Início » Cibercapelania: Aconselhamento On-line para Pessoas com Transtorno Dismórfico Corporal na Rede Social Instagram.

Cibercapelania: Aconselhamento On-line para Pessoas com Transtorno Dismórfico Corporal na Rede Social Instagram.

por chrystiancardosogarrido

Cyberchapellania: Online Counseling for People with Body Dysmorphic Disorder on the Social Network Instagram.

Chrystian Cardoso Garrido

Bachelor’s Degree in Theology with Emphasis in Chaplaincy

Institution Emil Brunner World University

Advisor Dr. Italu Bruno Colares de Oliveira

Summary

The creation of social networks allowed many people to experience another type of reality, the virtual one. However, the problems of this new reality ended up having repercussions in people’s real lives, mainly with the new beauty standards established in this new world, the incessant search for the perfect body, and the exhaustive dedication in achieving it, made the social behavior of these people to change, preventing social interaction with people from real life, or even restricting them to a select group of people who, in a certain way, would help them to conquer the new aesthetic standard. This type of behavior and obsession ended up awakening Body Dysmorphic Disorder in many of them, a disease treated in medicine, psychiatry and psychology, through techniques, counseling and medication.In fact, even without scientific proof that, alone, faith is effective in the treatment of mental disorders, many mental health experts agree that faith and the support offered by religious people play a fundamental role in psychic treatment. And this makes the chaplain’s work help, in parallel, to other treatments in the search for the cure of these problems, work that will be carried out within the environment where the problem originated, the virtual one. Thus, the present study has as its main focus support services, spiritual assistance and counseling aimed at users of the social network Instagram with symptoms of BDD (Body Dysmorphic Disorder), proving that it is possible for the chaplain to work online.many mental health specialists agree that faith and the support offered by religious people play a fundamental role in psychological treatment. And this makes the chaplain’s work help, in parallel, to other treatments in the search for the cure of these problems, work that will be carried out within the environment where the problem originated, the virtual one. Thus, the present study has as its main focus support services, spiritual assistance and counseling aimed at users of the social network Instagram with symptoms of BDD (Body Dysmorphic Disorder), proving that it is possible for the chaplain to work online. many mental health specialists agree that faith and the support offered by religious people play a fundamental role in psychological treatment.And this makes the chaplain’s work help, in parallel, to other treatments in the search for the cure of these problems, work that will be carried out within the environment where the problem originated, the virtual one. Thus, the present study has as its main focus support services, spiritual assistance and counseling aimed at users of the social network Instagram with symptoms of BDD (Body Dysmorphic Disorder), proving that it is possible for the chaplain to work online. work that will be carried out within the environment where the problem originated, the virtual one.Thus, the present study has as its main focus support services, spiritual assistance and counseling aimed at users of the social network Instagram with symptoms of BDD (Body Dysmorphic Disorder), proving that it is possible for the chaplain to work online. work that will be carried out within the environment where the problem originated, the virtual one. Thus, the present study has as its main focus support services, spiritual assistance and counseling aimed at users of the social network Instagram with symptoms of BDD (Body Dysmorphic Disorder), proving that it is possible for the chaplain to work online.

Keywords: chaplain, cyberchaplaincy, Instagram, dysmorphia, appearance.

Abstract

The creation of social networks allowed many people to experience another type of reality, the virtual one. However, the problems of this new reality ended up having repercussions in people’s real lives, mainly with the new beauty standards established in this new world, the incessant search for the perfect body, and the exhaustive dedication in achieving it, made the social behavior of these people to change, preventing social interaction with people from real life, or even restricting them to a select group of people who, in a certain way, would help them to conquer the new aesthetic standard. This type of behavior and obsession ended up awakening Body Dysmorphic Disorder in many of them, a disease treated in medicine, psychiatry and psychology, through techniques, counseling and medication.In fact, even without scientific proof that faith alone is effective in the treatment of mental disorders, many mental health experts agree that faith and the support offered by religious people play a fundamental role in psychological treatment. And this makes the chaplain’s work help, in parallel, to other treatments in the search for the cure of these problems, work that will be carried out within the environment where the problem originated, the virtual one. Thus, the present study has as its main focus support services, spiritual assistance and counseling aimed at users of the social network Instagram with symptoms of BDD (Body DysmorphicAnd this makes the chaplain’s work help, in parallel, to other treatments in the search for the cure of these problems, work that will be carried out within the environment where the problem originated, the virtual one. Thus, the present study has as its main focus support services, spiritual assistance and counseling aimed at users of the social network Instagram with symptoms of BDD (Body Dysmorphic And this makes the chaplain’s work help, in parallel, to other treatments in the search for the cure of these problems, work that will be carried out within the environment where the problem originated, the virtual one.Thus, the present study has as its main focus support services, spiritual assistance and counseling aimed at users of the social network Instagram with symptoms of BDD (Body Dysmorphic

Disorder), proving that it is possible for the chaplain to work online.

Key Words: chaplain, cyberchapelany, Instagram, dysmorphia, appearance.

Introduction

Can you believe that currently 122 million Brazilians are users of the social network Instagram? And that it leads the ranking being the 3rd largest network used in Brazil? Those who answer these questions are the We Are Social report and Hootsuite.

(https://resultadosdigitais.com.br/marketing/redes-sociais-mais-usadas-no-brasil/ retrieved on December 28, 2022.)

The influence of Instagram on people’s lives ranges from the way they behave, dress, speak, relate, and even see themselves. With the emergence of this social network, new beauty standards were established, standards that became the object of desire and obsession on the part of many users. Often we don’t imagine that behind an Instagram profile where you only see pictures of happiness, there is a person in need of help. That’s because, believe me! People are so involved in this virtual world that they are not even aware that their mental health is in danger. Excessive use of Instagram, cyberbullying, haters, are some of the triggers that can amplify negative emotions, affecting emotional well-being, aggravating symptoms of depression, stress, anxiety and low self-esteem.

Body Dysmorphic Disorder is a psychic illness that has as its greatest characteristic the way the person sees himself, it is a disorder that involves an obsessive focus on a defect that the person considers to have in his appearance. Whether in a specific region of the body, one or more areas, or the body as a whole. In some cases, it can also generate complaints involving organs and functions, such as excessive concern with foot odor, body odor and bad breath. It is a disorder that has become very evident with the spread of the new beauty standard imposed by Instagram.

But how to help these people? How to get them out of this trance? It is at this moment that the chaplain’s action becomes necessary. Contrary to what many people think, the chaplain is not just a clergyman who ministers masses and services, because in addition to knowledge of faith and the Holy Scriptures, he is also trained to develop skills to deal with the most diverse types of problems possible, be they spiritual, social and emotional. The chaplain’s counseling is done face-to-face, between him and the counselee, whether on the streets, in homes, hospitals, schools, military barracks, churches, veterinary clinics, clubs, gyms, sports centers, and many other places where he is requested. .

As every segment of work needs to adapt over the years, and with the advancement of new technologies, the chaplain’s work would not be different, after all, what would be the best way to advise internet users, if not in their own habitat? With this, Cyberchapellania was born, an online counseling modality with a greater reach of people regardless of their geographic location, greater availability, no travel costs, use of a more welcoming environment, because normally the counselee is at home, sometimes more precisely in your room, and it is carried out in the same way as the face-to-face service, with the same criteria, objectives, depth, satisfaction and serenity.

It is not new that sociologists, philosophers and psychologists understand and accept that religion is an important factor in the meaning and organization of life, being fundamental in moments of greatest impact and problems in people’s lives. Because of this, the chaplain’s counseling will work in an investigative manner to analyze whether the counselee in question needs professional help in other areas of knowledge, thus being able to carry out counseling parallel to the follow-up of a doctor and/or psychological and psychiatric treatment.Even because, even for ethical reasons, the chaplain will never pass himself off as a doctor, psychologist or psychiatrist, even if he is endowed with some knowledge in these areas, he will act with palliative care and counseling, providing spiritual comfort to the advised without the definition of a specific religion or doctrine,

Therefore, the aim of this work is to provide online counseling for Instagram users with symptoms of Body Dysmorphic Disorder, and every effort will be made so that counselees have spiritual peace and are able to understand that their bodies are divine and perfect creations by God and mainly, they will be urged to learn to balance the moments dedicated to online life and real life, so that the negative reflections of the Internet do not drastically affect the real life of these people. Even because like does not mean affection, following back does not mean friendship and the social network is not people’s real lives.

Chapter I

THE FIGURE OF THE CHAPLAIN AND HIS METHODS OF ACTION IN RELIGION

1.1 – The figure of the Chaplain

There are several passages in the sacred scriptures that describe the work of chaplaincy and the figure of the chaplain, even if the words chaplain and chaplaincy do not explicitly appear in them. A good example is the parable of the good Samaritan described in the book of Luke 10:29-37 which demonstrates the role of the chaplain. This good Samaritan would be a chaplain who saw the dying on his way and took care of their wounds, giving them accommodation, regardless of ethnicity, social group or religion. In 1 Kings 22, “prophets who consulted God about battles were a clear example of chaplains…, as they were spiritual leaders sought after to offer spiritual assistance to an army at war.”(Alves, 2017)

The actual definition of the word chaplain is:

“A clergyman who renders religious service in a chapel as sovereign, lord or high official, of a castle, garrison, embassy, ​​college, school, workhouse, prison, cemetery or other institution, or in the home of a person of rank or quality, in legislative chamber, regiment, ship, etc.” (Perkins, 2011)

According to Perkins (2011) the best definition for the word chaplain is “person assigned to care”. But not a person who puts his hand on a crying person’s shoulder, the chaplain’s job needs to be specialized like any other field of knowledge and requires specific training for his work to be effective, respected and relevant.

Prater (1987) as cited in Tan (2011) made the following recommendations, originally to train lay Christian counselors in interventions that go beyond individual counseling; they are also relevant to lay counselors and professional therapists: Christian counselors should be trained to assess the role of environmental stressors (problems); Christian counselors should receive training in community outreach and capacity building techniques; Training Christian counselors in cultural awareness and sensitivity is needed; Christian counselors should receive training to understand and use the support systems and services offered by churches; Christian counselors should receive training in the skills needed to develop new support systems within the church as needed (for example, through prevention-focused seminars on topics such as stress management, parenting skills, and conflict resolution); For a coordinated package of ministries to be established, Christian council members must be trained to communicate more actively and regularly with other church leaders involved in outreach ministries.

According to Boff (1999) “Caring is more than an act; it’s an attitude. Therefore, it encompasses more than a moment of attention, zeal and devotion. It represents an attitude of occupation, concern, accountability and affective involvement with the other.”

1.2 – Elements of Christian Counseling

Christian counseling is biblically based, bringing together the person, their problem and the living God, with a recognition of the spiritual aspect of recovery.

God exists and is the source of all truth because he reveals to us through the scriptures with inspiring, reliable and complete messages. “All scripture is inspired by God and profitable for teaching, for reproof, for correction, for training in righteousness” (2 Timothy 3:16)

We were created in the image of God, we have a specific and unique value, we are worthy of walking on Earth because our lives have a meaning. “And God created man in his own image: in the image of God he created him; male and female he created them.” (Genesis 1:27)

Every life matters, no matter what we look like, we have a purpose on this earth and for us there will always be hope, we must never give up on recovering a brother. “For I know the thoughts that I think toward you, says the Lord, thoughts of peace and not of evil, to give you an expected end. (Jeremiah 29:11) The book of Job 42:2 says “I know I who can do all things, and that none of his purposes can be thwarted.”

Science and Scripture are complementary, because both try to explain reality through records and studies about human beings, for this reason psychological counseling and Christian counseling can and should work together. “The Bible is sufficient for spiritual integrity. However, an omniscient God can instill His truth into scientific, rehabilitation, and other research through which we can gain understanding and practice.” (Adams, 2023)

Tan (2011, p. 333) proposes thirteen essential basic principles about human nature for Christian counseling and therapy:

1.The Holy Spirit’s ministry as a counselor is crucial; depend on it.

2. The Bible is a basic and comprehensive (non-exhaustive) guide to counseling.

3. Prayer is an integral part of biblical counseling.

4. The ultimate goal of counseling is maturity in Christ and fulfillment of the Great Commission.

5. The counselor’s personal qualities are important, especially spiritual ones.

6. The client’s attitudes, motivations, and desire for help are important.

7.The relationship between counselor and client is significant.

8. Effective counseling is a process involving exploration, understanding, and action phases, with a focus on changing thinking about the problem.

9.The style or approach to counseling should be flexible.

10. Specific counseling techniques or methods must be consistent with Scripture; cognitive-behavioral ones can be especially helpful, with qualifications.

11.Cultural sensitivity and cross-cultural counseling skills are required.

12. Outreach and prevention skills in the context of a caring community are important.

13.Awareness of limitations and referencing skills are also important.

Carkhuff (1971) as quoted in Tan (2017) mentions how valuable and advantageous the good relationship and communication in the relationship between counselor and counselee for Christian therapy to become effective, he describes facilitating conditions: empathy (or understanding); respect (or affection or warmth); and concreteness (or being specific); and the action conditions of genuineness (or being real); confrontation (or say it like it is); and immediacy (or what’s really going on between the two of you).

1.3 – Online counseling

According to Costa (2022, p. 16), in psychological counseling there is interaction between the counselor and the client in order to promote changes in the client’s life.

“The role of counseling has become to help people, objectively, to clarify their own goals and to think of action plans to solve problems.” The counselor’s empathy when listening to the client is a crucial point for the change and self-reflection of the client in question to take place. (Roger 1942, as cited in Costa 2022, p.16.)

Gary Collins 1972, a Christian psychologist, as quoted in Tan (2011, p.2) defined counseling as “a relationship between two or more people in which one person (the counselor) seeks to advise, encourage and/or help another person or persons. (the advisee(s)) to deal in a more elective way with the problems of life”. Still according to him, “Unlike psychotherapy, counseling is rarely aimed at radically altering or reshaping the personality.” In this way, we observe an ethical and positioning need for the chaplain not to invade areas of knowledge that he does not master, but to advise, in accordance with the psychic symptoms of the counselee, the search for a more qualified professional, making the counseling work interchangeably in the solution of the problems. problems.

Counseling and psychotherapy can be used interchangeably, being a process that will involve a trained counselor who will practice the faithful application of scientific principles that will establish relationships with professional help with people who need assistance to solve small or large problems of a psychological or psychological nature. relationships, carried out by ethical means. (John Sommers-Flanagan and Rita Sommers-Flanagan 2004 as quoted in Tan, 2011 p. 3)

Through such face-to-face counseling with the client, some behavioral changes came to light after the Covid-19 pandemic:

The covid-19 pandemic and the interventions to reduce the transmission of the disease marked the year 2020, causing a global crisis, both in public health – in the social, psychological, economic, financial spheres – and in the intensification of conflicts between individual rights and collective protection. In response to the rapid spread of the virus, the main preventive measure was to distance ourselves from physical contact, in order to avoid a collapse of health systems in the world. Such actions had repercussions not only in the scope of prevention, but also in the confrontation between political and social interests, endorsing inequalities; and intensified the breakdown and failure of traditional economic systems and the rupture of society’s paradigms, solidified in certain forms of beliefs and valuation of life. A generalized process of deconstruction of ways of living and the destabilization of the notion of predictable and controllable life begins. (Silva 2021, p. 3)

Due to this new scenario, many professions have undergone an adaptation in their way of working, starting to perform their tasks via home office and online.

According to Situmorang (2020), the online counseling modality has numerous benefits such as greater availability, reaching a larger number of people, facilitating record keeping and is carried out in the same way as face-to-face assistance, with the same objectives, and with the same levels and depth, satisfaction and smoothness.

And the chaplain’s counseling could not fail to adapt to this new era, but it is important to emphasize that, to act in this new field, preparation and a lot of study are also necessary:

Understanding the digital field in mental health care is more than knowing how to use an application or platform for simultaneous interaction. As healthcare professionals, it’s important to understand where online is in life, education, science, and culture. The faces that digital technologies present to us imply the need to reflect on human rights, individual and social changes, governmental and ethical practices, both in terms of individuals and

subjectivities and intersubjectivities and collectivities. (Silva, 2021, p. 11)

The impact of information and communication technology has significantly affected the form of pastoral/spiritual counseling, but the great development of this counseling happened after the Covid-19 outbreak where everyone working in the field of mental health started to provide this service in a way Free and humanitarian. These online counseling took the counselors’ work to another level, both in the pastoral/spiritual area and in psychology. (Situmorang, 2020)

On the internet, words that did not exist before are formed, gain meaning, applicability and begin to be part of individuals’ lives. An example of this is the word ciber (https://pt.wikipedia.org/wiki/Cibercultura, retrieved on September 18, 2022.) which is the diminutive of the word cybernetics – “science focused on advanced technology”. This prefix refers to the technological, virtual, digital universe related to networks and the internet. In view of this, cyberchapelany is a form of humanitarian/spiritual aid carried out by technological means, but mainly by distance communication via the Internet.

Forghieri (2003) mentions that the start of counseling is agreed between the counselor and the client, and can be carried out in one or several sessions for a period of time also determined by both. Closing occurs in a calm manner, maintaining an attitude of companionship, dialogue, humility in the counseling sessions, and not having the omnipotence of having the answer to all problems, the separation between counselor and client happens naturally, like two friends who end up together a task.

1.4- Religion and the body

According to Courtine (2004), at the beginning of the 19th century, pastors and religious in the United States formed Muscular Christianity, which later created the “American sweat ministry” with the ideal of taking care of one’s own body, transforming it still on Earth to ensure the salvation of the soul to Paradise. This is because the vision that these believers had of Christ was that He was a “spiritual athlete”, fearless, of a lot of action and who spared no effort to achieve his goals, and gave his own body in sacrifice to obtain glory and salvation. of men on Earth. Thus, it became a Christian duty to exercise and take care of the body, this new habit was considered a benefit for the faithful because it favored the order and discipline of industrial society, in addition to removing vices and idleness.

For the reformers, “morality is as much a matter of muscular form as of religious piety, and the best Christians have a duty to have an athletic body” (COURTINE, 2004: p. 92).

The temple of God is our body, we must not leave health aside, mainly so as not to fall sick and weakened. In I Corinthians 6:19 , he speaks of respect and care for our bodies, so that we have a more correct and healthy life: “Or do you not know that your body is the temple of the Holy Spirit, who dwells in you, from God and that you are not your own?”

“Now God, who also raised the Lord, will raise us up by his power. Do you not know that your bodies are members of Christ?” (Corinthians 6:14-15) The statement shows us how important it is to have responsibility for our bodies.

However, the sacred scriptures emphasize that the priority is our spirit and that we should not let ourselves be carried away by excesses:

“Your beauty should not be in outward adornments, like braided hair and gold jewelry or fine clothes. Rather, be in the inner being, which does not perish, beauty displayed in a gentle and quiet spirit, which is of great value to God.” (1 Peter 3:3-4)

And that great vanity will have no room in the Kingdom of Heaven:

“These men are springs without water and mists driven by the storm. The darkness of darkness is reserved for them, for they, with words of vain arrogance and provoking the wanton desires of the flesh, seduce those who are just about to flee from those who live in error. By promising them freedom, they themselves are slaves to corruption, for a man is a slave to his master.” (2 Peter 2:1719)

“For all that is in the world – the lust of the flesh, the lust of the eyes and the pride of possessions – comes not from the Father, but from the world. The world and its lusts pass away, but he who does the will of God abides forever.” (1 John 2:16-17)

Chapter II

INSTAGRAM SOCIAL NETWORK, FEATURES AND MENTAL HEALTH

2.1 – Instagram social network

According to Marques (2020, p. 239) Instagram “is an unavoidable social network for sharing photos and videos, but also for Stories. It focuses on the aesthetics of the image, to inspire the audience with appealing content.”

Currently, Instagram has an impact from birth to death on its users, because there is the sharing of ultrasound photos and goodbye photos of loved ones, which is a normalized social ritual. (Leaver, Highfield & Abidin, 2020)

Instagram is more than one thing: it’s an app; it is a series of programs and algorithms; it’s a gigantic database of images, videos, captions, comments, geotags, location tags, likes, emoji and more and more items over time; is a collection of personal data (connected to similar sets of personal data after purchase by Facebook); is an application program interface (API) that establishes rules to allow different applications, platforms and partners to access, add or remove data from the Instagram database;… (Leaver et al., 2020)

2.2- Instagram features

The social network allows the user to create a private or public personal account, with buttons with features such as video call, telephone, link, messages (direct), email, being able to create a short biography, creation and publication of photographs and videos of up to 60 seconds, create Stories with images and videos, create albums, add hashtags, save posts and create collections, archive publications, search for content and advertise through the App. And the platform makes constant updates. (Marks, 2020)

2.3- Social Network and mental health

Thanks to technological advances, social networks are being considered something so natural that accessing them is an action of daily necessity. Kardaras (2022) mentions that we enjoy great benefits from technological advances and with that our lives have changed drastically. However, the innovations came at a price: morphine helped wounded soldiers in battle but led to an addiction epidemic; with the discovery of the atom, we got abundant energy and the destructive nuclear bombs; even the prehistoric discovery of fire that allowed human beings to survive the cold, hunger, was also used as a weapon against them. And with social networks it would not be different, because the impact and influence that frequent access to networks has on our mental health is visible. Accessing the networks has become something so natural that we even consider it a necessary action on the day. However, we do not know the impact and influence that this frequent access has on our mental health.

According to Durlofsky (2020) social networks can trigger feelings of comparison, despair, envy, shame, guilt and low self-esteem, causing major disturbances in our mental health with the manifestation of various problems such as: depression, anxiety, body image disorders , substance abuse disorders, suicidal thoughts.

Chapter III

BODY DYSMORPHIC DISORDER, SYMPTOMS, DIAGNOSIS AND

TREATMENT

3.1- Body Dysmorphic Disorder (BDD)

The first reports about this disease occurred around 1993 when a group of male bodybuilders was studied to verify the psychiatric effect of the use of anabolic steroids. Subjects in the study who used steroids reported that they saw their bodies as weak and small, even though they were visibly muscular and large. While this type of change was not reported by non-steroid users. However, individuals who had anorexia nervosa in the past also mentioned the same symptom. In 1997, new studies demonstrated that both men and women, whether or not they were users of anabolic steroids, could be affected by a distorted body perception of reality. (Brito, 2021)

But there are those who say that the most famous case of BDD was described by Freud in 1959 and later by Brunswick in 1971, it was called “Wolf Man”, this man, a Russian aristocrat, had a concern with a defect in his nose and had recurring dream where white wolves sat watching him near a tree outside his bedroom window in winter. Freud interpreted that his nose was actually the representation of his penis and that he wanted to be castrated and turned into a woman. But it was with Brunswick’s analysis that TDC’s confirmation came: “He neglected his everyday life and his work because he was absorbed, to the exclusion of everything else, in the state of his nose. On the street he looked at himself in every shop window; he carried a pocket mirror, which he took out every few minutes.” (Veale, 2010 p. 34-35)

BDD is a psychiatric disorder characterized by an extreme preoccupation with problems in physical appearance that may be observable by others. The perception of BDD is associated with obsessive thoughts and behaviors. The concern can be focused on a specific region of the body, or extend to more areas of body dissatisfaction, with significant dimensions that can create a generalized feeling of ugliness (ugly duckling syndrome) and deformity (Euripedes, 2020)

BDD can generate other problems not only because of appearance, but also other complaints involving other organs and functions, such as concerns about foot odor, body odor they exude, bad breath, among others.

It is important to emphasize that BDD can be confused with vanity or futility, because the symptoms are associated with certain personality traits and should not be neglected, because the symptoms have a highly dangerous impact on the individual. (Euripides, 2020)

There are comorbidities that go hand in hand with BDD such as eating disorders, affective disorders, anxiety disorders and personality disorders that can demonstrate the mental disorder as an aggravation of BDD. (Euripides, 2020)

BDD can also lead to vigorexia; and Brito (2021) describes vigorexia as a concern in the way the body itself is, whether it is small, normal, not very muscular or very muscular compared to the body of a general population. This problem mostly affects men, who in turn diet, exercise excessively, lift weights and still make use of anabolic hormones and supplements in order to make the body bigger and more muscular.

3.2 – BDD symptoms

The symptoms can appear gradually or suddenly because it is a disease that encompasses the image and is linked to the mental part of the person, individuals who are in the chronic phase of BDD end up presenting suicidal symptoms, anxiety, depression, hostility, comorbid psychiatric disorders , low self-esteem and poor social support. (Brito, 2021)

Symptoms of BDD are excessive preoccupation with one or more perceived defects in physical appearance, which in the eyes of others may appear completely mild or normal. Repetitive behavior, such as looking at oneself for hours in the mirror, or running away from mirrors and objects that reflect one’s appearance. Mental acts that compare your appearance to others. Significant psychological pain or distress capable of impairing the person in social, occupational, or other areas of functioning. Preoccupation with body fat and weight, small or unmuscled build. Use of phrases that denigrate the person, for example, “I look ugly” or “I look deformed”.(Brito, 2021)

3.3- Possible treatments and diagnosis

BDD is under-researched relative to other mental health issues, but it is a

of the most disabling and distressing psychiatric disorders, by presenting suicidal ideas, psychiatric hospitalization, unemployment, social isolation, relationship difficulties and body dysmorphia due to aesthetic procedures, use of anabolic steroids, or other procedures and substances that are difficult to predict the result. (Veale, 2010)

“Some people care a lot about their appearance. Do you worry a lot about how you see yourself and wish you could think less about it? ”(Veale, 2010) This is a simple question that can be asked candidates for DCD treatment as a means of screening.

According to the American Psychiatric Association, as cited in Wilhelm, Phillips and Steketee (2012, p.42), to be diagnosed with BDD, a person must be concerned about a perceived defect in their physical appearance, even if this anomaly is small. , the person should be showing excessive concern. The concern must feel considerable suffering and this must interfere in the social, work environment and even in other important areas in that person’s life, such as family and love. It should also not be confused with other types of mental disorders, such as anorexia nervosa, eating disorders, obsessive compulsive disorders, depression, social phobia and schizophrenia.

The treatment that has the most effect according to experts is Cognitive Behavioral Therapy (CBT), created in the early 1960s by Aaron Beck, initially applied to patients with depression. Therapy was structured, short-term, directed at current problems and modification of dysfunctional thoughts and behaviors (classified as inappropriate and/or unhelpful). This model has been readapted over the years by other scholars, but in its derivations the treatment is based on cognitive formulations, beliefs and behavioral strategies that characterize a specific disorder. This cognitive model suggests that dysfunctional thinking (which influences the patient’s mood and thinking) is observed in all psychological disorders.

(Beck, 2013)

Chapter IV

METHODOLOGY AND OBTAINED RESULTS

4.1 – Methodology

For the present work of bibliographical research and quantitative approach, a questionnaire was elaborated (available in appendix A, B and C) containing 15 multiple-choice questions and 1 free-answer question, applied in the “stories” of my Instagram profile where users could answer it by clicking on the link attached in the aforementioned “stories”. The purpose of this questionnaire was to select possible candidates to receive online counseling regarding the problem of BDD (Body Dysmorphic Disorder). After data collection, 9 candidates who met the desired counseling profile were selected and offered online counseling sessions with an estimated duration of 1 hour, once a week, for 2 months. The sessions were held by the Instagram application itself through direct,

Devido a questões éticas e de sigilo com os aconselhados, não será divulgado a identidade dos mesmos, apenas chamaremos os mesmos de “aconselhado”, numerados de 1 a 9.

4.2 – Resultados

A maioria dos participantes foi do sexo masculino (66%), boa parte dos participantes (64%) usam o Instagram para ter contato com familiares e amigos, 28% já foram em algum momento bloqueados por seguidores e 27% sofreram agressões através de comentários contendo palavras de baixo escalão. E média, 58% dos participantes, gastam cerca de 4 a 6 horas navegando no Instagram, e ainda assim, 58% relataram boa saúde física e 63% não selecionaram sintomas de estresse, apenas 22% relataram sentir dores musculares. Uma boa parcela (72%) disseram ter uma boa saúde mental, praticam atividades físicas (53%) e sempre analisam o corpo diante do espelho (83%), sendo que, a barriga (77%) é a parte que mais chama a atenção. Mesmo sempre avaliando as partes do corpo no espelho (66%), apenas 59% frequenta a academia todos os dias e 83% disseram que mudariam algo em seu corpo. (Dados representados nos apêndices D, E, F, G e H)

To treat mental health, 63% said they would seek a psychologist and only 2% a chaplain, certainly it is not a question of replacing a psychologist with a chaplain, however this low percentage is a reflection of the lack of knowledge of the chaplain’s work (95 %). Some participants even sent me messages via “direct”, in a way even amazed, because even in the congregations they attend, chaplaincy and chaplains are not mentioned. With this, there is an even greater need to publicize the work of chaplains in Brazil and how their work can help people with physical, social or spiritual problems. Of the participants in the sample, 19% said they would accept online counseling from a chaplain, this represents exactly 12 participants, but only 9 of them actually volunteered to participate by leaving their contacts.

4.2.1 – First session

In the first session of the counselees, a counseling anamnesis form was filled out (attached form, appendix J and K), the due introductions were made, then I allowed them to say whatever they wanted, as a way of “breaking the ice”, we talked about random topics and finally, I asked the counselees what encouraged them to participate in the sessions. Many said that out of curiosity to know the work of the chaplain.

4.2.2 – Second session

In the second session, in addition to asking how the counselees’ week had been, I explained what BDD (Body Dysmorphic Disorder) was all about and how it could be impacting their lives, answered their questions and let them speak freely about what they thought of the subject. At the end, I asked everyone’s permission to close the session with an Our Father prayer, which was very well accepted by everyone, remembering that the sessions were individual, and that they were done via camera or audio only, at the choice of the counselee. 4.2.3 – Third session

In the third session, counselee 1 (male, 29 years old) told me that he would like a more muscular body, because he thought he was too ugly; and the whole time in the counseling session he was constantly repeating this “I’m too ugly”, “I’m too ugly”, and his voice was very disturbed. The strangest thing is that he has a lot of followers on his profile and is constantly praised for his muscular and fit body, as I could see. I asked him to tell me what he likes most about his body, something that makes him happy, he told me that nothing, that “He is very ugly”. I argued with him that we are just shells on this Earth, but that we have a greater purpose drawn up by God, in 1 Samuel 16:7 it says “But the Lord said to Samuel, ‘Do not consider his appearance or the height of his stature, for I have rejected it; for the Lord does not see as men see, for man sees what is in front of his eyes, but the Lord looks at the heart.” I asked him to do an exercise by posting photos extremely dressed, preferably that the body was not shown, like that only his face and his forearms were shown and he would tell me in the next session about the comments he received.

Counselees 2 (male, 48 years old) and counselee 8 (male, 22 years old) reported skin problems, with counselee 2 saying he exhales a vinegary smell from his skin for a good part of the day and counselee 8 that his freckles they make it look rusty. Counselee 2 confessed to me that the problem had started after his separation from his wife, more precisely two months before, when she asked him to leave her side because he was reeking of vinegar, after that he smells vinegar several times a day and this even made him change jobs, abandoning his banking career to work from home as a health insurance broker. When I asked him if his coworkers complained about his smell, he told me they didn’t, but that’s because they were polite people and didn’t want to embarrass him. Apparently he smells because of the problem with his wife (trauma) and that we would need more than counseling to help him, but the help of a psychologist. I asked him to make an appointment with a psychologist and to tell me about his experience in the next session. Counselor 8 told me that he had suffered cyberbullying on the Instagram network just for posting a shirtless photo and that he felt very bad about the testimonials that his followers left, mainly because in the past he had already suffered a lot of bullying at school due to freckles on his face. face and was reliving all that bad again and with that he said he wouldn’t take shirtless pictures or go to beaches anymore. I told him that we should put the love of Christ in our hearts because we were created in his likeness and we are temples of the Lord. I set him a task,

Counselees 3 (male, 52 years old) and 9 (male, 36 years old) , demonstrated the same complaint, baldness, despite being a normal problem in the eyes of many, for these two counselees it is a reason for excessive use of caps and isolation social, not in terms of going out to work, but social events where they need to go to celebrate in groups of friends, both reported that they make up excuses for not going, a curiosity even reported by counselee 9 is that in a certain situation he gave the excuse of having dislocated his foot to not go to an event and he said that at night when he fell asleep he started to feel a lot of pain in his right foot, which made him rethink his attitude, he told me that it was a divine punishment. I told him that our God is not a God who punishes, but sometimes he sends us signs to let us know that something is wrong. “Ask the Lord, to your God a miraculous sign, whether from the lowest depths or from the highest heights” (Isaiah 7:11). In James 1:2-4 – “Count it all joy, my brothers, when you meet trials of various kinds, for you know that the testing of your faith produces perseverance. And perseverance must have complete action, so that you may be mature and complete, lacking nothing.” However, I reminded him that our mind is powerful, and our body ends up responding to these negative thoughts. I suggested to both of them that in the following week, they invite a single friend to go out, for a conversation, but that they go somewhere that has a lot of people like a bar, a pizzeria, and that the use of caps would be forbidden so that in the next session they told me about the experience. be from the highest heights” (Isaiah 7:11). In James 1:2-4 – “Count it all joy, my brothers, when you meet trials of various kinds, for you know that the testing of your faith produces perseverance. And perseverance must have complete action, so that you may be mature and complete, lacking nothing.” However, I reminded him that our mind is powerful, and our body ends up responding to these negative thoughts. I suggested to both of them that in the following week, they invite a single friend to go out, for a conversation, but that they go somewhere that has a lot of people like a bar, a pizzeria, and that the use of caps would be forbidden so that in the next session they told me about the experience. be from the highest heights” (Isaiah 7:11). In James 1:2-4 – “Count it all joy, my brothers, when you meet trials of various kinds, for you know that the testing of your faith produces perseverance. And perseverance must have complete action, so that you may be mature and complete, lacking nothing.” However, I reminded him that our mind is powerful, and our body ends up responding to these negative thoughts. I suggested to both of them that in the following week, they invite a single friend to go out, for a conversation, but that they go somewhere that has a lot of people like a bar, a pizzeria, and that the use of caps would be forbidden so that in the next session they told me about the experience. for you know that the testing of your faith produces perseverance. And perseverance must have complete action, so that you may be mature and complete, lacking nothing.” However, I reminded him that our mind is powerful, and our body ends up responding to these negative thoughts. I suggested to both of them that in the following week, they invite a single friend to go out, for a conversation, but that they go somewhere that has a lot of people like a bar, a pizzeria, and that the use of caps would be forbidden so that in the next session they told me about the experience. for you know that the testing of your faith produces perseverance. And perseverance must have complete action, so that you may be mature and complete, lacking nothing.” However, I reminded him that our mind is powerful, and our body ends up responding to these negative thoughts. I suggested to both of them that in the following week, they invite a single friend to go out, for a conversation, but that they go somewhere that has a lot of people like a bar, a pizzeria, and that the use of caps would be forbidden so that in the next session they told me about the experience.

Counselors 4 (male, 37 years old), 6 (male, 29 years old) and 7 (female, 23 years old) are bodybuilders, the famous “gym rats” and both told me that they would like to have a “flattened” abdomen , which is actually the abdominal muscles all apparent, with a low body fat index. So far so good, if it hadn’t become an obsession for both of them, to the point of going to the gym in the morning and at night, using anabolic steroids and many diuretic drugs. They told me that it is not time for the workday to end so they can go to the gym, even if they had already gone to the gym before the workday, in the case of counselees 4 and 6, who are parents of families, the situation is a little more complicated because when I asked them how much time they dedicate to the family, they told me that on Saturday they train in the morning and at night, that is, the period dedicated to the wife and children is only in the afternoon; and on Sunday, as they train only in the morning (because the gym closes at noon) they have the afternoon and evening for the family. I ended up advising them to only train in one period of the day, that is in the morning, for two reasons, first for their body to have time to recover from training, second to have more time for the family, because a father who is so absent can take his family to ruin, in the Holy Scriptures we have biblical passages that prove the need for a present father: “Enjoy life with the woman you love, all the days of her brief life, which God gave you under the sun, for this is your portion in this life, for your work, which you did under the sun ′′ (Ecclesiastes 9:9). In Proverbs 22:6 it mentions “Train up a child in the way he should go and even when he is old he will not depart from it”. In the next session, I asked them to report the result. Going back to the case of counselee 7, who is a 26-year-old girl, she told me that she had suffered depression in the past and going to the gym helped her to deal with the problem, and at the time she was accompanied by a psychologist who recommended that she it was in the morning and at night to train to occupy your mind. But she currently doesn’t do psychoanalysis anymore, because she thinks it’s unnecessary. She even confessed to me that she goes to the gym, trains and leaves, but goes in the morning and at night. When I asked her about her friendships and especially about the friends at the gym where she trained, she told me that she doesn’t talk to anyone because she’s so focused on training and her friends are her family. The behavior of social exclusion is remarkable because she does not give herself the chance to make friends outside the family environment. “At all times she loves her friend, and in the hour of trouble a brother is born” (Proverbs 17:17). Ecclesiastes in 6:14 “A faithful friend is a powerful protection: whoever finds him has discovered a treasure.” I advised her that next week she should start a dialogue with someone at the gym and next week she would tell me what they talked about. The behavior of social exclusion is remarkable because she does not give herself the chance to make friends outside the family environment. “A friend loves at all times, and a brother is born in trouble” (Proverbs 17:17). Ecclesiastes in 6:14 “A faithful friend is a powerful protection: whoever finds him has discovered a treasure.” I advised her that next week she should start a dialogue with someone at the gym and next week she would tell me what they talked about. The behavior of social exclusion is remarkable because she does not give herself the chance to make friends outside the family environment. “A friend loves at all times, and a brother is born in trouble” (Proverbs 17:17). Ecclesiastes in 6:14 “A faithful friend is a powerful protection: whoever finds him has discovered a treasure.” I advised her that next week she should start a dialogue with someone at the gym and next week she would tell me what they talked about.

Counselee 5 (44-year-old woman) complained about the size of her left breast, which, according to her, is larger than the right one (a case of breast asymmetry). The counselee’s position of defense is explicit through the camera, since she keeps her arms crossed all the time and with her right hand on her left breast, giving the impression of wanting to hide this defect. I asked her what kind of feelings this problem brings to her life, she told me that she feels very uncomfortable and that she tends to wear very loose clothes to cover her breasts and that she even tends not to wear a bra, which according to her shows even more the problem. She once said that she felt like cutting off part of her chest with a stiletto to fix the problem, because according to her, she would get plastic surgery. Which got me really worried and I told her that God knows all our thoughts: “Lord, you have searched me and you know me. You know when I sit and when I rise; you perceive my thoughts from afar.” (Psalm 139: 1-2) And that we should look at ourselves with good eyes, because we are divine creations of God: “The lamp of the body are the eyes. If your eyes are good, all of your body will have light. But if your eyes are bad, your whole body will be in darkness. So if the light that is in you is darkness, how great is that darkness!” (Matthew 6:22,23). I ended up informing her that for plastic surgery, even financed by the Government, she would not need to mutilate herself, but rather seek specialized help from a psychiatrist, I even asked her to make an appointment with a psychiatrist,

Nas sessões 1, 2 e 3 foi notório a satisfação dos aconselhados quando eu mencionava que entendia o problema deles e também entendia a dor espiritual que eles sentiam, e os aconselhados tem uma necessidade extrema de falar, desabafar e inclusive as vezes até de fugir do foco da conversa, que com perspicácia temos que trazê-los de volta ao assunto, ser empático no aconselhamento é muito importante, assim como ser um bom ouvinte. As sessões foram concluídas com grande respeito aos aconselhados, por mais estranho que parecesse o problema deles, com isso foi possível a abertura para falar um pouco sobre Deus e mencionar algumas passagens bíblicas, orarmos e criarmos uma sintonia com o Espírito Santo.

4.2.4 – Quarta sessão

Na quarta sessão, o aconselhado 1 mencionou que não encontrou uma boa foto com ele totalmente vestido para postar e por isso não conseguiu completar a tarefa, disse a ele que é importante o cumprimento das tarefas para que tenhamos progresso no aconselhamento. A conclusão dessa tarefa é importante para que ele tenha a percepção dele de várias versões e que isso não afetaria em nada os elogios do Instagram dele, afinal quem o segue, também comentaria a foto, o elogiaria; e com isso minimizaríamos essa sensação que ele tem de ser “feio”. Logo após ele me disse que não estava muito afim de conversar nessa sessão, dai perguntei a ele se poderíamos fazer algo diferente, inovador; e ele me autorizou. Como ele foi o único aconselhado que não se mostrou na câmera, sugeri a ele que ligasse a câmera para que pudesse conhecê-lo, mas minha intenção mesmo era verificar o semblante dele durante essa dinâmica que estava prestes a propor. Mas ele disse que preferiria continuar só por áudio mesmo porque ele se sentia mais confortável, disse a ele que tudo bem. E comecei a dizer a ele que colocaria uma música para ele ouvir e assim que ela finalizasse, gostaria que ele mencionasse o que ele estava sentindo, se gostou da música, ou até uma interpretação dele sobre a música. A música escolhida foi “Ressuscita me” da cantora gospel Aline Barros (disponível em: https://www.letras.com/aline-barros/1819226/ acesso em 01/agosto/2023), assim que a música finalizou (que teve uma duração de 5 minutos e 43 segundos) disse a ele que ele poderia falar no momento que se sentisse preparado. Ele demorou cerca de 11 minutos para falar, isso porque perguntei a ele se ele ainda estava lá, ele respondeu sim e começou a falar. Disse que havia gostado da música, que a melodia era muito boa e que a parte em que dizia “Faz tempo que eu não vejo a luz do dia” retratava bem a situação atual dele porque ele fica muitas vezes o dia inteiro no quarto somente surfando no Instagram; e sequer vê a luz do dia. Perguntei a ele se isso acontecia com frequência e ele me disse que a semana inteira as vezes. Isso é um exemplo bem marcante de isolamento social, devido a obsessão pela vida virtual que ele gerencia no Instagram. Devido a alguns barulhos que começaram a aparecer na casa dele, ele me pediu que terminássemos a sessão antes do tempo, disse que não haveria problemas e que nos veríamos (ou nos escutaríamos) na próxima semana.

Counselee 2 (the one with the smell of vinegar, remember?) told me that he sought a psychologist and that he even had a session, which was great because he completed the task and demonstrates his willpower to improve. However, he told me that he basically talked about everything he talked about with me in the previous session, but that when he felt the smell in the psychology office, he asked the psychologist several times to smell him, but he said he did not smell anything from him. He even asked the psychologist if he was going crazy. At this point in the counseling, there was a tense atmosphere because he also changed his voice with me and uttered a “Do you believe that I could be possessed?”. I spoke calmly with him, I apologized to him because unfortunately, as much as technology is advanced, I still couldn’t propose to smell him online, to complete a diagnosis. He ended up coming to his senses and apologized to me, I said everything was fine, and I would help him at any cost to sort it out. I asked to say a prayer for him, he agreed and I prayed begging God to protect him from every evil or unclean spirit, and especially to give us clarity and instruction to solve his problem. Was it when I felt like the Holy Spirit was speaking to me, what if his problem was physical and not spiritual? And I decided to propose another task to him, that he look for a dermatologist and explain his problem in great detail, he thought it was a good idea because he hadn’t thought about it yet. I asked to say a prayer for him, he agreed and I prayed begging God to protect him from every evil or unclean spirit, and especially to give us clarity and instruction to solve his problem. Was it when I felt like the Holy Spirit was speaking to me, what if his problem was physical and not spiritual? And I decided to propose another task to him, that he look for a dermatologist and explain his problem in great detail, he thought it was a good idea because he hadn’t thought about it yet. I asked to say a prayer for him, he agreed and I prayed begging God to protect him from every evil or unclean spirit, and especially to give us clarity and instruction to solve his problem. Was it when I felt like the Holy Spirit was speaking to me, what if his problem was physical and not spiritual? And I decided to propose another task to him, that he look for a dermatologist and explain his problem in great detail, he thought it was a good idea because he hadn’t thought about it yet. what if his problem was physical and not spiritual? And I decided to propose another task to him, that he look for a dermatologist and explain his problem in great detail, he thought it was a good idea because he hadn’t thought about it yet. what if his problem was physical and not spiritual? And I decided to propose another task to him, that he look for a dermatologist and explain his problem in great detail, he thought it was a good idea because he hadn’t thought about it yet.

Counselee 8 (the guy with the freckles!) also completed the task by posting the photo on his Instagram profile and said that it was just an isolated event of cyberbullying, when a follower posted the following sentence “Why don’t you use a laser to remove these damn?”; this word “caraca” in informal language means “crust of dirt on the skin” (available at: https://www.dicionarioinformal.com.br/diferenca-entre/caraca/sujeira/access on 03/August/2023). Counselee 8 responded as I asked, and he told me that , his other followers started to defend him against this “hater” and that hours later the statement was deleted and the aggressor (the hater) simply disappeared, he believes that the use of God’s word stirred the hearts of other followers to come to his aid. I told him he was right, he was strong and courageous in doing the task, in Deuteronomy 31:6 it says “Be strong and of good courage; fear not, nor be dismayed at them; for the Lord your God is he who goes with you; he will not leave you nor forsake you.” “Come to me, all you who labor and are heavy laden, and I will give you rest” (Matthew 11:28).

Counselee 3 (the gentleman with baldness) said that he received an invitation from a co-worker to a “happy hour” at a bar close to work, they drank, talked, and everything was fine, because he had even taken off his cap like that who sat at the table. But unfortunately another co-worker appeared and slapped him on the head and even shouted “Speak bald guy!”, he always took it as a joke because this man had already done this other times. I advised him to talk to this man, saying that he really doesn’t like to be greeted in that way, and that he can propose to this man that whenever they meet they can shake hands or even hug. Sometimes, small nuisances that we feel are recurring because we settle down and allow them to repeat themselves. He told me that there was no point in talking because he had greeted him like this for some time, I repeated again, there is a time for everything “a time to scatter stones and a time to gather stones; time to embrace and time to refrain from embracing” (Ecclesiastes 3:5), it is not just this man you should talk to, but anyone who treats you or calls you in a way that makes you sad or makes you nervous. But as I told you, everything was discussed calmly, with humility, because we need to know how to defend ourselves, but never use the same trick used against us: “Not making bad for bad, or insult for insult; rather, on the contrary, blessing; knowing that to this you were called, that you may inherit the blessing” (1 Peter 3:9). there is time for everything “a time to scatter stones and a time to gather stones; time to embrace and time to refrain from embracing” (Ecclesiastes 3:5), it is not just this man you should talk to, but anyone who treats you or calls you in a way that makes you sad or makes you nervous. But as I told you, everything was discussed calmly, with humility, because we need to know how to defend ourselves, but never use the same trick used against us: “Not making bad for bad, or insult for insult; rather, on the contrary, blessing; knowing that to this you were called, that you may inherit the blessing” (1 Peter 3:9). there is time for everything “a time to scatter stones and a time to gather stones; time to embrace and time to refrain from embracing” (Ecclesiastes 3:5), it is not just this man you should talk to, but anyone who treats you or calls you in a way that makes you sad or makes you nervous. But as I told you, everything was discussed calmly, with humility, because we need to know how to defend ourselves, but never use the same trick used against us: “Not making bad for bad, or insult for insult; rather, on the contrary, blessing; knowing that to this you were called, that you may inherit the blessing” (1 Peter 3:9). but with anyone who treats you or calls you in a way that makes you sad or makes you angry. But as I told you, everything was discussed calmly, with humility, because we need to know how to defend ourselves, but never use the same trick used against us: “Not making bad for bad, or insult for insult; rather, on the contrary, blessing; knowing that to this you were called, that you may inherit the blessing” (1 Peter 3:9). but with anyone who treats you or calls you in a way that makes you sad or makes you angry. But as I told you, everything was discussed calmly, with humility, because we need to know how to defend ourselves, but never use the same trick used against us: “Not making bad for bad, or insult for insult; rather, on the contrary, blessing; knowing that to this you were called, that you may inherit the blessing” (1 Peter 3:9).

Já o nosso aconselhado 9 (que também sofre pelo problema de calvície) disse que levou a namorada em uma pizzaria e até ela se espantou de ver ele sem o boné. Mas que tiveram uma noite agradável, apesar da incrível crise de sudorese que ele teve. Perguntei se o ambiente onde estavam estava quente, mas ele disse que não. Disse a ele que isso faz parte do estresse do momento e que devido ao fato dele estar sem o boné e a mistura de sentimentos pode ter levado a sudorese, mas que a medida que ele começar a levar uma vida mais leve e não se preocupar tanto com sua calvície, esse tipo de comportamento não vai se repetir. O importante é que ele continue a praticar suas saídas sociais junto com a namorada ou amigos, inclusive sugeri que fossem a uma igreja, assistir a um culto, porque quanto mais nos aproximamos de Deus, mais fácil se torna a caminhada.

O aconselhado 4 (o rato de academia I) me relatou que tentou ir somente na parte da manhã na academia no primeiro dia, contudo quando chegou em casa do trabalho mais cedo se sentiu estranho porque não sabia o que fazer com o tempo ocioso, uma vez que os filhos estavam no quarto jogando vídeo game e a esposa estava no sofá mexendo no celular, ele informou que ficou no sofá ao lado da esposa assistindo televisão mas que não conseguia desenvolver uma conversa, depois foram para a cama por volta das 23h, mas ele não conseguiu dormir. Diante desse quadro ele voltou no dia seguinte a ir para a academia de manhã e a noite. Disse a ele que mesmo que a tarefa, tenha sido realizada em apenas um dia, foi valida para ele ter um diagnóstico de qual rumo a vida familiar dele está indo. Ele ficou um pouco em silêncio e pensativo, mas depois disse que concordava que precisava tomar uma atitude. Como ele é católico, mas não tem o costume de ir a igreja, sugeri que ele levasse toda a família a missa seja no sábado, no domingo ou um dia da semana, para juntos adorarem a Deus e principalmente criar um ambiente de confraternização familiar. Sugeri também que fizesse uma terapia familiar com um psicólogo porque isso ajudaria ele, a esposa e os dois filhos. Finalizamos a sessão com a leitura de Marcos 10:6-9, “porém, desde o princípio da criação, Deus os fez macho e fêmea. Por isso deixará o homem a seu pai e a sua mãe e unirse-á a sua mulher, e serão os dois uma só carne. Portanto, o que Deus ajuntou não o separe o homem.”

Adviser 6 (gym rat II) told me that he was surprised when he got home on Monday night and was greeted by his little daughter screaming “daddy’s home!”, she insisted that he see that she had lost a baby tooth , and talked for hours with him. Even his wife told the girl to let her father rest, but he said he was enjoying the conversation and that it didn’t bother him. The other day, the wife herself said that since he was more present, she would like to take the opportunity to talk to him about the possibility of taking a trip together as a family. He even asked her why she hadn’t proposed it to him earlier, and she said that since he always arrived late and tired, she didn’t want to upset him. He assumed that the fixation on the gym and the search for a perfect body, it was distancing him from the family and especially from accompanying his daughter’s growth. I agreed with him and even emphasized that our life on this earth is a breath and we should make the most of it with those we love, mainly because we will take nothing from this earth, except our memories and the love received and the Bible proves this: “I say to you that you do not know what will happen tomorrow. Why, is it your life? It is a vapor that appears for a little while and then disappears.” We ended the session with a prayer of protection and thanksgiving for his family. “I say to you that you do not know what will happen tomorrow. Why, is it your life? It is a vapor that appears for a little while and then disappears.” We ended the session with a prayer of protection and thanksgiving for his family. “I say to you that you do not know what will happen tomorrow. Why, is it your life? It is a vapor that appears for a little while and then disappears.” We ended the session with a prayer of protection and thanksgiving for his family.

Counselor 7 (the girl who is also a gym rat) informed me that she was unable to talk to anyone at the gym because everyone is focused on training just like her. In this session she was a little nervous, I asked her if she was ok because I was finding her a bit agitated. She ended up confessing to me that she had taken a hormone to help with training, when I asked her if she was being followed by a specialist, such as an endocrinologist, she said she was using it on her own. Even though I mentioned all the risks she was subject to, she didn’t seem to care much. I told her that it would be very important for her to look for an endocrinologist to accompany her, because this type of drug can be life threatening for her. I reminded her that God loves her the way he made her, and that his body is the sanctuary of the Holy Spirit, who must train for health and not to destroy the masterpiece that God has created. “Or do you not know that your body is the temple of the Holy Spirit who is in you, whom you have from God, and you are not your own? Because you were bought with a price; therefore glorify God in your body and in your spirit, which belong to God.”(I Corinthians 6:19-20) After much conversation, she told me that she would make an appointment.

Counselor 5 (the woman with an asymmetrical breast) told me that he went on a diet on his own, based only on soup, to lose weight and thus reduce the size of his breasts. I told her that diets are also dangerous if they are not followed by competent professionals because of the health risks. And that it would be better for her to see a surgeon for a professional evaluation. She told me that financial conditions prevent her from looking for such a medical specialty, but I told her that any unit of the SUS (Sistema Único de Saúde) in her locality could help her and free of charge. It’s not fast to get it, but the sooner she looked for it, the faster she would be able to get this service.

In this fourth session, it was possible to perceive how the negative thinking of individuals with BDD is projected and how the discomfort is enhanced when they are interacting socially with other people. It was also possible to verify that sometimes the chaplain will go through moments of exaltation of his advisees, but we must remain firm in the purpose and not weaken in the face of difficulties: “That’s why we don’t get discouraged. Although outwardly we are wearing out, inwardly we are being renewed day by day, for our light and momentary sufferings are producing for us an eternal glory that outweighs them all.” (2 Corinthians 4:16-17); Let’s be humble: ′′ Therefore, by the grace given to me I say to all of you: No one has a higher concept of himself than he should have; but, on the contrary, have a balanced view, according to the measure of faith that God has given you.” (Romans 12:3) When the counselee asked me if he was demon-possessed, I thought, this is not the time to get into that subject yet because the counselee does not have signs or symptoms of demonization. According to Tan (2011) there are even some criteria, even if not definitive, for the recognition of demonization, such as, for example, being advised to have a history of involvement with the occult, to present a strong and negative reaction to the name of Jesus, to reading the Scriptures or even the hymns; the chaplain in turn would have an overwhelming premonition or sense of evil, including olfactory ones involving the smell of rotten eggs or sulfur associated with the counselee. But it would still be necessary to evaluate the pastors, experienced Christian counselors in deliverance ministries, much prayer and dependence on the Holy Spirit and the gift of discerning of spirits. In 1 Corinthians 12:10 “and to another the working of miracles; to another prophecy; to another the gift of discerning of spirits; to another the variety of tongues, and to another the interpretation of tongues.”

4.2.5 – Fifth Session

Despite the sessions being individual, I decided to propose to all counselees this time a session similar to both. Where at first we heard a song to calm our soul and our hearts were prepared so that the Holy Spirit could act, I read the sacred scriptures with passages focused on their life problem and with that the counselees told me that they felt comfortable, enlightened , oriented and convinced that God is the best way: “Your word is a lamp for my feet and a light for my path.” (Psalm 119:105) We prayed together for guidance and thanked God for being with us at that time. The idea was really an individual cult, I just didn’t use the word cult because many associate this event with a monotonous program and that could create some objection on their part.

4.2.6 – Sixth session

Counselor 1 (ugly duckling syndrome) sent me a direct message saying that he would not do the sixth session because he had another appointment (I thought, great! He left the room!) and sent me a link to a song on You Tube with the following words: “Listen to the music and tell me what you think, we’ll see you in the next session” (will he turn on the camera?!?!). The song in question is The Great Pretender covered by the late international singer Freddie Mercury, but after listening to it, I could understand the message that the advisee was trying to pass on to me. His BDD problem had evolved to a much higher level than I imagined, to confirm my suspicions I did a photo search on the web with his photo, with the help of software, and I actually found that the photos he uses in his profile is not his but another man’s, that is, I was advising a man who created an alter ego to feel accepted in that virtual world that he idealized so much. But anyway, the individual service done in the last session made him open up even more and certainly his heart was touched: “Trust in the Lord with all your heart, and do not lean on your own understanding. In all his ways acknowledge him, and he will make your paths straight.” (Proverbs 3:5-6)

Counselor 2 (the smell of vinegar) told me that he went to the dermatologist as I had advised him and, thank God, he finally had a diagnosis and treatment. He told me that he was diagnosed with a skin disease caused by bacteria, but that does not necessarily cause the smell of vinegar, because the doctor explained to him that the smell of vinegar is an olfactory distortion called parosmia, which is the “distorted perception of certain odor and that occurs, for example, when the patient is exposed to the odor of coffee and has the perception of the smell of earth;”(Romano, 2022) and that will also be treated together. The counselee’s face was changed, it was possible to see hope in him and how grateful he was for God having shown us this path “Do not worry about anything, but in every need present your requests to God with prayers, supplications and thanksgiving.” (Philippians 4:6)

Counselee 8 (the guy with the freckles) told me that he is leading a much lighter life and that even if he suffers some bullying in the future, he will always be asking God for guidance on how to act. He was very grateful for the advice and all our conversations, funny that even though I said that my help towards him was humanitarian he insisted on paying me, “Heal the sick, raise the dead, cleanse the lepers, cast out demons. You got it for free; also give freely.” (Matthew 10:8) But I told him that he could do something much better for me, help a needy person in his community with a basic basket and also talk to that family because sometimes they also need to vent to someone and who knows so he could also become a chaplain. Charity is one of the greatest Christian virtues, because we exalt the love of Christ in helping others, we can let go of material things like clothes that we no longer use and thus help those in need; letting go of the immaterial by donating ourselves, our time to those who really need it; we can practice the minimum, but for the needy it will be a lot, and I’m talking about simple things like, for example, fixing your neighbor’s faucet that is leaking water, washing the clothes of your family member who is sick or even preparing food for him, carrying a bag for an elderly person; we must be alert to the need of others. “If someone has material resources and, seeing his brother in need, does not have compassion on him, how can the love of God remain in him? Little children, let us not love in word or mouth, but in deed and in truth.” (1 John 3:17-18) Practice spiritual charity, knowing how to listen to people who are in distress and needing so much to vent. Show more love to others, say that you love them, family and friends, without being ashamed of this act, without thinking that it will diminish you. Greeting even strangers with a smile on your face are small actions that show affection and make a big difference in our daily lives. In Psalm 133:1, “How good and pleasant it is when brothers live together in unity!”

Counselee 3 (the gentleman with baldness and who was slapped on the head) told me that while he was resting, sitting on the grass in the company courtyard, the man with the slap approached him, sat down beside him and apologized for the slap without him. have said or complained about anything. In 1 Corinthians 12:6 tells us precisely of the ways that God works in our lives, “God works in different ways, but he is the same God who works in us all.” And the most important thing is to know how to forgive, in Matthew 6:14 it says “For if you forgive each other’s trespasses, your heavenly Father will also forgive you.” , God never forsakes his servants “Didn’t I command you? Strive, and be of good cheer; fear not, nor be dismayed; for the Lord your God is with you wherever you go” (Joshua 1:9). Counselee 3 felt very happy with the whole situation and said that before he was not leading a life very focused on Christ and his teachings, but that now, at least on Sundays, he takes his whole family to mass and when he has the opportunity they pray together in family at the dinner table, thanking them for everything they have achieved. The most incredible thing for us chaplains is how God unites families and people, that to awaken the love of Christ within us, just one divine spark is enough to turn on all our light of love in Christ.

Counselee 9 (who also suffers from baldness and had a sweating crisis) told me that he is feeling much better after he stopped wearing his cap and that he continues to go out with his girlfriend and that he even took her to a service at the church his mother attends, but that the church service was better than my individual service because there was more worship. I smiled at him and said I’ll use more praise in future sessions with him. He also smiled at me and said that he was kidding me, but that he was very grateful for the whole healing process we were going through. It was a very smooth session, as counselee 9 was very happy with the results, quite different from the man I met in the first session. Many times spiritual healing requires much more than 8 sessions, but depending on the faith committed by the chaplain and the counselee’s will, it can happen in much less time, “Then he said to her: Daughter, your faith has healed you! Go in peace and be freed from your suffering “. (Mark 5:34) In Proverbs 16:24 it says, ′′ Pleasant words are like a honeycomb, they are sweet to the soul and bring healing to the bones.”

Counselor 4 (gym rat I) told me that he is taking the whole family to Masses on Sunday nights, and that they always discuss the teachings given at mass at home accompanied by pizza and soda. But who is aware that he needs psychological help to help him with the BDD problem, especially the addiction to the gym, I told him that just for him to assume that he has the problem and that it needs to be cured is already a great advance. In Psalm 41:4 it says “I said: Mercy, Lord! Heal me, for I have sinned against you.” “I am with you and will take care of you wherever you go, and I will bring you back to this land. (Genesis 28:15) He said he still couldn’t get a psychologist with available hours, he even praised our counseling because as it is online he said it was easier to fit in an appointment. I informed him that some psychologists also work online and that it shouldn’t be too difficult to find one since he can assist you from anywhere in Brazil.

Counselee 6 (gym rat II) informed me that he and his wife decided to take a trip in January 2023, a cruise. At the time, the reason for the cruise came to mind, but I let him confirm my suspicions. He said that Cruzeiro will be wonderful, that he, his wife and daughter will be in the same cabin, that the ship has several recreational activities, has a swimming pool, unlimited food and even a gym to train! Do you believe? I just smiled and said: That’s great, right, but don’t overdo the exercises and dedicate yourself more to your family! Remember the real purpose of the trip. “Whatever you do, do it heartily, as working for the Lord and not for men, knowing that from the Lord you will receive the reward of the inheritance. It is Christ the Lord you are serving. (Colossians 3: 23-24) And especially keep the teachings of Christ always alive within you and your family. “Follow the path of love and earnestly seek spiritual gifts, especially the gift of prophecy.” (1 Corinthians 14:1) In Psalm 119:10 it says “I seek you with all my heart; do not allow me to deviate from your commandments.”

Counselee 7 (the girl who is also a gym rat) highly praised the last session which was more focused on the word of God and said he had never felt so much at peace. “For the Kingdom of God is not eating and drinking, but righteousness, peace and joy in the Holy Spirit;” (Romans 14:17) In Romans 15:13 it says “May the God of hope fill you with all joy and peace, through your confidence in him, so that you may overflow with hope by the power of the Holy Spirit.” She told me that the endocrinologist’s suggestion was very good, because the specialist prescribed a series of laboratory tests for her that showed a hormonal disorder and even anemia, caused even by the indiscriminate use of anabolic steroids. I just reinforced with her that self-medication is very dangerous, and that for everything in this life we ​​need to study, discipline and the search for knowledge in the most diverse areas, but never, try to be a doctor, or any other profession that requires years of study and practice. I even cited my example as a chaplain, because despite having knowledge on certain subjects, that does not mean that I can go around pretending to be a doctor, a psychologist, a nutritionist, that is, we must respect the area of ​​each one, and if Yes, it is possible to work in parallel as a source of help for both parties to be successful in treatments and diagnoses.

Counselee 5 (the woman with an asymmetrical breast) said that he was able to find a breast cancer prevention center in his city and that he was able to undergo several tests, including psychological help. She kept talking the whole time in the session about how she hadn’t thought about it yet, but I told her that sometimes problems blind us, especially when we focus all our energy on the problem and not on solving it. But we have a God above us, in Psalm 25:4-5 it says “Show me the right way, LORD, teach me where I should go. Guide me in your truth and teach me, for you are the God who saves me; in you I put my hope all day long.” She agreed and said that everything in her life seemed to work out, whenever she prayed, and she remembered when her mother was still alive and how they always went to church and were very happy. I stated that her mother was preparing her to be a servant of the Lord, in Deuteronomy 6:6-7 it says “Let all these words that I am commanding you today take up residence in your heart. Persistently teach them to your children. Talk about them when you sit at home, when you walk along the path, when you lie down and when you get up.” But that due to her problem, she deviated from the Lord’s path and now she has found him again.

4.2.7 – Seventh session

Counselee 1 (ugly duckling syndrome) again did not turn on the camera, anyway I started the session asking how he was feeling, right after I asked permission to say a prayer and asked God for direction and wisdom to conclude the session. I told him that I understood the message of the song, and asked him what I could help him with. He told me that he made the fake profile in 2019 and since then it’s as if he only lives a virtual life, and his social life is just a moment to eat, shower and sleep.

I told him it’s time for him to give himself some advice, what advice would he give?

He said turn on the camera for you. I said so do it, I’m not here to judge or compare you, just to help you. It was a normal boy, with a normal body, long hair, with his natural beauty, who didn’t even look 29 years old, but looked like he was 20 years old. Obviously I didn’t mention any of this to him, because he might understand that I was judging him. I asked him what he liked most about his appearance and this time he replied his hair, and how do you like to wear it? He told me that if he goes outside, he wears it loose, but indoors he wears it loose. And what about the hairstyle? Do you play with it? Do you comb it in different ways? He said yes. That’s when I told him that being beautiful is not just having a muscular body, but being a nice person makes anyone beautiful, a person who exudes joy is very beautiful in the eyes of other people. There is no impediment for you to have an Instagram of yours! Even because I imagine that your family and friends find it strange that you don’t have a profile. He said that he is charged by them, but that he always gave the excuse of giving himself the right to live in anonymity. I asked him if he would be willing to make an Instagram profile and tell me about the experience in the next session. He agreed.

Counselor 2 (odor of vinegar) told me that he practically no longer smells vinegar, this week he only smelled it once, but because he had not used the lotion that the dermatologist prescribed that day. I even reinforced with him the importance of having the treatment without interruptions because the intention was to eliminate the bacteria and not make it stronger and resistant to the medicine. He agreed, told me that he was reflecting on his life trajectory since the problem started and how his life would have been different if he had already been advised by a chaplain before, but he was unaware of our existence. I even explained to him that people see the chaplain as a simple priest who performs services in worship of God, but our work goes far beyond that, as we respond to calls for spiritual help in hospitals, prisons, orphanages, nursing homes, day care centers, hostels, schools, military areas, companies and government institutions; in disasters offering spiritual support to rescued victims and their relatives, as well as the logistical work of donations. But we really need better publicity for our work in Brazil.

Counselee 8 (the guy with the freckles) informed me that he bought a basic food basket and left it at a nursing home in his region, he said that the administrator of the nursing home was very happy and admired with his attitude. When I asked him if he had offered to talk to someone there, he told me he didn’t feel prepared because he’s so shy he wouldn’t know how to start the conversation or how to keep it going. I told him it’s all a matter of getting started, and God would provide him with all the knowledge he needs, or in the future he could take a chaplaincy course. He said that it is something that is not in his plans at the moment, but that in the future he does think about dedicating himself to helping people in need.

Counselee 3 (the gentleman with baldness) told me that he continues to attend church with his family and that he is really feeling much better. And the problem of Baldness for him is not even that relevant because now he says he is a very handsome bald man, but that sometimes on very sunny days he is wearing his cap because last Saturday he and his family went to a park and when they came back they had multiple sunburns on their heads. I told him that the use of sunscreen was really essential for him, on his face, body and head and that using it was a habit not only for him but for the whole family. This way they would be avoiding problems like skin cancer. But yes, once in a while wearing a cap or a hat is no problem at all, it just can’t be an excuse for not going to a social event.

Counselor 9 (who also suffers from baldness) surprised me when he turned on the camera because he was not alone, but accompanied by his girlfriend. He introduced her and wanted to give me some news, that last Sunday they got engaged. I was really happy for them. I even highlighted the importance of marriage for Christ: “Marriage must be honored by all; the conjugal bed, kept pure; for God will judge the immoral and adulterers.” (Hebrews 13:4) The importance of believing in the Lord: “And they said, Believe in the Lord Jesus Christ, and you will be saved, you and your household.” (Acts 16:31) And how blessed the children of that marriage will be: “God blessed them and said to them: Be fruitful and multiply! Fill and subdue the earth! Rule over the fish in the sea, over the birds in the air, and over every living thing that moves on the earth” (Genesis 1:28). We closed the session with a prayer thanking the union of the two and that all the plans they reported are achieved through God’s will. To finish, I put a praise for them to hear and they even joked: “Now we close with a golden key!”

Counselee 4 (gym rat I) managed to schedule an appointment online with a psychologist in São Paulo and said that the first session was very good, because the psychologist also advised him to seek a neurologist, since the use of medications for him for anxiety were eminent. On the same day he said he got the appointment with the neurologist and said he’s only going to the gym in the morning, but that the medicine helps him sleep at night. The only problem he reported to me is that he is waking up with a kind of hangover, I told him that if this symptom persists for a long time, it could be due to the medication dosage being too high, that he should report this to the neurologist. But despite this collateral, family life is very good and going to church helped him a lot to increase the dialogue with his wife and children, because they always remember the preaching and end up talking about it. We ended the session with a prayer thanking the prayers answered and that the counselee’s health is fully restored.

Counselee 6 (the gym rat II), is really excited about the cruise vacation and can’t stop talking about it, in a way it’s reassuring to see how the counseling is helping him, and how his gym addiction has waned. “No temptation has overtaken you except such as is common to man, but God is faithful, who will not allow you to be tempted beyond what you are able, but with the temptation will also make the way of escape, that you may be able to bear it.” (1 Corinthians 10:13) We closed the session. with a prayer for the glory achieved and family unity, and he added “and may God bless our vacation trip, so be it, Amen!”

Counselor 7 (the girl who is also a gym rat) said she was recovering well from the anemia and the hormonal disorder and that, incredible as it may seem, she ended up talking to a woman at the gym, whom she is even calling a friend, about the problem. that she was going through and that she would never use anabolic steroids again. He told her that I was doubly happy, first because she was opening up to new friendships and second because she understood the risk she was taking by using these substances. “And they shall know the truth, and the truth shall set them free.” (John 8:32) She told me a little more about her family week and then we ended the session with a reading from Psalm 23 at her request.

Counselee 5 (the woman with the asymmetrical breast) was very excited about the session because he was going to undergo a medical examination next week who would evaluate his case in order to schedule plastic surgery to correct the breast, so that the asymmetry could be recovered. As she told me the news her eyes watered and her joy was contagious. She was living a new moment in life, a moment of hope. “I have spoken these words so that my joy may be in you and that your joy may be complete.” (John 15:11)

4.2.8 – Eighth session

Counselor 1 (ugly duckling syndrome) told me that he created his profile on Instagram and that for the time being he had only added relatives and friends to it, a total of 63 people. He said he felt a feeling of emptiness, I explained to him that this feeling is completely natural, because on his fake profile he has many followers. But I asked him to reflect, because the 63 people he had on his profile are people from real life, people he somehow has contact with, as for the fake profile… “How many people have you had contact with in your life? real?”. He replied none. So how are you feeling right now? He told me he was feeling embarrassed. I told him that the next step is to delete this fake profile because he is subject to legal action if the owner of the photos used discovers that his photos were misused. The Internet, despite appearing to be a lawless territory, there are many practices that are subject to legal sanctions and their penalties, such as the crime of ideological falsehood (article 299 of the Brazilian Penal Code) and their authors can also be located thanks to the number of IP of the machine that they created the profile. He asked me for a minute, and permanently deleted the fake profile. I told him that right now he was taking a big step towards his recovery, mainly because of the attitude he just made, but he needs to understand that beauty is a singularity of who is judging, often beautiful for me can be ugly for you and vice versa. One of the things you need to understand and accept is that when someone compliments you on your hair and tells you that you’re a handsome guy, that person isn’t lying to you and your acceptance of that compliment isn’t going to make you a snobby guy. That’s why we don’t get discouraged. “Although outwardly we are wearing out, inwardly we are being renewed day by day”. (2 Corinthians 4:16) I told counselee 1 that he too should stop making comparisons and feeling jealous of people who seem perfect on social networks and, above all, that he should accept himself more. “Therefore I say to you, do not worry about your own life, what you will eat or what you will drink; nor about your own bodies, what you will wear. Is not life more important than food, and the body more important than clothing?” (Matthew 6:25) In Proverbs 20:29 it says “The beauty of young people is in their strength; the glory of the aged, in their white hair.” We ended the session and he asked me if we would never speak again, I told him that the proposal was 8 sessions, but that if he needed it, he could contact me in direct and I would be ready to help him with whatever he needed.

Counselee 2 (smell of vinegar) was very happy because he said that it had been 10 days since he had smelled vinegar anymore and that now he even feels confident to start a relationship and rebuild his life. I told him that I was very happy to have helped him and that he kept an open mind to all the advice and guidance that we were able to achieve success. In Proverbs 18:15 it says “The heart of the understanding acquires knowledge; and the ear of the wise seeks knowledge.” Problems are inevitable most of the time, but they are a way for us to grow spiritually, in James 1:2-4 it says “Count it all joy, my brethren, when you pass through various trials, knowing that the testing of your faith produces perseverance; and perseverance have its perfect work, that you may be perfect and complete, lacking in nothing.” The important thing is not to give up on our purpose because God will always give us strength to achieve our goals, in Psalm 145:14 it says “The Lord upholds all who are falling, and lifts up all who are bowed down.” But mostly we use prayer, crying out to God for guidance and wisdom: “Now if any of you lacks wisdom, let him ask God, who gives to all liberally and does not reproach, and it will be given him. But ask in faith, not doubting; for he who doubts is like a wave of the sea, tossed and tossed by the wind. Let not that man think that he will receive anything from the Lord, tottering man that he is, and unstable in all his ways.” (James 1:5) in Psalm 145:14 it says “The Lord upholds all who are falling, and lifts up all who are bowed down.” But mostly we use prayer, crying out to God for guidance and wisdom: “Now if any of you lacks wisdom, let him ask God, who gives to all liberally and does not reproach, and it will be given him. But ask in faith, not doubting; for he who doubts is like a wave of the sea, tossed and tossed by the wind. Let not that man think that he will receive anything from the Lord, a faltering man that he is, and unstable in all his ways.” (James 1:5) in Psalm 145:14 it says “The Lord upholds all who are falling, and lifts up all who are bowed down.” But mostly we use prayer, crying out to God for guidance and wisdom: “Now if any of you lacks wisdom, let him ask God, who gives to all liberally and does not reproach, and it will be given him. But ask in faith, not doubting; for he who doubts is like a wave of the sea, tossed and tossed by the wind. Let not that man think that he will receive anything from the Lord, a faltering man that he is, and unstable in all his ways.” (James 1:5) who gives liberally to all and does not blame, and it will be given to him. But ask in faith, not doubting; for he who doubts is like a wave of the sea, tossed and tossed by the wind. Let not that man think that he will receive anything from the Lord, tottering man that he is, and unstable in all his ways.” (James 1:5) who gives liberally to all and does not blame, and it will be given to him. But ask in faith, not doubting; for he who doubts is like a wave of the sea, tossed and tossed by the wind. Let not that man think that he will receive anything from the Lord, tottering man that he is, and unstable in all his ways.” (James 1:5)

Counselee 8 (the guy with the freckles) told me that his freckles no longer bother him and that he has already discovered how he will help people in the future, he told me that he will take the entrance exam to study medicine and that he will work with needy children in poor communities . I told him to stay on purpose then, not to be carried away by the temptations that would seek to lead him astray, and to pray fervently that his gift would be directed to the profession of medicine: “To another, power to work miracles; to another, prophecy; to another, discerning of spirits; to another, diversities of tongues; and to yet another, interpretation of tongues.” (1 Corinthians 12:10)

Counselee 3 (the gentleman with baldness), counselee 9 (who also suffers from baldness) and counselee 6 (the gym rat II) said they did not need the eighth session, they thanked me for the advice, I just stressed to them that if they needed chat, I will always be ready to help you.

Adviser 4 (gym rat I) told me that he went to see a neurologist and that the medication dosage had to be reduced so that he could have a better quality of life. He thanked me for all the advice, that he will even miss our conversations, but I also stressed to him that if he needed to talk I would always be available and ready to help him. “Listen to advice and accept instructions, and you will end up being wise. Many are the plans in the heart of man, but what prevails is the Lord’s purpose.” (Proverbs 19:20-21)

Counselee 7 (the girl who is also a gym rat) informed me that she decided to go back to psychotherapy sessions because her new friend at the gym started doing them and she felt encouraged to come back too. I told her that it would be very good because that way she could maintain the treatment she had in the past for depression. In Proverbs 15:22 it says “Plans fail for lack of counsel, but succeed when there are many counselors.”

Counselor 5 (the woman with the asymmetrical breast) underwent the medical examination and everything went well according to God’s will, if all the procedures go well her surgery will be in the second quarter of 2023. I told her to have faith, for thus we attain glory, in Hebrews 11:1 it says “Now faith is the substance of what we hope for, the evidence of things we do not see.” Let us give thanks to God and say goodbye with a virtual hug.

Final considerations

To answer the question about Cyberchapellania: Online Counseling for People with Body Dysmorphic Disorder on the Social Network Instagram, it was necessary to explore the field of psychology and understand how BDD affects the mental health of Instagram users and especially a spiritual preparation, using the word of God, the search for guidance, faith, prayer and the Holy Scriptures in search of foundation for each type of behavior and symptoms, was crucial for carrying out the counseling and the success of this study.

Even with the comparison of some symptoms among those counseled, it was found that the behavior of each one was unique and endowed with its own particularities, and the negative impacts of BDD happened both in virtual life and in real life.

In online counseling, disclosing problems was easier because the counselee’s choice was made in the environment (home) and with that the feeling of privacy and security made the work enjoyable, conversations flowed more freely, and counselees they were not afraid to open up once they were in a safe and non-judgmental environment. With the help of videoconferencing (camera) it was even possible to observe body language and reactions to visual, verbal and sound stimuli.

Online counseling did not require a physical space, eliminating the need for travel for both the chaplain and the counselee, as well as concerns about time and other costs that would be incurred with face-to-face assistance.

It is important to emphasize that in this work the object of study was the possibility of online counseling directed by the chaplain, but not necessarily that all problems would be solved in a few sessions, mainly because psychic illnesses can require a much longer time of treatment and techniques and counseling of the chaplain functioned as an adjunct and parallel treatment for other fields of knowledge such as psychology and medicine. But mainly in order to direct and guide those advised with faith, prayer, praises from biblical passages and the certainty that God is the way and the answer to all things.

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Appendix A – Questionnaire applied on Instagram, first part.

Appendix B – Questionnaire applied on Instagram, second part.

Appendix C – Questionnaire applied on Instagram, final part.

Appendix D – Questionnaire Results, first part.

Appendix E – Questionnaire Results, second part.

Appendix F – Questionnaire Results, third part.

Appendix G – Questionnaire Results, fourth part.

Appendix H – Questionnaire Results, fifth part.

Appendix I – Questionnaire Results, final part.

Appendix J – Anamnesis Counseling Sheet, first part.

Appendix K – Anamnesis Counseling Sheet, final part.

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Author: Chrystian Cardoso GarridoAdministrador de formação com um MBA em Gerência de Projetos pela FGV, empreendedor por necessidade, vendedor por vocação e um estudioso por paixão. Solteiro, 44 anos, praticante de musculação, pai de pet, um cão da raça chowchow de nome Athos, nada amigável e um padrinho dedicado ao jovem Betinho. Após a morte de seu pai, pela luta implacável contra um câncer, o autor começou a buscar respostas a suas indignações nas Escrituras Sagradas, mais tarde conhece o IVCS através de um amigo e começa a estudar e se aprofundar em capelania, afim de dar sentido a sua vida e entender os desígnios de Deus. Um ano depois tem a oportunidade de fazer sua faculdade internacional de Teologia com ênfase em capelania na EBWU, e a elaboração do presente artigo científico para concluí-la. O insight sobre o tema Cibercapelania: Aconselhamento On-line para Pessoas com Transtorno Dismórfico Corporal na Rede Social Instagram surgiu da própria dificuldade do autor em se locomover e a excassez do tempo do mesmo, afinal como dissemos anteriormente ele tem paixão pro estudar, e além do seu trabalho ele faz faculdade de farmácia e engenharia de software atualmente. A ideia do referido artigo é prestar esclarecimento sobre a figura do capelão, provar que é possível seu trabalho ser feito de forma on line com a mesma qualidade do presencial e principalmente ajudar as pessoas com TDC a entender melhor o problema e encorajá-las a buscar ajuda.
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