12 February 2008

Broken Mind by Steve and Robyn Bloem





I found 2 useful reviews/comments on this book:

1) BROKEN MINDS - THE PROBLEM OF DEPRESSION
David Gregson reflects on a recent book by Steve and Robyn Bloem

2) Dr David P Murray's comments on "Broken Mind" in his Lecture 2 "The Complexity" in series of 6 lectures on "Depression and the Christian".

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1) BROKEN MINDS - THE PROBLEM OF DEPRESSION
David Gregson reflects on a recent book by Steve and Robyn Bloem

In 1985, American Steve Bloem was about to make a final visit ‘with a view’ to what seemed a very suitable and attractive church in Florida. He had a wife and a young family and had successfullypassed through Bible seminary.

Up until then, Steve had been blessed with a joyful, stable personality and had coped well with the pressures of life. In 1985, however, he entered the dark tunnel of severe clinical depression — whichtook him and his wife Robyn by complete surprise.

Since then, Steve has endured further episodes of mental illness. He confesses readily that he is now a man of God ‘on pills’ and will be for the rest of his life.

Sadly, Steve and Robyn have had to contend with the tragic misconceptions about mental illness that are prevalent in evangelical circles, both in the USA and UK. That is why Steve and Robyn Bloem have jointly written a new book entitled "Broken Minds" to try to dispel the myths that seriously hinder Christians who suffer from depression.

Can Christians get depressed?

The symptoms of Steve’s illness were gloomy mornings, endless walks around the neighbourhood, poor concentration, disordered sleep patterns, loss of appetite, stomach complaints, feelings of worthlessness, intense sadness and even suicidal thoughts.

When eventually Steve suspected that he might be suffering from depression, he fought against the very idea. He writes, ‘As a born-again believer and a trained theologian, I did not want to entrust myself to a system where I would be vulnerable to mistreatment or psychological brainwashing. A deeper reason was that I had been taught that depression was for wimps. Surely if Christians walked with God, they would not get depressed’.

Steve was further bemused when well-meaning people said that his condition was due to his inability to handle stress or the consequence of anger turned inwards. Even Robyn at first thought that her husband was showing uncharacteristic signs of weakness and self-centredness. She, however, came to
see that she too had been the victim of evangelical ignorance and misunderstanding regarding mental illness.

After years of witnessing Steve’s struggles and supporting him through all his pain, she was able to write, ‘Diseases from the neck downward are acceptable, but start talking about the mind and the defences go up’. She realised that among Christians there was a real misunderstanding of depression
and that a dreadful stigma had grown up around it. She had become convinced of the reality of mental illness, not so much by scientific studies as by her husband’s suffering.

Chemical imbalance

It is generally accepted in the medical field that clinical depression is due to an imbalance in the chemistry of the brain. Neurotransmitters are chemical substances that carry electrical impulses from one nerve cell to another within the brain.

They are released from one cell (the sender) and travel to the next cell (the receiver), where it is either absorbed or returned to the sender. The best understanding of clinical depression is that there are not enough neurotransmitters to ferry these messages across all the gaps.

This deficiency leads to a change in the person’s mood, thinking and behaviour. Serotonin and noradrenaline are two neurotransmitters that increase brain activity and improve mood. Antidepressant drugs help the brain to retain more of these substances and so stabilise the mental condition.

At the present time, an estimated 121 million people suffer from serious depression throughout the world. It is one of the leading causes of disability and we should not be surprised to find Christians among the sufferers.

Spurgeon’s afflictions

One noteworthy example was Charles Haddon Spurgeon. It is well known that he had gout but the authors of Broken Minds suggest that he might also have been a victim of post-traumatic stress disorder (after a stampede in one of his services led to seven deaths) and seasonal affective disorder (SAD, due to a deficiency of light during the winter months).

He said in one of his sermons, ‘When the great wind blew at the time of the fall, a slate blew off everybody’s house; and some are more affected than others, so that they take the black view of all things’.

On another occasion he said, ‘The worst cloud of all, I think, is depression of spirit that is accompanied with the loss of the light of God’s countenance. Sickness, poverty, slander — none of these is comparable to depression’. He then quoted Proverbs 18:14: ‘The spirit of a man will sustain him in sickness but who can bear a broken spirit?’

Competent to counsel?

One extremely helpful chapter in Broken Minds is entitled ‘Christian counselling, a treatment smorgasbord’, where Steve Bloem reviews the differing definitions of mental illness and treatment approaches advocated by various evangelical ‘camps’.

One of these is the ‘nouthetic’ counselling movement whose foundations were first laid in the writings of Jay Adams, in particular in Competent to counsel! Dr Adams based many of his conclusions on the experience he had acquired in two psychiatric institutions in America.

This led him to deny that mental illness even exists. He writes, ‘Apart from those who had organic problems like brain damage, the people I met in the two institutions in Illinois were there because of their own failure to meet life’s problems’.

Tragically, nouthetic counselling refuses to accept biological causes for clinical depression. One member of the National Association of Nouthetic Counsellors compares the idea that mental illness has an organic basis to belief in Santa Claus or the Easter Bunny. Depression is therefore a sinful condition which (say the nouthetics) calls for biblical confrontation and ­repentance.

Although I do not doubt the sincerity and integrity of Bible-believing Christians involved in the nouthetic counselling movement, I have to say that their principles have led to much misunderstanding and unnecessary pain. Steve Bloem concludes: ‘In the midst of my own depression, I found nouthetic counsellors degrading. I felt despicable — morally responsible for every problem in my life’.

By way of contrast, Steve also includes a chapter entitled ‘Reclaiming the Puritan care of souls’. Here he points out that the Puritans refused to see individual sin as the cause of every problem people face. They taught that God sometimes sends ‘dark providences’ to Christians.

The English and American Puritans of the seventeenth and eighteenth centuries were skilled at distinguishing between physical, psychological and spiritual problems. In fact, they were much more competent in this area than many of today’s spiritual guides.

They truly were physicians of the soul, as was Dr Martyn Lloyd-Jones more recently. Evangelicals today need to develop greater skills and awareness in this area of pastoral theology and practice.

Pastor on pills

I have a personal interest in Steve and Robyn Bloem’s book because I too am a pastor ‘on pills’. My depression remained undiagnosed from the age of twenty until the age of fifty. That was largely because I put my cyclic low periods down to fatigue and refused to seek medical help.

I was greatly helped, however, by the elders and members of Little Hill Church near Leicester, where I was pastor for 15 years. They had the right ideas about clinical depression being organic in origin and eventually prevailed on me to seek appropriate help.

This was provided by my own GP, a consultant psychiatrist and also in particular two Christian GPs who are personal friends. As far as I know, the latter have never experienced depression themselves but have seen its ravages in many of their patients. I found in them a compassion and understanding for which I will always owe them a deep debt of gratitude.

My depression is now controlled by appropriate medication. I sometimes sink a little for a short period but that is nothing like the deep troughs I used to experience for three months at a time.

Benefits

These spells I now recognise as being good for me, ‘thorns in the flesh’ keeping me from being over-elated or arrogant (2 Corinthians 12:7). I also find that my personal experience of clinical depression has brought me two other benefits as a pastor — it has taught me to rely more on the God who is able to raise the dead and has given me a great sympathy for, and understanding of, those who suffer from depression (2 Corinthians 1:3-11).

Broken Minds by Steve and Robyn Bloem includes many autobiographical elements and it also contains insights and knowledge that both authors have acquired through their close contact with major depression.

There is much practical information in the book concerning treatment options and related topics like SAD, panic attacks, obsessive-compulsive disorder etc. and it has a biblical framework throughout. Broken Minds is now the Christian book I would most readily offer to victims of depression and those who feel that they are ‘losing it’.

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2) Dr David P Murray's comments on "Broken Mind" in his Lecture 2 "The Complexity" in series of 6 lectures on "Depression and the Christian":

Obviously, the “drug-treatment model” or the “all-physical model” for depression is supported by those who wish to deny the existence of a non-physical, or spiritual element to human beings. However, there are Christians who also take the “drug-treatment model” approach. An example of this is found in the book Broken Minds by Steve and Robyn Bloem. Steve is a Christian pastor who has struggled with serious depression throughout his ministry. His book, co-written with his wife, gives a deeply moving account of his lifethreatening battle with mental illness. There is no book I know of which gives such an honest and hard-hitting insight into the pain and distress which the mentally ill and their families have to endure. If you wish to increase your sympathy and compassion for sufferers and their loved ones, then this heart-rending and tear-jerking book is for you.

However, the book’s greater usefulness is limited by the adoption of the purely “drugtreatment model” approach to causes and cures. As we have said, there is unquestionably a physical element to most depressions, often requiring medication. And, in Steve Bloem’s case, there would appear to have been a very large and serious physical problem, which required necessary and life-saving medication. However, it is far too big a step to move from this to proposing the “drug-treatment model” as the only model in every case, and medication as the only solution to every case. In this complex area, it is a big mistake to use one’s own experience as the “norm” for everyone else.

In some ways, the Bloem’s “all-physical” position is understandable. For far too long, Christian writers and speakers in this area have been over-influenced by the Jay Adams extreme position of “all-spiritual” in both causes and cures (see below). However, we must not over-react to one unhelpful extreme (“it’s all spiritual”) by going to another (“it’s all physical”).

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Broken Minds by Steve & Robyn Bloem is published by Kregel Publishers at £9.50 (ISBN: 0-8254-2118-7)

Where to buy Broken Minds

a) christianbook.com

b) amazon.com

Heartfelt Counseling Ministries is a non-profit religious organization which holds an IRS 501 (c) 3 status. HCM is not a counseling agency but a ministry-a ministry to the mentally ill and their families.

http://heartfeltcounselingministries.com/default.aspx

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Steve Bloem Says:
Dear My life with bipolar disorder,

Thank you for reading our book, Broken Minds. I read some of your comments about how you have been helped by so many people.
The LORD is with us through those who help us.
The hymn by Cowper was awesome.

Are you from Singapore? If you give me your e-mail I will put you on our e-letter list.

Your fellow afflicted one.
Steve and Robyn Bloem

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mylifewithbipolardisorder Says:

Dear Steve and Robyn,

Welcome to my blog! Thanks for dropping by and leaving such a sweet and encouraging comment.

Thank you for “Broken Minds”, a very useful book you wrote on your personal experiences which are very vivid and real. I recommended it to several people and they have all benefited from it. Thank God for sustaining you through your very difficult experiences, and enabling you to write a book to help others.

Thank you for reading my posts. It is such a comfort to remember that God is with us when we go through these difficult experiences, and He is assuring us of His love through the kindness of so many people in our life. I thank God for the gifts of so many special people in my life. I am deeply indebted to our Lord and to them.

Yes, I am from Singapore. Thanks for offering to put me on your e-letter list. I will email you my email.

Thanks again for dropping by. Trust you are well and continuing to experience God’s love and faithfulness, as you seek and serve Him together. Hope your book will continue to bring comfort and help to other sufferers. Take care!

In God’s grace,
Nancie


Books

1. A Firm Place to Stand by Marja Bergen

2. A practical workbook for the depressed Christian by Dr John Lockley

3. An unquiet mind by Dr Kay Redfield Jamison

4. Broken Mind by
Steve and Robyn Bloem

5. I'm Not Supposed to Feel Like This by Chris Williams, Paul Richards and Ingrid Whitton


Excerpts from Books

1. Trust during rough times (Excerpt from "A Firm Place to Stand" by Marja Bergen)

2. Finding meaning in a life with bipolar disorder (Excerpt from Marja Bergen's article on canadianchristianity.com)

3. An illness like any other (Excerpt from "Roller Coaster" by Marja Bergen)

Real Life Testimonies

1. Broken mind by Steve and Robyn Bloem

2. Shedding light on the darkness of depression by John H. Timmerman

3. When you husband struggles with depression by Cheri Fuller

4. Stress and burn out in the ministry by Rowland Croucher

5. Finding meaning in a life with bipolar disorder by Marja Bergen

A practical workbook for the depressed Christian

A Practical Workbook for the Depressed Christian by John Lockley

Reviewed by Gaius Davies, Consultant Psychiatrist at King's College Hospital, London

I welcome this book, as I did the first edition in 1991. The author has been a GP since 1976 and is described as a writer of three novels and Christian music. Dr Lockley writes out of a wide factual knowledge of depression as well as experience in his work as a family doctor. He thanks 'all those who helped me through my own depression'.

His style is usually chatty, which will help many, and annoy some. He covers the field well. He attacks vigorously the teaching that depression is always due to sin, failure or other spiritual causes. Great good would come if ignorance and prejudice were replaced with facts and sympathy; this book does that well. His own very firm views, however, sometimes jostle unhappily with the consensus views. The book seems to aim to be encyclopaedic and includes exercises for Christians. There are some areas that could be improved. The bibliography is limited: I would like to see added well known names of those who have written in this area like Roger Hurding (Senior Lecturer in Pastoral Studies) and Prof Andrew Sims (Former president of the Royal College of Psychiatrists). I hope the author will revise some sections, for example, adequate explanations of CBT (cognitive behavioural therapy) are missing from this book, and I believe it might be improved by CBT input for the exercises.

The result of covering both the medical views and the biblical issues is a large and heavy book, yet one that is eminently worthwhile to own, especially as a resource for churches and those involved in supporting its sick members. I hope this book will be used widely and although the severely depressed person cannot read anything properly, after recovery he may do so.

Reviewed by:
Gaius Davies
Consultant Psychiatrist at King's College Hospital, London

This review article is taken from Christian Medical Fellowship's website at http://www.cmf.org.uk/literature/content.asp?context=article&id=1197

For Ordering of this book:

You may place an order by...
E-mailing: pubs@cmf.org.uk
Tel: +44 (0)207 928 4694 Fax: +44 (0)207 620 2453

Writing to the address below...
Publications Secretary
Christian Medical Fellowship
157 Waterloo Road
LONDON SE1 8XN
United Kingdom

http://www.cmf.org.uk/bookstore/?context=book&id=113

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I'm not supposed to feel like this by Chris Williams, Paul Richards and Ingrid Whitton

I'm Not Supposed to Feel Like This by Chris Williams, Paul Richards and Ingrid Whitton

Reviewed by Richard Turner, Consultant Psychiatrist and Medical Director of, Nottinghamshire Healthcare NHS Trust

This is an excellent book, written by a Senior Lecturer in Psychiatry, the pastor of a Baptist Church and a Consultant Psychiatrist in Leeds. It provides a Christian view on anxiety and depression, and is written for sufferers and their carers as well as providing practical help for church leaders. Because of its multiple authorship and wide appeal, it is a book that could probably be dipped into at different times by readers from the differing constituencies. It is accepted that a depressed person may well find it difficult to read through the book at one go, yet it is written in such a way as to make reading and reflection easy. There are invitations to 'stop, think and reflect'. Various parts of the text are highlighted. There are spaces to make one's own notes. Key points are recorded at the end of many sections and prayers are suggested.

The book is quite clear that depression and anxiety are not due to a lack of faith in God - they are illnesses and should be treated as such. Whilst most people have an idea about treatments for physical illnesses, many are not so well informed about the treatments that are available for depression and anxiety. Along with the stigma of mental illness, there are often preconceived ideas about mental health treatments with stereotyped fears that are inaccurate. There is an excellent chapter on psychiatry and health services that should allay the majority of these fears. The section on 'overcoming your problems' is written from a cognitive behaviour therapy viewpoint and is very full in its treatment.

The book well recognises that as Christians we are all different, with varying personalities and experiences of church life. Some prefer a more emotional experience and others are more intellectual. For church leaders there is a similarly excellent chapter emphasising the integration of spiritual and medical approaches as helpful aspects of whole person care. The development of a Religion and Spirituality Special Interest Group in the Royal College of Psychiatrists is further evidence of the positive working relationships that are developing between professionals working in the Health Service and within churches to the benefit of our patients.

Reviewed by:
Richard Turner
Consultant Psychiatrist and Medical Director of
Nottinghamshire Healthcare NHS Trust

I'm Not Supposed to Feel Like This - Chris Williams, Paul Richards and Ingrid Whitton - Hodder & Stoughton 2002 -
£6.99 Pb 280 pp ISBN 0340786396

This review article is taken from Christian Medical Fellowship's website at http://www.cmf.org.uk/literature/content.asp?context=article&id=1200

For Ordering of this book:

You may place an order by...
E-mailing: pubs@cmf.org.uk
Tel: +44 (0)207 928 4694 Fax: +44 (0)207 620 2453

Writing to the address below...
Publications Secretary
Christian Medical Fellowship
157 Waterloo Road
LONDON SE1 8XN
United Kingdom

http://www.cmf.org.uk/bookstore/?context=book&id=82

Books

1. A Firm Place to Stand by Marja Bergen

2. A practical workbook for the depressed Christian by Dr John Lockley

3. An unquiet mind by Dr Kay Redfield Jamison

4. Broken Mind by
Steve and Robyn Bloem

5. I'm Not Supposed to Feel Like This by Chris Williams, Paul Richards and Ingrid Whitton


Excerpts from Books

1. Trust during rough times (Excerpt from "A Firm Place to Stand" by Marja Bergen)

2. Finding meaning in a life with bipolar disorder (Excerpt from Marja Bergen's article on canadianchristianity.com)

3. An illness like any other (Excerpt from "Roller Coaster" by Marja Bergen)


An Unquiet Mind by Kay Redfield Jamison

An Unquiet Mind by Kay Redfield Jamison, PH.D.
Printed on the cover jacket of the book:
From Kay Redfield Jamison - an international authority on manic-depressive illness, and one of the few women who are full professors of medicine at American universities - a remarkable personal testimony: the revelation of her own struggle since adolescence with manic-depression, and how it has shaped her life.
Vividly, directly, with cando, wit, and simplicity, she takes us into the fascinating and dangerous territory of this form of madness - a world in which one pole can be the alluring dark and ruled by what Byton called the "melancholy start of the imagination," and the other a desert of depression and, all too frequently, death.
Child of a brilliant, mercurial Air Force officer and scientist and a remarkable mother descended from an old New England family, Kay Jamison suffered her first attack of manic-depression at seventeen. We follow her battle with the illness through college, through graduate school, through a passionate love affair and desperate loss, through episodes of violence, bouts of madness, and attempted suicide. We experience her fear of letting go of the intoxicating highs and her deep-rooted belief that she should weather the illness without medication - a fear that leads her to resist taking lithium, the drug that would utimately save her life. And, finally, she recounts the slow and painful mastering of her illness through knowledge, courage, medication, self-discipline, and the power of love.
A moving and exhilarating memoir by a woman whose furious determination to learn the enemy, to use her gifts of intellect to make a difference, led her to become, by the time she was forty, a world authority on manic-depression, and whose work has helped saved countless lives.

Kay Redfield Jamison is Professor of Psychiatry at the John Hopkins University School of Medicine. She is the author of Touched with Fire: Manic-Depressive illness and the Artistic Temperament, and coauthor of the standard medical text on manic-depressive illness, chosen in 1990 as the Most Outstanding Book in Biomedical Sciences by the Association of American Publishers. The recipient of numerous national and international scientific awards, Dr. Jamison is a member of the National Advisory Council for Human Genome Research, as well as the clinical director of the Dana Consortium on the Genetic Basis of Manic-Depressive Illness. She lives in Washington, D.C., with her husband, Dr. Richard Wyatt, a physician and scientist at the National Institutes of Health.

Taken from Wikipedia, the free encyclopedia:

http://en.wikipedia.org/wiki/Kay_Redfield_Jamison

Kay Redfield Jamison (born June 22, 1946) is an American clinical psychologist and writer who is one of the foremost experts on bipolar disorder. She is Professor of Psychiatry at the Johns Hopkins University School of Medicine and is an Honorary Professor of English at the University of St Andrews.


Books

1. A Firm Place to Stand by Marja Bergen

2. A practical workbook for the depressed Christian by Dr John Lockley

3. An unquiet mind by Dr Kay Redfield Jamison

4. Broken Mind by
Steve and Robyn Bloem

5. I'm Not Supposed to Feel Like This by Chris Williams, Paul Richards and Ingrid Whitton


Excerpts from Books

1. Trust during rough times (Excerpt from "A Firm Place to Stand" by Marja Bergen)

2. Finding meaning in a life with bipolar disorder (Excerpt from Marja Bergen's article on canadianchristianity.com)

3. An illness like any other (Excerpt from "Roller Coaster" by Marja Bergen)


Comfort from God's Word

God's love

For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16

The LORD openeth the eyes of the blind: the LORD raiseth them that are bowed down: the LORD loveth the righteous: Psalm 146:8

The LORD hath appeared of old unto me, saying, Yea, I have loved thee with an everlasting love: therefore with lovingkindness have I drawn thee. Jeremiah 31:3

Ephesians 2:4-7
4 But God, who is rich in mercy, for his great love wherewith he loved us,
5 Even when we were dead in sins, hath quickened us together with Christ, (by grace ye are saved;)
6 And hath raised us up together, and made us sit together in heavenly places in Christ Jesus:
7 That in the ages to come he might shew the exceeding riches of his grace in his kindness toward us through Christ Jesus.

Herein is love, not that we loved God, but that he loved us, and sent his Son to be the propitiation for our sins. 1 John 4:10

And we have known and believed the love that God hath to us. God is love; and he that dwelleth in love dwelleth in God, and God in him. 1 John 4:16

We love him, because he first loved us. 1 John 4:19

God's Faithfulness

Know therefore that the Lord thy God, he is God, the faithful God, which keepeth covenant and mercy with them that love him and keep his commandments to a thousand generation; …. Deuteronomy 7:9

(For the Lord thy God is a merciful God;) he will not forsake thee, neither destroy thee, nor forget the covenant of thy fathers which he sware unto them. Deuteronomy 4:31

He hath remembered his covenant for ever, the word which he commanded to a thousand generations. Psalm 105:8

God is not a man, that he should lie; neither the son of man, that he should repent: hath he said, and shall he not do it? or hath he spoken, and shall he not make it good? Numbers 23:19

Let us hold fast the profession of our faith without wavering; (for he is faithful that promised;) … Hebrews 10:23

If we believe not, yet he abideth faithful: he cannot deny himself. 2 Timothy 2:13

The Lord is not slack concerning his promise, as some men count slackness; but is longsuffering to us-ward, …. 2 Peter 3:9

O Lord, thou art my God; I will exalt thee, I will praise thy name; for thou hast done wonderful things; thy counsels of old are faithfulness and truth. Isaiah 25:1

And they that know thy name will put their trust in thee: for thou, Lord, hast not forsaken them that seek thee. Psalm 9:10

Thy word is true from the beginning: and every one of thy righteous judgments endureth forever. Psalm 119:160

For ever, O Lord, thy word is settled in heaven. Thy faithfulness is unto all generations: … Psalm 119:89, 90

For all the promises of God in him are yea, and in him Amen, unto the glory of God by us. 2 Corinthians 1:20

My covenant will I not break, nor alter the thing that is gone out of my lips. Psalm 89:34

For the mountains shall depart, and the hills be removed; but my kindness shall not depart from thee, neither shall the covenant of my peace be removed, saith the Lord that hath mercy on thee. Isaiah 54:10

… yea, I have spoken it, I will also bring it to pass, I have purposed it, I will also do it. Isaiah 46:11