Category Archives: Pastoral Care

September 21, 2010 · 22:53

Raw Edges: Are there other Chaplains out there Like Me?

Before a Convoy

The past week or so I have had to go back and revisit my Iraq experience. Part of this is due to work, we have had seminars on the spiritual and moral affects of trauma, the challenge of forgiveness and most recently discussing best spiritual care practices for those who suffer from PTSD or Traumatic Brain Injury (TBI). The training has been excellent but has kicked up a lot of stuff in me. Added to this have been reports out of Afghanistan about more casualties in particular of a helicopter that crashed that killed 9 Americans, the Taliban claim credit for downing the aircraft but the circumstances are not fully known.

One of many helicopter flights, this a daylight flight in a Marine CH-46

The course last week on the spiritual and moral affect of trauma and the challenge of forgiveness brought up issues from Iraq but not upsetting. In fact the seminar taught by Dr. Robert Grant author of The Way of the Wound was helpful to me in sorting out what I have been going through for the past couple of years. The training this week is also good, good information but for me it is more unsettling because it deals with images, videos of convoys, burning vehicles and other things like that. The convoy images coupled with the news of the helicopter crash actually had me pretty shaken as I spent a large amount of time in small convoys with small groups of Americans and Iraqis in pretty dangerous areas of Al Anbar Province stretching from Fallujah to the Syrian border as well as a couple of hundred hours in the air, usually at night in various Marine and Army helicopters as well as the MV-22 Osprey. During those experiences we took fire a couple of times and had a few experiences on some of our flights that were a bit sporty. So for a while I was lost in my own stuff but was able to pull out in not too long of time.

Convoy stopped near Al Qaim

Some of our discussions revolved around how trauma and war can impact a person’s image and relationship with God, whatever that may be. The focus was on us as pastoral care givers caring for those in our charge. Once again this really good information for me as I will be dealing with a lot of PTSD and TBI cases are Camp LeJeune. But there was one thing that got me. I came back from Iraq as most of my readers know in pretty bad shape dealing with PTSD and issues of abandonment feeling disconnected with the Navy and my church. Part of that was what amounted to be a loss of faith so severe that I was for all practical purposes an agnostic for almost two years because I couldn’t make sense of anything to do with God, I felt God forsaken it was to use the image of St. John of the Cross, my Dark Night of the Soul. I am doing better now and feel like my faith has returned to some degree, certainly not like it was before but while I have doubts I am okay with that part of the journey now.

Christmas Eve not far from Syria

I know a number of military Chaplains from the Navy and Army that have returned from Iraq or Afghanistan in some sort of faith crisis many suffering from PTSD or TBI. I am actually wondering how many are out there. I know that I am not alone, but I need to know if others are going through this experience too. It was for me a desperate feeling to be the Chaplain, Priest, Pastor and spiritual care giver when I was struggling having no answers and only questions, when people asked me about God and I didn’t even know if God existed. This is the unspoken cry of at least some and possibly quite a few Chaplains and other ministers who have experienced trauma and moral injury. One thing my incoming CO at my old unit asked me was “where does the Chaplain go for help?” At that point I said that I didn’t know. The sad thing is that I know many chaplains and ministers that have a basic lack of trust in their fellow clergy and do not feel safe confiding in them because they feel that they will be judged, not listened to or blown off.

A different war with the Bedouin in the western desert of Iraq about 5 km from Syria.

When I was diagnosed with PTSD in the summer of 2008 I made it my goal to grow through this and hopefully as I go through this to be there for others. Part of my recovery came through sharing experiences, the good and the bad on this site. Elmer the Shrink asked me back when I started this if I thought that it would be helpful to me in my recovery, but he also asked if I was okay in opening up about this topic. Since I didn’t see many people writing about this from the perspective of being a “wounded healer” I told him that I thought that I had to do it. The experience has been terribly painful but at the same time I think that it has been worth it because as a Priest and Chaplain I think now more than ever in my weakness I can be with people in their difficult times without trying to “fix” them.

Colonel David Abramowitz with me and RP2 Nelson Lebron after presenting me with the Defense Meritorious Service Medal and Nelson the Joint Service Commendation Medal for our service with our advisors and Iraqis in Al Anbar with the Iraq Assistance Group. After this we both dealt with abandonment and other issues on our return home.

So who is there for “damaged” Chaplains? Who takes care of us? I was lucky or maybe blessed. I had Dr Chris Rogan ask me if I was okay. I had Elmer the Shrink do a lot of the hard work with me. At Naval Medical Center Portsmouth I had a Command Chaplain that was wise enough to protect me while I went through the deepest and darkest valley of my life. As I recovered he challenged much like a Baseball Manager would challenge a pitcher who had been very successful on other clubs coming off the disabled list to regain his self confidence and ability to get back on the mound with a winning attitude. Not every Chaplain gets what I got and I am blessed. I still have work to do and I need to recognize my limits, much as a pitcher who has recovered from Tommy John surgery makes adjustments.

So this is my question: Are there others other there like me? Are there other Chaplains experiencing such feelings after Iraq or Afghanistan? I’d really like to know because I believe that in what might be termed “a fellowship of the forsaken” that we can rediscover faith, belief and hope again and in doing so be there for others.

If you want please let me know if this encourages you or feel free to comment. Prayer is still hard for me but I promise that if someone asks that I will pray and to the best of my ability be available for them as others were for me because I don’t want any Chaplain to experience the abandonment that I felt went I returned from Iraq having felt that it was the pinnacle of my military career. To those Chaplains I just want to say that you are not alone.

Peace

Padre Steve+

4 Comments

Filed under faith, iraq,afghanistan, Military, Pastoral Care, philosophy, PTSD, Religion, Tour in Iraq, US Navy

Tagged as afghanistan, agnosticism, aircraft in iraq, al anbar province, army chaplains, challenge of forgiveness, chaplains, colonel david abramowitz, convoys, crisis of faith, dr robert grant, fallujah, forgiveness, god, god's grace, iraq, iraq assistance group, loss of faith, loss of faith in clergy, navy chaplains, nelson lebron, Pastoral Care, post traumatic stress disorder, PTSD, rebuilding faith, spiritual care, spirituality, st john of the cross, syrian border, taliban, tbi, the dark night of the soul, the way of the wound, the wounder healer, Tommy John Surgery, traumatic brain injury, where does a chaplain go for help

September 15, 2010 · 23:53

A Sea of Contradictions: My Life and Faith since returning from Iraq

Dinner with my Friend, Major General Sabah in Ramadi

“Many people are looking for an ear that will listen. They do not find it among Christians, because these Christians are talking where they should be listening.But he who can no longer listen to his brother will soon be no longer listening to God, either; he will be doing nothing but prattle in the presence of God, too. This is the beginning of the death of the spiritual life, and in the end there will be nothing left but spiritual chatter and clerical condescension arrayed in pious words… never really speaking to others.” Dietrich Bonhoeffer

Since I returned from Iraq I have grown weary of Christians that have all the answers and are more interested in promoting their agenda than actually listening or caring for those wounded in spirit from various forms of trauma including war. Since I returned from Iraq and going through what amounted to a crisis in faith, belief and experience of what I felt to be abandonment by God and many Christians. I have elected to travel down a path that has been of great benefit but has been filled with difficulty and pain as I both walked through the psychological, spiritual and physical effects of my time in Iraq and, the moral injuries that I incurred and the practical ways that these crisis’ have had on my life and relationships.

On Monday at work we had some of our pastoral care residents presented their research projects which they had worked on during their residency year. All were well done but one struck me because of its subject and home much I could relate to it. The subject was “Writing our Way Home” and dealt with how the use of poetry and narrative could help some combat veterans make sense of their world and deal with the trauma that they have experienced. After Iraq I began to write, initially because it was therapeutic and helped me to begin to start sorting out what was going on with me. It also helped me, especially when I went public on this site about my experience to get outside of my normally severely introverted self. As I began to write regularly it became a part of my life as I struggled to deal with PTSD as well as spiritual and emotional crises following my tour in Iraq, alienation on my return as well as various family crisis’s.

The understanding that resonated with me was that our stories, the good and the bad, what we believe to be true and what really is true about ourselves and our experiences is all part of who we are. This is something that I experienced in my own pastoral care residency at Parkland Memorial Hospital in the 1990s when my supervisor challenged be to stop living in the past and begin to imagine a future that was not a prisoner of my past disappointments and failures. That was a watershed experience for me and as I began to sort through all of the crap that I was dealing with in CPE and family of origins issues I began to realize that I did not need to live my life in a constant repetition of the past. Now that realization did not always find a place in my life but in a gradual process I began to escape that past and begin to live in the moment with an eye to the future.

Of course Iraq changed that to some degree, in fact to a large degree. What I experienced there and upon my return to the States shook many of my beliefs about the world, faith and life. The images of American Marines wounded by IED attacks, wounded children and destruction of vast areas of cities, towns and villages coupled with having HUMMVs and Helicopters that I traveled on shot at and having rockets fly over my head changed me, especially when I saw how the war was being covered by both the liberal and conservative media which bore little resemblance to my first hand observations. Even worse was the feeling of being isolated and abandoned when I returned home. I experienced a crisis in faith that left me a practical agnostic even as I desperately prayed for God to show up. In fact it was psychotherapist that was the first person to even address my spiritual life after I returned.

When Elmer Maggard asked me: “How are you and the big guy?” I could only say “I don’t know I don’t even know if he exists.” For a priest and chaplain that was a harrowing admission. I had entered a world of darkness that I did not believe was possible. I would struggle for another year and a half until during Advent of 2009 things began to change and I began to sense the presence of a loving God again. My faith began to return but I have to say it is not the same as before I went to Iraq. I still struggle though most of the time I cannot say that I am a practical agnostic as I do have faith and faith which can be considered orthodox but perhaps more negotiable.

You may ask what I mean by this so I will briefly explain. First I admit that I do not have the answers that I used to think that I had. Likewise I am a lot more apt to say “I don’t know” or “I struggle with that too” when people tell me of their experiences when struggling with faith or even the existence of God. I refuse to pass judgment on someone’s faith journey or even if they question God’s existence because I have been there and it is not a comfortable place to live. I am far more willing to walk with someone thorough that valley of doubt or unbelief because I lived in that valley for over a year. As far as who I frame my world, I am far less likely to pin something as “God’s will” or “an attack of the Devil” than I am to recognize that as human beings that we live in a fallen state and that sometimes things just happen. To quote a popular say “Shit Happens.” In the middle of this I think the real miracle is that God can give us the grace to go through the most difficult times even when we have no faith at all. I don’t think that is at all heretical because the experience of Jesus on Good Friday and the scriptural accounts as well as the testimony of 2000 years of Christians tells me that this is true. The miracle in my mind is not being “delivered” from crisis or unbelief but through the grace of God making it though the crisis and return to faith, even if that faith takes a different form.

For me the act of writing both about my experience as well as through fiction or history has been therapeutic and forced me out of my comfort zone. When I began this site and began to tell my story my friend Elmer the Shrink he asked me if I was really sure that I wanted to open up and become vulnerable as I shared the truth as I believed it to be. I said that I needed to as I thought people needed to know the reality of what many Iraq and Afghanistan veterans were going through. He told me that what I was doing was risky but let me make the call. 600 posts later, not all of course dealing with what I and other veterans have gone through I can say that it was the right decision.

Our presenter on Monday gave us a few minutes to write something and for me this came quite easily as I was struck by a section of her presentation about how contradictory our life experiences can be. I began to write about those contradictions and will share a bit of that here.

I am a man of faith, a Christian and Priest. I believe but I also doubt and question, in fact there are some times that I feel somewhat agnostic even after the events of last December when faith began to return. I am much more prone to give the benefit of the doubt to people especially those who struggle with life, faith and even the existence of God. I figure that God is big enough to handle doubt and unbelief while still loving and caring for the person experiencing doubt or unbelief or whose beliefs that may not fit the definition of Christian orthodoxy.

I am a passionate person who is an introvert in an extroverted world both in ministry and the military. I am an intuitive “out of the box” thinker and sometimes rebel. Yet in spite of this I willingly volunteer to serve the church and the military. It is interesting because both institutions prize loyalty to the institution, obedience and staying within the lines of prescribed beliefs and traditions. I believe yet question, I find cause to not agree with what all of my political party or the other political party espouse to the chagrin of the faithful in both parties.

I have learned that there is a healthy tension in this type of life. I do not for the most part follow those that insist that to be a Christian that I must do this and that even though I fully subscribe to the Creeds, the first 7 Ecumenical Councils an Anglican understanding of the Christian faith. Nor do I think that to be to be a “American patriot” that I should vote a certain way, belong to a particular party or follow the agenda of any political party as if it others believe the agenda to be brought down from the mountain by Moses himself. I have had people on occasion to criticize me for this. However I cannot allow any political ideology to hold my faith captive, nor can I cast aside the essence of the Christian faith even when I doubt.

One of the things that I find concerning is how it seems to me that many supposedly “conservative” Christians have almost made what I think is a deal with the devil in terms of their political involvement. I think that they are sacrificing a long term witness to short term expedient political alliances with people, particularly “conservative” political talk show host and pundit Glenn Beck that have an antithetical and antagonistic views of historic Christianity. My concern is more about the faith and witness of the Church than an alliance with someone that appeals to our more base nationalistic ideas than the faith itself.

I have discovered that for the most part I can comfortably live in this tension, in fact I do not think that I was to fall completely to one side or the other be it in faith, social responsibility or politics that my life would be as full as it is, or as some might be thinking now as “full of it as I am.” Whatever… The fact is that I think that as a Christian and as an American that it is okay to live life in balance and with a health appreciation of creative tension.

I have begun to emerge from the darkness of my post Iraq experience and I know that I am still wounded. I know that I still struggle but I now am beginning to see this as a gift. My faith is not the same as it was, I am not satisfied with simplistic answers or the party lines of people that only care about their agenda especially when they decide that their agenda is God’s will, even if it has nothing to do with the Gospel. I know that sounds kind of snarky to some but I really want to be an authentic Christian not some caricature that is more a picture of the American perversion of the faith than anything found in Scripture or the 2000 year history of the Church.

I believe but I struggle. I will listen to other points of view, including those of people that are not Christian. In fact I found that my Iraqi Muslim friends were much easier to dialogue with and have deep and respectful theological discussions with than many American Evangelicals. For me that was a watershed moment.

But anyway, this post was not meant to be a treatise on anything but is for me more of a reflection of a dialogue that has been going on in me since my return. The thing is I know other Chaplains that have returned from Iraq or Afghanistan who have experienced the same feelings that I have been working through but do not have a safe place in their churches to heal, and are afforded little time to do self care. I am concerned for our caregivers that care of veterans like me. I wonder how many can be real in their faith community without having people run away from them as if they were radioactive, a feeling that many veterans and other trauma victims experience when they attempt to tell their story.

I just hope that I will be able to be there for others who are wounded and suffering as a result of what they experienced in war.

That is all for tonight. Blessings and peace my friends,

Padre Steve+

5 Comments

Filed under christian life, iraq,afghanistan, Loose thoughts and musings, Pastoral Care, philosophy, Religion

Tagged as afghanistan, agnosticism, christianity, contradictions, cpe residency, creeds and councils, crisis of faith, dietrich bonhoeffer, ecumenical councils, elmer the shrink, evangelical christianity, existence of god, faith, glenn beck, god, God's will, iraq, loss of faith, military service, parkland memorial hospital, patriotism, PTSD, shit happens, struggles with god and faith, wounded healers

August 15, 2010 · 16:54

Rehab Assignments

There are times in life that many of us experience some kind of injury; physical, emotional or spiritual that puts us in the position that we cannot function at the level that we are accustomed to doing. For some people this might be the result of some kind of traumatic event, perhaps a serious illness or physical injury or even something that causes us to lose faith in God or in whatever higher power that we ascribe meaning in our life.

As any regular reader of this site will recognize I interpret or frame much of my life experience through baseball and baseball analogies. In my case I frequently frame that through pitchers or older ball players that have encountered injury or rough spots in their careers. I think about pitchers a lot because the craft of pitching involves such a degree of connection between the physical and mental dimensions of the game. There are many times when a pitcher suffers a physical injury that requires changes in his delivery or the kinds of pitches that he throws. When this happens it also affects his mind as he may lose confidence or over think what he is doing as he tries to make adjustments, also while experiencing residual physical pain. Some pitchers are able to make the adjustment, for others the adjustment is more difficult and they are not as effective as they were previously. Still others either cannot recover from the physical injury or never make the adjustments and end up out of the game.

Those that experience injury as they recover are sent back to the minor leagues, or if they are in the high minor leagues to a lower level league in order to get back to the level that they were before the injury. Even when they get back to the majors or to triple-A the pitching coach and manager may still go easy on them in order to ensure they are 100% and do not re-injure themselves. This is called a rehab assignment and it is part of the game.

In the military we seldom get that chance unless the injuries are so significant that we need to put on some kind of limited duty and a placed in a non-deployable status until they are considered fully fit for duty. I returned from Iraq in February 2008 with several nagging chronic physical injuries to my ankles, knees and shoulders and an elbow which coalesced to sideline me from much physical activity. Even worse I was dealing with PTSD which was not recognized or diagnosed until late June of 2008 when I was falling apart having flashbacks, night terrors, chronic anxiety, insomnia and moods that alternated from anger to despondency. When I left EOD Group Two I for my assignment to Portsmouth Naval Medical Center I was still in denial of sorts, though I knew that I was in ragged shape I went into the assignment trying to act as if and perform as if I was uninjured. I threw myself into the job pouring working on the average 65-75 hours a week for almost a year mostly on the ICU and PICU before my boss finally stopped me and put me on more administrative duties with minimal clinical duties and plenty of time to get back in physical, emotional and spiritual shape. Not many senior officers would give a subordinate that kind of grace nor would they rate an officer under them with an eye on their potential versus what they were doing for them at the moment. Mine did, I will be forever grateful to Chaplain Jessie Tate for giving me that grace.

Eventually his patience as well as my hard work and a lot of God’s grace were rewarded. Things started to turn around in December of 2009 in what I call my “Christmas miracle.” Slowly my physical injuries healed and I can now say that I am in as good or better shape than when I went to Iraq. I had to make some adjustments to my physical training regimen as well as confidence to believe that I was not going to re-injure myself. My mindset in my physical training went from timid to confident as I gained in strength, speed, dexterity and endurance. This was coupled with the loss of 16 pounds and a body fat percentage that went from 32% (when I ballooned from 167 to 194 pounds between April and November of 2009) down to 22% as of last week. Spiritually I began to believe again. Most of the time after Iraq I struggled with faith sometimes even doubting the existence of God or at best feeling alienated and rejected by him and many of his people. My spirituality has changed as has the way I approach my faith being much less doctrinaire to relational focusing on the grace, love and mercy of God and to trying to show that to others as St Francis said “preach the Gospel at all times, use words when necessary.” Psychologically I was able to come to grips with my PTSD and make the adjustments that I needed so that I might be able to function. I am much more in touch with feelings and what is going on in me than I was before and my observation of other people has improved, I guess once a person has had everything fall apart that they become more sensitive even to the unspoken things when they are around others.

In a sense this assignment became a rehab assignment for me. I was able to come back and become not only functional but able to be in the game again. When I was selected for promotion my boss had no hesitancy in nominating me for the supervisory Chaplain at Naval Hospital Camp LeJuene. I can see the future again and it is good. My plan was for Portsmouth to be an “All-Star” game for me where my clinical and academic skills would enable me to be a water walker but it was different, it was a fight to remain in the game a fight to regain confidence, overcome injury and return to relatively normal life. My rehab assignment is over and I am back in the game performing at a level that I expect.

For those that are in similar circumstances I hope that you have a boss with the grace to help you through the difficult times and not abandon you as “broken” or of little use to the organization. I know that happens in the military and outside of the military, even in churches.

Peace and blessings,

Padre Steve+

2 Comments

Filed under Baseball, christian life, faith, Pastoral Care, philosophy, PTSD, Tour in Iraq

Tagged as chronic pain, disabled list, eod group two, iraq, limited duty, moral injury, night terrors, physical injuries, portsmouth naval medical center, PTSD, rehab assignments

August 12, 2010 · 22:32

Thoughts on the Occasion of getting ready to Transfer

Two years ago I was preparing to leave EOD Group Two and getting ready to move over to Naval Medical Center Portsmouth. At that point in my life I was falling apart. The ravages of PTSD, depression and chronic pain from shoulder, knee and ankle injuries sustained in Iraq had taken their toll. Chronic anxiety, flashbacks, night terrors, vivid and disturbing dreams of Iraq, nearly uncontrollable emotions that ranged from intense sadness complete with that girl thing of crying to intense anger and rage, especially in traffic were a daily staple of life. Fear of large crowds, noise and light sensitivity panic in airports and fear of new places brought me more isolation and pain. I went to the new assignment with trepidation but with a desire to make an impact.

When I got to Portsmouth I did my best to cover up the affects of PTSD and everything else that I mentioned in my life for the sake of work. I threw myself into the job; especially the patient and staff care aspect of it. I worked painfully long hours usually due to my own need to know that I was still of some use despite all that was wrong with me and I ended up getting worse and not better. I was in therapy and most of my colleagues and my boss tried to take care of me although I’m sure that they probably wondered if I was salvageable at times. I am thankful for their support as it was needed and vital to getting me through but I still sunk down deeper into the abyss. Nothing was getting better and I even doubted if God was even around, or if he was around if he even gave a damn about me. I was experiencing what I am now not afraid to call, not just PTSD but let me call it what it is, mental illness. In addition I was in a full-fledged crisis of faith. During the year I had experienced the loss of a number of friends and colleagues and each one deeply affected me plunging me deeper into depression. Christmas of 2008 was the worst that I had ever experienced from a spiritual point of view. I left the Christmas Eve Mass at my wife’s church before the Mass began into the night for an hour before I got home. I looked up at the sky and cried much of the time wondering if God was there and if he was wondered if he had abandoned me. As I got worse I stopped doing the things that I needed to do to take care of myself, good nutrition and exercise was out the door and I gained 25 pounds in 6 months and ended up on the fat boy program. By late August I was in worse shape than I had been the previous September and it was in mind, body and spirit.

For someone like me this was almost more than I could handle and my boss, recognizing that I was not doing well pulled me kicking and screaming out of the ICU and PICU and pushed me to take care of myself and get help. I began to do this but if you have been as down as I was you understand that recovery doesn’t happen in a day, or even a week. It is a continuous and often painful process mixed with times where you begin to see occasional fleeting glimpses of hope. I struggled for the next three months until a couple of weeks before Christmas I was called to the ER and in a moment of grace in the midst of my own despair I was called upon to perform Last Rites for a retired physician that was Episcopalian. As I performed the Sacrament he breathed his last, his wife and son said it was like he was waiting to receive that before he died. Something happened that night and things began to turn around, unfortunately the young Intern physician that called me to the scene and with whom I took remedial PT tests and nutrition classes died a little over a month later.

However, Christmas of 2009 was different, for the first time since I was in Iraq I felt joy, and slowly things began to turn around. The first part was spiritual, the next physical and psychological. Each month I got a bit better and it was if a thick blanket of California Central Valley Thule fog was dissipating with the sun beginning to peek through. In February I was felled by a kidney stone for a month, my physical recover was slowed but didn’t stop. Spiritually things were getting better, on the psychological side of the house my PTSD symptoms were evening out, panic attacks were going away and for the first time since before Iraq I was beginning to sleep.

In June I had three events that converged to change my life. I was selected for promotion for Commander on June 22^nd, or at least that was when the message was released. The next day my dad who had been suffering from Alzheimer’s disease for nearly 7 years passed away and two days after his memorial service I found that I was being transferred to be the Command Chaplain of the Naval Hospital at Camp LeJeune North Carolina.

As far as promotion I am grateful to my boss because I showed up damaged and was not fully functional he chose to grade me on my potential for service on my fitness reports and made sure that what went to the promotion board was something that would help my selection. I would guess based on my knowledge of the system that not many senior chaplains or for that matter senior officers would do the same thing. I would have been dealt with like I was a broken piece of equipment and allowed to serve out my career but never rising to anything more than that. This leads me into the transfer which will allow me to get my feet wet as the Command Chaplain of a decent sized hospital on a very busy base which is fully engaged in the war. It will be challenging and I will supervise three chaplains and three enlisted religious program specialists. Much of what I have learned recently will help me in that job and I hope to do well in it to serve the patients and staff in that hospital. I want to be a good boss to the men and women that work in the department and hopefully am able to do some things that will knit pastoral care even more tightly into the interdisciplinary team for better care of patients, their families and hospital staff.

I have mixed feeling about leaving. I will really miss the people that I have worked with the past two years. I will not miss the perpetual staff shortages and having to be the go to guy so often, maybe even get to take some leave that is actually the kind for refreshment versus taking care of family emergencies.

My friends at Portsmouth will be that and I will miss them and keep up with as many as I can through e-mail and Facebook. Some have been, are being or will be stationed in LeJuene and it will be great to be with them in North Carolina.

Today was a frustrating day that kept me going all day and with the exception of my PT test which I crushed with 100 sit ups, 70 pushups and just under 12 minutes for the 1.5 mile run, which I did on a stationary bike so the calorie count was converted to the run time. Not too bad for a 50 year old. I would have done the run as my ankle and knees are fully healed but I couldn’t do it until noon when the temperature was too hot. When I get to LeJeune I will do the run. My interval training and PT program coupled with my diet is paying great dividends. I have lost 4.5 inches around my belly since late November 2009, lost 16 pounds and 10% body fat, going from 32% body fat to 22%. I am not done as I want to lose 3 more inches around the belly and 10-12 more pounds of weight. I’d like my body fat to be under 20% and keep it there, getting lower of I can.

I’ll have some more reflections over the next couple of weeks. My friends in the ICU are planning something for me and I am really blessed to have such great friends and colleagues. I am told that the pastoral care staff will have a good-bye as well, but that is kind of expected, the real joy for me comes from the people that I have gone through difficult times within the ICU in the high stress environment of live and death situations, ethical consults and pastoral care administering prayers, counsel and sacraments to our patients, their families and our staff, my friends. That means more than almost anything to me as they have walked with me through the darkness.

Peace,

Padre Steve+

Flickering Flames: Clergy Burnout in America in 2010

Father Mulcahy: What an ordeal. 72 hours straight. I’m prayed out – absolutely prayed out.
Hawkeye: Don’t forget, Father, God was on six days straight.
Father Mulcahy: He was a lot younger then.

It doesn’t matter whether you feel useful or not when you’re moving from one disaster to another. The trick, I guess, is to just keep moving. Father Mulcahy, William Christopher M*A*S*H

A few days ago I read an article in the New York Times ( the link is here: http://www.nytimes.com/2010/08/02/nyregion/02burnout.html?_r=1&hp&adxnnl=1&adxnnlx=1280746899-Fj4AG+SysGvlJ/xdTT+ZZg ) about the large number of civilian clergy experiencing burnout, discouragement, disillusionment to the point that they end up developing chronic physical illnesses, psychological or psychiatric conditions, experience marriage or family difficulties or are so beaten down that they leave the ministry entirely. Many clergy now suffer from high rates of obesity, hypertension and depression more so than most Americans. In the last decade, the use of antidepressants by clergy has risen and their life expectancy has fallen. Job satisfaction is down and many clergy would leave the ministry if they felt that they could. The issue cuts across denominational and even religious lines and is not bound by the depth of faith or the fervency of the minister in his or her pursuit of “doing good ministry” in whatever venue they are in. It also impacts those of all sides of the theological spectrum from fundamentalists to progressives or in old time parlance “liberals” and everything in between.

Actually I am not surprised by the studies or the conclusions of the article. When I was in seminary back in the late 1980s and early 1990s the school that I attended was filled with pastors either those in ministry or those recovering from nasty church splits, or being fired for often trivial reasons. These were by and large good men, I say men because the Southern Baptist Convention then and now has few women in parish ministry. Many of the men that I knew were broken; they had come back to school as a way to see if there was some way to find a safe place of ministry. In the last years of seminary and the year prior to entering my clinical pastoral education residency I worked for a nationwide ministry and was assigned the task of assisting clergy that came to us for help or counsel. One of the interesting things to note was that during this time the average longevity of a Southern Baptist pastor in his church was a dismal 18 months. Later I had a friend in another Baptist denomination accept a call to a church that had been through 33 pastors in 30 years. He thought that he would be the exception, less than 8 months later a time that he and his new wife were harassed, abused and hounded by the congregation he quit. He ended up in my denomination as he was moving in a more liturgical and sacramental way of life and is now in the process of becoming a married Roman Catholic priest.

When I left the active duty Army to go to seminary I was under the impression that most clergy were relatively satisfied with life but the men that I met in seminary and those that I dealt with later showed me that all was not well for many good men and women doing their best to serve Christ and the people of God committed to their charge. I never will forget men saying to me that they struggled with depression, alcoholism, sexual addiction, were being divorced by their wives or considering either leaving the ministry or changing the type of ministry that they served or even their denominational home. Nearly all reported the stress that they experienced in their ministry, the unmanageable tasks of trying to compete for numbers, and in many churches it is all about numbers, see Chuck Colson’s book “The Body” cater to the nearly insatiable “needs” of parishioners who demanded more time, and investment in programs to keep them in the church, pressures resulting from the financial costs of trying to manage building programs, special ministries and programs and an every growing desire for more excitement and “thrills” in the church program. Add to this the unrealistic expectation of parishioners, local and denominational leaders and the constant upbraiding to be more like Reverend so and so on television or the guy that wrote the latest book on church growth, spiritual warfare or whatever as the list goes on ad infinitum. Add to this the intrusiveness brought about by cell phones, texting, the internet which place clergy in a place where they have no place to go when they need a rest because there is always one more need to satisfy many of which cannot be satisfied. One minister of a wel-known Mega-Church when confronted by Colson about not preaching on more controversial moral topics told Colson that “they pay me to get them in the door and keep them coming.”

The pastor of our age must become a teacher, preacher, counselor, evangelist, financer, program director, personnel manager, marketing executive and most of all be able to reinvent himself at a whim in order to remain relevant and in tune with the current “move of God.” Those that don’t keep pace with whatever the latest “move of God” (read marketing ploy) is finds that they are out of a job faster than a Mob hit-man with ad aim. It is a recipe for disaster, not only for clergy and their families but for congregations which when their pastors burn out, divorce or become compromised do to sex, alcohol or money suffer the consequences of their own making often losing members and sometimes even collapsing.

The pressures are immense and not just for married or single Protestant pastors but for Catholic Priests, Jewish Rabbis and even Moslem Imam’s all under some kind of unreasonable pressure. It does not matter of it is trying to balance the competing theological factions present in their faith tradition from fundamentalists to progressives and everything in between, trying to meet unattainable goals set by congregational or denominational leaders or just to attempt to be all things to all people just to survive it is amazing that that any survive at all. This is not the life of clergy even a generation ago, a generation that reported high job satisfaction, good health and congregations that would if possible strive to serve their pastor as much as he served them.

The world has changed and clergy are not doing well. When a big name pastor, evangelist or leader of a church or denomination screws up perfectly the good men and women serving in ministry that don’t do those things are lumped in with those that commit various crimes or ethically challenged behavior.

In my chosen vocation within the vocation of being a priest and minister, that of a military Chaplain the pressures of service often exceed those that our civilian counterparts face. In a time where we have been at war almost 10 years with many chaplains making multiple deployments to the various combat zones the pressures are immense. The pressures on chaplains, their families as well as the men and women that they serve are unparalleled in civilian ministry, which as I describe above is no picnic, unless perchance you serve the fabulously well to do.

While I do not know statistics on Chaplains and burnout I can assure you that it is a concern of mine based on some that I have met.

In my service, the Navy we have battled shortages of Chaplains and the increasing demands necessitated by the war. Likewise Chaplains in the Navy and Air Force face personnel cuts or elimination of billets due to cuts in their services personnel and more cuts are coming, at least to the billets that at one time offered chaplains the chance to recover from deployments and still serve God’s people. Most of the billet cuts are in shore commands, the places that at one time were the places that one could serve and recuperate after having done multiple operational tours. As the force gets smaller and mission requirements increase these chaplains are deployed more often to combat zones and stress and family separation take their toll of chaplains. Chaplains serving at bases and hospitals now serve large numbers of men and women traumatized by war and their families but have seen their own numbers shrink. I work in a major medical center like all of the chaplains that serve in similar billets are caring for our wounded (in body, mind or spirit) warriors, their families those deploying or returning from deployment, are subject to deployment during our shore tours as Individual Augments to the operating forces all while dealing with life and death on a daily basis. In fact yesterday I came home from work at 5:30 PM after going to work at 6 AM Tuesday nearly 36 hours on duty in which time I was involved in multiple crisis situations, baptized a baby that was to removed from life support and care of patients their families and our staff. This is not uncommon. What I described for me is typical of many Chaplains of all our military services serving in health care institutions. It requires a tremendous sense of discipline to manage all of these competing demands and maintain ones physical, emotional and spiritual balance.

In fact when I came to my assignment I was suffering from PTSD and in an emotional and spiritual nosedive and in trying to meet the demands of the job did not take care of me and I fell apart physically, spiritually and emotionally. It took a year and a half to start the recovery and I am now moving forward on all counts but some others don’t recover. I was fortunate, my boss knew well enough to shield me and let me recover and get the help that I needed to do so. Nonetheless it was not and is not easy to recover.

Add to this the pressure to perform and get promoted to stay in the military chaplain ministry. Chaplains like all officers have to get promoted to stay in the military. The promotion rate from the Captain/Navy Lieutenant rank to Major / Lieutenant Commander has been consistently in the 50-60% range for those being looked at the first time. This basically means that 40-50% will not be retained on active duty long enough to qualify for retirement unless they had prior active service before becoming a Chaplain. Even if they have this the stigma of not being selected is something that is incredibly hard on chaplains just as it is for other officers. Non-selection is considered failure even for those that have great ministries and are awesome ministers. Sometimes failure to select has nothing to do with how well you care for God’s people but simply comes down to numbers. When a military service contracts as all of our Armed Services did following Vietnam, the Cold War and today as personnel numbers are cut the respective Chaplain Corps or Services take their share of the cuts and this often means that men and women worthy of promotion are not selected and are eventually let go. I have been fortunate during the cutbacks following the Cold War I was selected for Major in the Army Reserve and though I reduced in rank in 1999 to enter the Navy was promoted to Lieutenant Commander and recently selected for Commander and I am very grateful for the opportunity of both increased responsibility as well as the chance to care for God’s people in the Navy and Marine Corps. Not everyone gets that chance.

Being a minister is no easy way of life if you are seeking to love and serve God and God’s people. Burnout, discouragement and depression are not uncommon. Health problems for many are increasing and at younger ages. Many no longer have safe places that they can go for counsel and care because doing so might hurt their ministry. I have seen much of this, good men and women doing their best to serve God and God’s people broken, depressed and sometimes addicted to behaviors that ultimately are destructive to their lives, families, congregations and ministries.

It is my opinion that while those that take on military ministry sort of ask for this because we know going in that we may be deployed to combat zones or separated from family for extended periods of time when we sign up. However many on the civilian side have no idea of the pressures that they will face and the tasks that will become theirs when they begin to work at a parish. It is a tough life and I am not surprised to see so many broken, discouraged and disillusioned ministers just trying to survive instead of thriving in the field that God called them to serve. I am blessed. Despite the hard work, separations from my wife and family and even the PTSD that I came back from Iraq with I am doing well. I get to serve people in a community that I love and in which I was born into. I get to do what I believed that I am called to do in a venue that I am very comfortable in serving. No everyone is so lucky or blessed. As Lou Gehrig said “I am the luckiest man alive.”

Please pray for your ministers and support them. Give them grace to serve knowing that they will not always make the right decisions, preach the best sermons or compete with the minister with the “hot hand” and latest “word from God” down the street or on television. Ministers are certainly not perfect, some of us are pretty earthy. Don’t impose the culture of corporate America into the local church. The vast majority of clergy really do care about the people that they serve even when they make mistakes and screw up. Give them the grace that you wish that your boss would give to you. Of course there are exceptions, men and women with few people skills, with their own agendas and even with their own dark-side which shows up in how they abuse God’s people. However these people are the exception. Don’t let the foibles or crimes of such people lead you to turn you back on good men and women that make mistakes common with the rest of humanity.

Peace

Padre Steve+

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Filed under christian life, faith, Pastoral Care, philosophy, PTSD, Religion

Tagged as chuck colson, church growth movement, clergy burnout, failure to select for promotion in military, father mulcahy, MASH, military chaplains, military personnel cutbacks, ministerial vocation, PTSD

July 18, 2010 · 23:39

High Crimes and “Miss” Demeanors: The Catholic Church Equates Women’s Ordination with Pedophilia

Note: This is a serious post that unfortunately has been on my mind for some time and I have not written about it until now. It is important enough for me to interrupt my latest baseball post and I realize that some readers will not like what I say; I might even get some hate mail as I have gotten it for much less but here it goes.

It seems that the Roman Catholic Church is finally making some changes to policy and possibly Canon Law to ensure that clergy that are convicted of sexual assault, rape or pedophilia receive faster censure or maybe even punishment in the Church outside of what various national or state governments do. Of course this came after years, albeit decades of chicanery where the Church either through omission or commission aided and abetted many of the men suspected, charged or convicted of sexual abuse, assault or other crimes against children as well as adults entrusted to their spiritual and sometimes their physical care. It is a policy decision that moves in the right direction but seems to be perfunctory and in light of the actions of the church hierarchy over many decades to cover up crimes committed by clergy seem hollow and unrepentant and an insult to victims who still desire justice even as the Vatican continues to fight to keep clergy from being prosecuted by the courts of various nations. To make matters worse it uses the same letter to equate the ordination of women as a “major crime against the Church” or in other words equivalent to pedophilia, child sexual abuse and a host of other crimes whose victims cry out for justice. I just don’t get it.

Now before the reader thinks that I am on an anti-Catholic crusade be assured I am most assuredly not. I find even with all of its faults as well as recent retrenchment on many initiatives that were once heralded by Catholics and Protestants alike, much to be commended in the Roman Catholic Church. In fact in the late 1990s I explored the possibility of “crossing the Tiber” and wrote two very orthodox and even serious articles on the Church in the New Oxford Review. Those articles actually got me banned from writing for several years by a former Archbishop in my church who is now coincidently a Roman Catholic Layman who writes for Catholic Online. Back then stuff was too Catholic for him, seems almost like Karma to me, now he defends the Curia and I question it. Things have changed over the years. Many of my closest friends in ministry have been and are Roman Catholic Priests, many of who feel as I do and fear retribution if they speak up on any of this. Needless to say I am dumbfounded at the statements and actions coming out of the Vatican or directly from Pope Benedict XVI. It almost seems that these actions and statements occur on a weekly basis. If you ask me such statements and attitudes make the Church hierarchy appear to be defensive, vengeful, arrogant, isolated, vindictive, petty and completely unaware of how these actions make the Church look to a watching world. But then I wonder if they really care about this.

To be honest I don’t know what to make of this. The Church has survived 2000 years or so and survived a lot worse crisis than it is experiencing in this new millennium however it seems that the present administration in the Vatican has built a wall to “protect” itself from actual accountability and responsibility for the criminal acts of some of its clergy which in turn victimizes the victims of these men again and again. The whole attitude and action seems without grace and heartless despite the formal statements from the Pope and other prelates, however as my old sophomore football coach Duke Pasquini used to say “your actions speak so loud I can’t hear a word you’re saying.” Words are cheap and the Vatican’s failure to first discipline its own and second to turn them over to the state for temporal judgment is arrogance that Jesus would have condemned the Pharisees and Sadducees for, not what he expects of his Church to practice. Actions speak louder than words and the Vatican’s actions damn it in the eyes of a watching world and this friends is nothing to rejoice over or gloat about even for those that have an ax to grind against the church. It is cause mourning for it taints people’s view of God in a decidedly negative way both believers and unbelievers, God gets the blame more often than not for the sins of his people. If Benedict is serious about wanting a leaner church he will get it as ordinary Catholics, especially in the west will vote with their feet leaving only those that agree with this perverted view of the Church’s role in the world.

There are two things that I want to note before I end this little essay. The first was the censure of Christoph Cardinal Schoenborn, the Cardinal Archbishop of Vienna and the driving force behind the current Catechism of the Catholic Church, a renowned theologian, pastor who was considered as a potential Pope. Schoenborn accused retired Cardinal Angelo Soldano, the former Vatican Secretary of State of blocking investigations requested by him of clerics accused or suspected of criminal sexual activity. He also said that Soldano had caused “massive harm” when he dismissed claims of clerical abuse as “petty gossip” in his Easter sermon. In censuring Schoenborn the Vatican announced that brother Cardinals could not criticize one another but only the Pope. I am sorry but when the Church, any church silences dissent and even constructive criticism from its highest ranking prelates then there is a problem because it demonstrates that the leadership views the preservation hierarchy and the rights of the Papal state as more important than the Gospel and justice for the people of God. Somehow I can hear Jesus call out “woe to you Scribes and Pharisees and all that.” Rome is burning and the Pope and the Curia continue to try to douse the fire with gasoline. No wait, napalm it’s stickier and burns better. They are a disaster.

The second came the same day and in the same document that the Vatican will in making it easier to investigate sexual abuse in the church. The document declared it a Major crime against the Church” to ordain a woman as a Priest. Now this is not new the Vatican has been excommunicating women and those that ordained them for years. However, declaring it to be a major crime puts it at the same level as pedophilia and other sexual crimes of clergy. How do they compare? Oh wait, female Priests put the souls of their parishioners in mortal danger even more so than male Priests who physically, emotionally and sexually abuse those in their charge.

The ordination of women may not be allowed by the Roman Catholic or for that matter my Church but to call it a major crime against the Church and equate it with pedophilia and sexual abuse of minors is abhorrent. When the Roman Catholic Church hides behind diplomatic immunity as a nation state and claims religious persecution when someone inside or outside of its walls calls it to account it shows a cold and ruthless face to the world. It says that it wants to punish those guilty of such heinous crimes but at the same time it shields them from criminal prosecution by the state without providing any discipline of its own. The Vatican claims to be a state with all the rights and privileges thereof but refuses to put these criminals in its own jails and punish them. In fact I say hire more Swiss Guards, open up a jail in the basement of the Vatican do a little rendition and torture in some third world dictatorship put them on the Papal G5 send them to Rome and give these criminals a life sentence in the catacombs somewhere. Well that won’t happen so were left with the Vatican continuing to protect the guilty and if it does anything try them in ecclesiastical courts which do nothing more than mete out spiritual judgments that do absolutely nothing to help the victims.

Jesus I’m sure would be really welcome especially by hanging out with people like Mary Magdalene and even the Apostle Paul who seemed to allow women to have a lot of authority in places that he visited, people like Lydia in Philippi as well as Priscilla of Priscilla and Aquila fame. Interestingly enough many commentators and Scripture Scholars believe that Priscilla may have written the book of Hebrews and some make a very convincing case for this. My Lord it is no wonder that people don’t want to have anything to do with the Christian faith when the mother Church of the west engages in such activities.

I really don’t know what to say when Catholics come to me about such things because I do not ever want to be accused of leading Catholics away from their Church or faith. As an Anglo-Catholic with strong pro-Roman leanings I encourage them to stay and be salt and light knowing that all Papacy’s end and magisterial eras come and go and that the Church has somehow made it 2000 years through worse crisis than the current day. That is cold comfort to them and I wish that I could do better but it is what it is and unfortunately Rome continues to burn as the Pope and Curia call for more napalm with which to further engulf the church that they pretend to defend. It seems that they are about to destroy the church in order to save it and I cannot understand where that fits in the context of God’s love and care for his people, especially the lost, the least and the lonely, those whose prayers like those of the sinner versus the Pharisee are heard by God. God help the Roman Catholic Church and even more those victimized by its clergy in such ungodly ways.

Peace

Padre Steve+

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Tagged as apostle paul, archbishop of vienna, book of hebrews authorship, canon law, cardinal angelo soldano, cardinal christoph schoenborn, catechism of the catholic church, catholic online, catholic pedophile priests, curia, excommunication, jesus christ, lydia, major crime against the church, mary magdalene, new oxford review, papacy, papal state, pedophilia, pope benedict xvi, priscilla and aquila, Religion, rendition and torture, roman catholic church, roman catholic sexual abuse scandals, scribes and pharisees, swiss guards, vatican, women's ordination

May 16, 2010 · 20:14

Marriage Killers: The Pitter Patter of Little Annoyances

I performed a marriage ceremony yesterday for a wonderful couple out on the beach near “First Landing” memorial and historic Cape Henry lighthouse on Fort Story, or what is now part of Joint Expeditionary Base Little Creek-Fort Story. It was a wonderful time despite having my pristine bald head sunburned and looking like a tomato by the end of the ceremony and pictures. I should have worn my Giants cap up to the beginning of the actual ceremony or slapped on some sunscreen before I went out but no I couldn’t do any such thing. But anyway I digress.

In my years as a Priest and a Chaplain in both the Army and the Navy I have done a lot of pre-marriage, marriage and post marriage counseling. In that time I have come to realize that of the 50% or so of marriages that end up in divorce that most are not due to the “big things” like adultery or abuse. Instead it is the pitter patter of little annoyances and an inability to communicate or be emotionally intimate with one another that are the leading causes of why so many marriages fail. Now admittedly in the context of things the “big things” like adultery and abuse are nearly impossible for a marriage to recover from because they are betrayals of trust and safety with the people that we have chosen to be vulnerable with and commit ourselves to, hopefully for life.

Now I really don’t think that most people enter into marriage be it a religious or civil marriage go into it with the expectation or hope that it will fail. Instead I am want to believe that the vast majority of people that enter into marriage want it to work but really have no clue of what they are getting into. The marriage rite in the Book of Common Prayer is quite rightly marriage is “not to be entered into unadvisedly or lightly, but reverently, deliberately…” in other words with due prudence, preparation and discernment.

One thing that I always tell the young male sailors and Marines that I have counseled when they are hot to trot and madly in lust is to remind them of the seal on the flag of the Commonwealth of Virginia. The flag shows a woman, “Virtus” or Virtue dressed as an Amazon standing over a man with her foot on him and a spear thrust down beside him. I tell them that it is symbolic of the divorce laws here in the Old Dominion. But anyway I digress.

Virginia Divorce Laws as portrayed of the State Flag

The big things are most difficult to survive in the short term; however it is the constant beating of the little things, those annoyances that married couples experience from each other that kill marriages just as dead as the big things even though it usually takes longer for this to happen. A friend of my mother’s dropped her divorce papers on her unwitting and clueless husband on their 50^th wedding anniversary which I must confess earns her a high score for both technical merit and artistic achievement. Of course most people don’t wait that long to do this and the papers are filled with stories about couples that file for divorce citing “irreconcilable differences.” What are these differences? Well I’m glad that you asked that question but if you are married or were married I am surprised that you have to ask. It is the little things, annoying habits, nervous ticks, crumbs left on the counter, underwear draped on the banister, clothing strewn around the house, spending habits on hobbies deemed unnecessary by one spouse or another, personality differences maybe one is an introvert and one an extrovert or similarities that are so close that one or the other realize that what they find annoying in their spouse is just like what they do leading to a rather unique form of self loathing. Likewise there are the spouse’s friends and friendships that date back well before the couple met that one or the other spouse finds bothersome or feels threatened by and then there of course are the things that couples don’t communicate about, the things that are allowed to build up until they explode like a volcano or even a massive pimple. For some reason and I don’t know why it seems that a nearly universal occurrence in marriage is that couples cannot communicate their needs and desires and are woefully unable to bear any criticism from their spouse. For some reason, I don’t know maybe fear of rejection by their spouse if they own up to their needs or put voice to their criticism will instead let things build up until the discontent reaches such a level that it can no longer be held in and they erupt. Of course the damage done by the eruption of pure and unabated negative energy the explosion causes such damage that it is about as repairable as the battle cruiser HMS Hood or perhaps the battleship USS Arizona. The only difference is that the damaged and explosive build up takes a lot more time in these types of situations.

You see since the Abbess of the Abbey Normal and I have been married for almost 27 years we now understand this. Not that is it always fun as certainly the two of us have done enough annoying things to each other over the course of the years to throw each other under the bus on innumerable occasions and sometimes our love has been tested but somehow we choose to remain committed to one another sometimes in spite of our better sensibilities. However we do love each other and somehow in spite of the many often idiot things that I have done to include my sometimes brazen insensitivity we stay together. It is like the Bible says; love bears all things, believes all things, hopes all things and endures all things. I think that the endurance thing doesn’t get enough play but still as for the Abbess anyone who can endure me for almost 27 years has a lot to brag about as I am not always the most sensitive person in the world, after all I am a Meyers-Briggs INTJ which basically means that my baseline is pretty much on the anti-social side of life. I guess that love does endure all things. Our marriage is one where love somehow finds a way to triumph especially in spite of me. As I said to the Abbess once when watching an early episode of the TV show House …”House is like me without Jesus” and she said “Honey, House is you with Jesus.”

So the sometimes good and sometimes not so good padre is for couples that might be looking for love in all the wrong places and looking for love in too many faces to take some time before they tie the know and as the Book of Common Prayer Marriage Rite says to not to enter it marriage is not to be enter into it unadvisedly or lightly, but reverently and even might a say deliberately with all due discernment, preparation, counsel and even dare I say….say it say it, okay I must I must with trepidation fear and trembling and not give way to a surge of testosterone or hormones. After all, this isn’t a movie it is real life and the failure to take simple stuff like this into account will certainly make things a lot more complicated and possibly painful later on and by the way for my more spiritual or religious readers, just because you guys think that the lust that you have for each other is God’s will because it makes you feel good, you can take those feelings and your checkbook to the divorce attorney who will certainly try his best to make all the bad feelings go away as fast as your bank account will let him.

Peace

Padre Steve+

She knew that it was Time….Padre Steve’s Reflections on Pastoral Care Residency

Sometimes death comes unannounced but other times it sounds a warning. Most of the time we think of such warnings as what our body is saying to us, maybe someone is having chest pains or that we know of a terminal condition which is getting worse and the doctors say that there is nothing else that they can do. Other times it appears that some people almost have a sixth sense about their impending death and leave notes or say “goodbye” to loved ones in a different way than they would normally do.

When I see or hear about the sixth sense kind of incident I find that I am intrigued. As a student of history I have read accounts where soldiers know that they will not survive a particular battle and leave things for their friends to give to loved ones. There have been times when I have had a sixth sense about what was going to happen to someone and the feeling is like you are watching something unfold in slow motion but can do nothing to stop it. A strange feeling that I’m sure some of my reads have experienced.

This story is a bit different and took place during an overnight as the “on call” chaplain at Parkland Memorial Hospital in Dallas during my Clinical Pastoral Education Residency. Parkland is a rather large, at the time of my residency a 940 bed county hospital and Level One Trauma center. The “on call” chaplain after normal hours was the only chaplain in the hospital to cover all emergencies in the house. Usually I stationed myself in the ER area as that was the “hottest” place for ministry at any given time. I would always take a spin around our 9 ICUs but unless something was going bad on one of them would always end up back in the ER.

One night I had just finished with a situation involving a death in the ER when about 9 PM I got a page from “9 South” our General Medicine Step-Down ward. The nurse that I talked to when I returned the page said that I needed to come up because she had a patient who was convinced that they were going to die that night. I said that I would be right up and made my way up to the ward.

I got to the ward about 9:15 PM and met the nurse who further explained the situation to me while I reviewed the chart. The lady was in her mid-30s and was HIV positive. She was Baptist and her husband who was also HIV positive and in a more advanced stage of the disease had just been discharged from the hospital the day before. The lady had come in for a few day stay as she had been spiking a fever but that was under control and was scheduled to be discharged in the morning. She was not at the point of having any of the major opportunistic infections or diseases associated with full blown AIDS and her T-Cell count was good. Clinically she was stable and expected to do well for a number of years to come.

The problem was that just after shift change the patient had told the nurse that “the Lord was going to take her home tonight.” The nurse said that she had called the Medicine resident to come and speak with the lady but that the resident could not convince here that she was going to be okay and that she told both of them that she was going to die that evening and “go home and be with Jesus.”

Now for those who have never lived in the south “going home” is not like leaving the office at the end of the day. Elvis “went home” wherever that was (see “Men in Black”) and if you are talking with someone raised in the south starts talking about “going home” you better stop and clarify to make sure that they are going home to watch the Braves on television and drink a beer or if they are planning on dying. I had a grandmother who from the time that I was 5 years old kept telling that she was either “going home” or “wasn’t going to be around much longer,” of course she almost lived to be 90 and “went home” when I was 40. But I digress.

Now patently I am generally of the mind that if the numbers say that you will live I believe the numbers. I’m a baseball guy, God speaks to me through baseball and I play the percentages, it is the rational thing to do, which means that while I believe that God can intervene in situations I don’t bet on that happening. I read the chart, talk to the nurse, talk with the resident and I am convinced that this lady will walk out of the hospital in the morning.

Then I met the lady. She was sitting up in bed with her Bible open beside her on the mattress and she appeared to be very calm and there was a peaceful sense about her. She was from Jamaica and very polite and when I introduced myself to her she greeted me warmly with the accent characteristic of that island nation.

“So you are the pastor?” she asked.

I replied that I was the Chaplain and a minister and that the nurse and doctor had asked me to spend some time with her.

She then said “Ah yes, they do not believe me.” So I asked her what was going on.

She then described to me what had occurred that evening.

“You see pastor, the doctors say that I will go to my house tomorrow but I will not.” She paused and I nodded for her to go on and said “really? Tell me more.”

She continued “Pastor you see this evening Jesus came to me, he visit me and tell me that I will go and be with him tonight.”

Now I have to admit that I was skeptical but she was not acting emotional or even bothered by what she just said. I was fascinated and asked her to tell me more.

She then went on a recitation of her faith journey from the time that she was a young girl and how she frequently would sense God’s presence and hear his voice at different points in her life, how she had gotten HIV from her husband and how much it meant for her to be right with others and God. So I asked about the specifics of “why tonight?”

Calmly she explained. “The doctors tell me that I will be well and go home tomorrow. They tell me that I am in good condition, but that does not matter to me because Jesus told me today that he will take me home to be with him….tonight.” Her tone was as if this was a regular every day occurrence and her face was radiant. She continued “I love Jesus and know that he will not lie to me so I know that I will be with him tonight.” Her faith was touching and powerful in its simplicity and the amount of trust that she showed even to a message that she believed to be from Jesus that was completely different than the news of the doctors.

After our conversation which lasted about 30 minutes with me probing her faith, asking what she understood about her condition, talking about family which seemed to me for her was a conversation where she was tying up the loose ends of her life and that I was the person that she was taking the time to share them with. As we closed she asked me if I would pray with her and give her a blessing which I did. She thanked me, reached out and asked for a hug and she embraced me weakly let go, and thanked me again. I was moved by this, still not convinced that Jesus would take her home, but not disbelieving her either. When I was done I charted my visit, wrapped things up with the resident and the nurse and went back down to ER where more carnage was waiting.

About 2:30 AM my pager went off and it was 9 South calling. I returned the call and the nurse that I had talked with earlier was on the line.

“Chaplain, please come quick, I went in to check her vitals and she is dead!” I put on my best calm voice and said “Who is dead?” The nurse nearly in a panic said “the lady that said that God was going to take her home, she died.” I said okay I’ll be right up and went up as quickly as I could and got to the ward to find the nurse pacing anxiously outside the door of the patient’s room. I asked if the nurse if she was okay, meaning her and not the now deceased patient and the nurse replied that she was upset by the death because the lady should not be dead and that she didn’t understand how the patient could calmly know that she was going to die. Now the nurse was not a southerner unless it was the south part of the Indian Subcontinent. Relatively new to Texas and the south she was not as attuned to some of the religious and cultural aspects of either the south or south Jamaica. After helping the nurse calm down I met the resident who was in the room looking perplexed and as I walked in he said she shouldn’t be dead. I just said to him “that sometimes it’s just someone’s time even if the numbers don’t say so.” He said “Yeh, I know, but this was really freaky she told me that she was going to die tonight and she did.” I did concur that it was a bit on the unusual side but that we couldn’t discount what she believed especially since she had been correct.

As the resident went to finish up paperwork I looked at the woman. It looked like she had simply fallen asleep her Bible was on her lap and opened to Revelation around the 21^st chapter and although I cannot be sure exactly what she was reading can only imagine that it was this verse “See, the home of God is among mortals. He will dwell with them as their God; they will be his peoples, and God himself will be with them; he will wipe every tear from their eyes. Death will be no more; mourning and crying and pain will be no more, for the first things have passed away.” (Revelation 21:3b-5 NRSV) This dear woman had passed away, gone home looking forward to a place where whatever tears or sorrows she had would be wiped away.

I closed her Bible, placed her hands together over it and prayed a prayer of commendation before pulling the bed sheet over her face and body. On leaving the room I spent a bit more time with the nurse who was beginning to gather herself after this unusual death. A couple of hours later I would escort the body of this woman to our morgue accompanied by the nurse and a LVN. As we rode the elevator down we talked a bit more and as we made the walk down the long and empty basement corridor to the morgue we did so in silence. Once I had admitted the body and locked the door the two nurses left to head back to the 9^th floor and I took the chart and other paperwork up to our office where our decedent affairs clerk would complete the death certificate. I thought how unusual this case was as I sat for a while in the office. I had heard of similar things but had never seen something like this before where the person in question made such a claim and was right defying the numbers that said she would walk out of the hospital.

With that I wish you a good night.

Peace,

Padre Steve+

Struggling with Faith and God at Easter

“God weeps with us so that we may one day laugh with him.”
Jürgen Moltmann

Easter Sunday is past and we are now in the Easter Season I was thinking today on encounters that I have had with Christians of various denominations who have suffered a crisis in faith or loss of faith due to some kind of trauma in their lives which gets worse at Easter. For these people the time in which their churches celebrate Christ’s resurrection becomes their own little acre of Hell on earth. Having known plenty of these people I can say that this phenomena is one of the more tragic aspects of the season when people who at one time felt the presence of God in their life only sense emptiness and aloneness which sometimes becomes a feeling of hopelessness where even death appears more comforting than life in the present. I write this because I really believe that these often very sensitive and wonderful people are either ignored or not even seen by most of their fellow church members and that many if not most pastors and priests are either unaware of them, uncomfortable around them or irritated by them because they don’t respond like “normal” people do to the message of Easter. I have found from my own experience returning from Iraq that Easter despite the message of resurrection and hope often triggers a despair of life itself when one no longer senses the presence of God and feels alone against the world, especially in church.

Many times the crisis of faith is caused by prolonged depression, PTSD or other trauma often involving family members, clergy or other trusted authority figures in their lives. Sometimes the trauma is due to a physical injury, perhaps a near death experience due to an illness, combat or accident and can be neurological as in the case of Traumatic Brain Injury or TBI not something that routine counseling either psychological or pastoral or an anti-depressant medication will correct. In my case it was PTSD and chronic pain and insomnia which overwhelmed me and along with a crisis of faith triggered such hopelessness that I barely held on for almost two years.

I remember when I first started dealing with this in others while in seminary that I was of the mind that if someone was in the midst of a crisis in faith if they read the Bible more, prayed more and made sure that they were in church that things would work out. I believed then that somehow with counseling, the right concept of God and involvement in church activities that God would “heal” them. Call me a heretic but that line of thinking is nice for people experiencing a minor bump in their life but absolutely stupid advice for people who are severely traumatized or clinically depressed and suicidal who no longer percieve the presence of God in their lives.

I cannot condemn those who have lost their faith or are wavering in their faith due to trauma, abuse or other psychological reason. So many people like this have been victimized by family, teachers, clergy other authority figures or physical trauma related to accidents, near death experiences or combat that it is mind numbing. The fact that I went through a period for the nearly two years where I was pretty much an agnostic praying to believe again because of my PTSD injury incurred in Iraq that felt hopelessly isolated for the first year after my return until I finally reconnected with others and began to feel safe again gives me just a bit of an idea at what these people are going through. My isolation from Christian community and sense of despair during that time showed me that such a loss of faith is not to be trifled with or papered over with the pretty wallpaper or neat sets of “principles” drawn up in the ivory theological towers by theologians and “pastors” who refuse to deal with the reality of the consequences of a fallen world and their impact on real people.

Sometimes the damage wrought on people makes it nearly impossible to comprehend a God who both cares about them and who is safe to approach. My experience came from Iraq and the trauma of my return and were absolutely frightening so much so that I left a Christmas Eve Mass in 2008 and walked through the dark wondering if God even existed. Now with help and the deliberate action of my boss and co-workers to protect me as I recovered, received therapy and recover were key factors to being able to step back from the abyss. For those abused by parents or clergy this is I think an even deeper wound one in which the very concept and understanding of God becomes skewed in the minds and hearts of the victims.

The feeling that people who go through this crisis or loss of faith almost always mention to me is that God no longer speaks to them. The feel cut off and even abandoned by God and it is not simply depression that they are dealing with but despair of life itself when death or just going to sleep is preferable to living. This overwhelming despair impacts their relationships especially with their family and frequently will destroy families as the spouse grows weary and loses hope seeing their loved one get better. It is if they never are able to leave the “God forsakenness” of Good Friday and cannot climb out of the tomb. For some the pain is so much the last and previously unthinkable alternative of suicide becomes the only course of action that they think will help. Such thoughts are not simply narcissism as some would believe but from the “logical” belief that their family, friends and loved ones would be better off without them. I have seen this too many times to count.

It is hard to reach out to people in this situation. I have to admit in my case that it was only people who chose to remain with me and walk with me through the ordeal in spite of my frequent crashes, depression, anger and even rage that helped get me through the worst of this. However I’m sure that my condition burned some people out. There are some that would not walk with me as I first began to go down and the sad thing is that many were ministers and fellow chaplains. In some ways I don’t blame them at the same time the first person that asked me how my spiritual life “or how I was with the Big Guy” was my therapist. When I reported to my current duty station I was shocked to find Chaplains who were willing to come alongside of me, even when they didn’t have the answers and remain with me.

The topic of a loss of faith or the reality of feeling God forsaken is had to deal with. It is seldom dealt with in many seminaries or Bible schools because it is not comfortable or something that you can “grow your church” with. But the reality is there are more people going to church praying for an answer who no one reaches out to, in fact they are often invisible amid the busyness of program oriented ministry.

It is my prayer that this post will help people be able to reach out to those crushed under burdens that they can no longer bear. It is not enough simply to tell them that “God won’t give you more than you can bear” when they have been beyond the “red line” longer than one can imagine. They want to believe that scriptural principle but no longer believe because God is no longer real to them.

Yet scripture plain teaches that we are to “bear one another’s burdens, and in this way you will fulfill the law of Christ.” As Dietrich Bonhoeffer said “We must learn to regard people less in light of what they do or omit to do, and more in the light of what they suffer.” It is our willingness to be with people in their suffering that is one of the true marks of the Christian. Being with someone in triumph is far easier than with those who suffer the absence of God. It is presence and love not sermons that people who have lost their faith need as Bonhoeffer so eloquently said “Where God tears great gaps we should not try to fill them with human words.”

I do pray that as we celebrate the joy of the Resurrection that we will not forget those who despair of live and feel as if they are “God-forsaken.” It is not easy as those who walked with me can testify but in doing so there is the chance that such action will prevent tragedy.

Peace

Padre Steve+

So anyway, my best to everyone and please be safe….

Padre Steve+

7 Comments

Filed under christian life, faith, Pastoral Care, philosophy

Tagged as christian faith, depression, despair, dietrich bonhoeffer, easter, god, image of god, physical abuse, PTSD, roman catholic church, roman catholic sexual abuse scandals, sexual abuse, tbi, traumatic brain injury

March 25, 2010 · 23:41

And it’s One, Two Three Wives You’re out….Memories Residency at Parkland Memorial Hospital ER

Parkland ER (Life Magazine Photo)

This is another one of those unusual incidents that I faced during my Pastoral Care Education Residency at Parkland Memorial Hospital. I was in a mood over the weekend and wrote one that was really creepy called The “Eyes” have it; they’ve got Sammy Davis Eyes….an Experience from My Clinical Pastoral Education Residency about a day where I dealt with two unusual eye cases. That one read almost like something from “Tales from the Crypt” or “Tales from the Dark Side.” This is less creepy and sort of ironic in a weird sort of way.

The day was one of those typical Parkland days during my residency where the abnormal was the norm and norm was not doing so well….or at least Norm (my name for this particular patient- the name has been changed because his real name was probably even more boring) wasn’t doing well. But first let me lay a little background.

Some people live life with secrets. Yes my friends SECRETS. These are dirty nasty secrets that they don’t even share with people inside their “circle of trust.” In fact I had a brother in law who was much into something called bigamy which if you ask me wasn’t very biga-him or bright of him. We figure that he had a number of “families” and since he can’t be found in the Social Security Death index assume that he was operating under a number of names and socials….but I digress God rest his soul.

It seems that sudden and uncontrolled events sometimes bring secrets to light, in fact I think that somewhere Jesus said something about this… something like whatever is done in the dark will be seen in the light…you something like that. Sometimes these traumatic events reveal secrets that are for the individual a fate worse than a fate worse than death…which in the case of Norm was true in both ways. Its almost like when “Death” shows up in an episode of Family Guy and I can in sense see this happening with Norm, Death deciding to visit him at work.

Norm as I call him had an accident at work….he worked in an oil refinery and since we all know from Al Gore that oil companies are all bad it was probably their fault. However….Norm had a very bad day, in fact it could be labeled the suckiest last day of his life where indeed Death paid him a visit. We don’t know really what happened but toward the end of the work day Norm the unfortunate either fell into a vat of hot tar at the refinery and subsequently went into cardiac arrest, or he went into cardiac arrest and fell into the vat of hot tar. So the Dallas Fire Department EMS showed up quickly and with the assistance of the refinery rescue team extracted him from the muck, got an airway began CPR and rushed the tar covered Norm to Parkland where as usual when odd things occurred I was on call. As they brought him in the paramedics had the pneumatic CPR machine known as “Thumper” going and were “bagging” him. Needless to say Norm did not look too well. He was brought into the Cardiac Resuscitation room one, a fully equipped state of the art room designed to give the treatment team on the Medicine side of the ER the best chance to save someone’s life, they were a medicine version of our Trauma rooms on the surgery side of the ER. However the team realized very quickly that Norm had bought the farm and the code was called.

I began to work with the nursing staff to try to find out if Norm had any family but stopped when a woman identified as his wife showed up. She was escorted into one of our three ER consult rooms by one of our Police officers. There a young resident did his best impression of Star Trek’s Doctor McCoy “Mrs. Norm…he’s dead.” I think he expressed his condolences as well, he answered her questions the best that he could while the nursing staff and I supported and calmed her. When he was done and death and funeral home paperwork was done we escorted Mrs. Norm to see her now departed husband and after a tearful visit to him we took her back to the consult room, gave her a chance to compose herself and ask more questions. When she was done she departed saying that a friend was waiting for her. With that done the nursing staff began to prepare his body for the morgue where he would briefly remain until the Dallas Country Medical Examiner staff picked him up. I busied myself with taking care of the staff and checking the charts and paperwork since Chaplains were also the guardians of the Morgue since the Pastoral Care Department also handled Decedent care.

About 45 minutes after the wife had left the officer who had escorted her to the consult room came to me. He said “Chaplain his wife is here.” I looked quizzically at him and said “No she left.” With a bit of a smile the officer, a really good guy looked at me and said “No Chaplain not her, another one.” I was floored. Another wife? This certainly couldn’t be happening. I thought this happened only in remote parts of Utah where renegade fundamentalist splinter groups from the Mormon Church flaunted the main Church of Jesus Christ of Latter Day Saints by practicing Polygamy and we were in the heart of Dallas with big hair, big cars, big churches and the Cowboys, but not this. After gathering myself I went to the physicians and nurses to tell them the good news. As they stared at me blankly I got the doctor who had talked with “Number One” to come and spend some time with “Number Two.” We repeated the procedure with wife number two, notification was given, pastoral care and prayer provided, a visit was paid to Norm but with the twist that the doctor asked if she knew about any other family. Which she did not and since “Number One” had presented the appropriate identification first we let “Number Two” know that she would probably have to deal with the hitherto unknown “Number One.” Surprisingly though the news had taken her by surprise she was sort of okay with this and left for wherever.

I went back to the doctor’s station where I was working on paperwork and talking with the incredulous staff about what had just transpired when one of the unit clerk’s came over to us. She said that Norm’s wife was on the phone. The doctor and I looked at each other and I asked “which one?” The clerk then said “the one in Mexico.” Yet a third wife….the doctor and I let her know that Norm had passed away and that she needed to contact the Medical Examiner’s office for more information. The doctor asked if Norm has any other “family” and “Number Three” said just her and her children. Norm really got around. The doctor and I decided not to break the fact that she was “third” to her and let the Medical Examiner’s office sort out the sordid details of this twisted evening.

So it was one, two, three wives and Norm was out at the old ball game. I have no idea what happened later but can only imagine what it would have been to be a cockroach in the cupboard listening to the meeting of these three women who all shared the love, or maybe the lust of Norm.

Peace and stay safe and keep those relationships in order for any of us could be the next contestant on “Death pays a Visit.”

Peace my friends,

Padre Steve+

2 Comments

Filed under ER's and Trauma, healthcare, Pastoral Care, purely humorous

Tagged as al gore, bigamy, dallas county medical examiner, dallas fire department ems, death, family guy death, oil companies, oil refineries, parkland memorial hospital, parkland memorial hospital emergency department, secrets, sudden traumatic death

Category Archives: Pastoral Care

Raw Edges: Are there other Chaplains out there Like Me?

A Sea of Contradictions: My Life and Faith since returning from Iraq

Rehab Assignments

Thoughts on the Occasion of getting ready to Transfer

Flickering Flames: Clergy Burnout in America in 2010

High Crimes and “Miss” Demeanors: The Catholic Church Equates Women’s Ordination with Pedophilia

Marriage Killers: The Pitter Patter of Little Annoyances

She knew that it was Time….Padre Steve’s Reflections on Pastoral Care Residency

Struggling with Faith and God at Easter

And it’s One, Two Three Wives You’re out….Memories Residency at Parkland Memorial Hospital ER

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