deeper into his depression.
He needed more knowledge. Compassion. And responsibility. He needed the dignity and humanity of understanding what was not his responsibility, and what was his responsibility.












