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4/6/2005 Vol. 2, No. 5

Professional Practice
 

The Rev. Rose Ann Briotte on practical guidance concerning the spiritual needs of the mentally ill

 

Mental Illness Ministry Guidelines for Clergy

Guidelines For Clergy: Pastoral Care To Persons With A Mental Illness And Their Families is a brochure developed to help pastors who lack experience dealing with serious and persistent mental illnesses as well as the family dynamics linked to coping with brain disorders. It was designed to help spiritual caregivers contemplating ministry to persons with a mental illness overcome any reservations they may have in ministering to their congregation. The brochure encourages faith leaders to seek support from mental health systems already in place in their community. It offers pastors ideas for creating strong relationships with mental health professionals they can turn to for help when faced with situations beyond their level of professional skill.

The idea for this brochure began when a pastor called to request guidance for visiting a mentally ill patient at the family’s request. I was surprised at how fearful and insecure he felt, and agreed to accompany him to the unit. Pastors who have been in ministry for a number of years can remember encountering “difficult people”that they were unsuccessful helping. In those days, mental illness was usually only mentioned with reference to a person who had been shamefully and quietly “put away.”Visibility of mental illness in our churches and the community will continue to increase, however, as medications improve and people find courage to break the silence about their illness.

The spiritual needs of the mentally ill are very real. Those who can not imagine a brain that doesn’t work find it hard to accept the peculiar needs and limitations of someone suffering from a brain disorder. This misunderstanding results in stigma, the reason many still cite for keeping their diagnosis a secret. [1] Open-minded acceptance from churches is not customary but it is an appraisal of value. Author John Swinton writes: "…effective care for people with enduring mental health problems is not an option for the church, but is in fact a fundamental mark of its identity and a vital indication of its continuing faithfulness." [2] Offering ministry to persons with a mental illness can seem harder than other ministries we are familiar with simply because we are overwhelmed by the sheer numbers of stereotypes we are required to modify.

Persons with a mental illness need the one thing congregations with adequate education can offer, relationships with other persons that understand and accept them as they are, limitations and all. All faith leaders and clergy need to have an understanding of mental illness. Families today are more likely to call on pastors for support in dealing with a loved one or call attention to the stigma placed on them by others in the congregation. At the same time they often report that the pastor’s understanding and help were often less than expected. Families need compassionate clergy or faith group leaders who can model tolerance and support for their congregations.

 

[1] Goffman, Erving; (1963) Stigma: Notes on the Management of Spoiled Identity; Simon & Schuster, Inc.*

[2] Swinton, J. (2000). Resurrecting the Person: Friendship and the Care of People with Mental Health Problems. Nashville: Abingdon Press.

 

This brochure can be found at www.MentalHealthMinistries.net under Resources. It may be reproduced, without alterations or additions and as long as it is distributed for free. The address for Rev. Rose Ann Briotte is 615 Goldfinch Ave., Knoxville, TN 37920.

 

*   Some comments from Rev. Briotte about Stigma : Notes on the Management of Spoiled Identity by Erving Goffman

Someone asked “Why does the church, who could do so much, do so little for persons with a mental illness.”This non-religious book explores this reality in society from the earliest origins of Stigma in Greek culture long before Christianity begun to take shape theologically. It is important for those who wonder why after all our advocacy the church still, after over 2000 years, finds ways to shoot their wounded in the foot and at the same time do it with such eloquence. This is sometimes an assigned college text, scholarly, difficult and sometimes boring book to read; however, it becomes eye-opening for those who suffer with mental as well as physical disabilities and for those who support them. One person described the book as being “worth five years of individual psychotherapy”. With professionally trained pastors and chaplains who have knowledge of the Greek influences on Christianity, it is essential reading because of the responsibility we carry in preaching and by example to help our congregations understand the deinstutionalized and stigmatized who are growing in our society in numbers as our neighbors.


Rev. Rose Ann Briotte, M.Div., M.A.R., M.S.S.W., is a United Methodist minister who has been at Lakeshore Mental Health Institute, Knoxville, Tennessee, as a Psychiatric Chaplain for over a decade. Her special interest is “preaching mental illness”to help clergy learn about stigma and become more knowledgeable of mental illness through the use of biblical models. She has also served as a Pastor and prior to that was a Church and Community Worker with the United Methodist General Board of Global Ministries. She is a graduate of Vanderbilt Divinity School and is a member of the Memphis Annual Conference.

 

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. Dr. Walter J. Smith, S.J., on identity and ongoing efforts to trust each other

Developing Further Professional Friendships

My Jesuit superiors encouraged me 14 years ago to accept the invitation of the trustees of The HealthCare Chaplaincy to lead this multifaith pastoral care, education, and research organization across the threshold of the twenty-first century. To succeed in fulfilling The Chaplaincy’s mandate, two things have been essential. As an organization we had to turn our attention inward and strengthen the core programs, build a faculty to educate a new generation of leaders and researchers for the pastoral care movement, secure the infrastructures and finances, and plan strategically for the future. At the same time, we also had to look outward to build effective partnerships among constituencies in the corporate and philanthropic world, and engage collaboratively with others in the cognate worlds of pastoral care, education, and research, both nationally and internationally.

For the past several years, each of the pastoral care and counseling organizations in North America has consciously or unconsciously turned its attention to similar inward and outward struggles. The very future of the profession of pastoral care has been on the line.

In these recent years we have accomplished some rather important objectives, which naysayers and skeptics might have predicted could never have been achieved. Our histories bear eloquent witness to our preference for “inward-directed”agendas, our penchant for not becoming mired in denominationally-centered issues and our preoccupation with the internal struggles in efforts to define our separate missions, visions, and values. Identity and mission, traditions and purpose are not issues that lend facilely to reconciliation.

In our own denominational pastoral care organizations and in the wider field of professional pastoral care, a perceived need is forcing us to become sojourners. Otherwise, Jews, Catholics and Protestants, along with Muslims, Hindus, Buddhists and other faith traditions might not have found themselves in places like Toronto, Ontario, Nashville, Tennessee, and Portland, Maine trying to find common meaning and purpose and a new way to live together.

Last November, the Roman Catholic Archbishop of Westminster in London, Cardinal Cormac Murphy-O’Connor, spoke about the topic of ecumenical and interfaith dialogue during the past 40 years. [1] His comments could equally be illuminating to our interreligious collaboration as professional chaplains. Cardinal Murphy-O’Connor noted that we are “no longer enemies or indifferent neighbors …(we) meet as brothers, sisters, friends.”

The Cardinal continued: “There is no question that this pilgrimage is in difficulty. In a certain way we can speak of a crisis. I mean ‘crisis’in the sense of the original Greek—when things are hanging in the balance, on a knife-edge. This state can be either positive or negative; both are possible. A crisis is a situation in which old ways come to an end but there is room for new possibilities. The crisis presents itself as a challenge and a time for decision.”

Cardinal Murphy-O’Connor reasons that the crisis of the ecumenical movement is paradoxically the result of its success. The Cardinal noted that: “The closer we come to one another the more painful is the separation. . .we are hurt by what still separates us and hinders us…and we are increasingly dissatisfied with the status quo.”

Especially poignant for me were his remarks that: “The closer we come together, the more important questions of identity become. Every denominational group wishes to have its own identity and not be absorbed in a faceless, bigger whole.”

For me this is the heart of the matter. The professionalization of chaplaincy in North America is inextricably yoked to our ability to sustain and develop further the friendships we have made with each other and the degree to which we shall succeed in our ongoing efforts of trusting each other.

We have gotten so much closer in our debates and discussions, in our conjoint meetings and assemblies, in our day-to-day collaboration in the work of pastoral care, education, and research. But as Cardinal Murphy-O’Connor noted, as we get closer, the issues of our identities become more delineated, and the fears of assimilation more pronounced.

The pastoral care movement in North America is at a moment of choice. We have embarked together on a journey, and many of us share anxieties about where we are going and how it will end.

Regardless of the choices we shall make, we all know that this is a critical time for choosing, and intuitively we know that the choices we elect to make will shape the outcome.

 

[1] Address given by Cardinal Cormac Murphy-O’Connor to the Churches Together in England forum on 6 November 2004, reflecting on 40 years of ecumenical growth since the Vatican Council’s decree on ecumenism was promulgated.

 


The Rev. Dr. Walter J. Smith, S.J., has served as the president & CEO of The HealthCare Chaplaincy since 1991. His academic formation includes earned master’s degrees in philosophy, theology, French language and literature, counseling psychology, and a doctorate in clinical psychology from Boston University. Father Smith entered the Society of Jesus (the Jesuits) in 1962, and was ordained a priest in 1972. As clinician and researcher, he is a recognized specialist in clinical thanatology and has published numerous scholarly articles and two books in his field. He has lectured nationally and internationally and is considered a leading authority on the psychological and spiritual care of the dying.

 

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 Jim Rowland on a methodology for assessing ontological crisis

Recovering Meaning and Restoring Hope

Hope is restored through the recovery of meanings and/or functional narratives within the individual ontology of persons. In 1954, Paul Tillich defined what some call the core beliefs and others call a world view of an individual, as ontology, [1] which is composed of an individual’s narratives [2] pertaining to philosophical, spiritual, and psycho-sociological issues within human existence. These narratives are a combination of mystical