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Advocacy
 
The Rev. Stephen R. Harding on using our own language

Continuing the Discussion on Theology

First of all, I want to thank all who wrote in response to my article, "Making the Case for Theology"
(Vol 2, Issue 10). I appreciate your thoughtful responses. In that article, I had suggested that, as a culture, perhaps we have allowed the ‘theological’ to be overshadowed too much by the broader, less problematic notion of the ‘spiritual’. My intention was not to downgrade the idea of the personal, non-denominational spiritual experience but rather to celebrate the particular pastoral strengths that chaplains possess as ordained representatives of their own rich theological traditions.

Of the 20 responses published in PlainViews, approximately seven were not in favor of abandoning the term ‘spiritual’ in favor of ‘theological’, and approximately 13 were in favor of continuing the conversation. Beyond this very rough categorization, I was fascinated by the reactions and the issues raised by readers concerning authority, the chaplain’s place on the healthcare team, and the perceived lack of awareness of the chaplain’s role as part of that team.

Some ventured into areas such as my own authority; one person incorrectly inferred that I was trying to impose my own theology on patients. Nothing could be further from the truth. I am simply suggesting that we, as Chaplains, use our strength and our own language to describe what we do in the context of caring for people in institutional settings.

As I read the responses and reflected on them, it became clear that there is a need for clearer definitions of: religion, religiosity, spiritual, spirituality, theology, and theological.

As a beginning point, I share the definitions that I use. They have evolved and developed over ten years of assessments, interventions, and outcomes in my work with patients and their families:

Religion: the framework and vocabulary of the person’s corporate belief system. Religious: observant of and diligent in practicing the tenets and prescribed rituals of one’s religion.

Religiosity: the importance of one’s own religion and or spirituality in one’s daily life.

Spiritual: carries the connotation of individual or person seeking connection with the ‘Other’ – a being, concept, or thing greater than the individual; one’s own personal relationship with the Transcendent, however the Transcendent or ‘Other’is defined by the individual.

Spirituality: how a person lives in relationship with someone or something greater than oneself.

Theology: how one understands one’s own belief system.

Theological: asks questions of meaning of life’s issues, in our case: illness, suffering, death, as they relate to the person’s own belief system.

I think Chaplains are good at meeting the specific and concrete religious needs of our patients, families, and staff. At the next level, having a ‘spiritual conversation’ is to discover what it is that the person believes in. Whatever it may be, it is their belief system that has supported this person throughout their life (or supports them now), and it is certainly not up to me to persuade them otherwise or to inflict my own belief system on them.

What is missing for me in this vast expanse of popular ‘spirituality’ is any sense of what the person’s illness, disease, suffering, pain, death, etc., means to them in relation to their belief system, whether corporately religious or individually spiritual.

This is where – and why – I am suggesting that we move deeper into the theological language of our traditions, which, after all, ask many of the same questions – How does the person make sense of his/her illness? What does their death mean to them? Do they believe in an afterlife? How do they reconcile their own personal belief (spirituality) with whatever religious (or not) tradition they grew up with? What does their belief system teach them about the presenting issue they have?

These are questions that I would not want someone without our training as chaplains and clergy to be exploring with patients and families. We have the experience and the breadth of vision to be able to enter into conversations of faith with people of all faiths and no faith, and to guide them to a deeper understanding of their own experience as it relates to what they believe in.

This question of deeper understanding and meaning is what lifts us to use theological questions and language. It is driving my impulse to go more deeply than the merely spiritual.

Again, I invite your comments and I thank the editor and staff of PlainViews for serving as a forum for this conversation.


The Reverend Stephen R. Harding, S.T.M., BCC, is an Episcopal Priest currently serving as the Interim Director of Pastoral Care for NYU Medical Center in New York City, a HealthCare Chaplaincy partner.

Do you have thoughts about advocacy you’d like to share with your colleagues? Send an e-mail to info@PlainViews.org.



8/3/2005 Vol. 2, No. 13 - Chaplain Richard Lopez: pastoral care as a budget line item
7/20/2005 Vol. 2, No. 12 - Chaplain Edward Williamson: an acceptable weekly workload
7/6/2005 Vol. 2, No. 11 - The Rev. Steve Rice: proposed reforms for Spiritual Care
6/15/2005 Vol. 2, No. 10 - The Rev. Stephen R. Harding: moving away from ‘spirituality’
6/1/2005 Vol. 2, No. 9 - Rabbi Nathan Goldberg: the next great frontier of chaplaincy
5/18/2005 Vol. 2, No. 8 - The Rev. Susan Wintz: a different way to look at JCAHO
5/4/2005 Vol. 2, No. 7 - The Rev. Carl Aiken: cousins –one relative's view
4/20/2005 Vol. 2, No. 6 - The Rev. A. Meigs Ross: promoting diversity in the supervisory ranks of CPE
4/6/2005 Vol. 2, No. 5 - The Rev. Dr. Walter J. Smith, S.J. : identity and ongoing efforts to trust each other
3/16/2005 Vol. 2, No. 4 - The Rev. Earl Johnson: chaplaincy in disaster –how we prepare ourselves
3/2/2005 Vol. 2, No. 3 - The Rev. John D. Emmart: seeing the sameness in each other
2/16/2005 Vol. 2, No. 2 - Chaplain Jim Rowland:  a Professional Effort Toward the Process at Life's End
2/2/2005 Vol. 2, No. 1 - The Rev. Yoke-Lye Lim: Being Pastoral Caregivers for Our Global Neighbors
1/19/2005 Vol. 1, No. 24 - The Rev. Martha R. Jacobs: Advocating for the Staff
1/5/2005 Vol. 1, No. 23 - The Rev. Margaret Crowl: Breaking in a New Boss
12/15/2004 Vol. 1, No. 22 - The Rev. George Handzo: A View from Portland (In Response to Father Joe
Driscoll)
12/1/2004 Vol. 1, No. 21 - The Rev. Dick Cathell & The Rev. Russell Myers: The Role of Advocacy in
Endorsement
11/17/2004 Vol. 1, No. 20 - Chaplain Melvin Ray: Retaining Faith So That You Will Prevail in the End
11/3/2004 Vol. 1, No. 19 - Jamal Ghani: The Importance of Having a Place to Pray
10/20/2004 Vol. 1, No. 18 - Frederick A. Smith, MD: estabishing a pastoral care department at a large
metropolitan hospital
10/6/2004 Vol. 1, No. 17 - Chaplain David Plummer: the bad theology of some clergy
9/16/2004 Vol. 1, No. 16 - The Rev. Joseph J. Driscoll: heeding the signs of the times
9/1/2004 Vol. 1, No. 15 - Withrow, B.S.N. & Craig E. Litz, MD: Chaplains and Institutional Review Boards
8/18/2004 Vol. 1, No. 14 - The Rev. Dr. Eric Smith: Gaining Administrative Support Part II
8/4/2004 Vol. 1, No. 13 - The Rev. Dr. Eric Smith: Gaining Administrative Support Part  I
7/21/2004 Vol. 1, No. 12 - Anne Underwood, M.S., J.D. introduces EthicsWalk, a new PlainViews column
7/7/2004 Vol. 1, No. 11 - Chaplain Gerald Ash on Supporting an Ethical Care Environment
6/16/2004 Vol. 1, No. 10 - The Rev. Russell Myers on Surveys and Outcome-based Pastoral Care
6/2/2004 Vol. 1, No. 9 - The Rev. Lerrill White provides a working definition of advocacy
5/19/2004 Vol. 1, No. 8 - Chaplain David Plummer: Struggles of an Evangelical Chaplain
5/5/2004 Vol. 1, No. 7 - Chaplain Jane Mather continues her discussion of HIPPA and Advocacy
4/21/2004 Vol. 1, No. 6 - Chaplain Jane Mather: HIPAA – Empowering the Patient
4/7/2004 Vol. 1, No. 5 - The Reverend Lerrill White: Clergy and the IRS – A reply
3/17/2004 Vol. 1, No. 4 - The Rev. Lerrill J. White on the clergy housing allowance and IRS status
3/3/2004 Vol. 1, No. 3 - The Rev. Susan Wintz: Education is the best advocate for professional chaplaincy
in healthcare institutions

2/18/2004 Vol. 1, No. 2 - The Rev. Lerrill White, Ph.D.: HIPAA and PIPEDA Privacy Regulations
2/2/2004 Vol. 1, No. 1 - The Rev. Lerrill White, Ph.D.: Opposing viewpoints on federal healthcare funding
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8/17/2005 Vol. 2, No. 14
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Professional Practice
Chaplain Mark La Rocca-Pitts: the dynamic between being and doing
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Advocacy
The Rev. Stephen R. Harding: using our own language
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Education & Research
The Rev. Sue Wintz: asking the right questions
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Spiritual Development
The Rev. Dr. Glenn A. Robitaille: conversations with God
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EthicsWalk
Anne Underwood, MS, JD
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Reviews
Macky Alston reviews Five Masters of Meditation
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