Healthcare professionals often face ethical conflicts and challenges related to decision-making that have necessitated consideration of the use of conscientious objection (CO). No current guidelines exist within Spain’s healthcare system regarding acceptable rationales for CO, the appropriate application of CO, or practical means to support healthcare professionals who wish to become conscientious objectors. As such, a procedural framework is needed that not only assures the appropriate use of CO by healthcare professionals but also demonstrates its ethical validity, legislative compliance through (...) protection of moral freedoms and patients’ rights to receive health care. Our proposal consists of prerequisites of eligibility for CO (individual reference, specific clinical context, ethical justification, assurance of non-discrimination, professional consistency, attitude of mutual respect, assurance of patient rights and safety) and a procedural process (notification and preparation, documentation and confidentiality, evaluation of prerequisites, non-abandonment, transparency, allowance for unforeseen objection, compensatory responsibilities, access to guidance and/or consultative advice, and organizational guarantee of professional substitution). We illustrate the real-world utility of the proposed framework through a case discussion in which our guidelines are applied. (shrink)

Counterfactual definiteness is supposed to underlie the Bell theorem. An old controversy exists among those who reject the theorem implications by rejecting counterfactual definiteness and those who claim that, since it is a direct consequence of locality, it cannot be independently rejected. We propose a different approach for solving this contentious issue by realizing that counterfactual definiteness is an unnecessary and inconsistent assumption. Counterfactual definiteness is not equivalent to realism or determinism neither it follows from locality. It merely reduces to (...) an incongruent application of counterfactual reasoning. Being incompatible with falsifiability, it constitutes an unjustified assumption that goes against the scientific method rigor. Correct formulations of the Bell theorem’s bases show it is absent either as a fundamental hypothesis or as a consequence of something else. Most importantly, we present a coherent Bell inequality derivation carefully devised to show explicitly and convincingly the absence of incompatible experiments or counterfactual reasoning. Thus, even admitting that counterfactual definiteness could be a consistent assumption, the necessary conclusion is that it is irrelevant for the inequality formulation and can be safely ignored when discussing Bell’s inequality philosophical and physical implications. (shrink)

Abstract:This paper examines the American sojourn of the Enlightenment philosopher and theologian George Berkeley. While living in coastal Rhode Island between 1729 and 1731, Berkeley penned his longest philosophical tract, Alciphron: Or, the Minute Philosopher (1732), which criticized “freethinking,” mechanical conceptions of nature in favor of those that emphasized God's providence. To illustrate these two ways of knowing nature, Berkeley, a careful prose stylist, evoked nearby coastal landscapes for contrast. Accordingly, his work broke down dichotomies between ideas and matter and, (...) by extension, culture and nature, which could, this paper argues, inform an environmental ethic for a “hybrid” world. (shrink)

In March 2021, the Spanish Congress approved the law regulating euthanasia, that regulates both euthanasia and physician-assisted suicide (PAS). In this article, we analyse the Spanish law regulating euthanasia and PAS, comparing it with the rest of the European laws on euthanasia and PAS (Netherlands, Belgium and Luxembourg). Identified strengths of the Spanish law, with respect to other norms, are that it is a law with many safeguards, which broadly recognises professionals’ right to conscientious objection and the specification that it (...) makes on the prior comprehensive care of the patient, including the approach to care dependency. Regarding its shortcomings, the law does not differentiate well between euthanasia and PAS; it barely assigns a role to the healthcare team as a whole (similar to other regulations); it does not clarify the functions of the different professionals involved; it does not detail the specific composition and duration of theevaluation commission; it has not been accompanied by a prior or simultaneous regulation of palliative care; and, lastly, the period of time to implement the law is too short. (shrink)

Development is concerned with the transformation of people to foster their health, wholeness and growth. The link between health and development points to religion as potential social capital for development. There is an ongoing debate about the role of pastoral care as a religious resource in global healthcare contexts. This is unfortunately not the case in Africa, as pastoral care has not received sufficient attention for its role in healthcare and development in development discourses. The limited research on (...) pastoral care in healthcare contexts in Africa has implications for African healthcare systems, pastoral care and the delivery of an effective, holistic and quality healthcare service. Taking as its point of departure a thesis about the potential of religion as a social capital resource for development, the article argues for pastoral care as a viable religious resource for healthcare and development. Osmer’s theological task of good practice is employed as an interdisciplinary engagement in dialogue with selective perspectives in the disciplines of development and health and social sciences for appropriate analysis. (shrink)

The situation and challenges of young people with depression in the urban African context of Soweto, Johannesburg, South Africa, are investigated from a pastoral care perspective. Depression is one of the more prevalent mental disorders. In African contexts it is often equated with demon possession. The aim of this article is to investigate the interplay between Western understandings of depression and African perspectives, and to come to a deeper understanding of the way in which support and healing are approached (...) in this context. The article investigates the ways in which young South Africans in Soweto, their families and faith communities cope with and understand ‘depression’ on the one hand, and the culturally related phenomenon of ‘demon possession’ on the other. The article proposes a collaborative method of providing support which requires the cooperation of psychologists, psychiatrists, social workers, African spiritual healers and pastoral caregivers. Contribution: The article contributes to an understanding of the experience of depression among young people in a context where both Western psychological ideas and African cultural and religious beliefs with regard to demon possession, play a role. Professionals from the various relevant fields should collaborate in order to provide effective support. (shrink)

This article considers the relationship between Christian pastoral care and Artificial Intelligence systems. Four aspects are identified from definitions of pastoral care: the horizon of contingency in mortality, the role of wisdom rather than mere information, the oppressive and/or liberatory potential of AI and the importance of empathic presence. In rejecting a transhumanist argument that mental processes are substrate-independent, it is contended that pastoral carers embrace, rather than seeking to circumvent, their crucial finitude in being humans who (...) care. A distinction is drawn between probabilistic reasoning and judgement in retaining a vital place for decision-making that is social. Whilst not eschewing value in AI systems, this article argues for critical evaluation of technologically framed contributions to addressing barriers to people's participation. The importance of empathy is highlighted—in the light of claims not only of robotic mimicry but of interindividual models of emotion. It is concluded that the notion of artificial care be ruled out although the possibilities of AI-assisted care are not dismissed. Opportunities for humans to abdicate from the responsibilities to care, in favour of AI substitutes, are deemed to be best avoided. (shrink)

This pastoral-theology-based reflection on hospital chaplaincy, set within the horizon of the pastoral situation of Germany in the post-secular (!) age, introduces the perspective of a consolation-oriented ministry, as this was developed by Ignatius of Loyola. Such a pastoral care for the sick, as integrated into the basic offices of the church, presents a graded model for action: while human accompaniment is offered to all, spiritual ministry is restricted, but realized in an ecumenically encompassing sense. Spiritual and (...) ritual care for members of other religions, while these members are to be addressed according to the principles laid down by Vatican II, is severely limited for reasons of identity and alterity. In all cases, however, Christianity is presented as “therapeutic religion”. (shrink)

This article argues that the challenge and need for relevant ministry models is critical for effective Christian ministry and pastoral ministry as practical life ministry. It establishes an Adamic Christological model as a paradigm that provides a practical effective ministerial approach in Africa, particularly within the context of pastoral care and healing. This framework reveals Christ’s complete identification with African Christians in their contextual sufferings as the New Adam without compromising authentic gospel reality. In employing the Adamic Christological (...) framework as the anchor for African pastoral and healing ministry, a model for African Christians’ daily response to their various contextual sufferings is constructed. This responsive model bridges the gap between the ascension of Christ and the interim period of Christianity by instituting God’s ongoing personal presence in believers’ suffering through the Holy Spirit (pneumatology) as an encouraging and comforting reality that should enable Christians to cope in their suffering. It is argued that this Adamic Christological framework provides a practical theological model that contributes to healing and hope in pastoral care through practical knowing that impacts and imparts meaning in life. (shrink)

The last three articles within this section of Cambridge Quarterly have focused on organizations or disciplines outside the mainstream of bioethics that are making inroads within the field. This issue's article may be viewed as a departure, but it is not-my thesis is that despite the active presence of the clergy in the ethics field, individuals involved in pastoral care are often thought by health professionals, as well as by a sizeable number of pastors themselves, to not be within (...) the mainstream of ethical decision-making for patients. (shrink)

In German-speaking countries the term spiritual care becomes more and more popular, not only in the realm of palliative care but also amongst pastoral care takers. In this article I argue that favouring of the term 'spiritual care' is not only a tribute to the changing situation in German-speaking countries, but also a way pastoral care takers want to deal with the challenges they face in a secular, multicultural society. I will discuss whether the use of the term (...) 'spiritual care' is a way to 'lower the profile' of pastoral care and trying to be less explicit about the institution the pastors represent and the worldview they hold. This might look like an easy escape but does not foster the interaction in a multi-cultural space. (shrink)

Simonet, Emanuel Nicolas Cortes A Voice at the Table: An Integrated Model for Pastoral Care in Aged Mental Health, written by Rosemary Kelleher with Olga Yastrubetskaya, describes a practical model for integrating pastoral care practitioners into multidisciplinary teams within aged mental health services. While highlighting the importance of spiritual care within healthcare, the book also emphasises the need for pastoral care practitioners to have the essential skills and knowledge vital to being significant members of the multidisciplinary team. (...) This article offers a concise review of a most valuable resource. (shrink)

In this study, religious counseling and guidance services in our country, applications, opportunities and methods were examined in terms of the psychology of religion. Including the theoretical framework and survey application, this study basically consists of two parts, the mental state of people under threat, religious services focuses on the issues of how to provide assistance. The theoretical part consists of two parts, the first conceptual framework of religious counseling and guidance, including approaches have been devised in pastoral psychology. (...) Religious counseling and guidance classic religious knowledge transfer rather than religious knowledge transfer the therapeutic process or psychological help is about. Therefore, religious counseling and guidance in this section, within the framework of the relationship between psychological counseling and guidance, psychological and religious foundations are emphasized. The theoretical part in the second part, Turkey's religious guidance and counseling relationship is necessary fields, religious counseling and guidance relationships provide paths (opportunities) and problem solving that will help approaches, techniques and methods are discussed. A field study in the application part of the work of clergy religious counseling and guidance on how a pattern of relationships which have been examined. For this purpose, The Presidency of Religious Affairs Personnel providing religious counseling and guidance services, Personal Information Form, Innovative Attitude Scale, Religious Counseling and Guidance, and Maslach Burnout Inventory Attitude Scale was administered survey from. According to the findings obtained in the study, participated in the survey of religious officials of the differences in the degree of significance have been identified where relationship and interaction. At the end of the statistical analysis supported research has been observed that the majority of hypotheses predicted. (shrink)

Parkinson, Joseph Research shows that sexual orientation is neither well defined nor ultimately defining for adolescents seeking self-identity. Rather, the data on instability of sexual orientation among youth and young adults suggest that most of the time unquestioning affirmation of an adolescent's claimed same-sex attraction will do more long-term harm than good. This article explores this complexity and proposes more appropriate ways to provide excellent pastoral care in schools.

Regarding the question of a criterion for assessing the relevance of data from the behavioral sciences,... those forms of therapy which move toward being are more consistent with the biblical point of view than those which move toward knowing or doing.

The practice of pastoral care (cura animarum) over the ages has been informed and influenced by the need to develop creative ways (interventions) to respond to people’s contextual challenges. These approaches have been well documented. However, the history, developments and emerging pastoral care practices in Africa have not been documented. This article, by way of a survey, considers the pastoral care approaches that emerged in Africa from the period when Christianity was introduced to the continent. It addresses (...) three interlinked questions. Firstly, to what extent has pastoral care approaches and practices in Africa been influenced by the African context and developments? Secondly, to what extent has the context and the emerging pastoral care approaches in Africa been discerned from historical developments and documented? Thirdly, what links can be drawn between pastoral care practices in Africa and its historical as well as cultural context? In answering these questions, the article retrieves pastoral care developments in Africa by discerning pastoral care during the periods of Christianity in Africa. The notion of cura animarum as ‘soul care’, referring to care for the whole person (holistic care, i.e., nephesh care) from a Christian spiritual perspective, will be employed as a framework. The assumption guiding the article is that pastoral care practices and approaches in Africa have arisen as responses to the contextual realities being experienced at the interface of Christianity and the African people. These realities arose and persist to this day as a struggle to relate, apply and live out an authentic African Christian life to cope with life in a meaningful way. It concludes by suggesting ways on how pastoral care in Africa should be practiced in the current period and going forward. (shrink)

This essay takes a Traditional Christian, that is, Orthodox look at the integration of psychotherapy into pastoral counseling, as endorsed by many Western mainline Christianities. It examines how the Christian pastor can guide his sheep through the bioethical problems they encounter in their pursuit of salvation. The first part explores whether the turn to psychology and psychotherapy can be welcomed as a return to the Traditional therapeutic understanding of theology and of the Church as a spiritual hospital for fallen (...) souls. The second part examines two typical ways in which non-Orthodox Christianities embrace psychotherapy in pastoral counseling, as directed to unburdening parishioners from their doubts about bioethical decision making in the context of a Christian life. This part highlights the theological assumptions (about the pastor, his care, and the notion of God informing both) framing that embrace and shows them to be incompatible with the Traditional commitment to man's Divine vocation. The turn to psychotherapy here, rather than inaugurating a return to the therapeutic spirit of Traditional theology, offers a secularized substitute. The third part investigates the possibility of a Traditional Christian way of practicing psychotherapy along with its significance for Orthodox pastoral care in bioethical counseling. Here it becomes clear that, even beyond incompatible theological assumptions, already psychotherapy's endorsement of a predominantly discursive approach to healing is alien to Traditional pastoral care. (shrink)

Parkinson, Joseph Passing on Catholic teaching effectively means exercising both the doctrinal and pastoral ministries of a Church which professes to be both Mother and Teacher.

One defining element of life in any Catholic educational institution, whether it be primary, secondary, or tertiary, is the focus on pastoral care for staff and students. This paper provides a distinctly Catholic definition of the term ‘pastoral care’ and briefly examines the theological foundations that underpin this concept, particularly, in relation to its application in the Catholic university. The paper traces the motif of pastoral care through the Scriptures and, building on insights from St. Pope John (...) Paul II’s Apostolic Constitution on Catholic Universities, Ex Corde Ecclesiae (1990) and the broader theological anthropology of the Vatican II Council. The paper highlights that pastoral care is not something of an extrinsically added offering to students in a Catholic educational institution, but rather something intrinsically built into its fabric. (shrink)

Could Artificial Intelligence (AI) play an active role in delivering pastoral care? The question rests not only on whether an AI could be considered an autonomous agent, but on whether such an agent could support the depths of relationship with humans which is essential to genuine pastoral care. Theological consideration of the status of human-AI relations is heavily influenced by Noreen Herzfeld, who utilises Karl Barth's I-Thou encounters to conclude that we will never be able to relate meaningfully (...) to a computer since it would not share our relationship to God. In this article, I look at Barth's anthropology in greater depth to establish a more comprehensive and permissive foundation for human-machine encounter than Herzfeld provides—with the key assumption that, at some stage, computers will become conscious. This work allows discussion to shift focus to the challenges that the alterity of the conscious computer brings, rather than dismissing it as a non-human object. If we can relate as an I to a Thou with a computer, then this allows consideration of the types of pastoral care they could provide. (shrink)

The African proverb ‘it takes a village to raise a child’ has been compromised and exposed by the migration of Unaccompanied Refugee Minors from Zimbabwe to South Africa. Written from African women’s perspective, this article explores the response and approach of Bishop Paul Verryn to URMs. The article theologises Verryn’s response to URMs in conversation with African values, themes or sayings that relate to childcare, mainly from a Zimbabwean Ndebele context, and through the lens of the African saying ‘It takes (...) a village to raise a child’. In the findings, three crucial socio-ecclesial themes emerge from Verryn’s response which I refer to as the three Cs, namely, collaboration, consultation and contextuality. These are discussed through the lens of African women’s theology in relation to African values of childcare and its implications for pastoral care in a context of displaced children, and accompanied or unaccompanied minors. (shrink)

African communities face various challenges that require different sectors’ interventions to be effectively addressed. Churches as key community structures in Africa along with people experience these life challenges. The situation prompts churches to continually re-examine their role in communities to develop relevant responses that are deeply rooted in Christian approaches and heritage. Pastoral care as a community frontline ministry is expected to intervene practically to address people’s holistic needs. However, the questions that emerge are the following: how can (...) class='Hi'>pastoral care practically be performed in a manner that it performs a public community caring role? How can public pastoral care be practically implemented? What models can be employed in providing public pastoral care? This article considers how pastoral care can be practically performed at the intersection of public theology and community development. Pastoral care performed at this intersection is termed public pastoral care. The article discusses and notes the ‘murky’ terrain and ‘apparent confusion’ on the notion of public pastoral care. Furthermore, it employs a church and community mobilisation process case study to progress beyond theoretical discussion to examine how public pastoral care can be operationalised in real-life situations. In doing so, it discerns the possibilities and challenges of positioning pastoral care to address public issues. (shrink)

When pastoral counselors take seriously the implications of anthropology in Christian perspective, their work with people will be greatly enhanced.