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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...

To put the issue simply: the Scriptures plainly speak of both organically based problems as well as those problems that stem from sinful attitudes and behavior; but where, in all of God’s Word, is there so much as a trace of any third source of problems which might approximate the modern concept of “mental illness”? Clearly the burden of proof lies with those who loudly affirm the existence of mental illness or disease but fail to demonstrate biblically that it exists. Until such a demonstration
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