Category: teaching

Paranoia & Delusions

superhero_400pxDelusional disorder, (previously called paranoid disorder,) is a type of serious mental illness called a “psychosis“ in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.

People with delusional disorder experience non-bizarre delusions, which involve situations that could occur in real life, such as being followed, poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences.

In reality, however, the situations are either not true at all or highly exaggerated.

People with delusional disorder often can continue to socialize and function normally, apart from the subject of their delusion, and generally do not behave in an obviously odd or in a bizarre manner. This is unlike people with other psychotic disorders, who also might have delusions as a symptom of their disorder. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted.

Types of delusional disorder

There are different types of delusional disorder based on the main theme of the delusions experienced. The types of delusional disorder include:

  • Erotomanic — Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.
  • Grandiose — A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.
  • Jealous — A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.
  • Persecutory — People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.
  • Somatic — A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.
  • Mixed — People with this type of delusional disorder have two or more of the types of delusions listed above.

Basic Principles

There are no systematic studies on treatment approaches and results in Delusional Disorder. The patient’s distrust and suspiciousness usually prevents any contact with a therapist.

Hospitalization

Hospitalization is indicated if a potential for danger is present; otherwise outpatient management is advisable. Unfortunately, involuntary hospitalization may increase distrust and resentment and increase the patient’s persecutory delusions.

Antipsychotic Drugs

Antipsychotic medication may be useful, particularly for accompanying anxiety, agitation, and psychosis. Because patients may be suspicious of medication, depot forms may be helpful. Although antipsychotics may have a good response, they are often only marginally effective for specific forms of Delusional Disorder.Other Therapies

Other treatments have been tried (electroconvulsive therapy, insulin shock therapy, and psychosurgery), but these approaches are not recommended.

 

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My Scapegoat

“And Aaron shall lay both his hands on the head of the live goat, and confess over it all the iniquities of the people of Israel, and all their transgressions, all their sins. And he shall put them on the head of the goat and send it away into the wilderness by the hand of a man who is in readiness.”

Leviticus 16:21

The ritual was profoundly simple. Every year two goats were brought into the Temple. Goat #1 was sacrificed for the sins of the high priest. Goat #2 was not killed, but became the “scapegoat.” The priest would lay his hands on its head, and the nation’s sins would be transmitted and then carried to the desert.

This ritual finds fulfillment in Jesus Christ, for He absorbs our sin and carries it away.

Scripture is clear on this. Maybe this might help. Back in the 1970s I remember sponges printed with a politician’s advertising his platform/promises. At first the sponge was paper thin. But when you added water it expanded into a full-size sponge.

For some weird reason that communicates what happened at the cross. Jesus received my sin, darkness, and iniquity. He absorbed it all, and I’m free. He is my scapegoat. He carries all of my dark darkness.

“Surely He has borne our griefs (sicknesses, weaknesses, and distresses) and carried our sorrows pains [of punishment], yet we [ignorantly] considered Him stricken, smitten, and afflicted by God [as if with leprosy].”

Isaiah 53:4, Amplified

Worshiping With a Knife

by the Forward

In Genesis 22, we have the story of Abraham and Isaac on Mt. Moriah.

Abraham has tied up his son on an altar to offer him as a sacrifice in obedience to God’s direction (v. 2). This is faith being tested to the ultimate extreme. And Abraham shows us how faith really works.

“Then on the third day Abraham lifted his eyes and saw the place afar off. 5 And Abraham said to his young men, “Stay here with the donkey; the lad and I will go yonder and worship, and we will come back to you.”

Genesis 22:4-5

This is the first time that  the word “worship” is used in the Bible.

It sets the singular tone for all the scriptures on this subject. I guess what is interesting is there were no musical instruments involved. There was just these needful things:

  • stones,
  • wood,
  • rope,
  • fire,
  • a knife,
  • and Isaac, (the would-be ‘lamb.’)

There was just a handmade altar, and a sharp knife.

In the end, Abraham raises his knife, and then suddenly, (to the relief of us all) he is stopped. His faith has withstood the test, and he has truly ‘worshiped.’

“But the Angel of the Lord called to him from heaven and said, “Abraham, Abraham!” So he said, “Here I am.” And He said, “Do not lay your hand on the lad, or do anything to him; for now I know that you fear God, since you have not withheld your son, your only son, from Me.”

Gen. 22:11-12

Principle One: There really can’t be worship without sacrifice.

Recovering this truth concerning worship is critical. It seems we delegate ‘worship’ to a select few who are talented and gifted. We probably don’t do this deliberately, but sometimes we feel it makes a better presentation. We all want to look good, even as Christians.

Principle Two: The first worshiper didn’t use a guitar, but a knife.

This difference keeps the idea of sacrifice in its definition. There isn’t worship without sacrifice. The knife thrust that he was ready to wield wasn’t backed up by drums or piano. Yet Abraham understood worship every step to Moriah with the knife in his belt.

“So, brothers and sisters, because of God’s mercies, I encourage you to present your bodies as a living sacrifice that is holy and pleasing to God. This is your appropriate priestly service.”

Romans 12:1

Ultimately, we must realize our sacrifice is the Lamb of God. It’s His blood on God’s altar for our sins. As believers, our faith firmly rests in this spiritual fact.

We of all people have cause to really worship.

And no sacrifice should be too great for Him who gave Himself for us.

When God Doesn’t Heal You

“We like to talk about having the faith to be healed – what about the faith to be sick?”

Mike Mason

God heals. Of that I have no doubt. We have many promises and see so much actual healing in Scripture. Jesus’ ministry would connect with hundreds of people who would be physically touched. The Lord would pass the baton on to His Church. We’re called to “lay hands on the sick,” (James 5:14-15).

But not everyone who is sick will receive physical healing. Even those who were active in ministry knew sickness.

In the second episode of season 3 of “The Chosen,” Little James, who we’ve seen walks with a limp, comes to Jesus after He commissions the Apostles. He tells him he finds it hard to believe that he will be healing people, given that Jesus hasn’t healed him.

“Do you want to be healed?” asks Jesus.

“Yes, of course,” James says, “if that’s possible. Why haven’t you?” he asks Jesus—again, a question some of us would’ve asked.

“Because I trust you,” Jesus says. “Little James. Precious Little James. I need you to listen to me very carefully, because what I am going to say defines your whole life to this point and will define the rest of your life. Do you understand?”

Jesus tells James that he will heal many people, and they will have a good story to tell.

“To know how to proclaim that you still praise God in spite of this—to know how to focus on all that matters, so much more than the body—to show people that you can be patient with your suffering here on Earth, because you know you’ll spend eternity with no suffering—not everyone can understand that. How many people do you think the Father and I trust this with? Not many.”

“But the others,” James says, “they are so much more … stronger, better at this.”

“James, I love you,” Jesus says, “but I don’t want to hear that ever again.”

“I know how easy it is to say the Psalm of David, that I am beautifully and wonderfully made, but it doesn’t make this any easier,” says James, begins to weep. “It doesn’t make me feel like any less of a burden.”

“When you pass from this earth,” Jesus says to James, “and you meet your Father in Heaven, where Isaiah promises you will leap like a deer, your reward will be great. So hold on a little longer. And when you discover yourself finding true strength because of your weakness, when you do great things in my Name in spite of this, the impact will last for generations. Do you understand?”

James cries, and says, “Yes. Thank you, Master.”

I believe that there are two truths that every Christian can count on. These are solid, and completely trustworthy. They are forever fixed and will never change.

One: God strengthens every believer.

“Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.” Isaiah 41:10

Two: God will ultimately heal every believer.

“He will wipe away every tear from their eyes, and death shall be no more, neither shall there be mourning, nor crying, nor pain anymore, for the former things have passed away.” Revelation 21:4

“I will trust Him. Whatever, wherever I am, I can never be thrown away. If I am in sickness, my sickness may serve Him; in perplexity, my perplexity may serve Him; if I am in sorrow, my sorrow may serve Him. My sickness, or perplexity, or sorrow may be necessary causes of some great end, which is quite beyond us. He does nothing in vain.”

     John Henry Newman