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.     

A Bad Disease, a Fatal Cure: Why Sterilization is Permissible and the Autonomy of Medicine is Not

The debate in this issue regarding the Roman Catholic condemnationof the morality of sterilization is puzzling for Protestants.As I will argue the puzzlement arises on two grounds. First,why would anyone object to direct sterilization for the cureor prevention of disease? Second, if one wanted to challengesuch an objection on moral grounds why would one turn to medicineto do so? For Christian ethics there is nothing wrong in principlewith direct sterilization when there are good reasons for precludingthe possibility of an additional pregnancy; and it is a serioustheological mistake to treat medicine as an independent moralauthority.