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Counselling Connections Across Australia



        Among the oldest books known to man,   was close to the gates of death and hell. I   Lewis (1940) who observed that: ‘[God]
        viz. the book of Job, Job clearly outlines   trembled in all my members. Christ was   began to rule the organism in a more
        the problem of depression. Job lost   wholly lost. I was shaken by desperation   external way, not by the law of the spirit,
        everything. On the eighth day Job gave   and blasphemy of God.’ He went on to say   but by those of nature. Thus, the organs, no
        vent to all of his pain and said in Job 3v3   that he found himself ‘subject to recurrent   longer governed by man’s will, fell under
        (NIV 1973): ‘May the day of my birth perish,   periods of exaltation and depression of   the control of ordinary biochemical laws
        and the night it was said, “a boy is born!”’  spirit.’ This oscillation of mood plagued   and suffered whatever the inter-workings
                                            him ‘throughout his life.’ (Bainton, 1950)  of those laws might bring about in the way
        The first writer to record and describe                                 of pain, senility and death.’
        depression was Hippocrates, a       The Victorian Preacher - Mr Charles
        Greek Physician, and labelled it as   H. Spurgeon whose despondency     Dr A W Tozer (1961) put it this way: ‘The
        “Melancholia”.                      forced him to be absent from his pulpit   moral shock suffered by us through our
                                            2-3 months of every year. In 1866, he   mighty break with the high will of heaven
        In the second, century a physician named  disclosed his struggle with depression   has left us all with a permanent trauma
        Aretaeus wrote about depression and   to his congregation and said: ‘I am the   affecting every part of our nature. There
        said its victims were “sad and dismayed”.  subject of depressions of spirit so fearful   is a disease in both ourselves and in our
                                            that I hope none of you ever get to such   environment.’
        Dr Martyn Lloyd-Jones (1965) made the   extremes of wretchedness as I go through.’
        following observation: ‘It is interesting   (Wiersbe, 1974)             However, that does not mean that we
        to notice the frequency with which this                                 can blame all of people’s problems
        particular theme is dealt with in the   The Pastor and Educator – Rev. J B   on personal sin any more than on a
        Scriptures and the only conclusion to be   Phillips, whose contribution through   child who, at 18 months of age, has an
        drawn from that is that it is a very common   his books and translation of the New   asthma attack so severe that his parents
        condition. It seems to be a condition which   Testament, ranks him as a spiritual giant.  fear they are going to lose him and the
        has afflicted God’s people right from the   Yet he also wrote: ‘It’s truly a devasting   coughing gave the child a double hernia.
        beginning, for you find it described and   thing to be ill in your innermost spirit.’   Few, if any, would suggest that God was
        dealt with in the Old Testament and in the   (Carlson, 1994)            punishing that child for his infantile sins.
        New.’
                                            Third, we may meander in the meadows   The aetiology in depression
        Accordingly, clients who struggle with   of Scripture and discover great saints,
        depression may be encouraged by the   whose spiritual prowess is legendary,   Broadly speaking, there are four
        fact that they are not alone in their pain   yet who struggled with deep depression,   causational factors in depression: (Biebel
        because depression is not only universal   wishing for death and suicidal ideation.  & Koenig, 2004)
        but it is also no respecter of persons.
        As and when appropriate, a counsellor   Consider such people as: Moses   Endogenous (or biological) depression:
        might give examples from human as well  (Numbers 11v14-15) when the people   where the emphasis is placed on
        as Biblical history to show their clients   were dissatisfied with manna; or Elijah (I   hereditary factors or neurochemical
        that they are not alone in their suffering   Kings 19v3-5) following Jezebel’s threat   malfunction, which means that the
        as well as to assuage any feelings of   to kill him; or Jeremiah (Lamentations   depression comes from within is
        stigma. The range of examples is vast of   1v12) when he was rejected by the   biochemical in nature and genetically
        which the following are but a few:  people he came to teach.            induced.

        First, we may contemplate eminent   To simply write these people off as   Developmental (or characterological)
        figures in history such as:         sinners does not suffice. Nor will they   depression: where the emphasis is
                                            get better merely by buckling down into   placed upon the experience of major
        The Politician - Sir Winston Churchill,   deeper faith, more Bible reading and   losses during childhood or early
        after making difficult decisions. Churchill   longer times of prayer. Such “inadequate   deprivation of emotional needs.
        called it “the black dog” and, based on   and cheap advice” fails to understand
        historical data, he may have suffered   the aetiology or the root causes of   Exogenous (or situational) depression:
        with cyclothymia.                   depression.                         where the emphasis is placed on
                                                                                a precipitating stress and is called
        The Poet - Edgar Allen Poe, after each                                  “reactive depression” which means
        master piece, especially The Pit and The   4. ThE AETIOLOGY OF          that it is caused by an overwhelming
        Pendulum.                           DEPRESSION                          situational problem.

        The Painter - Vincent van Gogh, who cut   Simple explanations as to the cause of   Spiritual depression: where the
        off his ear when badly depressed and   emotional illness and depression just do   emphasis is placed upon spiritual
        took his own life at age 37. N.B. It may be   not exist! Notwithstanding, in a general   reasons for the depression; however,
        unwise to mention van Gogh’s suicide for   sense and from a Christian perspective,   they are seldom the result of specific sin
        fear of therapist induced suggestions.  we can say that all of humanity’s   in the sufferer’s life. More often than not
                                            problems are due to the fall; that is,   people feel abandoned by God, judged
        Second, counsellors may pitch their   when man rebelled against God, creation   by their spiritual community or have
        mental tents around well-known      revolted against man and our suffering,   feelings of insecurity about their faith.
        Christian leaders such as:          in that sense, is the consequence of
                                            man’s innate rebellion.             Now, and this is the important point
        The Reformer - Dr Martin Luther who,                                    to grasp, endogenous depression
        in 1527, wrote: ‘For more than a week I   This was well understood by Dr C S   originates from a neurochemical


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