The Challenges of Intercultural Marriage: Strategies for Pastoral Care

In this article, the author describes the unique issues associated with intercultural marriage. A case illustration provides the springboard for presenting specific pastoral care and counseling strategies that may be helpful to intercultural couples. These strategies include assessing worldview and acculturation, creating spiritual and cultural genograms, reframing cultural challenges, collaborating with indigenous healers, inventing new rituals, and developing the advocacy role.     

Pro-Active Intercultural Pastoral Care and Counseling with Lesbian Women and Gay Men

Clinical work with persons from lesbian and gay communities requires a clear sense on the part of the clinicians about how understandings of homosexuality shape our interactions. The importance of the religious and theological claims of the counselor cannot be underestimated in their ability to support and nurture, or to damage, the spiritual lives of lesbians and gay men. This paper first describes four religious perspectives on homosexuality, arguing for one that is proactive and affirmative. Second, this paper explores the multiple issues presented by lesbian and gay clients, including the role of marginalization, racial and ethnic heritage, internalized homophobia and heterosexism. Third, this paper closes with an invitation to counselors to participate in the public debates about homosexuality as a way of making the world a safer and healthier place for lesbians and gays to live.     

You Are My Friends: Pastoral Care with Young Mexican Men

In this article, the author discusses the significance of friendship in caring for and counseling with young men. Following Seward Hiltner, he affirms the distinction between friendliness (or friendly disposition) and friendship. Insofar as friendliness implies warmth and genuine concern, caregiving and counseling relationships can benefit from the minister’s friendly disposition. The author argues that ministers can effectively counsel with young Mexican men who are both their parishioners and their friends. To illustrate this point, he presents and discusses the case of a Mexican minister (Pastor Garza) and a young Mexican man (Alonso). By reflecting on the friendship motif in the Gospel of John, he concludes the article with the idea that friendship and counseling can coexist despite the power differential and imperfect mutuality between the minister and the care seeker.     

Enlivening Models of Pastoral Care: Relating Theory to the Complex Life Experiences Depicted in Fiction

In this paper, the tradition in pastoral psychology of relating theoretical models to the specific practice of psychotherapy will be examined by using new hermeneutics to understand how psychological and theological studies are inter-related in pastoral psychology. The hazard of this tradition is that psychological languages being used in technical ways may arise out of a mechanistic orientation to the world. The benefits of using fiction as an experiential grounding for theory will be described. Two novels, Paradise news, by David Lodge and The autobiography of my mother, by Jamaica Kincaid will be employed to illustrate how using fiction can enliven models of pastoral care by pushing pastoral psychologists to interface imaginative language with conceptual language from several disciplines.     

德国医疗体制的几点感悟

中德两国在经济发展、社会制度和文化传统等方面各不相同,在医疗体制方面也存在显著差异,但德国卫生体制和医院管理的一些思路、观念、运作方式等值得借鉴.通过分析德国医疗体制方面的特点,借鉴德国医疗体制的先进经验,结合我国的国情和医疗现状,对于我国医疗体制的完善和构建有重要的现实意义.     

Pastoral Care: Myth and Reality

The increase in pastoral-care systems in secondary schools over the last fifteen years is examined. It is suggested that pastoral care is more effective in allaying the anxieties of teachers and their organisations than it is in meeting the social and personal needs of pupils. It is also suggested that pastoral-care systems assume responsibilities which are more properly those of the family, and that the best way schools can offset the effects of poor home environments is via good subject teaching and increased pupil involvement in schools.     

Pastoral Care in Aged Care Settings: Role and Challenges

Journal of Religion and Health - This mixed methods study explored challenges faced by pastoral care workers. A development phase preceded an on-line survey completed by chaplains and pastoral...     

Biblical Themes for Pastoral Care Revisited: An Asian American Re-Reading of a Classic Pastoral Care Text

Over twenty-five years after its initial publication, William B. Oglesby, Jr.'s book Biblical Themes for Pastoral Care still is consulted and used by seminarians and ministers who are interested in honing their caregiving skills by understanding how biblical texts can inform the processes of pastoral care and counseling. This essay revisits Oglesby's work and seeks to apply its insights to ministry with Asian Pacific American (APA) populations. The central theme of the Bible and five subthemes are identified by Oglesby and summarized in this essay, and then several additional subthemes are explained due to their relevance for APA women and men. Finally, to test the hypotheses advanced by Oglesby and expanded in this article, the written testimonies of fifty-two contemporary Japanese American Christians are examined.

From a Distance: Pastoral Care and Theological Education

Abstract. This article is a presentation and discussion of a seminary course on the Corinthian Correspondence. The pedagogical model for this course was structured to parallel the pattern of Paul's pastoral care from a distance as he relates to the Corinthian congregation by personal visits, delegations from and to the congregation, letters from and to the congregation, and unofficial grapevine types of communication. The course was designed for dispersed students to interact with the Corinthian letters, with each other, and with myself as instructor in ways that 1) simulate a first‐century exchange between congregation and apostle and 2) facilitate careful interpretive work on the message of these letters, including their contemporary relevance.     

Non-Speech Based Pastoral Care: A Pastoral Care Program for Aged Care Residents with Little or No Ability to Speak

SUMMARY

Pastoral care depends on the ability to communicate, most commonly through the medium of speech. The aged person who has suffered illness or accident that has adversely affected their speech, is in great need of pastoral care. Yet chaplains and pastoral carers can feel helpless in the face of such a significant deficit and may not know what to do. At Tregenza Avenue Aged Care Service, the Chaplaincy service has developed helpful individual programs for non-speech based pastoral care. Using visual and tactile symbols, pictures, touch, and music, we have been able to minister to people with a variety of speech problems, with promising results.     

Representing the Good: Pastoral Care in a Secular Age

In ‘a secular age’ (Taylor 2007), pastoral care is no longer exclusively associated with specific religious traditions and communities. Pastoral caregivers who work in secular institutions provide care to religious and nonreligious people alike, and in several Western societies the term pastoral care is used in relation to nonreligious (humanist) care. In secular contexts, the term ‘pastoral care’ is often replaced by the term ‘spiritual care.’ Spiritual care, however, is provided by various professionals, so pastoral caregivers face the challenge of developing adequate and convincing language to explain what is distinctive about their work. In this article, the authors turn to philosophical language in order to develop a conceptual understanding of pastoral care that does not depend on the specific worldview—religious or nonreligious—of either pastoral caregivers or receivers of pastoral care. Using the work of Taylor (1989, 2007) and Murdoch (1970), we explain pastoral care as engaging with people’s attempts to orient in ‘moral space’ and the distinctive quality of pastoral care as ‘representing the Good.’ Murdoch associates ‘the Good’ with a secular idea of transcendence that is both a movement beyond the ego and an engagement with the reality of human vulnerability, suffering, and evil. We argue that pastoral caregivers who ‘represent the Good’ have the task not only of supporting the existential and spiritual processes of individuals but also of promoting dialogue and social justice and of critiquing dehumanizing practices in the organizations in which they work and in society at large.     

Listening to People with Dementia: A Pastoral Care Perspective

SUMMARY

Pastoral and Spiritual Care approaches to the reduction of depression in residential aged care facilities are considered. They are examined through specific one-to-one pastoral care, through a pastoral care person in the team approach to care and through a one-to-many relationship for group spiritual and religious activities. The suggestions in this article are offered as extensions to a manual, Challenge Depression, on managing depression in residential aged care as a way of including pastoral and spiritual care as part of an integrated approach and as part of a stand alone approach of pastoral care.     

Ethical Issues in Counselling and Pastoral Care

The historical and contemporary context of pastoral care and counselling within the judaeo/Christian tradition is reviewed. Three kinds of pastors who use counselling in their work - Christian, specialist, and generic - are identified and the ethical problems of their positions clarified. The ethical principles of autonomy, beneficence, non-maleficence and justice are applied to the counselling work of pastors. Theology's definition of various ethical levels, and the impact of these upon the professional ethics of pastoral carers and counsellors, are explored, and some conclusions for the future drawn.     

Providing Pastoral Care Services in a Clinical Setting to Veterans At-Risk of Suicide

The value of enhanced spiritual wellbeing has largely been overlooked as part of suicide prevention efforts in Veterans. The aim of this qualitative study is to examine the clinical pastoral care services provided by VA Chaplains to Veterans at-risk of suicide. This study was conducted using in-depth interviews with five Chaplains affiliated with a medical center located in upstate New York. This study was able to show that some at-risk individuals do actively seek out pastoral care, demonstrating a demand for such services. In conclusion, a pastoral care framework may already exist in some clinical settings, giving at-risk Veterans the opportunity to access spiritual care.     

Pastoral Care of Political Discourse: Shepherding Communication

I argue that the tradition(s) of pastoral care contributes to our understanding of Christian discipleship vis-à-vis political discourse. In particular, I understand pastoral care, in part, as shepherding political discourse. To care for and about political discourse involves a radical openness to the Other, which is made possible by the virtues of hospitality, compassion, humility, and forgiveness. The primary pastoral aim in shepherding political discourse is not the realization of political power or the realization of Christian beliefs through rhetorical coercion, evangelical assimilation, or consensus. Positively, the aim of pastoral political discourse is to shepherd the communicative processes such that there is a possibility of real meetings.     

The Performance of Authenticity: Ordination and Profession in Pastoral Care

Quite a few pastors experience a feeling of inauthenticity when performing their duties. Trying to fulfill the wishes and needs of those of the congregation who ask for their help, they feel like an impostor. The discrepancy between act and experience causes a serious problem in identity. However when authenticity is not considered to be an individual experience and a personal dilemma but as a relational characteristic, the concept of play may be usefully engaged to explain the dramaturgical essence of pastoral performance. The success of pastoral performance depends on maintaining the right aesthetical distance in the drama enacted, so that some form of catharsis might be effected. That distance is found in introducing the concept of ordination where the relation between pastor and congregation is concerned, and it is to be found in the concept of profession where pastors perceive and evaluate their own role performance. Both ordination and profession act as distancing devices enabling the pastor to play the right role rightly. Acting as if, the pastor may be experienced as authentic, as a real pastor.     

Spiritual Need Five: Providing Quality Pastoral Care as a Congregation

SUMMARY

Critical to the needs of older adults is the care and nurturing of the feelings and emotions that often offer context for the human spirit. Grounded in the history of pastoral care, this chapter explores an approach to pastoral care that is reflective of the author's study and experience in the parish.     

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.