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Spirituality, Religious Wisdom, and the Care of the PatientSpirituality, Religious Wisdom, and the Care of the Patient Sidney Callahan Sidney Callahan, Ph.D., holds the McKeever Chair in Moral Theology at St. John's University, Queens, New York. She is a columnist for Commonweal Magazine and a board member or consultant for numerous secular and Catholic organizations that concern ethics and public life including the Notre Dame Center for Ethics and Culture, the Catholic Common Ground Initiative, and the Hastings Center. She is the author of many books including In Good Conscience: Reason and Emotion in Moral Decision Making and Abortion: Understanding Differences (co-edited with Daniel Callahan). Thank you for providing this wonderful series and for asking me to take part in this session on Dignity And The Care Of The Patient: An Islamic/Catholic Dialogue I will begin with some general thoughts about spirituality and then move to some resources that the Catholic religious tradition has to offer for patient care. Many Spiritualities Catholic belief in God's Life Giving Holy Spirit working everywhere in the world, and especially within human hearts and minds leads to the acknowledgment that many different spiritualities exist. The "spirit," is generally used to refer to an inner dimension of the person. This spiritual core can be seen as the deepest center of the person. It is here that a person reflects and experiences ultimate reality. An ultimate reality will necessarily transcend the individual in some way and include more things than what can be easily seen or touched. Spirituality will concern the highest values held by a person and is a universal characteristic of human beings. As Michael Downey a Christian theologian writes in Understanding Christian Spirituality, "All human beings are spiritual in so far as all have the capacity to know and be known, to love and be loved, to be free and enable others to be free." (p.33) Many other definitions of spirituality stress the depth, inwardness and ultimate grounding of the spiritual quest for meaning. It is clear that human spirituality can take different forms. Certainly, spirituality is not confined to organized religious groups or traditional faiths holding to doctrinal beliefs and traditions. In defining spirituality you do not have to start from the top, as Catholics do, with the Holy Spirit, identified as one Divine person of the Triune God. The slippery word "spirit," with a small s, can refer to the human spirit. Spiritual experiences can refer to moments of heightened consciousness and episodes of awareness infused with deep meaning, intense emotional investment and aesthetic character. A transcendent "secular spirituality" can exist without any recognition of a Divinity or Creator that exists beyond the natural world of humankind.Today we see secular spiritualities that emerge in human experiences of art, music, nature, exercise, sex, diet, crystals, dreams, creative work, martial arts, or even fly fishing. Many practices that give aesthetic pleasure and heightened cognitive awareness are meaningful to persons and are not always attributed to an ultimate Divine Reality. When people tell you, " I'm spiritual but not religious," they can be referring to their meaningful moments of secular spirituality or "stripped down" spirituality. Another level in a spiritual quest may acknowledge some ultimate reality beyond the natural world but not to membership in an organized doctrinally defined faith. Here the person seeks transcendent meaning by getting in touch with, or becoming atuned to some larger reality of Spirit, with a capital S-- a Great Spirit, or World Spirit, or Higher Power. Persons pursue the Spirit through inner spiritual meditation, prayer, worship, vision quests or a disciplined practice. Psychologists have studied "peak experiences," or epiphanies of various kinds which induce a belief in a benevolent ordered reality beyond the human sphere. When experiences of a Spirit is identified with goodness and benevolence, then the seeker can feel the need to respond with right action and corresponding compassion. Spiritual seekers then embrace the moral requirements of behaving with truth and compassion, perhaps in the disciplined path of an eight fold way or a twelve step program. The numinous experience of a transcendent reality and the ethical imperative become fused. Many eclectic forms of stripped down spirituality exist in America; they often attract seekers who have an allergy to highly doctrinal and organized religious institutions. Monotheistic Religions and Spirituality There is nothing stripped down about the spirituality present in highly traditional monotheistic religions in which the Spirit is affirmed as Personal Creator, and a transcendent wholly Other, Holy One. The Sons of Abraham, within Judaism, Christianity and Islam are peoples of the book who worship a God Who is a Self-Revealing Creator. In Christianity God is both transcendent and immanent in history, acting to reveal GodSelf and to save humankind. Traditional world-wide high religions, have inspired scriptures, prophets and worshipers who give birth to ongoing historical communities. Through institutions continuity of doctrine and spiritual practice is achieved. Reforming groups also produce sects and schisms. Traditional religions provide "well winnowed" guidance for the spiritual seeker.In Christianity the Holy Spirit is worshiped as creatively working within the world to inspire, heal, console, empower and sanctify human hearts, inspire the Church community, and redeem the whole of creation. I think a Christian can claim that the aspirations of the human spirit in secular spiritualities and in stripped down spiritualities are manifestations of God as Holy Spirit. Once, however, you assert that the creation is not identical with God, but rather is God's good work, doctrines of pantheism will not apply. With the Christian doctrine of Incarnation, i.e. that God enters history as a truly human being, then it follows that historical embodied humans keep their unique identities for eternity. The resurrection of the body assures Christian worshipers that they will not melt away into some form of Nirvana or collective entity. Once a seeker gets caught up in a "non-stripped down" "non-secular" spirituality of a traditional high religion, the way to holiness requires effort-lots of blood, sweat and tears. The arduous path of spiritual discipline leads away from egotism, illusion and self-deception-as well as toward joyful celebration. In Christianity, the God of Love, Three Persons in One, desires the healing and happiness of humankind. Human beings are created in God's image and viewed as an eternal part of a good creation. Grace builds on nature and humankind is called to participate in God's Divine Life of the Trinity, through union with Jesus Christ, truly human and truly divine. God becomes human so that humans can become God. Humans fully alive are the glory of God. Spirituality is a process of "perfecting a person's humanity" by living in the "simple loving presence of God," a process that entails what the great theologian Karl Rahner calls "the mysticism of everyday life." Every thought, feeling and act is important, whatever you do in both word and work do for the glory of God. Continued
-> Ingrid Mattson, "Dignity and Patient Care: An Islamic
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