Chaplains who serve in a clinical context often minister to patients representing a wide variety of faiths. In order to offer the best pastoral care possible, the chaplain should first possess a set of personal theological convictions as a foundation for ministry. Second, he or she needs to be sensitive to the beliefs and practices of the patients. Third, it is vital to develop a relationship of acceptance and trust not only with patients under their care, but also with family (...) members and caregivers as well. At times, situations will arise that are purely religious or theological. In a clinical setting, however, the questions and problems that arise more often are both theological and ethical. It is beneficial for the chaplain to be involved in an ethics committee, where the specifics of each case can be discussed, and staff can offer counsel to patients and their families. This study examines issues that chaplains face at the bedside, such as terminal care, life-prolonging treatments, dementia, persistent vegetative state, and euthanasia/assisted suicide. We will discover that those who are involved in clinical pastoral ministry will be called upon to be a comforter, mediator, educator, ethicist, and counselor. (shrink)

James Drane's More Humane Medicine: A Liberal Catholic Bioethics is an outstanding contribution to the study of bioethics in our day. Catholics and others who are interested in the issues discussed here will benefit from this masterful treatment. The author opens with a set of definitions, starting with what he means by a “more humane medicine.” Drane contends that a more humane medicine has become necessary and desired, but not because the traditional medical ethic as “a self-declared and self-imposed ethic, (...) outlining what noble service to others entails” is no longer valid. Rather he defines it as an advance on the traditional ethic; a “new foundation” based on a “lived set of obligations derived from a felt commitment to other persons … an ethics based on the relationship between doctors and patients and essentially an ethics of virtue.” Drane's work is a “liberal Catholic Bioethics” in which he challenges his own faith tradition, the Roman Catholic Church, on such topics as sexuality, birth control, abortion, cloning, stem cell research, aging and dying, and euthanasia and physician-assisted suicide. The present article is a critical essay that analyzes the author's statements and conclusions. (shrink)

The present study, “Learning to Cope With Ambiguity: Reflections on the Terri Schiavo Case” looks at the many complexities of dealing with Persistent Vegetative State (PVS). By its very nature PVS is ambiguous. It is difficult to diagnose and, even when the diagnosis appears to be certain, there is a multiplicity of ethical issues and treatment options to consider. There are four high profile PVS court cases that can help us understand the Schiavo situation. They are Karen Ann Quinlan, Nancy (...) Kruzan, Helga Wanglie, and Daniel Fiori. These cases share many common features with each other and with Schiavo. In the final analysis, the judicial decisions inevitably point us to the ongoing need to live and cope with ambiguity. (shrink)