diagnosis – Inspiring Change LLC

Is a Vaccine at Odds with the Christian Faith?

The Christian faith is all about loving God and neighbor. Get immune, save and love your neighbor and their children. Get the Covid vaccine.

Perhaps it’s never been possible to have agreement on the definition of a faith tradition; ideas about what it means to follow a religion have always been fluid and contentious. I read a news article this week that a settlement was reached in an employment religious discrimination lawsuit, granting a Minnesota man $65,000 in back pay and damages from his former employer over his refusal to be fingerprinted for a required background check. He said it was against his Christian faith to do so.

Henry Harrington claimed that his employer, Ascension Point Recovery Services (APRS), a debt collection company, had failed to make the required accommodation for his belief and fired him. A similar employment case was filed four years ago in Pennsylvania, when a local school bus driver refused fingerprinting as part of her background check, claiming that the process would leave the “mark of the devil” on her, preventing her future entrance to heaven. That’s news to me.

Many more of these religious objection cases have been filed across the country in recent years as social and legal changes have pressed up against long held personal beliefs about social responsibility, employment requirements, privacy rights and our own physical autonomy.

Can a life insurance company, considering you for a new policy, require you to release to them your full physical and mental health record, disclose your family medical history, take your blood pressure and a sample of your blood? Might they also review the public filing of your divorce decree from 10 years back? They have been doing such things legally for decades. Can a federal employer take your photo, driver’s license number, Passport information as well fingerprints to screen you for a job? Will it search for any records of arrest or legal charges brought against you in national data bases? Most certainly it will.

As more information about our individual lives is collected and shared, many of us are pushing back. Where does my right to security of person and property end and legal or social demands begin? And when we must make arguments for protecting those intuitive, personal boundaries, it’s no wonder that issues of faith, meaning and core values come front and center.

These same issues, it seems to me, are at the center of the debate around Covid vaccine mandates. For most of 2020, we prayed and hoped for the miracle of a safe and effective vaccine to be created by our nation’s research scientists, folks who have been steadily working on similar virus strains of influenza, bird flu, and SARS for decades. Because of the previous research, the vaccines came quickly, tentatively released after multiple trials with eager volunteers, giving us hope that it would snuff out the pandemic and its possible mutations with our majority immunity.

The vaccine is free for all. Now anyone over 12 can get immunized! And even after weeks and months of pleading and even cash incentives, 20% of eligible Americans have refused this life-saving medicine.

I have come to understand this refusal by so many as the result of all the loss of privacy many of us feel over the last two generations mentioned earlier. Some people, claiming conflicts with the vaccine and their faith practices, have received exemptions from vaccination in the past few months, risking their own health and the life and wellbeing of those around them. Even when such exemptions don’t seem to be wise or practical, current law does allow such freedom when it comes to boundaries set by a person’s sincere religious practice.

But people are still dying, children are still not protected, and our medical personnel are traumatized by the continuing demands on their health and stamina. As new mandates are announced, reluctant employees are claiming a religious exemption, requesting letters of support from their Christian clergy. I want to go on the record with this admonition: Don’t ask your pastor for such a letter. Your pastor can’t make a coherent faith argument against receiving an approved vaccination that will save your life and the life of those around you.

Why? Because, quite simply, the Christian faith is centered on the life and ministry of Jesus of Nazareth. And if there is a central theme to his life and teaching, it is love of God and love of neighbor. In this, Jesus taught, is all the Law and the Prophets. It’s not about creating a cover for your distrust of government, or resentment that you are expected to take medicine because someone else says so. It is not so you can live your life exactly on your own terms, shouting “freedom” until you are hoarse. Every day of his life, Jesus spoke and demonstrated his gospel, that as God loves us, so we are called to that same love of one another. To take proven medicine when you can, to save your own life as well as the life of the weak, young or vulnerable, is discipleship work. There is no religious excuse that makes any sense to me. Love Jesus? Love your neighbor. And get your shots.

(Written for The Savage Pacer, Spiritual Reflection column; Published Saturday, 9/18/21)

When Severe Mental Illness Strikes a Loved One

Book Review: “I Am Not Sick, I Don’t Need Help” by Xavier Amador, PhD. (Vida Press, 2012)

For the last 20 or so years, brain research has helped doctors and therapists understand that the serious mental illnesses of schizophrenia and bipolar disorder are diseases of brain function. During the century before the “Decade of the Brain (the 1990’s)”, these rare and frightening mental diseases were blamed on bad or inadequate mothering (the “schizophrenogenic mother”), thanks to the early theories of Freud and subsequent generations of psychology, puzzling over the cause and treatments of such life-altering and permanent mental illnesses.

In his wonderfully personal and helpful book “I Am Not Sick,” Dr. Amador explains that the primary feature of these severe mental illnesses is the core belief that the sufferer is “not sick.” In medical terms, this disbelief in their illness is called “anosognosia” (ã-nõ’sog-nõ’sê-ã). Sufferers may be homeless, talking to voices in their head, unable to sleep or put together a clear sentence, believing that aliens have made inroads to their cells, but to these ill brains, the beliefs and thoughts are as real as sunlight and gravity.

If you have ever been in a relationship with a loved one who has become mentally ill and whose illness has this feature of anosognosia, you know that trying to convince them to get to the hospital for treatment or to take their medication is a futile, frustrating, and relationship damaging exercise. But this is how almost everyone attempts to get their loved one’s the help they need to be safe and recover.

In his best-selling book, Amador explains the model of engagement that he has developed over 30 years of living with his older brother, who was a schizophrenic, and working as a professional forensic psychologist and therapist. He walks the reader through this counter-intuitive but effective model that listens, understands and collaborates with the sufferer, who, in the end, must participate in their care in order to get better.

He calls this program “LEAP,” which stands for Listen, Empathize, Agree and Partner. Utilizing the tools familiar to therapists of Client-Centered/Active Listening, Cognitive-Behavioral, and Motivational Interviewing models, Dr. Amador provides tools, examples, and scripts as examples of learning to use this strategy with loved ones who need help.

I read this book as a way to help one of my clients, whose loved one is beginning to demonstrate marked personality changes, delusions and strange behaviors. As we talked about how to be helpful short of calling 911, this book has become a welcome addition to my library and therapeutic models. If you have someone in your life you are seriously worried about and wonder how to help. I urge you to get this book or log onto his website, LeapInstitute.org.

Healing Traumatic Memory

If only life was one long, beautiful, inspirational journey. But it’s not. Some of us know that life can include experiences of such fear, helplessness and pain that we wonder how we survived. Over time, and with support, most of us get back to what we would call our normal. Yet others of us discover no matter what, we just can’t.

We call these experiences psychological trauma, the kind of experiences that steal our mental equilibrium. Many traumas have their origin in childhood; our bodies and minds are dependent, small, developing and vulnerable. The younger we are when they occur, the more impact they may have on the way we learn to relate, think, feel and trust the world around us.

Traumatic memories happen within the brain when we survive a life-threatening event and experience overwhelming shock, loss, fear, horror and helplessness. The words we have for what we experienced are just not enough to explain it to others. Motor vehicle accidents, physical, sexual and emotional abuse, parental neglect and addiction, domestic violence, plane crashes, witnessing homicide, military combat, escaping house fires: these are among the experiences that can overwhelm our emotions and capacity to bear what we have seen and known. The memory of the experience is stored in a kind of jumble in the brain, never blending into what we would call our normal sense of self, our everyday explicit memory.

Neurologists, psychologists and other researchers have made wonderful strides in the last 30 years in understanding how trauma effects the brain. And as the science of trauma becomes clearer, so has the clinical work of seeking effective treatments: treatments for the post-trauma effects that are expressed in our bodies in the form of chronic pain, sudden panic attacks, visual and auditory flashbacks, depression, anxiety, relationship and work problems, addictions and patterns of emotional dissociation.

First generation psychological care for traumatic memory was talk therapy; some relief was attained by patients helped to fully describe their experience in a private, compassionate therapeutic environment. Second generation care added strong prescription medications to calm the nervous system, limit emotional affectivity or target psychotic symptoms. What the most recent research has shown is that both methods are insufficient; talking uses the cognitive portions of the brain without adequately engaging the emotional and survival systems, systems that were in charge during a trauma, and dulling trauma memories or disengaging them temporarily with psychotropic drugs won’t heal the damaged and chronically misfiring memory patterns.

What does work is helping the sufferer to carefully, artfully, and in a controlled and focused way to re-experience the memories, feel the experience again in the body while expressing the energy, body movements, sounds, sights and postures that were suppressed at the moments of helplessness, dissociation and physical restriction. To think the thoughts that seem too terrible to think, and to help the mind link up the original memory to the fuller, day to day explicit or narrative memory that we live and work in every day.

This is what the work of Francine Shapiro’s EMDR (Eye Movement Desensitization and Reprocessing), Peter Levine’s Somatic Experiencing (SE), Albert Pesso’s Psychomotor Therapy and Pat Ogden’s Sensorimotor Approach all seek in their similar models: to have the sufferer become integrated with their physical bodies, those same bodies that have experienced the trauma, to feel, tolerate, express, observe and rewrite their story in the present sense of the self.

All this is to say: there has never been a time in human history where more can be done to help the trauma sufferer than now. If you are besieged by physical and mental echoes of a terrible event in your past, please seek out care from a psychotherapist trained in the newer trauma resolution techniques. Many of us have found peace where there was no peace, and wish the same health and healing for you.

Racism and Trauma

For decades, family therapists and other mental health professionals and researchers have believed that trauma in one generation can be expressed in the genetic code and passed as psychological suffering and vulnerability in following generations. This fact has been demonstrated in animal studies for years, but few human trials have followed.

A research team at Mt. Sinai Hospital in New York City, studying the DNA and mental health of survivors of World War II Nazi atrocities and their children, have newly demonstrated genetic changes in the children of these survivors. The Guardian article of August 21, 2015 describes the changes in a specific gene sequence associated with the regulation of stress hormones. What therapists have seen in their practices has begun to be proven in the laboratory: when emotional and mental trauma happens to us in our early life, it can change our genes, and those changes can be passed down to our children.

It helps to explain the increased mental health issues in children of Holocaust survivors, victims of political terror, accidental trauma, severe poverty, famine and the progeny of African slaves in the United States. This “epigenetic inheritance” can linger for generations and effect the culture, as it has done in the Jewish communities around the world after 1945.

The continuing hurt, vulnerability, anger and rage expressed in Native American tribes and African American communities in the United States against the majority white population can be understood as both cry for justice in the present, and a echo of generational trauma that was endured for nearly 300 years on our nation’s shores.

We have a responsibility as a nation to be struggling to heal the racial injustice and majority privilege that still stains our daily interactions. And therapists need to recognize the layers of trauma that their clients of color may bring to their offices, seeking healing for individual pain that may have been generations in the making.

UPDATE: Here is the link to the mouse study with traumatic epigenetic changes in following generations : Nature Neuroscience, Volume 17, Number 1, January 2014:
https://tinyurl.com/y7zblcwe

Oh No You Don’t

Medical docs, you don’t get to run over a patient and their therapist with your assumptions just because you believe you can.

Yesterday one of my long term clients called me to ask for a psychiatrist referral. The message was a puzzle, so I called her back to learn the details.

She had been in to see a doctor for medication for an infection. After that examination, blood work and diagnosis was over, the doctor asked my client about an older mental health diagnosis that was in the chart. “Well, I see that you were diagnosed XXX in the past.” “Yes,” my client answered, “but my current therapist assures me I don’t have XXX anymore.” Well, that information was ignored. My client was ushered in to see yet another physician who “specialized” in mental health issues. He proceeded to give her a brief screening, and in a few minutes told her that while she probably didn’t have XXX anymore she probably had ADHD. She should see a psychiatrist to confirm the diagnosis and get appropriate medication.

This is an abuse of power, as far as I’m concerned. I have seen this client dozens of hours over a span of more than two years. I have more training and experience in mental health diagnosis than these doctors ever will, and I am the health professional on record who is providing mental health care. If they had bothered to LISTEN to the client about her experience, paused to consider my license and the limits of their training, my client would have been spared their authority run amok.

I’m just glad my client called. I could assure her she didn’t need screening for ADHD, and save herself the $300 + she would have spent to see a shrink for a disorder she doesn’t have.

What is astonishing to me? These doctors believed they had the whole picture on our patient after 10 minutes, and ran right over her own health care history. Medical arrogance is everywhere, but here, for this one person, is a stunning example of it when it comes to mental health care.

Medical docs, I’ll make you a deal: I won’t try to set broken legs or cure infections if you don’t try to heal the mind with 5 questions and your electronic prescription software. You’re out of your league, believe it or not (and I know you don’t).