Shame

Late last week I was driving through a busy intersection during rush hour.  A group had planted themselves on all four corners of the intersection with placards graphically depicting the fate of the aborted unborn.  There was no screaming or shouting, just these sickening signs with the words ABORTION IS MURDER! in big letters.

The intended goals I suspect were to try to dissuade those who were considering abortion, to try and sway public opinion by overwhelming the senses with violence, and in some way to “shame” proponents of, practitioners of, and participants in abortion.  I’m sure that these goals were all achieved in some manner or degree.

However, I don’t think that their primary goal – that of saving the unborn – is served well by this strategy.  I don’t know how many women changed their minds by viewing this spectacle, instead I think that it galvanized folks more in their own opinions.

First of all, it affirmed to those who were pro-life that abortion is a grisly evil that should be stopped.  Second, it affirmed to those who were pro-choice that the pro-life side is made of folks who care so much for unborn babies that they will traumatize everyone else, including the children driving by, to get their point across, thus proving how uncaring they are.  Third, it affirmed to everyone who ever had an abortion that they are a despicable, shameful murderer.  “Shame on you!” the signs proclaim, and lo they are ashamed.

That third point struck me.  I’ve thought a lot this past week about shame and self-judgement.  Christians deal a lot in shame.  That shame can be focused outward on sinful society in order to bring it back in line.  Just another tool in the evangelist’s arsenal.  After all, one might say when looking at our culture’s daily diet of Jerry Springer and TMZ, it looks like we could use a heaping helping of shame.

However I also find that many Christians, myself included, overdose on shame.  We’re loaded down with how we should be living our lives, raising our children, studying the Bible, praying, tithing, witnessing, disciplining ourselves, reading, singing and joyful.  And more often than not we are not.  The answer unfortunately comes in the form of harsh and hard self-judgment.  We lash ourselves with our own thoughts and wear our hairshirts on the inside, and lo we are ashamed.

During my CPE classes my personal reflections were usually rebutted to my surprise with a “don’t be judgmental”.  These reflections, I thought, were objective.  I had done a bad job with something and felt bad and wanted to try and do better.  “Don’t be judgmental.”  “Huh?” was my first thought.  I thought I was only reporting reality as it was.  I started to see though that my observations were not simple record of fact but almost always included a therefore I should…

I thought to myself that it wasn’t wrong to do so, to think that I should be trying to improve, to be better, to have done something else.  If I am judgmental, is it wrong to judge myself?  I was confused.

I asked a social worker colleague what she thought the difference was between being objective and being judgmental.  She replied, “objectivity is just the facts.  Being judgmental means putting a value on those facts.”  To say that stealing is taking things that aren’t yours is objective.  To say that stealing is wrong is a judgement.   To say I am a wrong person for stealing is to be judgmental.  “But”, I thought to myself, “stealing is wrong, therefore I should be judged and be judgmental of myself, shouldn’t I?”

I asked, “do you think I’m a judgmental person?”

“Oh no – not at all.  But you totally judge yourself.  Harshly.”

I felt like I had known that the sky was blue, and then one day looked up and actually realized that the sky was blue.

I had felt for a long time that I was hard on myself, but I also felt that I needed to be hard on myself.  The verdict was just and fair, I thought.  But when I turned the lens outward, would I be as harsh on someone else as I am on myself?  The tyranny of the should was finally exposed.  I refuse to extend to myself the grace that I so freely give others.

We’ll see if a healthy should comes out of this anywhere.

Caring and Trust

CPE week 2 came and went so quickly I barely caught it.  However week 2 was much more significant than week 1, as most of us in out group started to share our stories together.  For me, this was a pretty big exercise, as there are parts that I barely tell friends and loved ones about and wouldn’t dare dream of mentioning to folks who were in many ways strangers to me still.  Doing so was quite helpful though, and although not explicit in the story itself I noticed several things during my own telling as well as during the following week. Continue reading

Hope

A recent article in PlainViews asked the question, “How can we as healthcare chaplains help our patients look further down the road with hope?”  This is a significant question, especially in the hospice setting, as so many see terminality as the cessation of hope.  There are still occasions where family members ask us not to mention the disease to the patient, or not to mention hospice at all, as doing so will cause the patient to “lose hope” and die in a pit of despair and sadness.  Sometimes this does happen, but from my experience it is very rare.

It is true that a terminal diagnosis often causes or represents a loss of hope for the patient and the family.  The future that was planned for seems lost.  There can be last grasps at miracles, medical or otherwise, in order to make things as they were before the diagnosis.  It’s not surprising that the loss of hope comes with so much grief.  The question remains of how we can help patients and families look forward “down the road” when the road seems to have run out over a cliff.

In these circumstances, the chaplain can help by reframing what hope is and what is hoped for.  One must first recognize those losses, including lost hope, and find meaning in them.  When the meaning of what was hoped for is understood, it may be possible to find other resources to maintain that meaning, or find new meaning out of the shards of what was lost.  For example, a family has just been told that their aging mother, who always wanted to reach her 101st birthday, probably won’t make it to her 95th.  While recognizing the loss of that goal and the hope associated with it, the chaplain may work to find out what that birthday meant to her and find ways to celebrate than meaning in the here-and-now.

New paths of hope can be forged as well which had never been considered before: the hope that one can die at home, mend a broken fence with a family member, to choose not to endure undesired treatments, to live as one wants rather than as expected.

The loss of hope is not permanent.  The chaplain, through use of active listening and reflection and meaning-making, can assist by offering paths and opportunities which perhaps had not been considered, and by honoring the paths that are taken.

Craziness

Craziness

One thing that you never expect from hospice work is the frantic pace of it.  The concerns of seeing new patients in a timely manner, responding to emergencies and distress calls, visiting ongoing patients regularly, and tending to families when loved ones die are a part of everyday life.   All of these can batter your emotions and sanity on a bad day, leaving you to feel as if the plates just aren’t going to spin anymore.  Couple these concerns with ongoing pressures to increase census, staff support, the filling out and filing of endless forms, not to mention the concerns of the home front and it’s no wonder that individuals in caring professions have high incidences of burnout. Continue reading