no other gods: a decision-making model for transformational heart surgery karl benzio, md

No Other Gods:A Decision-Making Model

for Transformational Heart Surgery

Karl Benzio, MD

• 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 2

Your wish Your wish is my is my

command!command!

SOLOMONSOLOMON1 Kings 3:5, 9-11

The Most Important Spiritual Discipline:

Copyright 2013 - 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 Necessary


HELP! I prayed, took

meds, and love my mother!

Psychological Defect, Tell me

about your mother!

Sin, Have more Faith!

Disease, Take your MEDS!


Today’s Goals• Understand Decision-Making Better– Importance– Mechanics– Spirit, Mind, Body Integration

• Practical Equipping for You– Personally – Help those you work with– Today– Matrix Moments


• 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?


Science and FaithScience and Faith

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


God’s Great God’s Great GiftsGifts

Mind/HeartFree Will: Decision Making


Science is a tool.Science is a tool.So let’s not ignore the science.

Science is a tool.Science is a tool.So let’s not ignore the science.

KarlKarl’’s s StoryStory

Why did I become a

psychiatrist?


Karl’s First Karl’s First BeerBeer


Real Dysfunction• Rom 7:15 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

• 17So now, no longer am I the one doing it, but sin which dwells in me. 18For 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. 19For the good that I want, I do not do, but I practice the very evil that I do not want. 20But 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 2013 - Lighthouse Network

Real Dysfunction• 21I find then the principle that evil is present in me, the

one who wants to do good. 22For I joyfully concur with the law of God in the inner man, 23but I see a different law in the members of my body, waging war against the law of my mind and making me a prisoner of the law of sin which is in my members. 24Wretched man that I am! Who will set me free from the body of this death? 25Thanks be to God through Jesus Christ our Lord! So then, on the one hand I myself with my mind am serving the law of God, but on the other, with my flesh the law of sin.


Mind of Christ!

Jesus’ Brain = Perfection!

1.Perceived everything from a Godly perspective

2.Responded with Biblical skills


BrainWorks – My Brain

Based on new scientific research, my brain does 2 things

1. Perceives2. Responds


BrainWorksBrainWorks Research Research

Skin

GI / Cardiac

Panic Disorder Study


Panic DO, Depression, and Anxiety Before and After St. John’s Wort, therapy, and EMDR


Heart Heart of Transformation: of Transformation: Decision-MakingDecision-Making

• No biological Intervention• But Brain Chemistry Improved/Renewed

Decision-making is exercise for brain• Good decisions = stronger brain• Bad decisions = injured brain


What determines accurate Perception and Response?Human Manuals – Distort lenses and responseHoly Bible – God’s Instruction Manual

DM: Science and Faith Meet

Integration and DM are Key!Integration and DM are Key!


Mind

SpiritBody

Decision-Making Decision-Making ==

Spirit, Mind, & Body

IntegrationIntegration

What Determines Good Decision-Making?

• Creators create awesome things– You and Your Brain

• Your Creator was kind enough to give you an instruction manual

• What do you use for your instruction manual?– How is that going

• Why not use the creators Instruction Manual?– The Holy Bible vs Spiritual Warfare

• But How?!?!?!?!Copyright 2012 - Lighthouse Network 32

19Today I have given you the choice between life and death, between blessings and curses. Now I call on heaven and earth to witness the choice you make. Oh, that you would choose life, so that you and your descendants might live!

20 You can make this choice by loving the Lord your God, obeying him, and committing yourself firmly to him. This is the key to your life. And if you love and obey the Lord, you will live long in the land the Lord swore to give your ancestors Abraham, Isaac, and Jacob.


John 10:10

The thief comes only to steal and kill and destroy.

I came that they may have life and have it abundantly.


Proverbs 4:23

Keep thy heart with all diligence; For out of it flows the wellspring of life.

As a man thinks in his heart, so is he.Proverbs 23:7

Romans 12 : 1-2Romans 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.

1 Peter 1:13-151 Peter 1:13-15 Therefore, prepare your minds for action,

keep a clear head, and set your hope completely on the grace to be given you when Jesus Christ is revealed. As obedient children, do not be conformed to the passions of your former ignorance,

but as he who called you is holy, you also be holy in all your conduct.

Casting down imaginations, and every high thing that exalteth itself against the knowledge of God, and taking every thought captive to the obedience of Christ

2 Corinthians 10:52 Corinthians 10:5

Ephesians 4:22-24Regarding your former way of life, you were taught to strip off your old man, which is being ruined by its deceptive desires,

to be renewed in the spirit of your minds,

and to clothe yourselves with the new man, which was created according to the likeness of God in righteousness and true holiness.


Consequences of Wrong DM• Mark 12:30-31• Spiritual: – Interferes with our relationship with God– Flesh on throne of heart– Fruit of Flesh

• Psychological: – Interferes with our relationship with ourselves– Interferes with our relationships with others– Impairs psychological development/maturity

• Physiological: Short circuits/injures brain chemistryCopyright 2013 - Lighthouse Network

There is a strategy to transform• The Holy Spirit is perfect • We are not. DM is the key Spiritual Discipline• Therefore, a strategy exists that we need to

follow. All 3 Spheres!• Reflect, Detect, Resurrect• Nobody ever teaches us thoroughly about

decision-making skills. – Jesus, James, Peter, Proverbs, Paul’s letters


Decision-Making Decision-Making StrategyStrategy

• 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?


SPEARSSPEARS• All the elements• Right sequence• Requires thought• Requires intention• Requires practice


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


Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

What word do you see?What word do you see?


TestTest

• How many squares are there?

• Hint: What is the most important question?

• Is this the only way to view this?


Perception ExercisePerception Exercise

• Things are not always as they seem: 84!

• Assumptions• Jumping to

conclusions• Knee-jerk reactions


PerceptionPerception• 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


Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

52

Devil Dogs


Bell

Bell

Bell

Meat

Meat

No Drool

Drool

Drool

Drool

Perception• Satan gets to us as early as

possible, when we are most gullible

• Unpack Life - FOO• Our brains our easily

influenced as kids (neuroplasticity)

• Relationships• Maturity is seeing life

clearly


Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

FiltersFilters

Acts 28:26,27Acts 28:26,27• Go to this people, and say, 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 ears and understand with their heart and turn, and I would heal them.’


EmotionsEmotions


God has lots of God has lots of emotions!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


EmotionEmotion• Warning system• Not a decision-

making system• Distort reality

- Court- Doctors

• Volume Buttons• Biblical truths soothe


Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

AssessmentAssessment

• 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


Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

60

AssessmentAssessment• Options• Pros and Cons

• Weigh pros and cons using the filters (GPT, GPN, LDO, C, M)– SMB Damage/growth– Motivators


Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

61

• Ephesians 2:10For we are God’s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.

• Proverbs 4:23Watch over your heart with all diligence, For from it flow the springs of life.


ResponseResponse• 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 2012 - Lighthouse Network

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

63

Summary ThoughtSummary 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


Stimuli

Perception

Emotion

Assessment

Response

Summary Thought

64

Driving Force for DysfunctionDriving Force for Dysfunction

Stimuli

Perception

Emotion

Assessment

Response

Summary Thought


Main Problems

OLD 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 and God will meet us

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

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 ChangeCopyright 2013 - Lighthouse Network

DeconstructionS – “Screen Door is Broken”

P – Rubic – 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

DeconstructionE – incompetent, worthless, failure, poor husband, falling behind, angry,

E Volume = 8 T Volume = 1A – 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/motivatorsR – 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 agenda

old 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

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

ReconstructionS – “Screen Door is Broken”

P – Rubick – Opportunity and chance to serve my wifeGPT – 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

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

Hardware SummaryHardware 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• Reveals what’s in the Heart• Easiest way to reflect/detect/resurrect


DM Key PointsDM Key Points

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• Solomon’s Portico – Devotional for Teens/Young Adults

• Addiction: Sin, Disease, or Psychological Defect (DVD)• Can Psych Meds Help Christians? (DVD)

• Parenting and other workshops available on DVDCopyright 2013 - Lighthouse Network

• 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

877-562-2565 x:101


Any Questions?


no other gods: a decision-making model for transformational heart surgery karl benzio, md

Documents