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Decision-Making Mechanics
Key to Transformational Living and Sermon Application
By Karl Benzio, MD
Karl’s Story
Why did I become a
psychiatrist?
Copyright 2014 - Lighthouse Network
Karl’s First Beer
Copyright 2014 - Lighthouse Network
Why Did Jesus Come to Earth?
Why did Jesus say He came?
Why Did Jesus Come to Earth?
Start a Behavioral Health Revolution!
Isaiah 61:1-3• The Lord God has put his Spirit in me, because the Lord has ·appointed
[anointed] me to ·tell [bring] the good news to the poor. He has sent me to ·comfort [bind up] those whose hearts are broken,to tell the captives they are free, and to tell the prisoners they are released.
• He has sent me to announce the ·time when the Lord will show his kindness [year of the Lord’s favor; C an allusion to the Year of Jubilee; Lev. 25:10; Luke 4:18–19] and the ·time when our God will punish evil people [L day of vengeance of our God].He has sent me to comfort all those who ·are sad [mourn]
• and to help the ·sorrowing [mourning] people of ·Jerusalem [L Zion; C location of the Temple; 59:20].I will give them a ·crown [garland; headdress] to replace their ashes, and the oil of ·gladness [joy] to replace their ·sorrow [mourning], and ·clothes [a garment] of praise to replace their ·spirit of sadness [discouragement; heavy heart].
Copyright 2014 - Lighthouse Network
John 10:10
The thief comes only to steal and kill and destroy. I came that they may havelife and have it abundantly.
Copyright 2014 - Lighthouse Network
Luke 5:30b-32• 30 … “Why do you eat and drink with tax collectors
and sinners?” [Tax collectors were despised because they worked for the Roman rulers and were notorious for corruption and extortion.]
• 31 Jesus answered them, “It is not the healthy people who need a doctor, but the sick. 32 I have not come to ·invite [call] ·good people [the righteous; meaning the “self-righteous” who feel no need to repent] but sinners to ·change their hearts and lives [repentance].”
Copyright 2014 - Lighthouse Network
Luke 5:12-13• 12 When Jesus was in one of the towns, there was a man
covered with ·a skin disease [T leprosy; C the term does not refer to modern leprosy (Hansen’s disease), but to various skin disorders; see Lev. 14]. When he saw Jesus, he ·bowed [L fell on his face] before him and ·begged [implored] him, “Lord, you can ·heal me [L make me clean; C such skin disorders rendered the victim ceremonially unclean] if you ·will [choose; are willing].”
• 13 Jesus reached out his hand and touched the man and said, “I ·will [do choose; am willing]. Be ·healed [L cleansed]!” Immediately the disease ·disappeared [left him].
Copyright 2014 - Lighthouse Network
Matthew 13:14-15
• Indeed, in their case the prophecy of Isaiah is fulfilled that says:– “‘“You will indeed hear but never understand, and you
will indeed see but never perceive.”– For this people's heart has grown dull, and with their
ears they can barely hear, and their eyes they have closed,lest they should see with their eyes and hear with their earsand understand with their heart and turn, and I would heal them.’
Copyright 2014 - Lighthouse Network
Why Did Jesus Come to Earth?
Start a Behavioral Health Revolution!
ESTHER 4:14
• For if you remain silent at this time, relief and deliverance for the Jews will arise from another place, but you and your father’s family will perish. And who knows but that you have come to your royal position for such a time as this?
Copyright 2012 - Lighthouse Network 12
Statistics– Addictions are the #1 killer from diseases or accidents caused by
alcohol, tobacco, illegal drugs, addictive eating, and addictive medications
– Suicide is the #3 killer in the U.S. when adding all the unreported and passive suicides
– 46.4% lifetime prevalence of a major Behavioral Health issue– 39.4% having Mental Illness– 14.6% having Substance Abuse Disorders– 47% this year will have a substance or process(behavior like
gambling, shopping, internet, etc) addiction – this doesn't include caffeine or pornography, the most widely addicting chemical and behavior in the U.S. and world
– 61% have lifetime prevalence of a intermediate BH issue impacting their functioning
– Biblically, we are all addicts, broken, weakCopyright 2014 - Lighthouse Network
HELP! I prayed, took meds, and love
my mother!I’m DYING
Psychological Defect-Tell me about your
mother!
Sin- Have more Faith!
Disease- Take your MEDS!
Copyright 2014 - Lighthouse Network
Man’s Biggest Obstacle?
Psychological/PsychiatricNo Brain Transplant
Luke 8:21
Jesus answered them, “My mother and my brothers [or brothers and sisters] are those who listen to God’s ·teaching [word] and obey [do; practice] it!”
Copyright 2014 - Lighthouse Network
Luke 10:25-2825 Then an expert on the law stood up to test Jesus, saying, “Teacher, what must I do to ·get life forever [L inherit eternal life]?”26 Jesus said, “What is written in the law? ·What do you read there [or How do you interpret it]?”27 The man answered, “Love the Lord your God with all your heart, all your soul, all your strength, and all your mind. Also, Love your neighbor as you love yourself.” 28 Jesus said to him, “Your answer is right. Do this and you will live.”
Copyright 2014 - Lighthouse Network
Decision-Making StruggleRomans 7:15-25
For what I am doing, I do not understand; for I am not practicing what I would like to do, but I am doing the very thing I hate So now, no longer am I the one doing it, but sin which dwells in me. For I know that nothing good dwells in me, that is, in my flesh; for the willing is present in me, but the doing of the good is not. For the good that I want, I do not do, but I practice the very evil that I do not want. But if I am doing the very thing I do not want, I am no longer the one doing it, but sin which dwells in me.
Copyright 2014 - Lighthouse Network
Man’s Biggest Obstacle
• When an athlete chokes• Peter’s Denial of Christ• Peter walking on water, then sinking• Baggage, Distorted Lenses and Poor
Emotional Management• Life is 100% Mental
Copyright 2014 - Lighthouse Network
SCIENCE AND FAITH
• Darwin and Freud
• Faith: the assurance of things hoped for, the conviction of things not seen.
• Science: Hard Data, Measurables
• Definitions Collide• Do they work together?
Copyright 2012 - Lighthouse Network 26
SCIENCE AND FAITH
Benzio’s ‘Science’ is:• The study of what God made
• Understanding how He designed it to work
• Learning how to maximally steward it for God’s glory and our abundant living Copyright 2012 - Lighthouse Network 27
God’s Great GiftsMind/HeartFree Will: Decision Making
Copyright 2012 - Lighthouse Network 28
Science is a tool.So let’s not ignore science.
Psychiatric Science
Bridge between Biblical Truth and Biblical Living
Your wish is my
command!
SOLOMON1 Kings 3:5, 9-11
The Most Important Spiritual Discipline:
Decision-Making
10 Reasons Why
Copyright 2014 - Lighthouse Network
Copyright 2014 - Lighthouse Network
Decision-Making1. Solomon’s Wish, God was pleased
Most Important Spiritual Discipline/Skill
2. God’s greatest gift you have 100% control of3. Spiritual Act of Worship Rom 12:1-24. Divinely Powerful Weapon 2 Cor 10:3-65. Constant Mode of Prayer/Communication 1 Thes
5:16-226. Wellspring of Life Prov 4:237. Key to Your Life Deut 308. Brain Exercise = Renews the Mind
Neurobiological Intervention
9. Intersection of Spirit, Mind, and Body; Science / Faith10.Light for Evangelism
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 is-what is proper, pleasing, and perfect.
For though we walk in the flesh, we are not waging war according to the flesh. For the weapons of our warfare are not of the flesh but have divine power to destroy strongholds.
We destroy arguments and every lofty opinion raised against the knowledge of God, and take every thought captive to obey Christ, being ready to punish every disobedience, when your obedience is complete.
2 Corinthians 10:3-6
Copyright 2014 - Lighthouse Network 35
Goal: Mind of Christ
Jesus’ Brain = Perfection!
1. Perceived everything from a Godly perspective
2. Responded with Biblical skills
Copyright 2014 - Lighthouse Network
BrainWorks – My Brain
Based on new scientific research, my brain does 2 things
Copyright 2014 - Lighthouse Network
Perceives
Responds
BrainWorks Research
Skin
GI / Cardiac
Panic Disorder Study
Copyright 2014 - Lighthouse Network
Panic Disorder and DepressionBefore and After St. John’s Wort and
EMDR
Copyright 2014 - Lighthouse Network
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
Copyright 2014 - Lighthouse Network
What determines accurate Perception and Response?Human Manuals – Distort lenses and responseHoly Bible – God’s Instruction Manual
DM: Science and Faith MeetPractical Theology
Integration and DM are Key!
Copyright 2014 - Lighthouse Network
Mind
SpiritBody
Decision-Making =
Spirit, Mind, & Body
Integration
DM: SMBI• Brain Chemistry – powerful gift is final
step of decisions• Mind – Free Will God gives us – DM =
EXERCISE for brain chemistry – Perceive/Respond– EXERCISE for brain chemistry
• Spirit – BIBLE principles and their application determines Decision Making Skills
• Decision-Making the intersection for Spirit, Mind, and Body
• Therapy is a neurobiological interventionCopyright 2014 - Lighthouse Network
Decision-Making• Classes in DM?• Bible
– Jesus, Paul, Solomon, David, Peter, James– Biographies of good and bad
• Most people – Random– E-M-M-M, R-P-S, Dice, Magic 8 Ball, Coin Flip
• Bible– Gideon’s fleece, Cast lots, Urim and
Thumim, Prayer Dreams
• Strategy NecessaryCopyright 2014 - Lighthouse Network
Decision-Making Strategy
• How many Decisions per day?
• Decisions Determine the course of your life.
• Decisions determine whether your brain gets stronger or weaker
• How do you make decisions?Copyright 2014 - Lighthouse Network
Got Questions?
Copyright 2014 - Lighthouse Network
Braveheart
Les Miserables
Bread Analogy
Copyright 2013 - Lighthouse Network
Copyright 2014 - Lighthouse Network
SPEARS = Practical Theology
Psychotherapeutics• CBT• DBT• REBT• EFT• Mindfulness• Meditation• Psychodynamic
Psychotx• Motivational
Interviewing
Spiritual• Jesus Christ• Holy Spirit• Bible
Copyright 2014 - Lighthouse Network
Copyright 2014 - Lighthouse Network
SPEARS• Slow the action• All the elements• Right sequence• Requires thought• Requires intention• Requires practice
Copyright 2014 - Lighthouse Network
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
Stimuli
• Stimuli is anything that acts on or mobilizes your coping mechanisms
• All stimuli is neutral
• God is sovereign
Copyright 2014 - Lighthouse Network
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
What word do you see?
Copyright 2014 - Lighthouse Network
Test
• How many squares are there?
• Hint: What is the most important question?
• Is this the only way to view this?
Copyright 2014 - Lighthouse Network
Perception Exercise
• Things are not always as they seem: 84!
• Assumptions• Jumping to
conclusions• Knee-jerk reactions
Copyright 2014 - Lighthouse Network
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
• Adversary with a Strategy
Copyright 2014 - Lighthouse Network
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
Devil Dogs
Copyright 2014 - Lighthouse Network
Bell
Bell
Bell
Meat
Meat
No Drool
Drool
Drool
Drool
Filters
•Greatest Perceived ThreatGPT•Greatest Perceived NeedGPN•Life Depends On LDO•Confidence C•MotivationM
Copyright 2014 - Lighthouse Network
Emotions
Copyright 2014 - Lighthouse Network
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
Copyright 2014 - Lighthouse Network
Emotion• Warning system• Not a decision-
making system• Distort reality
- Court- Doctors
• Volume Buttons• Biblical truths soothe
Copyright 2014 - Lighthouse Network
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
Assessment
• Who is stronger: a tiger or a man?
• Emotional and intellectual volume– We fail when we let
our emotions rule our intellect
– Poor tolerance and soothing of negative feelings
Copyright 2014 - Lighthouse Network
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
Assessment• Options• Pros and Cons
• Weigh pros and cons using the filters (GPT, GPN, LDO, C, M)– SMB Damage/growth– Motivators
Copyright 2014 - Lighthouse Network
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
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• Sometimes a combo of
optionsCopyright 2014 - Lighthouse Network
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 for long term health
• Heart Change• Self-reflection and
assessment is paramount• Autopsy
Copyright 2014 - Lighthouse Network
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
Driving Force for Dysfunction
PAIN
Old BeliefsNew Beliefs
Stimuli
Perception
Emotion
Assessment
Response
Summary Thought
Copyright 2014 - Lighthouse Network
Main ProblemsOLD Beliefs-Lies NEW Beliefs-TruthNegative feelings are bad Negative feelings are our warning
system
I am all alone Jesus is with me, hook his yoke
We can’t endure negative feelings
We can endure and grow;God will meet us and give peace
We only have skills and of 8 yo We have skills and of an adult
Talking about them is bad Talking abut them is good
One variable is same, so all are same
One variable is same, so only one is same
Copyright 2014 - Lighthouse Network
Deconstruction/Reconstruction
• Prospective• Retrospective – Autopsy• Flexibility• 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
Copyright 2014 - Lighthouse Network
Sermon Implementation
• Teach knowing SPEARS– What does this passage teach me about God’s
Perspective, Promises, Instruction– What does this passage show me about My Me-
centered Perspective or Distortions, – What does this passage teach me about Decision-
Making– What specific way can I apply this passage today to
my lenses, pain and emotion management, heart, and ultimate daily execution (decision-making)
• Inspire and EquipCopyright 2014 - Lighthouse Network
Hardware Summary
• Most important Spiritual Discipline• Bible talks the most about DM• Exercise for the Brain, Spirit, Mind• Intersection of S,M,B• Intersection of Science and Faith• Need a Strategy, Slow the Mind• SPEARS• Reveals what’s in the Heart• Easiest way to reflect/detect/resurrect
Copyright 2014 - Lighthouse Network
DM Key Points
Summary• Jesus started a BH Revolution• We are called to continue it• Decision-Making Skills are the Key to
Practical Theology• Bible is an incredible DM textbook• DM Mechanics truly allow us to
– slow the mind down– Take every thought captive to the
obedience of JC– Apply the Bible accurately and thoroughly
• DM – turns knowledge into applicationCopyright 2014 - Lighthouse Network
Lighthouse NETWORK Resources
• WITHIN REACH: Disciplines for Real Life Change– 10+ Hours of DVD– 140 Page Workbook
• EDGING FORWARD: Mastering the Art of Godly Decision-Making– 8 Chapels(25 min each) on DVD
• Free Stepping Stones Daily Devotional – Emailed daily
• Life Change with Dr Karl Radio Minute – 460 Christian Radio Stations
• Addiction: Sin, Disease, or Psychological Defect DVD• Can Psych Meds Help Christians? DVD• Depression, Cutting, Bipolar DVDs• No Other Gods (SPEARS and example) DVDCopyright 2014 - Lighthouse Network
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
844-Life-ChangeCopyright 2014 - Lighthouse Network
Got Questions?
Copyright 2014 - Lighthouse Network
DeconstructionS – “Screen Door is Broken”
P – Rubik – Intruding on my agenda for the dayGPT – not good enough, incompetent, not in controlGPN – control, competency, power, authorityLDO – me being in charge to minimize pain C – my ability to control and manipulate, verbally argue, control = power = soothingM – not feel the pain, be in charge or in control, do what I want to do when I want to do it
Copyright 2014 - Lighthouse Network
DeconstructionE – incompetent, worthless, failure, poor
husband, falling behind, angry, E Volume = 8 T Volume = 1
A – ignore, yell(leave me alone, I’m busy), shift blame(you and girls broke it), pick on her(laundry not done), pros/cons based on my filters/motivators
R – ignore, then blame themST – got her off my back and on a different topic,
get to do my agenda and watch the gamePain – incompetence, no control, exposed, out of
agendaold beliefs: I’m a little kid, people
telling me what to do, blaming me, I’m responsible for their feelings, this will ruin my day and all the other activities
Copyright 2014 - Lighthouse Network
ReconstructionPain – new beliefs:
Neg feelings are only warning system, God is sharing my yoke, God provides peace and comfort, I’m an adult, Won’t last long
He brought this for a reason for my growth so embrace it
Copyright 2014 - Lighthouse Network
ReconstructionS – “Screen Door is Broken”
P – Rubik – Opportunity and chance to serve my wife
GPT – dishonoring God, Flesh on throne, out of God’s will
SMB impact, hurting my wifeGPN – God’s will, please God, SMB growth, fruit of Spirit, LDO – Mind of Christ – SMB growth, AmbassadorC – God’s promises, Love, Forgiveness, Character, Instruction, His plan has worked in the pastM – SMB growth, Fruit of Spirit, giving back to God
Copyright 2014 - Lighthouse Network
ReconstructionE – interested, curious, connected to wife, slight excitement, sl financial worry but know God provides
E Volume = + 4 -1.5 T Volume = 8A – “wait till I am finished”, teamwork – call handyman, check our budget, go to home depot together
pros/cons based on my filters/motivatorsR – ask her to wait 15 minutes then we check it together, agree we can live with it but if it gets worse, call handyman for adviceST – honored God, wife, myself, SPEARS was good, SMB +,
fruit of spirit, no fruit of fleshPain – not much relational and was able to rely on God to see me thru the slight disruption and financial concern
Copyright 2014 - Lighthouse Network