Today I took my time machine back about fifteen years and 60 days ago so I could make my younger me a better chaplain right away. Why let her waste her time, and not benefit her clients at the same high (ahem!) level that I am employing right now? And I tacked on the extra days so we could luxuriate in some better weather; if one has a time machine, one should use it to best advantage. A transcript of our conversation follows:
Karen the Elder: “Karen, I’m here to do us a favor: I’m going to make your life easier, which means making my life easier. I figured by the benefit of my experience accumulated all these years, I’d clue you in.”
Karen the Younger: “That’s mighty nice of you. I’m all for diminishing the amount and degree of tough times ahead, as I’ve already had my share before now. And it’s good to see I will still look relatively pretty in my sixties. I’m burning with curiosity to hear what you’ve learned. You know me, curiosity is what drives me on in this job. And are you still highly curious?”
Karen the Elder: “Are you kidding? I even wrote a gentle science fiction book called Curiosity Seekers. I was gonna say, ‘check it out’ but it won’t be written until 2017.”
Karen the Younger: “What a tease! Now I’ll have to wait all those years.”
Karen the Elder: “And not only that. You will be getting a book published four years before that about hospice called Encountering the–”
Karen the Younger: “No way!”
Karen The Elder: “Well, that’s another story so to speak. I can’t stay long, because being in another time is a strain on the body. So I must go to my suggestions for how to be a better chaplain with the bonus of less stress at the same time:
First off don’t worry so much about drawing information out of a patient, as if you had a fishing line and had to reel in a heavy fish with all your might. You know about spirituality. You know about the mystics talking about receiving. And of course you know about mostly listening and being silent. So put those all together: You quietly sit with the patient, let the conversation meander in a natural way after you make a couple of open-ended remarks, and see what the patient releases for you to receive. As one of my mentors long ago said, “Each patient you see is the face of pastoral care.” So everything you are receiving is a gift arising of their comfort with you and their needs to share it and how special that is that you are there to receive it.
And so I think of receiving what the patient says as a spiritual act. In some cases the patient will sense it too and not only feel that you are honoring what they choose to say, but feel a summoning of God’s presence. I know there are requirements for the medical record, but I think whatever information arises out of the client’s need to impart it will ultimately result in what is truly spiritual care. It will be more to the point for what a chaplain should say in the clinical note as opposed to a social worker.
Karen, of course you already know about chaplains listening and being silent as much as possible. But the trick is not to feel anxious about it when both the client and you are silent, as if there was some contest as to who will break the silence first. Rather, be lost in thought as the patient may be, sojourn with their quiet and just listen for something that might burst through the surface for either of you. If not, close the visit by saying it was nice to spend a few quiet moments together.
Another thing: I used to think when a patient or family member expresses strong emotions I should be calm and soothing. That only goes so far. It’s better to broaden the tent of whatever emotion they are expressing to extend over you. If they are angry, join in being angry at whatever they are angry at; if joyful, then join in the celebration. Guilt though is another matter. You do not of course want to heighten this form of what I call ‘anger at the self.’ Acknowledge it as something they feel, but suggest in the future this may ease as they get a different perspective with the passage of time.”
Karen the Younger: “And what about—”
Karen the Elder: “I wish I could spend more time, but I am getting fatigued and must return to my present. But let me just add one more thing; Don’t be so intent on what you want to give a client. Find out what they want to give to you. They might want to reveal their pain, their sorrow, their regrets, their love, their beliefs, their hopes. Don’t forget what I said: maybe it will make the book Encountering The Edge a better book. Bye now! Oh, and you’ll be starting a blog called OffbeatCompassion… Bye!”
Karen the Younger: (teardrops fall)