Page 39 - EMCAPP-Journal No. 9
P. 39

Samuel Pfeifer (Switzerland)

             Comment to                                           Samuel Pfeifer,
                                                                  M.D.,  has  been
             “Therapeutic Goals in                                the  medical  di-

             Christian Counseling“                                rector   of   the
                                                                  Christian  Psych-
                                                                  iatric Clinic Son-
                                                                  nenhalde  in  Ba-
             Late-onset PTSD is a rare disorder but all the       sel/  Switzerland
             more distressing as the question arises, why this    for  25  years.  He
             emotional pain is coming up at this stage of life.   is now in private
             The  trauma  in  the  life  of  Anna  bears  several   practice and teaching as a professor for psy-
             risk factors: it happened in the forming years       chotherapy and spirituality at Evangelische
             of childhood, it was severe and life-threatening,    Hochschule Tabor in Marburg / Germany.
             and it came from a family member. Despite the
             healing time of more than 50 years in a wonder-      Former articles by Samuel you can see here:
             ful marriage and family life, the scars were still   http://emcapp.ignis.de/4/#/78
             there, now being triggered by this phone call of     http://emcapp.ignis.de/4/#/146
             one of her brothers. Uncommon as it may be,
             late-onset PTSD does exist and it requires the
             Christian  counselor  to  explore  the  emotional
             pain with empathy and compassion. Listening       only the question of why God allowed this to
             to  the  hurt  and  taking  the  traumatic  past  se-  happen, but also the Christian stereotype that
             riously,  is  already  an  important  factor  in  he-  one has to forgive (and perhaps even forget!).
             aling. With soft, tentative questions one could   Although  we  agree  that  forgiveness  is  an  im-
             further explore what has happened: What were      portant factor in healing, we probably have to
             her emotions? Shame, pain, humiliation, fear of   expand  the  focus  in  severe  trauma.  I  like  the
             dying etc. I am in full accord with the descripti-  expression of “unburdening” the trauma or the
             on of the therapeutic process as Shannon Wolf     “letting-go process” (Pollock 2016).
             describes it.
                                                               This means to first allow the client to acknow-
             But there are also unanswered questions: why      ledge that the trauma has happened, with all its
             did  the  brother  commit  such  atrocities,  why   painful aspects, and to see it as part of her hi-
             did God allow this to happen? And there are       story and her human existence. When we stop
             no easy answers to that. A very helpful book to   struggling to be happy, but allow ourselves to
             address  the  spiritual  questions  is  Christopher   accept the dark parts of our lives, then we can
             J.H.  Wrights  “The  God  I  Don’t  Understand.   start to re-assemble the broken pieces. This exi-
             Reflections  on  Tough  Questions  of  Faith.”  As   stential approach is the focus of a relatively new
             Christian counsellors we do not only want to      therapeutic school, “Acceptance and Commit-
             find a way through the forest, but we are going   ment Therapy” (Harris 2008, Hayes et al. 2011).
             alongside the person in his or her struggles with   Acceptance allows you to acknowledge the bro-
             a trauma that cannot be made undone. It is part   kenness of our human existence, the yearning
             of life, and it has not been erased from memo-    for the glory to come as part of our Christian
             ry. I fully agree with the way, Shannon Wolf is   life (Romans 8). From there we can go and de-
             describing the initial process of setting priori-  fine values which we want to live. Out of accep-
             ties, from exploring to explaining the organic    tance  of  our  weakness  (another  biblical  term
             aspects to addressing the spiritual issues.       for brokenness, 2 Corinthians 12:9) grows the
                                                               commitment to let Christian values guide our
             But let me go one or two steps further: in the    acts and our thoughts despite the broken world
             spiritual dimension of Anna’s story there is not   in which we live.

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