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9/7/2005 Vol. 2, No. 15

Professional Practice
 

Gordon J. Hilsman on love-life pain

Seven Love-Life Spiritual Needs and Hoped-for Outcomes

“Love-life pain”has recently been included on the list of chaplain functions being studied in the Franciscan Health System’s (Tacoma WA) Department of Pastoral Care. It refers to a person’s hurting inside due to the natural inclination to achieve a lasting, pleasure-sharing partnership. Its place on the list acknowledges that a person’s romantic love life, gay or straight, is a spiritual arena all its own.

Love-Life Spiritual Needs

The traumatic relational events that occur in this arena–rape, incest, pedophilia, and domestic violence–are well recognized. Treatment for them may be expected to include spiritual wound components that can be assisted by skilled spiritual caregivers as treatment team members.

In addition however, lesser love-life pains need recognition and care from chaplains. If spiritual care is colloquially described as assistance with whatever eats at spirit and soul powerfully enough to affect one’s life happiness and healing, then a host of other situations of spiritual need deserve notice and care from ministers in general, and institutional chaplains in particular. Some less tragic, and yet painful spiritual needs frequently recognized as part of a spiritual assessment, including staff care, include:

1. Crisis Care –Listening to, notifying and facilitating connection of a crisis patient with his/her lover.
First on the mind of people on the “bad day”of a crisis event, is the whereabouts, condition and availability of spouse or “significant other.”The positive difference an available current lover can have on a crisis patient is enormous.

2. Partner Care –Support needs of a patient’s love partner. Not only do lovers contribute to the support of patients, but the lovers themselves benefit from spiritual care.

3. Prior Grief Work –Facilitating reminiscence of a widow (male or female) or bereft lover. Whether weeks, months or years after the loss, the grief experience of “lover-loss”requires a particular chaplaincy skill that helps heal the wound.

4. “Broken Heart” –Feeling the spiritual/emotional hurt of relationship breakup. Beginning to manifest the heart wrenching deterioration of a relationship to an available empathetic ear can be the beginning of addressing it more profitably in individual or marriage counseling. Adolescent suicide attempts following romantic breakups are well documented.

5. Guidance –Advice for finding success and overcoming obstacles to the flourishing of romantic love.
The vulnerability of hospitalization for any reason can precipitate openness to, and seeking of, advice from a chaplain as a person perceived to have wisdom in the romantic loving aspect of life.

6. Romantic Loneliness –Yearning for soul connection with a cherished lover one has yet to meet.
Whether a person is actively seeking romantic involvement, passively yearning for it to come along, regretting mistakes in romantic failures, or simply keeping an openness to romance if it arrives, their unwanted aloneness can be deadly in depressive moods and suicidal inclinations.

7. Bliss Sharing –Talking with energy about the wonders of being in love. When love is really “clicking”the excitement craves some sharing that enhances the enjoyment and confirms the expanding self-esteem that is commonly promoted by sumptuously being loved.

Chaplain-Defined Outcomes

In the Tacoma system, an attempt at defining outcomes for spiritual care functions addressing love life pain have made use of “brainstorming”by experienced chaplains on what they hope to see happen in such caring attempts. Four outcomes thus far identified for care of the spiritual need of “love-life pain”include that a person:

1. Mentions love relationship displeasure or delight –Verbalizing about the primary relationship in expressive negative, or even positive terms, gives indication of trust quickly building in the pastoral relationship.

2. Expresses emotion –Some level of emotional expression of the pain, anger, regret, and/or worry relative to the state of the relationship, indicates the beginning of sharing at some healing depth.

3. Shares stories –Relating pieces of stories about the ups and downs of the loving relationship is presumed to “double the joy and halve the pain.”

4. Considers referral –When it fits the situation, observing the person considering counseling assistance gives indication that the “help getting”process is proceeding.


Gordon J. Hilsman is an ACPE/NACC Supervisor, He is Manager of CPE at the Franciscan Health System in Tacoma WA and a Board Certified Chaplain in the APC. He currently writes about the spiritual benefits of intimate love and maintains the website www.sermonsfromthebed.com.

 

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

 

 

 

Advocacy
   

The Rev. Martha R. Jacobs on taking a close look at ourselves

Are You Compassioned Out?

We are approaching the four-year anniversary of the tragedy of 9/11. As I ponder that “anniversary”I have been thinking about all that has occurred over the past few years. There have been a number of highly emotional events in our lives that have affected us. Whether through personal situation, work situation, national or international events, we as chaplains have been influenced by many stressors from both the outside and from inside. And that concerns me.

Some of you may have read the article in the recent issue of Chaplaincy Today that I wrote entitled, “The Unquiet Soul.”[1] This article was actually a speech that I gave less than a year ago. The article touches on the fact that I had overloaded myself with hospital work and volunteering at Ground Zero. I realized that a part of my soul had died and needed to be revived. I was busy using my energy to protect me from the dangers that might befall New York City at any moment. Instead of speaking out against injustices, I was quietly holding myself together hoping that there would not be a repeat of 9/11 but at the same time being “ready”if there was.

I also realized that the questions we get asked as chaplains from time to time were really bothering me because I did not have the answers. I could not respond to “Why did God do this?”or “Why did God allow this to happen?”. As a chaplain I was taught not to justify or defend God. I usually can just let those questions go, but in the years following 9/11, I found it harder and harder. I then realized that I started asking those same questions. I had no answers, not even for myself. Then, the Rev. Richard Sparrow, a friend and colleague who works for the United Church of Christ’s Parish Life and Leadership Ministry, sent me an article that helped me begin to put this into perspective. It is entitled, “The sturdy, reliant, self-destructing pastor.”[2] While it was written from the perspective of church pastors, there were many similarities.

As chaplains we know that we are serving the One in whom we believe. We have been endorsed by our faith group and so have the stamp of approval of our denomination to do the work we do. We face life and death every day through our work with patients and families. We have found ways, as individual as we are, to handle the pain that we see, feel and even touch. And yet, as I have come to realize and deal with my own pain around 9/11 and the lives and memories of those whom I served in the hospital for so many years, I wonder how my colleagues are doing. I wonder how the readers of PlainViews are dealing with their pain and sadness.

My colleagues in other parts of the world have dealt with much more terrorism and natural disasters than I have. They have seen death on a level that I can only begin to imagine. And so I wonder how my colleagues are doing in other parts of the world.

While I do not believe in being self-indulgent, I do believe that we need to advocate for ourselves to ensure that we remain healthy…or get healthy. We deserve it…and so do our families…and so do our patients. Don’t wait until you feel no compassion, have little or no patience, start questioning your call to serve. Take the time now to take care of yourself. Do a self-evaluation –ask yourself those tough questions that will help you determine whether you have really been able to let go of the pains and the hurts and the fears and the grief that you have witnessed and perhaps felt. Give yourself the time to heal and to gain a clearer perspective on your work. The difference that you will feel as your soul starts to revive will be remarkable and you will serve others, yourself and God in a whole new way.

 

[1] Jacobs, Martha R. “The Unquiet Soul,”Chaplaincy Today, Vol. 21, No. 1 (Spring/Summer) 2005, 33-36.

[2] Guess, Ben. “The sturdy, reliant, self-destructing pastor,”United Church News, February 2005. (Available at http://www.ucc.org/ucnews/feb05/pastor.htm)


In addition to her role as Managing Editor of PlainViews, the Rev. Martha R. Jacobs is the associate director of outreach and community-based programs at HealthCare Chaplaincy. An ordained minister of The United Church of Christ, she is an adjunct professor at New York Theological Seminary and serves as the chair of the Ordination Committee of The Riverside Church. For eight years Martha served as chaplain for HealthCare Chaplaincy at New York United Hospital Medical Center, Port Chester, NY. She received an M.Div. from New York Theological Seminary where she is currently pursing a doctorate degree (ABD), exploring the attitudes of UCC clergy around death and dying issues. She is a member of the American Association of Pastoral Counselors, sits on the Quality Commission of the APC,and is the president of the United Church of Christ Professional Chaplains and Counselors.

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

 

Education & Research
   

 

Chaplain Judith Seicho Fleischman on music as transformational prayer

Going Forth

Earlier this summer, I was privileged to offer pastoral care at a long-term healthcare facility on the verge of closing its doors permanently. I had trained there for eight months but left the facility in the spring when the Pastoral Care Department was closed. I was invited to return three days prior to the closing date to help the staff and a handful of remaining residents cope.

The situation was riddled with conflict energy, and strong emotion. The staffs of the various departments were paralyzed by their impending loss with no effective ways to engage feelings and meaning. The community appeared fractured to me. People who had worked side by side for over thirty years now faced feelings of rage and disappointment, which led to a great sense of isolation, distrust, and marginalization. I wanted to offer a service that was inclusive and co-creative.

We began by singing, “Kumbaya,”which means “Come by here.”Everyone joined in. I then offered a spontaneous prayer, which set the theme of “Going Forth.”

Next, I invited people to share stories that connected to the meaning of having served in this facility. This was met largely with silence. The process of “naming and claiming”the grief was stalled somehow. I realized that people did not feel safe and perhaps their pain was too great to be engaged directly.

I turned again to music, lifting up a tambourine, whose surface was decorated with a healing prayer and a painting of many hands encircling a rose blossom. I said, “Sometimes, words are insufficient. Sometimes, the pain is so great that it needs to be expressed in another way. Sometimes, all we can do is play what is in our hearts.”I then let my hand fall forcefully on the tambourine. A loud and sharp sound reverberated throughout the room. People jolted in their seats. I called attention to the hands painted on the instrument.

I invited each person to play the tambourine and then pass it on. With tears in her eyes, a senior administrator shook the tambourine. She then smiled gently towards the director of nursing and handed her the tambourine. The director shook it as well in her own unique way.

Their leadership served its purpose. Soon, that tambourine was passed throughout the group and played by everyone. We began to sing. For me, this became a transformative form of prayer. As each prayer was expressed and witnessed by the assembled community, healing occurred throughout the room.

The CPE training I received was essential for understanding and skillfully responding to all that was happening that day. My pastoral formation offered me both the structure and the flexibility I needed to continually assess and refine my approach. In particular, I was able to utilize spontaneous prayer as a way to lift up the meaning of the journey for those assembled.

As a chaplain, I am keenly aware that this is what we offer. We open doors. We invite those in need to walk through. Perhaps most poignantly, we let go of any attachment to the outcome. In doing so that day, I connected with the greatest meaning for me: to embody and exchange kindness.


A recent graduate of HealthCare Chaplaincy’s Pastoral Residency program in New York City, Chaplain Judith Seicho Fleischman is co-coordinator of the Buddhist Peace Fellowship, New York Chapter and Social Action Chair of the Village Zendo in New York City. Chaplain Fleischman is also an active member at Congregation Rodeph Sholom.


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. Charles J. Lopez, Jr. on words of gentleness and forgiveness

The Bronze Boot

I will always remember the “bronze boot.”Physicians, nurses, social workers, chaplains, and home health aids are at one time or another affected by the people they visit. Some people make lasting impressions. From a chaplain’s perspective, Harry made an impression on me. I will always think of forgiveness and the bronze boot when I think of Harry.

Harry received the bronze boot for his many years of service with the United States Army. He proudly displayed the bronze boot and other military honors in the room where he eventually died. Anyone who visited heard about the bronze boot. Harry loved this country and served the United States of America with dignity, pride and honor.

Whenever I visited, Harry remembered his military time in Italy during World War II. Harry was wounded and spent some time recovering in a military hospital in Europe. Tears came to Harry’s eyes as he shared a story about asking for a chaplain. One day a chaplain was making rounds and stopped near Harry’s bed. What Harry shared next was hard to imagine during war time. Harry requested that the chaplain pray with him and he asked for his favorite psalm to be read –Psalm 23.

The chaplain responded by saying that Harry needed to ask for “his own kind of chaplain.”You see, Harry, was African American and the chaplain was white. The military still had segregated troops during World War II. Tears came to Harry’s eyes even now as I listened to his story. What Harry said next was even more amazing and revealing of Harry’s character, “You know I forgave that chaplain for saying those hurtful words.”I started to cry and thanked Harry for sharing. Harry had touched me with words of gentleness and forgiveness.

Harry asked me to be at his memorial service. I remember sharing these words with the family at Inglewood Cemetery, “…love the Lord your God with all your heart, and with all your soul, and with all your strength, and with all your mind; and love your neighbor as yourself.”Harry not only loved God, Harry loved his neighbors as well.

Harry’s children loved their father and recognized the strength he shared with them to live in this world filled with people of color, diversity and prejudice. Thanks be to God for Harry and all people of this world who practice forgiveness.


The Rev. Charles J. Lopez, Jr, PhD. was raised in Chicago. He has been in ministry for 30 years: 27 years as Lutheran (ELCA) parish pastor in NJ, PA, and CA; pastoral psychotherapist; 3 years as hospice chaplain; Ecumenical Ministry Team with the Pacifica Synod/ELCA; completing certificate in spiritual direction from the Sisters of St. Joseph, Orange, CA & Loyola Marymount University, Los Angeles; member of: Interim Ministry Network (IMN), Association for Death Education & Counseling (ADEC), Association of Professional Chaplains (APC), and Academy of Parish Clergy (APC). Listed in Who’s Who in Religion. Charlie loves baseball, basketball, bicycling, traveling and classical music. He lives in Anaheim, California with his wife, Nancy.


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.


Conscience Clauses: Who Benefits?

Pharmacist Neil Rosen’s assertion that conscience forbids his filling birth control prescriptions or transferring them to another pharmacist has provoked national debate and a flurry of legislation concerning “conscience clauses.”[1]

What ethical values and moral dilemmas are implicated in the conscience clause debate? Can spiritual care providers’experiences inform the discussion in hospitals or state legislatures?

Frequently conscience clauses are triggered by reproductive rights issues. For example: a hypertensive, diabetic 45-year-old Jewish woman seeks to abort a ten week pregnancy. Her GYN confirms its medical desirability but neither he nor the local hospital provide abortions citing their religious objections. The nearest clinic is 250 miles. There is no public transportation, the patient has no one in whom she is comfortable confiding and is medically prohibited from driving.

Four fundamental ethical values are implicated: autonomy, nonmaleficence, beneficence, and distributive justice. Depending on interpretation, each value conflicts with the religious freedom, guaranteed by the United States constitution, [2] of either provider or patient. Conflicting values create ethical dilemmas. However, conscience clause debates are often less conflicts between values than conflicts of values interpretation and application.

The woman is competent with capacity to choose. She chooses a legal procedure which is unavailable because of personal conscience objections by her providers. Advocates for the woman would argue that respecting her autonomy requires providing her the legal, medically indicated procedure she chooses. Distributive justice calls for access to skilled professionals in a safe environment convenient to her. Her religion places a premium on saving the life in front of one (hers in this case); the denial interferes with her exercise of religious freedom.

Advocates for the health care providers would argue that requiring participation offends their decision making autonomy and violates their religious freedom. For them, abortion is an act of malficence which abrogates any possibility of beneficence to the fetus.

Reasonable people make both arguments.

The first EthicsWalk column (7/04) suggested that for care providers, the first ethical question is, “What should I do in relation to the patient’s rights and/or well being?”The focus when applying ethical principles to the patient’s situation is the patient’s perspective. If the patient’s choices are legal and within good practice standards, the patient’s perspective prevails over the professional’s. [3] From the woman’s perspective, an abortion is the beneficent act.

Spiritual care providers minister daily to people whose religious convictions and moral interpretations differ from their own. Their expertise respectfully navigating the religious traditions of others while remaining grounded in their own, is embodied in a new Common Code of Ethics for Spiritual Care Professionals. [4] It sheds light on how they reconcile situations when interpretations of moral values collide. Pertinent standards confirm that they:

1.3 Demonstrate respect for the cultural and religious values of those they serve and refrain from imposing their own values and beliefs on those served.

1.4 Are mindful of the imbalance of power in the professional/client relationship and refrain from exploitation of that imbalance.

4.5 Seek advice and counsel of other professionals whenever it is in the best interest of those being served and make referrals when appropriate.

Spiritual care providers could help medical colleagues adapt these standards to diverse interpretations of ethical principles and diminish the conscience clause clamor.

Do you agree that as a spiritual care provider you must abide by the code of ethics that has been adopted by the six major cognate groups? What might be situations where your conscience would cause you to opt for a different standard of practice than the code endorses?

[1] Conscience clauses are enacted by state or federal legislation to allow entities or individuals, without penalty, to deny funds or services for medical procedures contrary to the provider’s moral or religious beliefs.
[2] The First Amendment reads, Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof… Federal and/or state monies (through the Fourteenth Amendment) import constitutional standards to virtually all health care entities.
[3] Some argue that abrogating a provider’s option to deny a procedure on his or her moral grounds is the slippery slope to Nazi medical atrocities. In the latter case, practices violating providers’consciences were forced as the will of “the state.”In the present example, the legal procedure, medically indicated, is the informed choice of the patient.
[4] The constituent boards of six organizations of spiritual care professionals affirmed this document in November 2004. More information is available at www.professionalchaplains.org.


Anne Underwood has an undergraduate degree in religious studies, a master’s degree in rural sociology and a mid-life law degree obtained after working over a decade as a college administrator. She has mediated for the Maine family courts since 1983. Currently she serves as an advisor to the ethics commissions of ACPE, APC, the CCAR (Central Conference of American Rabbis), and NAJC, and consults with a variety of Protestant faith communities on issues of power, fair process, and congregational conflict management. Her articles on mediation and restorative justice have appeared in the ACPE News, The APC News and on the ACPE web site. Articles on clergy accountability and judicatory processes are published by the Alban Institute and The Journal on Religion and Abuse. A chapter, “Clergy Sexual Misconduct: A Justice Issue,” appears in Body and Soul: Rethinking Sexuality as Justice-Love, Marvin Ellison and Sylvia Thorson-Smith, editors, The Pilgrim Press, 2003.

 


Reviews

Macky Alston reviews the film

A Time for Burning

This Academy Award-winning 1966 documentary follows a white, middle-class church in Omaha, Nebraska, struggling to reach out to the African American population in that city.

A Time for Burning explores the complex emotions arising from the Church’s effort to break down racial barriers, as congregants and the pastor of Augustana Lutheran Church wrestle with conflicting ideas about how and when to proceed. Some eagerly seek to cross the racial divide while others view the challenge with trepidation. Still others think the time is not right. Tension within the church walls builds to a wrenching conclusion that articulates the hurdles that we continue to face in this country in how to bridge critical divides and actualize the ethic of equality for all.

This groundbreaking film was used by the Harvard Business School as a case study for examining patterns of social change and chaplains will find A Time for Burning a riveting and very useful tool to mark how far this country has come over four decades and how far it has yet to go.


Macky Alston is the director of Auburn Media, a division of the Center for Multifaith Education at Auburn Theological Seminary committed to supporting, cultivating and promoting powerful, engaging, balanced and responsible media on religion, spirituality and ethics. He is a graduate of Union Theological Seminary and an award-winning documentary filmmaker.

Completed: 1966
Running Time: 58 Minutes
Director: William Jersey
Executive Director: Robert E. A. Lee

If you are interested in purchasing this film, you can do so at www.hartleyfoundation.org. Just click on “Masterworks”on the homepage. The cost is $19.99/VHS.

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

 

 

 

 



spacer 9/7/2005 Vol. 2, No. 15
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Professional Practice
Gordon J. Hilsman: love-life pain
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Advocacy
The Rev. Martha R. Jacobs: taking a close look at ourselves
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Education & Research
Chaplain Judith Seicho Fleischman: music as transformational prayer
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Spiritual Development
The Rev. Charles J. Lopez, Jr.: words of gentleness and forgiveness
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EthicsWalk
Anne Underwood, MS, JD: conscience clauses: who benefits?
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spacerReviews
Macky Alston reviews Time for Burning
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