Glimmers of the infinite: The tragedy of moral injury

Moral injury is a complex wound of the soul affecting many veterans returning from combat. One dimension of moral injury is the shattering of faith, in which service members invest their all into a cause in hope for ultimate fulfillment, only to be morally disappointed by the gruesome reality of warfare. This article will explore the transcendent values that attract service members to military service, and the shattering of faith that can happen during combat, and then suggest an approach for church members to support veterans as they journey on the path to regaining their faith and healing their soul.     

The Priesthood of No Believer: On the Priesthood of Christ and his Church

This article seeks to begin to rebalance the relative neglect over the past fifty years of the doctrine of the priesthood of all believers, a doctrine which is central to non‐episcopal forms of Protestantism. However, in so doing, the article seeks to offer a corrective to traditional accounts of the doctrine. Critiquing the tendency for the priesthood of all believers to enter discussion in relation to ecclesial polity rather than more fundamental theological concerns, the article advocates that the doctrine of the priesthood of all believers needs to be considered theologically in terms of what it says about the nature of the church, not the polity of the patterns of its ministry. The article traces the evolution of the idea of priesthood through the Levitical priesthood and New Testament to the early church. It then considers the recovery of the idea of priesthood belonging to the whole church at the Reformation; but argues that even here the magisterial Reformers' ecclesial‐political setting determines that they largely treat the priesthood of all believers as a negative doctrine about church order, and, indeed, that the relation of the doctrine of the priesthood of all believers to issues of ecclesial polity and governance continues in contemporary ecclesiological discussion. This is to the detriment of the positive theological content that identifying the church as a priesthood might offer. Thus, the concluding section of this article sketches what positive theological content might be provided in speaking of the church as a priesthood.     

Military Moral Injury: An Evidence-Based and Intercultural Approach to Spiritual Care

How can spiritual care help veterans struggling with military moral injury? An evidence-based, intercultural approach to spiritual care is proposed. Evidence-based care uses research on military moral injury and religious and spiritual struggles to understand when religious and spiritual practices, beliefs, and values are helping or harming veterans. Intercultural spiritual care recognizes the complex, distinctive ways veterans’ values, beliefs, coping, and spiritual practices are shaped by interacting cultural systems, especially military training and cultures. Pastoral theologian Larry Graham’s (Sacred Spaces: The E-Journal of the American Association of Pastoral Counselors 5, 146–171, 2017) writing on moral injury and lamentation is used to develop two spiritual care strategies: sharing anguish and interrogating suffering. Spiritual care begins with lamenting the shared anguish of moral injury using intrinsically meaningful spiritual practices to help veterans compassionately accept the emotions arising from moral injury so intensely felt in their bodies. The second strategy is sharing the lament of interrogating suffering through exploring values, beliefs, and coping arising from moral injury. A literary case study of a young female veteran based on Cara Hoffman’s (2014) novel Be Safe, I Love You illustrates this evidence-based intercultural approach to spiritual care of military moral injury.

     

The Church's Vocation in Society through the Ministry of the Laity in the Languages of Their Daily Lives

Abstract : The vocation of the priesthood of all believers is rooted in the forgiveness of sins. We are freed for ministry. Grounded biblically and by the creeds, when we begin by using the images and vocabulary of daily life we can meet people where they are in their particular human problems, responding with the good news people can then really hear, empowering them for diverse ministries in a world in need.     

Reformation Unfinished: Economy,Inclusivity, Authority

In 2017, churches around the world are organizing different activities to commemorate the 500th anniversary of Martin Luther's 95 Theses. The Reformation was a momentous event in the church and the history of Europe. This article examines three important legacies of the Reformation to look ahead to the future: the church and economic life; the priesthood of all believers; and the authority of the Bible. In many ways, the issues that Luther has raised – such as authority, church structure, priesthood and ministry, biblical interpretation, and the church's relation to economics and social issues – remain to this day and demand the church's critical attention.     

Intercession as Political Ministry: Re‐Interpreting the Priesthood of All Believers

This paper seeks to develop a distinctly civic understanding of ‘the priesthood of all believers’ by highlighting its intercessory character. First, in conversation with Christof Gestrich and Dietrich Bonhoeffer, I will draw out the vicarious and representative dimensions of a priestly ministry that is rooted in Christ's atoning intercession. I will then show how this understanding of the general priesthood opens up interesting opportunities for dialogue with Danielle Allen's account of ‘sacrifice’ as a core democratic practice. Not only will her proposal help me refine my account of Christian priestly existence, but the latter will also amplify some Christological resonances in Allen's proposal.     

Enlarging hope for wholeness: ministry with persons in pain

The author explores the many spiritual ramifications of chronic pain on a person's faith and theology. He suggests that much of contemporary Christian religion, often preoccupied with health and wholeness, may overlook the role chronic pain plays in forming the soul. Making a plea for more cogent ways for the Christian to interrelate a vision of God with the practice of ministry, he expresses the hope that such an enlargement of vision will enhance the sustaining and healing power of pastoral ministry to persons in chronic pain.     

A New Theological Anthropology for Developing Resiliency and Healing from Combat*

Moral injury is a complex wound of the soul affecting many veterans returning from combat. This article will propose that a blended theological anthropology, which incorporates Irenaeus’s understanding of spiritual growth and Augustine’s focus on individual accountability and sin, will better foster healing and growth from morally traumatic experiences. In order to do so, I will introduce elements of the psychological paradigm of posttraumatic growth with a theological anthropology I develop in order to propose a mindset which I believe will increase resiliency to the morally challenging environment of combat.     

Radical incarnation and creative ambiguity

This article examines Martin Luther's perception of gender and ministry in relation to what may be coined his radical incarnation theology, the Word incarnate in Jesus Christ, in-fleshed in human beings and in the entire material, created world, and expressed in the verbum vocale through the ministry of the word. The article aims at presenting a thorough theological analysis of seminal texts on Luther's new understanding of the ecclesial office in the dialectics of the priesthood of all believers and the ministry of the word. The article claims that Luther's new perception of ministry opened avenues for women to gain authority as preachers, but that he was pressed – partly by his peers and particularly the papal church - and chose to express his liberal ideas by way of creative ambiguity.     

Moral injury,coherence, and spiritual repair

In the PTSD literature, moral injury represents dissonance between a person’s beliefs about how they and the world should function, and the trauma event(s) they experienced. Given the association of moral injury with the assumptive world, it is not surprising the concept is closely intertwined with spiritual concerns. This paper reports on a spiritually integrated group intervention designed to help veterans with PTSD in the process of moral and spiritual repair. Qualitative findings are shared from interviews conducted with 18 participants who completed the intervention. Themes are centred around participants’ overall response to their experience in the group; where they are at regarding feelings such as guilt, shame, anger, trust, sense of betrayal, and desire for forgiveness; changes in religious/spiritual beliefs and practices and the experience of moral injury; and if they now find meaning in the trauma. The findings support the need for additional treatment options that address the moral and spiritual aspects of trauma.     

Women’s Ministry in Ecumenical Perspective

Although discussion about the ministry of women seems to have come to a standstill as a result of arguments that don’t seem to change, the actual practices of the churches have evolved beyond doctrinal positions. In the Roman Catholic Church, many women have been appointed to positions in pastoral care and education, and even to decision‐making bodies. In the Orthodox Church, prerogatives previously reserved for nuns are beginning to be applied to lay women. But if we can entrust women with pastoral responsibilities, why is it not possible to move to include them in priestly ministry? To answer this question, we need to analyze the implicit levels of refusing the priesthood to women.     

The minister as healer,the healer as minister

A major task of the minister is that of healer, and with the healing task come some special opportunities. These relate to the therapy of the word, awakening in all the tragic sense of life, an identity with the wounded healer, distinguishing between healing and curing, and accepting the medical education enterprise as a patient. The healer as minister broadens the healing community into a priesthood of all believers. Further, our rich heritage of healing is anchored in the biblical tradition, and a study of this will show a similarity between ancient and modern healing.This article is based on a paper presented at the Annual Conference of the Ministers in Medical Education of the Society for Health and Human Values, Washington, D.C., October 23–26, 1980.     

Healing from Moral Injury: A Qualitative Evaluation of the Impact of Killing Treatment for Combat Veterans

This paper evaluates the Impact of Killing (IOK) treatment—a psychological intervention designed to address moral injury and trauma associated with killing in war. Using qualitative data from interviews with 28 combat veterans, we examine IOK’s impact, how it differs from other trauma-focused treatments, and how it can be improved to better meet veterans’ needs. We found that many veterans processed their killing experiences for the first time in IOK, even though all had previously completed evidence-based treatments for posttraumatic stress disorder. Several described killing in war as the most distressing and transformative trauma of their lives, and all affirmed the value of an intervention focused directly and explicitly on moral injury and killing. IOK helped veterans to acknowledge their grief, shame, and distress; gently but critically examine their thoughts and beliefs about killing in war; and make strides toward acceptance, reconciliation, and forgiveness.     

"A Christian, Holy People" Martin Luther on Salvation and the Church

Starting from recent uneasiness with Protestant individualism, this article asks whether Luther's theological insights might help address the unintended cultural consequences of the Reformation. Luther's mature thought defines the church as a tangible "Christian, holy people" within history, constituted by distinctive public practices. This church is necessarily institutionalized: the "universal priesthood" is corporate rather than individual, and cannot be fully realized without ministers acting in persona ecclesiae. Ordered ministry and common priesthood are interdependent and mutually constitutive. Finally, following his central principle that God gives spiritual gifts only through public, bodily means, Luther allows no separation of justifying faith from bodily adherence to the Christian people.     

Self,Sin, and the Sacred: Some Elements of a Select Psychology for the Care of Souls

Many pastors feel that their work in the secular sphere can best be described as an exploration of the meaning of life: as spiritual care. However, the idea that it is possible and easy to find such a thing as “the meaning of life,” as well as the concurrent idea that this meaning will help to make life more agreeable, should not be taken for granted but, rather, should be considered to be open for further exploration. To get a better understanding of the difference between spiritual care and the care of souls, I will discuss three central themes in any pastoral practice: sin, sense, and sorrow, together with three related constructs: soul, self, and the sacred. My exposition will result in a plea for revaluing two traditional but ever relevant modes of religious leadership: the modes of shepherd and teacher, of tutor and theologian, which are performed either in the context of the church or the secular institutional environment.     

Moral Injury: Contextualized Care

Amidst the return of military personnel from post-9/11 conflicts, a construct describing the readjustment challenges of some has received increasing attention: moral injury. This term has been variably defined with mental health professionals more recently conceiving of it as a transgression of moral beliefs and expectations that are witnessed, perpetrated, or allowed by the individual. To the extent that morality is a system of conceptualizing right and wrong, individuals’ moral systems are in large measure developmentally and socially derived and interpreted. Thus, in seeking to provide care and aid in reintegration for combat veterans, it is necessary to consider communities that have contributed to an individual’s formation and that might have participated in the interpretation of his/her suffering. This can take many forms, but given that morality is often complexly intertwined with issues of religion, faith, and spirituality for many individuals, and recognizing that much of the current focus on moral injury is emanating out of healthcare contexts, we devote particular attention to how chaplains might be more intentionally engaged in healthcare systems such as the Veterans Health Administration to provide non-judgmental, person-centered, culturally-relevant care rooted in communities of practice to veterans with moral injury.     

Jung's Breath-Body and African Spiritual Healing

Psychology essentially refers to the study and use (logos) of the breath, soul or spirit of life (psyche) that leaves a person at death and continues in some other form. From such a fundamental perspective, all forms of ancient and modern caring, helping and healing have their foundations in breath-based behaviour, experiences and spirituality. This article examines Jung's image of the breath-body or spirit-body in relation to various spiritual healing traditions with special focus on their source in African spiritual healing.     

Better Never to Have Been Born

The pro‐life paradox, as I call it, begins with a single claim endorsed by many American Christians: infants and young children are innocent in the sight of God because they cannot yet take responsibility for their spiritual well‐being. With this in mind, I argue that pro‐life believers have unwittingly fallen victim to a theological paradox in which their attempts to save the earthly lives of unborn children make it theoretically possible for said children to die an eternal death. On the one hand, many Christians trust in an eventual spiritual reckoning where God will separate the “sheep” from the “goats” (see Matthew 25:31–46), ushering the former into heaven while damning the latter to hell. However, those who cannot yet repent and seek salvation are not blamed for their spiritual failings. If they die, they go to heaven because they are too young and intellectually immature to know any better. But if dead children are spiritually blameless, then abortion practitioners have perversely and paradoxically saved millions of unborn souls by removing human volition (and thus damnation itself) from the equation and by making it possible for the unborn to experience the joys of heaven without the temptations of earth.     

“Staring into the abyss”: veterans’ accounts of moral injuries and spiritual challenges

The concept moral injury is receiving increased attention, especially as it pertains to military trauma. In war, service members may both observe and directly experience horrific events that one can scarcely prepare for. For some, this can result in a shattering of their assumptive world and loss of meaning. For those who are spiritually oriented, a spiritual or existential crisis may ensue. This qualitative study examines military related spiritual and moral wounds experienced by 23 veterans receiving services at a United States Veteran Administration Medical Center. In these first-person accounts, veterans provide insight into a variety of trauma-related struggles including guilt and shame, loss of trust and betrayal, the search for meaning and for the forgiveness of self and others, loneliness and withdrawal, anger, and negative changes in spiritual beliefs and practices. The findings support a call for additional trauma treatment options that address the spiritual and moral components.