Posted February 14, 2006
Book: Images of Pastoral Care: Classic Readings
Author: Robert C. Dykstra
Chalice Press, St. Louis, Missouri, 2006, pp. 248
An Excerpt from the Introduction:
The essays [in this book] are grouped in three sections and, with few
exceptions, appear chronologically within each part after a brief
introduction of the whole. Part one introduces early work of Boisen, in
which he describes clinical patients as living human documents worthy of
theological exploration. Two additional essays at once endorse and critique
Boisen’s original metaphor. This section also includes two other classical
biblical metaphors of care. The good shepherd has shaped pastoral care for
generations but comes to prominence in contemporary pastoral theology in the
early work of Hiltner. The image of the good Samaritan is presented here
with a contemporary twist from a feminist perspective in an influential
essay by Jeanne Stevenson Moessner.
Part two introduces several additional images. Each image embraces internal
contradiction or paradox to describe the bewildering nature of pastoral care
and its impact especially on the minister’s own life and faith. This section
presents the images of wounded healer and wise fool (or circus clown) that
have wielded significant influence in ministry for decades. It also includes
more recent images of the intimate stranger and ascetic witness that,
likewise, rely on paradox in attempting to capture the rich complexities of
pastoral work.
Part three offers an array of additional images, a number of them emerging
recently. These images suggest the growing emphasis within pastoral
theology on broarder social and spiritual concerns of congregations and
communities, especially groups frequently marginalized. Such emphasis leads
to a consideration of needs beyond those of individual parishioners who
previously comprised the principal focus of pastoral care. Here the
caregiver becomes a theological diagnostician, an athletic coach, an agent
of hope, an indigenous storyteller, a midwife, a gardener, even an outlaw in
the widening horizons of pastoral care.
Each of the essays has been drawn from its original source and, in most
instances, substantially edited so as to concentrate specifically on its
author’s case for a particular image of care.
An Excerpt from the Book:
The Chaplain in Crisis
I have suggested, however, that the family members are not the only
strangers in crisis in this situation, but that the chaplain, too, is a
stranger, both to the emotionally hurting “host family” and to the realities
of the crisis of sudden death. My suggestion that the chaplain may also be
in crisis here, if this is accurate, challenges the one-way understanding of
ministry in the literature.
When I am called by the emergency room staff to be with a person facing the
sudden loss of a loved one, I often experience the types of distress
described by Lindemann: somatic tension; a sense of unreality, floating, or
the slowing down of time; guilt (for example, for not wanting to go into
this situation, and for wanting to escape it as quickly as possible, or for
my relief that this is not someone I know, or for failing in my own
relationships); hostile reactions to others, including an accumulating
irritability or exaggerated anger with loved ones; the loss of patterns of
conduct involving a restlessness stemming from a sense that since life is
short — an awareness so evident in the emergency room — it therefore must be
live “hard,” with constant fervor and intensity. All of these are common
companions of mine and of many other hospital chaplains I know.
The Family as Host
If the realization on the part of ancient Israel (and reflected in the
teachings of Jesus and the early church) — that welcoming the stranger meant
a serendipitous welcoming of God — is accurate, then the chaplain responding
to a call to welcome victims of loss should find himself or herself not only
representing God to this family, but also welcomed by God in this family as
well. It is clear that unless the family members are willing to welcome the
chaplain into the depths of their existence, the chaplain both will be
powerless to assist the family and will not receive any comfort from them.
Should the family allow the stranger-chaplain to “sojourn” in their lives,
however, the chaplain conceivably would experience certain needs being met
by this family: biological, political-cultural, and theological needs.
Again, this is often the case. As the victims begin to tell the chaplain
“what happened” (if they know), of the nature of the person who may be dying
or already dead and the nature of their relationship with him or her, of
their confusion, guilt, helplessness and vulnerability a psychosomatic
soothing of the chaplain’s own anxiety and tension.
Politically, the chaplain experiences a validation of his or her pastoral
presence in the hospital, an awareness that the chaplain does indeed serve a
necessary function even in a public institution in which the role and
functioning of chaplains seem frequently misunderstood; the family’s
openness to the chaplain (and frequently only to the chaplain) “justifies”
(does justice to) his or her presence.
Culturally, the chaplain also receives here exposure to traumas and deep
joys isolated from the experience of many Americans, gifts from the “company
of strangers” that Palmer noted. The chaplain as stranger is welcomed into a
larger and more connected world of humanity when welcomed by this “host
family,” and life is given the color, texture, and drama so lacking in much
contemporary experience.
What, though, does the chaplain receive theologically when welcomed as
stranger? I would like to reflect on this question in the concluding
paragraphs of this essay.
Table of Contents:
Part One
Classical Images of Care
1. The living human document
2. Reclaiming the living human document
3. The living human web
4. The solicitous shepherd
5. The courageous shepherd
6. The self-differentiated Samaritan
Part Two
Paradoxical Images of Care
7. The wounded healer
8. The circus clown
9. The wise fool
10.The wise fool reframed
11. The intimate stranger
12. The ascetic witness
Part Three
Contemporary and Contextual Images of Care
13. The diagnostician
14. The moral coach and counselor
15. The indigenous storyteller
16. The agent of hope
17. The midwife
18. The gardener
19. The midwife, storyteller, reticent outlaw
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