August 2009 
Meier Clinics E-News
 
"One of the most trusted names in Christian Counseling"            1-888-7CLINIC
 
Angie Witman
 
STAYING STUCK 

 
By Phil Swihart, Ph.D.

     A number of years ago, a Christian theologian, F. F. Bruce, authored a book entitled The Hard Sayings of Jesus which I found intriguing.  Recently I found another of Jesus' statements which was not addressed in that book, but equally mysterious. It is found in the Gospel of John, Chapter 5.  Jesus, going up to Jerusalem for a feast day, stopped by a pool called Bethesda.  Around that pool were laying a "multitude of those who were sick, blind, lame and withered..."  They were waiting for the occasional visit of an angel who would stir up the water.  "Whoever then first, after the stirring up of the water, stepped in was made well..."  Jesus saw a certain man there who had been "thirty-eight years in his sickness."  Jesus, we are not told why, focused on that particular man and asked him what would seem to be a very strange question: "Do you wish to get well?"  Now Jesus, being God, did not need to ask in order to gain information - he already knew what the answer would be.  And, it would appear, at least superficially, that the answer would be obvious. Would not any invalid want to be healed? But the obvious is  sometimes wrong, obfuscated by the murky depths of motives farther beneath the surface in the human heart.    
     Since this man had already waited 38 years, perhaps he despaired of any future healing and had given up all hope?  He might also, consciously or unconsciously, have preferred to remain an invalid.  After all, if he were cured, he would have to reenter the "real world" with all of its burdens, such as working hard to earn a living rather than depending on the largesse of alms received.  People would have a whole new set of expectations of him.  His entire lifestyle would change.  Remaining "stuck" in his illness could well provide something that has been termed "secondary gain."  Secondary gain is an explanation for an otherwise inexplicable desire to retain the status quo, even when that appears to be very negative.  A person is "stuck" and tries hard to stay "stuck."  
     This can apply to many other circumstances besides physical disabilities.  For example, as a graduate student I worked two days a week as an intern in a "back ward" of a Veterans Administration mental hospital in Indiana.  I was usually there with a couple of nurses and about 70 chronically schizophrenic men, some of whom had lived there for years.  Occasionally, a man would progress to a point at which we would begin to make arrangements for him to be discharged. It was not uncommon that in the day or two prior to the final discharge staffing, that individual would begin to exhibit marked deterioration in his mental status. He might make a suicidal gesture, pick fights with other patients, or perhaps begin loud, delusional conversations with himself and "the voices."  Usually these rather histrionic efforts to sabotage his impending discharge from the hospital were not well disguised but, nevertheless, were effective in delaying his release.  If not, he would simply escalate his behaviors to a point where it was not safe for him or others to transfer him out. Clearly those men did not really "wish to get well" but were firmly "stuck" in their disabilities. 
      This dynamic is also frequently seen in clients in outpatient counseling.  It is at times manifest in individuals who maintain a very negative self-image, very low self-esteem, despite tangible evidence that their self-assessment is quite inaccurate and does not comport well with reality.  They put up a fierce resistance to making any changes in their behavior which would challenge that self-image, preferring to believe a lie.   Why?  It may be too threatening to have it change. It would make it more difficult to live inside convenient excuses for failures, others would demand more of them, or it is simply too anxiety producing to experience an identity change.  "If I'm not who I always thought I was, then who am I?"  This identity limbo is much more uncomfortable than just keeping a well defined and established, albeit very low view, of one's self. 
      Thus, Jesus' hard question: "Do you wish to get well?"  His question can apply to all of us at times.  We would be wise to ask ourselves whether we really want to be healed physically, emotionally, socially, and, especially, spiritually.  It is possible to be an "invalid" in more ways than one. Our motives are mixed more often than not and we can be very adept at self-deception. 
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Phil Swihart, Ph.D.Phil Swihart is a psychologist and the Director of Counseling Services and Community Relations at Focus on the Family.  For more about this wonderful organization, visit www.focusonthefamily.com.
 
A Good Thing About Autism
 
By Kyle Pontius, PhD
 
     I work a lot with adults on the autistic spectrum. Doing this, I usually find there to be a stark contrast between the perception of young parents of autistic children and young adults with autism. Parents of young children frequently see autism as horrible and a severe disability - which it is.  Adolescents and adults become protective of their identity, which includes their autism. Some deny that there's anything different about them. Others embrace their uniqueness.
     I'm reminded of when my son, who has high-functioning autism, was in the eighth grade. I was asked to participate in "Career Day" at his school.  Brian was my host and led me to the room where I was to do a presentation to two different groups of eighth graders on what it was like to be a psychologist. I talked about the preparation needed to be a psychologist, the day-to-day activities of my job, and about autism, my area of specialty. The kids were attentive and asked a lot of questions.
     Toward the end of the first session, Brian raised his hand. "Tell us some good things about autism," he said. I was taken aback a little. Of course there were good things about him, he's a great kid. I'd not thought much about the good in autism. As a psychologist, my focus is on disorders and dysfunction-things that have gone wrong and what it will take to fix them. Mental health, more often than not, is relegated to simply the absence of mental illness. It's the medical model. I can't recall how I answered his question.  However I did, it was apparently acceptable to him and to the rest of the class. Brian's question has stayed with me. As I've been working with adults on the autistic spectrum, "What are the good things about autism?" has consistently been an important question to each individual.
     Adults affected by autism tend to be very sensitive about their identity and view attempts to "cure" autism as an assault to their sense of self.  It's okay to build skills and to empower affected individuals in any and every way. Autism is diagnosed by analyzing the presenting symptoms, however, it sinks into the personality structure and becomes part of one's sense of who they are.  Most of the time, it's a good thing to fit in, particularly with autism. That is, to be functioning in a manner that is as consistent with one's typically developing peers as possible. There are times, however, that standing out is a good thing. What is particularly good is standing out because of a positive aspect of autism.
     In May 2007, Brian was getting ready to graduate and was chosen as a "Student of the Month" for "Moral Courage" at Trabuco Hills High School. He was one of only a few in a student body of over 3,100 to receive this distinction.  Adolescents with autism can be much less susceptible to peer pressure than their typically developing counterparts.  They tend to miss many of the social cues that other kids are keenly aware of, those that are seen as vitally important to social acceptance. 
     Persons with autism look for "rules" to follow and may rigidly adhere to them despite the social consequences.  Brian has adopted many values consistent with his Christian faith, and he is not shy about standing up for what he believes in. Many teens, even committed Christians, can be tempted to compromise their values if their social standing is challenged. This isn't as much of an issue with many affected by autism, including Brian. Demonstrating moral courage may actually be easier for him than it is for others his age because of his autism. However, being easier doesn't diminish the value of the award. In fact, it highlights a very positive aspect of autism.
     Getting the award may have affected me more than it did him. He tends to take a lot in stride, particularly praise. At a time when we were celebrating his coming of age-graduating from high school-this award meant that, as parents, my wife and I did something right here. We instilled in our son values that he lived out on a daily basis at school, enough so that he stood out among his peers in a really good way. This is huge. 
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Dr. Kyle  Pontius is a licensed psychologist and Clinic Kyle Pontius, PhD
Director at the Meier Clinics in Laguna Hills, California.  He has facilitated the autism support groups at Saddleback Church since 1997.  His son, Brian, is currently an engineering student at Saddleback College in Mission Viejo.
 
 
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BINGE EATING DISORDER
 
By Kimberly Dennis, M.D.

     I am sure most of us, at one time or another, have been guilty of going back for that second or third serving whether or not we're still hungry. During a holiday party or special occasion, it's common to overindulge. But for millions of Americans, it's a daily occurrence, one that is surrounded by secrecy and shame.  While most people are more familiar with anorexia or bulimia, the most common eating disorder is the least talked about − binge eating or compulsive overeating. Binge eating disorder is the most common eating disorder in the United States, affecting more than 20 million Americans.  
     The biggest problem is compulsive overeating or binge eating is rarely recognized as its own illness, and often only the symptoms are treated, not the disease. In fact, most physicians and mental health professionals fail to include compulsive overeating and binge eating as an eating disorder. They are often told by their physician to go on a diet and lose weight. The problem is the real illness is rarely addressed. It's critical that physicians, family members and individuals themselves understand and recognize the behavioral and emotional signs and symptoms of compulsive overeating, which may include:
  • Doesn't often exercise control over consumption of food.
  • Eats an unusually large amount of food at one time − more than a normal person would eat in the same amount of time.
  • Eats much more quickly during binge episodes than during normal eating episodes.
  • Eats until physically uncomfortable and physically feels like they're on the verge of throwing up due to the outrageous amount of food just consumed.
  • Eats when depressed, sad, or bored.
  • Eats large amounts of food even when not really hungry.
  • Usually eats alone during binge eating episodes in order to avoid discovery of the disorder.
  • Often eats alone during periods of normal eating, owing to feelings of embarrassment about food.
  • Feels disgusted, depressed, or guilty after binge eating.

    It's important for individuals who think they may suffer from compulsive overeating to be honest with themselves, their family, and their physician about the depths of their struggles with food. Recognizing there is a problem is the first step on the road to recovery.

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Kimberly Dennis, M.D. is the Medical Director at Timberline Knolls, a residential treatment facility for women ages 12 and up who are struggling with eating and mood disorders, drug addiction, alcohol abuse, trauma, and other co-occurring disorders.  Meier Clinics provides Christian counseling care for residents who are interested.  For more information about Timberline Knolls, visit www.timberlineknolls.com.

Timberline Knolls

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". . let your light shine before men,
that they may see your good deeds
and praise your Father in heaven."
Matthew 5:16 
 
   Sunshine
 
 
 BY THE NUMBERS
 
1 in 17  The incidence of serious mental illness in the general population.
20 percent  Segment of American families affected by mental illness.
2020  The year by which major depressive illness will have become the leading cause of disability for women and children worldwide.
$100 billion  Estimated annual impact of untreated mental illness on the U.S. economy.
70 to 90 percent  Portion of people with mental illness who find significant reduction of symptoms and improved quality of life through a combination of medication and therapeutic treatments.
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Sources:  The National Alliance on Mental Illness and the World Health Organization.
 
Meier Clinics Foundation is partnering with individuals and other organizations and foundations to help meet the needs of those with mental illness across the United States.  Will you prayerfully consider being one of those partners by making a financial contribution today?  
  
Mail:  Meier Clinics Foundation, 2100 Manchester Road, Suite 1510, Wheaton, IL 60187-4561
Web:  http://www.meierclinics.org/Donations
Phone:  800-848-8872  
 
Wish List:  We are in great need of updating our computer system nationwide.  If your company is upgrading your systemComputer and looking to donate LCD monitors, servers, or computers that are three years old or newer, please consider Meier Clinics Foundation.  Monetary donations towards purchasing computer equipment and software is always appreciated. Please contact our MIS department at info@meierclinics.com with details about any equipment you would like to donate.  Thank you.
 
(Meier Clinics Foundation is a non-profit 501(c)(3) organization and
all donations are tax deductible within IRS regulations.)
  
 
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