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11/3/2004 Vol. 1, No. 19

Professional Practice
 

Chaplain William G. Kalaidjian on the power of singing

Is This All There Is?

In January of 2004, I was assigned wards IE and ID, the Spinal Cord Units of the Bronx Veteran Administration Medical Center on Kingsbridge Road in Bronx County, New York City.

The two wards have a population of approximately 55 patients. The majority of the patients are confined to their beds. While visiting the patients, one of them asked me, as their new Spinal Cord Chaplain, “Hey, Chaplain, we’re here in bed, we get a shower or go for a brief swim, and it’s back to bed. Is this all there is?”The question really tormented me and when I went to bed that night I asked myself, what if I were a spinal cord patient? How would I meet such a challenge? It dawned on me: the patients could sing. I took a survey —the memo stated, “You do not have to be a Bing Crosby or a Frank Sinatra to join in the forming of a Wheelchair Chorus. Come meet your chaplain next Monday at 3pm in the IE Ward Recreation Room. Volunteer David Thomas will play the piano or keyboard. Your Chaplain, a Navy veteran, will bring the songs in booklet form, with easy-to-turn pages, and songs easy to sing."

To my delight, 16 veteran patients showed up for the first rehearsal. I mentioned that I had a dream that we could one day perform for the Bronx Rotary Club at a luncheon meeting. May 18th we did it. A bus provided by E.P.V.A., four cars, and a police escort left the Bronx VA for the Harbor Restaurant on City Island. Memorial Day we sang at our chapel’s Memorial Day ceremony. June 14th, Flag Day U.S.A., we sang a patriotic concert that was well received.

The Spinal Cord doctors say the cloud of depression has lifted from the two wards. The chorus members have told me they feel they breathe better since they have been in the chorus. The full-time chaplains tell me there are more wheelchairs coming to Chapel on Sundays. I write this message in answer to the question asked of me, “Is this all there is?”With a wheelchair chorus, there is more. More joy, more fellowship, more purpose in living, and more circumstances to live for, prepare for, and experience.


The Rev. William G. Kalaidjian is a graduate of Nyack Public Schools, a veteran, US Navy, WWII, Aerologist 3/c on staff of Admiral Rosenthal, Lakehurst, NJ. He graduated from Adelphi College in 1950 with a BA in Sociology and from Union Theological Seminary in May 1953 with a B.D. and M.Div., majoring in church and community. He was ordained a Congregational Minister (now UCC) in May 1953 and installed as pastor of The Bedford Park Congregational Church, where he served for 43 years. He was sworn in as a Protestant Police Chaplain in April of 1957 and served the police department for 41 years. Bill became an intermittent chaplain at the Bronx VA Medical Center in July of 1976 and part-time staff one year later. He is presently in his 30th year of service to the U.S. Government. Bill is the chaplain for two wards of spiral cord patients as well as being the organizer and founder of the Bronx VAMC Wheelchair Chorus.

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

 

Advocacy
   

Jamal Ghani on the importance of having a place to pray

Clinical Care With Prayers

Editor’s Note: In the last issue of PlainViews, Dr. Frederick Smith wrote about the benefit to a hospital in "increased appreciation from patients, families and community, and in improved morale for clinicians whom trained chaplains have helped to fill in that too-often-missing wedge in the circle of healing." In this issue, an employee of North Shore writes about how he has been helped by the presence of a Pastoral Care Department.

Every time a patient is admitted to a hospital, a loved-one prays for the welfare of that patient and pray for the patient’s speedy recovery. Hospitals across the nation admit patients regardless of race, color or religion. It becomes more challenging for loved ones of the patient admitted to find a place of comfort where they can pray in privacy and, at the same time, be able to find the appropriate prayer books to help them with the praying process. Many times, a patient and the loved ones by their bedside feel helpless and in need of spiritual help. No matter how good the doctor or nursing staff, one always prays for the quick recovery of a loved one.

Psychologically as well, praying brings peace to the patient, as well as to the family members. At North Shore University Hospital, Pastoral Care Services are busy on a daily basis fulfilling the requests of patients and their-love ones. One of the ways of fulfilling this commitment is by maintaining a “meditation room”within the hospital premises for prayer. Regardless of one’s religious beliefs, a family member can spend some peaceful time meditating or simply praying for the recovery of their love ones. Aside from maintaining the praying room, the chaplains make regular visits to the patients and family members.

The department has been an advocate for the community constituencies that the hospital serves. One example was in identifying the need for a Sabbath Elevator.* The chaplains also participated in a work group with nursing staff that developed a learning module to address specific religious and spiritual needs of maternity patients. Specific foods, separation of the genders, modesty and other cultural needs were also addressed. The chaplains made the case to Administration for a Sabbath Elevator. The response from the community has been overwhelmingly positive.

There is a teaching opportunity when the chaplains orient new staff and describe their role as removing obstacles that may prevent patients and family members (even staff) from accessing their spiritual resources and practices when entering the hospital.

Additionally, in a very innovative way, North Shore’s Pastoral Care Services reach out to link employees within the hospital as well. In a very proactive way, they recognized the needs for the staff during the month of Ramadan (when Muslims fast from sunrise to sunset). Pastoral Care together with Nutritional Services arranged for basic beverages to ensure that the Muslim medical residents, doctors, visitors as well as other staff members were able to open their fast on time and have a place to pray in a group.

Pastoral Care Services at North Shore has extended their hands proactively to support not only patients and their family but also hospital employees regardless of race, color or religious affiliation. A moment of peace in a prayer just itself can heal numerous wounds. North Shore’s Pastoral Care Services is making sure they are part of this healing process!

* A Sabbath elevator automatically stops at every patient floor. This permits Jews who do not travel or operate machinery on the Sabbath to visit with loved ones or to perform the act of visiting the sick.


Jamal Ghani currently serves as an Administrative Director of Supply Chain Management/Materials Management at North Shore University Hospital in Manhasset, New York. Before coming to North Shore, Mr. Ghani was CEO of Xplica, Inc., a technology company. Prior to Xplica, Mr. Ghani was the founding member of OnlineCare.com, which merged with Xplica. Before his for-profit ventures, Mr. Ghani served as a Director of New Business Development and Venture Investments at Catholic Healthcare West in San Francisco. Mr. Ghani holds an undergraduate degree in Computer Information Systems, Master of Business Administration with emphasis in Financial Management, and Master of Healthcare Administration from University of Minnesota.

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

 

Education & Research
   

 

The Rev. John Lentz on hypnotic CDs for assisting in ministry

Forgiveness Through Hypnotic CDs

As a prison chaplain, I saw many people who had a difficult time feeling forgiven. Most clergy know how hard it is to convey the idea of forgiveness. Simply saying, “You are forgiven,”doesn’t necessarily give someone the real feeling, even though they may have the thought in mind.

I also saw many people in my private counseling practice that were not able to feel forgiven, no matter what they knew in their heads. Desperately wanting to find ways that would help give people relief, I searched for answers. Some of those came through experience and some came from the work of Milton Erickson M.D. His style of experiential clinical approaches came from a perspective that saw even dysfunctional behaviors as attempts to solve real problems, even if they didn’t do so effectively.

I worked with many people who did not want to dredge up the past; they wanted to believe they had left behind feelings about an abortion, promiscuity, the time they were raped or molested, etc., even though their current behaviors said otherwise.

Throughout Judeo-Christian scriptures, I found examples of how forgiveness was powerfully healing in restoring a person to making good choices for their life.  I decided to create a CD that would help people to experience the healing aspects of forgiveness. I made a hypnotic tape for a man with much sexual shame. I found that the tape really helped him when his regular psychotherapy didn’t.

Using a hypnotic approach made this task more achievable. I used reframing, guided imagery, implied meanings, symbolic suggestions, associational meanings and symbolic imagery as well as intellectual arguments that are scripturally-consistent and accurate, whether the person is in a trance while listening or not. However, I used an induced trance state to magnify the results of the linguistic tools.

The result has been very powerful and effective with my clients. The best proof is in their changed behaviors. The self-destructive behaviors of people struggling with not feeling forgiven stopped showing up, and in their place were life-enhancing decisions, decisions that have brought about more of a sense of self-worth and dignity.

At about the same time that I began implementing my homemade CDs with my clients, I met a man who could edit and create professional CDs. He wanted to assist in a ministry, and so we teamed up to produce a series of CDs for a variety of issues. The Feeling Forgiveness CD was our first and has had much success.

Creating a company http://www.healingwordspress.org/ to publish and distribute the products, we put all the money we make back into producing more materials, so that more people can be helped. Designed to assist the work of clergy and therapists helping people overcome personal difficulties, we have created CDs for dealing with migraine headaches, anger, financial difficulties, criticism, loneliness, management of chronic pain, as well as one for chronic illnesses that are worsened by stress.

I have found this therapy very helpful for my clients and welcome the opportunity to discuss it with anyone who has an interest in this type of pastoral work. It does make a difference.


Dr. John D. Lentz served as the Chaplain Chief for KCIW for over 22 years and for 18 of those also served as an adjunct professor at the Louisville Presbyterian Theological Seminary. He is a fellow in AAPC, an approved supervisor in AAMFT (American Association of Marriage and Family Therapy) and approved consultant with ASCH (American Society of Clinical Hypnosis). He is the author of Effective Handling of Manipulative Behavior, How the Word Heals, and Therapeutic Meditations. He has presented at national and international conferences on a variety of professional topics. Currently he is the director of The Ericksonian Institute of Jeffersonville, IN, where he practices and teaches Hypnosis along with marriage and family therapy. In December of 2004 he will be presenting a new technique he developed for treating Anxiety Disorders at the 9th Ericksonian Congress in Phoenix AZ.

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

Spiritual Development
   

The Rev. Phil Pinckard on organ donation —a miracle out of a tragedy

Everlasting Hope

I‘ll always remember the 20th of the month. On May 20, 2002, at 2:13 pm, my pager vibrated. When I called the high school principal’s office, my wife, Jodie, answered. She told me that our son, Mark, had been involved in an accident and was being transported by ambulance to the medical center where I work. I hurried down to the emergency room to meet her. We stood near the driveway as the city ambulance pulled up. Students, teachers, friends, co-workers and ministerial friends were gathering to support and pray for us. The 3/4 ton GMC Suburban that our son Mark was driving had been struck by an 18-wheel tractor-trailer rig hauling a load of lumber. The driver was unable to avoid hitting Mark's vehicle.

We waited anxiously for news of Mark’s condition. Initially, his injuries included a broken left arm and collarbone, a fractured jaw and a bruised left lung. Routine diagnostic tests were clear, but as he was being settled into the ICU for observation, something changed. His pupils became uneven and unresponsive. During a second 'stat' CT, Mark’s heart stopped once and had to be shocked back into proper rhythm. This second CT showed that an artery had ruptured between the skull and the brain, filling the area with blood that quickly flooded the brain stem. Mark was gone.

When Jodie and I received this news from his neurosurgeon, we agreed without hesitation to donate Mark's vital organs, bone, soft tissue and corneas, anything that could be used to help someone else. About two hours after giving consent, we learned that Mark’s French II class had discussed organ/tissue donation about two weeks before graduation. Opinions were mixed; even Mark’s teacher didn’t know whether she could donate her organs. Mark spoke up saying: "If anything were to happen to me, I'd want them to take anything and everything they could use, because where I'm going, I won't need them." God confirmed to us through Mark's own voice that we were honoring his final wishes.

One Wednesday, about two months after Mark’s death, my family met a miracle. A blonde, blue-eyed, active four-year old named Caitlin, who, on May 21, received Mark’s right kidney. When her parents walked into the room, we exchanged hugs. We talked, shared pictures of our families and got acquainted. What a blessing to know that someone’s life has been changed forever through organ donation. I have firm assurance, more now than ever, in the words of the Apostle’s Creed: “I believe in the resurrection of the body.”Resurrection of the body is a future hope for Mark; a present reality for this little girl, who was recently the flower girl for our daughter’s wedding.

Throughout this journey, I’ve felt the deepest sense of sorrow mingled with firm assurance, inexpressible gratitude and everlasting hope. I know the Lord has given me this scripture: “Do not fear, for I have redeemed you; I have called you by name; You are mine! When you pass through the rivers, they will not overflow you. When you walk through the fire, you will not be scorched, Nor will the flame burn you. For I am the Lord your God, the Holy One of Israel, your Savior …”[Isaiah 43:1-3, NAS] Knowing that someone had received life and sight through Mark has comforted and sustained us in our sorrow.

In Robert Fulghum’s book, It Was On Fire When I Lay Down on It, I read this creed:
      I believe that imagination is stronger than knowledge—
      That myth is more potent than history.
      I believe that dreams are more powerful than facts—
      That hope always triumphs over experience—
      That laughter is the only cure for grief.
      And I believe that love is stronger than death.

In the depths of my spirit, God has confirmed everlasting hope. I say with Paul that “I’m absolutely convinced that nothing –nothing living or dead, angelic or demonic, today or tomorrow, high or low, thinkable or unthinkable—absolutely nothing can get between us and God’s love because of the way that Jesus our Master has embraced us.”[Romans 8:39-39, The Message]

A new book has been published about Mark and Caitlin. It is entitled, Now Caitlin Can: a donated organ helps a child by Ramona Wood. It was written from the viewpoint of Caitlin’s brother, Freddie, who was six when Caitlin received Mark's kidney. You can order it from www.justbookz.com.


Since January 1997, Rev. Phil Pinckard has served as Chaplaincy Director for the SHARE Foundation. Ordained as a minister in the Church of The Nazarene, Phil holds a BA from Olivet Nazarene University, Kankakee, IL and earned his M.Div. from the Nazarene Theological Seminary, Kansas City, MO. Before becoming a healthcare chaplain, Phil served Nazarene congregations as pastor and/or associate pastor in five states from 1980 to 1996. He received clinical training at Baptist Memorial Hospital, Kansas City and the University of Arkansas for Medical Sciences (UAMS) Medical Center in Little Rock. He is endorsed by his denomination as a healthcare chaplain. He is also a member of the Association of Professional Chaplains.

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

EthicsWalk

EthicsWalk addresses spiritual care as an ethical enterprise. It explores why relationships between spiritual care providers and those they serve need protection, and examines what that protection entails. PlainViews invites our readers to share their responses to each EthicsWalk column, which will be published in the following issue.

If you’d like to respond to EthicsWalk, please send a comment of no more than 100 words. You can use the e-form below (click on "hearing from you," link) or submit your commentary to the editors in the body of an e-mail (or as a Microsoft Word attachment) sent to Info@PlainViews.org. Please put the phrase “EthicsWalk” in your subject line.

We look forward to hearing from you.


Professional Power: Claim It, Own It!

Ethics codes and work place polices encourage recognition and responsible use of professional power. Religious professionals especially must be ever mindful of power imbalances created by the expectations and realities of ministerial relationships.  Fiduciary duty requires ministers act solely in the best interest of persons in their care.

Fiduciary duty applies to the treatment of another’s financial concerns, private information, employment issues, emotional needs, psychological state, sexual desires, or religious quest.  Professionals who transgress their duty in one area often transgress other areas. Their problem is handling power responsibly.                   

Power does not exist in a vacuum. Power is relational, and in itself, is neither good nor evil, but morally neutral. Most adults possess some degree of personal power, with varying manifestations, in most relationships.

Among adults in family and friendships, there is mutuality of power. Each person’s power, although different, balances that of the other. While people defer to the knowledge, expertise, or skills of friends or family in some aspects of life, those same relatives or friends defer to them in other aspects. There is mutuality of need and reciprocity of response. Power differentials shift within situations but remain overall in balance.

In professional relationships, the balance is upset.  There is, hopefully, “mutuality”of consent to the relationship. But there is not mutuality of access to information about each other: the physician does not bear her chest for the patient to examine; the lawyer does not open his financial records for the client to review. The professional has the “power”of expertise and the “power”of knowing the other person in ways which are not reciprocal.

In addition to real power differential, most people ascribe power to the professional whether or not the professional has actual power in a given encounter. This is particularly true for clergy and other ministers of all faith traditions. Numinosity is the kind of “transcendent,”“connected-to-the-Divine”power ascribed by laity of all faith traditions to their ministers or religious teachers and leaders.

“I don’t feel all powerful.”“I’m an over burdened, multi-tasked employee of a giant health care provider, and anyway, I regard everyone as my equal.”

Ethicist Marie Fortune says the legacy of liberalism is the denial of power and power differentials by those who have it. The person with power earnestly proclaims, “this relationship is based on mutuality, equality.”But who sought whom for guidance? If money is exchanged for services, who is paying and who is being paid? The chaplain is paid for contact with the patient; not the reverse.

Acknowledging power differences inherent in chaplaincy relationships, allows people safely to form and sustain “spiritual bonds,”while being mindful of the here-and-now realities of power imbalance.                

Two ethical questions emerge:

  • How does one recognize, own, value and use wisely one’s power while remaining fully human and non arrogant in a professional relationship?  and,
  • How does one use one’s own needs and abilities to benefit and compliment the needs and abilities of the other?

These questions introduce the issue of “boundaries,”to be discussed in the next EthicsWalk.


Anne Underwood has an undergraduate degree in religious studies, a master’s degree in