Hiroshima and the King of Tyre

This paper—originally a sermon––addresses issues involved with nuclear idolatry from a biblical perspective. It utilizes psychological understanding and historical narrative as a context for theological reflection. It thus places depth psychological insight in service of social ethics. It was delivered at the Church of the Epiphany, Manhattan, New York, on August 14, 2005. The Rev. Curtis Hart, M.Div, is Director of Pastoral Care and Education, and Lecturer in Public Health, Medicine,and Psychiatry, Division of Medical Ethics, at the Weill Cornell Center of New York Presbyterian Hospital in New York City.     

Clinical Pragmatism in Bioethics: A Pastoral Approach

This paper addresses the integration of the philosophical school of American Pragmatism, as articulated by John Dewey and others, with the disciplines of bioethics and pastoral care. It suggests new avenues for theological reflection in the bioethical enterprise. It was first presented as the inaugural Anton. T. Boisen Lecture in Pastoral Care and Education in 2004 under the auspices of Continuum Hospice Care, New York.Curtis W. Hart, M.Div., is Director of Pastoral Care and Education, NewYork-Presbyterian Hospital, Weill Cornell Medical Center and Lecturer in Public Health, Medicine and Psychiatry, Division of Medical Ethics at Weill Medical College, Cornell University. Correspondence to Curtis W. Hart, Cuh9001@nyp.org.     

What Really Happened: A Tribute to John C. Fletcher

John C. Fletcher, a pioneer in the field of bioethics and friend and mentor to many generations of bioethicists, died tragically on May 27th at the age of 72. The son of an Episcopal priest from Bryan, TX, Fletcher graduated in 1953 with a degree in English Literature from the University of the South in Sewanee, TN. After completing a Masters in Divinity degree from the Virginia Theological Seminary and a stint as a Fulbright scholar at the University of Heidelberg in 1956, he was ordained in the Episcopal Church and received a doctorate in Christian ethics from the Union Theological Seminary in New York. After ordination, Fletcher worked in various Episcopal churches and founded the Interfaith Metropolitan Theological Seminary in Washington, D.C. However, despite his religious faith, he was also a skeptic, and renounced his ordination in the mid-1990s due to his need for ‘intellectual honesty.’

Fletcher began his bioethics contributions in the early 1970's, when he became a founding Fellow of the Hastings Center and eventually the first Chief of the Bioethics Program at the Clinical Center of the National Institutes of Health. At the University of Virginia in Charlottesville, he was the Founding Director of the Center for Bioethics and a professor of biomedical ethics at the medical school, and became the Kornfeld Professor of Biomedical Ethics until his retirement in 1999. Fletcher was a prominent authority and voice in the national and international bioethical dialogue through his talks, his testimonies before scientific and congressional panels, his many articles, and his bioethical and religiously-orientated books, including: An Introduction to Clinical Ethics (1997), Coping with Genetic Disorders: a Guide for Clergy and Parents (1982), Ethics and Human Genetics: A Cross-Cultural Perspective (1989), which he wrote with sociologist Dorothy C. Wertz. Dr. Fletcher received the Lifetime Achievement Award from the American Society of Bioethics and Humanities in 2000. With the passing of Dr. John C. Fletcher, bioethics has lost one of its great voices, a dedicated teacher and mentor, and a friend and colleague to scholars in bioethics and a host of other fields. Below is a touching tribute from one of his former students.     

Ethical reflection and pastoral care,part I

Many authors are calling pastoral counseling to give greater attention to issues of morality and ethics in the healing ministries. This article summarizes the main positions in theological ethics and argues that the ethic of character is the most appropriate form for the practice of pastoral counseling.Professor Poling is Assistant Professor of Pastoral Care and Counseling, Bethany Theological Seminary, Oak Brook, IL 60521. Part II of his article will appear in the Spring, 1984 issue.     

Toward a theology of maturity in pastoral care

Popular theology has neglected a developmental perspective and has reinforced the concepts of human inadequacy and divine self-sufficiency. This has tended to keep persons in a state of infantile dependency on a super-father-figure God. Pastoral care, with its concern for the person and its commitment to the processes of growing and maturing in the self and in relationships, needs a theological frame of reference which positively reinforces a developing maturity in relation to God, as well as self and others.Formerly Associate Professor of Psychology of Religion and Pastoral Care at Midwestern Baptist Theological Seminary, Dr. Woodruff is Executive Director of the Peninsula Pastoral Counseling Center, Hampton, Virginia.     

Beginning thoughts on a theological method for ministry

There is an emerging consensus in theological education about the components of a method of practical theology. Some of these components are: experience in ministry, theological reflection, reflection in cognate disciplines (especially the human sciences), reflection on personal involvement, and planning for ministry. This article describes a nine-step method which can be used in local churches or seminaries to move from experience to reflection to planning for ministry.Dr. Poling is Assistant Professor of Pastoral Care and Counseling, Bethany Theological Seminary, Oak Brook, Illinois 60521.The author acknowledges that the method described in this article was developed in conversations with Donald E. Miller, Professor of Christian Ethics at Bethany Seminary.     

Envy: Further thoughts

Urges toward the good may be hidden in bad acts. A case in point is envy, which is often motivated by desire for the good. Its ill effects can be counteracted by this realization.Ann Belford Ulanov, M.Div., Ph.D., is Christiane Brooks Johnson Professor of Psychiatry and Religion at Union Theological Seminary in New York, a psychoanalyst in private practice, and Co-Editor of theJournal of Religion and Health.     

Use of family systems in preparation for ministry

Understanding the systematic dynamics of one's family of origin is necessary in preparation for ministry and can be most powerfully effected by engaging students in one of several family therapy techniques. Moreover, a family systems orientation is useful for theological explorations regarding family and Church as family, as well as enhancing skills for ministering to the contemporary family in all its diversity.Dr. Anderson is Associate Professor of Pastoral Theology, Waterburg Theological Seminary, Dubuque, Iowa 52001. Dr. Fitzgerald is Chaplain Supervisor, Medical Center at Princeton, Princeton, New Jersey 08540. This article stemmed from a presentation made by the authors on November 11, 1977, at the annual Conference of the Association for Clinical Pastoral Education.     

Why women fail/succeed in ministry: Psychological factors

A study was made of the most and least successful women minister graduates of Christian Theological Seminary since 1959. Significant differences were found in several scales of the CTMM, the ACL and the MMPI. These indicated, for example, higher intelligence, a better self-image, more openness to feelings and to general human faults plus alternative viewpoints, more leadership ability and ability to take charge of their own lives, for the more successful women. Implications for helpful interventions were discussed.Dr. Cardwell is Assistant Professor of Psychology and Counseling and Director of the Pastoral Counseling Service at Christian Theological Seminary, 1000 West 42nd Street, Indianapolis, Indiana 46208.     

Rational-emotive therapy and religiousness: A review

Rational-emotive therapy has often been scrutinized and rejected by religious clinicians. Incompatibilities are frequently cited between rational-emotive psychology and theistic religious philisophies. Religious authors have been most notably oppossed to Ellis' ethical humanism, situational ethics and personal atheism. A review of these criticisms offers no evidence for a fundamental incompatibility between RET and religious faith. Several arguments exist for the application of cognitive-behavior therapy (RET in particular) to explicitly religious clients. The sparse empirical literature suggests that RET is effective with religious clients.W. Brad Johnson, M.A., is a doctoral student in clinical psychology at the Graduate School of Psychology, Fuller Theological Seminary. A commissioned Lieutenant in the United States Navy, he is currently an intern at the National Naval Medical Center.The author wishes to express thanks to Raymond N. Sampson, Albert Ellis, Charles R. Ridley and Siang-Yang Tan for their helpful comments on an earlier version of this paper.The views expressed in this article are those of the author and do not reflect the official policy or position of the Department of the Navy, Department of Defense nor the U.S. Government.     

Cognitive-behavior therapy in the treatment of cancer patients

Cognitive-behavioral strategies are employed in the treatment of cancer patients to eliminate nausea, control anxiety, pain, and depression. Specific techniques including relaxation, systematic desensitization and hypnosis are discussed. It is shown how cognitive strategies can create a more favorable environment for treatment.William L. Golden, Ph.D. — Licensed psychologist in private practice in New York City and Westchester, New York. He also is on the faculty of Cornell Medical College, New York City, the Institute for Rational-Emotive Therapy, New York City, and the Institute for Behavior Therapy, New York City.Wayne Gersh, Ph.D. — Licensed psychologist and co-director of the Westchester Center for Behavior Therapy, White Plains, New York. He also is a psychologist for the American Cancer Society.     

You must leave before you can cleave: A family systems approach to premarital pastoral work

We advocate the use of a family systems approach to premarital pastoral work, involving exploration of the families of origin of the intended spouses. Family systems theory argues that a marriage is like a merger of two corporations, each having its own stockholders; thus, adequate preparation for marriage involves coming to terms with the realities of one's family of origin and that of one's intended spouse. Exploratory techniques include genograms, house tours, family photo albums, and discussions of the rules and rituals in the respective families. Leaving father and mother is the central prerequisite to marriage.Dr. Mitchell is Professor of Pastoral Care and Theology, Eden Theological Seminary, 475 E. Lockwood Ave., Webster Groves, Missouri 63119. Dr. Anderson is Associate Professor of Pastoral Theology, Wartburg Theological Seminary, 333 Wartburg Place, Dubuque, Iowa 52001.     

Eyes to see and ears to hear: Identifying religious experience in pastoral spiritual guidance

Elizabeth Liebert is Director of The Program in Christian Spirituality at San Francisco Theological Seminary.     

Totemic therapy

Totemic therapists, those recognized as healers because of their identification with an ethnic subculture, religious group, or social cause, are a factor in modern society often overlooked or underestimated as a mental health resource. Whatever the advantages and disadvantages of totemic therapy, such therapists will be in increasing demand as pluralistic social trends continue. It is therefore realistic to ask how their skills may be increased and their services better utilized.Ronald R. Lee, Ph.D., was born in Melbourne, Australia, and received his Ph.D. in Pastoral Psychology from Northwestern University/Garrett Evangelical Theological Seminary in 1965. He is Professor of Pastoral Psychology and Counseling at Garrett-Evangelical Theological Seminary and is a Diplomate in the American Association of Pastoral Counselors.     

The psychiatric patient as a person

The dehumanization which is so much a part of a technological society is keenly felt by psychiatric patients. Pastors must treat them with care if they are to recover their personhood. The author suggests certain pastoral approaches intended to reflect the values of the inherent worth of persons and their moral responsibility and right to self-fulfillment. Included in the approach is the need to gather the facts, establish rapport, empathize, listen with love, interpret, and have a plan of action.Professor Barnette is Professor of Christian Ethics Emeritus at the Southern Baptist Theological Seminary. He presently serves as Clinical Professor, Department of Psychiatry, University of Louisville School of Medicine, Louisville, Kentucky 40201.     

An Overview of Primary Care Family Psychology

This paper describes the application of family psychology to the primary care setting—in service, education and training, and scholarship. Primary care family psychology integrates family systems with biopsychosocial theory, yielding an approach that is uniquely suited to the generalist demands of primary care. This approach attends especially to the effects of relationships on health and healthcare, using the family as a potential resource to the patient just as the healthcare team is a resource to the clinician. Training opportunities in primary care family psychology are growing. The University of Rochester School of Medicine and Dentistry fellowship is described as an example, with core primary care family psychology training in four different clinical sites: Family Medicine, Internal Medicine, Pediatrics, and Obstetrics/Gynecology. Susan H. McDaniel is Professor of Psychiatry & Family Medicine, Director of Family Programs & the Wynne Center for Family Research in Psychiatry, and Associate Chair of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York. Dr McDaniel also directs the Primary Care Family Psychology Fellowship. Picter LeRoux is Associate Professor of Psychiatry & Pediatrics, and Director of the Family Therapy Training Program in Psychiatry, University of Rochester School Medicine and Dentistry, Rochester, New York. Dr. LeRoux also heads the Pediatric Track of the Primary Care Family Psychology Fellowship.     

Zombie Alleluias: Learning to Live in the Space Between Worlds

This essay was delivered as the Baer Seminar on Pastoral Care at an alumni/ae reunion of Princeton Theological Seminary on October 22, 2013, and at a Princeton Seminary alumni/ae gathering at Preston Hollow Presbyterian Church in Dallas, Texas, on February 10, 2014. It considers an increasing fascination with zombies in recent American cultural life as a means by which individuals attempt to cope with anxieties related to the rise of political and religious extremism in the post-9/11 landscape. Building on Freud’s recognition of fundamentalist tendencies within the human psyche and his sense that modern persons are living psychologically “beyond their means,” it calls for an empathic embrace of the complexities of what Donald Capps deems the “ecumenical self” as a path toward engaging personal threats within and without.     

Persistence in seminary and in ministry

A follow-up study of 672 seminary students from 14 seminaries who took the Theological School Inventory in 1962 and 574 from 10 seminaries who took it in 1973 investigated factors involved in persistence in seminary and in ministry. Among those found were definiteness of decision, interest in parish ministry, a supportive spouse, unambivalent resolution of the authority problem, good role models in father and ministers. Motivations included redemptive outreach, pastoral care, Christian insight and scholarship, the encouragement of other people and a sense of effectiveness in ministry.Dr. Cardwell is Assistant Professor of Psychology and Counseling at Christian Theological Seminary, 1000 W. 42nd St., Indianapolis, Indiana 46208. This study was the basis for her Ph.D. dissertation, Indiana University, June, 1978. TSI data for the 1973 subjects were made available by Richard A. Hunt, Ph.D., Professor of Psychology, Southern Methodist University, and Director of Ministry Inventories, P.O. Box 8265, Dallas, Texas 75205. TSI data for the 1962 subjects were coded and made available by Edgar W. Mills. Ph.D., presently visiting Associate Professor of Sociology, University of Texas, San Antonio, formerly Director, Ministry Studies Board. Special credit is due the 16 seminaries who cooperated by furnishing follow-up data.     

Clergy divorce and remarriage

The incidence of clergy divorce and remarriage requires a rethinking of the church's position when the divine intent for marriage is not fulfilled. A ministry to clergy couples and families marked by truth and grace can lead to a restoration of persons and an effecting of constructive ministries for clergy who have themselves been restored.Dr. Brown is Assistant Professor of Pastoral Theology, Princeton Theological Seminary, CN 821, Princeton, New Jersey 08540. She is currently serving as the Chairperson of the Theological and Social Concerns Committee of the American Association of Pastoral Counselors.     

You Can Get Here From There

This paper is a review of my development from psychology intern and research assistant to the psychoanalytic tester and theoretician David Rapaport at the Menninger Clinic in the 1940s, through my career in psychological testing, my psychoanalytic training in the Western New England Institute, and my working successively at the Austen Riggs Center, Yale Department of Psychiatry, Yale Student Mental Health Center, Cornell Department of Psychiatry, and eventually private practice in New York City. During this period, I rose to the academic rank of Professor and the analytic position of Training Analyst. I have written extensively: first on testing, then more or less in turn on psychoanalytic ego psychology, action language for psychoanalysis, feminist issues, narrative in psychoanalysis, and the contemporary Kleinians of London. This memoir traces the intellectual continuity that characterizes these writings and my continuing development as a psycho-analyst—my first ambition and great love.