SACH

Scottish Association of Chaplains in Healthcare

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Scottish Journal
of
Healthcare Chaplaincy


Volume 2 No 2  October 1999


EDITORIAL


It is with a mixture of sadness and joy that I approach the editorial of the third edition of the Scottish Journal of Healthcare Chaplaincy. My sadness is that this is the last issue that I will be editing due to other work com-mitments. My time as editor has been a most enjoyable experience. I have had the pleasure of working with some very interesting and inspiring people who have produced some important work that will undoubtedly influence the thinking and practice of chaplaincy and healthcare in the years to come. It has been a pleasure working with contributors and members of SACH, all of whom have made my time as editor much easier than it might have been.
However, whilst there is sadness, there is also joy in that I leave behind a journal that has a foundation on which it can develop its already obvious potential. The SJHCC is an important journal within the field of chap-laincy, healthcare and the wider field of practical the-ology. Practical theology is in a sense unique amongst the theological disciplines in that it begins and ends with experience. Consequently, theory and practice are inseparable partners. The SJHCC has, and I am sure will continue to strive to maintain a critical and con-structive balance between the theoretical and practical aspects of pastoral care. In consistently seeking to hold onto this theory/practice tension, the journal has the potential to make a major contribution to the multidis-ciplinary study of pastoral/practical theology. It is my hope and my prayer that the journal continues to fulfil its tremendous potential.
This issue contains a series of fascinating essays that explore various aspects of spirituality and spiritual care. Whilst most readers of this journal will assume the reality of the spiritual domain, when it comes to actually defining it, the literature and common experi-ence tells us that it seems to mean all things to all peo-ple. However, it is in fact of great importance that chaplains reflect on the meaning of spirituality and spiritual care. If they don't, then there is a real danger that their role as spiritual carers is eroded and that definitions are imposed upon chaplaincy from else-where; definitions which may be very much at odds with their own self-perceptions. In a healthcare milieu within which evidence based practice is becoming more and more powerful in terms of the justification of resources, chaplains must be clear as to what it is they are doing and why. The papers in this issue, in a vari-ety of different ways begin to point towards the nature of spiritual care and open up interesting and exciting possibilities for the future of chaplaincy and healthcare in general.

The task of being human is never an easy one. The task of living humanly even in the midst of pain, suffering and confusion is even harder. As we reflect with the authors on issues of spirituality, birth, death and new beginnings it very soon becomes clear just how com-plicated a task healthcare work actually is. Each day we are faced with ethical, theological and spiritual dif-ficulties that challenge us to develop in new ways in response to the experiences of human. Such a response requires much more than technological expertise. It demands skills that open up the mysteries of human beings and human existence to possibilities that tran-scend human knowledge and point us to the `beyond in our midst.' Contemporary healthcare practice desperately needs the humanizing presence of spiritual carers. It is to developing precisely what that might mean, that this issue of the journal dedicates itself to.

John Swinton

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CONTENTS


SPIRITUAL CARE AND CHAPLAINCY - A RESEARCH PROJECT
David Mitchell and Margaret Sneddon

Pages 2-6

During the 1990's Spiritual Care has featured prominently in nursing and palliative care jour-nals. However, virtually nothing has been contributed by chaplains. Why? This article reports the findings of a research project considering whole-time health care chaplaincy in Scotland, as presented to the Scottish Association of Chaplains in Healthcare, at the Annual Conference in May1999. The findings are positive. There is a clear understanding among chaplains of their role and a continuity of practice. Spiritual care is clearly understood to be more than religious care, with chaplains readily acknowledging that all Health Care Professionals can provide it. The report highlights the importance of education and training for health care professionals to increase their understanding of spiritual care, and areas for further research needing to be ex-amined. The debate on spiritual care is happening now, chaplains need to ask some questions, research what they do, and join the debate.

Key Words: Being there, Chaplaincy, Education & Training,Palliative care, Person centred care, Spiritual care

Rev. David Mitchell is a chaplain at the Marie Curie Centre Glasgow. Margaret Sneddon is the Macmillan Lecturer in Palliative Care at the University of Glasgow

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THE CHAPLAIN AS TRANSLATOR
Iain Macritchie

Pages 7-10

The Chaplain finds herself continually in the position of the translator, having to move in the space between subject and object. This space Winnicott calls "Transitional", and Ulanov sees as particularly the domain of the clergy. The nature of these gaps is ana-lysed, especially with respect to Chaplaincy and the work of the individual Chaplain. Various kinds of transitional space are examined, and the challenges facing the Chap-lain in these situations are highlighted.

Key Words: Chaplaincy Translator, Language, Transitional Space, Theology, Psychology

Rev. Dr lain Macritchie is one of the Inverness Hospitals' Chaplain

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THE CHAPLAIN AS PATIENT
Yvonne Hendrie

Pages 11-14

Yvonne Hendrie is a chaplain in Falkirk and District Royal Infirmary

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WHEN BIRTH AND DEATH COME TOGETHER: THE RIGHT RITE?
David Hamilton

Pages 15-18

David Hamilton is a minister in the Church of Scotland and a retired lecturer in practical theology - University of Glasgow.

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SOME ETHICAL CONSIDERATIONS IN THE PREVENTION OF SUICIDE
Andrew Mckie

Pages 19-24

The prevention of suicide is often discussed alongside the ethics of suicide itself. The ethics of prevention often centres around the use of ethical principles in the context of dilemmas and problems. The limitations of this approach are highlighted by focussing upon the concept of the moral community. Relational virtues arising from this commu-nity suggest important strategies for both client and carer alike.

Key Words: Ethics, Autonomy, Beneficence, Paternalism, Community, Virtues

Andrew Mckie is a lecturer in nursing in the School of Nursing and Midwifery, at The Robert Gordon University in Aberdeen

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THE POLITICS OF CARING: PASTORAL THEOLOGY IN AN AGE OF CONFLICT AND CHANGE
John Swinton

Pages 25-30

John Swinton lectures in Practical Theology at the University ofAberdeen.

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BEYOND JOHN KNOX
Graham K Blount

Pages 31-32

Graham K Blount - Scottish Churches Parliamentary Office, St Columba's by the Castle, 14 Johnston Terrace, Edinburgh, EHI 2PW

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BOOK REVIEWS

Pages 33-34

The Disabled God: Towards a Liberatory Theology of Disability
Nancy L. Eisland
Abingdon Press 1995

In Living Colour: An Intercultural Approach to Pastoral Care and Counselling
Emmanuel Y. Lartey
Cassel, London 1947 147pp

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THE ORERE SOURCE 
ABSTRACTS FROM PASTORAL JOURNALS

Pages 35-39

The Rev. Noel Brown is the editor of THE ORERE SOURCE, a bimonthly compendium of his abstracts from the pastoral care and health-care literature. He is also a Chaplain Supervisor in the Pastoral Services Department, Northwestern Memorial Hospital. An ordained minister, he has built his database of abstracts over the past 12 years, faithful to the injunction of the his Scottish Presbyterian professor of Christian education, the Very Rev. Dr JD Salmond: "Be knowledgeable about one thing, and share that with your col-leagues."
Chaplain Brown can be contacted at nbrown@nhm.org

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