As I reflect on my journey in chaplaincy, I have noticed that much of my understanding of foundational skills, specifically, cultural competency, is shaped by my bicultural experience as an immigrant to the United States, my marriage and my academic studies. I am a preacher's kid who grew up in the United Church of Christ both in the Philippines (UCCP) and, after immigrating at the age of 17, the UCC in the United States. As an immigrant, I am a cultural hybrid who is able to speak three languages fluently. I am in an interracial and intercultural marriage after marrying an American Episcopalian priest who grew up in the Evangelical Lutheran Church in America (ELCA) tradition. Hence, I can easily swim back and forth between low church culture and high church culture. While continuing to be rooted in Christianity, I am fortunate to have studied and explored different global faith traditions, first, as a Religious Studies major in my undergraduate studies, and second, in graduate school. All these experiences of crossing boundaries of culture, religious and theological frameworks have shaped my understanding of the significance of cultural competency in my work as a chaplain. Chaplaincy is a very fascinating work in the realm of spirituality and religion in that while a chaplain might have their own spiritual (or religious) belief that shape their understanding of their life and the world, a chaplain's encounter with someone in emotional-spiritual struggle is person-centered. This means that while the spiritual caregiver needs to be fully aware of the spiritual-religious and cultural lenses that have shaped them and that they carry into the conversation, the chaplain's main job is to empathize as best they can with the spiritual-emotional world of the person in crisis. Subsequently, this means that the chaplain needs to have some level of cultural competency in providing spiritual care by entering into the spiritual-religious framework of the patient, and supporting them in drawing out resources from the patient's own spiritual well. In other words, the chaplain's role is to be open and curious companion-guide in helping the patient articulate their spirituality whatever that may be so the struggling person can find their bearings in a time of emotional-spiritual vulnerability and disorientation. In my work as a hospital chaplain, two metaphors - that are shaped by my experience and social context - help me frame the skill of cultural competency: food & the chameleon. THE APPRECIATOR OF DIVERSE CUISINES If spirituality is a source of nourishment like food, then the diverse spiritual and religious practices and beliefs are the cuisines. However, chaplains do not dictate or enforce what people should consume. We are not proselytizers of cuisines (i.e., religions). We are there mainly to be present and understand what cuisine(s) people use to nourish themselves to thrive, or what flavor(s) they prefer. When the person has allergies, and the food (or cuisine) is making them ill or not helping them thrive, then I bring this up to their attention. While it is certainly impossible to learn all cultural cuisines (i.e., religions, spiritualities and theologies), chaplains who have more exposure to the diverse flavors of spiritualities and religions are the ones who are more able to meet the spiritual needs of a population in a religiously pluralistic context. When a chaplain understands the spiritual lingo of a person in emotional pain, it is much easier to connect by using “spiritual” or “religio-theological” empathy. The general contrasting flavors that I, as a chaplain, pay attention to in the spiritual-religious menu in North American context include, but are not limited to, the categories below (NOTE: These categories are not strict binaries; rather I see them as a spectrum, and would go so far as to say that some spiritualities and religions may not fit these categories at all - there are aspects of spirituality/religion that are too complicated to categorize in a box): Contrasting flavors (a few categories): 1) High Church vs. Low Church 2) Eastern Spirituality vs. Western Spirituality 3) Theist vs. Non-Theist/Atheist/Agnostic (Article #1, #2 ) 4) Religious vs. Spiritual But Not Religious (Article #1, #2) 5) Christianity: High Christology (Christ as divine) vs. Low Christology (Christ as human) 6) Mono Spiritual/Religious vs. Poly Spiritual/Religious THE CULTURAL HYBRID CHAMELEON (a.k.a. The Spiritual Polyglot) Because spiritual care in chaplaincy is person-centered (that is, our task is to dip our toes into the spiritual language of the person in crisis), I have read hospital chaplains on social media talk about the work as sort of like being a chameleon. Given the diverse spiritual and religious expressions in our society and around the globe, to me this makes sense. To some extent one has to be open to becoming a cultural hybrid: someone who is able to swim comfortably in different cultures. In today’s spiritually and religiously pluralistic landscape, we are required to have some level of cultural competency as we provide care for people who are shaped/formed by specific cultural-spiritual contexts and traditions. If we are not culturally competent, we are at risk of invalidating the spirituality of that individual. As spiritual chameleons, we empathize as best we can, first, by entering (& blending?) into the person’s emotional-spiritual world. Second, some level of competency in speaking the spiritual language of that person is required. We do not have to be fully fluent in it, but like polyglots constantly learning other languages, we have to know “enough.” However, if we have zero knowledge about a spiritual language, we approach that conversation with humility and curiosity leaning towards an openness to learn. SHARED CULTURAL LANGUAGE IN THE IN-BETWEEN A culturally competent chaplain is one who knows the shared spiritual language different spiritual-cultural traditions. Navigating through the diverse spiritual-religious languages, part of chaplaincy means being comfortable with being in the in-between (or the borders) of different cultures. (See the graphic on the right, which uses the food analogy to represent different spiritual and religious traditions). Just as a well rounded chef has knowledge of common ingredients shared among different cuisines, likewise a chaplain knows the shared spiritual language in a religiously pluralistic context. When I provide spiritual grounding for staff during unit huddles through a prayer or blessing, I find it similar to being a leader of a sacred ritual (say, a wedding) for a family with different spiritual upbringings and affiliations: the Neo-Pagan cousin, the Atheist aunt, the super-Catholic uncle, the nominal Christian in-laws, the Southern Baptist in-laws, the Buddhist groom, and the Episcopalian bride. What would the blessings or prayers look like in such a gathering? What words would you choose that's digestible for everyone? Or is it even possible for find digestible words for everybody? If spirituality is sort of like a source of nourishment, what would you offer in the menu that creates the least amount of allergic reactions to the attendees? For instance, when the community lifts up hopes, deep yearnings, prayers and/or intentions, do I use pronouns, which to some extent automatically assumes I am speaking to an anthropomorphic being or higher power? I don't have any specific answers, and I don't always get it right. Nevertheless, these are questions I seriously consider when I lead such gatherings in my work as a chaplain. As a person going through the grief journey, I often get caught up by the swirl and currents of my sadness, an experience that can often be disorienting. The pain of my grief during the first year after the death of my dad and my brother was intense, and like most grieving individuals in the early phases of their grief, I could not really see how I could live a life of thriving without them. It took a lot intentional work of reaching out to guides (grief counselors and grief support group groups) who helped normalize what I was going through: the continual experience of shock, as though waking up to a nightmare. What my grief sherpas did for me was to not only affirm and validate my grief experience and symptoms, but when appropriate, they invited me to see the wider landscape of my life journey. They reminded me that my brother, dad, myself - all of us - are sojourners. There is a beginning and an end to our life journey. We say hello but we also need to say goodbye. In a way, wisdom stories and mythologies provide the map if/when we need it - when we are ready to see. The moment of catching a glimpse of the wider landscape beyond our dark valleys is grace indeed: "Amazing grace how sweet the sound that saved a wretch like me. I once was lost but now am found, twas blind but now I see." Instead of just staying in survival mode, merely running and auto-piloting, seemingly serving as a cog in the machine, wisdom stories give us the space to notice and become aware of the topography and geography of our life journey. That is, instead of simply reacting to or being blinded by the particulars of life's circumstances or day to day stresses and becoming fully identified with our thoughts and emotional reactions (example, panic or resentment), wisdom stories give us an opportunity to become conscious and curious observers of life's unfolding and adventure. We become the awareness. As the Ancient One reflects in the film Dr. Strange, "[While we may] never lose our demons, we learn to live above them." The key word here is "above" because when we are at a higher elevation, we have a wider visual range or perspective: at this angle the topography and geography is visible to us. A wisdom story (parable/mythology), which contains an archetypal theme, is an effective tool to invite those in spiritual crisis to connect their disorienting human experience with a meta-narrative, allowing them a chance to access a higher level perspective and a wider perspective, thereby giving them easier access to words that give flesh to their experience, particularly, their existential struggle with isolation, mortality, freedom and meaning. In a physical way, Spirit Play (or Godly Play) participants observe the geography of the story from a higher level as the story unfolds on the floor (see the illustration below). After a story is told, participants may interact with the story by pointing or touching the story pieces or characters if they wish, as they reflect on what resonated with them about the story or reflect about which parts of the story is about them. This method allows the participant to have some distance between oneself and one's thoughts, feelings and reactions. You are not just the reaction, you are also separate from it: you are the watcher. The observer's level or angle in relationship to the story pieces is similar to one playing chess: a metaphor often used by therapists to illustrate the skill of one becoming a conscious observer to one's experience. A parallel idea that I have used in the past is a long distance runner on an unfamiliar nature trail taking a quick break on a bench located at a higher topographical level, allowing the athlete to find their bearings in relationship to their destination point. Instead of getting blinded by the disorienting twists and turns of the trail (or to use the chess analogy in the 3rd picture: getting fully identified with an anxious chess piece that can be potentially attacked and taken away) one can just be the watcher: the awareness that observes, wonders and notices. This skill is a step forward in one's healing process in mental health. Neuroscience tells us about the good news of neuroplasticity in our brain. That is, our brain has the capacity rewire. My hope is that by accessing a wide lens perspective of our life journeys with the help of wisdom stories, we consciously create new neural pathways in our brain (analogous to creating a new footpath or nature trail illustrated in pic on right) as we make new choices and embody new actions that lead to our thriving and flourishing. |
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