H. Tristram Engelhardt, Jr.; Generic Chaplaincy: Providing Spiritual Care in a Post-Christian Age, Christian bioethics: Non-Ecumenical Studies in Medical Morali.

The essay investigates the possibilities and limitations of cross-denominational, intercultural and inter-religious hospital chaplaincy. With a view to the actual situation of hospital chaplaincy in Germany and the economic, social and theological constraints under which it offers its services, the author concludes, that the different Christian denominations must organizationally cooperate and share their work if such services are to survive the growing pressures. Constructivist cognition theory is invoked for analyzing the hermeneutical and theological implications of inter-denominational, intercultural and (...) inter-religious pastoral care and counselling. A Lutheran interpretation of the Trinitarian dogma provides a foundational frame of reference. (shrink)

The notion of hospital chaplaincy raises significant concerns, because it provides for the possibility that the chaplain becomes a generic chaplain rather than a member of a particular faith. Despite these reservations, however, I think that Mennonites should serve as hospital chaplains. Instead of seeing themselves as chaplains to all, though, Mennonites ought to see the service they provide as analogous to relief and development work. This would make Mennonite chaplaincy a form of what Mennonite scholar C. Norman (...) Krause calls “agapeic intervention,” which would allow for the ministry to the sick without requiring genericism. (shrink)

Engelhardt’s critiques of “generic chaplaincy” rely on the argument that chaplains are secular; however, professionally certified chaplains must maintain ordination with an ecclesial body. Engelhardt’s concerns are better directed at the academic subfield that supports and trains chaplains: pastoral theology. That field is somewhat guilty of forced ecumenism because it attempts a universal theology rooted in experience and the social sciences rather than the authority of creeds, ecclesial bodies, or traditions. Pastoral theology makes too many sacrifices to the authority (...) of the behavioral sciences without sufficient appreciation for sacramental theology and the spiritual bonds that rituals effect in communities of shared belief. In this model, ritual is reduced to its instrumental value in addressing the emotional needs of patients rather than viewed as efficacious spiritual care. Chaplains should take a holistic approach to theology so that they can better identify the duties and scope of interfaith spiritual care. (shrink)

Hospital chaplaincy, in its exposure to clients, colleagues, and care-takers from different faith backgrounds, can be understood in either generic or catholic terms. The first understanding, often merely implicit in denominationalist approaches, assumes that some “Absolute” can be prayerfully invoked through the medium of diverse rituals, confessions, and symbols. This position combines the advantage of unprejudiced acceptance of other creeds and traditions with the disadvantage of lacking resources for discriminating among the spiritualities that may be operative within those other (...) creeds and traditions. Catholicism, in linking true spirituality with the one true church as the mystical body of the Tri-une God, secures such a criterion but fails to satisfy the tolerance-of-acknowledgement in the secular sense, which is canonical in contemporary ecumenism. The Orthodox understanding of Catholicism is portrayed as imposing a non-judgemental humility and repentance which provides a solution to that spiritual-human dilemma of inter-faith cooperation in the hospital. (shrink)

Thomas Joseph; Secular vs. Orthodox Chaplaincy: Taking the Kingdom of Heaven Seriously, Christian bioethics: Non-Ecumenical Studies in Medical Morality, Volume.

Isdale, William; Savulescu, Julian The High Court of Australia, for the second time, recently found that the National School Chaplaincy and Student Welfare Program is funded unconstitutionally, and so is invalid in its current form. The program, though, can be reconstituted through tied grants to state governments. The question is, should it be? While the NSCSWP serves some legitimate policy objectives, the program in its pre-existing form is objectionable for at least two reasons. It should either be revived as (...) a secular student welfare program or left extinguished. (shrink)

The article deals with the problem of military chaplaincy service formation in the period of independence of Ukraine as one of the priority directions of relations between the state and religious organizations in Ukraine. The current state of military pastoral care is analyzed directly in the context of Catholic churches activities in Ukraine in this aspect. In particular, the institutional component of the Catholic churches is clarified, statistics demonstrating the quantitative and percentage composition of the Catholic churches in the (...) religious network of Ukraine are provided. The results of sociological surveys of the religious situation in Ukraine and the identification of religiosity of the population in the context of Catholic churches are analyzed. The opinion of the population of Ukraine regarding the trust in religious organizations, religious leaders and the military formations of Ukraine is examined. The opinion of the population on the expediency of establishing a military chaplaincy institute in Ukraine is also clarified. The organizational division of the internal structure of the Catholic churches in Ukraine is presented, and it is also clarified which structural units are responsible for coordination with the Ukrainian power structures and organization of pastoral work. Attention is drawn to the review of the cooperation of the Catholic churches in Ukraine with the military formations of Ukraine in the aspect of pastoral activity. Special attention is paid to the coverage of the various areas of pastoral work directly by the military chaplains of the Catholic churches and the coordination of this work by the relevant structural units of the Catholic churches. In particular, conferences, meetings, trainings, pilgrimages on the organization and implementation of pastoral work in the field of military chaplaincy. Also, consideration is given to the activities of the advisory body on military chaplaincy at the Ministry of Defense of Ukraine and its contribution to the establishment of the Institute of Military Chaplaincy in Ukraine. The inter-denominational cooperation of the churches in Ukraine, including the Catholic ones, was considered in establishing a military chaplaincy institution in independent Ukraine through the activities of interfaith associations. It has been found that the issue of legislative securing of the Institute of Military Chaplaincy in the Armed Forces of Ukraine remains urgent. In this regard, the legislative work in this area and the involvement of Catholic churches in Ukraine are highlighted. (shrink)

The current manner of practicing chaplaincy in health care is one which prizes the multi-faith chaplain. When one asks multi-faith chaplain, “To whom are you beholden?” they will respond, “The patient.” This is evident in the way that chaplaincy is currently practiced and taught, which prizes the use of psychology over recourse to theology. Chaplaincy’s recourse to practices whose aims are directed toward the efficient rather than the eternal challenges its original telos. This paper looks at this (...) question by blending a Catholic and Engelhardtian approach to conclude that chaplains should recognize that they are beholden to God, rather than to patients’ autonomy. (shrink)

Generic chaplaincy is the result of a devaluing of religious worship and belief to the merely instrumental and experiential. It is an expectable consequence of non-belief in the unique object that would render religious worship intrinsically meaningful and valuable. Generic chaplaincy has no place because all desire God, yet not all have found Him in the fullness with which He has revealed Himself to us, or even in the fullness with which we may be aware of Him through (...) natural reason. In consequence, not all are equally aware of God. A chaplaincy that challenges patients respectfully, and encourages spiritual growth and awareness, including the overcoming of sin and error, is appropriate. (shrink)

The traditional roles of Christian chaplains in aiding patients, physicians, nurses, and hospital administrators in repentance, right belief, right worship, and right conduct are challenged by the contemporary professionalization of chaplaincy guided by post-Christian norms located in a public space structured by three defining postulates: the non-divinity of Christ, robust ecumenism, and the irrelevance of God’s existence. The norms of this emerging post-Christian profession of chaplaincy make interventions with patients, physicians, nurses, and hospital administrators in defense of specifically (...) Christian bioethical norms and goals unprofessional, because the chaplain is now directed as a professional to support health care services held to standards articulated within a secular morality. These changes are exemplar of the profound recasting of the dominant moral culture with wide-ranging implications for bioethics. (shrink)

The Standards' ecumenical implications are critically assessed in view of the risks which their cross-denominational or cross-faith cooperation implications on the one hand, and, on the other hand, their secular commitments to mutual learning, non-proselytizing, professionalism, and efficiency assessment might carry for chaplains' properly spiritual orientation. The problem posed by the ambiguity of language is raised as a warning that concepts like human dignity have a profoundly different meaning in secular and Christian contexts. Invoking such concepts can be seriously misleading.

The basics -- The dignity of the human person -- Autonomy, consent, refusing treatment and boundaries -- Ethics and non-autonomous patients -- Confidentiality, privacy, data protection, truth telling and trust -- Ethical issues at the beginning of life -- Ethical issues about babies, children and young adults -- Ethical issues at the end of life -- Dying and death: ethical issues -- Loss, grief and bereavement, burn-out and the wounded healer -- Conscientious objection and loyalties.

The intimate connection, within Christianity, of theology and ethics is invoked, and the ethical differences between Christian denominations are exposed, as they present themselves inMellon's case studies, in order to call attention to the unsolvable dilemma in which hospital chaplains find themselves, if they understand their role in a merely conciliatory fashion as that of a “comforter, mediator, educator, ethicist, and counselor”. As witnessed by the Calvinist and Anabaptist traditions Mellon introduces, concepts such as “the patient's good” can mean radically (...) different things in these theological contexts. Attempting to merely mediate between such positions in a spirit of merely generic prayer and on the basis of a merely psychological notion of well-being poses a risk to chaplains' spiritual integrity and faithfulness to their mission. (shrink)

Chaplains who serve in a clinical context often minister to patients representing a wide variety of faiths. In order to offer the best pastoral care possible, the chaplain should first possess a set of personal theological convictions as a foundation for ministry. Second, he or she needs to be sensitive to the beliefs and practices of the patients. Third, it is vital to develop a relationship of acceptance and trust not only with patients under their care, but also with family (...) members and caregivers as well. At times, situations will arise that are purely religious or theological. In a clinical setting, however, the questions and problems that arise more often are both theological and ethical. It is beneficial for the chaplain to be involved in an ethics committee, where the specifics of each case can be discussed, and staff can offer counsel to patients and their families. This study examines issues that chaplains face at the bedside, such as terminal care, life-prolonging treatments, dementia, persistent vegetative state, and euthanasia/assisted suicide. We will discover that those who are involved in clinical pastoral ministry will be called upon to be a comforter, mediator, educator, ethicist, and counselor. (shrink)

The establishing of the Military Chaplaincy Service of Ukraine is closely related to the fundamental socio-cultural transformations of the entire Ukrainian society, which began in 1991, when Ukraine gained independence. After three revolutions, and especially the Revolution of Dignity in 2013-2014, the people of Ukraine finally chose the path of European integration and their further development in the great family of the civilized world. Gradually, all state and public institutions began to reform their internal structures to approach the standards (...) of European societies. This also affected the armed forces of Ukraine, including and chaplain service. Since 1991, the chaplaincy has gone through several stages in its formation. As early as 2014, before the start of full-scale Russian military aggression against Ukraine, important changes took place in the Military Chaplaincy Service, which brought its internal structure closer to the standards of the armed forces of foreign countries. During the years of work of military chaplains in the combat units of the Armed Forces of Ukraine, experience has been gained that gradually allows us to assess the effectiveness of the mechanisms of activity and management. This article is a scientific reflection of the personal experience of the author, who is serving in the Armed Forces of Ukraine as a military chaplain in one of the combat units. The activity of a military chaplain within the framework of the military chaplaincy of the Armed Forces of Ukraine, and at the same time, in the conditions of the unit's execution of combat missions, gives an opportunity to fix and understand the factors of decreasing the effectiveness of military chaplains. The aim of this study is to determine the institutions and administrative factors of ineffective work of military chaplains and to propose management solutions to overcome them. (shrink)

In light of recent criticisms of the concept of human dignity, this contribution offers a proposal for the continued relevance of the concept for tertiary chaplaincy. It is important to consider the concept of human dignity in tertiary chaplaincy because: many higher education institutions continue to identify human dignity as a key value; the kinds of ethical issues that tertiary students face will often involve appeals to human dignity; and the religious connotations that have come to be associated (...) with the concept fall within the scope of chaplains. Nevertheless, there have been recent calls for the concept of human dignity to be dismissed from ethical discourse as unhelpful. In ethical debate, dignity can be unhelpful when it leads to ‘dignity talk’, when there is disagreement about whether it is something human beings always already have or something that is realised through human activity, or when it conceals what people think is really at stake. In response to these criticisms, this contribution proposes a model for understanding human dignity that affirms the value of the human person as a multi-dimensional, historically-situated being in relationship to all that is, a being who is faced with difficult moral choices through which he or she makes meaning in his or her life. This model has both descriptive value in helping us to understand why people do what they do, and normative value in helping us evaluate what should be done. (shrink)

This paper analyses the role chaplaincy plays in providing religious and spiritual care in the UK’s National Health Service. The approach considers both the current practice of chaplains and also the wider changes in society around beliefs and public service provision. Amid a small but growing literature about spirituality, health and illness, I shall argue that the role of the chaplain is changing and that such change is creating pressures on the identity and performance of the chaplain as a (...) religiously authorised health worker. I shall question whether either orthodox belief or religious belonging have any significant bearing on the patients’ demand for chaplaincy services. Utilising an example of chaplaincy work I shall argue that patient need constitutes the strongest platform for both practice development and an articulated understanding of what chaplains bring to health care. Drawing on a case study the definition and interpretation of spiritual need will be discussed in relation to chaplaincy practice. In conclusion, I shall set out the case for effective research to establish with greater precision the detail of the chaplain’s practice within a state-funded health system. (shrink)

This study focuses on the question of how Muslim chaplains can, through their interventions, exert an influence on the situation of refugees, characterised by vulnerability and loss of home. Based on definitions in social work and anthropology studies, home can be conceptualised as a key anthropological need, comprised of spatial, temporal, relational and spiritual dimensions. Referring to an empirical study on asylum chaplaincy in Switzerland, this study analyses how five Muslim chaplains accompany refugees, how their styles of chaplaincy (...) differ in practice and what effects their interventions have. These empirical results are then brought into conversation with a theoretical framework, to explore the connections between counselling and vulnerability. While it could be argued that referring to the vulnerable situation of refugees reinforces an image of passivity, the co-construction of a home represents a collaborative effort and empowers refugees by mobilising both forces and resources. Chaplains, in particular, can contribute to the relational and spiritual dimensions of home. For refugees, articulating their religious concerns and working together with Muslim chaplains, means they can address the limits of the existing asylum system and demand recognition of cultural diversity. (shrink)

There have been analyzed the current state of the institute of the military chaplains in the Polish Army. The author reviewed the circumstances of the return of the military chaplains in the military structures of the Polish Republic. In the article there has been researched the legal framework for pastoral work in the Armed Forces of Poland, including analysis of the relevant provisions of the laws of the Republic of Poland and the directives of the Ministry of the Armed Forces (...) of the Republic of Poland. There was determined that the issues of the military chaplaincy are regulated by the block regulations that apply only to fifteen representatives of churches and religious organizations and the Law of the Republic of Poland "On Guarantees of Freedom of Conscience and Religion" that covers all religious organizations in Poland. There are only three religious organizations in the structure of the Armed Forces of Poland which have appropriate pastoral institutions consisting of professional soldiers. These institutions include the Field Ordinariate of the Polish Army formed by the Roman Catholic Church in Republic of Poland; Orthodox Ordinariate of the Polish Army by the Polish Autocephalous Orthodox Church in Republic of Poland and the Evangelical Military Pastoral Institution by the Evangelical Augsburg Church in Republic of Poland. Activities of above mentioned Military Ordinariates acting within the Armed Forces of Poland are financed from the state budget which is approximately 0.08 percent of annual expenditures allocated for national defense in Poland. In the consequence of the description of the organizational structure and activities of spiritual Ordinariate of the Polish Army there have been found that the largest of the three above mentioned Ordinariate is Field Ordinariate of the Polish Army formed by the Roman Catholic Church in Poland, as the dominate one among religious network Poland. In particularly the chaplains of the Field Ordinariate of the Polish Army take care of soldiers of the Roman and Greek Catholic faith. Accordingly Orthodox Ordinariate of the Polish Army cares Orthodox soldiers and Evangelical Military Pastoral Institution - soldiers representing the Protestant community. Therefore there have been analyzed the conditions for having the right to meet the religious needs in the army for members of other faiths. In the article the author highlighted the positive aspects of organizational experience of military chaplains activities for further introduction it in Ukraine. (shrink)

The formation of the chaplaincy movement in the context of the formation of independent Ukraine (after 1991) required the solution of a number of issues, primarily of a conceptual nature. The initiators of the restoration of chaplaincy faced the underestimation of the chaplaincy factor, the risks of transferring interfaith disputes to the military environment. In fact, it was a question of finding their own model of chaplaincy service, which would provide an optimal model for organizing the (...) work of chaplains. The authors propose to divide the development of the chaplaincy movement in independent Ukraine into three stages, which differ not only chronologically but also in their characteristics. The first stage (1991-2005) was characterized by a rethinking of the role and place of religion in the activities of the Armed Forces of Ukraine. The idea of a chaplaincy service was revived primarily on the basis of the volunteer movement. Volunteers also encouraged churches to form appropriate structures that would be responsible for chaplaincy work. At this stage, the driving force behind the formation of the chaplaincy movement was the unstable informal ties between church and security forces in Ukraine. With the advent of the first legal acts that regulated the search for optimal models for creating the chaplaincy institute, the second stage of development of the chaplaincy movement in Ukraine began. It lasted from 2006 to 2013. During this time, regulations were developed and implemented that institutionalized the relationship between the Ministry of Defense of Ukraine and the country's largest churches and religious organizations. The third stage began with the beginning of the Russian Federation's attack on Ukraine in 2014 and continues to this day. The annexation of Crimea and the outbreak of hostilities in eastern Ukraine created the need to sharply increase the number of chaplains and to legalize them in military institutions. Already in 2015-2016, the formation of the state regulatory framework of the chaplaincy institute began and staff positions of chaplains in military units were introduced. On the other hand, there has also been a qualitative growth in the theoretical and practical training of chaplains and their material support. These processes show that the establishment of the institute of military chaplaincy in Ukraine has actually taken place. In each period, the authors highlight the problematic issues that government agencies and religious organizations addressed in organizing the chaplaincy movement. Particular attention was paid to the attempts of activists to form their own model of chaplaincy ministry and the problematic issues of improving the quality of chaplains' training. In particular, it was pointed out that the best way for Ukraine is to organize separate chaplaincy faculties in the country's higher educational institutions to train specialists at the level of world standards. (shrink)

The growth in Muslim chaplaincy provision in UK prisons disguises a paucity of resources, particularly in the area of offender rehabilitation. Islam’s distinctive approach to antisocial behaviour, repentance and forgiveness needs to be better known among social administrators, particularly in the probation service.

Polish hospital chaplaincy, because of the unique political and sociological context in which it finds itself, presents a sort of triple beholdenness. It carries particular loyalties to the state, to Catholic doctrine, and above all, it is called to be faithful to the unique suffering person. In this article, I argue that the biggest challenge for Polish chaplaincy resides within the domain of loyalty to the patient, where the profound and immediate need for robust formation of individual Christian (...) conscience through catechesis is needed. Although hospital chaplaincy’s involvement in catechesis and instructing the faithful might not be clearly evident for the reader, nevertheless I prove my point by bringing a story from my practice as a chaplain in one of Poland’s hospitals. (shrink)

Registered nurses (RNs) employed in an urban medical center in the USA identified moral distress as a practice concern. This study describes RNs' moral distress and the frequency of morally distressing events. Data were collected using the Moral Distress Scale and an open-ended questionnaire. The instruments were distributed to direct-care-providing RNs; 100 responses were returned. Morally distressing events included: working with staffing levels perceived as `unsafe', following families' wishes for patient care even though the nurse disagreed with the plan, and (...) continuing life support for patients owing to family wishes despite patients' poor prognoses. One high frequency distressing event was carrying out orders for unnecessary tests and treatments. Qualitative data analysis revealed that the nurses sought support and information from nurse managers, chaplaincy services and colleagues. The RNs requested further information on biomedical ethics, suggested ethics rounds, and requested a non-punitive environment surrounding the initiation of ethics committee consultations. (shrink)

Previous research has suggested that individuals who identify as being more religious request more aggressive medical treatment at end of life. These requests may generate disagreement over life-sustaining treatment (LST). Outside of anecdotal observation, however, the actual role of religion in conflict over LST has been underexplored. Because ethics committees are often consulted to help mediate these conflicts, the ethics consultation experience provides a unique context in which to investigate this question. The purpose of this paper was to examine the (...) ways religion was present in cases involving conflict around LST. Using medical records from ethics consultation cases for conflict over LST in one large academic medical centre, we found that religion can be central to conflict over LST but was also present in two additional ways through (1) religious coping, including a belief in miracles and support from a higher power, and (2) chaplaincy visits. In-hospital mortality was not different between patients with religiously versus non-religiously centred conflict. In our retrospective cohort study, religion played a variety of roles and did not lead to increased treatment intensity or prolong time to death. Ethics consultants and healthcare professionals involved in these cases should be cognisant of the complex ways that religion can manifest in conflict over LST. (shrink)

My colleagues and I had been asked by a member of a clinical team to help sort through the ethics of stopping a life-sustaining intervention for a very ill child. We had already talked with the parents, the physicians, and the folks from nursing, social work, and chaplaincy. Terms like “suffering,” “cruel,” “compassion,” and “moral distress” had been uttered, as had terms like “inappropriate,” “unethical,” “neglectful,” and “risk-management.” The group had now stuffed all of these polarizing thoughts and feelings (...) into this cramped room with only one door. And everyone was looking at me. What skill, competency, or inner capacity must one possess to hold and manage such tension? (shrink)

Once the post-modern account of individual and cultural identity as creative openness to change is re-construed in terms of a constructivist rendering of the semiotic theory of culture, and once inter-denominational and inter-faith hospital chaplaincy is interpreted on a model of cross-cultural communication which agrees with this theory, chaplains can conceive of their ability to fulfill their mission in offering understanding and help to the client from other faith communities only by explicitly invoking the intervention of the Holy Spirit. (...) The commentary argues that Schneider-Harpprecht’s all too generalized account of that intervention leaves chaplains with no spiritual substance for distinguishing between truely and only apparent pastoral helpfulness. (shrink)

The Clinical Pastoral Education (CPE) model forthe provision of spiritual care represents theemergence of a secularized professionalpractice from a religiously-based theologicalpractice of chaplaincy. The transformation ofhospital chaplaincy into “spiritual careservices” is one means by which religioushealthcare ministry negotiates modernity, inthe particular forms of the secular realm ofbiomedicine and the pluralism of thecontemporary United States healthcaremarketplace. “Spiritual” is a labelstrategically deployed to extend the realm ofrelevance to any patient's “belief system,”regardless of his or her religious affiliation.“Theological” language is recast (...) as a tool forconceptualizing the “spiritual lens.” Suchmoves transform chaplaincy from a peripheralservice, applicable only to the few “religious”patients, into an integral element of patientcare for all. Such a secularized professionalpractice is necessary to demonstrate therelevance and utility of spiritual care for allhospital patients in an era of cost-containmentpriorities and managed care economics. (shrink)

It can be really hard—or really easy—to explain what I do for a living. Chaplains share academic training with clergy, but we complete clinical residencies and work in health care organizations. Our affinities are with the patient and family, but we may also chair the ethics committee or serve on the institutional review board, and we spend a lot of time with staff. We must demonstrate a relationship with an established religious tradition, but we serve patients of all faiths, and (...) of no faith, and seek to protect patients against proselytizing. We provide something that may be called “pastoral” care, “spiritual” care, or just “chaplaincy”—but even among ourselves, we do not always agree about what that thing is. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:On Secular Governance: Lutheran Perspectives on Contemporary Legal Issues ed. by Ronald W. Duty and Marie A. FailingerElisabeth Rain KincaidOn Secular Governance: Lutheran Perspectives on Contemporary Legal Issues Edited by Ronald W. Duty and Marie A. Failinger grand rapids, mi: eerdmans, 2016. 382 pp. $45.00In editing this collection of essays, Ronald Duty and Marie Failinger describe their goal as seeking "to bring more Lutheran voices to the pressing (...) legal issues" in local and global contexts (1). They point out that in discussions between the fields of religion and law to date, "Jewish, Muslim, Catholic, and Reformed perspectives have largely dominated" (1). In bringing Lutheran perspectives to questions of law and religion, this collection begins an important task of retrieving a theological perspective on law that was integral for the formation of modern legal thought but has been largely absent from contemporary discussions of law and religion.The strength of this collection of essays lies in the breadth of contemporary legal questions addressed and in the diversity of perspectives offered. Since, as Duty and Failinger point out, recent Lutheran scholarship has been relatively silent on questions of law and religion, there is a broad field of issues to explore. This collection avoids too narrowly focusing on any one "hot-button" issue of law and religion, such as questions of religious liberty or relationship between church and state, although these questions are addressed. Rather, it benefits from a truly expansive view of contemporary legal issues and includes essays on issues as diverse as immigration reform, family law, fiduciary duties, military chaplaincy, and water rights in the American Southwest. The collection also shows geographical breadth, and looks beyond the contemporary American and European legal arena to consider how theology could affect law in Nigeria and Rwanda. The volume also benefits from a wide range of theoretical approaches, including contributions from both legal scholars and theologians. In [End Page 211] the dialectic that results as theologians consider law and legal scholars consider theology, we see a performative example of the Lutheran concept of two kingdoms, both coexisting under God's domain.The collection would have benefited from a broader use of theological sources to accompany this admirably broad approach to legal issues. Many, although not all, of the essays, draw only on Martin Luther's understanding of Christian engagement with legal authority. This focus on Luther's somewhat limited legal corpus can result in a slightly repetitive theological approach among the essays. However, this narrow focus on Luther indicates a potential next stage for further development of Lutheran engagement with contemporary legal issues. In the closing essay in the book, "How Should Modern Lutherans Try to Shape Secular Law?," Robert Benne references John Witte's work in tracing how Philipp Melanchthon and the Lutheran jurists developed Luther's original theory of law to "build bridges between the two kingdoms" (332). While this book provides a good starting point for bringing Lutheran perspectives to bear on contemporary legal issues, it also indicates the need for future research to excavate the perspectives of Melanchthon and jurists such as Johannes Eisermann and Johann Oldendorp, along with more modern Lutheran scholars of law and religion, such as Helmut Thielicke, who considered the legacy of Lutheran legal theory in the wake of post-Nazi Germany. Both Lutheran theological approaches to law and legal approaches to religion will undoubtedly be enriched if the editors' project continues, resulting in continued excavation of later Lutheran interpretation and reception of theories of law, which will bring Lutheran theology ever closer to the challenges of contemporary legal issues in the modern nation-state.Elisabeth Rain KincaidUniversity of Notre DameCopyright © 2018 Society of Christian Ethics... (shrink)

There was a significant monetary cost associated with establishing Catholicism in colonial Western Australia. The bishops and clergy funded the development of the local Catholic Church through donations from European benefactors, offerings from the congregation, and sponsorship from the Colonial and British Governments. As donations from Europe were variable and the resident Catholic population were largely poor, the government grants were the most reliable income for the Diocese of Perth. The government issued grants to support the establishment of congregations, schools, (...) and social welfare institutions. The development of congregations in new settlements was the Catholic Church's core ministry and the government issued stipends to Catholic chaplains to administer spiritual care to settlers and convicts in particular districts. Government grants were based on the census results and the Catholic Church was required to establish local church congregations and recruit clergy, and demonstrate an ability to contribute towards the maintenance of both. From 1852 to 1886, Bishops Joseph Serra, Rosendo Salvado and Martin Griver took charge of establishing congregations, managing clergy and lobbying the governors and other civil officials to fund colonial chaplaincies. The government also expected that the chaplains would promote moral and social order among the ex-convicts transported from Britain. (shrink)

Shelter Theology offers insight into the worlds of the invisible: individuals experiencing homelessness and those living in extreme poverty. Based on over ten years of chaplaincy in a homeless shelter, Dunlap shares the nuanced theology of people in harsh circumstances and outlines how their beliefs and practices enable survival and resistance.

With the development of the Healthcare Ethics Consultant Certification offered through the American Society for Bioethics and Humanities, the practice of clinical ethics has taken a decisive step into professionalization. Like other clinical consulting services that have trod this path—chaplaincy, genetic counseling, social work, case management, and so on1—clinical ethics started with academic and fellowship training programs and has identified a set of standards of practice....

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)

The paradoxes of globalization and the efforts toward the establishment of a consolidated healthcare ministry have caused tensions while affording the possibility for true ecumenical dialogue. As today's societies become more pluralistic, Orthodox Christian healthcare ministry finds itself amongst these paradoxes and tensions. The content of Orthodox healthcare chaplaincy, which is centered in its Eucharistic expression, maintains a sense of catholicity and unity. This though differs from a “psychological” understanding of pastoral care, which has developed. Therefore, there is a (...) question of the chaplain's identity, a crisis of theology and ecclesiology, which must be faced so that true unity can be attained. This article explains the content of Orthodox healthcare chaplaincy and addresses the issues of pastoral identity, theology and psychology, together with the crisis of ecclesiology. It is written with a true agony for unity. (shrink)

Donation after cardiac death (CDC) is an important issue in the spiritual care and hospital chaplaincy ministry to patients, staff, and families in the Pittsburgh Mercy Health System. Key members of the interdisciplinary care teams must be well informed about the facts of this controversial issue. Ethical decisions made in particular cases contribute to the development of hospital policies and the establishment of “best practices” in large Catholic health care systems throughout the United States, and must be made with (...) the utmost care. This article provides a brief history and overview of donation after cardiac death and discusses the major ethical issues that were addressed during CDC policy development for the Pittsburgh Mercy Health System. The issues center on questions of whether donors are really dead. Specific issues include death criteria, including the time of pronouncement of death; conflicts of interest; treatment of patients and their loved ones; and organ preservation techniques. National Catholic Bioethics Quarterly 7.3 (Autumn 2007): 527–543. (shrink)