Pastoral Support for Late-Life Sexuality

SUMMARY

As more persons live longer and enjoy relatively good physical health, new ethical questions arise. One set of questions regards the continuation of sexual life among older persons, especially among older unmarried persons. Women live many years longer than their spouses and often were of a younger age than the spouses. The Judeo-Christian tradition affirms the vitality of sex as a basic part of God's gift of physical creation. A large majority of older people view sexual expression as important and many see it as crucial to a good relationship with a partner. These issues are raised for the awareness of pastoral counselors to understand and be responsive to the varied sexual alternatives m the later years m order to offer practical help to older persons.     

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.     

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.     

Gender and Sexuality in the Pastoral Encounter

Abstract

At the ‘Embodied Ministry: Gender, Sexuality and Formation’ conference at which the articles in this special issue were delivered, three people in active ministry in different denominations — United Reformed Church, Metropolitan Community Church and Roman Catholic — were invited to take part in a panel discussion on gender and sexuality in the pastoral encounter. Their remarks were originally delivered in this conversational context. Martin Pendergast chaired this panel discussion.     

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.

Care for the Caregiver: Clues for the Pastoral Care of Clergywomen

In this article, we report the results of a qualitative study on the special challenges faced by clergywomen: the impact of gender, work demands, and personal and professional stressors, and the positive and negative coping strategies these clergywomen employed. We include a discussion of the pastoral care issues that emerged from the study and make recommendations for ways pastoral counselors may care for their own.     

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.     

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.     

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.     

Models of Psychotherapy: Implications for Pastoral Care Practice

Pastoral care givers are called to provide care and counseling to parishioners that are suffering in many ways. A core question is what does a pastor rely on to provide this care? Pastors usually call on models of psychotherapy to inform their care giving. A framework of theological anthropology, cosmology, soteriology and harmatiology is developed for analyzing the worldviews inherent in models of psychotherapy. The specific models of Adler’s Individual Psychology, Narrative therapy, Horney’s personality theory, and Intersubjective theory are used to demonstrate the application of this framework. Several pastoral care implications are developed following the application of the framework.     

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.     

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...     

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.     

Ritualized Play Using Role Play to Teach Pastoral Care and Counseling

The author's experience of reflection-on-action and reflection-in-action in clinical supervision for counseling provides the basis for an analogous experience in the classroom that promotes the teaching of the practice of general pastoral care. A classroom ritual of role play within a specific process for reflection provides the basis for integrating theory and practice.