Dragon talk: providing pastoral care for Chinese immigrants

This article describes how cultures and pastoral care education processes can be barriers between the patient, the pastoral caregiver, and the Clinical Pastoral Education (CPE) student. By providing sketches of interviews with Chinese patients, the author tries to explain why the attempt to unveil Chinese patients' feelings and needs through conversation can be a frustrating experience. Moreover, the author argues that the pedagogy of pastoral care education ought to be more culturally sensitive in regard to the diverse cultural backgrounds of both patients and CPE students.     

Pastoral counseling and pastoral care: is there a difference?

The author argues that there is little difference between pastoral counseling and pastoral care. Utilizing an evidence-based and narrative approach, he examines the ideas of a variety of historical and contemporary writers to illustrate this thesis. Along with historical and contemporary writings on the topic, the author includes his own clinical experiences and associations to illustrate his conviction that pastoral counseling and pastoral care are more alike than different.     

A descriptive appraisal, 1935–1980

The writer evaluates the responses he received to causes, ideas and programs he advocated over his 45 year career as a Pastoral Theologian. He contsructs a four-fold typology of responses and discusses the concerns which have characterized his professional life, e.g. older persons, sexuality, ethics in pastoral care, theology in CPE, institutional chaplaincy, interprofessional cooperation, case study method, graduate programs in Religion and Personality, and Pastoral Theology. An evaluation of progress in these areas is followed by a concluding statement on his concerns.     

A Cross-Cultural Case for Convergence in Pastoral Thinking and Training

This article argues for convergence of pastoral training models as a consequence of the pluralistic nature of contemporary life. It proposes a more active partnership between pastoral disciplines in an attempt to bring wholeness to pastoral service and to pastoral education in a multicultural context. Pastoral counseling, pastoral care and pastoral ministry are presented as mutually complementary and as under girded by the same pastoral theological principle of genuine encounter. Since pastoral theology is informed by personal experience, the author illustrates his points by reference to personal cross-cultural experience. This article is an adaptation of a paper delivered at a multicultural conference in Seoul, Korea in November 2008.     

Human Development and Pastoral Care in a Postmodern Age: Donald Capps,Erik H. Erikson,and Beyond

This article discusses Donald Capps’s use of Erik H. Erikson’s life-cycle theory as the basic psychological framework for his theory of pastoral care. Capps was attracted to Erikson’s existential-psychological model, his hermeneutic approach, and his religious sensitivity. Capps’s thought develops from first exploring biblical foundations for using Eriksonian theory for pastoral care to gradually embracing certain postmodern features. The article concludes with reflections on the usefulness of Erikson’s life-cycle theory and Capps’s work for contemporary pastoral care.     

Clinical pastoral education as professional training: some entrance, curriculum and assessment implications

Clinical Pastoral Education is professional training for pastoral care. This paper compares CPE against the professional training model. While limiting the discussion to Christian pastoral care, the professional education model suggests a clarification of the trainee's theological and other entry requirements for a basic unit, a more thoughtful provision of information during CPE training, a careful attention to group membership and an appropriate integration with the theological curriculum. It also suggests more specific competency standards and more reliable, valid and objective assessment methods.     

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.     

Contemplation and compassion: the heart of a Franciscan spirituality of clinical pastoral supervision

After five years of supervising CPE modules in two different hospitals in South Africa, a chaplain supervisor reflects on how his Franciscan spirituality had impacted his supervisory ministry. He describes how he was able to narrow the impact to two defining Franciscan qualities: contemplation and compassion. This article explores the relationship between spirituality and clinical pastoral supervision. Then the Franciscan dimension of contemplation and compassion of Franciscan spirituality are considered. Finally some contours of a Franciscan spirituality of clinical pastoral supervision are described.     

Seeing the Unseen: Pastoral Insights Drawn from James Turrell’s Artwork

According to Charles Sanders Peirce’s framework of semiotics, an individual’s life can be regarded as a work of art that as a sign continuously generates meaning by using various life experiences as its art materials. Here the individual plays a role both as an artist and as a viewer of his or her life. This semiotic implication of one’s life reshapes the general goal and function of pastoral care and counseling. In terms of art, the pastoral caregiver’s role is defined as that of a curator who facilitates the overall environment for aesthetic experience by helping an individual to see the unseen in his or her life as a work of art and does so in a didactic but unobtrusive way. As an example, a series of James Turrell’s art installations suggests how the role and function of the pastoral caretaker can be redefined. This aesthetic perspective also reflects the existential and psychospiritual dimensions of pastoral care and counseling.     

Promoting patient safety: implications for pastoral care

This article provides an overview of current issues in patient safety, the subject of recently-implemented JCAHO standards, with attention to issues of special interest to pastoral care professionals and Clinical Pastoral Education (CPE) students. Case studies of patient safety initiatives in two health care systems are used to illustrate the relationship between institutional core values and the just treatment of injured patients and their families, and to suggest opportunities for chaplains to contribute to patient safety efforts in their institutions. A list of suggested readings and online resources is included.     

Spiritual care illustrated: creating a shared language

In an attempt to schematically illustrate the pastoral care intervention to scientifically minded professionals and colleagues the author developed a model that can be used as an interdisciplinary teaching tool. Within the setting of hospital ministry, the tool also provides insights into the stages of "crisis experience" and illustrates the transformational process involved in The Healing Journey. These change-processes are explained against the background of a multi-level anthropology. This approach births a Healing Journey diagram, a spiritual pain assessment tool, and a seven-phase intervention model that may be helpful in Clinical Pastoral Education.     

Clinical pastoral training in an emergency psychiatric service

Summary This paper reports the utilization of an emergency psychiatric service as a new factor in the clinical pastoral training experience. The usual pattern of clinical setting for these students is the hospital ward, where the patient has already been admitted and is making some adjustment to hospital routine and treatment. In such a setting the student misses the opportunity to see the patient at the crisis point of the illness and does not see the large numbers of individuals troubled enough to require psychiatric help but not sick enough to be hospitalized. The latter group constitute the largest portion seen by the parish minister even before psychiatric referral is arranged. During a twelve-week clinical pastoral training program, each student spent a major portion of his time for two of the weeks working on an emergency psychiatric service with a psychiatrist and social worker and seeing a large variety of patients, most of whom were not hospitalized. The experience provided an opportunity to develop evaluative skills and knowledge of appropriate community resources, and offered some experience in brief counseling under supervision. The clinical pastoral training student and the personnel of the emergency service all felt that this was an experience of mutual value and that it should be for a longer period. It is suggested that other clinical pastoral training programs would find it of value to utilize emergency psychiatric clinic settings where available.     

The Ministry of Care in Twenty-First-Century Protestant Congregations

This article explores the importance of the congregational setting for determining the meaning of pastoral care and counseling in that setting. The congregational setting is brought into dialogue with clinical and teaching settings and with contemporary pastoral care and counseling paradigms. It is proposed that the congregational setting should contribute to the dialogue by providing an understanding of congregations seen in relation to societal change and crisis. Implications for understanding the ministry of care in the congregational setting are drawn.     

A Jungian Perspective on Therapy at the End of Life

This paper explores the insights of Carl Gustav Jung with respect to pastoral care and counseling. Particular focus is given to a reading of the theorist that raises the possibility for, and challenge of, pastoral psychotherapy at the end of life. Jung's writing offers an important lens for examining a critical challenge of our age–the means by which pastoral caregivers assist persons to live fully and meaningfully even at life's end. The author asserts that the role of the pastoral caregiver is crucial for helping people to bring their own lives to completion. has served as hospice chaplain, parish pastor, and campus minister. Currently, he is a Ph.D. student and CPE supervisor-in-training at Claremont School of Theology and Methodist Hospital of Southern California.     

Cross-cultural pastoral counseling: Method or hermeneutic?

This article explores some of the meta-questions that emerge when talking about “cross-cultural pastoral counseling.” Is it a distinct counseling method or a practical hermeneutic that prompts the counselor to examine his or her therapeutic approach? The author argues that “cross-cultural pastoral counseling” is really a hermeneutic that challenges the pastoral counselor to an ongoing evaluation of how and to what extent his or her approach to pastoral counseling may be guided by dominant social convention versus the gospel mandate of Matthew 25: 31–46 [RSV]. The article reviews relevant literature, discusses three fundamental changes (“conversions”) that are necessary for the pastoral counselor in order to do cross-cultural pastoral counseling, and presents a case illustration involving a multi-cultural pastoral counseling intervention.     

Pastoral counseling in a settled community

Much of the literature in pastoral counseling has been written against the backdrop of an anonymous, changing, technological, and urban community setting. The author contrasts the premium this understanding of counseling places on establishing relationships, confidentiality, gaining information through questions, and the long training required with the way these same matters may be understood from the vantage point of a more settled community, characterized by long-term relations, limited confidentiality, and the support lay persons give each other. He discusses the pastor's role change in this setting and describes an approach to training lay men and women to assume pastoral care responsibility.     

Jungian psychology and pastoral care

This article provides a review of the implications of analytic psychology for pastoral care and the caregiver. Four areas of Jung's thought are examined: (1) his mode of treatment, (2) the process of individuation, (3) his theory of personality types, and (4) his concept of synchronicity. We suggest that Jung's system of thought contains a rich reservoir of insight for the enrichment of pastoral care.     

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.     

The evaluation of guidance: listening to pupils' views

The increasing emphasis on school evaluation and improvement may encourage schools to pay greater attention to pupils' views of their schooling, including their experience of guidance or pastoral care. A study of pupils' experience of guidance in Scottish schools indicated that pupils have much to contribute to the evaluation process and highlights a number of implications for guidance or pastoral care.     

Near-death experience: A review from pastoral psychology

Published interpretations of near-death experience from the vantage of pastoral psychology are virtually nonexistent. Subjective reports from survivors and investigative contributions from other disciplines are scattered and diverse. A comparison of twenty-one near-death experience transcendence accounts with the available literature may not only offer direction for further systematic inquiry but also contribute to our pastoral understanding of life and death.He is a candidate for the S.T.D. in pastoral psychology at San Francisco Theological Seminary, San Anselmo, California, and a Fellow in the American Association of Pastoral Counselors.The author gratefully acknowledges the help of his brother, Michael B. Sabom. M.D., of the Emory University Medical School, Atlanta. Georgia, in the preparation of this article, it is to his continuing pastoral work with NDE survivors that this article is dedicated.