Reciprocal maturities: Spirit and psyche in pastoral counseling and spiritual direction

This article uses a model for integrating spiritual and psychological maturity (Conn, 1989) in theological anthropology to contend that there is a reciprocal relationship not only between spiritual and psychological maturity but also between pastoral counseling and spiritual direction. I review Christian spirituality in terms of maturity in relationship: to self, to others, and to God. Next is an examination of the prevailing attitude in pastoral counseling toward spirituality and spiritual direction. Then Conn's integration is assessed — of spirituality with psychology, of spiritual direction with pastoral counseling — as a combination of spiritual and hermeneutical perspectives on the maturing self.     

Toward professionalism or voluntarism in pastoral care

In its modern evolution as a subprofession, pastoral counseling has increasingly developed professional criteria to determine who can and who cannot legitimately do pastoral counseling. This trend moves pastoral counseling toward the medical profession and away from the life and mission of the institutional church. As pastoral counseling seeks a legitimacy in close association with the medical profession it runs the risk of losing touch with the institutional church—the voluntary associations of Christians that have always been the ultimate source of legitimacy for the ministry in America. The present challenge facing the field of pastoral care is to shift attention from professional specialization outside the church to an effort within the church to train the laity to be effective agents of pastoral care.This article was first presented in the Seminary Series Lectures, The Graduate Seminary of Phillips University, Enid, Oklahoma, during the spring of 1975.     

Internment and ministry: A dialogue with Joseph Kitagawa

This dialogue presents a profile of the late Joseph Kitagawa—a renowned scholar of the history of religions (Religionswissenschaft). It focuses on comparative religion and philosophy, as well as several other important issues related to his distinguished career as an Episcopal priest and dean of the Divinity School of the University of Chicago. They are: his experience of American concentration camps during World War II; Christian atheism and new theological models; concepts of time in Oriental and Occidental faiths; depth-psychology and contemporary ministry; and Paul Tillich's significance for the pastoral counseling movement.David M. Moss, Ph.D., Th.D., is the Book Review Editor of thisjournal and the Past President of the Georgia Chapter of the American Association's Division of Psychoanalysis. The interview is part of a series that will be published in a volume entitledDialogues in Depth Psychology and Religion.     

Religion,psychology, and mental health: The problems of partnership

While a current and increasingly popular trend is toward partnerships between religion and psychology in the area of mental health, and especially toward the use of psychological ideas and techniques by pastoral counselors, modern psychology and traditional religion are divided in significant ways over several normative issues. Too often these issues are minimized or overlooked. But unless these issues—which carry significant sociocultural implications as well as implications for our definitions of individual well-being—are acknowledged and subjected to critical considerations, partnerships between religion and psychology must be far more cautiously constructed and must be subjected to far more systematic thinking about the differences which separate the two.This article is based on a paper delivered at the Seventh Annual Clinical-Community Conference on Psychology and Religion at the University of Maryland in November, 1978.     

Pastoral response to marital alienation

Couples who seek pastoral help for their troubled marriages often display great hostility in their marital relationships. These negative feelings are the result of a cumulative process in which alienation builds over time through a series of hostile interactions by the distressed partners. Before assisting couples in solving the basic problems confronting them, the pastor must guide the couples in halting the destructive process of alienation and in establishing a climate of mutual cooperation in their marriages. Conventional marriage counseling techniques require a reasonable amount of positive couple interaction for the methods to be successful.Ch. Lt. Col. Gilbert W. Beeson, Jr., is a member of the United States Air Force Chaplain Resource Board. His address is: USAF Chaplain Board—LMDC/HCX, Bldg 814, Maxwell Air Force Base, Alabama 36112.     

The Tragic and Faith in Pastoral Counseling

This essay uses Edward Farley's notion of the interrelation of tragic vulnerability and creation and Niebuhr's idea of faith in offering a conceptualization of the process and goals of pastoral counseling. Openness, novelty, separation, and change, which characterize creative activity, give rise to anxiety, fear, and suffering as created entities seek to achieve their ends and needs amidst the limits of life. Faith as vital concern—defined as human and transcendent relations marked by reciprocal belief, hope, trust, and fidelity—is a response that represents participation and cooperation in creative activity with its concomitant anxiety and suffering. Pastoral counseling may be understood as an activity that facilitates a response of faith as vital concern. The process of pastoral counseling involves three essential and interrelated tasks. First, the counselor invites the person to experience present and past painful disappointments, losses, and betrayals. Second, the counselor invites the client to explore the types of trust and fidelity that are distorted and diminish his or her capacities for risking intimacy, spontaneity, and freedom. The third task is learning to recognize, contain, and work through the inevitable disappointments, broken promises, frustrations, and betrayals encountered in human relationships. Thus the work of pastoral counseling involves reciprocal experiences of belief, hope, trust, and fidelity, which provide the essential and necessary ground through which persons develop a) the capacities for and experiences of spontaneity, awe, and freedom, b) the ability to handle and work through experiences and perceptions of distrust and infidelity, and c) a sense of subjective and intersubjective identity, continuity, and cohesion.     

Self-determined work motivation predicts job outcomes,but what predicts self-determined work motivation?

Self-determined work motivation predicts important job outcomes, such as job satisfaction [Richer, S. F., Blanchard, C., & Vallerand, R. J. (2002). A motivational model of work turnover. Journal of Applied Social Psychology, 32, 2089–2113], but what predicts self-determined work motivation is less fully understood. We tested general causality orientation—specifically autonomy and control orientation—as a predictor of self-determined work motivation, which in turn was expected to predict job satisfaction and identification commitment as job outcomes. Regression analyses confirmed our hypotheses such that autonomy orientation predicted job outcomes via increased self-determined work motivation. Control orientation predicted self-determined work motivation but did not affect either of the two job outcomes. Findings are discussed with respect to the importance of individual differences in understanding job outcomes.     

Touching Mortality, Touching Strength: Clinical Work with Dying Patients

This paper outlines some of the special stresses that must be shouldered by clinicians—physicians, nurses, chaplains, social workers, pastoral staff, and others—whose work focuses on dying and extremely vulnerable patients. The utility of a theory of generative death anxiety as a framework for interpreting the nature of these special stresses is suggested. Three common burnout reactions are examined. The paper concludes that positive acceptance of personal mortality may help clinicians avoid burnout and lead to better therapeutic practice. This framework for interpreting therapeutic practice demonstrates the integral role spirituality plays in work with this particular patient group.     

History and Method of Charles V. Gerkin’s Pastoral Theology: Toward an Identity-Embodied and Community-Embedded Pastoral Theology,Part I. History

The purpose of this article is to explore the legacy of Charles V. Gerkin’s pastoral theology and to construct a method of pastoral theology. In Part I, I will trace within a larger context of pastoral theology the history of Gerkin’s pastoral theology since his early clinical praxis. In Part II, I will explore his method of developing pastoral theology and construct a renewed critical and constructive method of pastoral theology, reflecting on the implications of exploring the history and method of his pastoral theology.     

History and Method of Charles V. Gerkin’s Pastoral Theology: Toward an Identity-Embodied and Community-Embedded Pastoral Theology,Part II. Method

The purpose of this article is to explore the legacy of Charles V. Gerkin’s pastoral theology and to construct a method of pastoral theology. In Part I, I will trace within a larger context of pastoral theology the history of Gerkin’s pastoral theology since his early clinical praxis. In Part II, I will explore his method of developing pastoral theology and construct a renewed critical and constructive method of pastoral theology, reflecting on the implications of exploring the history and method of his pastoral theology.     

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.     

Values interpretation: A new model for hospital ministry

The importance of values in clinical settings is a topic of increasing discussion in the medical literature, but the nature of values and the process of interpreting them have received little attention. The hospital chaplain or religious professional is an underused resource in addressing values issues. This paper summarizes the current models of the hospital chaplaincy in historical context, and then develops a new model drawn from the disciplines of pastoral care and clinical medical ethics in order to address problems involving values in clinical settings. The model construes the chaplain as values interpreter who provides both consultation and liaison functions in clinical situations. We present a clinical case to illustrate the role of the values interpreter. We conclude that the religious professional can make an important contribution to both clinical decision making and medical education through such a model.The authors thank Don S. Browning, Ph.D., and Thomas H. Jobe, M.D., for their critical readings of earlier versions of this paper.     

Aggressive driving: the contribution of the drivers and the situation

Aggressive driving is defined in terms of the frustration–aggression model. In that context aggressive driving is a syndrome of frustration-driven behaviors, enabled by the driver's environment. These behaviors can either take the form of instrumental aggression—that allows the frustrated driver to move ahead at the cost of infringing on other road users’ rights (e.g., by weaving and running red lights)—or hostile aggression which is directed at the object of frustration (e.g., cursing other drivers). While these behaviors may be reflective of individual differences in aggression, it is argued that the exclusive focus on the characteristics of the aggressive drivers and how to control them is short-sighted. Instead, this paper proposes a multi-factor approach to the problem. Five studies conducted so far tend to support this approach, by showing that specific aggressive behaviors—such as honking and running red lights—are associated with cultural norms, actual and perceived delays in travel, and congestion. Ergonomics-oriented approaches that involve environmental modifications are proposed.     

Pastoral care through small groups

Summary Pastoral care has for too long been conceived as the task of the ordained clergyman alone. The concept of shared leadership now offers us a unique tool to implement the pastoral care of the whole church—the laity as well as clergy. The small group, as a locus of care and concern and as a training tool, offers a unique way by which this ministry of the laity may become a reality, but training in small group process is vitally important to release this potential.     

The Clown's Use of Empathy: An Interview with Bob Berky

Excerpts from an interview with Bob Berky reveal the clown's keen understanding of empathic attunement, what psychotherapists, pastoral counselors, and persons in pastoral care maintain is a vital correspondence toward authentic interpersonal presence. Berky discusses the use of silence and movement to free the individual with whom he invites to his stage from rigid personas and limiting preconceptions. He underscores the life-giving possibilities of the laugh of recognition—the realization that we share a kindred experience of being human, and can release our unique potentials toward creative connection and difference.     

Education for the prepared mind

A theory of education requires a theory of the mind that is to be educated. Modules are the central feature of the mind of the infant. Innate learning devices, modules, prepare the infant with the following competences: language, number, theory of mind, spatial navigation, music, etc. We propose that the child be taught what evolution has prepared the child to learn. This program requires adding both modular—e.g., Theory of Mind, morality, art—as well as domain-general competences—e.g., analogies, causal analysis—to the curriculum. The program further requires revamping the presently inappropriate teaching of certain modular competences. Finally it requires correcting “evolutionary errors”—modular competences that were not ideal (see Galileo); or that, though once beneficial, have become harmful in the modern world (see imitation). This proposal is taken from [Premack, D. & Premack, A. (2003). Original intelligence. New York: Macgraw-Hill].     

Pain Control and Chaplaincy in Aotearoa New Zealand

This paper summarizes the results of 100 New Zealand health care chaplains with regard to their involvement in issues concerning pain control within the New Zealand health care context. Both quantitative (via survey) and qualitative methods (in-depth interviewing) were utilized. The findings of this study indicated that approximately 52 % of surveyed hospital chaplains had provided some form of pastoral intervention directly to patients and/or their families dealing with issues concerning pain and that approximately 30 % of hospital chaplains had assisted clinical staff with issues concerning pain. NZ chaplaincy personnel involved in pain-related issues utilized a number of pastoral interventions to assist patients, their families and clinical staff. Differences of involvement between professionally stipended hospital chaplains and their volunteer chaplaincy assistants are noted, as are the perspectives of interviewed chaplains about their pastoral interventions with issues relating to pain. Some implications of this study with respect to chaplaincy utility, training and collaboration with clinical staff are noted, as are comparisons with international findings.     

Pastoral psychotherapy and the symbolic

The author points out and illustrates the interrelatedness of the capacity to think symbolically and a sense of self. Through a case study he describes the disclosure of hidden and unresolved personal concerns by symbolic references and the correspondence between personal myth and emotional concerns. A perspective of therapy is suggested—that it is a process of clarifying and demythologizing self-perceptions, conscious and unconscious, so that a person can move on to other representations of self and be liberated from restrictions imposed by undisclosed myths. Finally, the author examines what is pastoral or religious about a psychotherapeutic process and offers questions for further study.     

Sex of leader and subordinate role stress: A field study

This research examines the relationship between sex of leader and subordinate perceptions of two dimensions of role stress — role conflict and role ambiguity — as moderated by subordinate job level, age, and sex. Interaction effects for sex of leader also are investigated. Subjects are 184 supervisory and nonsupervisory employees of a psychiatric hospital. Results suggest that sex of leader does not significantly affect subordinate role conflict and role ambiguity. Most interactions were nonsignificant.     

Pastoral conversation: A social construction view

The purpose of this article is to exhibit a clinical application of a social construction view of psychotherapy in the work of Goolishian and Anderson along with implications for pastoral conversation and for a postmodern pastoral theology.Glenn E. Boyd, M.A., M.Div., LPC, LMFT, is a pastoral counselor on the staff of Interface-Samaritan Counseling Center in Houston, TX. Additional information may be requested by writing him at 4803 San Felipe, Houston, TX 77056.