photo: A.Kumm-Hanson, Iceland 2016
From Amy Kumm-Hanson; I thought her words spoke a great deal about the difference between the nature of Chaplaincy and its place in ministry.
Chaplaincy is not a cerebral ministry of long hours spent in a pastor’s study in preparation for preaching. It is holding hands through bed rails and wearing isolation gowns and being willing to literally stand in suffering with God’s beloveds. It is not about translating Hebrew or Greek from ancient texts, but about translating scripture into something now that matters to the mother who is delivering her stillborn child or the son losing his father to cancer.
The theology of the cross is particularly apparent to me in my hospital work. This theology holds that God’s love for all of creation is most clearly seen in the act of dying on the cross. That God did the most human thing of all, which is to die. The theological conviction that shapes my ministry as a chaplain is that God knows what it is to suffer and to die, and there is no place that God is unwilling to go, even death. This is good news for all of us who feel immersed in suffering, our own or that of others.
Read her whole post here.
anyone having flashbacks to their CPE supervisor’s office?
If you Google “CPE” chances are pretty good that it will start autofilling “horror stories” in the search box. It seems like there are much more stories about bad experiences in CPE than good. Perhaps this is just bias toward the negative, but it certainly does seem to be that CPE is not a good experience for many.
If you follow that search you’ll see why. I read stories about supervisors that destroyed boundaries and exercises designed to tear people down in front of their peers. One person even wrote that “Clinical Pastoral Education is nothing more than a systematic ‘weeding out’ of orthodox seminarians through a process of enforced radical leftist indoctrination.” It’s criticized as being unnecessary, unhelpful, “navel-gazing”, pseudo-psychoanalysis. So why is it still required for those entering ministry? Is there something wrong with the program? Are supervisors adequately trained and supervised themselves? Or are seminarians missing the point of CPE entirely? Continue reading
perhaps we need to drag the shirt out again
So I’ve written several times on the topic of board certification for Chaplains, especially regarding APC/BCCI and CPSP. Those weren’t the only players on the certification game, though. There are certification programs through the National Association of Catholic Chaplains and Association of Jewish Chaplains for example, as well as a smattering of other groups and agencies. Some have been around for a while and are well recognized, while others you will probably never hear of unless you look for them. The newest group to organize and enter the board certification mix has caused controversy though. Continue reading
Our humanity, as well as our caring nature, often calls us to be sources of strength and encouragement to those who are in crisis. This is true of Doctors, Chaplains, Nurses – in fact the whole hospice team. We hate to be the ones delivering bad news, especially when we feel like the other needs comfort rather than reality when reality most likely is going to be awful.
F. Perry Wilson, MD, MS
Dr. F. Perry Wilson, in a video report on MedPageToday, reports on a recent study concerning what doctors and surrogates believed a terminal ventilator patient’s chances of survival to be. The study found major discrepancies between doctors and families, and while doctors were often more accurate in their assessment that knowledge was rarely transferred to the families in the study. Families were often too optimistic regarding chances of survival. There were several factors involved in this, including religious belief or hope for a miracle, the need to not “give up”, and even magical thinking (“If I circle 50% it might be true”).
The study and analysis reveal how medical clinicians and supporters, including Chaplains and Social Workers, can reframe “hope” to mean hope in a peaceful death rather than hope for a full recovery.
One piece of the puzzle that was not addressed was that this unwarranted optimism could easily be seen as part of the grieving process for families. While education about realistic expectations is certainly necessary and needed, resistance to this advice in favor of “hope” shouldn’t just be written off. Denial, bargaining and magical thinking are part of the grieving process and may show that they are trying to wrestle with acceptance rather than avoid it.
source: Premier Christian Radio
For those of us in hospice settings, the notion of “quality of life” is very important. There is disagreement however concerning what or who actually gives that life quality. This podcast from the UK program Unbelievable? tackles both sides of the issue of what gives life value. Peter Singer and Susan Blackmore uphold the notion that life has no intrinsic value from a Creator, only from the value one derives from it, while Christian author Richard Weikart takes the opposite view. It’s a very good conversation with both sides taken seriously, and I was especially glad to hear from Peter Singer as his views are often shrouded in controversy. Click on the image above to be taken to the podcast page or click here. I hope you find it insightful.
Share your opinions below!
While at the library a few weeks ago I found this book peeking out at me from among the graphic novels called The Worrier’s Guide to Life. It’s hysterical, because it’s true. The page I included above made me laugh out loud because I’ve had all of these – sometimes several combinations of them – keep me up at night. I showed it to my wife but I don’t think she got it (she’s usually asleep before she hits the pillow anyway). There was so much in that book that worriers and the anxiety-prone people like me to find funny, which is great because it’s good therapy to hold a mirror up to your problems and laugh at them.
I’m a Christian that has struggled with anxiety for many years. It’s something I deal with more or less on a daily basis, but it’s not as debilitating for me as it is for many others. I’ve had a few panic attacks, been on and off medication, gone to counseling, and try to manage more or less on a day to day basis. Regardless of how many ups and downs I have, I know that what I go through is nothing compared to what others do though. Continue reading
Marvel Comics’ cash cow Wolverine has been dead now since 2014. At least until he isn’t dead anymore.
Yes, Wolvie died when his healing factor was turned off and, in an epic fight with a mad scientist, he’s now entombed in the unbreakable metal adamantium. It’s a poetic tragedy in that adamantium was what originally coated his bones and trademark claws making him basically unbreakable. Now the metal is on the outside and Wolverine has suffocated to death.
I’m actually impressed that Marvel has kept him dead this long. He’s died on at least 40 occasions after all. Granted, many of those are in alternate timelines and “What if?” titles, so you can’t really count them. But the 2014 Death of Wolverine story seems to be the first time Wolverine has died and stayed dead. Continue reading
“Merton put it well: avoiding suffering only leads to more suffering. The antidote is described by willingness and acceptance, and Lent is when we practice.”
Source: Thomas Merton, Lent, and the Perils of Avoiding Suffering – PsychedCatholic
The question of the necessity of certification is common today among chaplains, especially those who are already working as a chaplain in the field. During my CPE experience all of us were encouraged to go on to be certified. It was the “gold standard” and would put you ahead of someone who isn’t certified. After completing my four units and having all of the paperwork I needed mostly done (verbatims, theology papers, biography) I didn’t bother getting certified for several years. It just didn’t seem necessary. Continue reading
“I talked with the Diocese and they told me not to sign it.”
This came from the husband of a hospice patient who was actively dying at the time, regarding the POLST or Physician’s Order for Life-Sustaining Treatment. Both were strong Catholics and she was a patient at a Catholic facility. Prior to this discussion I had spoken with their daughter about the POLST as he had some questions about it and advanced directives in general. I had provided some information regarding Catholic views on end of life care and decisions and hoped to follow up this visit. As I talked with him I was taken aback, because in my own understanding the POLST could not only reflect one’s intention to refuse certain care at end-of-life, but also to reinforce that one wanted full measures to be taken to prolong life if that was their wish. It seemed like an overreaction to be told not to sign it at all.
While I was more familiar with other kinds of advance directive (AD) forms I was less acquainted with the POLST, so I decided to look and see what the fuss was about.*** Continue reading