Women and rape

The author examines biblical law regarding rape and ultimately the value of women. She also points to the way in which Jesus dealt with women as an indication of his regard for their personhood. Successful evaluation and counseling of a rape victim requires the acknowledgement of the specific needs of the woman and essentially her basic identity as a woman and her role perception in our society.Ms. Bailey is a full time therapist on the Inpatient Psychiatric Unit of University/Louisville General Hospital in Louisville, Kentucky. She also works in crisis intervention in the emergency room and is a volunteer advocate for the Louisville Rape Relief Center. Ms. Bailey provides supervision for graduate students from Southern Baptist Theological Seminary Social Work Department and is actively interested in pastoral care.     

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.     

Theology and pastoral counseling: A client's viewpoint

Although in recent years there has been a resurgence of interest in the correlation of theology and pastoral care and counseling, most writings have only given the pastor's perspective. Presented here is a theological poem written some two years after depression began to plague Rachel Hansen. She describes not only her view of the pastor and the counseling process, but also the impact of the counseling on her theology and faith.Dr. Stone is Professor of Pastoral Care and Pastoral Psychology at Brite Divinity School, Texas Christian University, Fort Worth, Texas 76129.     

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.     

Forgiveness and recidivism

The teaching of Jesus on limitless forgiveness is a difficult one with which to reckon, especially when an offense is repeated again and again (recidivism), sometimes by the same offender. This article finds in the gospel of Matthew (Matt. 18:15–17) and Paul's letters to the Corinthians (I Cor 5:2–11 and II Cor 2:5–8) a model of forgiveness that is assertive, confrontative and direct in style, pastoral in application and reconciling in spirit.Dr. Donnelly (Ph.D. Claremont Graduate School) is an Associate Professor of Theology and Spirituality at St. John's University, New York, and a Visiting Lecturer at Princeton Theological Seminary, Princeton, New Jersey. She has published over a dozen articles on the subject of forgiveness and reconciliation as well as two books:Learning to Forgive (Macmillan 1979; Abingdon, 1982) andPutting Forgiveness into Practice (Argus, 1982).     

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.     

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.     

Incarnation and pastoral care

This essay is an examination of the usefulness of incarnation as a theological metaphor for pastoral care and counseling. Understanding the incarnation as both an event and as a paradigm of God's relationship to the world provides a theological perspective for examining four interrelated questions about identity and the helping relationship frequently asked by the pastoral care-giver. The incarnation metaphor finally frees us to care in the confidence that in God the Incarnating One, all things, including our care for the sick, are held together.Dr. Anderson is Associate Professor of Pastoral Theology and Counseling at Wartburg Theological Seminary, 333 Wartburg Place, Dubuque, Iowa 52001.     

Pastoral care and miscarriage: A ministry long neglected

Ministers often are estranged from the loss experience of women who miscarry. This paper gives medical information about such spontaneous abortions, describes several factors that shape the woman's experience, and explores possible pastoral response.Swanee Hunt is a candidate for Th.D. in pastoral care and counseling at Iliff School of Theology, Denver, Colorado. She is part of an ecumenical ministry team that serves both a Presbyterian church community and a Catholic church community.     

Ministers’ Perceptions of Depression: A Model to Understand and Improve Care

While depression is a significant worldwide health problem, fewer than half of individuals seek care. Faith-based communities may play an important role in improving the knowledge of and linkage to depression care. Focus groups of Caucasian and African-American clergy were conducted to explore these issues. Using a grounded theory approach five themes emerged, including explanatory models of depression, barriers and facilitators to care, and recommendations for involving religious communities. A model of depression care pathways was constructed that integrates secular and spiritual approaches. The findings highlight the need for targeted interventions to build trust between clergy and mental health professionals. Teresa L. Kramer, Ph.D., is Chief Psychologist and Associate Professor of Psychiatry in the College of Medicine, University of Arkansas for Medical Sciences in Little Rock. She has conducted research in child, adolescent and adult mental health assessment, outcomes, and quality of care. Her current research on adolescent depression is funded through a Research Career Development Award from the National Institute of Mental Health. She is currently developing faith-based programs to educate ministers and their congregations about depression-related illness. Dean Blevins, Ph.D., teaches in the Department of Psychiatry, College of Medicine, at the university and is associated with the Center for Mental Health & Outcomes Research, Central Arkansas Veterans Healthcare System, and the South Central Mental Illness, Research, and Clinical Center in Little Rock. Terri L. Miller, Ph.D., also teaches in the Department of Psychiatry. Martha Phillips, Ph.D., is at the Department of Human Services in Little Rock. Vanessa Davis and Billy Burris are employed at the Division of Behavioral Health Services, also in Little Rock.     

The rationing of health care: A doctor's dilemma

Physicians are currently presented with very difficult ethical issues regarding who receives what level of medical care and for how long. A meaningful response to these perplexing issues necessitates a collaboration of doctors with others steeped in religious and ethical traditions. This paper addresses the complicated issue of the rationing of health care, and this issue is then addressed by responses from representatives of the religious community. This symposium took place at the New York Hospital—Cornell Medical Center in March 1991.The Rev. Curtis W. Hart, M.Div. is Director of Pastoral Care and Education at the New York Hospital—Cornell Medical Center.The Rev. Paul Conner, O.P., is Associate Professor and Director of the Master's Program in Public Health Care Ethics at New York Medical College. Larry Rasmussen, Th.D., is Reinhold Niebuhr Professor of Social Ethics at Union Theological Seminary in New York. Dr. Harlan J. Wechsler is Rabbi of Congregation Or Zarua and Visiting Professor of Philosophy at Jewish Theological Seminary in New York.     

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.     

Making Sense of Suffering and Death: How Health Care Providers’ Construct Meanings in a Neonatal Intensive Care Unit

Biomedical technology has progressed at a pace that has created a new set of patient care dilemmas. Health care providers in intensive care units where life-sustaining therapies are both initiated and withdrawn encounter clinical scenarios that raise new existential, theological, and moral questions. We hypothesized that there might be broad patterns in how such staff understand these questions and make sense and meaning from their work. Such meaning making might be the key to working with the critically ill and dying while helping to create and sustain a meaningful context for personal living. This article presents themes evident in an in depth analysis of open-text responses to a spiritual and religious questionnaire survey completed by staff in one neonatal intensive care unit. The data reveal the central roles of perceived infant suffering and death in these providers’ work experience and details how they understand the ultimate meaning of the suffering and death. We investigate patterns in how different providers articulate their individual attributes and motivations for working in intensive care. We found a surprising range of religious, spiritual, existential, and other meaning-making systems that underpin how staffs understand their work and how, certain of them, even define their purpose in life as caring for critically ill infants and their families.Wendy Cadge received her Ph.D. in sociology from Princeton University. She is currently an Assistant Professor of Sociology at Bowdoin College and a Robert Wood Johnson Foundation Scholar in Health Policy Research at Harvard University. Her research examines a range of topics related to religion in contemporary American life including religious pluralism, religion & immigration, religion & sexuality, and religion & the arts. Her first book is titled, Heartwood: the First Generation of Theravada Buddhism in America (Chicago: University of Chicago Press, 2005). Dr. Cadge’s current research focuses on the history, presence, and significance of religion and spirituality in American hospitals. Elizabeth A. Catlin is a senior faculty neonatologist at the Massachusetts General Hospital (MGH) in Boston and an Associate Professor of Pediatrics, Harvard Medical School. Dr. Catlin completed general pediatric training at Tufts University School of Medicine, Boston, followed by subspecialty training in neonatal–perinatal medicine at Brown University School of Medicine, Providence, Rhode Island. Dr. Catlin served as Chief of Neonatology at MGH from 1992 to 2004. She completed a Kenneth B. Schwartz Foundation fellowship in Clinical Pastoral Education in 1999. Dr. Catlin has a long-standing interest in spiritual distress, tragic decision-making, suffering, bereavement, and religious components of patient care in neonatal intensive care. Correspondence to Elizabeth A. Catlin, ecatlin@partners.org.     

Celtic culture,Calvinism, social and mental health on the Island of Lewis

The five points of federal Calvinism, as outlined by the Synod of Dort, have had a strong influence on the Protestant church. Their negative effects on the culture and society of the Western Isles of Scotland are often overlooked, or simply accepted as an expresion of that culture. In this paper, an attempt is made to show how Celtic culture on the Isle of Lewis has been held back by this theology, and the effect of this repression on society and the individual. Particular areas of concern are the neglect of the Gaelic language, and the incidence of violence, alcoholism, and depression. Iain Macritchie, S.T.M., comes from the village of Ballantrushal on the Island of Lewis. He is a Church of Scotland minister with a particular interest in training ministers for work in the Highlands and Islands of Scotland, to which he has returned after a year on the Scottish Fellowship at Union 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.     

Personal and professional integrity in relation to pastoral assessment

Though concerns about personal integrity have led some to de-emphasize the role of assessment and the pastor's professional viewpoint in pastoral care, as re-examined here these same concerns call for a recognition of the vital connection between professional and personal integrity. The relationship between personal and professional integrity as they shape pastoral assessment is analyzed in terms of respect, encounter, and anticipation. The relationship of a theology of hope or anticipation to the predictive validity of pastoral assessment presents a challenging agenda for pastoral ministry today.Dr. Underwood is Associate Professor of Pastoral Care at the Austin Presbyterian Theological Seminary     

Theological foundations for spiritual care

Five theological tenets are described which may undergird the integration of religious awareness and spiritual care into nursing curricula. The five all emphasize addressing the articulated needs of the patient within the context of the nursing process. These tenets, while Wesleyan in emphasis, suggest ways in which any nurse may engage in the common ministry of all Christians without usurping the role of clergy or chaplains.This article is a revision of a chapter of Dr. Brittain's doctoral dissertation from St. Mary's Seminary and University.     

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.     

Opposing Trends of Religious Attendance and Religiosity in Predicting Elders’ Functional Recovery after an Acute Myocardial Infarction

This study examined the role of religion and spirituality in older adults’ functional recovery following an AMI. Participants were interviewed within 2 weeks of the AMI about their religious beliefs. Functional recovery was evaluated using the Short Physical Performance Battery (SPPB) at one month and seven months. We found that those who reported attending religious services more frequently had better functional recovery. In contrast, those who considered themselves more spiritual had worse functional recovery. These findings remained after controlling for age, gender, co-morbidity (Charlson Co-Morbidity Scale), depression (CES-D), social support (MOS Social Support Survey), and grip strength in Linear Mixed Models. The implications of the findings are discussed.Dr. Levy is an Associate professor in the Department of Epidemiology and Public health at Yale University. Her research focuses on the influence of psychosocial factors on aging health. She received the Margaret M. Baltes Early Career Award in Behavioral and Social Gerontology from the Gerontological Society of America, the Springer Award for Early Career Achievement on Adult Development and Aging from the American Psychological Association, and a Career Award from the National Institute on Aging. She was also awarded a Brookdale National Fellowship for Leadership in Aging. Kathryn Remmes Martin received her Bachelor’s Degree from the College of the Holy Cross and her Master’s Degree (MPH) in Chronic Disease Epidemiology from Yale University. She is currently a doctoral student in the Health Behavior and Health Education Department at the University of North Carolina Chapel Hill, School of Public Health.     

Measuring depression in children: a multimethod assessment investigation

The present investigation examined measures for the assessment of depressive symptomatology in children, as well as two related constructs (self-esteem and anxiety). The sample consisted of 166 elementary school children from grades 3 through 6. Two self-report depression measures, the Children's Depression Inventory (Kovacs, 1979) and the Child Depression Scale (Reynolds, in press), as well as anxiety and self-esteem scales, were completed by the children. Parents (mothers and fathers) evaluated their children on the depression and anxiety scales from the Personality Inventory for Children (Wirt, Lachar, Klinedinst, & Seat, 1977), and teachers provided global ratings of depression and academic performance. The results support the reliability and validity of both self-report children depression measures. Data obtained on the parent report measure do not recommend its use at this time for assessing depression in children, while results on teachers' global ratings of depression provide some evidence that teachers may be a good source of information regarding depression in children.The authors gratefully acknowledge the generous assistance provided by Al Holmquist, principal of Mazomanie Elementary School, and James Clark, principal of Oregon Elementary School, and their teachers. This research was funded in part by a Spencer Foundation Grant to the first author, through the School of Education, University of Wisconsin-Madison. The writing of this article was facilitated by a Wisconsin Alumni Research Foundation grant (135–1503) to the first author.