Category: Making things whole

The healing before the healing

Photo by Ben Griffiths on Unsplash

The wonderful ‘MD’ from the magazine ‘Private Eye’ is cheaper and quicker than any number of inquiries into the National Health Service. One of his main points is that the NHS suffers when society suffers. It is free, like schools, the police, and even the prison service. Hospital doors are always open. So if people can’t get the help they really need, they seek out the hospital or the doctor.

Or to put it another way, there is a link between poverty, unstable homes, abuse, poor living conditions, poor nutrition, generally not being able to cope with being an adult; and ill-health. But ill-health is the easiest to address because all you have to do is troll up to the accident and emergency department.

With all the other things, if the state can fix them at all, there’s the problem of finding whom to ask, and then a process, delays, bureaucracy, forms to fill, queues to be at the end of, and if you reach the front of the queue they may not have what you need.

Schools are the same; they have to take the kids even if their lives elsewhere are crumbling. And prisons have to take whomever the courts send, so they find space for the mentally ill who, if other parts of the state were working effectively, wouldn’t be there at all.

An issue for politicians, then, and perhaps for the Christian community: the main way to fix the NHS, and schools at the same time, and with a side order of reducing the prison population, is to fix everything upstream that leads to people crowding towards the easily-accessed freebies. And the way to fix national budgets, perhaps, is to shift them towards the slow: stable, warm homes, good nutrition, fitness, and friendship and social support that stops people falling ill (and incidentally keeps them happier and more fruitful) in the first place.

Much easier, of course, said than done, not least because it is long-term and even if done well only addresses part of the ‘problem’ of the NHS. (Another part of its ‘problem’ is the Health Service’s ability to keep many of us alive, which requires a lot of maintenance, rather than dead, which doesn’t. The NHS’s successes poisons its own well.)

This affects healing in the Christian context too. A lot of the best healing ministry is, or perhaps should be, not healing at all but pre-healing: the network of love, the care, the personal disciplines, the pursuit of joy and vocation and indeed the pursuit of God himself, which save us from being ill. Real healing restores these; but really real healing prevents us from becoming sick in the first place, at least sometimes.

Of course all this is simplistic, obvious, easy to point out, hard to do, and is anyway only a temporary fix. The Second Law of Thermodynamics is coming for us. We will disassemble soon. The only permanent solution is the Christian hope. But I’m reminded how much healing should have a wide focus –the whole person in a loving network–not a narrow one — such as increasing the anti-depressant dose.

Carbon offsets and indulgences

An indulgence? Photo by Johannes Plenio on Unsplash

History recurs as farce. I was thinking today of how offsetting your carbon is like the medieval practice of buying indulgences. With indulgences, a bit of money handed over bought you some excess righteousness- credit from someone who had plenty, a saint say – and used it to redeem souls from bad places. Carbon offsets are 21st century indulgences, spending money in one area in order to redeem transgression in another.

My wife and I, for example, pay extra for zero-carbon electricity and suitably offsetted gas, and we’ve cut a lot of meat out of our diets, in order to generate some indulgence for our flights to Spain (which we also offset) to where both our brothers have flats that need occupying. (I have tried renaming these holidays ‘retreats’, which appears to justify them at a certain level, though I don’t believe it reduces the carbon dioxide emissions.)

Of course indulgences were made up, a theological convenience, and perhaps there is an argument that carbon credits are the same. Just as sin continued to build up on medieval Earth, so carbon dioxide builds up on 21st century Earth.

Indulgences meanwhile deluded and defrauded thousands of peasants, turned grace into mercantilism, and debased the church. What did the human species get in return? St Peter’s in Rome. Nice though St Peter’s is, surely that was not a net gain.

Carbon offsets, on the other hand, go towards replacing all the forest our species has cleared over the years. All those tonnes of growing trees are made up of tonnes of atmospheric carbon, so we’re (eventually) just putting back what our ancestors took out.

But maybe the earth would happily re-wild itself just if it were left alone, without us setting up an industrial-scale tree-planting operation, complete with fossil-fuel powered earth-moving equipment and unbiogdegradable plastic collars round all the little saplings?

Is offsetting a net gain for the human species? A blundering, flawed first attempt to repair damage? Or a convenient cover for sucking out more fossil carbon from under the earth? Be good to know.

My personal guess is that you’ve got to start somewhere. Down the line are ways to replace kerosene with sustainable jet fuel, and petrol with batteries, and natural gas with all the net-zero electric generation tech. Hopefully offsetting is not just a cover for further climate sin, but a small net gain for us and the planet. A slow start is better than no start. In that way they are unlike medieval indulgences.

We can hope.

Healing, brokenness, and the mental health industrial complex

Photo by SIMON LEE on Unsplash

It’s interesting to watch — from the safe vantage point of vast ignorance — cracks in the gleaming exterior of Western mental health care. To say the least, it’s not like flying a plane, where highly trained people, following international standards of safety and expertise, successfully take people to places they want to go. Psychiatry and psychology are not like that. They may want to look like that, but they are not like that. 1 Here are some of the cracks:

  1. The standards aren’t, well, standard. The American Psychiatric Association publishes a thing called the DSM (the diagnostic and statistical manual of mental disorders), currently on its fifth edition, DSM-5. It’s widely referred and accepted and is the product of much scholarly endeavour. But it changes, and practice changes with it. After DSM-4 was published, ADHD diagnoses tripled, autism diagnoses increased 20-fold and bipolar diagnoses 40-fold. 2 This was not a sudden epidemic of mental illness, it was a consequence of widening the categories. So, beware, with the next edition of the book, your illness could become a variant of normalcy, or your normalcy be re-categorized as illness.
  2. It’s subjective, not objective. Physical medicine is at least a mixture of both, blood tests and MRI scans complementing the doctor’s own judgement. Mental illness appears not to be independently testable. This subjectivity on the part of mental health professionals has consequences: I have seen people bounced between diagnoses of Borderline Personality Disorder, PTSD, Bipolar, and schizophrenia in a process that seems a bit like different practitioners sticking random Post-It stickers on people’s heads. (Though it’s worth remembering that people who practice mental health care all are there to do something good for the broken and damaged people whom they meet every day and they want to help them thrive. They are not dabbling with words; getting it right matters. The bitterness of the debate is because everyone cares, not because no-one does.)
  3. Commercial interests are involved. As one kept alive by various drugs, I am very fond of big pharma, but I do acknowledge that they have a commercial interest in selling drugs for mental health, and that must influence their own influence in this subjective area. Certainly different groups of all stripes campaign to change the DSM in their favour, which must mean each DSM is a product of power struggles as well as pure evidence.
  4. It victimizes people. Telling my liver that it is abnormally swollen does not upset my liver too much; telling my head I have a personality disorder, and that, no, they haven’t really found a cure, affects my whole sense of who I am and what I am to do about it.
  5. It oversimplifies, or at least wrongly frames, the problem. Have mental health problems rocketed, powered by social media, relationship breakdown, unwise romantic choices, and covid-19 exclusions? Or have otherwise normal people across our communities been battered by exceptional stresses? Are they, at root, diseased or injured? That matters a great deal for how, and if, you can get well again.
  6. It’s not been great for children. Apparently (according to my source article again) as late as the 1990s it was ‘unusual to prescribe medication or give diagnostic labels to under-18s.’ That is no longer the case. It would be good to know what the evidence is for this change. I hope it’s solid. I can’t help thinking that diagnosing children -a subjective process and one that is inconsistent across practitioners- on the basis of the child’s own grasp of the problem, is a shaky place from which to start chemical intervention or medical labelling.
  7. Can it mean that problems are treated here in the West as primarily medical, rather than, say, primarily to do with relationships, poverty, trauma, abuse, poor choices, or just the kind of ennui that doesn’t know what to aim for or what to aspire to be, or what the point of living is; that we are attempting to treat medically a kind of lostness?
  8. Can it be that we are underplaying the social, the relational, the physical, and the spiritual and overemphasising the medical? This I find really intriguing because I think I have learnt that healing in any sphere is basically about shalom, peace and contentment; that’s the mark of the healed, even if those same healed ones limp around in broken bodies and perhaps with damaged minds. To thrive before God and people, in all circumstances, that’s healing.

So much to learn!

The future of Christianity and the view across the worlds

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Fascinating quote I came across from an unpublished paper called The Future of Christianity 1

When you give an honest account [of how] your life was encountered by Jesus Christ, and how that encounter has brought you to your present vocation and ministry, the witness of a Sri Lankan Catholic Bishop, a Pentecostal pastor from Peru, a bearded Coptic monk from Los Angeles, a Bolivian Baptist catechist, a Methodist nurse from Norway, or an Anglican woman Bishop from Canada, sound remarkably the same. And each carries a palpable integrity. And from such encounters, I have seen real friendship develop between such former bitter rivals bearing fruit in common service to the poor and marginalised as they continue to meet.

Robert Gribben, writing about the Global Christian Forum.

He concludes:

A future for Christianity? On God’s side, an assured yes. On ours: if we watch and pray, listen and learn, discern and discover, within the extraordinary diversity of the oikoumene, if we are ready to be radically changed  – that is, to grow again from the same roots -will not God honour that?

Everything we touch

Photo by Ruthson Zimmerman on Unsplash

We’ve noted before in this blog that we humans are all spliced together: what we do, even what we believe, is steered by the people around us. It’s been measured and proven to crazy extents: if you are slim, or self-harming, or right-wing there is a measurable effect on the slimness, self-harming tendencies or right-wing views of your friends’ friends’ friends.

And none of this is static. As we go about our days, all of us are processing the views of everyone else. The whole human network is humming to itself, tossing thoughts around.

If we had clever software, or a suitable imagination (another novel, anyone?), we could watch opinions flood through the human network like the networked pulses of neurons they are. Surveys catch some of it: see how cultures change their views on marriage, divorce, violence. Flowing through the human network are endless upgrades to human cultures. Like software upgrades, some of them are even worth having.

Who changes the network? We all do. We all do. Everything we touch, every word we speak, every response we make, filters into the humming background of inter-human processing.

The implications of this for those of us who seek to be shepherded by Jesus Christ are enormous. I have just finished reading the Letter to the Philippians in the Bible, in my attempt to read the whole NT in Greek, and I noticed that the apostle Paul got this. He thought like a networked being. My imprisonment makes other people bold, he says. What’s happened to me has stiffened the spines of others. And later on he sails into that magnificient passage: whatever is true, whatever is noble, whatever is right, whatever is pure, whatever is lovely, whatever is admirable—if anything is excellent or praiseworthy—think about such things. 9 Whatever you have learned or received or heard from me, or seen in me, put it into practice. 1 He was encouraging his hearers to bear the image of Christ themselves, and to praise it in whatever unlikely spots they saw it.

The sticky, fluid culture

A hugely cool thing about influencing networks is that things can stay set up for generations. Our imprint on the culture outlives us. What we are and how we believe and behave, as a nation for example, bears the imprint of culture-changers long-departed. As one of the 16th century Protestant martyrs said to another, as the barbecue underneath him was being lit: ‘we shall this day light such a candle by God’s grace in England as I trust shall never be put out’ 2 –and nor has it.

I recently read the resignation letter of the UK’s Lord Chief Justice. He said this: ‘I have been honoured to lead a wholly independent judiciary dedicated to the rule of law, the administration of justice and public service which confidently celebrates its traditions yet has quietly assimilated very many modern working practices.‘ Having worked in bits of the justice system over the years, I tend to agree with him. The judicial types I work with are passionate about justice, rather than, for example, using their position to leverage money from claimants. Who set that culture up? Who maintained and refined it? Generations before us, I suppose, and (while it can be corrupted) it has been embedded and passed down to the current lot of wig-wearers.

The great subversive

Everything we touch or talk about. It’s Advent as I write this 3, and so we’re thinking about the Incarnation, and it makes a lot of sense that God, wanting to reclaim the human species to himself, should deploy the tactic of becoming a single fertilized cell– undermining the whole human network by being born to a teenage mum and raised in a peasant village; embedding himself in the network. As we see churches spreading or having spread through the Mediterranean, through Europe, through all the Americas, through sub-Saharan Africa, and the Pacific, across the Philippines and China and Indonesia, and now in various irruptions across the Islamic world, and with Christ now standing as a kind of Morning Star for a third of the earth’s inhabitants–his subversive scheme seems to be working.

The heartbeat that changed the universe

So at the same time as Advent has suddenly and unexpectedly arrived, I have been fascinated by two books, The Powers that Be by Walter Wink and How to Stand up to a Dictator by Maria Ressa. The first I found in the Operation World book-lined office; the second as I took my November trip to a physical bookshop to buy a book and thus cash in on my wife’s enlightened Christmas present from last year, a serendiptious book purchase each month, driven not by algorithm but by human browsing.

These books are fascinating because because they confront the problem that affects so many people, from China and India and Hungary and many countries of West Africa and Nicaragua and the Philippines and on and on: the power of autocrats, who control armies, courts, police, laws and even truth itself and try to turn these powers on people they don’t like.

It is much worse than being mugged in the street, I imagine, because it is the government that is doing it to you. If the laws are oppressive, and the police enforce the law, and the courts apply its punishments, who is there left to save you?

And if, as Walter Wink insists, these forces are not merely human and cultural but also in a sense spiritual or backed by spiritual powers, what recourse do you have?

And yet it’s Advent. Here’s the definitive divine response to the autocracies: a single fertilized cell — for a time Mary’s secret, so vulnerable, so small. That was Almighty God’s most considered and long prepared response to all the brutalizing Powers that harrassed and hounded the human species. The fragment of holy grit that smashed the bauble that is the world.

A friend of mine

A friend of mine for more than 25 years has just died. He was a soldier, then a taxi driver, then in his final couple of years he worked at our local hospital, helping clear the rubbish from the wards and driving a vehicle than carried all this waste, snaking through the underground corridors. He struggled with health conditions all his life, a chest that wouldn’t sweep out infections, and he had been given just a few years to live when a teenager. He swallowed antibiotics every day. He sometimes swelled with arthritis until a new medication was found, and for many years plugged himself into a C-PAP machine, like a vacuum cleaner, every night.

He stayed a soldier in civilian life, gleaming shoes, immaculate taxi, always on time. For several decades he had contracts to shuttle materials between Addenbrooke’s hospital in Cambridge and the nearby Papworth Hospital, the pioneering transplant centre. The contract only ended when Papworth become the Royal Papworth and moved onto the Addenbrooke’s site. Carrying radioactive materials for transplant purposes, he never let the patients down, and took on extra work, like taking mail between departments that otherwise might miss the collections. He told me once of a girl he’d taken home from the city centre, almost too drunk to give her address, certainly too drunk and incapable to pay her fare. He took this vulnerable girl home, knocked on her door, handed her over to her father, made sure she was safe, like she was his own daughter, and went on his way.

He was the beating heart of our men’s breakfast group, instigator of our weekends away in the Lake District, organizing them himself for many years, army style, with rations allocated and he would have had us travelling in convoy if we’d let him. He sought old army friends out and welcomed them in. He loved a curry. He loved his family and quietly fought his infirmities, every day, to keep going for them. His self-medication took him hours in a morning, and yet he was early to work every day. He had an encounter with Christ almost the first time he walked into our church (his daughter was at Sunday School) and followed him faithfully ever afterwards. I love his example of an ordinary life, each ordinary day, like his shoes, burnished, gleaming with grace.

The inside-out church

Solid at the core, fluid at the edges

Reshape to renew

I don’t know where I’m going, but I’m going. Image by Marianne Aldridge from Pixabay

We were talking with a couple recently who were part of a church that had turned itself inside out. They had sold their (Baptist) church building, and moved into a community centre that was owned by a mental health charity. The charity, a non-religious outfit, had been set up to provide community-based care but were short of volunteers. The church had volunteers but no building. Bringing the two together brought two half-formed visions together. Fascinating (even if I’ve somewhat garbled the story).

Much more could be done. I have sometimes wondered if a church, instead of employing a family worker or a youth worker, could employ a professional mental health nurse. She or he could supervise lay work in the community and provide professional backing. Many community mental health needs can be met by lay people. They are often at the level of dropping in on someone for a cup of coffee, or phoning them to make sure they’ve taken their meds, or helping with cooking, shopping or budgeting. Such community concern (also known as ‘friendship’) can be transforming in the life of someone struggling alone with mental health issues.

Similarly, I am very impressed by the work of legal aid charities, who provide free legal services. Some of this work doesn’t need trained lawyers – for example helping people get justice via disability or Special Educational Needs tribunals. It just needs suitably skilled and trained volunteers. A church could easily pay a legal professional to manage a community law centre who could in turn lead a team of enthusiastic (though trained) amateurs and perhaps the odd intern.

Imagine a community legal centre or mental health centre that became a worshipping community on Sundays and the evenings!

These are all examples of churches turning themselves inside out, or perhaps more strictly, dissolving their outer structures and seeking fluidly to fit themselves to pre-existing vulnerabilities in the community. Solid at the core, fuzzy or fluid at the edges. Becoming less like bacteria and more like viruses perhaps. The churches get to do all the good they want to, the community gets served. Better, surely, than worshippers in a building, and needy people in their homes, each alone in their own way.

What does revolution look like?

Nice try, but hélas! Photo by Pierre Herman on Unsplash

What does a revolution look like? Most of them involve armed thugs, which is hardly a good start.

That kind of revolution –which is most so-called revolutions — is only a revolution in the sense once defined by Terry Prachett: they call them revolutions because everything goes round and round.

What does a real revolution look like, one that actually changes things? The Kingdom of God, heralded and inaugurated in the New Testament, is supposed to be such a thing. What would it look like?

  1. A culture where leaders are accountable, to law, to being sacked by the people they rule.
  2. A culture grown kinder so that people are more patient, more honest, more generous, more likely to share your load.
  3. A culture where personal integrity is valued. Personal integrity forms, drip by drip, over a lifetime, like a stalagmite. Once formed, and if genuine, it reaches deep and extends far into the networks of people around us. When it connects with the integrity of others it provides a scaffold upon which decent human cultures can grow and thrive.
  4. A healing culture. That would be nice: people restored to joy and usefulness as part of a community, love flowing, even as lives bloom and decay.
  5. A worshipping culture. Perhaps all cultures are worshipping cultures; but this would be worshipping the maker rather than the made.
  6. A culture committed to living at peace: in harmony with creation; with forgiveness and forbearance to others at its heart; aiming to restore the broken.
  7. A learning culture, so that we are curious about the world around us; able to experiment; able to fail; willing to change.
  8. A culture committed to changing. I think much of what is loosely called ‘progress’ fits here. We can learn stuff and discover how to do things better. I personally prefer, for example, hi-tech, unnatural births over having all these dead babies or mothers taking up needless space in graveyards. Free markets distribute the good things of the earth around with great efficiency. Property rights and the rule of law ensure that the whole of society rises together, like boats on a rising tide. Unjust leaders get moved on. The Old Testament appears to regulate rather than abhor all these things.
  9. A remembering culture that knows other generations walked this way too and knew and did stuff and are owed respect at times.
  10. A respectful culture, sensing the preciousness and autonomy of every human, and letting that inform our corporate life.
  11. A creative culture, valuing playfulness, and invention, and engineering, and hypothesising, and art, and music, and literature.
  12. An ambitious culture, ambitious for human thriving, dreaming of still more goodness piled on the goodness of earlier years, like bank upon bank of clouds in the sky, all reflecting the sun from different angles.
  13. A culture committed to the long term. I’ve walked round a reservoir in the Peak District that was built in the 1930s, built to solve permanently the need of nearby cities for water. Ninety years on, our generation and culture doesn’t have to worry so much. Then in the 1940s Clement Attlee, that modest man ‘with much to be modest about’ in Churchill’s phrase, implemented across the nation the ideal of free healthcare for everyone. Eighty years on, for all the problems, we still stand in the good of that. What will we add? Imagine, for example, if we solved the problem of generating electricity sustainably; imagine if future generations hardly had to worry about flicking a power switch. Imagine if we found better ways of keeping warm, or feeding ourselves, or doing construction, or living alongside a thriving Earth. What gifts all that would be to generation after generation, to the grandchildren of our grandchildren, leaving them free to work on other stuff.
  14. A hopeful culture – when all the above is ripped apart, or becomes a monstrous idol of its own self, when everything is back to square 1 or square minus 10: still straining for ‘church bells beyond the stars heard’ (as George Herbert wrote) that make us stand and go again.

Why electricity is just as good as miracles

Feels better already. (This is a photo of Singapore by lee junda on Unsplash)

Again I’m writing about healing, partly because I’m living it, partly because what I picked up from many years as a Christian now seems so wrong and there is so much rethinking to do.

I’m still rethinking, and I’m still breathing, both of which I feel are important.

The last few weeks: we bought a disabled buggy, a wonderful little thing, and took it on holiday. (It folds into the car.) We were with our daughter and son-in-law and grandchildren and there was much walking on the prom and the cliff-tops, all of it now painless and easy. Nor was anyone needed to push me around in a wheelchair. And I could give the kids rides. So now in God’s riches I have an electric bike for longer journeys around Cambridge and an electric buggy for when I am with others.

Then yesterday I took the train down to my specialist heart centre in London where they retuned the pacemaker in my chest. A week or so before that, after phone calls from me, I had downloaded the pacemaker data and sent it to the hospital via a piece of kit that lives under our bed. The hospital looked at it and called me in and did the necessary reprogramming. Amazing. It is early days for this treatment but I feel less breathless and my wife tells me I am no longer blue to look at. Those guys at the hospital (both female guys as it happened) don’t just measure your ECG; they modify it and tweak it. They don’t take an ECG lying down. They press buttons and see what happens. Such fun!

This techno-assistance, though, seems a far cry from the New Testament where the Lord Jesus or the apostles did their stuff and immediate physical transformation appears to have happened. My electric buggy and the retuning of the extraordinary electronics that supply my heartbeat seem a different order of a thing to that. Why can’t (as Naaman asked) a prophet just wave his hands over me and make me well? Does this techno-medical intervention really count as ‘healing’ at all? Or is it a second-best solution for those whose lives are so cold and lacking in faith and zeal that the real healing stuff never happens to them? What is healing after all?

The New Testament contains hints that what I have heard doctors call the ‘psycho-social’ parts of healing are important, just as are the physical deliverance parts. Ten lepers were cleansed: only one came back to say thank you. Was there a lingering psycho-social unhealing among the healed lepers? Body fine, head in wrong place. Demons are driven out of the Gaderene demoniac. He is seen sitting clothed and in his right mind. But Jesus tells him to go home to his family, rather than joining the band of disciples. Is that to complete his healing? To address the pyscho-social roots of what got him in such a state in the first place? As it is, Mark records that the former demoniac takes up a speaking ministry in the Ten Towns, and Mark is silent over whether or not that was what Jesus really intended for the man. Interesting.

Then I watch friends, with a cancer diagnosis say, put their lives on hold until the treatment is completed. I observe, I think, I might be wrong (I hope I am), that they are putting all their eggs in the physical healing basket. Zap the cancer, go back to the life we had before. Nothing else matters.

I am so not so sure that this is right. (Of course I have to allow for the fact that I am sitting in my garden, at my ease, contented, writing this, not suffering some medical emergency or hospitalization which would indeed require a lot of effort and focus.)

But still. I am coming to believe more and more that healing is life today, bread today, thriving today and that it is entirely God’s business how he delivers that. All good gifts come down from the Father of lights who does not change as the shifting shadows: buggies, pacemakers, holidays, instant miraculous physical transformations, play, vocation, nice food, people you love and good relationships with God and others.

I am coming to believe more and more that healing is life today, bread today, thriving today and that it is entirely God’s business how he delivers that.

Of course, you have to qualify that idea. There are seasons of emergency actions, long wintry paths of mourning, times of brute endurance of the deeply unpleasant. It’s hard to speak of ‘thriving today’ in the face of those. But still. Healing is thriving. Healing is enjoying our lives, nourished by God’s daily bread, despite everything, in these ramshackle tents of ours, before they are replaced for good with the eternal mansions of glory.

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