Category Archives: Columbia Memorial Hospital

Ring out the New; Ring in the Old. Scrap the redefinitions of end-of-life care.

Interfaith Pastoral Care. Just what is it? Interfaith pastoral care is a hard nut to crack when a client actually is interested enough to ask the question., “What is interfaith?”

Is this reality? Even possible? Honestly.[1]

Some have suggested that we change, broaden our terminology to “interbelief” but I don’t really think that changes a thing; in fact, I think it complicates the conversation even more than “interfaith” does. It gets even worse when the innovators come up with a term like “interpath” care. It soon becomes so turbulent that it becomes obfuscating; it becomes an idiotic dialogue of nonsense.

The Office for Ecumenical and Interreligious Affairs of the Archdiocese of Chicago (RC) defines “the difference between ecumenical, interfaith, and interreligious relations”, as follows:

  • “Ecumenical” as “relations and prayer with other Christians”,
  • “Interfaith” as “relations with members of the ‘Abrahamic faiths’ (Jewish and Muslim traditions),” and
  • “Interreligious” as “relations with other religions, such as Hinduism and Buddhism”.[2]

[Aside: Some proponents of interfaith whatever have adopted the name “interbelief,” “interpath”; how far do we stretch “interfaith” before it becomes “intercultural”?]

In such places like the Public Religion Research Institute[3], we can examples of the glaring misinformation and mixed messages concocted by “interfaith dialogue” proponents can be found in the short article, “How Religious Affiliation and Attendance Influence Likelihood of Divorce.” [4] Here’s an extract from that article:

“A new study released in the American Journal of Sociology finds that “conservative religious beliefs and the social institutions they create, on balance, decrease marital stability.” The study’s authors note that by discouraging pre-marital sex and cohabitation outside of marriage, conservative religious institutions inadvertently increase the likelihood of divorce. However, Professor Charles Stokes, in reviewing the research, notes that couples who are embedded in religious communities tend to have lower divorce rates regardless of their theology.”

Excuse me, but isn’t that a contradiction? Or a glaring error in the American Journal of Sociology when it reports a misinterpretation of the published data. Isn’t the Am Jour Soc a peer-reviewed journal or at least an edited journal? The same article reports:

“In an effort be more inclusive of atheists, the St. Paul Interfaith Network has changed the name of its monthly community meeting to “Inter-belief Conversation Café.” In the Midwest, 2 percent of people identify as atheists.” [my emphasis]

Inclusivism = Universalism = Sentimentalism

Why can’t we just be people of faith and let the atheists be people of unfaith? 

I think that’s pushing the notion of liberal secularism and sentimentalism a.k.a. “inclusivism” right over the edge into oblivion. Forgive me, for I have “ismed” again! In articles appearing on sites with catchy names like, “The Friendly Atheist“, we read lines like: “I’ve heard atheists say something like, Atheism isn’t a faith, so “interfaith” excludes us by definition.” in articles with equally catchy — at least for atheists — titles like, “Minnesota Interfaith Group Changes Its Name to Become More Inclusive of Atheists.” Nothing like letting words and definitions govern your ethics!.[5] Why can’t we just be people of faith and let the atheists be people of unfaith?

We have all became amoral meandering idiots!

So even the atheists are claiming a piece of “interfaith,” though on somewhat shakier grounds, and on condition that you change your group’s name. In articles appearing on sites with catchy names like, “The Friendly Atheist“, and where we read lines like: “I’ve heard atheists say something like, Atheism isn’t a faith, so “interfaith” excludes us by definition.”[6] So what? In articles with equally catchy — at least for atheists — titles like, “Minnesota Interfaith Group Changes Its Name to Become More Inclusive of Atheists“—all 2% of them. Nothing like letting words and definitions govern your ethics! Girls using boys’ toilets, boys using girls’ toilets, women clergy, girl boyscouts. Where does it all end? Segregation became diversity; diversity became indiviudalism; we have all became amoral meandering idiots!

And the  St Paul Pioneer Press  while other proponents have proposed the term interpath dialogue. It seems that these groups are making a radical departure from what we know as “faith” to honor impossible inclusiveness while losing all focus and credibility. These groups are making the attempt to include or at least to avoid excluding atheists, agnostics, humanists, and such with no religious faith in traditional terms but who espouse ethical or philosophical credos.

What we now call post-modern or post-Christian might as well be called post-mortem; we can dilute the doctrines and dogmas (Truth) of world faith and belief communities to the point of losing all tradition and with it all sense of identity; we have lost sight of the fact that unity implies otherness and otherness implies identity.

Another example of how the concept of interfaith can derail and alchemically transmutate into a bastard creature of so-called religion-turned-social-program is the  About Interfaith IMPACT of New York State. (We have no idea why the “IMPACT” is uppercase.) According to their website,

“IINYS consists of congregations, clergy and individuals from progressive Protestant, Reform Jewish, Unitarian Universalist and other faith traditions. Together we work for the common good through progressive religious advocacy.  The interfaith Impact of New York State Foundation, Inc. is a charitable organization. Its mission is to Inform and encourage progressive faith based participation in public dialogue.”[7]

One of IINYS’s stated missions is to ensure a separation of Church and state but a closer reading of what their activities include is a direct contradiction of any separation and has nothing to do with any faith with which I am familiar. Key to understanding what interfaith in the IINYS is the word “progressive.” What this means is “secularization,” social “justice” programming (socialism), and is deeply imbedded in “state” (= government) activity and operations. Of course, you won’t find any mainstream faith or belief traditions represented on the “Reform” and “Universalist” board membership, because mainstream faith or belief traditions have clear and unambiguous statutes and doctrines, not an agenda of political activity clothed in smoke and mirror deception, and a blurring of the black letter of the Separation Clause. And that’s just one example of how “interfaith” is being marketed.

IINYS succeeds not only in confusing any coherent impression that the term “interfaith” may have implied by conflating “moral values” with “social programs,” a gaffe that distracts significantly, among other things, from the organization’s alleged principles, which should not come as a surprise given the intimate, almost incestuous relationship IINYS has with the profane state government of New York, itself in a state of disinformation and secular humanist and liberal materialism. Interfaith is equated with unabashed sentimentalism.

IINYS’s case gets even worse: the IINYS actually uses a P.O. box at the New York State Capitol to receive mail! Now that’s what I call Church-state separation.

They’ve pirated the word but killed the concept.

Another example of the perversion of the faith part of “interfaith” would be the Interfaith Medical Center of Brooklyn, New York. The only faith at IMCB would be faith in the idolatry of medical capitalism and market economy. Unfortunately, at this writing IMCB’s mission statement was “under construction.” They’re probably having a real tough time justifying the interfaith part of what appears to be an enterprise healthcare facility attempting to cater to the needs of a multiethnic community. So why not just say so and leave “interfaith” out of the game? Because “interfaith” means nothing but looks really good. Smoke and mirrors. They’ve pirated the word but killed the concept.

One thing is very clear: there has been no peace between human beings since the Tower of Babel because we all are speaking different languages; even when we’re speaking the same language, we don’t understand one another. There’s no need to imagine the catastrophic confusion that comes about when we attempt to use language to define or to discuss the ineffable, the transcendent like the mysteries of life, death or faith or belief in a transcendent state or spirituality. Imagine that when we have such difficulty distinguishing between religion and spirituality at all!

While I personally reject the alleged definitions of “interfaith” anything, I do understand the thought behind it and the problems of rendering “inter-“ anything intelligible to the point of being useful or implementable. Here are a couple that may help us to get our arms around the notion of what really should have stayed under the rubric of “tolerance.”

As a psychospiritual care provider, I have to confront this problem on a regular basis when I have people telling me, “She wasn’t religious at all.” But then they go on to tell me how she believed in God and in an existence after death; where my conversation partner tells me that she, the deceased, is now in heaven with her beloved spouse. Or “We want a spiritual service, not a religious service.” What do you mean spiritual but not religious? Now the great silence starts and I recognize that my dialogue partner doesn’t know what the difference is; in fact, she’s embarrassed and I have to save her now.

This becomes a particularly acute situation when I am facilitating a family conference for arranging a funeral or memorial service. During this conference I have to chop through suspicion, confusion, defensiveness, family secrecies, and so much more to establish a relationship of trust and authenticity in just a few sentences. I have to learn enough about a person, his or her family relationships, community involvements, likes and dislikes, habits and idiosyncrasies, end-of-life circumstances, and I have to do this without traumatizing my conversation partners or offending sometimes unspoken sensitivities. They didn’t each this sort of thing at my seminary institute, and they didn’t help very much in my many hours of Clinical Pastoral Education in a major trauma center, or in the nursing home or in the parish where I did my pastoral formation. My guess is that most of my instructors and mentors didn’t have a clue outside of what they were able to find in somebody’s book on the subject and what we brought to the table ourselves. At this point in my career-vocation, I can see why it’s something that you can’t just each or get from any textbook, because the lessons to be learned are as diverse as the individuals and families we, as pastoral care providers and psychospiritual guides are called to serve.

In fact, having written the term “pastoral care” I even balk at using that term because not all of the sufferers I companion think of themselves as animals, sheep, who require a pastor, a shepherd. Since we are finding ourselves increasingly faced with practically unlettered clients, clients who don’t read and who never were taught reading and writing skills, who tend to communicated in a few syllables or in emoticons, we, too, have had to develop second language skills, so-to-speak, and I don’t mean only in our liturgical, ritual, and Scriptural language, but in the language we use in the professional milieu and that we use in the care-giving milieu. This distinction does not discriminate between the lower socioeconomic or socioethinic groups but applies equally well to the so-called “educated” and techosavvy groups, who are just as language-challenged as a newly arrived immigrant but less likely to admit the importance of learning the language.

Furthermore, in strict terms, I’m not a pastor at all because I don’t have a fixed parish or congregation, so I’m not providing “pastoral” care as such. In fact, there are very few pastors who are called to do what I do and have to do in my vocation. Normally, a pastor has a congregation with whom he, nowadays also she, is in theory expected to be intimately familiar on an individual basis.  But we all know that today, just about every faith and belief community has succumbed to the post-modern sentimental hypocrisy of the happy-clappy social club, insincere hugging orgies, and idiotic grinning clubs we today call congregations. Or, even worse, the entertainment events in the guise of worship now offered by the megachurches springing up all over the place. Well, they’re cheaper than a ticket to a country western concert and the cappuccino at the java bar is pretty good, too, and cheaper than Starbucks. Music’s pretty cool, too. Maybe God will even show up one of these Sundays! Meanwhile, the show of raised armpits, gibberish cries of ecstasy and the Guinness Book of Records breaker show of hairy armpits will go on…and on. Thank you, Vatican II! Thank you, Facebook! Thank you, Beelzebub!

In recent years, I have found that I am providing a form of psychotherapy as well as spiritual guidance, so I more often than not will use the term psychospiritual care provider. It seems to come closer to what I really do, and doesn’t get the discussion bogged down in a quagmire of denominations, faith communities, belief traditions or spiritual path distinctions. Once we get past the icebreaking and the initial disclosure process, we are in a better position to explore religion and spirituality without treading on eggs.

Meanwhile, back in the conference room, we are sitting with the husband, the three daughters and the two sons of a woman recently dead, and we need to put together a chapel service and a graveside interment service the Saturday morning, two days hence. The funeral director has the easy job of prepping and embalming the body, dressing her, and doing her cosmetics, so that she is Barbie-doll presentable in her lovely imitation mahogany eternity capsule. The FD has the easy part, the dead don’t get defensive; they’re good listeners and don’t talk much.

“So, tell me a little about your mom,” or so the conversation starts.  “Well, I don’t really know where to start. What do you think, dad?” Now dad’s in the hot seat and hasn’t got a clue what the question is. So we start over again, this time I’m trying to recall the scanty information that the FD provided during our initial conversation about the case. And so I move on, now in reverse mode: “What kind of service did you have in mind to celebrate your mom’s, your wife’s life?” Here’s where we get right down to the nitty-gritty: religious, spiritual, non-religious/secular, humanistic (no religion). Mr. FD tells me that your mom’s records show that she declared herself to be Roman Catholic. The daughter-in-charge looks a bit dazed, “She did? Was mom Catholic, dad?” Dad puts on a sheepish look, “Yeah. We

both were. We got married in church and we had you kids baptized, too.” One thought rolls over my mind: “OMG! Just let them talk this one out.” Once they are done doing their own interviews, I can interject with, “It seems your mom did have a religious preference and that she had a faith tradition. You may be surprised but I have had situations like this many times where a parent or a grandparent gets so involved with caring for their family, that there’s just no time on Sundays to pack everyone up and march to church, and so the “religion” moves from the church to the heart. That’s not a bad thing. So I’m not surprised that your mom was busy being a good mom and a loving wife, and managed to keep her religion in her heart and worship there. That’s a beautiful thing. Don’t you think?” In unison: “Yeah. You’re right!”

And so we move past that hurdle, and we have something to hold on to. I have a starting point and the family has a very viable option, the service will be a religious service, but not “too” Catholic, because we don’t go to church and the kids won’t sit still through a lot of prayers. The conversation and sharing goes on beautifully from that point on, once a “major” question has been negotiated.

But what about the non-religious, or the so-called “quilted family system,” in which you have a mix of non-believers, and believers including the odd Buddhist, the Jew, the Presbyterian, the Evangelicals, Baptists and the de rigueur generic “Christians?” Is this interfaith, interbelief, or interpath? My categorical answer is: Yes. But it’s likely to be non-religious if it’s any of these.

You see, it’s hypersimplistic to presume to take any collection of denominations or traditions and call it by any name, let alone be crazy enough to think that you can properly address and avoid offending any or all of the traditions in the assembly. To be very honest, there are today so many flavors of Roman Catholicism, Lutheranism, Episcopalianism, etc.  Forgive me! for I have ismed.

The truth is that you can provide a service only along the lines of a single tradition – or no tradition — and, if you are not a listener or not well-trained, you run a risk of adoring adulation from some and condemnation as a heretic by others in the same group. The attempt to please all is doomed to please none.

This is because most institutionalized, mainstream denominations simply do not properly train or supervise their clergy – so as not to offend them or in order to allow the clergy to take the odd doctrinal or dogmatic detours to ensure that he or she keeps the pews filled and the collections abundant – so you can go to one service on one Sunday and hear one teaching and the next Sunday go to another worship service and get another take on the Gospel. Neither do the clergy properly and honestly form and educate their constituents; that’s why Christians are so diverse and so critical of and cruel to one another, while preaching some sort of love. Most tend to go where you have a preacher who says what they want to hear; once-a-week worship becomes a happy-clappy hypocritical quest for affirmation and acknowledgement. Orthodox doctrine is a thing of the past; institutionalized religion, the mainstream religions, like any institution are self-serving and self-preserving; it’s a market economy with hymns and incense. It’s ice-cream religion, vanilla or any flavor you’d like.

Meanwhile back at the funeral home, we’re just finishing up and have decided on a chapel service that will be based on the Rite of Christian Burial that will include Roman Catholic liturgical elements, even candles, holy water and incense, but will include some secular poetry readings, and a couple of “Protestant” hymns. The graveside service will be prayerful, moving and tearful. The family’s happy, the FD is over the moon, and I have my doubts.

On the way back to my office I’m pondering, “How am I going to pull this off, and still be able to have dinner with myself again?” That may have been a reason for considering self-harm years ago but today it’s just a pro forma start to “designing” a custom and personalized service we now call the “Celebration of Life,” rather than a funeral ritual.

It’s here that years of study, continuing education, lots of extradisciplinary study, interpersonal skills, creativity, and a lot of help from something I refer to as the Holy Spirit gets us all over the hump rather than in the dump.

In ministering to suffering in general and to those confronting an end-of-life process, death, and the rite of passage from ante-mortem to post-mortem life, we are forced to recognize the indisputable fact that suffering if anything,  while being a common thread running through all of humankind, is inextricably individual; the pain of bereavement is totally one’s own experience, each individual experiences it differently, and any attempt to provide an “inter-anything” type of psychospiritual care is a deplorable fake.

At some time after our birth we are presented to the community in a rite of passage ritual called “naming;” naming explicitly announces to the cosmos that here we have an individual, an “other,” who, for the purposes of distinction shall be called “Baby Doe.” Different cultures will ascribe different duties and responsibilities and different degrees of separateness of the new member but that new member is almost universally recognized as an “other.” Accordingly, the cookie-cutter funeralization rites and rituals of various faith and belief traditions, while they may at one point or another recognize the individual by mentioning his or her name, the overall presumption is that the departed one has indeed departed the community and, upon final disposition of the mortal remains, is no longer. Thank you, Dr Freud!

But this is as far from health reality as we can get. We have to reach back into our own history and bring back the family involvement, the maintenance of important connections with our dead; we have to learn from other traditions how to continue those bonds and how to grow with them.

A clergyperson who doesn’t hone the importance of acknowledging the “other,” the named one, the uniqueness of the deceased, and who doesn’t include the family to the maximum extent possible in the rites of funeralization, is shortchanging the deceased and the mourners! Continuing bonds with the dead is an intimate, personal necessity and not one in which church or community should be dominant; the annual memorial mass is one example of superficiality and ecclesial control. By far more effective is to light a candle at a holiday gathering or to light a candle on a special occasion, honoring the presence and memory of a dead loved one, or even the community of dead loved ones. Perhaps even observing a moment of silent reflection when the family gathers.

The Agape Meal

The early Church started in private homes in the family circle; for centuries it continued and evolved in the warmth and intimacy of private homes, the early house churches; this had less to do with persecution than with the Jewish Sabbath tradition and the primordial agapé meal! But then, the early organizers got together to set the rules and to enforce some control over the various “churches” as they were called in the different faith communities. Gradually, faith moved out of the family circle, out of the home, into the community assembly space, out of the core of the individual human being, until today, it has practically moved out completely. The lights are on but nobody’s home. We are the janitors of the soul, the concierges of the refuge; when we get the call, we prepare the place.

Faith, religious belief, spirituality still maintains an address in the human soul and still receives mail there; our job as clergy, ministers, chaplains, psychospiritual care providers have to keep that abode open, accessible and welcoming for the time when the prodigal has to return, open the mail, and pay the bills. All suffering, all grief, all healing, all transformation is addressed personally to the individual; all care has to do the same: it must be individual, or at least the individual must be provided with the tools so that they can do the DIY repair and maintenance.

Creating new labels for negligence or indifference or continuing cookie-cutter rituals is an affront to any concept of ministry, to any concept of community. We need to stop being narcissistically creative and start being humbly serving.

If we are going to allow any notion of “inter” to enter our lives, our praxis, our ministries, and from there into the lives of those who look to us for guidance, we are going to have to recognize and accept the fact that our churches, our faith and belief communities have become institutions and, like any profane or secular institution are governed by self-interest and self-preservation, all else playing a lesser role.  As a psychospiritual care provider it is my duty and obligation first to be tolerant and to recognize that it is arrogant to claim and impossible to be “interfaith,” “interreligious,” “interpath,” “interbelief,” and to claim to be any of these is to announce being nothing at all. Best to be wholly tolerant and wholly compliant with the explicit wishes of the deceased but even more so with those of the living, obviously, and to be guided by good and prudent discernment of the content of the sharing during the family conference.

The rites and rituals of funeralization should transform the dead into fonts of meaningful legacy and provide the living with psychospiritual nourishment and the opportunity for growth; this requires deep listening, sensitivity, creativity, humility, compassion, and patience. Ours is a vocation, not a job, that’s why the FD or some funeral home dilettante should not, must not be put in the position of providing psychospiritual care as a funeral or memorial officiant. Doing so simply makes the statement either that the funeral director or the funeral home does not know its limitations or boundaries, or that they simply are indifferent to the harm they can do by providing care outside of their competence, or both. Offering quick fixes like direct burial or direct cremation are careless and insensitive alternatives to providing the care and attention necessary for healing grief work and transformational mourning; even direct disposition services should offer, promote and encourage the services of a professional bereavement chaplain, even if it’s only to meet with the survivors in an informal environment and simply chat; the chaplain will know how to steer the sharing.

Epilogue

It’s astounding how few FDs actually make it a point to offer or even mention chaplain services. It’s even more disappointing to have to admit that most clergy never have a pre-funeral or pre-memorial meeting with the family to discuss the rites and rituals and why things are being done a certain way. Even fewer enlist the family’s participation in the actual service. This is a travesty of deathcare services both by the FD and by so called clergy. We owe the dead, the bereaved, mourners in general better treatment than this, especially if we are receiving a fee or a stipend to provide psychospiritual care!

In this article I have used the word sentimental and its derivatives but have not really defined it as I am using it. I owe you, my patient reader, the fairness of a definition. Sentimentality is fooling yourself into thinking there are easy answers. Sentimentality gives free rein to rank simplification, excessive feeling, particularly emotions, that have no place in actuality Sentimentality is a form of defense, a self-deception just like denial, and is used in order to avoid acknowledging more painful emotions, particularly anger, shame or guilt. So what would I propose to you as the opposite of sentimentality? My reasoned suggestion of an antonym for the term “sentimentality” would be “mature realism.” Mature realism Mature realism steering clear of cheap idealization just as we would steer clear of cheap grace; such realism requires the courage to examine the good and bad of everything, and further demands that we to search beyond the superficiality of our own emotions, motives and those of others that mislead us to think that there are easy answers to complex problems.[8]

Rev. Ch. Harold Vadney MDiv
Bereavement Chaplain/Thanatologist

 


[1]DAVOS-KLOSTERS/SWITZERLAND, 30JAN09 – Lord Carey of Clifton (VLTR), Archbishop of Canterbury (1991-2002), United Kingdom, Jonathan Sacks, Chief Rabbi of the United Hebrew Congregations of the Commonwealth, United Kingdom, Mustafa Ceric, Grand Mufti of Bosnia, Bosnia and Herzegovina, Jim Wallis, Editor-in-Chief and Chief Executive Officer, Sojournes, USA, , captured at the press conference ‘Religious leaders call for the peace in the middle east’ at the Annual Meeting 2009 of the World Economic Forum in Davos, Switzerland, January 30, 2009. ©World Economic Forum. swiss-image.ch/Photo by Andy Mettler.
[2] Source: Archdiocese of Chicago (http://legacy.archchicago.org/departments/ecumenical/Relations.htm, last accessed on October 22, 2017)

[3] The Public Religion Research Institute (PRRI) describes itself as “”… a nonprofit, nonpartisan organization dedicated to research at the intersection of religion, values, and public life…PRRI’s mission is to help journalists, opinion leaders, scholars, clergy, and the general public better understand debates on public policy issues and the role of religion and values in American public life by conducting high quality public opinion surveys and qualitative research”

[4] “How Religious Affiliation and Attendance Influence Likelihood of Divorce.” (https://web.archive.org/web/20160202185558/http://publicreligion.org/2014/07/the-morning-buzz-how-religious-affiliation-and-attendance-influence-likelihood-of-divorce/ last accessed on October 24, 2017)

[5] “Minnesota Interfaith Group Changes Its Name to Become More Inclusive of Atheists” (

[6] “St. Paul’s atheists are coming out of the closet” (http://legacy.archchicago.org/departments/ecumenical/Relations.htm, last accessed on October 24, 2017).

[7] Interfaith IMPACT of New York State (www.interfaithimpactnys.org, last accessed on October 24, 2017).

[8] I would strongly recommend the book Faking It by Digby Anderson. In that 1998 book Anderson and contributors present a scathing assessment of sentimentality in most of today’s institutions of modern culture. (Anderson, D., P. Mullen, Faking it:  (1998) The sentimentalization of modern society. London: St Edmundsbury Press.)

Advertisements

A New Blog: Funeralization and Chaplain Services


Funeralization & Chaplain Services


You are invited to visit, follow and participate in this new specialist blog dedicated to funeral and memorial services, the important but frequently overlooked role of the interfaith bereavement chaplain,  and many other funeralization and deathcare topics.


This new blog will share with its readers a plethora of information on the funeral services niche, what to ask for, what to avoid, who to avoid, and what services you should ask for, if you are a consumer, or offer, if you are a funeral director, both during pre-arrangement meetings and when making immediate need arrangements.

Visit Funeralization & Chaplain Services blog here.
Join the Interfaith Chaplain group on Facebook here.
Learn about Chaplain Services available to you here.

We feel it is extremely important that consumers be offered the opportunity to consult and to talk to a professional interfaith bereavement chaplain, and that consumers should request such a conference; on the other hand, funeral homes should provide such an opportunity to all persons making funeral or memorial arrangements.

We are staunch supporters of the traditional funeral for all of its important psychological, spiritual, and cultural benefits. We are also strongly in support of locally owned and operated funeral homes as opposed to the corporate funeral groups and the factory-funeral service providers. Having said that, we do not believe that the traditional funeral should be outrageously extravagant or expensive but that it should be simple and dignified, personalized to reflect the family culture and the life of the deceased.

Welcome to this blog. Contribute to this blog. Make this blog a place of sharing.

Should you have any questions, please do not hesitate to contact Chaplain Harold at funeralization@gmail.com or, if you are in immediate need of chaplain services or bereavement support, please call Chaplain Harold at (518) 810-2700.

Visit us also on Facebook and become a friend!

Like a Wounded Beast…

beast

The Bereaved can be Serenely Grateful or Vicious as a Wounded Beast.

The vast majority of bereaved persons and families, whom I have been blessed and privileged to serve over the years, are serenely grateful for the authenticity, openness, genuine compassion, and care that go into the personalized services I create for them. I consider my professional activities to be more of a vocation, a special calling, than simply a way to make money. A living would be impossible given the time and resources that must go into an effective funeral or memorial service.

Now there’s the new fad, so-called board certification; If all else fails, a certificate will fix it!

I am a professional caregiver. As a professional, I figure that a professional chaplain would have at least a bachelor’s degree, preferably a master’s degree, in a subject like psychology, comparative religion, sociology. The coursework alone for a four-year degree today would probably run something like $40-60,000 at an “average” 4-year college. Unless the chaplain has done studies in religion, comparative religion, psychology of religion, or some theology studies, s/he would be well advised to find a program in religious studies, pastoral studies or theology. Ideally, a master’s degree in one of the study tracks mentioned above would be followed by a couple of units of clinical pastoral education (CPE) in a healthcare facility. Even more ideally, a degree in psychology or sociology plus a degree in theology or divinity would be desirable. Then there’s the continuing professional education in the form of courses, seminars, workshops, webinars, and conferences. None of this comes cheaply; it all costs money. (The final tab for my 3-year graduate studies for the M.Div. was $60,000! And I commuted from home!) Of course, American’s can create a demand ex nihilo: now there’s the new fad, so-called board certification. If all else fails, a certificate will fix it! It’s something the agenda-organizations have cooked up that appeal to the ego of some practitioners, and impresses small minds, like those of human resources departments and the like. My opinion is that if you feel you need to have some organization certify your skills, you’re probably not made of the stuff to be an effective chaplain; you’re too full of yourself and lack self-confidence. You simply don’t have the ‘right stuff.’

A chaplain… is obviously not in it for the money.

But I don’t want to distract you from the point of this article: A chaplain, no matter what his or her speciality, is obviously not in it for the money. And if you’re after kudos and compliments, forget it. Administrators couldn’t care less whether you’re there or you’re not, and would rather just refer you to the “volunteers coordinator” of the facility. Your “best” client may drop you like a hot potato if keeping you means standing up for ethics or principle.

Most of the institutions who really should have a professional chaplain on board don’t. I’m talking about healthcare facilities, nursing homes, rehabilitation facilities, first-responders, even government departments; you’ll likely find persons who would benefit from the presence and availability of a professional chaplain in most any organization. This is especially true of the funeral home and the funeral service business.

buy-the-bookThe biggest obstacle that the professional chaplain has to overcome when approaching any organization is, of course, ignorance and indifference. Even those institutions in which one would clearly expect to find a professional chaplain — not one of those pablum-puking, whispering, sad-faced, constantly half-grinning, hovering, sorrowful types –, and I don’t mean a social worker (God save us!) but a trained person who has a clear understanding of suffering and does not conflate compassion, empathy and understanding, one who has not been trained in the discipline of so-called “detached concern.” Any chaplain or wannabe chaplain reading this who is not competent in the subject matter of suffering or who cannot distinguish compassion from empathy from detached concern, STOP READING! this article and find a training course!

Ask if the funeral home is still family owned or run by a group.

If you’re looking for an ego boost, don’t look for it in a healthcare or nursing facility. Funeral homes are not much better. Most funeral directors will probably size you up for what you can afford and sell you a tad more. Beware of the corporate funeral homes, those funeral corporations that buy up once family-owned traditional funeral homes, keep the name but run the show. These corporate operations may include 5 or ten funeral homes in a local area, or may be interstate or even international. If your family’s been using a particular local family-owned funeral home,  my best advice is to ask if it’s still family owned or run by a group. Another unfortunate result of the American denial-of-death culture is the funeral factories, large operations with very low prices and running on volume of bodies they can process in a year. If it’s dignity you’re looking for, avoid these places like the plague.

All you have to do is die and they’ll do the rest.

Most of these operations will pick up, process, package, and plant or burn on a budget basis, all credit cards accepted, they’ll to the paperwork. All you have to do is die and they’ll do the rest. That’s how far much of the American funeral service has declined in the United States; the rest of the industrialized world isn’t far behind, either, though they’ve kept some of their self-respect and tradition for the most part.

We discard our sick, our old, and our dead…

But the American way of death hasn’t happened in a vacuum. Funeralization and memorialization of our dead kin has not descended to the present level of discarding dead human bodies as if they were household or hazardous waste. No, indeed. Our pitiable emphasis on the individual, “me” and to hell with you, our fascination with our toys and our aversion to anything that distracts us from our toys, especially death, our own or anyone else’s, has become our new morality. We discard our sick, our old, and our dead with the ease and care with which we discard an old phone or a melon past its prime. It’s a sad but true fact.

The majority of funeral service consumers are simply so deprived of any notion of reality or of tradition…

Who’s to blame for this deplorable state of affairs? Well, to be honest: You are! This is not an accusation intended to offend or to wound but it is true that the majority of funeral service consumers are simply so deprived of any notion of reality or of tradition, that they’ll do anything just to avoid the unpleasant business of facing reality, death, and making it disappear as quickly and cleanly as possible. If the pleasant things in life are to be done without thought or concern as dictated by the popular slogan, “Just do it!” Most bereaved today have their own slogan, “Just make it go away!”

Enter cremation, direct burial, and direct cremation. No fuss, no messy wakes, no distraction from the things you really want to be doing. After all, why be a human being today when you can have the memorial party tomorrow, or the next day, or whenever. No self-respect. How can we expect respect or reverence for the dead when there’s none for the living?

He discusses every detail with the family members and requests a maximum in family participation…

With that prologue, I’d like to launch into a contribution by a veteran bereavement chaplain, who is rather well known for his “beautiful” personalized services. This chaplain really goes over the top in establishing a relationship with the family of the person who has died, putting together a unique service for every case, carefully selecting music and readings, even designing a program or creating a memory token, such as a lapel ribbon, for the grieving family members. He discusses every detail with the family members and requests a maximum in family participation such as by reading, participation in ritual actions, etc. His credentials are outstanding. His motto is, “It’s not about me; it’s about you, the family.” So, you’d think this guy would be in such demand he’d be worn out. You’d think that the families and funeral homes he serves would swoon with gratitude. Well, think again.

Getting back to the featured topic…

I chose the title of this article for a very specific reason. The chaplain I described above recently did a rather exceptional job for an unusual family. The chaplain bent over backwards and went to almost extreme lengths to create a memorable service. He did even did this at extremely short notice, having just returned from a conference, because a very dear funeral director friend had recommended him so highly, and the family was in a very unusual situation. I’m going to give the lite version below using initials instead of names, in order to protect the innocent as well as the guilty.

I limit my practice to bereavement chaplaincy and came highly recommended to the family by the funeral director of a local funeral home client, with whom I have been working for several years. Because of the circumstances, which I’ll outline briefly below, the funeral director couldn’t give many details since the death had occurred suddenly on a Thursday, and, because of medicolegal/forensic formalities associated with the nature of the death, the funeral director would not be able to hold the arrangements conference with the family until that Saturday, but had already informed the family that I would be calling. This meant that the first opportunity for me to physically meet or talk to the family would be late on Saturday. It was really tight because the actual service was to take place on the Monday afternoon. This was further complicated by the fact that I was at a grief and loss conference in Boston when I received the request, and would be returning only on that Friday. Nevertheless, the situation was manageable, given the circumstances.

All things considered, the earliest I could interview the family would be on Sunday, after the arrangements conference. I called the family late on Saturday but the telephone interview wasn’t going very well so I offered to make a housecall that Sunday afternoon, and I met with the family. The young widow, MW, the deceased’s father GW, his aunt CW, and his uncle SM, as well as his young son were all present at the family conference. I asked permission to record the meeting so that I could capture all details without having to take distracting notes. The family agreed and for more almost two hours I collected memories, anecdotes, shared photos, and was able to form a reasonably accurate composite image of the deceased. I was very satisfied with the rapport established with the family and the outcome of the meeting.

Immediately upon returning to my office I set to work designing the program, selecting readings and music, etc. In the process, I provided the family contact person with ongoing inputs and copies of what was designed or selected. In other words, the family was kept very informed and updated throughout the process and was completely aware of what was going on. I received the family’s approvals for everything.

At the family meeting, the aunt, CM, a retired physician, and apparently the one running things, mentioned that the service was under time constraints because some persons had to “catch international flights”. I suggested 45-55 minutes for the entire memorial service, and CM thought that was reasonable and approved.

On the day of the service, I met with the family just before the service briefly describe what was going to be done, to answer any questions, and to give some short instructions to the family members participating in the service. Everything was on track, and the service itself went flawlessly. Even the music was on cue!

After the service, the father of the deceased, who, throughout the entire process was understandably emotional at the loss of his only son, approached me saying, “That was over the top. I want you to have this.” A bit taken by surprise, I didn’t really know what to think about the father’s words, “over the top”, and initially didn’t notice that the father was holding out his hand to me. The father continued, “That was over the top. It was very beautiful. Please take this.” The father was attempting to hand I something, apparently several bills, but I gently refused saying that I ‘had been paid by the funeral home,” and “that wasn’t necessary.” After several polite refusals, it was apparent the father really wanted to express his appreciation, and so I accepted the gift–and later shared it with the funeral home staff.

While preparing to leave, the uncle SM, approached I and handed me a check. Again I attempted to politely refuse the apparent “gift”, and — now with the funeral director at my side — saying that I had been paid by the funeral director, who nodded in agreement. Nevertheless, the uncle pressed the check into my hand saying, “Take this little extra, you must have spent a bundle on the food yesterday.” (On the way to the family’s home, I had stopped to pick up Danish and bagels as a gift for the family!). Again, I accepted the gift and was astonished at the uncle’s generosity — or so I thought — and again shared the gift with the funeral home staff.

The funeral home staff felt that I had earned the signs of appreciation, given the circumstances and short notice and the work that went into the service, but I felt that the success and the family’s satisfaction was the result of the “team’s” efforts, not just my contributions.

Leaving the funeral home, I was approached by several of the mourners who thanked me and complimented me on the service. The deceased’s best friend approached with hand extended and the words, “That was a brilliant service.”

I was overwhelmed by the response and exhausted by the effort but I was grateful that everything had gone so smoothly, and that the family and the funeral home were both very pleased.

That was the serenely grateful chapter of the story.

What happened next was the wounded beast chapter: The next day, I received a call from the uncle, SM, who started out by saying that the family was having some money problems. SM then launched into a diatribe saying “I can’t believe you accepted my check and cashed it! You took money from GW, too!” SM then accused I of “causing his wife, CW, hurt” and of having “left out important details from the service.” Dumbfounded and aghast, I explained that I had included everything requested by the family in the service and still kept it within the agreed time. I also noted that it was not my practice to accept gifts in addition to the honorarium paid by the funeral home but did so only because both the deceased’s father, GW, and he, SM, had pressed me to accept, and even recalled to SM the details of the moment. The conversation deteriorated into abuse by SM and I gently terminated the conversation, saying I would gladly return the gift made by SM.

Because of the bizarre and extraordinary nature of the call, I immediately called the funeral director to advise him of SM’s call. The funeral director was almost speechless and very, very apologetic. He was very supportive and told me that he had not heard from the family, and thought everything had gone excellently. The funeral director apologized profusely for the experience repeated that he had heard nothing from the family.

A day or two later I contacted the funeral director to follow up on SM’s call, and the funeral director confirmed that he had received a call from SM on the day after I reported the call from SM, and that SM was still rather unhappy.

I noted that the deceased’s next of kin was the father, GW, and the father’s sister, CW, apparently took control of the arrangements to take the burden off of the father. SM was aunt’s husband, an uncle by marriage to the deceased, and really had no standing whatsoever to get involved, since his relationship to the deceased was somewhat remote in kinship and legal terms. I and the funeral director had not heard from the widow, the father or even the aunt! I wondered if SM had gotten into trouble with his wife for being generous, and needed an excuse. Certainly, if he was having financial difficulties and had been honest and said so, the entire incident would have taken a different turn, but was he being dishonest and seeking a scapegoat? Whatever! It didn’t matter at this point.

The funeral director and I agreed that I would write a letter regretting SM’s reaction and offering to discuss the concerns privately. In addition, I requested the funeral director to respond to SM in a letter, and to return SM’s gift to him on my behalf. I expressly asked the funeral director not to mention the incident to the rest of the staff, with whom I had shared the gifts, in order not to embarrass them. For me, at least, it wasn’t a matter of money.

Some time later it was revealed that I had self-disclosed by way of simple conversation during one of the breaks in the family meeting that I, too, was involved in an earlier career in similar fields as the aunt, CM, a physician, and the father, GW, a medical device developer. The uncle, SM, was a non – medical department head in a hospital laboratory; all were retired. One of these had done a sort of background check on me and couldn’t verify my disclosures, scant and vague as they were, not to mention the fact that the events went back more than 25 years! SM even went so far as to impugn my religious affiliations (it was actually at this point the I had heard enough and had respectfully terminated the conversation). Enough was enough. The service was flawless and our conclusion was that SM, or his wife, CW, had reconsidered their “generosity” and needed some way to get their money back. Apparently, the best way to do that was to go after the service and me. So what if the grounds were insubstantial and had nothing to do with the service? They alleged having some “cash difficulties” and reconsidered their generosity. Had they simply said they couldn’t afford the gift and would appreciate it if I had returned it, there would have been no problem whatsoever. I did so even without having been asked.

So why all the pretense? Why, after having been so impressed and happy with the service did this family member make a 180 degree turnaround and attack me 24 hours later? Why was it so important to cook up something just to get $150 back that was initially apparently given in gratitude, despite my several refusals, and even when the funeral director was present and confirmed my affirmation that I had been paid? And Why? when handing I the gift, did SM make the remark about the “food” I had brought. That made the story SM had concocted in the attempt to justify his conduct even more bizarre.

I did not have much to say about this except that I was incredibly hurt by the entire incident. I did what was necessary and more, the family and other mourners were clearly delighted, the family participated, the family had shown their appreciation. So Why? I asked, did they feel they had to go to such lengths concocting such a fiction just to recover their gift. What’s more — and in line with my character — I was more concerned for the impression and effect that SM’s conduct would have on the young widow and her impressions. Overall, I felt that SM’s conduct was spurious and inconsiderate; it was insensitive and devoid of any compassion for the immediate family.

I concluded that this was a manifestation of a grief reaction, and chose to reflect on it, journal it, and let it go. At this time the residual effects are not clear, and time will tell whether SM’s conduct will adversely affect my relationship with this or other client funeral homes. The lessons learned are complex and compound, as will be the ramifications of the incident. What I can say is that neither the funeral director nor I have received a response to our letters. Is that the end of the matter?”

Editor’s Commentary

Those of us in pastoral care, and who invest a big part of ourselves in relieving suffering, can commiserate with this chaplain and with the funeral director as well. We can appreciate the chaplain’s concern not for himself but for the funeral director, who also put his heart and soul into serving this family, and most of all for the young widow and her son, now suddenly without a life-partner and without a father! Fortunate indeed are those of us who have not been made to suffer unjustly like this chaplain. But all things considered, we can reflect on the chaplain’s response to our inquiry:

“It had to happen some day. You can’t serve as many families as I do over time and not expect one to really knock your socks off. You can’t do this work and have your head in the clouds and expect to shine in everyone’s eyes. You have the gentle grateful lambs and you have the wounded beasts who lash out at anyone. That’s grief; that’s how some people are. You have to live in hope, not expectation.”

Bravo, Chaplain!

Internet ambush is not uncommon these days…Enter

cybersniper

Those are heroic words now but what if SM’s conduct adversely affects the chaplain’s relationships with client funeral homes or his reputation overall? What if SM went beyond just calling the chaplain and then calling the funeral director? Internet ambush is not uncommon these days and can have a devastating effect on one’s life’s work. But how would the chaplain know? What would he be able to do?

This incident drives home the unfortunate fact that grief can make beasts of even the most refined people. According to our information, the principal characters in this vignette are all professional, well-educated persons. True, they are retired, but given their backgrounds certainly are not impoverished. On further inquiry we learned that they live in a rather upscale suburban neighborhood, travel frequently to Europe, Turkey, where the young man lived with his wife and son. The deceased and his wife and son were here for a reunion of friends, when he unexpectedly died. The aunt had already allegedly announced we are “spiritual but not religious; we believe in God but not organized religion.” That’s a statement we often hear and it’s not a problem. What was important is that they wanted a spiritual service for the deceased. What we didn’t mention in the narrative above was that the wife is Turkish and culturally Muslim. There were, according to the chaplain, a variety of faith traditions in the assembly, including at lease one Orthodox Jew. According to the chaplain, he attempted to respect all faith traditions present, and even opened the service with a Muslim reading accompanied by traditional Turkish flute music. Noting the presence of the Orthodox Jew in the assembly, the chaplain remarked that he on-the-fly edited out of his prayers and homily any direct reference to Jesus Christ or the Trinity, and substituted “Lord” or “God” to keep it within acceptable parameters and inclusive.

We also agree that SM’s conduct was the ultimate in bad taste and totally insensitive. There were apparently a number of family system background issues that could have incited this unusual and unfortunate behavior, and we should all be on alert for any such red flags during the family meeting. Let’s not forget our training in human development and let’s keep in mind that what happens in childhood may have ramifications in adulthood. The chaplain mentioned SM’s childhood experiences in the RC tradition, and his wife, CW, actually referred to him as a “recovering Catholic.” Was there an element of anticlericalism at work? Let’s also not forget that some of our clients have lived a life in the culture of Cartesian dualities, like this family, and we, as helpers, have to recognize their limitations, while responding with biopsychocultural sensitivity and deep spirituality.

Given the information we have on the family system and the background of this family, we cannot discount the possibility of a fractured assumptive worldview, which may have arisen painfully to the conscious level simply in virtue of the narratives that were shared in the course of the family conference. That fractured assumptive worldview may have been aggravated by the composition of the memorial service and its liturgical elements, as well as by the content of the homily, which revisited some of the narratives of the family conference. The fractured assumptive world view compounded by the tangible and intangible (symbolic) losses may have taken SM over the edge, so to speak.

We are sometimes the authors of our own misfortune. This may be the case with the chaplain. First of all, self-disclosure is appropriate only when and if it is for the good of the client. Unless I missed something in the telling, the chaplain self-disclosed inappropriately. His past career had nothing to do with his role as chaplain to this family. In all fairness, though, and emphasizing that the chaplain’s past careers or history had nothing to do with his role as chaplain, the question does arise as to the truth or the motivation of the family in doing what is tantamount to a background check. That sort of behavior under the circumstances is plainly bizarre and certainly raises questions regarding the family’s priorities. If they were so bereaved under the circumstances and given the time constraints in this case, who on earth would have the time or the energy to do any checking? Why? What would be the motivation? How on earth did the focus move so acutely from the deceased to the chaplain? Such behavior is strange to say the least. But, again, the chaplain should have known better not to have self-disclosed. Period.

The chaplain played by the book in most of the encounter.

play_by_the_rulesAnother point I’d like to make regards the axiom that even otherwise rational people can behave irrationally in an irrational situation. We can all agree that the sudden loss of an only son in the prime of his life is traumatic and tragic in human terms. SM, the deceased’s uncle by marriage to  CM, the deceased’s paternal aunt, were childless and according to information provided by the chaplain, had doted on the deceased. With the death of their nephew, and under such conditions we are clearly dealing with an irrational situation and with a family that may not be playing with a full deck. We are constantly teaching that no big decisions should be made in an acute grief situation. Some people should even avoid making small decisions that may run counter to their day-to-day character. Obviously, the chaplain played by the book in most of the encounter. And it’s not uncommon for a family to offer a “little extra” to the officiant when they feel that the job was well done. Under the circumstances, I can’t fault the chaplain because he did refuse the gifts, until it likely became embarrassing to continue to do so. But it wasn’t out of greed, since he proceeded to share the gift with the other staff! While I am not one prone to making excuses, and the chaplain did handle the situation appropriately, whether he felt that the family was genuinely appreciative [and could afford it], that he had put in such an effort he appreciated the recognition, or he was simply too exhausted to put up a bigger fight all can play into the discussion. The bottom line is this: both the father GW and the uncle, SM, felt that the service was well done, even “over the top,” as the father said. The response of the mourners was also very positive. Accordingly, there is no reason whatsoever to believe that the chaplain’s performance or the service was unsatisfactory in any way whatsoever. Given the facts, the comments allegedly made by SM that the service failed in some way is, at best, a ruse.

Bereavement… is irrational and those affected by the death behave irrationally

shizoid1Again, bereavement, especially in an event of untimely death, is irrational and those affected by the death behave irrationally, that’s why our role as level-headed professionals is so important. But if we forget that the bereaved may be irrational in both their thinking and their actions, we are asking for trouble. If we don’t keep in mind that the bereaved can be thinking or acting one way now and do a complete 180 in a New York minute, we are asking for trouble. If we stop expecting the unexpected, we are asking for trouble. Again, the chaplain handled the situation appropriately prima faciae. He could have played tit-for-tat and the situation would have likely become inflammatory, even explosive. Everyone would have suffered. The chaplain responded appropriately. If SM chooses not to acknowledge that or to respond, that’s SM’s choice to burn bridges. If SM hasn’t yet responded it would be unfair to fault him; he may yet respond more sensitively when the time is right.

When a family member attempts to hand me a cash gift after a service…I will usually thank them very graciously for their generosity but decline it.

I personally feel very uncomfortable when a family member attempts to hand me a cash gift after a service. I do realize that they can be very insistent to the point of being embarrassing but I also recognize that it’s their only real way of expressing their gratitude. When it gets to that point I will usually thank them very graciously for their generosity but decline it; instead and in order not to appear arrogant or ungrateful, I tell them that I would really appreciate a card when things simmer down or a letter of appreciation to the funeral home for the service. That usually works, although sometimes the card or the letter never comes. But that’s all right, too. I’ll likely follow up with a card or a letter in a month’s time or at the holidays, anyway.

business-ethics-code-of-conductWe all should adopt a professional code of ethics…and stick to it.

Finally, we all should adopt a professional code of ethics. I use the ADEC code of conduct. As to self-disclosure, I use the APA guidelines. I also recommend that if you are providing services like the chaplain, that you have a personal policy regarding gratuities and either address that during the family conference or ensure that the funeral director mentions that you do not accept gratuities. And if you have a policy, stick to it.

We have to have the awareness and wherewithal to recognize the red flags

No matter how well or how badly the mourners behave, we are not there to judge. If we can’t handle the situation perhaps we shouldn’t be in it. Realistically, we find ourselves in infinitely complex situations, every one of which is unique, and we have to have the skills to cope with each and every one of them if we are to avoid doing ourselves and our clients a disservice. We have to have the awareness and wherewithal to recognize the red flags and to adjust our approach accordingly. We have to be constantly vigilant at all stages of the relationship; we need to identify and respond to very subtle verbal and non-verbal communications. We need to read the symbolic language accurately. My rule of thumb is to hear the question behind every statement and the statement being made with every question. But most of all, be authentic, sincere, gentle, and sensitively compassionate. Whatever you may be or have been in the past, you are in this moment the chaplain. That’s all. So in your chaplaincy be in the moment and make sure it’s all about the family and no one else.

May you all be passed by unnoticed and unwounded by the SM’s of the world; if you happen to cross the path of an SM, follow the example of our chaplain above. Your character will be your best response; SM will likely not be swayed by your wisdom; like a wounded beast he will strike out at the most vulnerable.

Good work, Chaplain, you did well. Learn from the experience and drive on.

Peace and blessings!
Rev. Ch. Harold Vadney
Interfaith Chaplain/Thanatologist

Post scriptum:
The chaplain wrote back to let us know that the funeral director was a true champion in the face of this crisis, and was very supportive of the chaplain. In fact, as a sign of solidarity, the funeral director sent the chaplain this short prayer, which we would like to share with our readers (with the chaplain’s consent):roys-prayer

 

 

 

 

Missing the Mark: Are the suffering ones really being served?


Are we hearing the cries for help? Are we really relieving the suffering caused by our “care”? This is a question I have been asking myself for several years now, after having done an elective 400 hour intensive clinical pastoral education unit at Albany Medical Center (AMC), a 600+ bed regional acute, primary, secondary, tertiary care teaching hospital in Albany, New York. For about four years now I have been tracking the Pastoral Care department there and,  over that period, have been able to make some on-site, personal observations of the “pastoral care” being provided at AMC, and must report that, at best, the overall care was very disappointing.


Are we hearing the cry for help?

Are we hearing the cry for help?

If AMC is representative of the state of “pastoral care” in the Northeast or in the United States as a whole, what does that say about all those words and ink spilled in the scientific, clinical, and professional journals about “relief of suffering?” Is it all pablum-puking palaver from the top of the ivory towers? Wishful thinking? Are the chaplaincy organizations and “certifying bodies” simply self-serving special interest (their own) groups providing certificates for cash, and satisfying the paper-mill appetites of both consumers and human resources dullards? We want certificates not skills or competence? It would seem so from our observation point.

As an informal survey, we looked at the AMC pastoral care staff page on the AMC web site and reviewed the credentials of the people working in pastoral care at that hospital. Here’s what we found:

The travesty and biggest joke that healthcare facilities — I mean hospitals offering primary, secondary, tertiary, and the rarer quaternary care — and skilled nursing facilities, including those offering rehabilitation,  are foisting on the paying pubic is that they offer what is commonly called “pastoral care,” a term eschewed by those of us who are really professional chaplains because “pastoral” is a hugely Christian term and serves to alienate non-Christian traditions. Fancy that! Far from appreciating what a real chaplain is, most of our healthcare organizations use a discriminatory term to describe the paltry spiritual support they think they provide, but in fact are not providing.

Most facilities rely on volunteer pastoral care, that is, local “visiting clergy” who drop in and wander around cold-calling (dropping in on patients or residents) or visiting their own church members. As for those that actually have a paid— and reimbursed chaplaincy program — the composition of that staff raises concerns about competency and bias. Seriously.

Really? We don't think so!

Really? We don’t think so!

One regional medical center in Albany, New York, Albany Medical Center — the institution does a great deal of public relations and advertising and is more in the real estate business than healthcare — shows a staff of 14, including chaplain interns, chaplain residents, full- and part-time/on-call “chaplains”: Pastoral Care Manager Jake Marvel (personal acquaintance), is a Reformed Church of America (RCA) clergyperson. The RCA is a minor denomination, an offshoot of the Dutch Reformed Church, and Calvinist in its doctrines, rightist liberal Christianity in its leanings; Harlan Ratmeyer (persoanl acquaintance), is director of a chaplain training program, a RCA minister, in his late 70’s and beyond retirement; biased and distracted. Staff Chaplain Yervant Kutchukian, is an Armenian Orthodox, with apparently various contemplative interests. Pastoral Care department secretary, Elizabeth Hall, is Roman Catholic, but doesn’t work as a pastoral care provider despite having several units of chaplain training — most of which was apparently acquired by sitting behind her desk. Aloysius Kabunga is a native of Uganda, Black African, with some seminary training and an eclectic educational background but no stated faith tradition (do we assume he’s some sort of Christian adherent?). Valerie Cox, female, another African American on staff, is an “ordained” Baptist minister with a degree from a “bible institute,” whatever that means. Kabanga BoswamiNO! I didn’t make that up — is yet another Black African on staff, from the Democratic Republic of Congo, has degrees in business admin, computer science and divinity. Marjorie S McCoy, female, Buddhist adherent to an American Buddhist tradition, has a B.A. in comparative religions, worked as attorney for 23 years, was a hospice volunteer for six years, and is now an intern in chaplaincy — this means she’s out there on the floors at AMC with little or no training. YA is a staff chaplain but I can’t make out his actual credentials from his blurb. Mary C. Craven, white female, has some credentials and 9 units of clinical pastoral education at AMC (she’s Roman Catholic by tradition). Two Roman Catholic priests serve as chaplains at AMC Kenneth Gregory and Robert DeLeon, enough said. A rabbi and an imam serve the Jewish and Muslim traditions at AMC but are not “staff” in that they are on-call, for their own people. At AMC, the Roman Catholic chaplains serve on an alternating day schedule; I have experienced situations at AMC when neither RC chaplain was available. Naturally, the on-call rabbi and imam restrict their care to their faith tradition. So that’s 4 chaplains out of the total of 14 that serve their specific faith groups: Roman Catholicism, Judaism, Islam. Two part-time chaplains, one cultural Pakistani male, Younas Azad (personal knowledge) and one elderly white female, M. Craven (personal knowledge). That leaves 4 “chaplain residents” who are still in training, under the supervision of HR, and four “full-time” staff. Of the four “chaplain residents” 2 are black African males, unknown traditions, and one is an African American female, Baptist tradition. The remaining chaplain-in-training is a white female, Buddhist, with a law background who served as a hospice volunteer. The remainder of the AMC pastoral care “full-time” staff includes two RCA ministers who are PC manager and director, and a secretary.

It needs to be said that the information provided above is publicly available at Meet the Staff and is not provided as a statement of competence or as an assessment of effectiveness of the individuals or of the department as a whole. I’m presenting it as an example of what a 600-bed regional acute, primary, secondary and tertiary care, trauma center, teaching hospital provides by way of spriritual care. Now, I have to ask my readers, given the composition of the PC staff — excluding the secretary, the part-timers, and the rabbi, imam and Catholic priests, who obviously see their own people, What do you think of the composition of the Albany Medical Center “pastoral care” staff? Presuming Albany Medical Center is a fair representation of the state of pastoral care in most similar institutions, What do you think of the likely cultural competency of the staff? Think of it this way, if you were an 84-year old white female, How open or vulnerable would you feel if one of the resident chaplains paid you a visit? How well served do you think the mainline traditions are served by the composition of the AMC pastoral care staff? Finally, do what I did and visit the site and ask yourself the question, “How well served are the some 600+ patients of AMC by this handful of questionably trained pastoral care providers?”

Treating the Parts while Indifferent to the Whole

Treating the Parts while Indifferent to the Whole

We chose Albany Medical Center because of its size, the extent of its services, its PR/advertising claims, and because we have personal knowledge about and experience with that institution. A simple online investigation of most of the other major hospitals in the Albany,  New York, area, including Schenectady and Rensselaer counties, doesn’t provide much satisfaction. Most simply describe a vague “spiritual care” or “pastoral care” entity but not much more. None provide a staff page, which indicates quite clearly to us that they have none and that all of their pastoral care activity is provided by volunteer (= untrained, non-professionals), ancient RC nuns (that’s all that’s left), or “visiting clergy.” Point made. How is it that these so-called healthcare providers get away with not providing total healthcare?

Our conclusion is obvious: Our healthcare institutions — and we include here most hospitals, nursing homes, rehabilitation facilities, etc. — do not provide competent spiritual care for patients, residents and clients. These institutions donot provide “care” but provide only “procedures.” They operate almost exclusively on the biomedical model which has been around for more than 100 years unchanged, and is based on the body-mind duality espoused by Descartes, the so-called Cartesian duality, in which healthcare treats physical complaints, everything else is in the “spiritual” realm.  In other words, our healthcare institutions treat the disease (the physical manifestations) not the illness, not the person. The treatment received in our healthcare institutions is procedural in nature and the very procedures done as treatment are the source of significant suffering, to which our “care” providers are either indifferent or of which they are ignorant.

Considering that the region we are considering, the Capital District in New York State, a region comprising the counties of Albany, Rensselaer, Schenectady, parts of Greene County, and other areas, we are talking about at least 28 hospitals and 56 nursing homes/rehabilitation facilities. The question we should be asking ourselves is not what kind of care is, rather what procedures are done, but how much suffering those environments and  procedures are causing, and what is being done to relive the total suffering of the patients, residents, and clients?

Please leave us a comment but please be specific and focus on the questions we’ve posed above. We’ve tried to be non-judgmental in presenting the facts; all we ask is for your honest opinion about the pastoral care situation at this regional 600+ bed teaching hospital.

The True Story of Our Healthcare System

The True Story of Our Healthcare System and
Relief of Suffering

New Blog Feature: Articles and Essays

Death Awareness & Education

Death Awareness & Education

Check out the new feature called Articles & Essays. I’m posting my articles and essays for readers who want to read them online or download them.

Try it out and let me know what you think!

Peace and blessings!
Rev. Ch. Harold

“Passing on” is not just about death; it’s about a cherished legacy

The Ethical Will, A Written Legacy:

A Gift for Generations to Come

Rev. Chaplain Harold W. Vadney M.Div.
Principal Facilitator

“Several months ago I tackled the chore of going through a box of old papers and mementos — we all go through the routine sooner or later and for different reasons — and I came across a greeting card that my grandmother had written to me on high school graduation day, which just so happened to be my 18th birthday; it was an exciting and scary time and a real rite of passage for me. It was the sixties, a time of social and political turmoil; a time of upheaval in society, morals, church and politics and I was going to be right in the thick of it. But was I ready psychologically, spiritually, at all? Now, some 40 plus years later, as I sat cradling the card in my hands and regressing to that day, I read the sacred words inscribed in elegant, careful cursive, now 15 years after my grandmother’s passing, and I realized that she had written me a testament that transmitted her values, her wishes for me, and her tender love. It was in that handwriting and as I read the words I imagined hearing her voice speaking the words to me softly, gently. It was a powerful emotional moment, and I almost choked up recalling my grief at her death. I placed that card in a special place with my most valuable mementos of my life, ensuring that it will never be lost to those coming after me. But for now, it is a special resource, a legacy that I go back to read from time to time, and is something that I will leave to my loved ones as a part of our family’s ethical history. I find myself wondering if my grandmother knew that she was leaving me a gift of such immense value, but the reflections in this rediscovered card is a treasured gift that keeps on giving, especially now she is no longer here to share her wisdom with me.” [Anonymous]

 

The word legacy by definition is “something transmitted by or received from an ancestor or predecessor or from the past.” It comes from the Latin word legare which means to gather, bring together, collect, and that’s pretty much what we do in a legacy or ethical will: we gather, bring together and collect our thoughts on what is most important to us in our lives. While we might tend to think of our legacy as the property that we’ll some day leave to our loved ones, a legacy goes far beyond the mere material. Like any gift, these legacies should be planned because what they contain and transmit is really timeless; you are transmitting values in this form of legacy, and that fact should not be forgotten. That’s actually the purpose of this legacy: to be remembered for our values. I advocate very vocally for the ongoing process of communicating— orally and in writing, better still through our actions — values and wishes throughout our lives, but once we are gone the written legacy, our ethical will becomes one of the most important heirlooms we can leave behind, a treasured endowment that we can bequeath to our loved ones and to generations to come. As in our story above, a written legacy is something, like the graduation card, that loved ones can return to again and again.imes of transition such as the birth of a child or grandchild, marriages, or the death of a loved one become reflective times and opportunities to review one’s views on the meaning and purpose of life, one’s values and what makes life sacred. These rites of passage are opportunities to enter into dialogue about your faith, beliefs and values and can become a unique legacy to generations to come.

Death is a threatening word. Most everyone reacts to a death with some measure of anxiety and sense of loss no matter what the circumstances, whether sudden and unanticipated, traumatic and violent, or peaceful after a long life lived well, what we call a “good death”. Sometimes the myriad emotions accosting us resolve more quickly and healing sets in, but more often the case that they hang on for some time and persist in some form as we, the bereaved, make the pilgrimage through the uncharted territory of grief, transformation, healing, and transcendence that inevitably sequels death.

Our anxiety is so uncomfortable because it is the sign of hyperawareness, we’ve been ripped from the comfort of our little nest of denial and avoidance. We are forced into awareness and must acknowledge a dread mystery, and inevitability we’d had previously contented ourselves with hiding under wraps; that camouflage of denial that cruelly allowed us to skip through life thinking that there is always time and many more opportunities ahead is finally lifted. When the veil is suddenly raised we become aware that life is fleeting, delicate, relatively brief or “too short”, and that awareness demands our fullest attention and reflection. At those difficult times we may well reflect on the meaning of that life, our own lives, and what remains and what will be remembered. As mortal beings, we have the ability to picture a world, in which we are no longer physically present, and we feel the pain of being sidelined, even forgotten. There’s a saying that goes like this: “We die three times: once when we take our last breath, a second time when our bodies are no longer, a third time when our name is no longer spoken.” It’s that final annihilation, the final erasure that comes when we or our legacy is forgotten. It’s this awesome thought that compels us to find opportunities leave something durable and valuable to those who survive us.

Now the big question is: Whether we will seize this existential opportunity to take advantage the time left to us and to create a thoughtful, valuable, meaningful endowment fashioned with our memories, values, hearts, or will we allow our roots, our lives, our values to become just dust in the winds of time?

To read, download or print the complete essay, click this link: The Ethical Will_a written legacy

"Passing on" doesn't just mean dying; it means leaving a cherished legacy.

“Passing on” doesn’t just mean dying; it means leaving a cherished legacy.

Remember that talk you wanted to have with the family?

The Choices of a Lifetime: Awareness and Education about Options

An Important Essay by Rev. Chaplain Harold W. Vadney B.A., [M.A.], M.Div., Principal Facilitator, Thanatology Café

Have that talk soon.

Have that talk soon.

I’ve always had this fear, this anxiety that seems to swell up at times and I feel an icy cold deep within me. Sometimes I have to jump out of bed only to find that my legs can hardly carry me. I’m terrified. Am I dying? There’s something about the dark, about night, the quiet that allows this though to take me down in a strangle hold. It shouts deafeningly silently in my ears but with the first hint of daylight, it vanishes as abruptly as it appeared.

After discussing these occurrences with my spiritual guide, he suggested that I was not experiencing an existential crisis, that I’m not in a state of death anxiety or fear of death episode but that I had other concerns. I’ve reflected on that suggestion and I’ve come to the conclusion that it’s not the dying that I fear most, it’s my dignity, my autonomy, the control over my final moments. If I were to be found in a coma or dead in my bed, or if I lapsed into a persistent vegetative state, Who would make my decisions for me? Who would decide what were to become of me while still living or when I’m dead? Who would know what I would want? What would I choose? It’s the fear of not being able to chose for myself that makes me panic. [Anonymous]

Those of us in the helping professions see this situation all too often and never cease to be amazed rarely people and healthcare professionals talk about what could be  the most important subjects in our lives: death, dying and our options for pre-death and post-death care. One of the reasons why the general population avoids the discussion is because it’s uncomfortable and creates anxiety, raises primeval fears, and disrupts our principal coping mechanism: denial. Physicians and healthcare providers don’t like the subject because any death represents a blow to their egos, a failure.

But a thanatologist’s, I’m going to take the risk of dissolving hope, creating anxiety, and shredding the veil of denial. Playing the ostrich and plunging our heads into the sand won’t hold death or dying or the important decisions associated with transition and bereavement in abeyance or make them go away. You have to have the guts to face these realities, to discuss them, and to take the bull by the horns and make some decisions for your own sake and for the sake of your survivors. The talk about pre- and post-death options, the realities, the myths, the rituals and the resources cannot be postponed until someone pulls a sheet over your head. Our ability to embrace life fully is not contingent on our efforts deny death, because when we take that we do ourselves a disservice and our families an injustice. We discuss, negotiate, plan and execute options in other areas of life so why not acknowledge the end-of-life options?

To read, print or download the entire essay, please click this link: Choices of a Lifetime-Essay

Share Your Choices and Options with your Family

Share Your Choices and Options with your Family