“I'm Not That Type of Person”: Managing the Stigma of Having an Abortion

Drawing on interviews with U.S. women, this article offers a social–psychological framework for understanding the stigma of having an abortion and identifies the individual stigma management strategies women use to mitigate negative intrapersonal and interpersonal consequences of abortion stigma. We also contribute to contemporary understandings of abortion stigma by theorizing how aspects of abortion stigma—such as its concealability and episodic expression—interfere with women's potential to collectively manage or dismantle abortion stigma. Finally, we discuss how our conceptual framework can be used to inform the development of a measure of the stigma experiences of women who have had an abortion, which can help improve health and well-being outcomes for women.     

Christian practices in urban clinical pastoral education

This article addresses primarily a connecting link in ministerial formation through the incorporation of certain practices of Christianity within an urban CPE curriculum and the impact on the development of pastoral identity and pastoral practice. Though the focus is identified as Christian the implications and practices are adaptable within all religious and spiritual traditions. The student groups of this urban CPE program represent a wide diversity of cultures and religious traditions and an equal representation of men and women.     

Intimate Violence Against Women: Trajectories for Pastoral Care in a New Millennium

This article reviews progress made in the theory and practice of pastoral care and counseling with regard to the issue of intimate violence against women since the 1970’s. It includes a comprehensive survey of sociological, psychological, and pastoral literature, and a summary of research on teaching about domestic violence in mainline Protestant seminaries. Social and theological themes, including gender, power, and social and political context, and the challenges of justice-making are traced historically. The article concludes with new recommendations for churches, pastoral caregivers, counselors, and theologians.     

Women and Aging: Insights for Care from a Clinical Perspective

The purpose of this article is to generate pastoral clinical insights from the life experiences of three women entering the fourth quarter of life. The author considers how both physical, emotional, and spiritual resources as well as challenges can either enhance or disturb well-being. The author concludes that each of the women, having been in counseling for at least one year, has experienced an enhanced personal sense of well-being. Emerging from the clinical analysis, the author makes suggestions for helpful congregational pastoral care.     

A Good Abortion Is a Tragic Abortion: Fit Motherhood and Disability Stigma

In the context of abortion stigma, most abortion stories remain untold. The stories we do tell of abortion are often told to morally recuperate the status of the woman who has an abortion through a recourse to tragedy. Tragedy frames experiences where every choice produces some suffering, so decisions are geared toward maintaining individual integrity rather than adherence to absolute moral truths. This article argues that one dominant tragic abortion narrative, that of the disabled fetus, works to recuperate the moral status of “fit” mothers while actively constructing disabled lives as unlivable and undesirable. The option to stigmatize disability in recuperating the moral status of the woman who has an abortion relies on eugenic logics that also construct a variety of women (racialized, poor, disabled, and young) as illegitimate reproductive subjects. The article analyzes narratives of Sherri Finkbine's 1962 abortion in relation to contemporary narratives of late‐term abortions involving nonviable fetuses to expose how investment in medical judgments of good births enables particular women to make use of tragic narratives to maintain their status as moral mothers without disturbing broader abortion stigma or eugenic logics.     

Pastoral diagnosis: assessing the psychotheological themes of freedom and meaning

This article is an exploration of the psychological and theological themes of freedom and meaning within the world of those who experience emotional pain. The article focuses on how freedom and meaning can contribute to the development of a pastorally rigorous diagnostic protocol. It is in the examination of emotional freedom and the search for meaning that practitioners of the pastoral arts come to an understanding of the nature of suffering. The article offers an overview of the state of pastoral diagnosis highlighting and drawing from those resources that emphasize the need for pastoral psychology to construct a diagnostic protocol that is both theological and resonate with the lived experience of clients.     

Shame and Pastoral Care: Implications from an Asian Theological Perspective

Using the story of a Korean woman as a case study for pastoral caregivers, this article attempts to address some appropriate pastoral responses toward the “human impasse” from an Asian theological perspective. This article highlights the significance of remembrance and connection rather than repression and forgetfulness in order to bring justice to shamed persons, like this Korean woman. This article builds on Jacoby’s “social amnesia,” calls for redefining the meaning of community, and attempts to address the human predicaments such as shame experiences from an Asian perspective. In order to address pastoral responses, this article also builds upon Martin Luther King, Jr.’s concept of interrelatedness and shared destiny. It critically examines Jung Young Lee’s theology of marginality and draws the pastoral implications of this theology of marginality with respect to shame experiences. This article concludes with an Asian model of pastoral care and counseling.     

Love as a Starting Point for Pastoral Theological Reflection

This article draws on recent work in the theology of love to propose steps toward the development of a pastoral theology of love in order to inform the practice of pastoral care. A pastoral theology of love is a necessary foundation for an ecclesial practice of pastoral care that promotes growth in love. The article defines love and addresses key issues in the theology of love, namely, human agency and the analogies that exist or do not exist between human and divine love and the concept of growth in love, or sanctification. The article concludes by proposing and sketching some key features of a pastoral theology of love for pastoral practice.     

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.     

Discerning the Ministries of Women

In 1988, the historic Rhodes Inter-Orthodox Symposium on the Place of Women in the Orthodox Church encouraged, among other things, fuller participation of women in the life of the church. This article reports on the results of a study that solicited the views of Orthodox Christians regarding the participation of women in the life of the church. Nearly three-quarters of respondents clearly stated or intimated that they would like to see more opportunities for women to serve in the church. One-third of the respondents identified the issue of deaconesses in their essays. Responses here revealed a great diversity of experience, education, and opinion. Nevertheless, more than half of the respondents commenting on deaconesses showed an openness to this ministry. This may be a powerful measurement indicating that exploring the pastoral need for this and other ministries may well be long overdue.     

Reasoning in the personal and moral domains: Adolescent and young adult women's decision-making regarding abortion

The present investigation of adolescent and young adult women's reasoning, and decision-making about abortion was conducted to determine whether reasoning about abortion could be described by moral, social-conventional, and personal concepts and to examine relationships between domain of reasoning and action choices. Seventy single women, ranging in age from 13 to 31 and divided between 25 women having abortions, 23 women continuing their pregnancies, and 22 never-pregnant women, were administered a semi-structured clinical interview about abortion and two hypothetical moral judgement dilemmas. A classification task was developed to provide an additional measure of reasoning in different domains. Another 29 single, first-pregnant women provided a comparison of the effects of these procedures on decision-making. Content analysis of the protocols revealed that responses to the abortion interview could be reliably distinguished between concepts of morality and personal issues and their coordination or lack of coordination. Subjects treating abortion as a moral issue were more likely to continue their pregnancies while subjects treating abortion as a personal issue were more likely to obtain an abortion. Differences in reasoning between pregnant and nonpregnant subjects were not observed. Moral responses to the abortion interview were found to be highly related to hypothetical moral judgments.     

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.     

Abortion and Health Care Chaplaincy in Australia

This paper summarizes the results gained from quantitative and qualitative research involving 327 Australian health care chaplains with regard to their involvement in abortion issues within the health care context. The findings indicate that approximately 20% of surveyed chaplains had provided some form of pastoral intervention to patients and/or their families dealing with issues of abortion and that approximately 10% of chaplains had assisted clinical staff with issues concerning abortion. There was found to be no-statistically significant difference with regard to the number of catholic chaplains compared with protestant chaplains or staff chaplains compared with volunteer chaplains involved in abortion issues. Analysis using the WHO Pastoral Intervention codings highlighted a variety of issues encountered by chaplains and the non-judgmental pastoral care used by chaplains when assisting those dealing with abortion. Some implications of this study with respect to patient and clinical staff support are suggested. Dr. Lindsay Carey, M.App.Sc., Ph.D.: National Research Fellow, Australian Health & Welfare Chaplains Association & Faculty Associate, Palliative Care, School of Public Health, La Trobe University, Melbourne, Australia. Dr. Christopher Newell, AM, Ph.D.: Associate Professor, School of Medicine, University of Tasmania, Hobart, Australia.     

A lesson from Katrina: pastoral care from an Asian theological perspective

Situating pastoral caregivers in the dramatic catastrophe caused by hurricane "Katrina" in New Orleans, this article attempts to address some appropriate pastoral responses toward the disaster from an Asian theological perspective. The article highlights the significance of remembrance and connection rather than repression and forgetfulness in order to bring justice to all victims of Katrina. It builds on Jacoby's "social amnesia," calls for redefining the meaning of community, and attempts to address the human predicaments on the surface of Katrina through an Asian perspective. In order to address pastoral responses, the article builds upon Martin Luther King, Jr.'s concept of interrelatedness and shared destiny. It critically examines Jung Young Lee's theology of marginality, and draws the pastoral implications of this theology of marginality with respect to Katrina.     

Catholic pastoral care as a response to the HIV/AIDS pandemic in Southern Africa

Recent estimates suggest that more than 10% of Southern Africa is HIV+. This article is based on a research study of sixty four pastoral care projects focussing on the HIV/AIDS pandemic in Southern Africa. The projects, which fall under the auspices of the Southern African Catholic Bishops' Conference AIDS office, focus on both education for HIV prevention and the pastoral care of people living with HIV/AIDS (PLWHA). The article recounts the results achieved by these projects over the last two years, discussing their strengths and weaknesses, and proposes some recommendations for further action. The author discusses the pastoral and theological dimensions of these pastoral services indicating the importance of socio-cultural mediation in pastoral responses.     

Praying with those who might forget: pastoral considerations with memory impairment

This article gives an account of a person who had memory impairment and received pastoral care, with an emphasis on pastoral needs and prayer. The author provides a first-hand account addressing both sides of the pastoral care interaction. She experienced years of memory impairment comparable to mild to moderate Alzheimer's Disease. Now, however, she is a seminarian. She provides a detailed account of pastoral care received during the time of memory impairment and considers both the visiting pastor's intent and the author's recollection of the prayer and pastoral care received. Part of the uniqueness of this account is that persons with memory impairment do not usually regain their cognitive functioning and then also obtain pastoral education from which to provide the guidance gained as both patient and pastor.     

Pastoral care and psychology of religion: Toward a new alliance

This paper explores the possibility of a closer working relationship between psychologists of religion and professionals in pastoral care. The first part identifies the major conceptual problems of pastoral psychology and pastoral theology. The second part indicates how psychology of religion provides pastoral psychology and pastoral theology with resources for solving these problems. The author concludes that grounds for an alliance between psychology of religion and pastoral care clearly exist; both, for example, share a fundamental interest in personal transformation and integration.This article was presented on the occasion of Professor Capps' installation as a member of the Phillips faculty.     

Regendering the U.S. Abortion Debate

This paper originated in a conference presentation with my colleague Michael Tooley, at which we were both asked to re-evaluate articles about abortion that each of us had written over twenty years earlier. While Tooley and I both contended that abortion should be legally unrestricted, there were striking differences in the style and content of our respective arguments. Contemplating these differences has reinforced my own belief in the importance of emphasizing the centrality of gender when discussing abortion. Since gender as we know it is a system of dominance as well as difference (MacKinnon 1987), I take this to mean that contemporary discussions of abortion must address the relationship between abortion access and the social status of women. My early article addressed this relationship to some extent, but the present paper will raise a number of additional gender issues that the early article did not mention.     

Bioethics and Pastoral Concern: Some Possible New Directions in Pastoral Theology

This special issue of the journal is comprised of papers given at a conference in May 2011 at the University of Texas Health Science Center at Houston on the theme of “Social Justice and the Health Professions.” This article offers the following rationale for this special issue in particular and for pastoral theologians to contribute to bioethics in general: (1) two contemporary theological thinkers in bioethics, Karen Lebacqz and Lisa Cahill, argue that theological discussions of justice broaden and deepen discussions of justice in mainstream bioethics—thus the focus on social justice provides an area for interdisciplinary and intersectional work; (2) pastoral theologians have not, to a great extent, contributed to discussions of religion and bioethics—this has been the territory of theological ethicists, especially during the 1970s; (3) one influential pastoral theologian, Bonnie Miller-McLemore, has called for (a) a broader concern for health in pastoral theology beyond psychological health and (b) more disciplinary approaches within pastoral theology beyond psychology so as to attend to “the living human web”; and (4) one way to advance the theological contributions in bioethics is by inviting pastoral theologians to focus on matters of social justice (an established area of intersection) as identified by health professionals, thus providing (a) new areas for inquiry and (b) new theological perspectives in bioethics. This article also suggests that pastoral theologians can contribute to bioethics by focusing on both “macro” issues (issues relating to structures and groups) and “micro” issues (issues relating to persons and experiences) as a way of pursuing the topic of justice in bioethics. The bulk of this article focuses on “macro” issues, but, in closing, the author articulates how he has been addressing “micro” issues in his own work. The author argues that both of these approaches—“macro” and “micro”—are legitimate ways for pastoral theologians to express pastoral concerns in bioethics.