Pastoral Care and Medical Education

This essay describes how contemporary medical education and pastoral care share historical roots, confront similar pressures and objectives in the formation of future professionals, and address common concerns in the area of bioethics. The essay concludes with a summary of ideas regarding the present and future relationship between medical education and pastoral care. The essay is dedicated to the memory of David P. Rogers, M.D., whose vision of medical education and medical practice embodied a rare passion for justice.     

The Contemplative Bow in Teaching and Learning Pastoral Care

This article elucidates theoretical underpinnings for the use of one's self in the pastoral theological classroom. The contemplative bow is developed as a capacious metaphor to describe appropriate self use and its necessary importance in the teaching and learning of pastoral arts in a theological curriculum. Central to the argument is the assumption that effective teaching and learning in pastoral care emerges from awareness and knowledge of self as well as letting go of self in beneficial service with others. Analytical engagement of educational, theological, and psychological theory informs practice for the professional school classroom.     

The Promise of Neuroplasticity for Pastoral Care and Counseling

This article continues the author’s exploration of the significance of recent neuroscientific research for pastoral care and counseling Bingaman (Pastoral Psychology 60:477–489, 2011), (Pastoral Psychology, 61:411-422, 2012) by focusing on the plasticity and malleability of the human brain. It makes the case for mindfulness meditation (e.g., Centering Prayer) as a means to lower activity in the amygdala and thereby calm the stress region of the brain. In light of evidence that such mindfulness practices are more effective in reducing anxiety than is a focus on right belief or correct doctrine the case is made for a paradigmatic turn (see Bingaman 2007, pp. 102–110; Bingaman (Pastoral Psychology, 61:411–422, 2012) toward neurotheology, which seeks to understand the relationship between the brain and theology. The article concludes that the revolutionary discoveries concerning neuroplasticity challenge the field of pastoral care and counseling to recognize the ability of contemplative-meditational practices to reduce anxiety and to produce long-term, possibly permanent changes in the neural pathways of the human brain.     

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 for Shame-Based Perfectionism

While perfectionism has been associated with guilt dynamics, the form of perfectionism that is most frequently discussed by psychologists is connected to self-condemnation for perceived failures to reach the high standard set for personal achievement. There is therefore a strong link between perfectionism and inferiority shame. Psychotherapists have given quite a bit of attention to shame-based perfectionism; it has been largely neglected by pastoral psychologists. Three approaches to the pastoral care of shame-based perfectionism are developed. The first approach is based in cognitive therapy. It is argued that perfectionism is grounded in a faulty core belief about the self—namely, “I am what I achieve.” The second method makes use of strategies developed by John Bradshaw for accepting and affirming all one’s sub-selves. Bradshaw’s approach is critiqued, however, for the way in which shame-based and guilt-based perfectionism are confused. The third method is a modification and adaptation of Heinz Kohut’s strategy of “mirroring” (empathy, admiration, and approval) that he developed for use in work with clients with narcissistic personality disorder.     

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.     

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...     

The Aging of the Church and the Teaching of Pastoral Care

No abstract available for this article.     

The Loss and Grief in Immigration: Pastoral Care for Immigrants

Immigration is common in this increasingly globalized world. Immigration is a psycho-social-geographical transition that involves a series of losses and changes, most of them obvious and expected, but some of them hidden and unexpected. Immigration also involves changes in one’s identity, as inner change tries to match outer change. The original story of immigration—by Abraham in the Bible—highlights some of the issues immigrants typically confront. A survey of Taiwanese immigrants in San Francisco and Vancouver, Canada illustrates some of the most troubling of these issues. Congregations, particularly bicultural congregations, are especially well-equipped to minister to the needs of the newly immigrated. Pastors need to be sensitive to the issues and needs of immigrants in a world where we are all foreigners in one sense or another.     

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.     

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.     

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.

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.     

Self Psychology and End of Life Pastoral Care

This paper explores salient concepts of Heinz Kohut's self psychology in relation to pastoral caregiving with dying persons and family members. Examination of a principle case study and other relevant clinical examples illumines the discussion. It is argued that the principles of Kohut's psychology can critically inform pastoral theological reflection. Strengths and limitations are considered throughout the analysis, and gestures are made toward beneficial end of life pastoral theological practices for clients and practitioners.