“Thank you so much for what you do,” said the massage therapist as they worked a knot out of my shoulder. This was a surprise from the reaction I usually get from strangers—the person who cuts my hair, the Lyft driver, the congregant who’s just listened to my sermon. Often it’s a generic, “OOOoohh!” and a pregnant pause as they look expectantly for me to explain exactly what a hospital chaplain is. There’s the occasional, “That’s like a priest, right?” But the ten second pitch I give lying on someone’s table is different from the actual work that I do. If you’ve had spiritual care in a hospital, if someone you love has gotten a new organ, or been close to death, or has died, or has wanted a blessing, then maybe you know what this is, you know what I do, and you know what chaplaincy can do. Most of the time it’s a mystery. I’ve been wanting to demystify it for a while.
I’m not your pastor
While it’s true that a chaplain can also be and work as an ordained minister, a priest, a rabbi, imam, or a pastor, I’m not, and many of us don’t. So the expectations you’d have of a pastor, we aren’t necessarily interested in filling: we’re not going to tell you if you’re going to hell or not. (I never expected this from my pastor, and still don’t but it comes up more than you’d think. The theological diversity of the question of hell notwithstanding, it’s not our job to pass judgement, despite how much death we see.) We’re not going to rescue the soul of a dying person from whatever happens after you die. We’re able to do things like listen to you, ask you hard questions, and make insightful observations, but our job is not to posit that your theology match our own. Most of the time, we might be companioning outside our tradition, which leads me to
Not all of us are christian
Despite the word chaplain coming from the Christian tradition, not every chaplain you meet in every place (hospital or otherwise) is a Christian. Many of us are not. Many of us are also trained to provide care outside our tradition. We can create ritual and officiate sacrament with you that will offer you the opportunity to make meaning out of a profound threshold moment of your life. You can receive meaningful support as a Christian from a chaplain who is Muslim, and you can receive meaningful support as a Jewish person from a chaplain who is Unaffiliated. While we care about the box you check that identifies your religious tradition, it isn’t a measurement we use to discern what you need. We assess with you what you need; what’s important to us is what you’re going through, and how we can come alongside you in it. What’s important to us is your humanity and your spirituality, your suffering and your need, and how we can help you meet it.
I don’t care if you’re saved
This one is my favorite. Countless chaplain colleagues tell me they have fielded questions from retired pastors (usually men) asking, “How many people have you saved?” from their bed. The point of our presence and our work is not to “save” you from anyone or anything. As I wrote earlier, I’m only interested in what you believe about life and death, or about anything, insofar as it serves you. The moment that your own faith begins to create suffering for you, I get deeply curious about why and how, and what we can do to make senses of it. I am not going to use your loved one’s death as an excuse to inquire about your salvation, nor am I going to use a hospital wedding or baptism as an opportunity to advance an isolating, heteronormative view of personhood or relationship. Frankly, if you’d rather talk to me about who I’ve saved, than about how you feel lying in your hospital bed, then I’m likely to think that there’s something you’re not able to touch about your own illness, fear, or suffering. I know you’re suffering.
if you feel bad with me, it’s probably on the way to feeling better
I remember leaving a room wherein a patient was crying. A social worker, who was no fan of mine, said to no one, but loud enough for everyone to hear, “When I left her, she was fine.” This person didn’t know that I’d done my job because she couldn’t understand the value of a spiritual care provider. It’s true, that sometimes the work of a chaplain means that you have a person to be with you who is unafraid of exploring hard feelings: we’re not afraid of your tears, we don’t try to avoid your suffering, and so far as you’re not being abusive or offensive, we can even tolerate your anger. The job of the chaplain isn’t, always, to make you feel better, or at least, I don’t interpret my job that way. My job is to be with you in the reality of life on its own terms. You were driving under the influence and caused an accident that cost someone their life? Okay, I’m not going to judge you, and I’m not going to tell you it’s going to be okay. Instead, I’ll be with you, and I’ll let whatever you’re feeling about it come up, and we’ll hold it together. Your spouse is dying? That sucks, and if you’re not ready to talk about it, okay. But if your spouse wants to talk about it, I’m going to talk about it with her, and then I’m going to let you have your own process around it. Chaplains are people who hold disparate things at the same time a lot. We get good at staying present with feelings and circumstances that most others don’t want to feel. Anyone who has let themself feel painful feelings as a part of healing will tell you the only way out is through.
we are clinicians who train in spiritual and emotional care
It takes more than just slapping the name “chaplain” on the chest of a minister to make someone who’s capable and qualified for this work. Chaplains go through rigorous training, have advanced degrees in religious study and pastoral care, use assessment models, write and present research projects regarding ways in which spiritual care impacts health care across disciplines, we serve on boards and committees that enhance our community as medical professionals, and we are certified by any one of several professional bodies in the United States. We’re not (just) good-hearted folks who walk in off the street wanting to do good. We are members of clinical care teams, and our care benefits patients, staff, and families, not just those of whom are religious. We know because we’ve done the research to prove it.
We do more than just pray
I’ve been introduced before as “someone who has come to pray with you,” and while that’s not untrue on its face, it’s a fraction of the work I’m trained to do or able to do. I am trained to hold individual and community space for people who are grieving, celebrating, or contemplating; I am trained to assess someone’s spiritual suffering, which (I hope this is clear by now) is often larger than any one faith or wisdom tradition); I am trained to engage interventions that will allow them to touch and explore that suffering, and in so doing, to engage in metabolizing it, to discover and land in a new place, and to communicate that clearly to themselves or others when necessary; I am trained to use various models of development, personality, and group theory to understand why patients and families behave the way they do in extraordinary health care circumstances, and to help them ground in the midst of this; I am trained to run toward the suffering of others, and not try to fix it. I am trained to tolerate some of the most beautiful and most painful realities of the human experience, and not to look away. I’m happy to pray with you if that’s what you want, and it will bring you some peace. We can also talk about the playoffs. We don’t have to talk at all. If you want, you can tell me that thing you said to your sister that you wish you could take back now. I won’t tell you she deserved it, and I won’t tell you not to feel guilty. I’ll just be with you.
You can be yourself with me
Because I’m trained to provide spiritual care across traditions, and because I’m not interested in advancing any religious or theological outcome, you can be whoever you are. My job is to love you by being with you, listening to you, and reflecting as clearly back to you as I’m capable of. My job is not to want to make you be different than you are. Yes, this is easier some days than others: I don’t like it when men my father’s age make sexist jokes or when they pay me too much attention. (Pls don’t worry, if I ever felt unsafe, I would set a quick boundary.) But this isn’t really for those men; this is for the trans patient who’s braced against having their dead name used, or for the young adult with religious trauma who dares me to tell her anything even a little like what the church told her. I’m sorry about the places and the ways you’ve been harmed, and the people who hurt you. I’m sorry you feel so vulnerable and at the mercy of such a massive, impersonal system. I see you. I’m here with you.
I hope this will be an ongoing list. Maybe, as time goes, as the work goes, we’ll see what other truths I want to make sure get known. For now, I hope I don’t see you in my halls or on my consult list. But if I do, I promise to take good care of you, if you’ll let me.