Shared ground
Elihu draws a sharp contrast between two kinds of people under pressure. Some are described as “godless in heart,” and their defining feature here is not simply that they suffer, but that they refuse to ask for help even when God “binds” (restrains) them. Instead of turning outward in dependence, they “store up anger.” The stated outcome is an early, shame-marked end: they “die in youth,” and their life ends “among the unclean” (language of disgrace and bad company).
By contrast, Elihu claims that affliction can be a tool God uses to rescue: God “delivers the afflicted by their affliction” and “opens their ear in oppression.” The picture is of hardship becoming the setting where a person finally becomes able to hear instruction (not merely endure pain). Job 36:13–15
Where interpretation differs
What “binds” means (v. 13). Some read “binds” as literal confinement (prison, being physically trapped). Others take it more broadly as God’s restraining pressure through trouble: illness, loss, or circumstances that limit someone’s choices.
What it means to “store up anger” (v. 13). Some understand this as the person’s own simmering anger and resentment growing over time. Others understand it as anger “stored up” against them—their conduct piles up guilt and coming judgment.
Who “the unclean” are (v. 14). Some take it mainly as morally corrupt people (disgraceful company). Others hear stronger ritual/shame language: dying in association with those socially regarded as defiled, emphasizing humiliation rather than giving a precise group.
What “deliver” means (v. 15). Some read deliverance as rescue from the trouble (God ends the suffering). Others read it as rescue through the trouble: affliction becomes the means by which God brings a person to listen and change course.
Why the disagreement exists
The key terms are poetic and compressed. “Bind,” “unclean,” and “deliver” can point to more than one concrete scenario. Also, Elihu speaks in wisdom-style generalizations, which invites readers to ask whether he is describing what usually happens, what always happens, or what ought to happen.
What this passage clearly contributes
Explicitly, the text claims that (1) there is a kind of hard-hearted godlessness that refuses to cry out even under restraint; (2) such refusal is linked, in Elihu’s framework, to an early and disgraceful end; and (3) God can use affliction as the instrument by which the afflicted are rescued, specifically by making them able to hear (“opening the ear”) while under pressure. Theological inference goes beyond the lines if one turns these statements into a universal rule about every suffering person’s outcome, but the passage strongly connects responsiveness to God with what suffering can accomplish.