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Scottish Association of Chaplains in Healthcare

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Scottish Journal
of
Healthcare Chaplaincy


Volume 5 No. 2  October 2002


EDITORIAL


I am writing this editorial on September 11, the '9:11' which has branded itself into the soul of a generation of US citizens. The collapse of the twin towers brought down into the dust the self-understanding, the national story, the sense of the coherence of things, in the minds of so many, leaving behind an eerie silence, now filled with the rhetoric of war. Into what narrative will 9:11 be woven in future years? 'When storytelling fails, what then?' asks Heather Walton, as she explores the limits of narrative theology. We weave our stories, and they give sense to our lives. In their way, the first three articles all allude to this need to be part of a story. Kelly begins by exploring aspects of the spiritual carer's story, the story that may be challenged and changed in the pastoral encounter. Beuken explains how Christ's story can incorporate and give meaning to the sufferers anguish; while Walton moves into the wilderness of a pain that destroys language, coherence and connection.

We include two contributions from the field of men-tal health. Chalmers writes of the subtle abuses of power to which the mental health chaplain can fall prey, while Brown tackles the complex relationship between religion and psychiatry. His remarks on the neglect of the spiritual in mental health care call to my mind the words of Stavros Kofinas in his European Network of Health Care Chaplaincy (ENHCC) co-ordinator's report of August 6th, of whom and of which, more below. In conversation with American chaplains, he recognises that the mutual suspicion of psychiatrists and pastors is a problem common to chaplaincy in many countries.
Which remark brings us to matters European! In June of this year, Fred Coutts attended the 7th consultation of the European Network of Health Care Chaplaincy (ENHCC), as SACH representative and architect of the network's website. At this consultation, 40 representatives of 21 European countries agreed and took back home with them , European standards for health care chaplaincy. This is an exciting development, and the fruit of considerable labour. In addition, the consultation agreed a structure for the Network, and elected as its co-ordinator Fr Stavros Kofinas, Protopresbyter of the Orthodox Church, the representative of the Ecumenical Patriatchate of Constantitnople. We are delighted to welcome Stavros as a new consulting editor, and we hope that he will help broaden the journal's vision and deepen our mutual understanding as European chaplains. We also have hopes that through him, chaplains Europe-wide will consider contributing articles to the journal, sharing experience and vision, and exploring points of similarity and difference.

May Yuri Zelentsov's article be the first of many! Yuri allows us to gain an insight into the life of a young Salvation Army chaplain who works in St Petersburg caring for children with AIDS. His story moves us to sadness at times, and yet there is so much of hope, joy and love here too. Here, surely, is reflected the true heart of chaplaincy, always and everywhere.

Georgina Nelson

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CONTENTS


SPEAKING IN SIGNS: NARRATIVE AND TRAUMA IN PASTORAL THEOLOGY
Heather Walton

Pages 2-5

Narrative is often seen as the locus of a healing encounter between those who suffer and those who offer pastoral/spiritual care. Both canonical narrative theology, in which the story of Jesus gives meaning to all human stories, and constructive narrative theology, in which redemptive power rests in the human capacity for storytelling itself, can offer chaplains important theological and pastoral insights. But not all who suffer can find or create a narrative to fit them; not all who have experienced trauma can find words to tell their story. To respond to such a crisis in human narrative, we need to enable communication by means of image, symbol and metaphor, or even through learning to preserve a sacred and eloquent silence.

Keywords : trauma, narrative theology, chaplaincy, storytelling, spiritual/pastoral care.

Heather Walton is Lecturer in Practical Theology in the Department of Theology and Religious Studies, University of Glasgow

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PALLIATIVE CARE : A THEOLOGICAL FOUNDATION
PALLIATIVE CARE IN THEOLOGICAL CONTEXT

George Beuken

Pages 6-10

This article seeks to explore the richness of meaning contained within the sacrament of the anointing of the sick. In circumstances where a person receiving palliative care is struggling against illness, the sacrament supports them in that struggle, and yet points beyond it towards a gradual acceptance of powerlessness. The author explores the themes of powerlessness and hope, and describes a powerlessness out of which hope may spring, because it is an entering into Christ's own experience. It becomes therefore a prelude to resurrection hope. The sacrament of the sick encourages and engenders this hope, which is wider than the individual, and extends to the whole body of Christ. The sacrament is also an invitation to action; to a caring, a solidarity in suffering and a compassion which imply a deeper sharing in the very life of Christ. 

[The editors].

Key words: sacrament; Roman Catholic; anointing; pastoral care; hospice; palliative care

George Beuken is Pastoral & Spiritual Director at St. Andrew’s Hospice , Airdrie

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PREPARATION FOR PROVIDING SPIRITUAL CARE
Ewan Kelly

Pages 11-15

Spiritual care has become recognised as part of the holistic care offered collaboratively by health care professionals (HCPs), family and friends in hospi-tals and in the community to patients and their significant others. This article seeks to explore, from the perspective of a hospital chaplain working in an acute hospital setting, several issues which need to be considered by HCPs prior to offering spiritual care to others. These include HCPs having a degree of insight into their own personal story as well as questions about what they understand the nature of spirituality, spiritual need and the assessment of spiritual need to be. This article is based on the premise that in offering spiritual care to others we have to develop an ongoing awareness of who we are and what our needs are, as well as the needs of the other.

Key words : awareness, moment, story, spirituality, spiritual need, assessment

Ewan Kelly is chaplain at the Edinburgh Royal Infirmary, Edinburgh.

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RELIGIOUS BELIEF AND THE PRACTICE OF PSYCHIATRY 
Tom Brown

Pages 16-20

A psychiatrist reflects upon his long experience of the complex interaction between religion and psychiatry. Although committed to the advances wrought by the bio medical approach to illness, he identifies a widespread neglect of the Spiritual in mental health care, which belies its claim to be truly holistic. The article discusses the concept of spiritual illness and the limits of psychiatry, and then poses the question whether religious belief is good for a person's mental health. In his conclusion the author, himself a Christian, underlines the need for psychiatry to have the fullest possible understanding of the patient's world view, and that this will necessarily involve a consideration of the importance of the Spiritual. 

[The editors]

Key words : mental health; spirituality; religion; psychiatry; spiritual illness.

Tom Brown is consultant liaison psychiatrist at the Western Infirmary, Glasgow

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ABUSE OF POWER IN PASTORAL RELATIONSHIPS 

Murray Chalmers

Pages 21-25

Pastoral Care, in a mental health setting as elsewhere, ideally offers understanding, comfort and help. But pastors are only human, and can in subtle ways, consciously or unconsciously, fall short of their own standards. This article discusses ways in which power can be abused in the context of pastoral relationships, and gives illustrations and examples from the author's own experience in mental health chaplaincy. 

Key words: abuse, pastoral care, relationship of care, revenge

Murray Chalmers is chaplain at the Royal Edinburgh hospital, Edinburgh.

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REJECTED AND ABANDONED: GLIMPSES OVER THE BEIGE PAINTED WALL. 

Yuri Zelentsov

Pages 26-29

In this article we get a unique insight into healthcare chaplaincy in Russia. The author gives us a moving personal insight into his work among children, teenagers and expectant mothers, mostly with HIV. He describes what the word 'chaplain' means to people, his daily work and experiences, the difficulties and the blessings. He concludes with a moving 'wish list' that illustrates the stark differences between Scottish and Russian experiences of healthcare. 

[The editors]

Key Words: Chaplain, children, clown, HIV/AIDS, Vospitatel (brings up, nourishes, nurtures)

Yuri Zelentsov is the Salvation Army chaplain at the Practical & Research Centre for Paediatric HIV/AIDS in St. Petersburg, Russia.

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EUROPEAN NETWORK OF HEALTH CARE CHAPLAINCY: AN EXERCISE IN BUILDING VIRTUAL COMMUNITY 

Fred Coutts

Pages 30-33

The author describes the development of electronic communication which has enabled the development of the European Network of Health Care Chaplaincy. He argues that such electronic communities are real communities, but that in this case, the electronic community exists to foster a sense of community which reaches fulfilment in the face-to-face meeting of the participants. 

Key Words: community, e-mail, e-group, European chaplains, website

Fred Coutts is a whole-time healthcare chaplain working at Grampian University Hospitals NHS Trust. He attended the EHCC Consultations at Chania and Turku and is currently a member of the committee of ENHCC and webmaster of www.eurochaplains.org. He also acts as webmaster for the SACH website www.sach.org.uk and the Healthcare Chaplaincy Training and Development Unit site, www.chaplains.co.uk

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BOOK REVIEWS

Pages 34-37

Books Reviewed

Coping with Suicide.
Maggie H.
Seldon Press. London.
ISBN 0-85969-871-8

Procedure-related Cancer Pain in Children
Liossi C.
Radcliffe Medical Press Ltd
ISBN 1 85775 453 0

Using Information and Communication Technology in Healthcare
Tyrrell S. Radcliffe Medical Press ISBN


Health and Social Change - A critical theory
Scambler G.
Open University Press
ISBN 0 335 20479 1

Communicating with Dying People and their Relatives
Lugton J.
Radcliffe Medical Press
ISBN 1-85775-584-7

Faith in Hospices:
Spiritual Care and the end of life

Murray D
SPCK
ISBN 0-281-05228-X

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    THE ORERE SOURCE 

The Rev. W. Noel Brown, A CPE Supervisor, Northwestern Memorial Hospital, Chicago.is the editor and puiblisher of THE ORERE SOURCE, a bi-monthly compendium of his abstracts from the pastoral care literature. 

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