Pub Date : 2023-06-01DOI: 10.1177/15423050231180788
Mary Beth Yount
This issue has excellent material revolving around community inclusivity and support, and the research and reflections can call us to examine our professional approaches and the work of our associations. We can all grow in accessible and inclusive support for colleagues, patients, and clients. The two closing items emphasize neurodiversity, especially inclusion and equity of neuro-minorities. As Jonathan Alschech, in his review of the “Love on the Spectrum” media series writes: “As healing professionals that respect and encourage the expression of each person’s full humanity, we are invited to be informed and critical viewers” of the media and society around us. This editor would add our professional fields and associations to this critical study as well. Alschech addresses our responsibility in terms of an “emancipatory, equity-diversity-inclusion (EDI) centered approach” (2023). Our professional fields and practices of care require advocacy and uplifting of diverse perspectives and ways of being. Supportive and professional caregiving fields such as clinical counseling, chaplaincy, pastoral care, and teaching, will always include practitioners and clients/patients/students that have, as Alschech writes, “an open, wide, and complex multiplicity of ways in which people experience and process sensory stimuli, experience and understand other people and social interactions, use and understand language and non-verbal communication, and regulate their emotions and behaviors” (2023). In what ways are we allowing an appreciation of neurodiversity to inform our professions? Are we acknowledging the gifts brought by such varied perspectives and experiences in our colleagues as well as those from our clients? Are we accommodating and supporting providers who might be on the autism spectrum by making implicit processes more explicit? Many of the professional fields of care have, as the article in this issue by Robert Klitzman et al. highlights, subjective and imprecise roles and processes. In addressing “spiritual, religious and existential issues, stresses and care involve inherent subjectivities and are therefore ill defined, making the boundaries of chaplains’ roles relatively diffuse and blurry” (2023). There are many unspoken social cues in such practices of care, requiring the professional to make ongoing decisions about when to end particular visits as well as therapeutic relationships. Persons with autism or otherwise neurodiverse, whether professional care providers or patients/families, are likely to find implicit cues challenging to provide or interpret. Chaplains, pastors, and other professionals often rely on verbal and nonverbal cues to determine how to proceed with each patient and family, including frequency and duration of visits. Training programs should include education in these areas, including social stories and scripts to support practitioners in navigating this ambiguous and subjective space. Accommodating to make the implicit more e
{"title":"Centering Neuro-Diversity, Inclusion, and Accessibility in Professional Fields of Care.","authors":"Mary Beth Yount","doi":"10.1177/15423050231180788","DOIUrl":"https://doi.org/10.1177/15423050231180788","url":null,"abstract":"This issue has excellent material revolving around community inclusivity and support, and the research and reflections can call us to examine our professional approaches and the work of our associations. We can all grow in accessible and inclusive support for colleagues, patients, and clients. The two closing items emphasize neurodiversity, especially inclusion and equity of neuro-minorities. As Jonathan Alschech, in his review of the “Love on the Spectrum” media series writes: “As healing professionals that respect and encourage the expression of each person’s full humanity, we are invited to be informed and critical viewers” of the media and society around us. This editor would add our professional fields and associations to this critical study as well. Alschech addresses our responsibility in terms of an “emancipatory, equity-diversity-inclusion (EDI) centered approach” (2023). Our professional fields and practices of care require advocacy and uplifting of diverse perspectives and ways of being. Supportive and professional caregiving fields such as clinical counseling, chaplaincy, pastoral care, and teaching, will always include practitioners and clients/patients/students that have, as Alschech writes, “an open, wide, and complex multiplicity of ways in which people experience and process sensory stimuli, experience and understand other people and social interactions, use and understand language and non-verbal communication, and regulate their emotions and behaviors” (2023). In what ways are we allowing an appreciation of neurodiversity to inform our professions? Are we acknowledging the gifts brought by such varied perspectives and experiences in our colleagues as well as those from our clients? Are we accommodating and supporting providers who might be on the autism spectrum by making implicit processes more explicit? Many of the professional fields of care have, as the article in this issue by Robert Klitzman et al. highlights, subjective and imprecise roles and processes. In addressing “spiritual, religious and existential issues, stresses and care involve inherent subjectivities and are therefore ill defined, making the boundaries of chaplains’ roles relatively diffuse and blurry” (2023). There are many unspoken social cues in such practices of care, requiring the professional to make ongoing decisions about when to end particular visits as well as therapeutic relationships. Persons with autism or otherwise neurodiverse, whether professional care providers or patients/families, are likely to find implicit cues challenging to provide or interpret. Chaplains, pastors, and other professionals often rely on verbal and nonverbal cues to determine how to proceed with each patient and family, including frequency and duration of visits. Training programs should include education in these areas, including social stories and scripts to support practitioners in navigating this ambiguous and subjective space. Accommodating to make the implicit more e","PeriodicalId":44361,"journal":{"name":"Journal of Pastoral Care & Counseling","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9631258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/15423050221141047
Serena Margaret Saliba, Birgitta Fält, David O'Connell, Thomas Sjöberg, Ulla Britt Holm Sørensen, Martijn Steegen, Josh Turner, Anne Vandenhoeck
An expert panel consisting of six mental health chaplains from several European countries was convened to ascertain the specific contribution of mental health chaplains to suicide prevention, and to generate good practices for suicide prevention. Three themes emerged: (1) the importance of timing; (2) fundamental attitudes of the chaplain towards the patient, and (3) appropriate interventions.
{"title":"The Importance of Timing, Fundamental Attitudes, and Appropriate Interventions as Key Aspects of Chaplain Suicide Prevention: A European Expert Panel of Mental Health Chaplains.","authors":"Serena Margaret Saliba, Birgitta Fält, David O'Connell, Thomas Sjöberg, Ulla Britt Holm Sørensen, Martijn Steegen, Josh Turner, Anne Vandenhoeck","doi":"10.1177/15423050221141047","DOIUrl":"https://doi.org/10.1177/15423050221141047","url":null,"abstract":"<p><p>An expert panel consisting of six mental health chaplains from several European countries was convened to ascertain the specific contribution of mental health chaplains to suicide prevention, and to generate good practices for suicide prevention. Three themes emerged: (1) the importance of timing; (2) fundamental attitudes of the chaplain towards the patient, and (3) appropriate interventions.</p>","PeriodicalId":44361,"journal":{"name":"Journal of Pastoral Care & Counseling","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/15423050231171393
Carroll E Arkema
{"title":"War Comes Home.","authors":"Carroll E Arkema","doi":"10.1177/15423050231171393","DOIUrl":"https://doi.org/10.1177/15423050231171393","url":null,"abstract":"","PeriodicalId":44361,"journal":{"name":"Journal of Pastoral Care & Counseling","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9616448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/15423050221146510
Stephanie L Harris, Amanda T Sawyer, Hong Tao, Amanda K Bailey
This mixed-methods pilot study explored the psychological and emotional experiences of chaplains and the feasibility, acceptability, and impact of workshops designed to support chaplain well-being. After the workshops, scores on a measure of self-compassion increased, while secondary traumatic stress and burnout scores decreased. Qualitative data reflected the range of experiences of chaplaincy as well as the benefits of the workshops. This pilot study supports further exploration of organizational interventions to promote chaplain well-being.
{"title":"A Mixed-Methods Pilot Study of a Well-Being Intervention for Healthcare Chaplains.","authors":"Stephanie L Harris, Amanda T Sawyer, Hong Tao, Amanda K Bailey","doi":"10.1177/15423050221146510","DOIUrl":"https://doi.org/10.1177/15423050221146510","url":null,"abstract":"This mixed-methods pilot study explored the psychological and emotional experiences of chaplains and the feasibility, acceptability, and impact of workshops designed to support chaplain well-being. After the workshops, scores on a measure of self-compassion increased, while secondary traumatic stress and burnout scores decreased. Qualitative data reflected the range of experiences of chaplaincy as well as the benefits of the workshops. This pilot study supports further exploration of organizational interventions to promote chaplain well-being.","PeriodicalId":44361,"journal":{"name":"Journal of Pastoral Care & Counseling","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9626159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/15423050221146507
Robert Klitzman, Gabrielle Di Sapia Natarelli, Stephanie Sinnappan, Elizaveta Garbuzova, Jay Al-Hashimi
These data, the first to explore chaplains' challenges in ending visits/relationships with patients/families, has critical implications for practice, education, and research. Questions arise about the scope/boundaries of chaplains' relationships with patients/families. Interviews were conducted with 23 chaplains who face questions/challenges regarding how to end visits and interactions, including individual conversations and ongoing relationships with patients/families. Chaplains confront uncertainties and rely on verbal- and non-verbal cues to gauge how long to stay with each patient/family, and they are sometimes unsure. These data have critical implications for practice, education, and research.
{"title":"Exiting Patients' Rooms and Ending Relationships: Questions and Challenges Faced by Hospital Chaplains.","authors":"Robert Klitzman, Gabrielle Di Sapia Natarelli, Stephanie Sinnappan, Elizaveta Garbuzova, Jay Al-Hashimi","doi":"10.1177/15423050221146507","DOIUrl":"https://doi.org/10.1177/15423050221146507","url":null,"abstract":"<p><p>These data, the first to explore chaplains' challenges in ending visits/relationships with patients/families, has critical implications for practice, education, and research. Questions arise about the scope/boundaries of chaplains' relationships with patients/families. Interviews were conducted with 23 chaplains who face questions/challenges regarding how to end visits and interactions, including individual conversations and ongoing relationships with patients/families. Chaplains confront uncertainties and rely on verbal- and non-verbal cues to gauge how long to stay with each patient/family, and they are sometimes unsure. These data have critical implications for practice, education, and research.</p>","PeriodicalId":44361,"journal":{"name":"Journal of Pastoral Care & Counseling","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9620105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/15423050221147901
Katherine K Henderson, John P Oliver, Patrick Hemming
Outpatient chaplaincy is a new specialty in healthcare, with a relative paucity of research studies exploring the need for spiritual care interventions in ambulatory settings. Over the past 3 years, our interdisciplinary team at the Duke Outpatient Clinic has piloted the extension of professional spiritual care into this hospital-based resident teaching clinic offering primary care to underserved populations in Durham, NC. In this article, we report the results of a series of surveys that we conducted at the clinic to assess patients' perceptions of chaplain services, understanding of Chaplains' roles, and desire for chaplain services in specific hypothetical scenarios. As part of this survey, we also asked patients about their personal levels of extrinsic and intrinsic religiosity using the well-validated Duke University Religion Index. Our results indicate which chaplain interventions are most desired among this patient population in relation to patients' self-reported religiosity. We hypothesized that only our more religious patients would strongly desire chaplain support for the majority of scenarios presented. We were surprised to find that a majority of our patients-regardless of their own level of religiosity-express desire for support from an outpatient healthcare chaplain when they need a listening ear, are grieving a loss, or are seeking prayer.
{"title":"Patient Religiosity and Desire for Chaplain Services in an Outpatient Primary Care Clinic.","authors":"Katherine K Henderson, John P Oliver, Patrick Hemming","doi":"10.1177/15423050221147901","DOIUrl":"https://doi.org/10.1177/15423050221147901","url":null,"abstract":"<p><p>Outpatient chaplaincy is a new specialty in healthcare, with a relative paucity of research studies exploring the need for spiritual care interventions in ambulatory settings. Over the past 3 years, our interdisciplinary team at the Duke Outpatient Clinic has piloted the extension of professional spiritual care into this hospital-based resident teaching clinic offering primary care to underserved populations in Durham, NC. In this article, we report the results of a series of surveys that we conducted at the clinic to assess patients' perceptions of chaplain services, understanding of Chaplains' roles, and desire for chaplain services in specific hypothetical scenarios. As part of this survey, we also asked patients about their personal levels of extrinsic and intrinsic religiosity using the well-validated Duke University Religion Index. Our results indicate which chaplain interventions are most desired among this patient population in relation to patients' self-reported religiosity. We hypothesized that only our more religious patients would strongly desire chaplain support for the majority of scenarios presented. We were surprised to find that a majority of our patients-regardless of their own level of religiosity-express desire for support from an outpatient healthcare chaplain when they need a listening ear, are grieving a loss, or are seeking prayer.</p>","PeriodicalId":44361,"journal":{"name":"Journal of Pastoral Care & Counseling","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9984633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/15423050221136803
David George Rinaldi
Discussion surrounding the terminal care of an individual hospice patient. This includes the patient's reflections, his dissatisfaction, from his perspective, with inadequate end-of-life care, and his thoughts on assisted suicide. The author also discusses the spiritual aspects of this unusual encounter.
{"title":"Dying Like a Dog.","authors":"David George Rinaldi","doi":"10.1177/15423050221136803","DOIUrl":"https://doi.org/10.1177/15423050221136803","url":null,"abstract":"<p><p>Discussion surrounding the terminal care of an individual hospice patient. This includes the patient's reflections, his dissatisfaction, from his perspective, with inadequate end-of-life care, and his thoughts on assisted suicide. The author also discusses the spiritual aspects of this unusual encounter.</p>","PeriodicalId":44361,"journal":{"name":"Journal of Pastoral Care & Counseling","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9628122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/15423050231178667
Jonathan Alschech
Love on the Spectrum is a reality television show, originally created for ABC TV in Australia in 2019; an American version was created by the same Australian producers for Netflix in 2022. The show follows male and female adults who identify as being on the Autistic Spectrum as they navigate the dating world in search of love. The show organizes dates between people on the autistic spectrum and follows them as they get ready for their dates, during the dates and in their aftermath, interviewing the participants as well as their families and close friends.
{"title":"Love on the Spectrum (US Version 2022; Australian Version 2019).","authors":"Jonathan Alschech","doi":"10.1177/15423050231178667","DOIUrl":"https://doi.org/10.1177/15423050231178667","url":null,"abstract":"Love on the Spectrum is a reality television show, originally created for ABC TV in Australia in 2019; an American version was created by the same Australian producers for Netflix in 2022. The show follows male and female adults who identify as being on the Autistic Spectrum as they navigate the dating world in search of love. The show organizes dates between people on the autistic spectrum and follows them as they get ready for their dates, during the dates and in their aftermath, interviewing the participants as well as their families and close friends.","PeriodicalId":44361,"journal":{"name":"Journal of Pastoral Care & Counseling","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9617508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.1177/15423050221127210
Emily K Fowler
A literature review was conducted to examine the role of spirituality with resiliency in the pediatric workplace. Two themes emerged from the literature review: healthcare practitioners desire to have a sense of belonging at work and the utilization of chaplains is helpful. This study aims to discover how practitioners experience spiritual health in the workplace and identify interventions that enhance resiliency with the challenges of pediatrics. Implications from this study are applied to chaplaincy and research.
{"title":"Assessing how Spirituality Affects Resiliency in the Pediatric Healthcare Practitioner.","authors":"Emily K Fowler","doi":"10.1177/15423050221127210","DOIUrl":"https://doi.org/10.1177/15423050221127210","url":null,"abstract":"<p><p>A literature review was conducted to examine the role of spirituality with resiliency in the pediatric workplace. Two themes emerged from the literature review: healthcare practitioners desire to have a sense of belonging at work and the utilization of chaplains is helpful. This study aims to discover how practitioners experience spiritual health in the workplace and identify interventions that enhance resiliency with the challenges of pediatrics. Implications from this study are applied to chaplaincy and research.</p>","PeriodicalId":44361,"journal":{"name":"Journal of Pastoral Care & Counseling","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9133854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}