Loving, discernment, and distance: pastoral care in schizophrenia

Schizophrenia is very common in our society, yet many people, both clergy and lay, are afraid of it and do not know what to do when confronted with someone who suffers from the disorder. Strange ideas and behavior can be frightening for those who don't understand and often result in further marginalization, even within the church community. This article seeks to outline the main features of schizophrenia and considers how to deal with particular situations which may arise in pastoral care. It suggests ways of dealing with people who express religious delusions and also argues that the "staples" of pastoral care--relationship building, empathy and inclusion--may not always be appropriate in the care of people with schizophrenia, who often need a "safe distance" between themselves and others. Some practical advice for families is also offered.     

Incarnation and pastoral care

This essay is an examination of the usefulness of incarnation as a theological metaphor for pastoral care and counseling. Understanding the incarnation as both an event and as a paradigm of God's relationship to the world provides a theological perspective for examining four interrelated questions about identity and the helping relationship frequently asked by the pastoral care-giver. The incarnation metaphor finally frees us to care in the confidence that in God the Incarnating One, all things, including our care for the sick, are held together.Dr. Anderson is Associate Professor of Pastoral Theology and Counseling at Wartburg Theological Seminary, 333 Wartburg Place, Dubuque, Iowa 52001.     

Phenomenology and pastoral care

The author discusses phenomenology as a potential resource for pastoral care generally and then illustrates its implications in two specific areas of pastoral care. After a brief discussion of the development of phenomenology, he defines pastoral care and identifies its methodological problem. Phenomenology, it is argued, offers potentially helpful methods and interpretative categories in its attitude, its attempts at self-aware, ordered discernment, and its anthropology. It serves to militate against the temptation in pastoral care to understand human problems in terms of individual and social pathology, in the case of individuals, and to illumine the ways the community functions as a dimension of pastoral care.He is the author ofEcclesial Man.     

Transcultural hospital pastoral care

Transcultural hospital pastoral care's subjects, the immigrant and the refugee, are described. Differences and similarities are noted. Three difficulties—culture shock, prejudice, and ethnocentrism—are followed by principles of transcultural hospital pastoral care, the significance of hospitalization, and a case history.The Rev. David G. Hawkins, B.A., S.T.M., D. Rel., R.S.W., St. George's Anglican Church in Vancouver, is a chaplain at Vancouver General Hospital.     

Ethical reflection and pastoral care,part II

A previous article argued for the relevance of theological ethics to pastoral counseling. This article suggests an ethical method with five levels of rationality. These levels enable a practitioner to move from concrete interaction with persons to the most abstract generalizations about the nature of God and human life. Such a method describes a helpful way of bringing theological/ethical concern to counseling in a nonmoralistic style.