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Using biblically directed discussion, nouthetic counseling works by means of the Holy Spirit to bring about change in the personality and behavior of the counselee. As Dr. Jay Adams points out in his introduction, "I have been engrossed in the project of developing biblical counseling and have uncovered what I consider to be a number of important scriptural principles. ... There have been...

in the sense that they rest largely upon the presuppositions of the Freudian ethic of non-responsibility. Where these are followed, the use of Freudian principles by ministers has served to perpetuate existing hostilities and resentments and has tended to broaden communication gaps by encouraging counselees to place blame upon others. Mental health institutes are conducted in order to persuade ministers that they cannot (more often the wording is “dare not”) help the “mentally ill.” The big words
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