Addiction: Sin, Disease,
or Psychological Defect?
What God taught me through my
psychiatric training and my own addiction
HELP!
I prayed, took
meds, and love
my mother!
I’m DYING
Sin- Have
more Faith!
Disease- Take
your MEDS!
Psychological DefectTell me about your
mother!
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3
Your wish
is my
command!
SOLOMON
1 Kings 3:5,9-11
The Most Important
Spiritual Discipline:
Decision-Making
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SPEARS WORKSHEET
STIMULI:
Deconstruction
PERCEPTION:
Reconstruction
OLD WAY=
Me-centered
NEW WAY=
God-centered and God-directed
Rubik’s Cube
Greatest
Perceived Need
Greatest
Perceived Threat
Life
Depends On
Confidence
Motivation
EMOTIONS:
Volume
ASSESSMENT:
Decon
Recon
E=
T=
Volume
E=
T=
Use GPN, GPT, LDO, C, M to assess options and pros/cons; also effects on Spirit, Mind, Body
Options
Pros
Cons
1.
1.
1.
2.
2.
2.
3._____________________ 3._____________________
3._____________________
1.
1.
1.
2.
2.
2.
3.
3.
3.
RESPONSE:
SUMMARY THOUGHT:
Deconstruction
Deconstruction
Reconstruction
Reconstruction
PAIN:
Old Beliefs
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New Beliefs
7
Science and Faith
• Darwin and Freud
• Faith: the assurance of things hoped
for, the conviction of things not seen.
• Science: Hard Data
• Definitions Collide
• Do they work together?
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Science and Faith
Science is:
–The study of what God made
–Understanding how it works
–Learning to maximally steward it for
God’s glory and our ultimate
growth/fulfillment in Him
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9
God’s Great Creations
Mind
Free Will: Decision Making
Science is a tool.
So let’s not ignore the science.
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Overview
• Addiction - Basics and Definition
• Identify who Addicts are
• Addiction - Cause and Model
Spirit, Mind, Body Integration
• The Key Spiritual Discipline – DM
• Treatment Strategy – SPEARS
– Help you
– Help you help others
– Today
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DSM 4 TR…
Substance Abuse
One or more of the following:
• Failure to fulfill major obligations at work, school or
home
• Use when physically hazardous
• Recurrent legal problems
• Recurrent social or interpersonal problems
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DSM 4 TR…
Substance Dependence (Addiction)
Three or more of the following:
• High or increased Tolerance
• Withdrawal
• Consumption of larger amounts over longer
period of time than intended
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DSM 4 TR…
Substance Dependence (Addiction)
Three or more of the following (cont):
• Unsuccessful efforts in cutting down
• Significant time spent obtaining, using, thinking about
or recovering from the substance
• Substance time replaces social, occupational, or
recreational activities
• Continued use despite adverse consequences physical,
psychological (spiritual)
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DSM 5: Substance Use Disorders
•
•
•
•
Not using the word ‘addiction’
Behavioral Category – gambling(was Impulse DO)
Considered Sex, Eating, Caffeine, Internet
Internet Gaming and Caffeine Use DO will be in
the appendix
• Use same 11 Criteria but:
• Craving will be added, Legal issues dropped
• 0-1, 2-3, 4-5, 6+
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5 Levels of Substance Use
• EXPERIMENTAL USE: trying substance once or twice.
• RECREATIONAL USE: using a substance socially, only with friends or
at a party
• CIRCUMSTANTIAL USE: using a substance to escape or avoid
personal problems or life circumstances OR using a substance to get
through a challenging situation (e.g.: taking caffeine-laced pills to
stay awake to study for exams).
• INTENSIFIED USE: increasing over a long period of time. This
describes the regular user who experiences on-going symptoms
because of their drug use (physical, psychological, emotional,
spiritual).
• COMPULSIVE USE: True addicts who can’t “voluntarily” give up their
substance abuse. They can no longer choose not to use, and suffer
significant life and heath disruption because of their addiction.
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American Society of Addiction Medicine
 Addiction is a primary, chronic disease of brain
reward, motivation, memory and related
circuitry.
 Dysfunction in these circuits leads to
characteristic biological, psychological, social,
and spiritual manifestations.
 This circuitry and resultant manifestations lead to
the individual pursuing reward and/or relief by
substance use and other behaviors.
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Real Addiction
• Goes deeper than behavior or brain
chemistry
• Exodus 20:3 You shall have no other gods
before Me.
• Mark 12:30 – Greatest Commandment
• Ezekiel 14 Idols of the heart lead to
destruction. God condemns
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Real Addiction
•Worship is: Perceiving God accurately and responding
appropriately
•Addiction: Misplaced Worship, Worshipping the wrong
thing
•Addiction: Promoting something other than Jesus to the
center of your life/heart
•Solomon: all is vanity, my kingdom come
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Real Addiction
• Why Addiction: coping skill to ‘help’ deal with life/stress
– Circumstantial Use
• We all have behaviors to help us cope with life/stress that
qualify as addictions that grow out of the idols in our heart
• Benzio Definition of Addiction:
– Choosing or pursuing something other than God (or Him +
the healthy solution He provides) in a habitual, patterned,
or repetitive way to get a particular need/needs met
• We’re ALL addicted to ………..
Comfort
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Karl’s
Story
Why did I
become a
psychiatrist?
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Karl’s First Beer
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HARDWARE!
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S.P.E.C.T. Scans
• Single Photon Emission Computerized
Tomography
• A sophisticated nuclear medicine study that
looks directly at cerebral blood flow and
indirectly at the brain activity (or metabolism)
All of the following slides are used with permission from
“Images Into Human Behavior - A Brain SPECT Atlas” by
Daniel Amen, M.D.
© Copyright 2000
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Normal Brain-Top
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Normal Brain-Bottom
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Normal Brain-Active Views
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Alzheimer’s Disease
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25 year Heroin Addiction - 39 yo
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2 Years of Daily Marijuana Abuse - 16 yo
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2 Years of Frequent Cocaine Use - 24 yo
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17 Years of Heavy Weekend Alcohol Use 38 yo
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27 Year Daily Heavy Cigarette and Coffee Use 45 yo
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PolySubstance Abuse, then 1 yr Clean
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PTSD, Depression, and Anxiety
Before and After St. John’s Wort and EMDR
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Images of PMS
Day 2 of Cycle
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Network
(Worst Time)
Day 10 of Cycle
(Best Time)
Hardware Summary
Hardware
Summary
Our brains are dynamic organs
• Our brains can be injured or diseased easily
– Toxins + Poor Decision-Making
• Our brains can be strengthened or renewed
– No Toxins + Good Decision-Making
• Not just born this way
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How does the brain malfunction?
We need a system that addresses all three
spheres:
Spirit
Mind
Body
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Body, Mind, & Spirit
• Body – mechanical, physical, and
biochemical functions
– Above and below the neck
• Mind - mental processes and behavior,
the mind, heart, will, personality,
cognitions, emotions, executive functions
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Body, Mind, & Spirit
• Spirit – Inner
– immaterial
– our eternal part
– allows relationship with God
– encodes our uniqueness
– differentiates us from other animals
– allows unique relationships with others
• Spirit – Outer
– Trinity, angels, Satan, Heaven, Hell
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Spirit, Mind, & Body Integration
• Spirit – inner/outer; Owner/Designer
• Mind – Operating System
• Body – Physical Hardware
• External Events – Software, Viruses
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Mind of Christ!
Jesus’ Brain = Perfection!
1.Perceived everything from a Godly
perspective
2.Responded with Biblical skills
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BrainWorks – My Brain
Based on new scientific research, my brain
does 2 things
1. Perceives
2. Responds
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BrainWorks Research
Skin
GI / Cardiac
Panic Disorder Study
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Heart of Transformation:
Decision-Making
• No biological Intervention
• But Brain Chemistry Improved/Renewed
Decision-making is exercise for brain
• Good decisions = stronger brain
• Bad decisions = injured brain
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Integration and DM are Key!
What determines accurate Perception and Response?
Holy Bible – God’s Instruction Manual
Decision-Making =
Mind
Spirit, Mind, & Body
Integration
Body
Spirit
DM: Science and Faith Meet
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19Today
I have given you the choice between life
and death, between blessings and curses. Now I
call on heaven and earth to witness the choice
you make. Oh, that you would choose life, so that
you and your descendants might live!
20 You can make this choice by loving the Lord your
God, obeying him, and committing yourself firmly
to him. This is the key to your life. And if you love
and obey the Lord, you will live long in the land
the Lord swore to give your ancestors Abraham,
Isaac, and Jacob.
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Proverbs 4:23
Keep thy heart with all diligence; For out of it
flows the wellspring of life.
As a man thinks in his heart, so is he.
Proverbs 23:7
Romans 12 : 1-2
I therefore urge you, brothers, in view of
God's mercies, to offer your bodies as
living sacrifices that are holy and pleasing
to God, for this is the your spiritual act of
worship.
Do not be conformed to this world, but
continually be transformed by the
renewing of your minds so that you may
be able to determine what God's will iswhat is proper, pleasing, and perfect.
1 Peter 1:13-15
Therefore, prepare your minds for action, keep
a clear head, and set your hope completely on
the grace to be given you when Jesus Christ is
revealed.
As obedient children, do not be conformed to
the passions of your former ignorance,
but as he who called you is holy, you also be
holy in all your conduct.
2 Corinthians 10:5
Casting down imaginations, and
every high thing that exalteth itself
against the knowledge of God, and
taking every thought captive to the
obedience of Christ
There is a strategy to transform!
•
•
•
•
The Holy Spirit is perfect, We are not
New creation, but no brain transplant.
DM is the key Spiritual Discipline
Specific strategies for everything, but usually a
vague one for DM
• Nobody ever teaches us mechanics about
decision-making skills.
• Bible squeezed by Science
SPEARS WORKSHEET
STIMULI:
Deconstruction
PERCEPTION:
Reconstruction
OLD WAY=
Me-centered
NEW WAY=
God-centered and God-directed
Rubik’s Cube
Greatest
Perceived Need
Greatest
Perceived Threat
Life
Depends On
Confidence
Motivation
EMOTIONS:
Volume
ASSESSMENT:
Decon
Recon
E=
T=
Volume
E=
T=
Use GPN, GPT, LDO, C, M to assess options and pros/cons; also effects on Spirit, Mind, Body
Options
Pros
Cons
1.
1.
1.
2.
2.
2.
3._____________________ 3._____________________
3._____________________
1.
1.
1.
2.
2.
2.
3.
3.
3.
RESPONSE:
SUMMARY THOUGHT:
Deconstruction
Deconstruction
Reconstruction
Reconstruction
PAIN:
Old Beliefs
Copyright 2012 - Lighthouse Network
New Beliefs
65
Stimuli
Perception
Emotion
Assessment
SPEARS
•
•
•
•
•
All the elements
Right sequence
Requires thought
Requires intention
Requires practice
Response
Summary
Thought
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Stimuli
Perception
Emotion
Assessment
Response
Stimuli
• Stimuli is anything that
acts on or mobilizes
your coping
mechanisms
• All stimuli is neutral
• God is sovereign
Summary
Thought
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What word do you see?
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Test
• How many squares
are there?
• Hint: What is the
most important
question?
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Perception Exercise
• Things are not always
as they seem: 84!
• Assumptions
• Jumping to
conclusions
• Knee-jerk reactions
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Stimuli
Perception
Emotion
Assessment
Response
Perception
• Perception is what really
drives the decision-making
process
• Subconscious
• We are usually unaware of
perception because it
occurs so fast in the
decision-making process
Summary
Thought
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Stimuli
Perception
Emotion
Assessment
Response
Perception
• Satan gets to us as early as
possible, when we are most
gullible
• Our brains our easily
influenced as kids
(neuroplasticity)
• Relationships
• Maturity is seeing life clearly
Summary
Thought
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73
Filters
GPT
• Greatest Perceived Threat
GPN
• Greatest Perceived Need
LDO
• Life Depends On
C
• Confidence
M
• Motivation
Emotions
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God has lots of emotions!
•
•
•
•
•
•
•
•
Anger – Mat 23, Mark 3, John 2, 2 Kings 24
Jealousy – Exodus 20, Deut 6
Sad/Wept – Luke 19, John 11, Heb 5
Troubled – John 12
Forsaken – Matt 27
Abandoned – Matt 27
Tempted – Matt 4
Worried – Luke 22
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Stimuli
Perception
Emotion
Assessment
Response
Summary
Thought
Emotion
• Warning system
• Not a decision-making
system
• Distort reality
• Court
• Doctors
• Volume Buttons
• Solomon(1 Kings 11)
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Network
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Stimuli
Perception
Emotion
Assessment
Response
Assessment
• Options
• Pros and Cons
• Weigh pros and cons using
the filters (GPT, GPN, LDO,
C, M)
– SMB Damage/growth
– Motivators
Summary
Thought
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Stimuli
Perception
Emotion
Assessment
Response
Response
• We need a relationship
with God
• We need to put on the
Armor of God
• Is this helping me or
others become more
Christ-like?
• WWJD?
• Mark 12:30
Summary
Thought
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Stimuli
Perception
Emotion
Assessment
Response
Summary
Thought
Summary Thought
• After review of each
element
• Celebrate our successes,
and learn from our failures
• Are my responses working
• Heart Change
• Self-reflection and
assessment is paramount
• Autopsy
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Driving Force for Dysfunction
Stimuli
PAIN
Perception
Emotion
Assessment
Response
Summary
Thought
Old Beliefs
New Beliefs
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Deconstruction/Reconstruction
•
•
•
•
•
•
•
•
Retrospective - Autopsy
Journaling
Thinking about it more – then real time use
Skills need Practice
Behavioral Change
Examination of Heart
Heart Change leads to Real Transformation
Motivators for Change
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Key Points
• We all have pain and develop dysfunctional patterns
to cope – addictions (SMB)
• To understand and renew the mind we must look at
all 3 spheres - God’s design
– Science and religion: DM is the meeting place
• Decision making is the exercise for the brain
– Grows all 3 spheres SMB
• You can use and teach SPEARS strategy for every
decision in life to treat almost anything
– Slow life down, Reflect, Every Thought
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Lighthouse Network Helpline
•
•
•
•
•
Finds addiction and MH treatment options.
Expertise about all elements of the system
Free to client
Saves the clinician incredible amounts of time
We find great options for struggling people
877-562-2565 x:101
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Lighthouse NETWORK Resources
• Within Reach: Disciplines for Real Life Change
– 10+ Hours of DVD
– 140 Page Workbook
•
•
•
•
•
•
•
Edging Forward: Godly Decision Making
Parenting: Early Childhood and Teens (DVD)
Can Psych Meds Help Christians? (DVD)
Addiction: Sin vs. Disease DVD
kbenzio@lighthousenetwork.org
www.LighthouseNetwork.org
Stepping Stones Daily Devotional - Free
Any Questions?
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