Describing Depression: An Experienced Voice

photo-1453574503519-1ae2536262ec_optAfter studying depression for three months, Christian filmmaker Ray Comfort thinks he understands the subject. After his research, he made a movie about suicide, called Exit, which is available on his website for $20. Yesterday, he told David Barton on Wallbuilders Live that after awhile the movie would be free on YouTube.  I haven’t seen the movie yet, but judging from the interview, I have to question how well he understands depression.
Yesterday, I reviewed the Wallbuilders interview and found the advice offered by Barton and Comfort to be unhelpful and possibly harmful for some. For his part, David Barton said the culture promotes depression via acceptance of abortion and homosexuality. He added:

We’re promoting things that cause it we’re now saying, “Well, depression is fine therefore suicide is fine.”

I never heard anybody say that until Barton said it on his program.

Later in the interview Comfort seemed to blame lack of religious belief as a catalyst for depression. I intend to review the movie after I watch it.

What was missing in their discussion was any recognition that depression is a medical problem with a biological foundation. If anything, listeners could easily come away from that interview thinking that depression could be cured by having an evangelical belief system. Experience tells us that is not true.

Describing Depression

Depression as a concept is hard to pin down. What makes the subject difficult to grasp is that mood naturally flows between highs and lows. Sometimes are moods are depressed for no reason, but other times, there are negative circumstances which are hard to accept which gives rise to depression. Thinking through things rationally and with a long view can help to overcome those rough spots. However, suicidal thinking is most associated with chronic depression which is not a bad day or triggered by negative circumstances. This the more complex medical situation which Comfort and the Bartons don’t seem to grasp.

As I was reflecting on the Comfort interview and preparing to watch Exit, I came across the writings of a friend who experiences depression. I have permission from my anonymous friend to reproduce them here. I think they reflect and describe what it is to feel this kind of depression.

Occasionally, bouts of depression are triggered by obvious catalysts, like losing a job or loved one or some kind of overt trauma. Often, though, nothing is “wrong”. We’re not upset or sad or angry or stressed about anything particular, but our body is deploying hormones as though we’re being attacked.
It is these episodes that are most frustrating to the friends and family of people who have depression; they don’t know what to do to help because there’s seemingly nothing wrong. The victims of those moments find it doubly frustrating, as a silent, crushing dread slowly bears down on our souls, challenging us to find a name for it.

Mental pain is less dramatic than physical pain, but it is more common and also harder to bear. The frequent attempt to conceal mental pain increases the burden: it is easier to say “My tooth is aching” than to say “My heart is broken,” especially when there’s no obvious reason why or easy descriptors available.*

I don’t know what to do about these moments, how to describe them, or how to trace their causes. And while I can sometimes learn about them when my depression is on vacation, I’ve yet to overcome the moratorium on research it imposes when it’s at work full time.

But I know this: depression is a liar. It whispers that the world is uniquely bad in general and uniquely bad for me in particular. It tells me that the comfort of friends and annoyance of acquaintances are reinforcing, not alleviating, my problems. It inspires coping mechanisms like over sleeping, over eating, substance abuse, or other self-destructive behaviors that rob life of its joy. Depression only looks out for itself, and it lies to you to keep itself safe.

I don’t know what to do about it, and I can’t always find the energy to fight back. But depression is a liar, and it blinds me to what’s really true, noble, excellent, and praiseworthy. It’s hard, but I’m learning slowly not to fall for the lies, to hunt for companionship when I feel most lonely, and to know that what I’m feeling isn’t unique, even if I can’t describe it.

I can’t teach you anything about my depression, and I certainly don’t know anything about what you might be feeling. But we could all use a hand in the dark, particularly when there are so many cheap people offering cheap solutions to expensive problems. If you have a hand to offer, I’m sure you know someone who needs it, and if you need to take my hand, I’ll try to offer it when I’m able.

Our task is to make the whole world our hospital, to provide for the sick and bind up the wounds other people might have. Depressed people don’t know their treatment options or the extent of their diagnosis, but each of us can offer a small glimpse of healing to those who are most ill. I have nothing but thanks for those who have been my doctors, and I hope some day to repay the kindness.

Thanks to my anonymous friend for sharing these thoughts.
For depressed people, it doesn’t help to shame them because they have different beliefs or doubt God. What helps is what my friend describes: medical care, companionship, and a kind hand in the darkness.

*Inspired by C.S. Lewis, The Problem of Pain.

Depression is Not a Culture War Battle

One does not need to be a Christian to oppose suicide. People of all religions and none view suicide as a tragedy.

photo-1453574503519-1ae2536262ec_opt
During his April 21 Wallbuilders Live broadcast, David Barton had Ray Comfort on to discuss his new movie about suicide, Exit.  I intend to watch and review the movie but for now I want to advise readers to be wary. For the most part, the advice given during this episode about depression and suicide is not helpful and in fact for some could be counterproductive.

I want to start by saying that I think the guests on the program probably meant well. I especially picked up from Tim Barton that he wanted to be helpful, saying

Yeah, Rick, one of the reasons that we talked about this before here on this show is that this is something we want to do because- we don’t want to do anything that promotes obviously, this incredibly sad and really unbiblical position, that someone would want to end their life. So we want we want to promote that there’s hope, right?

Suicide is Not a Cultural War Issue

Good intentions or not, there is a troubling thread here which continues throughout the program. The hosts and the guest treats suicide like it is a culture war battle — Christians on one side and non-Christians on the other. The problem with this should be obvious. One does not need to be a Christian to oppose suicide. People of all religions and none view suicide as a tragedy.

Alas, David Barton makes depression about what he’s against and shames those who are on the wrong side.

David: You’re talking about how the culture is now present in things like suicide with the programs out there. Suicide so often stems from depression and Ray will talk about the rising depression numbers in the United States.

What’s interesting is the culture also promotes things that increase depression. For example, when you look at studies on abortion, women who have had an abortion have depression rates three to five times higher than everybody else.
You look at homosexuality. Homosexuals have depression rates three to five times higher than everybody else. So we’re even promoting things now that cause depression. We’re promoting things that cause it we’re now saying, “Well, depression is fine therefore suicide is fine.”

And it’s really not because there is a Biblical side. Depression really comes from being discontent with who you are or what’s going on. It’s not accepting yourself or not accepting the situation.

Barton confuses effects and causes. Being unhappy with oneself is most often an effect of depression. Simply advising a depressed person to accept yourself is like telling an unemployed person to save for retirement. The otherwise sound advice just increases the hopelessness.

Regarding Barton’s claims, there is evidence that depression is higher among women who have had abortion and yes, GLBT people report more depression. However, the matter of cause cannot be ascertained from these facts. Women who have abortions also have other stressors in their lives. For some, especially those who do not believe abortion is right, having an abortion may trigger depression. However, for others there is no link.

The picture with homosexuality is even more complex. The existing research does not confirm that being gay causes depression. When examining a correlation between two variables, variable A may cause variable B or vice versa. However, a third possibility exists. Another variable may effect both variable A and variable B. For instance, shark attacks and ice cream sales in a coastal town might correlate but clearly summer beach going influences both variables.

We know that women are depressed more than men. We also know from brain scan studies that the brains of gay males are more like the brains of straight females than straight males. It is reasonable to hypothesize that there might be a neurological basis for straight females and gay males to report more depression.

Barton wants to make depression about doing right and being on the right side of the culture war. I can assure Mr. Barton that Christian nationalists get depressed. Good Christians get depressed. Straights and women who have never considered an abortion get depressed. Portraying the causes of depression as being about believing the right Christian things is unhelpful and may drive some people away from getting the help they need. Worse, people who hold the “right” views but remain depressed can become even more hopeless. Over 40 years of clinical practice and teaching, I have encountered many Christians who want to give up because they do everything “right” without relief from their depression.

Ray Comfort: A Three-Month Expert

Apparently Ray Comfort is a quick study. After three months of study, he has all the answers.

So I studied it and after about three months of studying, writing a book, and doing a movie I came to the conclusion the world doesn’t know what it’s doing. They have no idea what causes chronic depression and they have no chance of a [against] suicide.

I’m bold enough to say, “We know what causes most chronic depression and we know the answer to it.” And that’s what we put in the movie. And we’re very excited. Our YouTube channel’s got 45 million views. This is a massive platform to reach the lost of the gospel. And we believe this is our best movie ever it’s called, “Exit” for obvious reasons.

The arrogance here is pretty thick. Evangelical circles are full of three-month experts. I intend to reserve judgment on the movie until I see it but I don’t have a good feeling about a person who thinks he has the subject of depression mastered after three months of study.

Atheism is to Blame or Is It?

The bottom line for Comfort in this interview (and perhaps the movie) is that atheism is to blame for increases in suicide. Comfort said:

I was reading recently where American Journal of Psychiatry said, “Religiously unaffiliated subjects, people who were Godless, had significantly more lifetime suicide attempts and perceive fewer reasons for living. Particularly fewer moral objection to suicide.”

So this generation doesn’t object to suicide. So we’re going to see, I believe, a huge increase in the future and the church has got to be ready for it. That’s why we’ve created this movement to train the church so they can see what they say. We’ve also created a study guide a video study guide that goes with it.

Indeed, Comfort gets the 2004 AJP report mostly correct. Here is the abstract from that study:

OBJECTIVE: Few studies have investigated the association between religion and suicide either in terms of Durkheim’s social integration hypothesis or the hypothesis of the regulative benefits of religion. The relationship between religion and suicide attempts has received even less attention.
METHOD: Depressed inpatients (N=371) who reported belonging to one specific religion or described themselves as having no religious affiliation were compared in terms of their demographic and clinical characteristics.
RESULTS: Religiously unaffiliated subjects had significantly more lifetime suicide attempts and more first-degree relatives who committed suicide than subjects who endorsed a religious affiliation. Unaffiliated subjects were younger, less often married, less often had children, and had less contact with family members. Furthermore, subjects with no religious affiliation perceived fewer reasons for living, particularly fewer moral objections to suicide. In terms of clinical characteristics, religiously unaffiliated subjects had more lifetime impulsivity, aggression, and past substance use disorder. No differences in the level of subjective and objective depression, hopelessness, or stressful life events were found.
CONCLUSIONS: Religious affiliation is associated with less suicidal behavior in depressed inpatients. After other factors were controlled, it was found that greater moral objections to suicide and lower aggression level in religiously affiliated subjects may function as protective factors against suicide attempts. Further study about the influence of religious affiliation on aggressive behavior and how moral objections can reduce the probability of acting on suicidal thoughts may offer new therapeutic strategies in suicide prevention.

At first glance, it appears that religious belief about the immorality of suicide may be a protective factor against suicide. However, this is not the only study on the subject. Consider the abstract of this 2016 study reported in the Journal of Nervous and Mental Disease:

We aimed to examine the relationship between religion and suicide attempt and ideation. Three hundred twenty-one depressed patients were recruited from mood-disorder research studies at the New York State Psychiatric Institute. Participants were interviewed using the Structured Clinical Interview for DSM Disorders, Columbia University Suicide History form, Scale for Suicide Ideation, and Reasons for Living Inventory. Participants were asked about their religious affiliation, importance of religion, and religious service attendance. We found that past suicide attempts were more common among depressed patients with a religious affiliation (odds ratio, 2.25; p = 0.007). Suicide ideation was greater among depressed patients who considered religion more important (coefficient, 1.18; p = 0.026) and those who attended services more frequently (coefficient, 1.99; p = 0.001). We conclude that the relationship between religion and suicide risk factors is complex and can vary among different patient populations. Physicians should seek deeper understanding of the role of religion in an individual patient’s life in order to understand the person’s suicide risk factors more fully. (emphasis mine)

How are we to understand the different findings? I really can’t say. However, having studied this subject for many more than three months, I can say that contradictory findings are common in this field. What we can say is that being religious and believing in God isn’t a fool proof means of preventing depression and suicidal urges. Among some groups of people, religious beliefs are associated with fewer suicide attempts whereas for other groups (notably those who are depressed), religious affiliation is associated with more attempts.

What’s the Remedy?

Although Comfort doesn’t give many details about the movie, the hints he gives implies the movie is a way to get people to make decisions to accept Christ as Savior. After acknowledging that religious people get depressed, he seems to say depression will be lifted if you just belief the right things. Again, I will wait to see, but if there is nothing in the film about getting treatment with a message that depression can be managed by competent medical care, then it will be of little value.

There is one good thing I can say about the interview. Comfort and his hosts had some negative things to say about the Netflix series 13 Reasons Why. While I haven’t seen the series, I don’t like what I’ve read about it.

For more information…

Suicide and the Media
Preventing Suicide Media Resources
NIH website entry on depression
National Suicide Prevention Lifeline

David Barton Picks History He Likes and Omits the Rest

Barton makes Adams, a Unitarian, sound like an evangelical Christian nationalist.

On his Wallbuilders Facebook page, self-styled historian David Barton engaged in some historical revisionism which illustrates his approach to history. In the image below, he reproduced only the part of an John Adams’ quote that he likes. Adams wrote this to Thomas Jefferson in a letter dated June 28, 1813 (Barton cited this letter here, also selectively edited on his website).

Barton also did this in The Founders Bible, a must avoid collection of historical half-truths surrounded by Holy Writ.
Adams did write those words to Thomas Jefferson but Barton omitted critical parts of the quote. Here is the relevant section of what Adams wrote to Jefferson with the bold letters being what Barton selectively included on his Facebook page.

Who composed that army of fine young fellows that was then before my eyes? There were among them Roman Catholics, English Episcopalians, Scotch and American Presbyterians, Methodists, Moravians, Anabaptists, German Lutherans, German Calvinists, Universalists, Arians, Priestleyans, Socinians, Independents, Congregationalists, Horse Protestants, and House Protestants, Deists and Atheists, and Protestants “qui ne croyent rien.”* Very few, however, of several of these species; nevertheless, all educated in the general principles of Christianity, and the general principles of English and American liberty.
Could my answer be understood by any candid reader or hearer, to recommend to all the others the general principles, institutions, or systems of education of the Roman Catholics, or those of the Quakers, or those of the Presbyterians, or those of the Methodists, or those of the Moravians, or those of the Universalists, or those of the Philosophers? No. The general principles on which the fathers achieved independence, were the only principles in which that beautiful assembly of young men could unite, and these principles only could be intended by them in their address, or by me in my answer. And what were these general principles? I answer, the general principles of Christianity, in which all those sects were united, and the general principles of English and American liberty, in which all those young men united, and which had united all parties in America, in majorities sufficient to assert and maintain her independence. Now I will avow, that I then believed and now believe that those general principles of Christianity are as eternal and immutable as the existence and attributes of God; and that those principles of liberty are as unalterable as human nature and our terrestrial, mundane system. I could, therefore, safely say, consistently with all my then and present information, that I believed they would never make discoveries in contradiction to these general principles. In favor of these general principles, in philosophy, religion, and government, I could fill sheets of quotations from Frederic of Prussia, from Hume, Gibbon, Bolingbroke, Rousseau, and Voltaire, as well as Newton and Locke; not to mention thousands of divines and philosophers of inferior fame.

Barton makes Adams, a Unitarian, sound like an evangelical Christian nationalist. However, when one reads the entire section, Adams was explaining to Jefferson his view that there was a set of general principles shared by Christians and non-Christians which formed a foundation for American independence. Note how Barton dramatically alters Adams meaning by stringing his words together to fit the Christian nationalist perspective.
No competent historian works this way.
*qui ne croyent rien – French for “those who believe nothing.”

Did the American Founders Want the Bible in Schools?

Tim Barton, son of self-styled historian David Barton, wants you to believe the founding fathers wanted the Bible taught in schools.

Tim Barton, son of self-styled historian David Barton, wants you to believe the founding fathers wanted the Bible taught in schools. Watch:

In the video, Barton focused on Benjamin Rush, a Philadelphia physician and signer of the Declaration of Independence. Barton said,

But what’s cool about him is when we became a nation, he wrote a series of essays to help guide and shape America, and what we thought and how we did it, and one of the essays he wrote was on education. It’s this essay right here and it was on the defense of the use of the Bible in schools. He’s arguing that we need the Bible in every school in America. Benjamin Rush believed that if we were going to make it as a nation, the way we had to do it was use the Bible in schools.

The caption for the video on Facebook is:

Who was the Father of Education in America? Here is the proof that our founders wanted the Bible in schools. Watch. Like. Share.

Is Rush’s letter proof the founders wanted the Bible in schools?
In 1791, Rush wrote a letter on education to Jeremiah Belknap which was republished by the American Tract Society in 1830. In the letter, Rush Benjamin_Rushdefended the use of the Bible in schools. However, Rush’s defense should raise a question. If the Bible was in such wide use, then why would Rush need to argue for its inclusion?
In fact, Rush said in his letter that the Bible in schools was out of fashion, so to speak.

To the arguments I have mentioned in favour of the use of the bible as a school book, I shall add a few reflexions.
The present fashionable practice of rejecting the bible from our schools, I suspect has originated with the deists. They discover great ingenuity in this new mode of attacking Christianity. If they proceed in it,.they will do more in half a century, in extirpating our religion, than Bolingbroke or Voltaire could have effected in a thousand years. I am not writing to this class of people. I despair of changing the opinions of any of them. I wish only to alter the opinions and conduct of those lukewarm, or superstitious Christians, who have been misted by the deists upon this subject. On the ground of the good old custom, of using the bible as a school book, it becomes us to entrench our religion. It is the last bulwark the deists have left it ; for they have rendered instruction in the principles of Christianity by the pulpit and the press, so unfashionable, that little good for many years seems to have been done by either of them. (emphasis added)

What? The Bible was rejected from schools during the 1790s? Eliminating the Bible was a fashionable practice?
Rush calls using the Bible in school a “good old custom” and blames another problem on their disuse:

The effects of the disuse of the bible, as a school book have appeared of late in the neglect and even contempt with which scripture names are treated by many people. It is because parents have not been early taught to know or respect the characters and exploits of the old and new testament worthies, that their names are exchanged for those of the modern kings of Europe, or of the principal characters in novels and romances.

Rush apparently viewed a lack of biblical naming to be a problem which would be addressed by returning Bibles to education. Since Rush complained that parents didn’t get Bible instruction in school, the use of the Bible in school must have dropped off long before the 1790s, at least according to Rush.
With his letter, Rush was going against the trend not setting the pace.

One Founder Doesn’t Mean All Founders

Another problem is that Barton generalizes from Rush to all founders. This, of course, is not appropriate method. At least one other founder spoke against using the Bible with young children — Thomas Jefferson. On that subject in his Notes on the State of Virginia, Jefferson wrote:

Instead therefore of putting the Bible and Testament into the hands of the children, at an age when their judgments are not sufficiently matured for religious enquiries, their memories may here be stored with the most useful facts from Grecian, Roman, European and American history.

No doubt some founders were fine with the Bible as a text and other were not. The problem here is the generalization to the point of misinformation. There was no national policy on the subject and some schools required Bible training while others did not. By the 1880s, many schools had stopped using the Bible (see the Cincinnati Bible Wars) at all.
If Wallbuilders would like to feature another essay by Rush as an example for current practice, I have a suggestion below:
rush bloodletting
 

The Problem with the Mercury One/Wallbuilders’ Internship Program

Monday, Glenn Beck devoted some time on his broadcast to graduates of Mercury One’s internship program. The program went from June 5-16 and featured history lessons taught by David Barton.  The segment of the broadcast gave time to the participants to debrief about what they learned. Watch (the embed feature no longer works so try this link):

The comments from students provide a window into the problems with the internship. It appears that these students have a lot to unlearn. Worse, they don’t seem to know it.
For instance at 1:24 into the segment, the second student who spoke, Sonja, said

Mr. Barton showed us the Quran that was actually printed in 1803, I believe, by Jefferson after the Barbary wars, and the thought, the idea that the leaders of the country would not only say, hey, this would be a good idea to learn but they encouraged promoted that to learn about people who were different, to learn, not that they were terrible people, not slandering them, but saying this is who they are, this is what they are about. That is a completely different approach to knowledge and truth than we have today.

My point is not to fault Sonja for her fact problems but to fault her teachers for providing a completely misleading narrative (which Barton has usedGlenn Beck Interns before). Sonja has been misled on two important points.

Jefferson did not print a Quran in 1803 or any other year.

The first version of the Quran printed in America was published in 1806. You can peruse a copy here; there is no mention of Jefferson or the government. The translation from a 1647 French version was originally conducted in 1649 and then reprinted by Henry Brewer for Springfield, MA publisher Isaiah Thomas in 1806 (source). Brewer and Thomas may have capitalized on the interest in Islam during Jefferson’s terms as president since we were at war with several Islamic nations. However, Jefferson had nothing to do with the printing. (Source, source)

The leaders of the U.S. didn’t print a Quran, so they couldn’t have encouraged the public in the manner described.

There was no concerted effort by the government to educate the public in the manner described. While the publisher may have hoped to discourage Islam, I can find no evidence that the publisher and the government acted on such a motive. (Source, source)

Beck Doubles Down on the False Narrative

After Sonja spoke, Glenn Beck compounded the error by suggesting Congress printed the Quran without comment for a purpose. Beck said:

There’s something specific about that struck me that was unusual. It wasn’t Congress or anybody around Jefferson that said, ‘hey, we are going to print these excerpts.’ They printed the entire thing, without comment in it. They just said, ‘you need to read this whole thing.’ That is not what we do now.

First, the government didn’t print the Quran. Second, the printers of the 1806 Quran did include comment which was quite judgmental of Islam, calling the contents of the book “absurdities.”
I challenge Barton or Beck to provide a primary source supporting the claim that Congress or Jefferson had anything to do with the 1806 edition of the Quran. I will apologize and remove this post if they can do that.
Beck titled his segment, Mercury One Arms New Generation of Leaders With Truth-Detecting Tools. Unfortunately, if today’s broadcast is any indication, these students have been disarmed. They won’t be able to be effective because they are now confidently misinformed. Because of the video, we know who is responsible.
I also invite any of the students to contact me about their experience.