The objective of this study is to identify lessons for improving cookstoves in Bangladesh through an evaluation of existing programs, the international experience on improved stoves, and the lessons from successes in the sanitation sector. Bangladesh's new renewable energy policy endorses creating a better environment for renewable energy technologies and promoting market development for improved cookstoves (Government of Bangladesh 2009). This study supports this policy direction by examining possible strategies to move forward the development of markets for improved stoves in Bangladesh. The study consists of several components: a national review of household energy programs; an evaluation of national sanitation programs; and an examination of improved cookstove programs from around the world, including China, Guatemala, Haiti, Mongolia, Nepal, and Uganda. The study is based on published literature, consultations with organizations throughout Bangladesh, site visits, and structured discussions with beneficiaries and other stakeholders.
Human activities now represent the most important force shaping the degradation of ecosystems in all of the world´s major biomes (well established). Long-established drivers of land degradation continue to increase across much of the world, including agricultural activities {3.3.1, 3.3.2}, driven by increasing demands for food and bioenergy. More recent global change drivers, such as climate change and atmospheric nitrogen deposition, further exacerbate impacts {3.4}. We are now in a qualitatively different and novel world, compared to only a few decades ago, and the combination of drivers creates significant challenges to restore degraded land and mitigate further degradation (established but incomplete). Few, if any, areas of the world are now free of some form of human influence (well established) and some systems are experiencing unprecedented challenges. Changes in the extent and severity of both land degradation and restoration commonly result from multiple underlying social and economic factors – indirect drivers, many of which occur in places distant from where the impacts are felt (well established) {3.6.4}. Demand for food imports is increasing across much of the world. This high dependency on imported commodities means that a large share of the environmental impacts of consumption is felt in other parts of the world. The physical quantity of goods traded internationally only represents one third of the actual natural resources that were used to produce these traded goods. The sustainability of the commodity production systems that support global supply chains is thus substantially shaped by the sourcing and investment decisions of market actors who may have little direct connection to the production landscapes (established but incomplete). Moreover, the globalized nature of many commodity supply chains potentially elevates the relative importance of global-scale factors such as trade agreements, market prices and exchange rates, as well as distant linkages related to buyer and investment preferences, over national and regional governance arrangements and the agency of individual producers (inconclusive). Addressing this complexity to avoid and reverse land degradation therefore requires the building of effective multi-sector and multi-stakeholder partnerships that span national boundaries (established but incomplete) {3.6.6}. Economic growth and per capita consumption, more than poverty, is one of the biggest threats to sustainable land management globally (established but incomplete) {3.6.3, 3.6.4}. Extreme poverty, combined with resource scarcity, can contribute to land degradation and unsustainable levels of natural resource use, but is rarely the major underlying cause (well established). Many of the most marked changes in how land is used and managed come from individual and societal responses to economic opportunities, such as a shift in demand for a particular commodity or improved market access, moderated by institutional and political factors (established but incomplete). For example, clearance of native vegetation and land degradation across much of Latin America and Asia is linked to agricultural expansion and intensification at a commercial scale for export markets (well established). Reducing poverty, although a priority for sustainable development, is insufficient to mitigate land degradation if not accompanied by additional measures. Concurrently, rising per capita consumption levels can exacerbate degradation. Efforts to reverse degradation therefore require a combination of local and regional poverty-alleviation strategies, including the adoption of pro-poor food production systems, together with efforts to improve the enforcement of public regulations for sustainable land uses, and strengthening the accountability of global market actors in effectively supporting such strategies. The highly interconnected and globalized nature of indirect drivers of land degradation and restoration means that the outcome of any global, regional or local intervention can be highly unpredictable, yet contextual generalizations are possible (established but incomplete) {3.6.2.3, 3.6.3}. The ways in which land is used in one part of the world can be highly sensitive to sudden, unexpected changes in economic and institutional factors elsewhere (unresolved). For example, changes in currency exchange rates, and cascading effects on the profitability of a given commodity, can markedly accelerate or decelerate the clearance of native vegetation for agriculture within a single year {3.6.2.3}. The sudden imposition of trade restrictions (e.g., due to disease controls), can have a similarly marked impact. However, with an improved understanding of the interactive effects amongst different drivers, it is possible to make predictions that are valid under a certain range of conditions. For example, agricultural intensification and agroforestry practices can help reduce the pressure on remaining areas of native vegetation under certain conditions (such as inelastic demand for staple crops), but unless such measures are coupled with increased enforcement of land-use policies they can result in a rebound effect that increases pressure on natural resources (established but incomplete) {3.6.3}. Land degradation in any given place is rarely the consequence of a single anthropogenic driver, but is instead the result of a diverse and frequently mutually-reinforcing set of human activities and underlying drivers (well established) {3.4.5, 3.5, 3.6.2.1}. Typically, at least three types of indirect driver, such as economic, technological and institutional, underpin any direct driver of land degradation or restoration (established but incomplete). The complexity of drivers that commonly underpin land degradation highlights the fact that single factors, such as high rural population density, rarely provide an adequate underlying explanation on their own for observed impacts (established but incomplete) {3.6.3}. Land degradation is typically the result of multiple direct drivers, especially in instances of severe degradation (e.g., where land-use intensification drives increased species invasions and increases in fire frequency). This combination of drivers has resulted in large expanses of economically important grazing lands, including in North America, being transformed to fire-prone annual grass monocultures (well established) {3.3.7}. The multi-causality of land degradation requires commensurately holistic policy responses that operate across multiple scales and combine both regulatory and incentive based measures (established but incomplete). Rapid expansion and inappropriate management of agricultural lands (including both grazing lands and croplands), especially in dryland ecosystems, is the most extensive land degradation driver globally (well established) {3.3.1, 3.3.2}. The expansion of grazing lands has largely stagnated globally with evidence for an approximate 1% decline in grazing land area over the past decade. Grazing pressure has been stable or only moderately increasing across the major land areas globally, although there are regional exceptions such as Southern Asia. Over half of grazing lands occur in dryland environments that are highly susceptible to land degradation (established but incomplete) {3.3.1.3}. More recently intensification and increasing industrialization of livestock production systems, especially in developed countries, has resulted in an increasing reliance on mixed crop-livestock production systems and industrialized "landless" systems. As a result, 35% of global crop production is now allocated to livestock feed. Globally, fertilizer and pesticide use is expected to double by 2050 {3.3.2.2}. Marked drops in nitrogen-use efficiency (change in yield per unit of fertilizer input) in many parts of the world, particularly the Asia Pacific region, often accompanied by continued excessive fertilizer application, underscore the critical importance of sustainable agricultural practices, including conservation agricultural techniques, to maintain yield improvements (established but incomplete) {3.3.2.3}. Increases in consumption levels of many natural resources underpin increasing levels of degradation in many parts of the world (well established), with slow rates of adoption of sustainable production systems (established but incomplete) {3.6.2.2, 3.6.3.2, 3.6.4.2}. Projections to 2050 suggest that one billion ha of natural ecosystems could be converted to agriculture by that time. More than half of agricultural expansion in the last three decades has occurred in relatively intact tropical forests. Economic growth in the developing world is projected to double global consumption of forest and wood products by 2030, with demand likely to exceed production in many developing and emerging economies in Asia and Africa within the next decade. Traditional fuelwood and charcoal continue to represent a dominant share of total wood consumption in low income countries, up to 70%, especially in Sub-Saharan Africa (well established). Under current projections efforts to intensify wood production in plantation forests, together with increases in fuel-use efficiency and electrification are only likely to partly offset the pressure on native forests (unresolved). Adoption of more sustainable production systems continues to be slow, as seen, for example, by a slowdown in the expansion of the area of certified forests. More than half of the terrestrial surface of the Earth has fire regimes outside the range of natural variability, with changes in fire frequency and intensity posing major challenges for land restoration (established but incomplete) {3.3.7}. The frequency of fires has increased in many areas – exacerbated by decreases in precipitation – including in many regions of humid and temperate forests that rarely experience large-scale fires naturally. Some changes in fire regimes, particularly in tropical forests, are sufficiently severe that recovery to pre-disturbance conditions may no longer be possible. Increases in international trade, intensification of land use and urbanization have meant that few areas of the planet are free of invasive species (established but incomplete) {3.3.8}. Nearly one fifth of the Earth´s surface is at high risk of plant and animal invasion, including many biodiversity hotspots. Climate change, including increased nitrogen deposition and changes in CO2, as well as increases in fire frequency with rising temperatures in many areas, are all likely to increase invasions {3.4}. Once established, the eradication of many invasive species is often very expensive, if not impossible, underscoring the need to develop proactive strategies to pre-empt invasions, including through inspections, research and education. Activities related to industrialization, infrastructure development, urbanization, and many extractive industries result in complete transformation of ecosystems, accompanied by near or complete loss of biodiversity and ecosystem function and the services those ecosystems provide (well established) {3.3.6}. Infrastructure, industrial development and urbanization activities, often replace natural ecosystems with impervious or contaminated surfaces such as asphalt, concrete and rooftops, leading to the one of the most severe forms of land degradation in the form of soil sealing. Built-up areas, which are dominated by sealed soils, currently occupy nearly 0.6% of the global land surface. If population densities in cities remain stable, the extent of built-up areas in developed countries is expected to increase by 30% and triple in developing countries between 2000 and 2050. Under more extreme scenarios of increasing population density and economic development, the extent of built-up areas globally may increase to over 2% of the global land area over this same time period. New urban design and green technologies that incorporate features that promote sustainability and delivery of ecosystem services can play an important role in restoring some of the ecosystem functions and services of built environments. The importance of climate change for land degradation is most prominent through its role in exacerbating the impacts of other human activities (established but incomplete) {3.4}. The exacerbating effect of climate change on the impact of degradation drivers, including land clearance and intensive farming techniques, can be felt both through chronic impacts and directional changes – like temperature changes, leading to shifts in species range sizes, as well as changes in average precipitation levels, atmospheric CO2 and nitrogen deposition – and acute impacts through extreme weather events of flooding, drought, and other natural disasters (well established). Heavy rainfall events and storms as well as heat waves and droughts are predicted to increase in frequency over several parts of the globe, with cascading effects on the frequency, intensity, extent and timing of other drivers such as fires, pest and pathogen outbreaks, species invasions, soil erosion and landslides (established but incomplete). The last decade has witnessed a rise in consumer-driven demand for sustainable land use and land management, as well as commitments to restore degraded land that is unprecedented in human history (well established) {3.6}. In the last decade hundreds of companies have made pledges to reduce their impacts on forests and on the rights of local communities, with many committing to eliminate deforestation from their supply chains entirely by 2020. In the same period, many governments and civil society groups have made ambitious commitments to restore hundreds of millions of hectares of degraded land. New players, such as the finance sector, who until recently have been completely detached from the mainstream sustainability agenda are also starting to make explicit commitments to avoiding environmental harm. The overall impact of these voluntary measures remains to be assessed but they offer a vital window of opportunity for reversing degradation trends and placing economies on a more sustainable footing – especially as large areas of marginal agricultural become increasingly abandoned with ongoing development (unresolved).
Human activities now represent the most important force shaping the degradation of ecosystems in all of the world´s major biomes (well established). Long-established drivers of land degradation continue to increase across much of the world, including agricultural activities {3.3.1, 3.3.2}, driven by increasing demands for food and bioenergy. More recent global change drivers, such as climate change and atmospheric nitrogen deposition, further exacerbate impacts {3.4}. We are now in a qualitatively different and novel world, compared to only a few decades ago, and the combination of drivers creates significant challenges to restore degraded land and mitigate further degradation (established but incomplete). Few, if any, areas of the world are now free of some form of human influence (well established) and some systems are experiencing unprecedented challenges. Changes in the extent and severity of both land degradation and restoration commonly result from multiple underlying social and economic factors – indirect drivers, many of which occur in places distant from where the impacts are felt (well established) {3.6.4}. Demand for food imports is increasing across much of the world. This high dependency on imported commodities means that a large share of the environmental impacts of consumption is felt in other parts of the world. The physical quantity of goods traded internationally only represents one third of the actual natural resources that were used to produce these traded goods. The sustainability of the commodity production systems that support global supply chains is thus substantially shaped by the sourcing and investment decisions of market actors who may have little direct connection to the production landscapes (established but incomplete). Moreover, the globalized nature of many commodity supply chains potentially elevates the relative importance of global-scale factors such as trade agreements, market prices and exchange rates, as well as distant linkages related to buyer and investment preferences, over national and regional governance arrangements and the agency of individual producers (inconclusive). Addressing this complexity to avoid and reverse land degradation therefore requires the building of effective multi-sector and multi-stakeholder partnerships that span national boundaries (established but incomplete) {3.6.6}. Economic growth and per capita consumption, more than poverty, is one of the biggest threats to sustainable land management globally (established but incomplete) {3.6.3, 3.6.4}. Extreme poverty, combined with resource scarcity, can contribute to land degradation and unsustainable levels of natural resource use, but is rarely the major underlying cause (well established). Many of the most marked changes in how land is used and managed come from individual and societal responses to economic opportunities, such as a shift in demand for a particular commodity or improved market access, moderated by institutional and political factors (established but incomplete). For example, clearance of native vegetation and land degradation across much of Latin America and Asia is linked to agricultural expansion and intensification at a commercial scale for export markets (well established). Reducing poverty, although a priority for sustainable development, is insufficient to mitigate land degradation if not accompanied by additional measures. Concurrently, rising per capita consumption levels can exacerbate degradation. Efforts to reverse degradation therefore require a combination of local and regional poverty-alleviation strategies, including the adoption of pro-poor food production systems, together with efforts to improve the enforcement of public regulations for sustainable land uses, and strengthening the accountability of global market actors in effectively supporting such strategies. The highly interconnected and globalized nature of indirect drivers of land degradation and restoration means that the outcome of any global, regional or local intervention can be highly unpredictable, yet contextual generalizations are possible (established but incomplete) {3.6.2.3, 3.6.3}. The ways in which land is used in one part of the world can be highly sensitive to sudden, unexpected changes in economic and institutional factors elsewhere (unresolved). For example, changes in currency exchange rates, and cascading effects on the profitability of a given commodity, can markedly accelerate or decelerate the clearance of native vegetation for agriculture within a single year {3.6.2.3}. The sudden imposition of trade restrictions (e.g., due to disease controls), can have a similarly marked impact. However, with an improved understanding of the interactive effects amongst different drivers, it is possible to make predictions that are valid under a certain range of conditions. For example, agricultural intensification and agroforestry practices can help reduce the pressure on remaining areas of native vegetation under certain conditions (such as inelastic demand for staple crops), but unless such measures are coupled with increased enforcement of land-use policies they can result in a rebound effect that increases pressure on natural resources (established but incomplete) {3.6.3}. Land degradation in any given place is rarely the consequence of a single anthropogenic driver, but is instead the result of a diverse and frequently mutually-reinforcing set of human activities and underlying drivers (well established) {3.4.5, 3.5, 3.6.2.1}. Typically, at least three types of indirect driver, such as economic, technological and institutional, underpin any direct driver of land degradation or restoration (established but incomplete). The complexity of drivers that commonly underpin land degradation highlights the fact that single factors, such as high rural population density, rarely provide an adequate underlying explanation on their own for observed impacts (established but incomplete) {3.6.3}. Land degradation is typically the result of multiple direct drivers, especially in instances of severe degradation (e.g., where land-use intensification drives increased species invasions and increases in fire frequency). This combination of drivers has resulted in large expanses of economically important grazing lands, including in North America, being transformed to fire-prone annual grass monocultures (well established) {3.3.7}. The multi-causality of land degradation requires commensurately holistic policy responses that operate across multiple scales and combine both regulatory and incentive based measures (established but incomplete). Rapid expansion and inappropriate management of agricultural lands (including both grazing lands and croplands), especially in dryland ecosystems, is the most extensive land degradation driver globally (well established) {3.3.1, 3.3.2}. The expansion of grazing lands has largely stagnated globally with evidence for an approximate 1% decline in grazing land area over the past decade. Grazing pressure has been stable or only moderately increasing across the major land areas globally, although there are regional exceptions such as Southern Asia. Over half of grazing lands occur in dryland environments that are highly susceptible to land degradation (established but incomplete) {3.3.1.3}. More recently intensification and increasing industrialization of livestock production systems, especially in developed countries, has resulted in an increasing reliance on mixed crop-livestock production systems and industrialized "landless" systems. As a result, 35% of global crop production is now allocated to livestock feed. Globally, fertilizer and pesticide use is expected to double by 2050 {3.3.2.2}. Marked drops in nitrogen-use efficiency (change in yield per unit of fertilizer input) in many parts of the world, particularly the Asia Pacific region, often accompanied by continued excessive fertilizer application, underscore the critical importance of sustainable agricultural practices, including conservation agricultural techniques, to maintain yield improvements (established but incomplete) {3.3.2.3}. Increases in consumption levels of many natural resources underpin increasing levels of degradation in many parts of the world (well established), with slow rates of adoption of sustainable production systems (established but incomplete) {3.6.2.2, 3.6.3.2, 3.6.4.2}. Projections to 2050 suggest that one billion ha of natural ecosystems could be converted to agriculture by that time. More than half of agricultural expansion in the last three decades has occurred in relatively intact tropical forests. Economic growth in the developing world is projected to double global consumption of forest and wood products by 2030, with demand likely to exceed production in many developing and emerging economies in Asia and Africa within the next decade. Traditional fuelwood and charcoal continue to represent a dominant share of total wood consumption in low income countries, up to 70%, especially in Sub-Saharan Africa (well established). Under current projections efforts to intensify wood production in plantation forests, together with increases in fuel-use efficiency and electrification are only likely to partly offset the pressure on native forests (unresolved). Adoption of more sustainable production systems continues to be slow, as seen, for example, by a slowdown in the expansion of the area of certified forests. More than half of the terrestrial surface of the Earth has fire regimes outside the range of natural variability, with changes in fire frequency and intensity posing major challenges for land restoration (established but incomplete) {3.3.7}. The frequency of fires has increased in many areas – exacerbated by decreases in precipitation – including in many regions of humid and temperate forests that rarely experience large-scale fires naturally. Some changes in fire regimes, particularly in tropical forests, are sufficiently severe that recovery to pre-disturbance conditions may no longer be possible. Increases in international trade, intensification of land use and urbanization have meant that few areas of the planet are free of invasive species (established but incomplete) {3.3.8}. Nearly one fifth of the Earth´s surface is at high risk of plant and animal invasion, including many biodiversity hotspots. Climate change, including increased nitrogen deposition and changes in CO2, as well as increases in fire frequency with rising temperatures in many areas, are all likely to increase invasions {3.4}. Once established, the eradication of many invasive species is often very expensive, if not impossible, underscoring the need to develop proactive strategies to pre-empt invasions, including through inspections, research and education. Activities related to industrialization, infrastructure development, urbanization, and many extractive industries result in complete transformation of ecosystems, accompanied by near or complete loss of biodiversity and ecosystem function and the services those ecosystems provide (well established) {3.3.6}. Infrastructure, industrial development and urbanization activities, often replace natural ecosystems with impervious or contaminated surfaces such as asphalt, concrete and rooftops, leading to the one of the most severe forms of land degradation in the form of soil sealing. Built-up areas, which are dominated by sealed soils, currently occupy nearly 0.6% of the global land surface. If population densities in cities remain stable, the extent of built-up areas in developed countries is expected to increase by 30% and triple in developing countries between 2000 and 2050. Under more extreme scenarios of increasing population density and economic development, the extent of built-up areas globally may increase to over 2% of the global land area over this same time period. New urban design and green technologies that incorporate features that promote sustainability and delivery of ecosystem services can play an important role in restoring some of the ecosystem functions and services of built environments. The importance of climate change for land degradation is most prominent through its role in exacerbating the impacts of other human activities (established but incomplete) {3.4}. The exacerbating effect of climate change on the impact of degradation drivers, including land clearance and intensive farming techniques, can be felt both through chronic impacts and directional changes – like temperature changes, leading to shifts in species range sizes, as well as changes in average precipitation levels, atmospheric CO2 and nitrogen deposition – and acute impacts through extreme weather events of flooding, drought, and other natural disasters (well established). Heavy rainfall events and storms as well as heat waves and droughts are predicted to increase in frequency over several parts of the globe, with cascading effects on the frequency, intensity, extent and timing of other drivers such as fires, pest and pathogen outbreaks, species invasions, soil erosion and landslides (established but incomplete). The last decade has witnessed a rise in consumer-driven demand for sustainable land use and land management, as well as commitments to restore degraded land that is unprecedented in human history (well established) {3.6}. In the last decade hundreds of companies have made pledges to reduce their impacts on forests and on the rights of local communities, with many committing to eliminate deforestation from their supply chains entirely by 2020. In the same period, many governments and civil society groups have made ambitious commitments to restore hundreds of millions of hectares of degraded land. New players, such as the finance sector, who until recently have been completely detached from the mainstream sustainability agenda are also starting to make explicit commitments to avoiding environmental harm. The overall impact of these voluntary measures remains to be assessed but they offer a vital window of opportunity for reversing degradation trends and placing economies on a more sustainable footing – especially as large areas of marginal agricultural become increasingly abandoned with ongoing development (unresolved).
THE USE OF NATURALLY OCCURRING MOOD- altering substances is deeply rooted in the traditions and cultures of many communities worldwide. As documented in other societies and historical records,1,2 various compounds have been employed for altering consciousness and for their curative effects.3 Two substances traditionally used in the Middle East include hashish and khat.4 Hashish, as cannabis, has been known in the region since ancient times.5 Khat, also known as chat, derived from the leaves and young shoots of the khat plant (Catha edulis), is used for its stimulant effect.6 Technological advances that enable high purification of drugs and transporting them fast, and increasing urbanisation, have caused these mood altering substances to be taken out of their traditional role in societies and have come to pose new, complex and challenging threats.7 These threats have been manifested in two important ways: () wider use of drugs, and (2) a shift from natural drugs to the more potent purer forms. Globally, illegal money derived from illicit drug transactions amounts to 400 billion dollars annually, and is second only to the arms trade.8,9 The countries of the Arabian Gulf Co-operation Council (GCC) offers an interesting study area because their diverse cultures have experienced rapid acculturation, a phenomenon often equated with a rise in psychosocial stress.10 Psychosocial stress has often been associated with vulnerability to self poisoning11 and substance abuse.12 Although there are no adequate statistical studies to indicate the incidence of substance dependency in the GCC, it is clear that substance abuse is not a minor problem considering the number of reported drug seizures by the authorities.13 In real terms, the drugs seized by law enforcement authorities constitute only 5–0 percent of the actual quantity.14 Comprehensive data on the pattern of substance dependency is hampered by the criminal and moral stigma associated with substance dependency. Whatever the real number of people afflicted with addiction, substance dependency is a severe problem when considered in terms of personal distress, family disruption and interference with productivity and economic growth. Efforts have been undertaken in GCC countries to reduce the demand for drugs and to prevent drug abuse before it occurs. These efforts are coordinated through the Demand Reduction Committee, created in 200 with members from all countries of the GCC. The committee provides leadership in coordinating and facilitating strategies in this area including law enforcement, rehabilitation and leading and assisting the community in the task of education and prevention of substance abuse. Some studies have suggested that substance dependency occurs in adolescents in all strata of the society.14–16 However, these studies are limited to self-report questionnaires based on secondary school students. Although peer pressure is likely to play a significant part in the initiation of substance abuse,16 the subsequent heavy abuse is often associated with various psychosocial factors. It has been suggested that of all the social factors that predispose individuals to substance abuse, boredom is the most significant.14,17 The recent affluence and modernisation of the GCC societies have led many people to have a lot of spare time, as household chores are carried out by expatriate servants.14 The detrimental effects of such a lifestyle, including substance dependency, have been speculated in the literature.13,18–21 In a study cited by Al-Harthi14 of personality profiles and descriptive analyses of typical substance users enrolled in a treatment centre in Riyadh, Saudi Arabia, the most frequently stated reason for indulging in drugs was to escape boredom. This view, though substantiated by other studies in the region,22,23 has not taken into account the relationship of individual temperament to substance abuse. Recent studies have suggested that phenotypical "risk takers" or "sensation seekers" are often not inhibited from yielding to various illicit practices including substance abuse.24 Future studies in the region should examine the association between personality types, risk taking behaviour and boredom. The premise that the rise in substance dependency might be precipitated by erosion of traditional family networks and skewed social expectations might be relevant to GCC countries. Al-Hashmi18 has suggested that modernisation has resulted in the Omani family becoming nuclear at the cost of the traditional extended family. Concurrently, domestic servants brought from overseas, often illiterate in the dominant language, are providing much of the socialisation to children. Reinforced by frequent international travelling, satellite televisions and the Internet, acculturation appears to have occurred too quickly in GCC societies. Smith has remarked that these changes have brought these communities development that took a thousand years in Europe in less than 20 years.25 Studies from other parts of the world that have experienced similar rapid pace of modernisation have shown disintegration of native culture and identity as well as dissolution of the social network, to which individuals had previously turned for help when in trouble.26 In addition, the spread of education have resulted in higher levels of expectations. In the new social order, individuals in the region tend to regard employment opportunities, guaranteed higher levels of income, and especially, higher social standing, as acquired rights. Frustration of the desire to climb the social ladder leads to social insecurity.14 The present situation of society in transition fits with the classical sociological observations of Ibn Khaldun and Emile Durkheim: rapid transformation leads to breakdown of traditional social cohesion.14As a result, the sense of belonging becomes a luxury, leading to social drift, alienation, and the proliferation of social misfits. The society itself may become anomic. The relationship between acculturation, anomie and drug taking has received empirical support.27 The present tendency is to view substance abuse in its psychosocial context rather than on moral terms. While more studies that are comprehensive are needed to examine the pattern of use and misuse of drugs in the GCC countries, there are various reasons to assume that substance dependency is likely to continue to pose a problem in the region. First, the geography helps both trafficking and consumption. GCC countries are located close to the "Golden Triangle" or "Drug Belt", a part of Asia where underdevelopment and political instability have fuelled drug driven economies. Second, being on a major route for international airlines and sea routes by virtue of being in the middle of the world, GCC countries are at constant risk of being used as trans-shipment points for drug trafficking. The Arabian Peninsula has a vast coastline with its horizon overlooking major sea routes to different continents. Even if vigilance to guard its borders is heightened, such a long coastline would remain porous. Moreover, effective surveillance would require more allocation of resources and work force, drawing vital resources away from establishing essential remedial and rehabilitation services for the victims of substance abuse. Thirdly, the increasing number of visitors and the presence of foreign labour in the GCC also help make the "Gulf route" a crossroad for trans-world drug supplies. Some individuals may fall prey to the fallouts from these passing illegal shipments even though they may be destined elsewhere. It is also possible that an increase in consumption of illicit substances among the local population has in itself escalated the demand. In support of the latter view are the rising statistics on the mortality related to drug abuse and the number of clients seeking treatment in rehabilitation centres in the GCC states.15,28 Dispensing accurate information on issues related to substance abuse is a key component to fighting drug abuse. Studies are needed to illuminate the effect of substance dependency in the GGC countries as the mass media often tends to downplay the risks of drug use, or sometimes even glamorises it. Evidence is emerging on the personal consequences of substance dependency. Okasha, in the context of Egypt, has demonstrated that substance dependency is likely to lead to underachievement at school or work and exacerbate family stress, financial burdens and exposure to criminal activity.29 However, literature does not discern whether these social problems are the cause or the effect of the substance dependency. Substance dependency is often associated with psychiatric morbidity30 but it is not clear whether this is cause or effect. Karam et al in their report from Lebanon suggest a strong relationship between addiction to substances of abuse and psychiatric diagnoses.31 These authors further suggest that certain personality types often abuse specific substances. However, such a simplistic view appears to be merely reiterating the chicken-or-the-egg argument. Some authors have suggested that substance dependency is a form of self-medication, which implies that individuals with substance dependency have high levels of psychosocial distress and use illicit drugs in an attempt to alleviate their distress. This is relevant to the suggestion that some psychiatric symptoms may mimic withdrawal effects of chronic substance dependency and withdrawal symptomatology co-varies with cognitive and psychological functioning.32 In addition to psychiatric illness, substance dependency has been seen to increase the risk of adverse drug reactions. A well-known complication of substance dependency is the risk of transmission of human immunodeficiency virus and other infections.33 VISIBLE PATTERNS IN THE GCC The discovery of oil in the GCC has brought rapid modernisation as well as unprecedented material progress and economic security.34 Although GCC nationals, like other cultural groups in developing countries, are thought to have beliefs that protect them against developing substance dependency, such beliefs appear to be eroding with the rising tide of acculturation and economic restructuring. Demographic factors such as the preponderance of adolescents in the population will continue to elude those advocating demand reduction policies even if harsher penalties are decreed for traffickers and users. Approximately 60% of the population in the region are less than 20 years old.35 As reported elsewhere, 36 adolescents are prone to risk taking behaviour, a temperament that has been associated with developmental milestones including the underdevelopment of the orbital-frontal cortex.34 In GCC countries, the rate of juvenile delinquency has, in a span of 0 years, increased approximately by 400%. Unless the needs of such a large and important segment of society as its young people are addressed, this may present a demographic time-bomb with unpredictable social consequences. With a fast growing population, competitions for social and occupational roles are likely to be more intense, leaving many failed individuals behind. With such a demographic trend, it is likely that many individuals carry a greater risk of developing various adjustment difficulties including substance dependency.37 Data emanating from other developing countries suggest that drug peddlers tend to target the poor and the unemployed. Whereas substance dependency in other parts of the world is often associated with economic and social breakdown,38 no study has examined whether substance dependency in the GCC countries follows the same pattern.39 Preliminary observations in Oman suggest that there is relationship between unemployment and propensity for substance abuse.14 Interestingly, the study suggests that addiction to illicit drugs is likely to interfere with employment, often rendering some individuals to lose their jobs. In the midst of such conflicting views, further studies are needed to ascertain the conditions that trigger drug dependency in the community.40 While more information is needed in order to make an informed policy on substance dependency, there is some evidence pointing to which substances are widely abused in GCC countries. First, clinical reports suggest that solvent misuse is extensive although no formal studies have been conducted. Hafeiz41 has suggested that abuse of solvents often occurs in order to overcome the boredom of modern living. There is also increasing evidence to suggest that some of these agents cause mental disorders42 as well as neurological complications.43 The chemicals in question include glues, liquid shoe polish, deodoriser, petrol, cologne and insecticides.44,45 A special pattern of substance dependency associated with social deviancy and delinquency also involves a home-made mixture of dates and ointments as well as inhalation of intoxicating fumes derived from burning the wings of cockroaches and ants with volatile substances. Habitual inhaling of these substances is often associated with a failure to thrive.42 Secondly, inhaling smoke derived from nicotine based substances is now common in many GCC countries.46,47 Tobacco is often chewed, snuffed or smoked either in cigarettes or in sheesha. The latter (also known as hookah) is a smoking device, widely used in some communities of the Arabian Peninsula, to smoke jurak, a cooked tobacco-fruit mixture, and burnt by an electrical device or by charcoal. The produced smoke passes through the water at the base of the sheesha and then a long-tube before it is inhaled. Though most smokers consider sheesha less harmful to health than cigarette smoking,48 this has not been substantiated in regional studies.48,49 Experimental and clinical studies have found that nicotine, an active ingredient of both sheesha and cigarettes, not only triggers cardiovascular diseases, but also predisposes frequent users to various neuropsychiatric disorders.50 The question remains whether smoking triggers mental illness or people with mental illness are more likely to smoke.51 Pharmacological studies have unequivocally shown that nicotine is as addictive as other well-known psychoactive drugs such as cocaine and amphetamines.52 However, GCC countries have given a low priority to this a public health issue. Demand for nicotine has been falling in industrialised nations, 53 but a similar picture is not emerging from middle and low income countries. Cigarette companies are now targeting the developing world.53 Moreover, cigarette companies are manufacturing products of differing quality for sale in different markets. It has been shown that cigarettes of the same brand sold in developing countries have higher tar content than in the country of origin.54 Some studies have suggested that certain cigarettes are made from more potent, hence, more addictive, nicotine.53,55 As there is no known effective program to educate people about the dangers of smoking, prevention and smoking cessation appear to an unattainable goals. To compound the problem, some proponents of the "gateway phenomenon" suggest that smoking is a springboard to hard drugs such as cocaine and heroin, 56 though there is also evidence to contradict this view.57 The social problems precipitated by alcoholism have not yet been reported in the GCC countries though some reports suggest that drinking problems are proliferating.13,44,58 The World Health Organisation59 estimates that more then 5 million people are disabled because of alcohol use, making it the fourth leading cause of worldwide disability. Theobald has suggested that approximately 0% of alcohol consumers will at some time experience serious health problems related to their drinking habit.60 As many individuals are now facing the daily challenges of modern living and the pressures of modern life, alcohol abuse is thought to be one of the elusive antidotes to modern insecurity.17 Some recent findings suggest that individuals who have a high subjective level of insecurity in their lives are likely to abuse alcohol to ward of their psychosocial stress. Interestingly, people with such attributes have been seen to have refractory types of alcoholism.61 Alcohol syndromes such as delirium tremens and Korsakoff's psychosis are known to occur among people who consume it regularly.50 Persons at risk of drinking problems cannot be reliably identified in the population; therefore the pattern of drinking and its psychosocial correlates are indicated for the GCC countries. The bulk of the studies21,45,58 have focused solely on exploring the validity of research instruments on cross-cultural application of drinking attitude and behaviour. Little is known on the effect of alcohol repackaged as "cologne" available in some GCC countries.62,63 Colognes or ethyl alcohol-containing perfume and after-shave are sometimes ingested as an alcohol substitute.64 Relevant to this, it would be important to determine whether the availability of alcohol and other soft drugs deters people from going into narcotics that are more dangerous. One suggestion is that in those societies of GCC where there is a relaxed attitude towards alcohol, there are fewer propensities towards heroin and other dangerous drugs.14 It also not clear how such information would be helpful in planning intervention programs in GCC countries, as the experiences from other societies suggest a complex relationship between alcohol and substance abuse. The "gateway theory" would suggest that using alcohol leads people to use harder drugs like cocaine and heroin.65 There is also scant information on the pattern and psychosocial correlates of over-the-counter medications in the GCC countries. Though generally viewed as harmless, many of them have the potential for abuse, particular those that are considered to be amphetamine-like stimulants.66 These includes nasal decongestants, bronchodilators, appetite suppressants and energy pills and drinks. While there is no evidence to suggest that cocaine and hallucinogens are widely consumed in the GCC countries, 13 the story of opiate use is somewhat different. Historical documents suggest that opium was considered as a medicinal substance in the Middle East. It was recommended by various towering Arab figures such as Ibn Sina.1 More recently, however, its semi-synthetic counterpart, heroin, far removed from its cultural context, is becoming the drug of choice for addicts in the GCC countries. Being close to heroin producing regions of the world, GCC appears to be the trafficker's place of choice. Being capable of causing compulsive dependency within a short time, heroin has a devastating effect on the user and society in general. To those who are addicted to heroin, it appears the habit leaves them little time for meaningful life. To compound the problem, as 90% of GCC heroin addicts use it intravenously, sharing of contaminated needles causes infections of human immune deficiency virus and a high incidence of other infections.33 Similarly, the number of cases of heroin addiction is often directly related to the number of crimes.27 Despite stringent regulations to reduce the supply and demand, the habit proliferates. Judging from the quantities of drugs seized by the authorities, the last decade has witnessed a dramatic increase in the number of cases of heroin addiction, the number of addicts seeking rehabilitation, and death due to heroin overdose.PROSPECTS FOR THE FUTURE Rehabilitation for addiction is often in the hands of psychiatric or penitentiary services though some specialised centres have emerged in some GCC countries.16 Culturally sensitive interventions seem to be often relegated to fringe importance. Medical interventions are likely to grow considering the many claims about new pharmacological tools that take advantage of the chemical properties of alcohol and other drugs. However, drug treatment for substance dependency should not hold up the search for psychosocial predisposing factors, which, in turn, could be a springboard for educational strategies to reduce demand. Indeed, blind adherence to pharmacological intervention not only seems similar to drug peddling, but also may be counterproductive in the long term. A biomedical explanatory model of substance dependency may lead to stigma, and lessen the individual and societal accountability in tackling compulsive dependency. Stressing personal responsibility, on the other hand, motivates one to change, as well as help one understand the challenges ahead and evolve coping mechanisms.67 As distress and stress are experienced in a socio-cultural context, rehabilitation services should avoid committing what Kleinman has called a "category fallacy", where a view of human nature developed for one cultural group is uncritically applied to members of another group for whom its validity has not been established.68 According to Kleinman, this results in a "distortion of pathology" rather than a critical understanding of the ways in which the members of a different cultural group perceive, experience and communicates beliefs and distress. One of the essential grounds for formulating enlightened policies toward drug dependency is to consider the society's outlook towards mood altering substances. Despite the documented frequency of substance abuse in GCC countries, a review of the literature reveals no objective studies on knowledge, attitude and perception. Opinion towards substance dependency among citizens of GCC countries is likely to have a wide-ranging influence, affecting issues as diverse as personal consequences of substance dependency, prevention, care and management of people with substance abuse. Historical and cross-cultural studies have suggested that individuals with substance dependence are likely to encounter active discrimination and harassment which, in turn, exacerbates their psychosocial predicament and perpetuates their relapse into drug taking.37 Similarly, it has been suggested that social attitudes can be more devastating than the addiction itself, and the addict's family suffers as well.69 Although many victims of substance dependency could benefit from treatment, attitudes of society towards them is likely to hamper their seeking rehabilitation. As a result, many are likely to stay underground until addiction has reached an advanced stage of irreversible pathology. This not only increases pessimism of the victims and those around them but also shatters the prospect of recovery. Therefore, more research in GCC countries should be conducted in order to shed light on socio-cultural factors that precipitate individuals to succumb to substance abuse. This would open the door for contemplating strategies to achieve a reasonable level of prevention as well as to prioritise which aspects of services are pertinent to the region. Grinspoon and Bakalar have suggested that of all the mistakes repeated, the most serious is trying to free society of drugs via legislation and regulation.70 Indeed, many studies1 suggest that no punitive measure deters availability and abuse of drugs.14 It appears that financial gain is one of the strongest determining factors. Globally, though consensus from the experts in the field suggests that substance dependency is a disease, public opinion often considers it a form of moral degeneracy that can destroy social values. As a result, victims of substance dependency are sent to the prison. Many countries have pursued the idea of creating a national consensus towards zero tolerance for substance abuse and death penalty for drug traffickers. The policies fluctuate between curbing trafficking, reducing demand and decriminalisation of certain classes of drugs.71 Some countries have considered decriminalizing soft drugs and the debate continues on the rationale of dispensing heroin to heroin-addicts.72 Although more time is needed to assess the long-term outcome of these new programs, history has shown that none of the previous campaigns to curb the spread of substance misuse has worked. Instead, the situation appears to be summed up in Bob Marley's lyric, "So you think you have found the solution; But it's just another illusion". CONCLUSION The problem of drug abuse in the GCC is a multi-dimensional one without easy solutions. This paper has touched upon several of these issues. Even though for zero tolerance to substance dependency is advocated, no program has been found to be universally successful in reducing drug dependence. Historically, many societies have tried both criminalisation and decriminalisation but to no avail. Despite all the technologies to monitor and legal authority to bring the drug traffickers to justice,including the threat of death penalty, dealing with substances that cause addiction is becoming a global challenge of ever increasing magnitude. More discouraging, the problem has even affected societies where one would expect cultural factors to protect them from the attraction of drugs. The purpose of this paper, thus, is to "point a finger to the moon", the moon symbolising the complexity of substance dependency. One should not confuse the moon with the finger that points to it.
Baskground. One of the priority directions of scientific research in the field of social medicine and health care is the development and substantiation of the best models for the organization of an affordable, high-quality and efficient PHC System in Ukraine, that requires the formation of a state policy of the PHC support and its implementation with taking into account the best international and national experience, opportunities and conditions of the country. The urgency of the problem and the global need for PHC are growing in connection with the unbridled aging of the population and the spread of severe chronic progressive diseases, including those, a treatment of which is ineffective or hopeless. Purpose: to carry through a medical and social analysis of the current legal framework (CLF) of Ukrainian and some international documents regulating the PHC providing organization, that are the basis for the creation and development of affordable, high-quality and efficient PHC System to the population in Ukraine. Materials and methods. In our analysis Ukrainian and international normative and legal documents, scientific literature were used. The following research methods were applied: system-analytical, comparative content analysis, system approach, generalization and grouping. Results. The legal regulation of the provision of PHC to the population of Ukraine at the state level is carried out by the relevant Laws of Ukraine, decrees of the President of Ukraine, resolutions of the Cabinet of Ministers of Ukraine, orders of the Ministry of Health (MOH) of Ukraine and the Ministry of Social Policy of Ukraine. In particular, the Law of Ukraine "On the Basis of the Legislation of Ukraine on Health Care" dated 19.11.1992, No. 2801-XII, for the first time at the legislative level in 2011, palliative care was recognized as a form of medical care, as well as the definition of the term "palliative care" was defined. Provision of PHC to cancer patients and TB patients was foreseen in the relevant Laws of Ukraine, which are not valid today. Currently, only the "National Targeted Social Program for HIV/AIDS Response for 2014-2018" is in force, which was approved by the Law of Ukraine dated 20.10.2014 No.1708-VII, which defined certain tasks related to the organization and access to PHC to people who live with HIV, training the appropriate staff to provide such care. Unfortunately, the tasks defined by these laws were not implemented: the PHC standards to patients in the facilities of palliative and hospice medicine (PCM) of the MOH of Ukraine have not yet been approved, the system of training has not been implemented, etc. Also today, PHC in Ukraine are regulated by a number of departmental regulatory acts, in particular, by Order of the MOH of Ukraine of 21.01.2013 № 41 "On the organization of palliative care in Ukraine", but there is now a significant need to complete and improve this order, taking into account Ukrainian and international development PHC experience, the results of reforming the Health Care System in Ukraine, new WHO documents, Council of Europe, EAPC, ІАНРС. It is important that valid clinical protocols from different nosologies are complemented by sections "PHC" or "Palliative Medical Care and Care at the End of Life", which has both practical and legal significance. Of particular importance is the Order of the Ministry of Social Policy of Ukraine dated January 29, 2016, No. 58 "On Approval of the State Standard of Palliative Care", which regulates the activities of social protection institutions for the provision of PHC to patients in outpatient settings and at home, and other orders. Conclusions. 1. The content-analysis of the current Laws of Ukraine and some documents of WHO, the Council of Europe, ЕАРС, ІАНРС and other authoritative international institutes on the PHC organization allowed us to identify positive trends, in particular, the legislative approval of palliative care in Ukraine as a type of medical care, but only in relation to incurable patients with limited predictive life expectancy, and this fact goes in to a discrepancy with modern international documents. 2. The main shortcomings of the acts regulating the PHC organization delivery in Ukraine are the lack of systematic and coordinated regulatory norms, the uncertainty of the criteria of PPs with different nosologies, the lack of mechanisms for determining the status of PPs, the problems of the organization of the PHC providing for incurable sick in both in-patient and out-patient conditions and at home. 3. The aforecited statements require the urgent development and approval of the Order "About the Procedure for the Providing of Palliative Medical Care to the Population in Ukraine and the List of Medical Indications for Its Delivery" by the MOH of Ukraine, in which mechanisms and coordination of the various levels of medical care providing, standards of palliative care and maintenance of various category of PPs, criteria for the status of PPs definition, etc should be determined. 4. In order to optimize Ukrainian legislation in its part of the PHC providing organization to the population of Ukraine, there is an urgent need for the elaboration and adoption of a Law of Ukraine "About Palliative Care" by Ukrainian Parliament, in which the priorities of state policy, adequate financing of PHC from the State and Regional Budgets and extrabudgetary sources, clearly outline the system of such type of care, determine the state regulation of the provision of PHC, provide a systemicity, continuity and structuring of Ukrainian PHC, help to eliminate inter-departmental barriers on personnel policy issues, provide motivation for specialists in PHC training, PPs and their families with adequate drugs, care facilities, social, psychological and spiritual support etc. 5. An extremely urgent task that will ensure the development of an accessible, high-quality and efficient PHC System is the development and approval of the "State Social Program for the Development of Palliative and Hospice Care in Ukraine" by the Cabinet of Ministers of Ukraine and Parliament of Ukraine. This document will help to realize a right of palliative patients and their families members for appropriate quality of life and its worthful ending. ; Актуальность. Одним из приоритетных направлений научных исследований в области социальной медицины и организации здравоохранения является разработка и обоснование оптимальных моделей организации доступной, качественной и эффективной системы паллиативной и хосписной помощи (ПХП) населению в Украине, что требует формирования государственной политики поддержки ПХП и внедрение оптимальной нормативно-правовой базы (НПБ), которая учитывает лучший международный и национальный опыт, возможности и условия страны. Глобальная потребность в ПХП будет и дальше возрастать в связи с неуклонным старением населения и распространением тяжелых хронических прогрессирующих заболеваний, в т.ч. в терминальной стадии их развития, лечение которых, направленное на излечение (выздоровление пациента), является неэффективным или бесперспективным. Цель исследования: осуществление медико-социального анализа действующей НПБ Украины и некоторых международных документов, регулирующих организацию оказания ПХП, что является основой для создания и развития доступной, качественной и эффективной системы ПХП в Украине. Материалы и методы. В работе были использованы отечественные и международные нормативно-правовые документы, отечественная и зарубежная научная литература и применены следующие методы исследования: системно-аналитический, сравнительный контент-анализ, системного подхода, обобщения и группировки. Результаты. Правовое регулирование оказания ПХП населению Украины на государственном уровне осуществляется Конституцией Украины, соответствующими Законами Украины, указами Президента Украины, постановлениями Кабинета Министров Украины, приказами Министерства здравоохранения (МЗ) Украины и Министерства социальной политики Украины. В частности, в 2011 году Законом Украины «Основы законодательства Украины о здравоохранении» от 19.11.1992 года № 2801-XII впервые на законодательном уровне паллиативная помощь была определена как вид медицинской помощи, а также дано определение понятия «паллиативная помощь». Оказание ПХП онкологическим больным и больным туберкулезом было предусмотрено в соответствующих законах Украины, которые сегодня не действуют. На сегодня действует только «Общегосударственная целевая социальная программа противодействия ВИЧ-инфекции/СПИДа на 2014-2018 годы», которая была утверждена Законом Украины от 20.10.2014 № 1708-VII, в которой определены конкретные задачи по обеспечению организации и доступа к ПХП людям, живущих с ВИЧ, подготовка соответствующих кадров для оказания такой помощи. К сожалению, задачи, которые были определены этими законами не были выполнены: стандарты оказания ПХП больным в условиях учреждений паллиативной и хосписной медицины (ПХМ) МОЗ Украины до сих пор не утвердило, система подготовки кадров не внедрена и т. д. Также сегодня ПХП в Украине регулируется рядом ведомственных нормативно-правовых актов, в частности, приказом МЗ Украины от 21.01.2013 № 41 «Об организации паллиативной помощи в Украине», но сейчас существует значительная потребность дополнить и усовершенствовать этот приказ, учитывая украинский и международный опыт развития ПХП, результаты реформирования системы здравоохранения в Украине, новые документы ВОЗ, Совета Европы, ЕАРС, ІАНРС. Важно, чтобы действующие клинические протоколы по разным нозологиям были дополнены разделами «ПХП» или «Медицинская помощь и уход в конце жизни», что имеет как практическое, так и юридическое значение. Чрезвычайно важным является приказ Министерства социальной политики Украины от 29.01.2016 № 58 «Об утверждении Государственного стандарта паллиативного ухода», регламентирующий деятельность учреждений социальной защиты населения в вопросах предоставления паллиативного ухода пациентам в амбулаторных условиях и на дому, и другие приказы. Выводы. 1. Контент-анализ действующей НПБ Украины и некоторых документов ВОЗ, Совета Европы, ЕАРС, ІАНРС и других авторитетных международных организаций по вопросам организации оказания ПХП населению позволил определить положительные тенденции, в частности законодательное определение в Украине паллиативной помощи как вида медицинской помощи, которая применяется только в отношении инкурабельных больных с ограниченным прогнозом продолжительности жизни, что не соответствует современным международным документам. 2. Основными недостатками законодательных и нормативно-правовых актов, регламентирующих организацию оказания ПХП в Украине, является отсутствие системности и скоординированности регулирующих норм, неопределенность критериев паллиативных пациентов (ПП) с различными нозологиями соответствующими клиническими протоколами, отсутствие механизмов определения статуса ПП, недостаточно решены проблемы организации оказания ПХП инкурабельным больным как в стационарах заведениях ПХМ, так и в амбулаторно-поликлинических условиях и дома, что требует оптимизации нормотворческой деятельно МЗ Украины и скоординированности разрабатываемых нормативно-правовых актов, с действующими постановлениями КМУ, приказами Министерства социальной политики Украины и других органов государственной власти. 3. Указанное выше требует неотложной разработки и утверждения МЗ Украины приказа «О порядке оказания паллиативной медицинской помощи населению в Украине и Переченя медицинских показаний для ее оказания», который определит и обеспечит механизмы и скоординированность различных уровней оказания медицинской помощи, стандартов паллиативного лечения и содержания различных категорий ПП, критерии определения и порядок предоставления статуса ПП, особенности ПП детского и старческого возраста и т. п. 4. С целью оптимизации отечественного законодательства по организации оказания ПХП и паллиативного ухода в Украине есть необходимость в разработке и принятию Верховным Советом Украины отдельного Закона Украины «О паллиативной помощи», который должен определить приоритеты государственной политики, обеспечить адекватное финансирование ПХП и паллиативного ухода из Государственного и региональных бюджетов и внебюджетных источников, четко очертить систему такой помощи, главные аспекты межведомственной координации в этой области, определить порядок государственного регулирования оказания ПХП и основные требования к учреждентям ПХМ, а также обеспечить системность, преемственность и структурированность отечественного законодательства в области ПХП и паллиативного ухода, способствовать устранению межведомственных барьеров, с четким определением юридической, медицинской, социальной составляющей ПХП. 5. Очень актуальной задачей, которая обеспечит развитие доступной, качественной и эффективной системы ПХП, является разработка и утверждение Кабинетом Министров Украины и Верховным Советом Украины «Государственной целевой социальной программы развития паллиативной и хосписной помощи населению в Украине», что позволит реализовать право паллиативных больных и членов их семей на соответствующее качество жизни и достойне его завершение. ; Актуальність. Одним з пріоритетних напрямів наукових досліджень у галузі соціальної медицини і організації охорони здоров'я є розробка та обґрунтування оптимальних моделей організації доступної, якісної та ефективної системи паліативної та хоспісної допомоги (ПХД) населенню в Україні, що потребує формування державної політики підтримки ПХД та впровадження оптимальної нормативно-правової бази (НПБ), яка враховує кращий міжнародний і національний досвід, можливості та умови країни. Глобальна потреба у ПХД буде і далі зростати у зв'язку з неухильним постарінням населення і поширенням важких хронічних прогресуючих захворювань, у т.ч. у термінальній стадії їх розвитку, лікування яких, що спрямоване на вилікування (одужання пацієнта), є неефективним або безперспективним. Мета дослідження: здійснення медико-соціального аналізу чинної НПБ України і деяких міжнародних документів, які регулюють організацію надання ПХД, що є основою для створення і розвитку доступної, якісної та ефективної системи ПХД населенню в Україні. Матеріали та методи. У роботі були використані вітчизняні та міжнародні нормативно-правові документи, вітчизняна та зарубіжна наукова література та застосовані наступні методи дослідження: системно-аналітичний, порівняльний контент-аналіз, системного підходу, узагальнення та групування. Результати. Правове регулювання надання ПХД населенню України на державному рівні здійснюється Конституцією України, відповідними Законами України, указами Президента України, постановами Кабінету Міністрів України, наказами Міністерства охорони здоров'я (МОЗ) України та Міністерства соціальної політики України. Зокрема, у 2011 р. Законом України «Основи законодавства України про охорону здоров'я» від 19.11.1992 року № 2801-XII вперше на законодавчому рівні паліативну допомогу було визнано як вид медичної допомоги, а також дано визначення поняття «паліативна допомога». Надання ПХД онкологічним хворим та хворим на туберкульоз було передбачене у відповідних Законах України, які сьогодні не чинні. На сьогодні чинна лише «Загальнодержавна цільова соціальна програма протидії ВІЛ-інфекції/СНІДу на 2014-2018 роки», що була затверджена Законом України від 20.10.2014 № 1708-VII, якою визначені певні завдання щодо забезпечення організації та доступу до ПХД людям, які живуть з ВІЛ, підготовка відповідних кадрів для надання такої допомоги. На жаль, завдання, що були визначені цими законами не були виконані: стандарти надання ПХД хворим в умовах закладів паліативної і хоспісної медицини (ПХМ) МОЗ України досі не затвердило, система підготовки кадрів не впроваджена тощо. Також сьогодні ПХД в Україні регулюється низкою відомчих нормативно-правових актів, зокрема, наказом МОЗ України від 21.01.2013 № 41 «Про організацію паліативної допомоги в Україні», але зараз існує значна потреба доповнити і удосконалити цей наказ, враховуючи український і міжнародний досвід розвитку ПХД, результати реформування системи охорони здоров'я в Україні, нові документи ВООЗ, Ради Європи, ЕАРС, ІАНРС. Важливо, щоб чинні клінічні протоколи з різних нозологій були доповнені розділами «ПХД» або «Медична допомога і догляд наприкінці життя», що має як практичне, так і юридичне значення. Надзвичайно важливим є наказ Міністерства соціальної політики України від 29.01.2016 № 58 «Про затвердження Державного стандарту паліативного догляду», який регламентує діяльність закладів соціального захисту населення у питаннях надання паліативного догляду пацієнтам в амбулаторних умовах і вдома, та інші накази. Висновки. 1. Контент-аналіз чинної НПБ України та деяких документів ВООЗ, Ради Європи, ЕАРС, ІАНРС та інших авторитетних міжнародних організацій з питань організації надання ПХД населенню дозволив визначити позитивні тенденції, зокрема законодавче затвердження в Україні паліативної допомоги як виду медичної допомоги, яка застосовується тільки стосовно інкурабельних хворих з обмеженим прогнозом тривалості життя, що має невідповідність з сучасними міжнародними документами. 2. Основними недоліками законодавчих та нормативно-правових актів, що регламентують організацію надання ПХД в Україні, є відсутність системності і координованості регулюючих норм, невизначеність критеріїв паліативних пацієнтів (ПП) з різними нозологіями відповідними клінічними протоколами, відсутність механізмів визначення статусу ПП, недостатньо вирішені проблеми організації надання ПХД інкурабельним хворим як в стаціонарних закладах ПХМ, так і в амбулаторно-поліклінічних умовах та вдома, що потребує оптимізації нормотворчої діяльності МОЗ України і координованості нормативно-правових актів, що розробляються, з чинними постановами КМУ, наказами Міністерства соціальної політики України та інших органів державної влади. 3. Зазначене вище вимагає нагальної розробки та затвердження МОЗ України наказу «Про порядок надання паліативної медичної допомоги населенню в Україні та Перелік медичних показань для її надання», що визначить та забезпечить механізми та скоординованість різних рівнів надання медичної допомоги, стандартів паліативного лікування та утримання різних категорій ПП, критерії визначення та порядок надання статусу ПП, особливості ПП дитячого і старечого віку тощо. 4. З метою оптимізації вітчизняного законодавства щодо організації наданні ПХД та паліативного догляду в Україні є нагальна потреба розробки і прийняття Верховною Радою України окремого Закону України «Про паліативну допомогу», який мав би визначити пріоритети державної політики, забезпечити адекватне фінансування ПХД та паліативного догляду з Державного і регіональних бюджетів та позабюджетних джерел, чітко окреслити систему такої допомоги, головні аспекти міжвідомчої координації у цій галузі, визначити порядок державного регулювання надання ПХД й основні вимоги до закладів ПХМ, а також забезпечити системність, наступність та структурованість вітчизняного законодавства у галузі ПХД та паліативного догляду, сприяти усуненню міжвідомчих бар'єрів, із чітким визначенням юридичної, медичної, соціальної складової ПХД. 5. Надзвичайно актуальним завданням, що забезпечить розвиток доступної, якісної та ефективної системи ПХД, є розробка та затвердження Кабінетом Міністрів України та Верховною Радою України «Державної цільової соціальної програми розвитку паліативної та хоспісної допомоги населенню в Україні», що дозволить реалізувати право паліативних хворих і членів їх родин на належну якість життя і гідне його завершення.
This book has the potential to contribute to a reversing of this trend, whereby activities in not only the health sector but also in other sectors relevant to nutrition will gain increased support and prominence in national development planning. South Asia has by far the largest number of malnourished women and children, and no other region of the world has higher rates of malnutrition. Malnutrition in childhood is the biggest contributor to child mortality; a third of child deaths have malnutrition as an underlying cause. For the surviving children, malnutrition has lifelong implications because it severely reduces a child's ability to learn and to grow to his or her full potential. Malnutrition thus leads to less productive adults and weaker national economic performance. Therefore, the impact of malnutrition on a society's productivity and well being and a nation's long-term development is hard to underestimate. For the South Asia region of the World Bank, malnutrition is a key development priority, and in the coming years, the Bank intends to enhance dramatically its response to this challenge. As a first step, a series of country assessments such as this one are being carried out. These assessments will be used to reinforce the dialogue with governments and other development partners to scale up an evidence-based response against malnutrition. To succeed, we will need to address the problem comprehensively, which will require engaging several sectors. This assessment of malnutrition in Afghanistan lays out the scale, scope, and causes of the problem. The assessment also indicates key elements of a potential response.
With this first Zambia economic brief, the World Bank is launching a series of short economic updates that will be produced twice a year. Each brief will include two sections: the Bank's assessment of recent economic developments and outlook in the short to medium term; and its analysis on a specific development topic or theme. The authors expect these briefs to support evidence-based policy debate in the country, strengthen public demand for good policies and outcomes, and inform government policies and programs. In this brief, first section reports on Zambia's continued robust growth, fiscal outcomes, and capital inflows at the end of 2012 against the backdrop of performance of other Sub- Saharan and global economies. It stresses the need for the government to spend borrowed and own resources more prudently. While acknowledging continuing strong prospects for growth, the analysis highlights considerable downside risks emanating from global uncertainties. Second section covers basic human opportunities for children in Zambia. The opportunities approach is premised on the notion that predetermined circumstances such as gender, ethnicity, place of birth, and family origins should not determine people's economic, social, and political success. A person should not have fewer opportunities in life just because she is a girl or born in a rural area. This is the core principle behind the concept of equality of opportunity and it is also the framework adopted in this report for Zambia. The analysis shows the extent to which basic opportunities for education, health, and infrastructure services in Zambia are influenced by circumstances in which children find themselves.
This review of public expenditures on Social Protection (SP) in Nicaragua is based on the analytical framework of Social Risk Management (SRM) developed by the World Bank. The concept of managing social risk comes from the notion that certain groups in society are vulnerable to unexpected shocks which threaten their livelihood and/or survival. Social protection focuses on the poor since they are more vulnerable to the risks and normally do not have the instruments to handle these risks. This prevents the poor from taking more risky activities that usually yield higher returns and that could help them overcome gradually their poverty situation. Social risk management involves policies and programs aimed at reducing key risks, breaking inter-generational cycle of poverty and vulnerability. Risk management consists in the choice of appropriate risk prevention, mitigation and coping strategies to minimize the adverse impact of social risks. Social protection under SRM is defined as public interventions to assist individuals, households and communities to better manage risk and provide support to the critically poor. Thus Social protection should provide: a safety net, particularly for the poor that are likely to fall in the cracks of established programs; and a springboard for the poor to bounce out of poverty.
The plan nacer program was designed by the Argentine ministry of health to provide health coverage to uninsured women during their pregnancies and for an additional 45 days after giving birth, as well as to children under the age of six. In doing so, it focuses on the most vulnerable populations, addressing a basic inequity in health care. In addition, the program includes three main distinctive features: an explicit menu of health benefits, disbursements linked to achieving agreed-upon targets of enrollment and health results, and audits conducted by an independent external firm to corroborate service delivery and quality. The plan is an innovative way to strengthen health systems. Rather than simply funding more facilities and inputs or adjusting existing insurance mechanisms neither of which have been successful in dealing with the health problems of the poor, the Argentine ministry of health realized that improvements to quality and coverage of health services for the uninsured would require drastic operational changes. To do so, it decided to introduce performance incentives at all levels and to focus on results.
Issue 20.2 of the Review for Religious, 1961. ; JOHN B. WAIN, M.D. Psychological Problems in Religious Life In the religious press it is becoming more common to find articles on the psychological problems of the dedi-cated life, but itis unusual to read any contributions from doctors. As one who has been privileged to associate closely with religious and to care for them over many years, this writer feels that his observations may be of some use to the great army of admirable, holy, an_.d well balanced priests, brothers, and sisters when they have to help the small but important group of priests and religious who suffer from nervous disorders. The layman gains the im-pression that psychological difficulties are some of the greatest problems which religious have to face; indeed, unspoken misgivings about this matter may be partly re-sponsible for the shortage of vocations. This may operate in two ways. Parents are willing to let their children face martyrdom at the hands of the pagans, but they have their reservations about the unnecessary crosses to be taken up daily in the community or in the rectory, Children who have suffered injustice from a neurotic teacher will eschew the risk of joining that order or congregat.ion when they grow up. The price of retaining one such maladjusted person in the community without giving him the proper care and attention might be the loss of twenty vocations from among successive classes of pupils and the estrange-ment of an equal number of tentative converts. As a starting point for discussion on the matter, two broad generalisations will be offered. First, there is too much neurosis among religious. Second, much of it is avoidable or preventible. These are merely clinical im-pressions. It is impossible to assess accurately the incidence of nervous disease in any group or nationality; neverthe-less, confirmation of the above two ideas can be easily found in conversations with Catholic doctors and'religious nurses. All such persons agree about the existence of neu-÷ ÷ John B. Wain, M.D., is a ph},sician with man.}, years of experience m treating men and women religious. VOLUME 20~ 1961 8! 4. 4. 4. John B. Wain, M.D. REVIEW FOR RELIGIOUS 82 rosis among religious men and women. One doctor who visits a man's religious institution of thirty members states that in the weekly sick parade there, there are always at least ten with inconsequential complaints. It is a fair observation to say that every community, however small, has at least one neurotic problem to deal with. This situation is most unsatisfactory. The energies of the supe-rior are dissipated in managing the misfit, and the unity of the community is endangered. The saddest task for the doctor is to institute .psychiatric treatment for one who has suffered a nervous breakdown in Christ's service. Sometimes these patients are nursed along for years for fear that their state may reflect badly on the order's way of life. This may be so, but it is a disastrous policy to delay seeking psychiatric help in the hope that the dis-order will remit spontaneously. Sister M. William Kelley1 in a unique article has given the incidence of hospitalized mental illness among re-ligious sisters in the United States. Her paper was notable for its courage in facing up to the problem and for the fact that the main religious mental hospitals refused to cooperate with her in the investigation. This unwilling-ness to submit the problem to discussion is not uncommon, even though such discussion would be productive of great good. The truth cannot harm us. Sister William found that, when compared with women in secular life, religious suffered from a higher incidence of psychotic (particularly schizophrenic) and psychoneurotic disorders, even though because of prior selection they have less mental deficiency, and chronic brain syndromes. She concluded that pre-psychotic personalities may be attracted to the religious life on the basis of what they think it will do for their un-satisfied desires and that the increase of mental disorder among active religious may be due to factors of stress such as overcrowded classes and understaffed hospitals. Two suggestions are made by the present writer for the prophylaxis of this state of affairs. More~importance should be given to p~ychological matters in the selection of seminarians, postulants, and novices; and there could be a systematic reduction in factors causing nervous stress in the lives of professed religious. A common impression is that many of these psychiatric patients enter religion without adequate psychological assessment, Often the family history of mental disease is ignored, or the personal history of previous nervous br2akdown is not taken seri-ously enough. These should be serious contraindications to acceptance, although it must be admitted that Blot ¯ Sister M. William Kelley, I.H,M., "The Incidence of Hospitalized, Mental Illness among Religious Sisters in. the United States," The American Journal of Psychiatry, 115 (i958-1959), 72-75. and Galimard2 give the impression that such unsuitable candidates may sgm_etimes-be,considered for religioys life. - . - It should n~t l~e too difficult to introduce some f~)rm of " psychological testing for all applicants to seminaries.and to religious life. The Califoi'nia ~'~gt of "Mental' ~V~ity;_ the DifferentialApti.tude Test, or the He.nmqn-Nelson test. could be used to gauge general intelligence, while.,~ per~" son~ality profile of the applican.ts.c, ou_ld be achieved by,:~he use of the Edwards PersOnal. Prgference Schedule,~ the Guilford-Zimmerman Temp.eram~enL Survey, _or t,he Mid-_ nesota.Per.sonality Scale. These tests can be .proctored by" persons.with no special tra_i~nin~g alth,0ugh the~,i~erpreta; tion of them should be en~.tr, u~ted to.some0ne with training in, psychology. When" these tests mncover a, Oos's'ib~, sig-nificant_ area Qf defect in the appl!cant, he can be refer.red, to a competent psycho~logis~.fo.r further examination be-fore he is accepted by the seminary or rellgaous lnsutute. Masters and mistre.sse, s of novices should have some specialized tr~fining in psychologiEal work so that they. can recognize early the sy.mptoms, of maladjustment and dismiss such subjects from the community b~'fore they disturb its peace and b'~lance. O~n~ common type. w~ may be mistakenly admitted-is ~the girl ~ho stays on at the convent boardin~school until.the age of nineteen or twenty, unable to make up her-mihd ab6ut°the. future.i This is a serious form of. immaturity,.wh~ose progn6sis, in religign, is poor. The admission~ of youths and girls the age of" sixteen also involves the°risk bf, ac~eptii~g vo-cations which, are_ based.on~,immature co~ncep, ts, while late entrants tend to.be too.,, independent to acce.pt.religi~ous,. obedience. -. ,~,o , - - Much could be done.to reduce the psych,olo.gical stresses which are not an integral par, t. of religious life, the .m. o~,t potent weapon being the fosterin~ of a warm pa#~nta,.1 love between superiors and subjects. Accepting poverty,'chas-~ tity, obedience, and the in'es~apable difficulties d~ common~ life involves sufficient.sacrifice without creating ar'fificial' burdens. In. Oiscu~.s!ng~ .~eligi0tis vows, even-in a st~irit of humility, the doctor ,strays outside his specialty; ~bu~ the mtenuon here ~slto point out thexr medxcal repercus: sion~ in mentally disturbed p~ople. Pov~r~y,, ig iiaainly spirit/aM "concept of defachm~nt° from ear~h'l~ ~hxuri~ but not- the denial of the basic necessftids of-life. Religious. should lead a life-of.lfrugal' omfort,~not one 6f.pehur, y, hunger, and.,privati~;n i~aless~h~ seek these as%specifiC, penances.St. Therese of Lisieuxost.ated that h~r mare cross in the convent was bearing the cold, an indictment of.'tl~e insufficient heating. She died Of t(~berculosis at the ~geof. twent~-foui', when the hot, salt blood welled u'p i~i'to i;i"e~ ~ Ren~ Blot. M.D. and Pierre G~limard, M.D., Medicid Guide to Vocations (Westminister: Newman, 1955). 4. Psychological Problems " VOLUME 20, 196~. John B. Wain, M.D. REVIEW FOR RELIGIOUS 84 mouth~"she was happy to think how soon she would be in heaven. For her it was a saintly death; for her superior it was a comment" on the neglect of the community's health. St. Berhadette also suffered hardships in the convent and died of the same disease at thirty-five. Even now tuber-culosis is a risk for all young people in religion. Is it pos-sible that the vow of poverty has been misapplied? Chastity is the glory of the religious life and nothing can be done to make its acceptance any easier, but efforts should be made to eliminate false standards of purity which degenerate into prudery and unreasonable con-cepts of modesty. Gynecological complaints are often suffered'.for years before medical advice is sought, and maligfl~ant tumors are not reported until they are in-operable. The fact that some religious are not permitted to attend the reception of the sacrament of matrimony is a relic of Jansenism which may give offence to lay people and connotes false apprehensions about the nature of religious chastity. The kingdom of heaven suffers violence and only the violent can bear it away. Those who do violence to their own natures by taking religious vows must expect some repercussions, but these lose some of their force if they are discussed with frankness, tact, and objectivity. The deprivation of the consolations of married love and of childbearing mugt affect sisters particularly; as a result of this inner conflict between natural instincts and the ideals of the religious life, some may unwittingly suffer a suc-cession of functional, as distinct from organic, illnesses. Atypical ~ase will find that she is becoming irritable and depressed; she finds her daily work an intolerable bur- ° den and her sisters' foibles which she previously ignored b~cbme opl~ressive to her. She loses her appetite, becomes thin, sleeps badly, and has palpitations and chest pains suggestive of heart disease. She may have to accept stronger temptations against purity. This is reminiscent of the yceriasriss o wf mhiacrhri emd alinfey, ams ahrarsi abgeeens peoxipn~etr_ie~ndc~ eo uatf tbeyr Labecoluetr ctqe.n8 At this stage in life the first long struggle is over, the couple have rea~he~l financial stability, and' the difficult years of having several babies in tie house have passed. Both partners see the first ~vidences of age, and, realizing that degenerative diseases will start"~within another decade, some will desperately seek the excitement of youth. They must face temptations to ihfidelity, pride, and avarice. In religion some experience a similar crisis. After ten years they reach a stage of achievement and the gecurity that comes from seniority, but they find that youth has im- 8Jacques Leclercq, Marriage a Great Sacrament (Fresno: ~,cademy Library Guild, 1953). perceptibly~ slipped ~away and' they ask themselves if their vocation is really the right way of life. If they can hold on bravely with the assistance of prayer and the syinph-thetic undergtanding of an enlightened superior, they will pass through the storm ~nto the calm and contentment of a well integrated religious life. The menopause brings the game stresses as it does for lay women, and sisters should be advised to expect~ hot flushes, headaches, irritability, and depressions. Many of 'these symptoms can be helped by treatment. Younger sisters can be reassur.ed about the problems of dysmenor-rhoea, and premenstrual, tension. It is probably not uncommon for religious and lay people to experiencd sexual feelings at the quiet_ times of recollecuon anffat commumon. Thxs was referred to'w~th characteristic delica.cy., by St. Te,resa. of Avila when asked for advice on the matter' by hdr brother Rodrigo who was making his first steps~'in the mystical lif$. She implied that she also. had experienced t6~sefe~lings but that th~y disappeared when they were ignqred. "In God's design the happiness of the married life must be a pale shadow of the ecstas~ of the mystical Union~oand similar physiologi~M reactions accompany each. If these factg are uriderstood, there will be less distress for gqddlbeople who liave th~se otherwise d.is.turbing e~pe~iences. Obedience presents so many problems that the only unfailing guides are the'vi'rt~es of prudence and ~ha~ity. It is a necessary vow l~c~use only an austere':discipllne can lead to the full development of the strong personality which will accept sacrifices and will persevere in the re-ligiou~ vocatidn. It is falsely applied, however, if it de: stroys a sense of personal responsibility and initiative and if the command seems'to be an insult to the human dignity Of the subj~.kt. The essence of obedience is the surrender of the will; it is impgssible to surrender the intellect. It is unfortunate that an ekample of Obedience commonly quoted is that of St. Francis of Assisi who planted cabbages upside down. The saint is to be admired but not necessarily emulated. A young novice saw his master of novices scattering his carefully swept rubbish about the yard. When taked with untidiness, his acciden-tally acquired knowledge enabled him to accept the rebuke with apparent humility. If he had protested, his future in religion might have been prejudiced. It should be pos-sible to test virtue without having recourse to methods involving injustice, untruth; or deviations from the rule of charity. The end result of imposing an unre'asonable obedience is the fostering of immaturity in subjects and the formation of a type of religious who is almost inca-pable of making simple decision's or arranging anything outside the narrow cgmpass of his daily life. This is what 4, PPsryocbhloel~ongsical VOLUME 20, 1961 85 ÷ ÷ ÷ John B. Wain, M.D. REVIEW FOR REI.IGIOU$ 86 irreverent clerics refei: to as "holy helplessness." The re-ligious life should ensourage the flowering of the com-plete personality in imitation of Christ and our Lady; it s ould produce'cultured.men and women, full of grace, strength, and inner peace. In this connection it is often stated that in religion men find their personalities while women lose theirs. Why should there be this difference? Many avoidable burdens arise from an undue rigidity of ttfe rule. A certain flexibility is desirable to adapt European customs to hfe ~n~ other geographical areas and-to make allowance for the changes of circumstances that" characterize the twentieth century. A sister I kno~ was unable to read the Confessions of St. Augustine be-cause the rule forbade taking books'from the public li-brary. This typ.e of r~striction exposes religious life t6 ridi-cule. Neither would the dignity of sisters suffer if they were to eat in public and to travel alone. There are certain physiological norms which the average "i~erson must bbey; accordingly, it should be the rule for mgst religious to have a minimum of seven hours sleep and not to work for more than twelve hours a d.ay ~(including in this the time necessary for the proper fulfilment of the prescribed religious and spiritual exer'cises of each da~). ~When recreation is tak.en, some relaxation of the artifi- 'ciality which has obtained in the past would do much good and would not harm the spirit of the 6rder or congrega-tion. Particular friendships ha,~e tr~ditionaliy been pro-scribed, bht this should not exclude those i~atural affinities which are felt by compatible personalities. These if fos-tered are a great consolation" to the parties and would not destroy the unity of the group, nor would they develop into a sinister relationship. Our Lord Himself encouraged a close friendship with St. John. , With the exception of enclosed 9rd~ers, ~ome reasonable access of parents to children "c'ould.~ well be encouraged, especially in times of illness oOr death. A regulation whereby a religious may not go to his~own parent's fun.eral, but may go to anyone else's, could well be rescinded. A1- "though the habit is only a small a~pect of cbnventual life, -somre lessons can;be drawn fro~a.]t. While possessing a certain antique charm, it is indicht~ive. ,of an orientation towards the past; and to those outside thd Ch~:~rch it sug-gests that the wearers do n_ot face up to and take part in modern life. The other n0t_able f~& is tha( the request of Pope Plus XII for modernisation of the habit fell to a grea{ extent upon deaf ears. Apart from some minor ad-justments which are obvious only to the initiate, the dress is unchanged. This is largely because of the innate con; servatism of women and the fakul.{y of fiabituat]o~n;o eact one thinks that members o,f every o.ther community a.nd the Salvation Army~look absurd. The times call for re-jection of the whole concept of what a religious habit should be and the deyelopment of a new dress. Just as clerics have rightly abandoned tonsure, so the cutting of the hair of religious~r~men could be restricted to a token or symbolical gesture, find the headdress discarded. Some nursing sisters with covered' ears are almost unable, to take blood pressure r.eadings Or t'6" i]]te~ to the fetal "l~eart. "Dur-ing the recent war priests in the armed services did not suffer loss of dignity fr6m adopting officer's dress; on the other hand, the pri,est workers"went too far in their adap-tation. In the stress of mc~dern living regular alternation of activity and rest is necessary; therefore annual holidays should be provided for. Only very wooden personalities can go bn for years withoiat variation in their routine of life. Much of the stress of the religious life results from at-tenipting to do too much, working too long, and being sent out on active duties with insufficient training. The Sister Formation Conferences"aim to correct this latter undesir-able trend. Al-though it may cause a temporary shortage of persorinE1, it mustpay dividends in the long run. The laborers have been too few since Christ first uttered th~se words, butrushing r~ligious through their training will not solve the eternal problem. The Church has tradi- (ionally been a bad employer, and the worst sufferers have been religious themselves. Their services are so valuable that they should have better welfare services than other employers progide. In this corine'ction it is both amusing and instructive to recall St. Teresa's chiding 6ur Lord for her misfortunes: "Is it any Wonder, Lord, that You have so few friends when people see h6w badly you treat ~tour chosen ones!" The beneficent influence of good art, even on unsophis-ticated rrlinds, is rarely ~u~ilized; it is common to see a poor standard of iriterior decoration, and pictorial art in convents and rectories, even though church architecture has advanced to a gratifying degree. A reasonable access to secular literfiture would not be harmful if it broadens the experience of religious and gives them some wider a~- preciation of the problems their pupils must face when they leave school. Those assigned to menial tasks should have some e'asily attainable goals arranged for them so that their spirits will not be crushed by monotony and by the lack of any evidence of achievement. ~uperiors have :the additional, worry of finance, ad-ministratiofi, and personnel management, for which they have Usually received no training. With only native common serise as a guide, they must learn with a trial and error method. One way to lift this secular burden would be to provide experienced lay advisers so" that the superior, could concentrate on his apostolate; this would, o~ course, involve som~ surrender of autonomy. A common error is to attribute fieurotic behavior to ÷ ÷ ÷ Psychological Problems VOLUME 20, 1961 '4. '4. ,4. John B. Wain, M.D. REVIEW FOR RELIGIOUS 88 a poor spiritual life~ and by that same token to expect that a more intense spiritual life'wilL cure a neurosis. A teaching brother was seen to change from a happy, agree-able person to one who was morose, withdrawn, and sus-picious. He went 'to the sacraments only infrequently and was given to outbursts of anger with his pupils. He was advised oto pray more, but this was expecting a miracle from grace. His main need was for .psychiatric treatment, which disclosed that his father had died in circumstances which he had always suspected were suicidal. He found himself having strange compulsive feelings when he looked out 'of high windows, and then he became scrupulous about matters of purity which he would normally have ignored. In the dark night of his soul, he felt abandoned by God and his community. With proper psychotherapy he recovered. Is this problem worth making a fuss about? Some would say that the status quo should be preserved; that the trials of religious life are the crosses which God in-tends for these souls; that He chooses the weak and foolish things of this world to confound the wise; that, according to Thurston,4 many of the saints and stigmatics were neurotics; that the command of the superior is God's will for the subject; and that in his handling of the prob-lems of his community the superior is given the grace of st.ate.All these arguments imply that infallibility is a widely diffused gift instead of a very limited one. In ac-cepting everything as God's will, people rarely draw,the distinction between His direct will and His permissive will, and therefore they do not admit that there can be mistakes or blunders in religious decisions. Is it impertinent for the layman to speak when he has no firsthand knowledge of religious life? In the spiritual health of the Mystical Body the layman is vitally con-cerned; moreover he is looking ahead to the welfare of his own children if and when they perceive a calling to enter religion. An investigation into the religious psy chological environment on a diocesan basis would produce fruitful results, but it would have to be undertaken a~ a cathartic exercise. The best religious, whose opinions, would be of the greatest value, are the very ones who l would count it a virtue to remain silent and unco.mplain-~ ing. How to integrate democratic processes into an author-I itarian governing structure is a difficult problem. C0nsid-I eration of all these factors influencing mental stabilityI renews our admiration for the great numbers of altruistici men and women who gaily sacrifice so many of the goodl things of life to make the total gift of themselves to God.I ~Herbert Thurston, s.J., The Physical Phenomena o! Mysticism (Chicago: Regnery, 1952). HENRY WILLMERING, SiJ. Charles Felix Van Q ickenborne "Father Charles van Quickenborne," writes Father Peter de Smet, "was the first Jesuit priest who appeared in the valley of the Misissippi after the reestablishment of the Society of Jesus. He was a.man full of zeal.for the salva-tion of souls. The conversion of the Indians w~as, impar-ticular; 'the object of his predilection and of his prayers. Long will his name be held in benediction, and his mem-ory celebrated in the places which h;id the happiness of receiving the fruits of his numerous labors,, and of his truly apostolic virtues." This commendation is from the pen of one of the seven novices who accompanied Father van Quickenborne to Missouri in 1823 to establish the nucleus of the Society of Jesus in the Middle West. Two years before, Peterde Smet and six Companions left their' native Belgium secretly to becomemissionaries to the Indians in North America. For this purpose they entered the Society in October, 1821, at Whitemarsh, Maryland, where shortly before Father van Quickenborne had been appointed master of novices. Unforeseen circumstances brought the group to the Indian country before their period of.probation was completed. The Right Reverend Louis Dubourg, bishop of' New Orleans and Upper Louisiana, had many'Indian tribes residing in his vast diocese, and he was anxiously seeking for missionaries to convert them. The success of the Jesuits in this work before the suppression of the Society prompted him to appeal to the Father General of the Society for ;help. He made a like appeal to the Superior of the Maryland mission and offered as an inducement the gift of a large, productive farm not far from the growing city of St. Louis. With the scanty number of available priests at their disposal, it seemed impossible to promise the bishop any help in the near future. Then Divine Providence intervened. In 1823 the finan, cial difficulties of every house" in the Maryland mission ÷ ÷ The Reverend Henry Willmering, Associate Editor of the REVIEW is stationed at St. Mary'S College, St. Marys~ Kansas. ~ VOLUME 20, 1961 89 REVIEWFORRELIGIOUS became so acute that the superior and his consultors seriously considered clo~ing the Whitemarsh novitiate and dismissing the novices. When told of this decision, Father van Quickenborne reminded the superior of Bishop Du-bourg's offer and of the readiness of himself and his novices to go to the Indian territory and work for the conversion of the natives. Accordingly, a concordat was entered into between the Bishop of New Orleans and Father Charles Neale, Supe_rior of the Maryland Province, to establish a novitiate of the Society at Florissant, Missouri, on condi-tion that, after the no,~i~es finished their spiritual and theological training, they would devote themselves to the apostolate of the Indians. The exodus from Whitemarsh was in the spring of 1823. The party consisted of two priests, seven novices, three lay-brothers, and three families of negro slaves. Two wagons carried the baggage across, the mountains to Wheeling on the. Ohio River. The young mi_ssionaries made the journey on foot across the Alleghenies. In Wheel- Ang they procured two flat boats; on one of them they placed the negroes and baggage, while the other served them as their 'floating.monastery.' They-drifted down the river day and night, stopping only to procure provisions. Religious exercises were. continued during the voyage as circumstances allowed. At Louisville, Kentucky, they landed their baggage, and a local pilot directed their craft over the falls of the river. At the foot of the falls they re-embarked and continued their river trip as far as, Shawnee-town, Illinois, Thence the missionaries made the last 150 miles through swamp land on foot, while a river,s_teamer carried ~their baggage, upstream to St. Louis, where they arrived on the last day of May. The entire trip lasted ,fifty days. " o The-homestead, which they were to inhabit on the, out- ,skirts of the village of Florissant, was a wretched log cabin, with a single room, measuring sixteen by eighteen feet, arid surmounted by a gable roof, so low that one could' not stand erect in,the attic beneath it. At a short distance from the house were ~two sheds, one had served as a pig pen/the other as a tool shed. The newcomers ~ere a bit disap-pointed, to find such primitive quarters, and the hardships encountered during the first few months"proved to,, be too great.for one novice andoaqay-brother~ who left during the summer of 1823. The others adapted themselves to the situation in a truly religious and missionary spirit.,The six noyices and two lay-brothers slept on the floor of the attic, while the single, room below was divided by a cur-tain, ,one side .being reserved as. the domestic chapel, the other as the living room for the priests. The.first shed was by turns study hall, classroom and r~fectory; the second served as kitchen and domicile for the negroes. ,, Much greater~ would .have been~the discomfort of.the Jesuit ,~communit'y had not Divine Providence assisted them through the generosity of~,Blessed Philippine Du-chesne and:her community. °The Religious of the Sacred ,Heart had moved to'Flonssant tliree years earher?~where they condudted a small boarding schbol.Often they de; prived themselves of what little they had to send it to:their neighbors. Furnithre, bedding, cooking utensils~.and~pro-visions were generously offered to the' Fathers and novices during the~,first~evere wifiter. ' "~ To relieve the acfite housing problem, the Jesuits ~be-gan work.immediately by collectin~building'ma_terials. Stone wag procured from a nearby quai-ry, timber,was cut and shaped, and when Ml,was ready a.,second.story, and spacious annex were added to the house. Ttiese hard~,and continuous .activities h~ever interrupted the ~spirituab ex-ercisEs. of the novitiate; but the.cold weather.and frequent snow storms put. a stop~to,~the labor till spring. Tl~e new additions were completed in June, and~ after thednterior ~had been remodelled, life became more bearable. . . -'Th( leader and guiding spirit of~this enterprise was a man,thirty-five years of age. Charles Felix_van Quicken-borne was,born in the village of Peteghem,'twelve miles w~st'of Ghent, on January 21;, 1788. His first studieswere made in Deynze; "then he attended the academy in Ghent, and finally entered the diocesan seminary in thatl city. From the first h.i~ talents and application~merited high praise. He was ordainedto the priesthood in 1812, and was appointed to teach the classics in the preparatory semi-nary of Roeselare: When, shortly after, Napoleon,,closed allthe seminaries in:F.tafiders and drhfted the stu'dents of military age, Father .Charles Was appointed vicar of the large ~Zalloon parish',of St. Denijs near Coutrais. Being guided by the wise counsels of the sain~tly dean, Frans Corselis, whose virtues he often-ext011ed, to'his novices,in later.years, Father Charles, administered the parish .@ith great success, and,the peopl~e were sorry to, see him resign his charge in.order-to enter the newly opened. Jesuit novitiate at Rumbeke. He arrived there on April 14, 1815. A hostile Dutch govei'nment drove the novice~from "this quiet retreat shortly after, but they were" given shelter by'the highly esteemed Bishop of Ghent, Maurice de Broglie, who placed his episcopal.residence at DistOlber-gen, on the outskitts of Ghent, at their disposal; and there Father Charles finished his two years 6f probation.:~He pronounced his first .vows as a Jesuit in April, A817 . ' Having read the account of .the Reductions of Paraguay, the'young Jesuit~ was eager to go to North America and de-vote his life to the conversion of- the Indians/Even as a novice he begged Father General, Thaddaeus';Brz0zoW-ski, for this~mission. Instead he was assigned~to teach othe Henry W il imering, $.~. REVIEW FOR RELIGIOUS 92 classics in th~ academy~of Roesalare, which appointment he received with resignation to the divine will. Then, un-expectedly, he was given permission to go to America. He. lost no time in making his preparations, and during the last week of October, 1817, he set sail for the United States and arrived, in. Baltimore towards the end of December. His first year in America was spent learning English at Georgetown College. Then came the appointment as master of novices. We can imagine with what trepidation he assumed this responsible office, he who but two years before had completed his own novitiate. He realized.fully his inexperience and knew that he was better fitted to do missionary work. But once again he resigned himself to God's will and trusted that help from above would not be wanting to him. In November, 1819, the novices were moved from Georgetown to Whitemarsh, Maryland. There, in addition to being novice master, Father Charles was the superior of the community, manager of a large plantation and of the negroes who worked it, missionary to the surrounding communities, carpenter, mason and builder. He erected a handsome stone church on the no-vitiate grounds and built a brick church at Annap01is, At the latter place, he said Mass every fortnight. He was known to visit regularly the sick and poor of the vicinity and devoted considerable time to the instruction of the negroes. For a while he attended to these multiple duties alone, but later he received a faithful helper in the person of Father~ Peter Timmermans, also a Belgian, and a most amiable and humble priest. He came to America with Father Charles Nerinckx in 1817, and entered the Society of, J~sus that same year. Father Peter took charge of the novices whenever Father Charles went on. one of his many missionary expeditions. In 1821, Father Nerinckx re-turned after a second trip to Eurbpe with another group of Belgian students, seven of whom entered the Society at Whitemarsh, and were the group who migrated to Floris-sant, where they pronounced their first vows on October 10, 1823. On finishihg the novitiate, they immediately began the study of.philosophy. One of their number, Peter Ver-haegen, had nearly completed all his seminary studies at Mechlin before coming to America. Accordingly he was appointed to assist Father van Quickenborne as instructor. Due to a lack of textbooks, the course in philosophy was rather superficial and was brought to a close with a public disputation in August, 1824. Two months earlier, on Mgy 31, Father Peter Timmer-marts died. This left Father Charles as the only priest at the Florissant mission. The multiple duties he had taken upon himself at Whitemarsh were again thrust upon him. Here, ~too, he was superior of the.community, chaplain and confessor for the,Religious of the Sacred0Heart, pastor of foti~ parishes, those of Florissant, St. Charles, Dardenne and Portage des Sioux, instructor of philosophy, manager of a large farm, and buildSr:"N0 wonder that~ h~ was prostrated by repeated spells of sickness. 'Yet he never spared himself, and when duty called, he went out, no matter how bad he felt. Many urgent calls for help were sent to Rome and Maryland; yet it was only after a year and five months, when the superior was near death,~ that help came in the .person of Father Theodore de Theux. In October, 1824, the scholastics began the study, of theology. The superior .had no choice but to appoint~ Peter Verhaegen instructor of dogma, and John Elet in-, structor of Sacred Scripture, while he reserved for himself, the courses in moral and pastoral theology. Needless to say, this arrangement was very :unsatisfactory to all con-cerned. After the arrival of Father de ~heux, matters im-proved a little since he took over the courses.in dogma and scripture. The first to be ordained, early-in 1826, were John Baptist Smedts and Peter Verhaegen. The following year the superior of Maryland visited the mission, where he held a comprehensive examination of all the candidates in theology, after which the remaining four were ordained just before the Christmas: holid_ays, in 1827, by Bishop Joseph Rosati, in the church at Florissant. The last period of a Jesuit's training, the third year of probation, wa_s made by all during the first half of 1828. On the eighth.of January they began the thirty day retreat under the direction of Father van Quickenborne who, in the peculiar circumstances, was~both tertian and tertian master. The retreat closed on February 7, and a few days later each tertian was assigned to give ,a retreat, a mis-sion, or take charge of a parish for one month. On their return .to Florissant, Father, Charles explained the Con-stitutions of.the Society, commented on the decrees of gen-eral congregations, and pointed out the approved methods of giving the Spiritual Exercises. One of the tertians praised very highly the quality and practical nature of these instructions. The tertianship ended on July.31, feast of St. Ignatius Loyola. Meanwhile, their purpose in coming to the West was by no means forgotten. True, the promise to send mission-armies to the Indian country within two years could not be kept, due partially at least to the untimely death of Father Timmermans, and more particularly to the fact that no additional priests came from Europe or Ma.ryland. A be-ginning, however, was made-when in 1824 Father Charles opened a school for Indian boys and Mother Duchesne started one for Indian girls. These two schools continued for a period of nearly seven years, and the progress made Fan O.uidumborne VOLUME 20, 1'961 ÷ ÷ ÷ Henry Wilimering, SJ. R~:VIEW FOR RELIGIOUS by the pupils~in Jearning :and piety merited favorable comments from visitors and also from :the Indiafi agents. But when' the pupils ,returned.to their tr.ibes; the.y wer~e deprived of all 'spiritual help and were' exposed to the superstitions and immorality' of (heir, people, and thus~ much of the ti'ainingo received at school was lost, To forestall this~'danger, Father Charles formulated a~ plan, patterned on the famous Reductions'of. Paraguay, of establishing Catholic Indian villages. Congress would be asked to appropriate a sum that would buy six thousand acres of land on the. outskirts of an Indian' settlement. Boys who graduated from 'the Jesuit school should' marry girls trained by the nuns. These couples would be given house and farm in the proposed village. The Indian agent should furnish the agricultural implements. One or two missionaries would live in the viIlage,' and care for the spiritual needs but al'so supervise the work done. The plan was approved by the president, but not by' Congress; so it was never realized b~ Father van Quickenborne. . .The failure of the Indian schools discouraged a number of the community, but not Father van Quickenborne, nor Father de Smet, Father Charles made two exploratory visits to the Indian country, the first in 1827; the second in the following year. On these journeys he addressed a num-ber of Osage and Iowa chiefs, baptized many infants, and made inquiries about starting missions among their peo-ple. When he ~found them favorable to his plans, he promised to send them. priests in the near future. He was eager to undertake the establishment of the~first mission himself, but another event intervehed whith thr'eatehed to delay the ope_ning of a.permanent Indihn mission for several years to come. -'o. Bishop Dubourg had opened a college in St. Louis 'in 1818, which had: a~ver~ precarious existence. No sooner had the Jesuits arrived in Missouri than an offer was made to'them to staff"the college; yet, until the six schoiastics were 6rdairied, this.was out of the question: In 1826 this college held its last session. At this point Bishop gosati; who had befriended the community gt Fl'orissant' from the start, again" urged that a new college be built and managed by the Jesuits, for which purpose' he offered ~a suitable plot of ~round just outside the city;' which had been donated to the bishop by Jeremiah Connors. As soon" as Father van Quiekenborne obtained permission from Rome,~ he started :building; and even before the structure was completed,' classes opened .on' November '2, 1829~ Father Verhae~e'n was appointed the first president, who with ~two other Fathers and afew externs (aughtten~ boarders .and thirty day scholars; but~within a few weeks' gime, the boarders increased "to thirty a~id the day scholars to 6ne hundred and twenty; During th6 first two years, the courses offered were those of a grammar school: In 1830,~.a course in Latin was added, and in 1832,.one in Greek. Father van Quickenborne _taught the Latin clas.s, Father de Theux, the Greek. When,the faculty was re-inforced by several priests and sc~holastics from :.Maryland, the school _quickly reached college lev~el, and in 1832, Father Verhaegen obtained,°by special act of the.Missouri legislature, a~ charter for the school un.der the title of 'St. Louis University,' with all the rights and prerogatives of a university. According to the terms of the concordat,of 1823, the Jesuits of Florissant were entrusted with the spiritual care of all Catholic families living in ce.ntral and northeastern Missouri. In 1828, Father Verreydt °was assign~ed, to. this work, which he carried.out witti~exemplary zeal. But.~n 1.830, Father van Quickenborne was~succeeded as superior of. the Missouri mission by Father de Theux; and' for the first time Father Charles seemed free to~ carry out his favorite project, to start a permanent mission among the Indians. Instead, he was told to take over Father Verreydt's missionary work. The reason for this is given by Father Garraghan, in The Jesuits o[ the Middle West: "The truth is that ~good Father van Quickenborne,' as his .Jesuit associat_es were fond of characterizing him, was a difficult_ person with whom towork. His zeal was boundless, with much about it of the heroic; his devotion to the cause of the In_dians, unflagging; , his personal piety, obvious to all;,but along with his in certain respects surpassing equipment as a missionary went limitations of temperament that unfitted him in,many ways to work successfully by the side of others. In° the social virtues he was often d%ficient. Silent, secretive, depressed and often gloomy in countenance, with a tendency to melancholy, despising personal com-forts an.d refusing them to others, difficult and exacting in business relations, not inviting confidence and, seldom winning it, he stood in many ways isolated from his fellow workers, a somewhat lonelyfigure in tl~e little Jesuit world in which he moved.''1 So great was his desire for living with. the Indians, and so persistent his'requests to his superiors, that finally in 1836:he was permitted to open a mission among the Kicka-poo. The previous summer he had made an :exploratory~ visit to the ~various tribes living nearest~the western bor-o ders of Missouriand0had come to the conclusion that the Kickapoo were the most eager., to embrace Christianity. In the fall,.he journeyed to Washington and contacted the 3ecretary of War, Lewis Cass, who authorized himto start 1 Gilbert J~ Garr~aghan, S.J., The Jesuit~ "of the Middle Unite~l $tates (New York: Anierica Press, 1938), Vol. I, p. 384. Van ~/~,o~ VOLUME 20, 1961 95 ÷ ÷ ÷ Henry Willmering, S.]. REVIEW FOR RELIGIOUS 96 a~school among the Kickapoo and promised a subsidy of $500 a year to maintain it. After making a begging tour the 'East, which netted about $1500, Father Charles was ready to open a mission a few miles above Fort Leaven-worth. He was assisted in this project by Father Christian Hoecken, and three lay-brothers, Andrew Mazella, Ed-mund Barry, and George Miles. The missionaries met with a cordial reception from the chiefs and people. A French trader, who lived with the tribe, put his house at their disposal, until they should build their own. Hardly had they settled down in their new quarters, when both priests were stricken with ill-ness. Father Charles had to stay in bed for a month. Worse yet, the Indian agent, Richard Cummings, would not permit' the Jesuits to build in the Kickapoo village. Not until General Clark sent word from St. Louis that permission had been given by Secretary Lewis Cass build ~a school among the Kickapoo, could the Jesuits erect a school, chapel, and residence. The head chief of the tribe, Pashishi, professed great eagerness to have the missionaries instruct the children and work for the conversion of his people. His influence, however; was considerably less than that of a notorious 'prophet,' named Kennekuk, who claimed to have received authority from the Great Spirit tostart a religion of own. For a while he manifested some interest in the teach-ings of Christianity but soon roused his followers to un-friendly demonstrations. He had so firm a hold on the minds of his people that once he took a hostile attitude toward the Jesuit missionaries, all hope of converting the tribe vanished. Two years of unremitting toil made very little impression on the Kickapoo, and neighboring tribes were so eager to have the missionaries teach their children that the former mission was abandoned and new one opened among the Pottawatomi, which proved eminently successful. But Father van Quickenborne was destined to have no part in it. His failing health and rigid disposition caused his superior to recall him in July, 1837. After a brief stay at St. Louis University, he went to Florissant to make his annual retreat. Next he proceeded to St. Charles and thence to Portage des Sioux, a village situated a few miles, north of St. Charles and near the junction of the Missouri~ and Mississippi rivers. Here he exchanged places with Father Verreydt, who went to the Indian country, while Father Charles became pastoy of this small parish. He had been only a few days in Portage when a bilious fever seized him. The last sacraments were administered to him, and on August 17, 1837, he breathed his last. His body, ac-companied by many parishioners, was interred in the cemetery in St. Charles but was later removed to the novitiate cemetery in Florissant. Father van Quickenborne was in a true sense a pioneer missionary, who labored zealously during fourteen years for the spiritual interests of both whites and Indians. Those who knew him intimately comment on his clear and orderly mind, his fluency in several languages, his accurate knowledge of theology, his eloquent discourses. He never spared himself in his efforts to assist others, and despite the rigorous attitude he at times assumed towards others, he was loved and admired by all who knew him. Since he trained the first members of the Missouri mission all by himself, he can justly be called the founder of the Jesuit establishments in the Midwest. The mission which he started became a vice-province in 1840, a province in 1863, which was divided into two provinces in 1928, and both: were again subdivided in 1955. These four provinces today have a total membership of more than 2500. They administer seven universities, ten colleges, twelve high schools, and eight retreat houses, and there are more than three hundred members in foreign mission work. John Gilmary Shea, the great historian of the North American missions, says: "To Father van Quickenborne, as founder of the vice-province of Missouri and its Indian missions, too little honor has been paid. His name is al-most unknown, ~yet few have contributed more to the edification of the white and the civilization of the red man, to the sanctification of all.''~ ~John Gilmary Shea, History o] the Catholic Missions among the Indian Tribes o] the United States, 1529-1854 (New York: Edward -Dunigan and Brother, 1855), p. 466. + + + ~'an Qugckenbome VOLUME 20, 1961 97 JOHN E. BECKER,S. J. We Have Seen His Glory: The Prologue to St. John ÷ ÷ .÷ John E. Becker, S.J., St. Mary's Colleg.e, St. Marys, Kansas, ~s an assistant editor of the REVtEW. REVIEW FOR RELIGIOUS 98 In the beginning God created, heaven and earth In the beginning was the Word God's immense knowledge includes within itself His own infinite nature and all of the reality which He has given us and with which He surrounds us. Yet it is but one eternal and unchanging truth in God's mind. And when-ever He speaks, He speaks that one truth, Himself. But it is impossible for God to speak this immense truth, in the simple way He understands it, to our poor time-bound minds. We cannot grasp things in simplicity. We need more than to hear a truth. We need to be taught it, to have our minds brought up to it, educated to it. This is true of each of us individually. Over and over, we must be told the truths about God. We must be taught them at each point in our growth. Finally they begin to dawn for us in our minds as our own secure convictions. But the education that we as individuals go through depends upon another education which is just as impor-tant, and without which we ourselves would never have learned ab6ut God. This bther education is the education of our race, the race of men. We have learned many things about nature, but we have learned them together, the giants of the past teaching the giants of today, and they in their turn handing on their knowledge to tomorrow's giants. Our knowledge is passed on in ever-increasing rich-ness from generation to generation. Simply the mere pass-ing it on occupies many thousands of men and women for whole lifetimes as teachers, and the learning of it fills all the years of our lives, in school and out. This need man has to be educated through centuries of time is a part of him that he cannot escape. The great- est genius can only teach men what their minds have been prepared to grasp. And God, who made us this way, ~must speak to us, too, and teach us in tl~e gradual way that He has made necessary to us. So His divine revelation is a progressing and developing education of the human race. It bridges over the immense gap .between our time-bound and intricate minds and God's timeless simplicity. By His own choice He speaks eternal and immense thoughts to us in fragments communicated throughout time and space. It is a lesson in God's fatherly care for us to know that He has done it with such infinite and careful patience. How has He done it? Among a chosen people at the beginning of the story of our salvation, He planted,a seed of a thought: "In the beginning.God created heaven and earth." The thought is the thought of the one God who made all things. And these people fought and died, sub fered, rejected the truth, and repented through centuries: of history to pres.erve that seed and foster its growth. And through centuries God builds on this tiny germ of truth, constantly stretching the faith of His people by new reve-lations, always prep~aring them to accept the full flowering. of .that seed in~ the great, final revelation of Himself that will take place in the Incarnation of our Lord Jesus Christ. Then, when the fullness of revelation had come down to the earth and walked it, a~s a Divine Person, God inspired St. John to begin the record of this marvelous event with a magnificent poetic vision showiiag us how God had~been patient all these years, patiently teaching, correcting; educating, stretching faith to accept this cli-mactic revelation of the immense truth about God. By beginning his gospel with the ancient words of the book of Genesis, St. John shows us that through all these cen-turies of revelation God has spoken but one sentence. And though his gospel is to be a record of new and ultimate revelations.made by Christ our Lord, still how careful St; John is to show us that each new truth that appears is really nothing new or changed about God. Rather, it is a new insight and a richer knowledge of that immense and inexhaustible reality which is the one God who begins His Sacred Scripture and who brings it to an end. In the beginning was the Wor, d And the Word was with God And He was God, this Word He was at the beginning with God How did God go about this marvelous education of the Jews? How did He prepare them, and what was it He pre- ~a~ed them to accept? We have alw~iys known that throtig~ those long years of threats and tender promises God nurs~ed in them the knowledge that He was One, the God ÷ ÷ ÷ Prologue to St. lohn VOLUME 20, 1961 99 + + ÷ gohn E. Becket, S.]. REVIEW FOR RELIGIOUS ]oo of all nations, the God that had no rival gods. But there: was more to His teaching about Himself than this. We had to know more than His oneness, or we could never ap-preciate the redemption by which He was to save us. We had to be able to accept the reality of Another, alsoGod, the same God, in order to recognize the infinite love that God would show in coming to be one of us. Even in the Old Testament God was preparing us to accept the su-preme mystery of the most Blessed Trinity. Over centuries of time God prepared mankind, with hints and mysterious intimations, to accept this other per-son. First, He taught His people the Law. But He taught it in such a way that it became for them, under the guid-ance of their inspired teachers, more than just a rule of life. They thought more and more of the Law as another being, ordering and governing the whole universe, some-how existing in its own right. God's inspired writers spoke too of Wisdom; and again His people, receiving with faith the guidance which God gave them through their teachers, began to think of this divine Wisdom as something distinct from God, sent by Him upon the earth: "The Lord possessed me. in the beginning of his ways. I was set up from eternity., the depths were not as yet, and I was already conceived. Wisdom is with thee, which knoweth thy works. All wisdom is from the Lord God, and hath been always with him. I came out of the mouth of the most High. From the beginning and before the world, was I created . " In two texts of Scrip-tures especially we can see how God led His inspired writ-ers toward the culminating simplicity of St. John's revela-tion of the Word: "While all things were in quiet silence, and the night was in the midst of her course, thy almighty Word leapt down from heaven from thy royal throne, as a fierce conqueror into the midst of the land of destruc-tion. With a sharp sword carrying thy unfeigned com-mandment, and he stood and filled all things with death, and standing on the earth reached even to heaven"(Wis 18:14-16). And even closer to the full clarity of St. John was this from Isaiah: "As the rain and the snow come down from heaven, and return no more thither, but soak the earth, ~tnd water it and make it to spring., so shall my Word be, which shall go forth from my mouth: it shall not return to me void, but it shall do whatsoever I please, and shall prosper in the things for which I sent it" (55:10). Our Lord's life on earth took place during an age of intense religious uncertainty and desperate religious quest. But it is strangely enough true that almost every groping philosophy of the time centered around a principle called the Word. It was almosta magic formula. To the Stoic it meant the mind of God whose strong sunlight was divided into little sparks which were the minds of individual men. To Philo, a Jewish gentile philosopher, it was a person who pervaded all God's activity, and all the creatures of God's activity. To all the philosophers it was the one principle of order in the chaQs o~f. the world.~ Of, course, the Jews knew that God had made all creation by His mere word. God's ~word had always been an infinitely powerful thing in their minds. Now when St. John calls Christ our Lord the Word, he proves the validity of God's long and careful education of the human race toward faith,in the Word of God. It is a sad and fr_ightening realization for all of us that so maony of God's,chosen race failed to respond with the faith God had so carefully prepared" them for. In a probing vision of faith, St. John realized that the pagans with their philosophies Of the Word meant, if they could but see it, Christ;. that the Jews with their devotion to the Law, to Wisdom, to God's almighty word, had been educated to know the eternal Word. Because of this deep insight of supernatural faith, the abstract, eternal, and unchanging i'eality demanded by the minds of the pagan philosophers and the concrete, changing, and temporal reality forced upon their senses were reconciled into one truth. St. John's gospel stands alone for seeing the eternity, the infinity,, the timeless immensity of God walking in the finite flesh of our Lord. The single human actions of His life are put into a story in which we can also see that these are eternal ac.tions, of eternal worth, universal and eternal in mean- .ing. All history becomes in this vision not so much a thing of time but a phase of eternity. We see through the lens of an inspired faith that human life takes place in more than material dimensions. Christ's daily life is the eternal God teaching by action the eternal truths in the tiny dimen-sions of time. Our life becomes, in spite of its abrupt be-ginning and abrupt end, an eternally rewarded effort to learn and put into practice these eternal truths. Through the lens of this vision we see that the impor-tant beginning of this history of salvation was not in time, was not on a hillside of Nazareth, Bethlehem, or Calvary. The real beginning of the life story of Christ our Lord and of the life of man in God was not His.virginal conception, nor His birth in a cave, nor His baptism at the Jordan, but eternity with God: He was in the beginning with God. Everything was made by Him, And without Him was made nothing. Even when we recognize that the beginning of our sal-vation is back in the far reaches of divine eternity, in the Word who was with God, and even when we see that God has been preparing us for centuries to accept this fact, we 4. + + Prologue to St. John VOLUME 20, 1961 10] John E. Becket, $.]. REVIEW FOR RELIGIOUS have yet to appreciate how intimate a part this divine Word has played in the very creation of our world, and even in the divine education which wehave received. God fixed His eye on the eternal Word as He spoke the words of creation. All God's creatures were ordered according the Word's divine ordination: All the laws of their were made on the pattern of the Word. This is much the case that when we study the divine order creation, the laws of molecular structure, of the develop-ment of phyla, its supremely rich but ordered abundance, we are studying the natural phrases and sentences of God's eternal Word. Without Him was made nothing; nothing escapes His ordering power not even the man who sins. We would think that the sinner, having deliberately stepped outside this divine order, would have lost the privilege of participating in the guidance of God. though we may sin, we cannot step aside from God. The original sin of Adam and all that sequel of human which ratifies that original disorder sewn in our nature Adam, furnishes but the occasion for the Word of God be spoken ag~iin. Through Him all 'things were made. Now, on account of sin, He is spoken in a new way that binds Him even more intimately to his now sinful crea-tion, for: That.which was made in Him was li[e, And the life was the light of men, And the light, in the shadows, shown, And the shadows did not put it out. As once all things were created by the Word, now a new thing is created in Him: That which was made in Him life. Man has sinned, and so the Word becomes the source of a new life for him: and the life was the light of men. The Word is not renewed. The old is not revived. But the Word is respoken in a new creation that more fully ex-presses it. Men find in Him now, not only the pattern their existence and their perfection, but the source of new life, a life which always existed for God, which was once given to them and lost, but which now exists again a reality for them. And the light, in the shadows, shown, and the shadows did not put it out. This new life which a light for men wins the Victory over man's darkness. We can follow th~se-threads of life, light, and darkness throughout the gospel of St. John. They are dominant colors in his message. God has'outdone His first gift us, natural created life, made by His Word, with a super-natural creation, with .a supernatural life also produced, but in His Word.~Adam's sin,made our human life shadowy life of undirected uncertainty and groping. Think of the vague yearnings of the Jewish people, and they were under the educating guidance of God; even' more, think of the pathetic religious foolishness of the pa.gan world whose nature religions could never free themselves from the orgiastic worship of the sex power. But our world, lost in the shadows of sin, is not lost to God. Rather than destroy,.it and' produce ~a n.ew, un-shadowed, sinless world through His Word, God builds a new life for us within the lost world. We live now in the Word. We find only one meaning of lile in St. John; the life of God communicated to men. Christ our Lord com-municated God's life to us by becoming one of us and remaining God. That is the story of St. John's gospel, of all the gospels. Christ assumed humanity to be able to suffer for our redemption, to be able to produce a new life for men. The flow of Divine Life which He injects into us is also, because of His teaching about God, a stream of light within us, who would otherwise be' groping in darkness toward an unknown deity. He has shown us clearly who the God is whom we must seek. And so the shadows on our uncertain consciences are dispelled, and we find ourselves on a clear road towards God, filled with confidence. Our human nature has been taken into the divinity, and God has produced for us there within Himself the new life which saves us from darkness and sin. There is no poem in English with such compleie sim-plicity of expression. Yet in these five verses we have dis-covered the whole history of God's dealings with us. They present us with an immense, vision which extends from the first moment of creation, through the Incarnation, to the end of time when men living in Christ will be gathered to Christ in the fullness of life. The whole history of our race is involved, yet we see it all from the vantage point of God'.soeternity and catch sight of what it means to call God's knowledge infinitely simple. It is all one eternal speaking of the Word by God: It first bears fruit in the creation of our material world; then in a new act of union with this world a new life is produced in it; this new life of supernatural union with God is finally to conduct us all to our final union with God in heaven for et.ernity. In this vision of faith, all history is a moment of eternity, a moment containing creation, divine union with man, and man's final reunion with God in eternity. There appeared a man sent [rom God: his name was John. He came [or a witness, to witness concerning the Light, so that all might believe through Him. He was not, this man, the Light, but [or a witness con-cerning the Light. Christ's precursor is but a man, rooted in the obvious dimensions of human time. He "is not near the stature of Christ. He happens, he appears; Christ is. He is not ÷ ÷ ÷ Prologue to St. ]oh.n VOLUME 20, 1961, 103 REVIEW FOR RELIGIOUS ]04 the light but only its witness. This brief, blunt, and prosaic interposition of a man within' our vision of eternity is an admonition to us, and a sign to us of the way St. John views reality. This simple prose in the midst of the poetry of eternity reminds us that we are never to let the human reality and the divine reality become separated in our minds. The life of Christ has fused the two for all eternity, and St. John is writing the story of that life. The simple historical surroundings and activities of Christ's life are making history, yet they go beyond history. The time-bound precursor of Christ is, by the decree of God, an eternally necessary, eternally important actor in God's redemptive drama. He is a sign to us that we too are eternally important, because we live with the life of the eternal Word. He was the true Light, Who enlightens every man Coming into the world. First there was God and the Word; then it is clear to us that the Word is God. The two are one. After all things are made through the Word, then supernatural Life is made in the Word, and this life is Light for men. Now again we reflect and realize that all these truths are drawn together into one truth in God. Life and Light, that which is produced in the Word, is really the Word; and the Word is God Himself, the source and goal of all our human life, natural and supernatural, the source and full enlightenment of all our knowledge, natural and su-pernatural. How does God, the Word, who is Life and Light in Himself become life and light for us? By coming into the world. We are fused with divinity when Christ takes human flesh so that the inaccessible light of eternity speaks in human words to Jews on the hillsides of Pales-tine and to all of us in the gospels; and the inaccessible life of eternity gives life to human tissues nourished from the body of Mary. And this divine-human talking and living is not over with. That once-and-for-all coming of the true Light into the world was the beginning of an unlimited number of comings. He comes now to each of us who will accept Him. He gives light, the teachings of His Church; and life, the sacramental life force which comes from His body through the ordained priesthood that He left behind Him. Light and life are in the Word because He is God; but light and life are given to man because that same Word has become man, made Himself available to man, placed Himself before us so that we may choose to unite ourselves to Him. There is no answering the question Why. We can only point to the strength of God's love. But if we ask why, we are uncovering, perhaps, false thoughts in our- selves. Have we ever realized how fully the Word had already involved Himself in the history and materiality of the world before He took this final step that brings Him visibly into the world? Why should we ask why to this last step? We should ask why'~t0 everything, not just to the Incarnation. God's eternal love has joined Himself to every moment of the world's existence. The Incarnation was simply the climax: In the world He was, And the world was made by Him And the world did not recognize Him Into His own He came And His own did not receive Him In the world He was from the first moment giving that moment and every succeeding moment its reality. The steady and balanced revolution of spinning worlds, and the quiet and inexorable change of seasons from death to life 'and.back to death and another life are His work and His teaching. He is the concurrent force, giving foufida-tion to the thoughts of the earliest'men and effectiveness to all their desires, holy or perverse. But the forceful message of all this rich physical reality is not heard. Though anything, simply because it exists, speaks of, the presence of God the creator, the fa~t Of creation failed to penetrate the darkness of immorality and sin that kept men "from recognizing the world as the words of God's eternal Word. God's Word speaks in a new way, trying by a new means to attract man's wayward attention. He chooses a man, Abraham, and tells the man he will beget a people. The Jewish race is born, and becomes God's own: I will be your God and you will be my people. And as this people grows through crisis, sin, and exile, the Word of God con-tinues to speak to them, residing in their Holy .of Holies, dictating their Law, guiding their history, inspiring the poetry of their kings and prophets. But all of it leads over and over again to relapses into idolatry and paganism, into infidelity and' hardness of heart, and finally into the degenerate Pharisaism that will not accept Him no matter what means He takes to speak to them: Into His own He came and His own did not receive Him. But all those who received Him He gave them power to become children o[ God, To those who believe in His name He who neither oI blood, nor (o[ a desire) o] the l~esh, (nor ot a desire ot man), But of God was generated. Not all o~ His own rejected Him, and between those who did and those who did not, a new dividing line is ÷ ÷ ÷ Prologue to VOLUME 20, 1961 105 gohn E. Becket, S.]. REVIEW FOR RELIGIOUS drawn. Once "it had been drawn by God between the Jew and" the idolatrous gentile. Gradually it shifted, so that it divided the Jews themselves. Only a faithful remnant was loyal to God and would receive the benefits of the Mes-sianic kingdom; the rest were Jews in blood and name only, This division started to break up the Jewish world even before the actual coining of Christ in human form. But this breakdown of Jewish unity was turned to,our good by God. it was the way God purged His revelation of Jewish nationalism, and it became the foundation for a new way of thinking among .those.Jews who accepted Christ. God's careful, educating hand was still at work, showing them that no longer was it important to be a Jew. Now all that is important is to accept Christ. For all who receive Him are God's people; Jews and gentiles become one people when they become Christians. Everyone who bears the human nature tbat Christ assumed~may now re-ceive life from Him. And receiving our life from God means becoming God's children. There is a difference, though, in our being tbe children of God and the children of h.uman parents. We received the life of our parents all unconscious of the gift. Christians, .even though they receive Baptism as infants, must eventually assent to their divine childhood consciously and willingly by ac-cepting the W~rd, Christ our Lord. It is one more proof of God's infinite wisdom that He need not interfere here with the nature He has created in us when He gives us new life. Rather tban rebuild our nature so that they l.ive automatically with divine life, He stands by His own primeval decision to leave us free. We may live a hum;in life that is dead to God. Or we may accept God's~offer; we may choose to receive Christ and become the .cbildren of God. Still, though He, has not remolded nature, Hhat He ¯ has dgne is miracle enough. To be God's child means to live with the life of God, just as to,be a h~uman child means to live with the human life of our parents. When We choose to accept Christ, by that very fact we make oui'- selves one with Him. One with Him, grafted on to Him, we live with His life. His life is the life of a Son; and so we, united to Him and living His life, live the life of sons, the life which, the only-begotten Son has received from His Father. Christ is so perfectly God's Son as to be God: I am in the Father and the Father is in me. United to the Son of God in a real oneness of life, we too are made sons. Our divine childhood is not a childhood of the flesh, be-cause Christ's sonship is not a sonship of the flesh. He who gives us power to become the children of God is He,who, neither of blood, nor o~ a desire of the flesh, nor of a de-sire of man, but of God is generated. Our own fathers, in a single moment, by the act of married love which gen-erates us, are only at that moment acting upon us with a real activity which is properly fatherhood. The action is over in a moment. ~But Christ, the. Son of God, is being eternally generated of God'. Our mothers beai" us in their bodies for nine months during which their bodies are ceaselessly active nourishing and protecting our growth. Btit even in that time of intimate and complete depend-ence we are separated from them. Physically our mother surrounds,fis. But she is not us. And her physical mother- ~hood is soon over. But Christ, the Son Of God, is so inti-mately one with God that together they are but one God; and the action of giving and receiving divine life between the Father and the Son never ceases to be a dynamic and intense activity. Christ is always the Son of the Father, not because the Father once launched Him forth into sep-arated existence, but because He is always being gen-erated by the Father and never is separated from Him. All fatherhood on earth is named fatherhood after this eternal fathering forth o~ the Son by His divine Father. Earthly fatherhood, momentary and fleeting, is its weak reflection. And just as Christ the Son of God is the eternal recipient of divine life, we, because we are grafted onto His life, are eternal recipients of divine life. By a ceaseless activity that never leaves us to separate and independent existence we are God's sons--unless we break the bond that seals us to Christ. But in knowing all this we know only the beginning. There is greater depth to the divine sonship still. Christ is the Word of God, as well as His Son. To find out what this implies about His sonship, we submit ourselves to the careful teaching of God again, through His inspired representative, St. John, who named Christ the"Word. A word is the product of a mind. And the mind is spirit. We must free our idea of fatherhood, then, from the fleshly concepts that could obscure it when we apply it to God. God's eternal wisdom is in the, Father as in an eternal mind. But it is in the Son as a thought contained in a word. But, like human fatherhood, human words are momentary, vibrations of sound or mental flashes.of un-derstanding. Christ, however, is not a momentary flash of God's knowledge. He is the eternal container of the thought of God, the eternal expression of the mind of the Father. And so eternal generation is more like the eternal production of an eternal word which contains all the divine and infinite nature of God. Christ's sonship is a spiritual sonship like that which exists between a word that perfectly expresses a mind and that needs no flesh to be real. It is no wonder, then, that Christ's sonship of the Blessed Virgin Mary~ though it is a sonship by which He derives His flesh fro,n her Prologue to St. John VOkUME 20, 1961 107 ./ohn E. Be~/~, SJ. REVIEW FOR RELIGIOUS ]08 body, should be a virginal sonship, free of the desires the flesh. Christ's infinite spiritual generation in heaven expressed in his virginal generation on earth. We are once more witnesses to the imprint of eternity on the events of time which characterizes the plan of our salvation. This second vision of faith, which St. John has projected in verses six to thirteen, has carried us again into the depths of eternity. This time it shows us that before we received the s0nship of the Word as our own life, we had been prepared by the very presence of this Word in the Law and the poetry of the Old Testament. Even before these things there was the presence of the Word in creation itself, though men failed to see Him there. Finally, before all the activity of the Son in the creation of the world and its redemption, was His eternal conception in the mind the Father as an eternal Word who contains all the divinity of the Father. And all that has happened in time, from the creation to the present moment, are but different ways in which God speaks His eternal Word to us, ways which develop and move forward with the growth of our power to appreciate God in ever clearer and more explicit realiza-tions until the ultimate climax when God no longer con-fines Himself to forming the universe through His Word, but clothes His Word in the very material of the uni-verse: And so the Word became [tesh And He made His home among us And we have seen His Glory Glory belonging to the only Son (coming) from the Father, .Full o[ grace and truth. God, in this last speaking of His Word has destroyed the distances between us. There is more, now, than com-munication between us. There is intimacy. The infinitely self-contained and perfect divinity projected the world and mingled with it to preserve its being. He intruded into world history to choose a people. With the Jews God took up His residence. He pitched His tent among them, as they delight to say over and over in their songs of praise to Him. His unseen glory was present in the ark. This was part of the covenant He made with them after He guided them by day and night from Egypt to the promised land in a pillar of cloud and a pillar of fire. At the dedication of their great Temple, God's glory filled the Holy Holies. But now this eternal ,Word, who sought out Abra-ham and made His promises to him, who spoke in the Law and the Prophets, in poets, historians, and storytellers of the Old Testament, is no longer satisfied to speak through others. He speaks in His own Person. All the di-vinity of the Word which had manifested itself in these ways through centuries, now resides in this human flesh, not as a mere inhabitant, but as one person with it. The body of Christ is God's new home among men. That unspeakable glory of God which filled the Holy of Holies fills now the flesh of a man and makes it the flesh of. the Son of God. And the invisible glory of the only-begotten Son, when it comes from the Father into human flesh, is no longer invisible, but seen, Men have seen His glory. We might expect glory to be a word connected with the miracle of the transfiguration which took place before St.John's eyes on Mount Tabor. But whenever we find St. John using this word, we find the passion and death of our Lord: "The time has come for the Son of Man to be glorified" (12:~3). When Judas leaves the supper to betray our Lord, He says, "Now the Son of Man has been glori-fied, and God has been glorified, through him, and God will through himself glorify him; he will glorify him immediately" (13:31-32). And in His last discourse to His disciples our Lord says: "Father, glorify your son that your son may glori.~y you (17:2). I have glorified you here on earth, by completing the work which you gave me to do. Now, Father, glorify me in your presence as I had done me there before the world existed (17:5). I have given them the glory that you gave me, so that they may be one just as we are, I in union with them and you with me, so that they may be perfectly unified, and the world may recognize that you sent me and that you love them just as 'you loved me. Father, I wish to have those whom you have given me with me where I am, to see my glory that you have given me, for you loved me before the cre-ation of the world" (17:22-2'1). The glory that is His Fa-ther's love for Him becomes the glory of the love of the Father and the Son for us when Christ suffers for us to make us God's sons. Passion and death are things that would have been impossible to God unless He had taken upon Himself a human nature. But when it is done, we see a new and startling vision of the glory of God, a new vision which is a paradox; the invisible'and awesome glory that filled the Holy of Holies is brightened to a climax at the time of God's suffering and at the moment of His death. If there is paradox here, there must also be meaning. Paradox is a challenge to our deeper thought. If passion and death are the climax of God's glory, its fullest ex-pression, what can God's glory be or mean? There is cre-ation. When we think of its immensity, the hugeness of the forces unleashed in the exploding universe, we catch our breath and lose track of our mathematical securities. But this is not a full picture of God's glory. It is only a first, rough sketch. When we think of the delicacy of craftmanship that enabled a tiny planet to nurture life, Prologue to St. John VOLUME 20, 1961 109 ÷ ÷ ÷ $ohn E. Becke~, S.]. REVIEW FOR RELIGIOUS 1]0 we may melt at the tenderness that reigns in a theatre of such violent forces, but we know again that it is not the full expression of God's glory. There is the Old Law when this all-powerful and tender God chooses to interfere in our pitiful history, chooses a nomad tribe and guides its destiny through hundreds of years of war and infidelity so that a few men at least will know that He is the God who is, in spite of their stubbornness and disinterest. This infinite humility of the omnipotent God, who cares that man's blindness be cured, speaks more clearly of God's glory but still falls, short of it. What is amazing is that none of this turns out to be any hint a.t all of what the full revelation of God's glory will be. How could we have guessed that the full burst of it would be a criminal execution on a Judean hill? Yet just this fiaeek submission to suffering and this most shameful of all deaths is the climax and full unveiling of the glory of God. God's glory is supremely expressed in His choice to suffer and die, to do those things which are the deepest badge of our sinful and fallen nature. The glory which Christ, the eternal Word, had before all ,time in the bosom of His Father is that extremity of love which leads Him to take up the nature of His sinful creature, suffer for him, and lay, down that life which, because it is the perfect ex-pression of the union of God with us, is the supreme gift which He can give to redeem us. And this glory of God, God's passion, is not for our contemplation alone, or for our deepest meditation. "If I be lifted up, I will draw all men to myself." It is magnetic force, :a force for union. We are drawn to Him, and all of us become one in. Him as the Father in Him and He in the Father. To a certain extent we are here meditating on poetry. In the context of our lives, however, it is more. It is an appeal to us to recognize the unity that exists now between time and eternity, space and divine im-mensity, and especially b.etween Christian and Christian. Little children love one another. We read here truth after truth, and they are many truths. But each separate truth, as it is presented to us, is set back into a mysterious and all embracing unity in God: The Word appears, but He is with God;° He is God. Creation emei'ges, through the Word; but then begins its long and relentless motion back towards God. Why this great return? Because the Word, who is one with God, has come forth from God and joined creation to Himself, pervading it by creative activ-ity, coming unto His own in word' and then in person, producing within Himself a new life for the created world to live in Him, making men God's sons and drawing them all and the creation that is theirs back to the bosom of His Father with whom He is but one. We, of course, must put ourselves back into this marvelous current o,f the life of God which is flowing back to Him. It cannot be ours unless we receive Him, and we can refuse Him. But if we are drawn to Him in the glory'of His Cross as it is renewed every morning at Mass, we will accept Him into our bodies in t~e sacrament of the Eucharist. We become, ourselves the dwelling place of the glory of God;. for we are the dwelling place of the flesh of Christ. All of us, marching back through time to happiness in eternity, become one in this divine life which nourishes us all. The glory of God walks about on the streets. It is in us and about us, We are His holy people united to Him and to each other in the reception of His body, all making up with Him but one body. Our temporal actions, walking the asphalt streets of our own moment of history, are eternal actions; our limited circle of friends and acquaintances is stretched to include all men, and they are all the focal point in time of our eternal love for Christ, because He is in them all. We se~ ii ~veryday in all meri, the glory o[ the onl~-b,e~g'ot~en Son of God, full of grace and truth. Prologue to $L loh~ VOLUME 20, 1961 111 COLUMBAN BROWNING, C.P. Martyrdom and the Religious Life The Reverend Colum-ban Browning, a fre~ quent contributor to the l~viEw, is sta-tioned at Saint Gabriel Monastery, 1100 63rd St., Des Moines 11, Iowa. REVIEW FOR RELIGIOUS 112 Our twentieth century world prides itself on being mod-ern. And to the residents of our twentieth century, mod-ern implies everything that reflects the progress of this century. Efficiency, freshness of ideas, technological ad-vance- such things as these come to mind when we think of the word modern. Even twentieth century religious pride themselves as being modern in the best sense of the word. Since Pius XII inaugurated the movement toward adaptation to the needs of the times, the religious of today cannot avoid being modern unless he wishes to be branded with the stigma of retrogression. The response to the plea of Plus XII al-ready realized gives sufficient proof of the importance of making full use of all that is good in the progress of our age for the glory of God. But we religious can become so absorbed in our mod-ernity that we may forget that the motivation for the re-ligious life must always be the same and that it comes from the time of Christ Himself. This is why Plus always stressed renovation along with adaptation. While the approach may vary with the changing times, the mo-tivation is unchangeable. And for this motivation we must return repeatedly to the very sources of Christianity. The sources of Christianity are found primarily in the life and teaching of our Lord, a teaching enshrined in the Church that He founded. But also in the application of Christ's teaching in the early Church is found a very real source at which to learn the spirit of Christ in action. In those early days when the spirit of Christ was in the fresh-ness of its youth, we can find ideas to help us in our day to be better followers of Christ. One such idea that can be especially fruitful to this end is found in the historical fact that the religious life evolved in the Church as a sub-stitute for martyrdom. 1. Martyrdom and Christian Per[ection Martyrdom became a practical necessity in the early days of the Church. The infant Church soon came face to face with the persecution for~t,o, ld by Christ. Espec!ally in the Roman world did this 15ersec'u~ion reach the' pitch of fury. Beginning with the Emperor Nero in the first century and continuing for two and a half centuries, it was con-sidered unlawful to be a Christian. One who professed the faith of Christ, if detected, was given the alternatives" of apostasy or death. The story of the heroic courage with which so many thousands stood firm in the face of death is too familiar to retell. The resemblance of the death of the martyrs to that of Christ was evident to the early Christians. Just as Christ died a violent death in testimony to the truth, so also did the martyr. It is but natural, then, that martyrdom was seen as a dying with Christ. Just as logically, the martyr was considered the perfect imitator of Christ or the per-fect exemplificatibn of' Christian perfection. It is not sur-prising, therefor-e, that'we find the pastor~ and writers of those times exhorting the Christians to martyrdom as the means to perfect union with Christ. One need only study the example and the writings of St. Ignatius of Antioch to see how firmly rooted this thought was in the early Christian mind. During the reign of Trajan, this great Bishop was sentenced to death and sent to Rome to be thrown to the beasts. During his journey to Rome as a prisoner he wrote seven letter~ to the churches of the territories through which he passed. These letters reflect the burning desire of his soul to be perfectly united to Christ by martyrdom. His sentiments are most forcefully expressed in his letter to the Romans in which he writes as follows~ I am writing to all the Churches and state emphatically to all that I die willingly for God, provided you do not interfere. I beg you, do not show me unreasonable kindness. Suffer me to be the food of wild beasts, which are the means of making my way to God. God's wheat I am, and by the teeth of wild beasts I am to be ground that I may prove Christ's bread. Better still, coax the wild beasts to become my tomb and leave no part of my person behind;once I have fallen asleep I do not wish to be a burden to anyone. Then only shall I be a genuine disciple of Jesus Christ when the world will not even see my body . Forgive me, brethren; do not obstruct my coming to life-- do not wish me to die; do not make a gift to the world of one who wants to be God's. Beware of seducing me with matter; suffer me to receive pure light. Once arrived there, I shall be.a man. Permit me to be an imitator of my suffering God. Since martyrdom and perfect union with Christ meant one and the same thing, life itself was looked upon as a preparation for martyrdom. All asceticism was considered from this point of view. It was by dying to one's passions ÷ ÷ ÷ Martyrdom and Religious Li]e VOLUME 20, 1961 llS ,4, ÷ ÷ Columban Browning, C.I'. REVIEW FOR RELIGIOUS 114 that one most resembled the martyrs and best prepared oneself for the supreme challenge. Origen expressed this in these words: "Those who have prepared themselves for martyrdom can even already be called martyrs, even though they may never undergo it." Time came when the pcrsecutions diminished and fi-nally ceased wi~h the Edict of Milan in 313 A.D. With tffe ,essation of persecntion actual martyrdom was no longer a possibility, but the ideal of martyrdom remained alive in the minds of the faithful. Since martyrdom by blood was no longer possible, a new emphasis was placed on asceti-cism which was looked upon as a martyrdom without blood. Martyrdom was still considered the ideal of per-fection; and those who most reSembled the martyrs by death to self, or ascesis, were considered the most perfect. II. Martyrdom and Virginity Among the practices of asceticism, that of ~irginit'y was held in an especial high esteem. The practice of virginity had been a high ideal and ~vas actually practiced from the beginning in imitation of our Lord and His Blessed Mother. But when persecution ceased, virginity received a new status as one of the foremost means of dying a .rnartyr's death without the shedding of blood. The virgin was con-sidered as wedded to Christ by a mystical marriage through grace. By complete death to the urgings of the body, the virgin, like the martyr, achieved a complete surrender to Christ, died with Him and became a perfect imitator of Him. St. Jerome expressing this thought said: "Virginity is a holocaust to God. Complete chastity is a victim to Christ." Thus, the white martyrdom of virginity, by a process of evolution conditioned by history, succeeded to martyrdom by blood as the equivalent of Christian per-fection. Living a virginal life in the midst of a wo}ld that still contained much of the pagan spirit obviously had its difficulties. As something of a moral necessity, therefore, those consecrated to God by the vow of virginity began to, band.together for mutual support. ~They often lived in common, prayed together and by mutual encouragement helped each other to their common g0al of perfect union with Christ. In this practice we have a foreshadowing and a natural preparation for the religious life. III. Martyrdom, Virginity and the R.eligious Lile The ground had been prepared for the birth of monaS-ticism, or organized religious life. Toward the end of the third century whefi the persecutions were beginning to lose some of their force, the practice of the eremitical life began in Egypt. In the year 320 (only seven years after the Edict of Milan), St. Pachomius founded the first monastery of the common,life, Some forty years later S.t.,Basil estab-lished the same form of life in the Eastern Church. With the virginal spirit already so high in honor and with so. many in fact already living the~eremitical life, it is not surprising that th.ese :m0~n.aster.ies flourishe~l.;Those. who desired perfect union with Christ and for whom martyrdom was,no 19nger possible flocked to these monas-teries. T~here, united in pra~er, these generous men and women were able to find a kind of native atmosphere in which to realize their ambition of perfect union with Christ by the "living martyrdom,' of the religious life. With the origin of monasticism there began a new epoch of Christian history, one that is still unfolding today. This is the history of the religious life. From one or two monas-teries, the fire of zeal that started them spread until it gradually covered the entire world. The organized life of consecration to God has gone through many stages of evolution, all of them prompted by the changing events of history. All through the ages the religious life has been adapting itself to the needs of the times until we find the greater percentage of religious today extremely active, whereas the religious of those early days were largely con-templative. But the religious of today are nonetheless branches of the same tree and the essential motivation of the religious life remains the same. IV. Practical Application Plus XII frequently urged religious to return to the sources of their life. Along with adaptation to modern needs, he stressed with equal insistence the need for renovation. The Holy Father realized that it is only when the spirit of zeal and fervor is pregerved and deepened that we can safely and sanely adapt, bringing the best effort to bear on the needs of the times. In striving to achieve this purpose, the religious of today would do well to endeavour to capture the spirit in which the religious life was founded. When we see the religious life as an outgrowth of and a s,bstitute for martyrdom, what a difference it can make in one's approach to the religious life. One sees clearly that the goal of religious living is perfect conformity to Christ, a wholehearted dying to self and complete living with and for Christ. The sacrifices inherent in the religious vows, resistance of the spirit of the modern world, the pressures and frustrations of daily activity in the life of the modern religious--all will be seen in a new.light when one realizes that these are but aspects of that death with Christ which leads to union with Him. It is by these daily sacrifices that the religious of our day are called to the same con-formity with Christ that was the goal of the martyrs. ÷ ÷ Martyrdom, and Religious Liye VOLUME 20, 1961 Lack of Sufficient motivation is ordinarily one of the greatest hindrances to the progress of a religious. It may help religious to ponder the fact that the vocation of the religious is essentially the same as that of the martyrs. The manner of realization may differ according to circum-stances. But the goal is identical--the wholehearted giving of self to Christ, dying with Him in order to live with Him. ÷ ÷ ÷ Coluraban Browning, REVIEW FOR RELIGIOUS llfi PAX The Call of God There have always b'een, and.always will be, voclttions. One has only to run through the pages 6f both Old and New Testaments to see that Goff has always called souls to consecrate themselves to Him or to serve Him or to come.back to Him. The call of God's mercy, for it is always that, may be heard at any time and in the most unexpected places, as witness the parable of the prodigal son, who was called to mercy in a pigsty. God is of an infinite adaptabilityl From the beginning of Genesis, We find God calling Adam and Eve back after their fall. Truly God's ways do not change, for His "I came to seek and to save that which is lost" is true from the beginning. So, t0b, God calls Cain after hig murder of Abel tO give him a spark of hope even in his punishment. Noah is called with all his family and is set apart by God for His service and his own salvation. But the first spectacular vocation in the Old Tegtament is that of Abraham. Leave thy country,, thy~kinsfolk And thy father's house, And come away into a land That I shall show thee. Here is the usual conception of a vocation, the leaving of all for God; and already there is the promise of what might be called a millionfoldl "I will bless thee and make thy name renowned., and in thee shall all the races of the world find a blessing." Abraham's might be ~alled a late vocation, for he was seventy-five years old when it came! His wife and his ,~ephew were called to accompany him, and God con- ~tantly encouraged him: "Have no fear. I am here. thy reward will be great ind~edl" St: Ambrose remarks that ,t is the privilege of the saints to receive a new name from God. God changed Abram's~:name to Abraham; and his wife's to one meaning "The Princess." She too was blessed, ,vho had been sterile, and bore Isaac~"the son of laugh-oero" + Pax is the nora de plume of a cloistered Benedictine nun whose monastery is located in Belgium. ~VOLUME 20, 1961 11~ REVIEW FOR RELIGIOUS 118 Vocations bring suffering, as Abraham discovered by the terrible test of his f.aith, when God bade him offer up Isaac in sacrifice. But God stayed that obedient hand at the last minute saying, "Abraham, Abraham, for my sake tfiou wast willing to give up thine only son." It is as if God is in ad~niration of this. sturdy faith of Abraham's, just as Jesus later was when faced with the dauntless faith of a woman, "Womfin, great is thy faith! . Thine only son," cries God; and in promising Abraham the reward of a countless posterity, through which all nations should be blessed, God is promising him no less than His own Son, who would save us all. We see the parallel with this situation in the words of St. John: "God so loved the world that He gave His only begotten Son." God's love for Abraham and Sarah did not prevent His care for their bondmaid, Agar. Sh6 too is called and consoled in the desert by the finding of water .for her dying child and the promise of a wonderful future for him. It is no wonder then, that Abraham died contented. He had spent a hun drdd years in the service of God, and God had blessed him in all his doings. "God," a slnall boy onc~e remarked, "has some very funn) friends.", Jacob is,perhaps one of these, for in spite of St A_ugustine's lenient "not a lie, but a mystery," he appear., as "a t3vister"; but God who be.holds the heart saw hi., capacity for tenacious fidelity.and love. All God's dealing., with him are mysterious. Perhaps-He saw in Jacob, whc had, to put it politely, borrowed his brother's name, birth right, and blessing, the figure, o~. us all, of all mankind who would shelter:behind the name of His first-born Son Jesus, and in that Name and disguise, steal His blessin~ and the right of inheriting the Kingdom of Heaven. Nora of us can, then, throw stones at Jacob! He was called by God, in his sleep, from a ladder reach ing from heaven to earth, the passageway of countl~'s. angels (a ladder which has greatly intrigued the saints ant the fathers of the Church) with a free promise, with n( conditions! "I am the Lord, the God of thy father Abra ham, the God of Isaac, and tl~is ground on which thor sleepest is my gift to thee and thy posterity. Thy race shal be as countless as the dust., thou shalt overflow th, frontiers, till all the families of the earth find a blessing i~ thee and this race of thine. I myself will watch over the~ ¯. all My promises shall be. fulfilled." What a wonderfifl vocation Moses, the great contempla rive, had! From babyhood God endowed him with sucl grace and charm that he es~]ap.ed~death when Pharoa! killed the baby boys.o~ Israel. He, was saved by the ruler' daughter, who hired his, own.mother to nurse him. Got watched over him till the day when in the desert He caller him from out the burning bush. God often calls contem platives in the desert, for as St. Ambrose says: "The food of heavenly grace is given, not to the idle, not in the city . nor to those accustomed to worldly things, but to those of the kingdom of God." It needs contemplative eyes to see a bush aflame with God and ac0ritemplative tieart' to hear God's calling from so lowly a setting. How beautiful a name becomes when God pronounces it! "M6ses, Moses!" called ~God. "Moses" means "a rescuer," a saviour. Every contemplative is a rescuer of souls. Moses at once entered into the deep mysteries of God. "Take off thy shoes, for thou standest on holy ground. I am the God thy father worshiped, the God of Abraham, of Isaac and of Jacob. Up! Thou art to lead My.people out of Egypt." Moses is reluctant to accept this errand. His hu-mility tries to escape, from such high honors. Contem-platives often are tempted to wonder if their vocation is not presumption. Other people seem so much holier and more fitted for God's great designs. Moses is, like most con-templatives, a strange mixture of. timidity and audacity. God truly has ~strange ways of choosing His tools, of picking His elect! "Who am I, and Who art Thou, O my God?" cry the saints. "I'm not at all the person Thou needest"; and in the same breath, as it he hadn't listened to God's introduction, "Who art Thou?" Blessed humility, and blessed audacity of Moses, since! they gave us the splendid name God, "I am the God who is." Besides this amazing condescension of God to Moses, God gives His chosen one the gift of miracles to help him in his mission. But Moses in his modesty persists in pro-testing his incapacity for his vocation. He pleads his love of silence, his lack of facile speech. Contemplatives are often painfully aware of how inarticulate they are, how ineloquent when talking of what surpasses speech. The ~aints are sometimes regarded as fools by reason of this tongue-tiedness of theirs. Moses' vocation is fairly typical of God's call to con-templatives. He often accords them, at the beginning, a ~oretaste of "what eye hath not seen, nor ear heard, nor ,ath it entered into the heart of man to conceive." He puts heart into them; perhaps otherwise they would lever have the courage for the long march through the .vilderness that will inevitably lie before them. God brushes away Moses' doubts and fears and gives tim a spokesman in Aaron, whom Fie calls to the priest- ,ood, to the preaching of His message and to obedience. 'Aaron will receive my commandments from thee, and re- ,eat them . " And despite the desert, they could scarcely loubt God's abiding presence with them on the way since -Ie made it clear in their darkest nights by the column of ÷ ÷ ÷ The Call o] God VOLUME 20, 1961 REVIEW FOR RELIGIOUS fire and the very cloud showed Him. there by day, to say nothing of His extraordinary care for them, so that neither shoes nor clothing woreout, and bread was sent them from Heaven. "Nothing lacks to those who love God." Most contemplatives can vouch for this amazing care of their heavenly Father at all times. An odd vocation is that of the soothsayer Balaam, whom God served in his own coin, so to speak, and led by con-tradictionsl He is like the sort of dirig6 who makes clear to his director along what lines he expects to be directed, in the way of his, own choosingl Balaam almost obliges God to let him have his own way, and God uses it to humble him mightily, by letting his donkey know His will for Balaam, and furthermore announce it, backed up by an angel! For this honor the poor ass paid dearly. One might note in passing that God seems by the witness of both Testaments to have a weakness for asses, human and otherwisel That is, if we dare use a human expression and talk of the "weakness" of God, as St. Augustine dare., do, of Him who is the Strength of the Strongl "Why hast thou thrice beaten thine ass?" asks Godk, angel. "I came to intercept thee, because this errand ot thine is headstrong and defies my will. If the ass had not turned aside. I should have taken thy life and spared hers." "I will go home again," decides Balaam. "No," say., God through His angel. "Go, but be sure thou utterest nc word, save what I bid thee." Magnificently, too, Balaam does that, to Balac's indignation; and despite his efforts a! bribery, Balaam blesses, instead of cursing, Israeli "Son, of Israel, countless as the dust, race of Jacob past al numbering, may death find me faithful as these, and be m) end like theirs." The grace of God suddenly floods him, as it has a way ot doing when we are obedient. "My errand is to bless," h( cries. Headstrong Balaam then humbly confesses tha "from being blindfold, he saw, heard the speech of Goc most high, had a vision of Him, and learned to see right.' This passage recalls that in the New Testament of th( blind man of Bethsaida, who was also" slow at learning t( see, who also had a vision of God, and at His touch learnec to see rightl Children are called, too, by God. Samuel was choser before he was conceived in his mother's womb. He was th~ fruit of the long suffering and many tears of his steril mother, blessed by Hell, the priest, to whom she declare( her vow of offering him to God "all his life long." Sh. brought him to the temple as soon as he was weaned and "evermore the boy, Samuel, rose higher in God' favour," One night, while he was "sleeping in the divin~ presence where God's ark was," he thought he heard Hel calling him and ran to him with charming obedience sa.) ing, "Here I am!" Heli sent him back to bed three times, then realized that God had called the little boy. He told him that if God called again, he must say, "Speak on, Lord, thy servant is listening." How lovely the account of Godls coming ag~iin in Holy Writ. "The Lord came to his side and stood there waiting." So often He does, and waits so long, so patiently before we Samuels recognize His voicel It was a fearful message for a little boy to have to deliver to Heli; but Heli, hearing it, made the admirable answer, "It is the Lord. let Him do His will." Saul and David both had kingly vocations; the first failed, as alas, vocations sometimes do. The second bore the hundredfold of fruitfulness. Both were rooted in humility, for neither seemed at all likely to become king. Saul scarcely expected to be called by God to royal honors and duties when he set out to hunt for his father's lost donkeys, any more than the little boy David expected to be king when he was shepherding his father's sheep. David kept his humility and so God exalted him; Saul lost his, and by disobedience fell from God's favour. Both fell, but David speedily confessed his sin. As St. Ambrose says: "He sinned as kings often do, but he did penance, he groaned, he wept, as kings are not wont to do. He con-fessed his fault, he sought for pardon., he wept over his misery, he fasted, he prayed, and publishing his grief abroad, he left a witness of his confession to all poster-ity,. To fall into sin comes from the weakness of nature. To confess the sin comes from virtue." '"l~he Lord loves obedience better than sacrifice," Saul was told. Disobedi-ence is revolting against God, and almost inevitably pre-pares the loss of a vocation. We have seen a few of the calls of God in the Old Testament; what shall we say of the vocations in the New Testament? St. John the Baptist links, as it were, the two Testaments; and the Church applies to his voca-tion the magnificent passage from .Jeremiah, whom God told: "I claimed thee for my own, before ever I fashioned thee in thy mother's womb. I set thee apart for myself." Each New Testament vocation is splendid in its simplic-ity. Jesus captivates hearts by a look, a word, a smile, or simply by His presence. St. Augustine has a delightful description of the beginning of St. Andrew's vocation. "They wished to see where He dwelt., to be instructed in His precepts. He showed them where He dwelt. They came and were with Him. What a blessed day they spentl What a blessed night. Who is there who can tell what they heard from the Lord? Let us, too, build in our heart and make a house, whither He may come and teach us, and talk with us." The Bible account itself relates best the story of all the The Call o] God VOLUME 20, 1'961 ~2! 4- REVIEW FOR RELIGIOUS splendid New Testament vocations; of our Blessed Lady, of St. Joseph, of.~St. Pe.ter, St. John and the rest of the disciples. How many others there are of which we would gladly learn more, like that of the little boy who gave his bread and fishes to feed 'the multitude, or of Jairus' twelve-year-old daughter, who heard Jesus' Talitha cumi, "Little maid, arise." Who could doubt that she followed, seeking Him as eagerly as the bride in the Canticle of Can-ticles? There are vocations of ad~nirable people like St. Luke, the doctor, of St. Paul, the fiery zealot; of businessmen like St. Matthew; of thieves like Dismas, who stole heaven; of sinners like St. Mary Magdalene or St. Photina, who at Jacob's well, drew forth such streams of living water from the Sacred Heart! And that of Zacheusl When he could see nothing, he climbed a sycamore and saw the Lord passing by. Now the sycamore is sometimes called "a foolish fig tree." Little Zacheus, then, climbed the sycamore and saw the Lord. Thus they who in humility choose the things that the world deems foolish have a keen insight into the wisdom of God Himself. The crowd prevents us from seeing the Lord because the tumult of worldly cares oppresses the human mind and keeps its gaze from the light of Truth. We climb a sycamore when we attend to the "foolishness" (as the world deems it) of God's commandments, refraining from recovering What, is taken from us, yielding our goods to robbers, never inflict-ing injury for injury and bearing all with patience. The Lord bids us "climb a sycamore" when He says, "If one strikes thee on the cheek, turn to him also the other." Through such wise folly, we may see the Lord, and in contemplation catch a glimpse of the wisdom of God. So says St. Gregory the Great. "No one," says St. Ambrose, "can easily see Jesus, if he stay on the ground! One must climb above one's former faults, and trample on one's vanity. So it was that Zacheus came to receive .|esns as a guest in his house. And rightly did he climb a tree." St: Bede says that Zacheus, to see the Lord, had to abandon earthly cares and climb the tree of the cross, embracing thus the."folly" of Christ. St. Maximus has an entertaining sort of spiritual ledger account of the hardheaded businessman Zacheus' conver-sion. "Za.cheus," he says, "opened the gate of heaven to the rich by showing them how to buy heaven through the very means that once kept them out of heaven--namely, their possessions! He bestowed a treasure on them which would enable them to be rich for all eternity; he truly made a good bargain by showing them how to dispense their riches to the poor and so be eternally rich." Zacheus heard and answered our Lord's call with jo'y, unlike the other rich man who went away sorrowful "because he had great possessions." What shall we say of all the other humble and anony-mous vocations of the New Testament, of a deaf and dumb man, of how many blind, and lame~ and dead? Like all these, if we are very little in our own eyes, we act as a magnd~ for the love-of God'and for the grace of His turning to look on us and to say, "Come and seel" Better: still, like Zacheus,: we m.ayhear Him say, "Today I must dine in thy house-." Besi~ of all, we may hear Jesus' promise, "If a man has any love for me, he will be true to my wor~.l; and then he?will win my Father's love, and we will both come to hin~, and make our continual abode with himl" ÷ + The Call o] God 123 SISTER MARY JANET, S.C.L. ¯ Proposal for Small Missions: Taped Conferences ÷ Sister Mary Janet, S.C.L. is stationed at Saint Mary College in Xavier, Kansas, REVIEW FOR RELIGIOUS This is simply an idea. It concerns a possible spiritual service that the priest and the religious community in with a modern gadget might offer sisters living small, "spiritually impoverished" mission houses. The spiritual service is the conference; the modern gadget, the tape recorder; the "spiritually impoverished missions," those which receive little or no spiritual from a priest during the course of the year. The idea might be summed up as Taped Conferences on the Spiritual Life. There is no one way in which such an idea might realized. Sketched here are three possibilities. In one plan a religious community with a number smaller mission houses that do not enjoy the privilege regular conferences from a priest might secure the services. of a priest expressly to prepare a set of taped conferences for these houses. A distinct advantage of such a procedure would be that a priest could be selected who is well ac2 quainted with the particular community, its constitutionsl and customs, and its works. Furthermore, the community, could engage a man of proved abilities. Consider, for how a good retreat master could in this way follow up and amplify his original instruction, providing a spiritual focus and direction for souls over a con-siderable time span. How many conferences would he tape? This might vary according to the time the priest could give to such a proj-ect and to the number of conferences from one source community-might want. In general, six to eight confer-ences would seem ample, or perhaps enough for the re-, treat SUndays of the year. Probably--at first anyway-~' conferences in a series (where one is dependent on prem-ises set up in a preceding one) would seem less practical than autonomous conferences. Separate conferences would also simplify the distribution process. The subject of such conferences might well be deter-mined by a discussion between the priest and the religious superiors or even perhaps bysuggestions from ithe sisters themselves. The length ortiming 6f the tapes, too, might be suggested by superi6rs to fit into some. specific order of the day, as, for instance; a conference on the monthly day of recollection. Generally a half hour might be pro-posed as a relatively prudent length. For one thing, most Iape~ run one half hour; a longer donference would neces-i~ ate changing tapes--and there are distractions enough without mechanical onesl Too, we can only listen with maximum profit for so long. A half-hour is a safe average estimate. In this connection, it might be observed that the ;peaker can no longer rely ori gesture or facial expression ~r the command of his presence. He will need to compen- ;ate for these by careful use of illustration, examples, and ~enerally concrete, specific language. Once a set of conferences is taped, it could be dupli-zated to meet whatever demand there would be within the community. Note that five reproductions of a six-con-ference set of tapes wouldmake a conference on the,spirit-aal life available to thirty mission houses.After a tape had ;erved its purpose in one house, it could be sent on im-aaediately to another house, much in the manner we are !amiliar with in handling orented movies. Some initial planning in the form of a schedule for each tape would make distribution a minimum .chore. In communities which have a loan library, the tapes might well be added .o the materials these libraries make available to the sis- .er$. If the initial project proved valuable, the religious :ommunity could then enlist the aid of other priests and ~adually build up a considerable library of conferences or its sisters. A continuous program of new tapes--per-haps two or three sets a year--would seem ideal. A more ambitious project would originate with the )riests themselves. Here a diocese, an order, or a province )f an order of religious men might prepare and make ~vailable to sisters taped conferences on the spiritual life. Fhis, as I see it, would.be somewhat comparable to the ,ery real service religious orders of men are now perform-ng in publishing such magazines as the Sponsa Regis and he Review for Religious. This notion has fascinfiting possibilities. Think of the )riests in the cloister, older priests and those physically 11, priests,committed to work in seminaries and chancery ffices--for all of these, the tape is a possible pulpit. Tapes ould annihilate distance and a sister in New Mexico Ta~d Conterences VOLUME 20, 1961 ÷ ÷ ÷ Sister Mary Janet, S.C,L. REVIEW FOR RELIGIOUS could listen to Dom Hubert yon Zeller. They could bring the greatest spiritual thinkers of our generation into the most humble convent and they could preserve those voices for the next generation, Perhaps more ambitious yet: some large central agency concerned with the welfare' of religious--such as the Con~ ference of Major_ Keligious Superiors of Women's Insti-tutes or the Sister. Formation Conference might under-take such a project on a large scale, establishing a library of tapes for circulation among member communities. A small membership fee for each house or a larger one for a commu_nity would, I believe, cover the expenses of the project. ~ ° ~" Of course, the three outlined plans are not mutually ex-clusive. Indeed, they might well supplement each other and so offer .the sister "an embarrassment of riches~' in helping her gr6w in the spiritual life. Objections there would be certainly~ and it would be unrealistic to bypass therefor to pretend they could all be obviated. Such a project, for instance, would make a new demand on.already overworked priests. A certain, amount of expense and organization and book work would be in-volved:. What of the: .process of obtaining 'ecclesiastical approval? Some 'people simply"do not like being "talked at" by a machine, Furthermore, just. what advantage would the tape have over the,book? There are ,no real 'anSwers to the problems of time and taste. But there are some answers to other questi.ons., Ec clesiastical permission could no doubt be worked 6ut in side already existing channels. And, although th~ book is probably superiOr to the tape, objectively, still theteache, who uses the record or the tape can tell you that ther~ are times when the spoken word is more powerful and moremeaningful than the written word. More positively, jus~ wh;it purpose would such a projecl serve? A number of uses come to mind: for novitiates;' fo, sisters under temporary vows, :for ,sister,formation groups for the bedridden and .those, such as surgery supervisors who are unable to be :at community exercises, for prepa ration in renewing vows. But the most general use is on~ that can perhaps be illustrated by what is not, I think, ar undomm6n., experience among religious women in thi country today. It is principally why I think of this as ~ proposal for small missions. .'., ' A sister is missioned in, a parochial school in a fair-sizec town for nine or ten months out of every year. Here, ex cept for the Sunday sermon' in the parish church and th~ occasional and very generalized exhortation of her con lessor, the sister receives no formal spiritual instruction Her community may try valiantly to supplement this die during, vacation periods by institutes, tertianship pro grams, and so on. And fortunately for the sister, the Church demands the annual retreat. For very many sisters this is the only spiritual oasis in the year. Making good, solid spiritual conferences available to such a sister would be, I submit, 'a major act of super-natural charity. Too, it would "lengthen the arm" of the priest--or better, extend his voice~ which is, after all, the voice of Christ. + ÷ + Taped Conleren~es VOLUME 20, ,.1761 127 R. F. SMITH, S.J. Survey of Roman Documents ÷ ÷ ÷ R. F. Smith, REVIEW FOR RELIGIOUS 128 The documents which appeared in Acta Apostolicae Sedis (AAS) during October and November, 1960 will be surveyed in the following article. Unless otherwise speci-fied, all page references throughout the article will be to the 1960 AAS (v. 52). Allocutions and Messages On August 24, 1960 (AAS, 817-19), the Holy Father addressed the athletes gathered in Rome for the Olympic Games. He told the group that the purpose of athletics is not the winning of prizes but the proper development of the human body. However, he added, athletics not only affect the body by producing health, vigor, agility, grace-fulness, and beauty; but they also produce constancy, courage, and habits of self-denial in the soul. Hence he urged the athletes to fulfil in themselves the old saying, "A sound mind in a sound body." He concluded his al-locution by calling upon the group to observe the city of Rome closely and to see the role that Rome has played in the spread of the salvation and the charity that stem from the Gospel. Five days later, August 29, 1960 (AAS, 819-29), the Pope spoke to the officials and administrators of the Olympic Games. With this group he stressed his intense interest in world peace on the basis of the brotherhood that exists among all men. He also recalled to his listeners the rues sage of St. Paul that they should strive for a prize that higher and more durable than any earthly prize (1 Col 9:25). On August 28, 1960 (AAS, 829--30), the Vicar of Chris~ sent a radio message to the people of Peru on the occasior of their National Eucharistic-Congress. He pointed ou to them that the unity and brotherhood of men find thei~ origin in the fatherhood of God and are nourished at th~ Eucharistic table where Christ is received who died the salvation of all men and who is the principle of supernatural life for the entire human race. On September 16, 1960 (AAS, 821-24), the Holy Father delivered an allocution to the Fifth Thomistic World Congress. In the remarks that he made to th~ Congress, Pope John emphasized that the moral teaching of St, Thomas is always directed to the attainment of a super-natUral final end. He also said that the explanation and solution of moral problems according to the principles of St. Thomas will lead to remarkable results in. the way of peace for the Church and for the entire world. Hence, h'e continued, if his listeners succeed in presuading both man-agement and labor to know their respective rights and responsibilities, they will at the same time be leading them to follow Christ who is mankind's protector in this Hfe and its reward exceeding great in eternity. This, he said, will require a diligent study of the works of ~St. Thomas; and he called for a constant increase in the numbers of those who derive their light and learning from the works of the Angelic Doctor, This increase, he noted, should not only exist among priests and scholars, but also among all those interested in the humanities and especially among the young members of Catholic Action. To this end the Pope also urged the wider distribution of St. Thomas' writings in vernacular translations. On September 24, 1960 (AAS, 824-27), Pope John XXlII talked to a group of heart specialists in the hope, as he put it, of giving them a knowledge of the dignity of their profession in the light of Christian revelation. The Bible, he said, stresses the preeminent place the heart has in the human person. It is the heart from which come forth holy thoughts, wisdom, and virtue; it is the heart which leads man to rectitude, simplicity, and humility; it is with our whole heart that we are commanded to love God; and when the Son of God came to live among men, it was His Heart that he proposed to men as an example: "Learn of me, for I am meek and humble of heart" (Mr 11:29). Hence, he told his listeners, while a superficial view might think that a heart specialist is dealing only with a problem in human anatomy, in the eyes of faith and in reality he is concerned with a whole world of moral and religious values. Moreover, faith will show the doctor the beauty of his efforts as a scientist in quest for truth; at the same time the same faith will teach him how humble he must be in the face of the limitless immensity of God, Finally, faith will show the scientist the image of God in his fellow men and thereby transform all his relations with them. This effect of faith, the Holy Father added, is especially apparent in a profession like the medical one which is entirely devoted to suffering human beings. Hence in their work the doctors should recall frequently that what + + ÷ Survey ot Roman Documents VOLUME 20, 1961 ÷ ÷ R. F. Smith, S.]. REVIEW FOR RELIGIOUS 130 they do for their patients they do for that Christ who will one day say to them: "I was sick, and you vi.sit,ed me" .(Mt 25!36). On October 1, 1960 (AAS, 827-28), the Pope received the King and Queen of Thailand and delivered to them an allocution of welcome and good wishes. A similar allo-cution was given by the Pontiff when he received the Prince and Princess of Liechtenstein on October 8, 1960 (AAS 828-29). On October 20, 1960 (AAS, 893-95), the Vicar of' Christ visited the new building of the Beda in Rome and spoke to the English seminarians in residence there. Since the Beda's new building is near the Basilica of St. Paul he urged his listeners to recall frequently the woi'ds of St. Paul: "By the grace of God, I am what I am, and his grace in me has n0t been fruitless" (1 Cor 15:10). He went on to say that vocations are a tangible sign of the presence of God in the world; when God calls, a young man gives up family traditions, ambition, and earthly advantages and seeks only the glory of God, the sanctification of His name, the coming of His Kingdom, and the fulfilment of His will. He concluded his address by telling his listeners that each nation has its own treasure of traditions and of native virtue that can and must be transfigured into a precious instrument of the apostolate. Hence he urged them to take the well known English traits of humanity, gentlemanliness, and reflectiveness and transform them in the priestly activity they are called to engage in. On the same day the Pope also visited the new building that had just been completed to serve as a generalate and international house of studies for the Trappists. In the allocution that he gave for the occasion, the Holy Father t61d his listeners that the contemplative life constitutes one Of the fundamental structures of the Church; it has, he said, always been present in the two-thousand year history of the Church, constantly fruitful in virtue and con-stantly exercising a mysterious and powerful attraction for the loftiest and noblest souls. In praise of their vo-cation, Pope John cited to the Trappists the words of Plus XI (AAS, 26 [1934], 106) at the canonization of the Carmelite St. Teresa Margaret Redi: "It is these very pure and very lofty souls who by their suffering, their love, and their prayer silently exercise in the Church the most universal and most fruitful apostolate." He concluded his allocution by asking for the prayers of his listeners and of all the contemplatives of the world for the success of the coming ecumenical council. On October 25, 1960 (AAS, 898-903), the Holy Father spoke to the judges; officials, and lawyers of the Sacred Roman Rota. He told them that the dangers that weaken the institution of the family are accentuated at the present time, and he called the attention of all men of good will to the serious problem of the sanctity of marriage. In the first part of the allocution the Pope emphasized the need today for the instructi6n of the faithful r~egarding the dignity and the obligations of conjugal life. Marriage, he told them, is not only a natural reality; it is also a sacrament, a sign of grace and of that sacred reality, the espousal of Ch
Issue 24.3 of the Review for Religious, 1965. ; Counseling and Religious Life by Vincent S. Conigliaro, M.D. 337 Mortification by William J. Rewak, S.J. 363 Mary and the Protestant Mind by Elsie Gibson 383 The Mass and Religious Life by Jean Galot, S.J. 399 Devotion to the Sacred Heart by Anton Morgenroth, C.S.Sp. 418 Priest as Mediator ~ by Andrew Weigert, S.J. 429 Religious Life by Sister Elaine Marie, S.L. 436 Election: Choice of Faith .by Carl F. Starkloff, S.J. 444 Our Old Testament Fathers by John Navone, S.J. 455 Poems 461 Survey of Roman Documents 463 Views, News, Previews 467 Questiom and Auswers 473 Book Reviews 478 VINCENT S. CONIGLIARO, M.D. Counseling and Other Psychological Aspects of Religious Counseling,* a technique and a philosophy of treat-ment and human relatedness, is a topic of importance to both psychoanalysts and religious persons, both in a general and in a specific context: in a general context, because both psychoanalysts and religious persons work with human beings and are committed to a profession of service; and in a specific context, because religious sisters may be affected by mental problems as often as other individuals. Thus, in reflecting on counseling in the religious life one cannot help reflecting also on the problems making counseling necessary, the problems, in other words, about which one administers counseling; and on the factors behind these problems, that is, why these problems occur in the first place. Members of religious orders have been the victims of diverse, benevolent and malevolent, prejudices for cen-turies. One problem with prejudice is that sooner or later its victim comes to believe the prejudice himself and begins to think, feel, and act along the prejudiced stereotypes culture and/or society set up for him; this is why prejudice is always detrimental. As an example, one may think of just one of the many prejudices that have been formulated against the American negro: the prejudice whereby the negro is "good-natured," "basi-cally lazy," "clownish," a. jocular Amos or Andy. Even- # This paper was derived from a talk given by the writer on No-vember 9, 1964, at the Maryknoll Mother House; Ossining, New York; the paper was sent to the REvmw in December, 1964. 4- Vincent Conigli-aro, M.D., a prac-tising psychoana-lyst and member of the faculty of Ford-ham University, ihas offices at 104 East 40th Street; New York 17, New York. VOLUME 24, 1965 337 + ÷ ÷ Vincent $. Conigliaro, M.D. REVIEW FOR RELIGIOUS 338 tually, some negroes began to believe the stereotype themselves and behaved as if they could only be an ineffectual nice-guy Amos or a scheming, shrewd Andy-- or the other way around--I could never tell the two apart. Among the many prejudices formed about Catholic religious orders, there is one that proclaims that "mem-bers of Catholic religious orders are, by the very fact of being that, singularly immune from mental disorders"; or the opposite one, announcing that "members of Catholic religious orders are, by the very fact of being that, singularly prone to become mentally sick." Both prejudices of course are just that, pre-judgments, based on little factual evidence and substantiated by super-ficial experimentations. The facts actually suggest that (a) members of Catholic religious orders do not become mentally ill significantly more often or significantly less often than members of other religious orders; when they do become ill more often, this relates more to circumstantial problems (that is, poor screening of applicants) than to essential fea-tures of religious life; (b) members of religious orders do not become mentally ill significantly more often or less often than members of other tightly organized, rigidly structured organizations, for instance the Army; (c) neither the essential nor the accidental characteristics of religious life make, per se, a significant difference in the incidence of mental disease among the members of Catholic religious orders; (d) the occasional severity in degree of mental illness encountered among members of Catholic religious orders is not related to the essential or accidental characteristics of religious life, but to socio-cultural characteristics at large (for instance the socio-cultural concept that "to have a mental illness is dis-graceful"; treatment, thus, is sought too late, when the illness has been given the time to become severe); and (e) that the intrinsic and extrinsic features of religious life will be, psychologically, an asset or a liability ac-cording to the way each individual reacts to them in terms of life history, heredity, and childhood experi-ences. It may be of interest to examine both prejudices more closely. The first view holds that Catholic religious life is the best guarantee against emotional upsets and claims that members of Catholic religious orders rarely become affected by mental disease. This view is mostly held by members of religious orders; it was frequently expressed to me by the superiors of sisters I have treated or by the priest-counselors I have trained and supervised. The basis of this prejudice is wishful thinking and con-fusion between the natural and supernatural aspects of religious life. This view equates the symptoms of mental illness with the illness itself: ."There are no visible signs of illness; ergo, there is no illness . " I am reminded of an article recently published in a religious journal implying that religious life may actually "cure" neurotic symptoms. The writer of the article first listed some of the traits that may be symptomatic of a neurotic per-sonality, that is, self-centeredness, hypersensitivity, im-maturity; then observed, rightly enough, that religious life is essentially antithetical to such traits: and then concluded that religious life will thus automatically dis-pose of these neurotic traits: religious life, being theo-centered, will dispose of self-centeredness; being giving-hess, will dispose of selfishness; requiring spiritual ma-turity, will dispose of immaturity. One rather suspects that all theocenteredness, givingness, and spiritual ma-turity will do is to veil, temporarily, those neurotic traits they were supposed to have cured. This prejudice, actually, is quite unfair to the re-ligious sister. It suggests that the supernatural aspects of the sister's vocation will sustain not only her soul, which it does, but also her mind, even when natural causes, going all the way back to her childhood, act as a constant irritant; it holds that since she is isolated from the anxieties of the "real world outside," she should have no anxieties from the convent world (which happens to be equally real); and that since she is surrounded by the silence of the cloister, she will not hear the loud clatter of human problems: as if silence, at times, could not be many times louder than the loudest noise. This prejudice also engenders unrealistic attitudes; the religious sister feels supernaturally protected against the frailties of the human mind, and is led to believe that, by sheer virtue of the spiritual direction of her life, whatever factors there were that started operating, years before, toward the development of a psychosis or a neurosis will magically cease to operate. When she ex-periences signs of a mental illness, she feels disillusioned and as if God Himself did not live up to His part in a bargain He had never made; and she feels like a freakish rarity, the only one cursed by an illness that was not supposed to occur, the exception to the rule, thus adding to the anxiety and anguish of a neurosis the painful feeling of being an oddity. In a sister I treated, the latter feeling constituted a very intense symptom that, while mainly determined by a complicated intrapsychic proc-ess, was supported by the prejudiced belief that "reli-gious sisters are not supposed to become mentally ill . " This prejudice creates a problem also in treatment: the sister may be unwilling to unveil her problem to a superior who could take remedial steps; or, once treat- 4- 4- 4- Counseling VOLUME 24, 1965 339 ÷ + ÷ Vincent S. REVIEW FOR RELIGIOUS 340 ment has started, may be little cooperative and may rationalize her resistance to change by believing that "she can only get better through prayer . " In a case I recently worked with, it was the patient's superior who felt sister should not receive psychotherapy and should only help herself with prayers: "Good sisters do not be-come mentally ill . " On the other side of the coin is the prejudice holding, equally erroneously, that members of Catholic religious orders become mentally ill significantly more often than other persons. This view is mostly held by persons who are not in the religious life, are not Catholics, and, fre-quently, not religious. I believe this prejudice is mainly based on hostility; or on a lack of understanding of what is entailed in the religious life. The danger of this view is that already unbalanced members of religious orders lead a life of trepidation based on the neurotic fear that they will become overtly mentally ill (psychotic, "insane") because "everyone says so . " Here, too, this fear is overdetermined and related to an unconscious intra-psychic process; here, too, however, these patients "latch on" to the prejudice to express unconscious needs. In a priest I treated, the idea that he was going to become insane---because everyone he knew believed that "all priests, sooner or later, become insane"--had become a true obsessional idea; it expressed, among other things, his unconscious desire "to become insane" (more exactly, his unconscious drive to lose all controls and inhibitions) and his need to impute the responsibility of his insanity to those who believed that "all priests, sooner or later, become insane . " At the basis of this prejudice is also the fact that the religious life does have features which, in borderline personalities, may tip the balance in the direction of mental illness. A better understanding of these features will help to understand how religious life may contribute to t,he development of a mental illness. I want to make sure that I am well understood on this point. I am not suggesting that religious life may be the cause of mental disorders; I am saying that some features of religious life, when operating on a personality that has been af-fected by specific childhood occurrences, may precipitate, or "trigger," mental illness. This "trigger effect," evi-dently, may be set up just as effectively by college life, army life, marriage, as it can by religious life: once the keg is filled with dynamite, the explosion may be set up just as well by a spark of electricity, a match, or a gradual increase in room temperature. Which features of religious life act as a trigger on what kind of personality-- this is what may be quite important to reflect on. One might start by reflecting on the spiritual essence of religious life. Considering that this journal is widely read among members of religious orders, there is a bit of "carrying coals to Newcastle" in reflecting on this sub-ject at all. It must be remembered, however, that the specialist, knowledgeable as he is on the most minute detail of his specialty, often misses what may be too basic for him to remember. Basic psychiatric and psy-choanalytic concepts have been pointed out to me by friends who were neither psychiatrists nor psychoanalysts; and I myself have been able to point out basic points on music or art to musicians or artist friends of mine. As a lay person, as a "non-specialist" on religious life, I understand religious life as a life of greater growth in greater union with God~ All of us are born with the potentials for greater and greater participation to a transcendental existence in God; but those in the reli-gious life have the greatest chance of achieving the greatest participation. This spiritual participation, how-ever, can only be realized if the personality is sound; and a healthy supernatural life cannot exist without a sound, well-integrated psychic life. The old Latin saying mens sana in corpore sano can indeed be complemented with religio, sana in mente sana. It must be realized that the accidental properties of religious life may appeal to different personalities for different reasons. Just as one may become a psychiatrist or a surgeon for a combination of healthy, unhealthy, conscious, and unconscious reasons--and a good psy-chiatrist is usually one who, finally, is in his profession more for healthy and conscious reasons than for un-healthy and unconscious ones--it is also possible to enter the religious life with a combination of healthy, un-healthy, conscious, and unconscious motivations. Un-balanced personalities, the individuals with the "keg of dynamite" beneath the placid exterior, may enter the religious life attracted not by its spiritual features but by what these persons unconsciously consider useful for their neurotic needs. When the latent neurotic individual has been attracted to the religious life, religious life will indeed have the "trigger effect" mentioned before. Some examples at this point may be helpful. Religious life, through its essence, offers, to the healthy, opportunities for spiritual and existential richness and for the fullest expression of one's personality; to the unhealthy, opportunities for an impoverished, restricted existence (again spiritually and existentially) and for the fullest expression of one's neuroses. Such features of religious life as the vows of chastity, obedience, and poverty, may attract the latent neurotic personality not 4- 4- 4. Counseling VOLUME 24, 1965 ÷ 4. + Vincen£ $. Conigllaro, M.D. REVIEW FOR RELIGIOUS because of their essential spirituality but because of the opportunities they offer for neurotic defenses and neu-rotic acting-out. The healthy religious sister has a greater chance of experiencing the transcendental union with God, not in spite of, but because of her vows; the unhealthy sister uses the vows to express instinctual drives and neurotic defenses. In the latent neurotic, the vow of chastity may be appealing for reasons having little to do with spir-ituality, that is, emotional frigidity, fear of love, fear of sex, homosexual tendencies. The all-female environment may be chosen not in order to be chaste to better serve God but because of fear of closeness to anyone. This sister will be fearful of any and all emotional involve-ments, will stand aloof, and will withdraw from every-one, God included. Similar situations have been found with regard to the vow of obedience. As it was once ex-plained to me by a sister student of mine, this vow is "a listening to the will of God as it is expressed through one's community, environment and, ultimately, supe-rior"; a "dialogue in charity," with the superior as the "master listener" fashioning the dialogue between the sisters and God and evaluating what has been heard as the will of God. The sister who enters the convent with healthy motivations can afford to be obedient: she can see God's will beyond the superior's will; the sister with unresolved authority problems cannot be obedient with-out hostility (and the superior affected by the same problem will tend to abuse her authority and provoke rightful resentments). In the obsessive-compulsive per-sonality, which, under a meekly submissive and ingra-tiatingly passive surface, much anger and rebelliousness are concealed, vows of obedience will have a strong neu-rotic appeal to begin with (unconscious wishes to placate authority~ neurotic resolutions of total passivity and total submission) and will trigger, later, serious conflicts. Sister may role-play complete obedience and submission to the point of making no contributions whatsoever to the community life; she may be passive and overdependent; have no intiative; obey automatically, making no repre-sentations even when representations are called for; and create a mockery of authority and a caricature of obedi-ence by indulging in what has been called "whole obedi-ence" as contrasted to "holy obedience." The vow of poverty, too, essentially beautiful (with no material possessions one can better pursue the knowl-edge of God) may be appealing not for spiritual.reasons but because of unconscious feelings about money, love, and possessions. A sister may enter the religious life because of insecurity and the semi-conscious realization that although in the convent she may not have personal possessions, her basic needs will be adequately met. A sister I treated equated having money and possessions with having evidence of being loved. She created a prob-lem in the community by hoarding things, demanding expensive clothes and privileges, requiring costly medical treatments (and feeling intensely guilty when her demands were acceded to). When she did initiate psy-chiatric treatment, the matter of payments was a monthly crisis. She reacted to the fact that the com-munity was disbursing funds for her health not with realistic gratitude--or realistic concern--but with intense guilt (at the fact that a neurotic fantasy about which she had much ambivalence was being satisfied). If the neurotic needs of the religious are actually met by some of the accidental features of religious life, why, then, is there a conflict? I[ a sister with neurotic feelings about authority enters the religious life to find a better disguise--or a better expression--for these feelings and, in some o~ the accidental features of religious life does meet this opportunity, then, again, why is there a con-flict? One way to understand this is by realizing that human drives are arranged by "polarities": we love and hate, like and dislike, are active and passive, assertive and sub-missive, dependent and independent. In the healthy personality these polar extremes are harmoniously inte-grated and blended in the overall economy of personality, and there is no conflict. In the neurotic personality each polarity, as it were, is treated separately by the executive agency of personality, the ego; and each holds separately and simultaneously prospects of security and insecurity, pleasure and pain. Thus, by being overdependent, one is taken care of, but one's needs for prestige and successful competition are frustrated; and by being over-assertive one fulfills one's needs ~or power and status, but one's need to be loved, cuddled, mothered are frustrated. As an example, a sister with unresolved authority problems enters the convent to placate her superego by total sub-missiveness; this will fulfill the polarity of dependency, passivity, submission; but the opposite polarity, which energizes rebelliousness and independence, will have to be vigorously repressed and will remain frustrated. This will result in a worsening of the authority problem; symptomatologically, there will be dissatisfaction (frustra-tion of one polarity); chronic fatigue (because of the need to divert psychic energy to the task of repressing the polarities of rebelliousness and independence); periodic explosions (during which the polarities energizing sub-mission and passivity are frustrated); feelings of guilt; and so forth . One is reminded of what is found in the neurotic marriage, in which the partners marry one + ÷ ÷ 343 4. Vincent S. Conigllaro, M.D. REVIEW FOR RELIGIOUS 344 another because each offers the other the opportunity for the disguise and the release of unconscious drives. The man with latent homosexual problems marries a frigid, cold woman; the outwardly efficient, "strong" male (the type who exaggerates the outward signs of masculinity because of deep seated feelings of inadequacy) marries a woman who under a calm and restrained exterior is assertive and domineering; a woman with unconscious sexual anxieties marries an impotent male; and so forth . In these cases too, the neurotic bargain is fulfilled and the unconscious expectations which have led to the marriage in the first place are being satisfied: this is why the marriage fails or is beset by severe incompati-bility. I am reminded of a patient in my recent experience, a bright and attractive woman with severely disturbed ideas on sex and much anxiety and guilt about any type of sexual involvement; these feelings were unconsciously rationalized by the conception that sex is "always degrad-ing" and "inherently dirty." She did not marry until the age of thirty-two: the healthy, eligible males who had appeared on the scene up to that time had not been "attractive" enough to her neurotic expectations. She finally met the "right" man: an extremely puritanic, neurotically judgmental individual who consciously visu-alized sex as dirty and degrading; he would subtly "seduce" her into giving in to rather innocent exchanges of affection and would then reject her by sternly lecturing her on the basic depravity of all women. After sixteen months of formal engagement, she married him primarily because she had found in him the external counterpart of her own rigid, punitive superego. It can be easily antic-ipated that this couple's marriage was extremely un-satisfactory. They found each other unbearable; he felt she was shamelessly passionate and "se.xy"; she felt he was sadistically judgmental and critical; and they both acted as though neither had had any idea (in sixteen months of engagementl) of what the other was "really like." The neurotic polarities of each of these individuals were being fulfilled through the neurotic marriage at the expense of intense anxiety, rage, and guilt. In the latent neurotic personality, religious life may trigger neurotic symptoms through some of its accidental features. While the essence of religious life is immutable, its accidental elements, the ways this essence expresses itself, are necessarily mutable and in a state of constant transition and adjustment to changing socio-cultural conditions. The transition itself may be disturbing to the rigid, obsessive personality. A sister I once treated could have functioned satisfactorily only if the Church had gone back to medieval times. A priest once told a colleague of mine, with much anxiety and bitterness: "They are changing my Church, Doctor; they are chang-ing my Church" (in reference to the Ecumenical Council). Some sisters' neurotic structure is such that they only accept meditation and contemplation, to the total exclu-sion of action; and they do this more for neurotic than spiritual reasons. It is also important to realize that religious orders are a world of their own, a society with its own culture (some religious orders even call themselves "societies"). The fact that there are to be rules is inherent in any society; but the religious societies are particularly bound by rules (the etymology of the Word "religious" is "rule-bound"). Some religious societies are very rigidly set up; there may be a rigid ordering of time (the "horarium," the setting down of every hour and activity of one's day from rising to retiring) or a rigid ordering of authority, community rank, behavior (the book of cus-toms). This system of rules may indeed appeal to a rigid personality or to persons with problems about routines, schedules, and time tables. These persons, again, will be attracted not by the spirit behind the rules but by the rules themselves, the scheduling for its own sake, the opportunities thus offered for neurotic defenses or neu-rotic acting out. Religious life indeed may, with its essential or transi-tional features, trigger neurotic symptoms in the latent neurotic personality. It may seem that this point is being belabored. Yet, in reading the religious journals read by most sisters, one finds cause for concern over the explana-tions prevalently given as to the causes o~ mental dis-orders among the religious. While the situation has im-proved considerably in the last fifteen years, there still prevails a lack of awareness of what really should be remedied; and why; and how. Often, we still bark up the wrong tree or beg the issue or believe that sister is neu-rotic simply because she has a difficult superior or because her order is a very rigid one, completely overlooking the fact that most probably these sisters had a neurotic prob-lem to begin with and the environment to which they are now overreacting has only brought the neurotic con-flict to light. I am reminded of a question asked by a group of sisters (and recently published in a religious journal) on the subject of the measures suggested by the Church to reduce tensions among the religious. The answer, as given by a well known and justly respected priest, gives cause to ponder; it suggests that, while the Church has recognized the importance of childhood in the causation of mental disorders, and, at least by implication, the importance of counseling and psychotherapy--these factors (childhood) ÷ ÷ ÷ Counseling VOLUME 24, 1965 345 ÷ ÷ ÷ Vincent S. Conigliaro, M~. REVIEW FOR RELIGIOUS 346 and these measures (counseling and psychotherapy) are, too often, seen as the least important. According to the above source, among the remedies suggested by the Church are, mainly, such remedies as avoidance of a disordered and restless life, a minimum of calm and peace, avoidance of overwork, enactment of the rule of silence (thus the availability of cloisters), vacations and weekly days off, and so forth . All these measures, I suggest, are far from meaningless; but also far from sufficient. All these measures are important; without them there will be anxiety and tension, but there will be anxieties and tensions in spite of them. A restless and disordered life most often is not a cause of mental illness but a symptom, just as the ability to live a joyful and pleasurable life is a manifestation of good mental health, not a cause. I remember a sister I once treated for a severe compulsive character neurosis, with symptoms of depression, scrupulosity, perfectionism, and chronic fatigue. She had been told (innumerable times) to take some days off and have a good vacation; for at least two years her rigid, grandiose, self-punitive personality had prevented her from doing so: there was too much to do and no one could do it as well as she. Sister was not tense because of overwork: she was tense and overworked because of a deeper common cause. When she was finally ordered to take a vacation and have fun, she worked strenuously and grimly at having fun with no benefit whatsoever from either vacation or recreation. Committed Catholics and psychoanalysts will grow equally concerned over the fact that we still too often believe that emotional illness among the religious is caused by such spiritual reasons as spiritual frustration or the feeling of not having attained the vocational ideal of apostolic sanctity. Spiritual frustrations, again, are more often symptoms than causes of mental illness; and to relate them to incomplete spiritual formation, poor spiritual training, and so forth, is often inaccurate. The psychotic sister will not feel better mentally by leading a better spiritual life; she will lead a better spiritual life when she feels better mentally. The sister with an authority problem will not become more obedient solely by forcing herself to become more obedient; and the sister obsessed with impure thoughts will not be able to solve her problem only with prayer. All this does not question the supernatural power of prayer; it simply questions whether the neurotic or psychotic sister can truly pray, or, better, how receptive one is to grace while in a state of severe neurosis or psychosis. The point, at any rate, is that if these sisters were able to be spiritually obedient, religiously fulfilled, prayerful, and so forth, they would not have these mental problems to begin with. Thus it is often a mistake, for a spiritual director or superior, to simply demand of the neurotic sister to pray more, implying that if she does, this will resolve all problems. When sister finds herself unable to do so, she will feel guilty and become more anxious and depressed; or an emotional problem which could have been cleared in a relatively short time (had counseling or psycho-therapy been administered immediately) is treated psy-chiatrically after months of attempts at treating it by supernatural means, and it may be too late. Evidently, the total answer to the mental problems of the religious does not lie only in counseling and psycho-therapy; but the latter should play a larger role than it played up to five or ten years ago and even larger than the role played now, a time in which the Catholic Church has already made so many strides in pastoral counseling,x The mental problem of the religious, I believe, can only be approached through a holistic concept in which supe-riors, sisters, social workers or psychologists, spiritual directors, pastoral counselors, and psychotherapists make available to the disturbed sister all available means to 1 The history and development of the Iona Institute of Pastoral Counseling well exemplifies these strides and the Church's positive attitudes on mental health. In 1959, Dr. Alfred Joyce, a New York psychiatrist and psychoanalyst, offered his services for a program of talks and seminars on pastoral counseling at the St. Francis of Assisi Church and Monastery in New York City. The Franciscan Provincial, Father Celsus Wheeler, O.F.M., and a Franciscan psychologist, Father George Fianagan, O.F.M., Ph.D., supported the program enthusiasti-cally and the following year Dr. Joyce, this writer, Dr. L. Moreault, Mr. F. Peropat and Dr. J. Vaccaro, under the leadership of Dr. Joyce, founded the St. Francis Institute for Pastora! Counseling, a pioneer-ing institute offering a two-year curriculum on the theory and practice of pastoral counseling. With greater and greater support be-ing received from the New York Archdiocese and Francis Cardinal Spellman, and through the dynamic encouragement of Monsignor George Kelley, Director of the Family Life Bureau of the New York Archdiocese, in 1962 the five founders of the St. Francis Institute transferred to Iona College (New Rochelle, New York) and associ-ated themselves to Brother John Egan, Chairman of the Department of Psychology of the College, to form the Iona Institute for Pastoral Counseling, the only institute of its kind in the Eastern United States. Since 1962 the institute, under the leadership of Dr. Joyce, has offered to larger and larger groups of Catholic priests (total enrollment for 1964-1965 was just under one hundred students) a unique, com-prehensive, three-year curriculum of courses and clinical supervision leading to a Master's Degree in Pastoral Counseling. The Institute's program is designed to develop in its students greater awareness of the psychological dimensions of the problems encountered in pas-toral activity; to foster understanding of the conscious and uncon-scious processes operating in a counseling relationship; and, in general, to increase the effectiveness of the Catholic priest's pastoral work. The Institute's program, therefore, is quite consistent with recent directives of the Holy See, that is, directives which have emphasized the need for the development and refinement of the special competencies required for the pastoral ministry in the twentieth century. + + Counseling VOLUME 24, 1965 ÷ ÷ Fin~en~ $. Conigliaro~ M.D. REVIEW FOR RELIGIOUS help herself, including prayer and spiritual self-improve-ment but also including counseling and psychological self-improvement. In a truly holistic approach one would also include preventative concepts and work toward the improvement of the existing screening procedures for the applicants to the religious life, the improvement and modernization of training programs for the religious, and the inclusion in these training programs of psychological considerations (mental hygiene concepts of education, group dynamics of training, and so forth). The latter, I believe, can be done very successfully without com-promising in the least the spiritual and religious con-siderations of training. One can think of counseling and the religious sister in many different ways. One may think of counseling admin-istered by a sister who has been trained in the theory and technique of counseling and who gives counseling to the sisters in her own house; the sister counselor may be the superior or another sister. One may think of counsel-ing administered by a trained sister who practices counseling as part of her own missionary, teaching, nurs-ing, or social work, in which case the counselee may be another sister or a lay person, male or female, adult, adolescent, or child. One may think of counseling in terms of "diagnostic counseling," "motivational counseling" and "therapeutic counseling." Finally, one may think of counseling as a philosophy of life, an existential commit-ment, a philosophy of deeper understanding of human psychology and human motivations, by which the trained sister becomes, in the house where she lives or at her place of work, a very valuable trouble shooter and "sig-nificant figure." One may think in terms of the superior of a house who has had enough training in counseling or psychology to do counseling with the sisters of her own house as soon as a problem arises and before it becomes too serious. This may be a "diagnostic counseling," in which the superior, after two, three, or four interviews, is able to recognize the "danger signals" of mental illness, can differentiate them from the symptoms of a strictly reli-gious or moral problem, and is therefore in the position of advising remedial steps. It may be a "motivational counseling," in which the superior has a number of sessions with the disturbed sister for the purpose of help-ing the sister to recognize the psychogenic nature of the difficulty and preparing her for therapeutic counseling or psychotherapy. It may finally be "therapeutic counseling" in which the superior, by using the technique of counsel-ing, helps the sister to help herself. I am convinced that it is administratively unfeasible for the superior of a community to do counseling with her own sisters; and, it administratively feasible, I am still convinced it would not be advisable therapeutically be-cause of the very nature o[ the superior's status in the community: the fact that she is, by virtue and necessity, identified with "authority" and because of the psycho-dynamic dimensions of being the "mother" superior. Better, then, for another sister to be the "house-counselor"; even in this case, however, it will be helpful it the superior is sympathetic to, and understanding of, the philosophy and the techniques of counseling; it will avoid friction between superior and house counselor and the unbalancing of the group dynamics of a religious community. Incidentally, should there be a "house counselor"? Should counseling be at all administered in the house, within the community, b~ an "insider"? I am convinced there are important advantages to doing so-- at least initially. This is in keeping with modem mental hygiene concepts, that is, the concept of "emotional first aid stations." Industrial psychiatrists have found that optimal results were often obtained by treating situa-tionally triggered emotional crises "on the job." In research on this subject I published a few years ago, I felt that the system of having a full time mental hygiene team on the premises is very advantageous. By having a house counselor, emotional emergencies can be handled on a truly emergency basis; situational and reactive crises can be approached more insightfully and with more perma-nent results. To conduct diagnostic and motivational counseling within the community appears advantageous also from a practical and financial standpoint. Finally, disturbed sisters may flatly refuse to see an outsider (especially lay) counselor or psychotherapist or may co-operate with the outsider only superficially. The presence of a house counselor on the premises and the fact that counseling is being practiced within the house may indeed have a disturbing effect on the group dynamics of a community, at least in some houses. This, however, is more an indication for, than against, the presence of a house counselor. If the community group dynamics can be unbalanced by her presence, then there already are neurotic processes operating under the sur-face. The processes would be triggered anyway by other "irritants"; they might as well be triggered by the house counselor, who can understand and treat group anxieties and individual anxieties. Some of the problems that may be triggered by the house counselor are: anxiety about the sister who is undergoing counseling ("There, but for the grace of God, go I"); resentments about the time she spends with the counselor or the superior (a form of sibling rivalry); anger (and envy) at the apparent fact that she is given ÷ Counseling VOLUME 24~ 1965 ÷ ÷ ÷ Vincent S. Conigliaro, M.D. REVIEW FOR RELIGIOUS 350 special privileges and dispensations (a sister I once treated said about another sister also in treatment: "They are letting her get away with murder . "); and so forth. Some of these problems might perhaps be prevented by utilizing a house counselor from a different house. A Maryknoll superior I recently spoke with suggested that two trained sisters from the same order but from two dit~erent houses could be exchanged between the two houses and be "on call." Parenthetically, I do not believe that one needs to be alarmed at the thought of a nonmedical sister counselor practicing "diagnostic" counseling. Although the formal diagnosis of any dis-order, whether "physical" or "mental," remains within the province of the medical doctor (psychiatrist or medical psychoanalyst), a well trained counselor is quali-fied to evaluate the severity of a mental disorder, formu-late hypotheses as to its course and prognosis, and differ-entiate it from solely moral or religious problems. What one should fear, rather, are the "snap diagnoses" made by untrained individuals in any walk of life: in the case of the religious sister, the diagnosis, "spiritual problem," with the prescription, "prayer, three times a day," for a problem that is mainly emotional in nature and needs counseling (or psychotherapy) as well. I referred above to the "understanding superior." I wonder how many sisters, troubled emotionally and mentally, did not feel, at some point, that it was-"all mother superior's fault., if she only had more under-standing . " I also wonder how many superiors, whose sisters were in the throes of a severe mental problem, did not feel, at some point: ". It's all my fault., if I had only had more understanding . " (I also wonder if some psychiatrists, in treating sisters with emotional problems, have not at times felt that it was ". all mother superior's fault., if she had only had more understanding . "). I believe there is something significant here and worth-while looking into. At times, undoubtedly, the superior is largely respon-sible for a sister's emotional problem as a "trigger factor," as precipitating element. More often, however, the superior is blamed because of the need for scapegoats, be-cause of the psychological tendency to explain difficulties in simple black and white, "good guy, bad guy" terms, and, finally, because of a specific psychological function called "transference." The truth of the matter is that to blame it all on the superior is incorrect; and if it is incorrect, it is also unfair: unfair to the sister, who likes to believe that changing houses will solve all her problems (she will go through one, two transfers to realize, after several cycles of heightened hope and frustrating letdown, that nothing has really changed in her mental status); and unfair to the superior, who will unrealistically blame her-self for her sisters' emotional problems and use this self-condemnation as a nucleus for her own neurosis. The interpersonal relationship of sister--superior is necessarily a very complex one; here, too, we find that in both its essential and accidental characteristics it offers opportunities for spiritual and psychological enrichment to the healthy and for neurotic expressions to the neu-rotic. The superior has full and unquestioned authority, because she represents, supernaturally, the will of God; the healthy sister willfully chooses to submit and defer because she can see the transcendental aspects of her submission and deference; the neurotic sister or superior sees, rather, a symbolic relationship between an omnipo-tent mother-figure and an infantile daughter-figure. Once the relationship has been unconsciously visualized in these symbolic terms, the development of "transferential" reactions is highly likely, because the relationship is already a "transferential" one. "Transference," I believe, explains why the disturbed sister is too ready to put all the blame on the superior or why the superior is ready to put all the blame on herself (or, in opposite cases, on her "insubordinate daughters"). It also explains why everything the superior does, the rewards she administers, the punishments she metes out, the assignments she makes, the time she take to reply to the sisters' mail, even her very traits of personality, become, at times, a matter of life or death for some sisters. ~Vhat is "transference?" Transference is an unrealistic emotional posture which supposedly occurs only in psy-choanalytic psychotherapy but which also develops, in varying degrees of unreality, in other intimate emotional relationships (husband and wife, soldier and N.C.O. on the battle line, pastor and priest, superior and sister, and so forth). In transference, one feels about a contemporary figure not the feelings it deserves because of what this figure realistically is, but the feelings one felt about significant figures from one's childhood, whom the con-temporary figure symbolically represents. In transference, the patient sees his analyst not as what he is but as he saw his own father and/or mother; and feels about his analyst the quality and quantity of feelings appropriate not to the analyst but to his own father and/or mother. Similarly, in transference the sister sees the superior not as the superior objectively is, but as she saw, as a child, her own parents; and her feelings about the superior are not proportionately related to what the superior, objectively, is, does, stands for, but to the feelings the sister had, as a child, about her parents. Transference motivates behavior as well as feelings and thoughts; in transference, the sister will behave, toward 4- 4- 4- ÷ ÷ + Vincent S. Coniglia~o, M.D. REVIEW FOR RELIGIOUS the superior, not realistically but "transferentially," not as sister-to-superior but as daughter-to-mother. Transfer-ence is "remembering through actions and feelings." In psychoanalytic psychotherapy, the development of transference is facilitated by some of the essential and accidental features of the treatment itself and may be fostered by the therapist (a skillful therapist encourages the appropriate quantity and quality of transference and uses it for his patient's benefit). The accidental features of religious life will also encourage transferential relationships and painful, neurotic transferential reac-tions. But, again, not per se, but in direct proportion to the mental health of superior and sister. Such features as the fact that sisters are referred to as "daughters" and superiors are addressed as "mothers". the psycho-logica. 1 message that may be contained in the very word "superior". the reality of the superior's unquestioned authority over the sisters., the vow of obedience., and other accidental features of religious life will not by themselves "infantil-ize" the sister or "mother-ize" the superior; but the sisters will be infantilized (and the superior motherized) who, from the depth of their un-conscious and latent neuroses, had already looked go these features as opportunities for the release of latent neurotic drives. The very fact that there are so many obedient, submissive, and deferent religious sisters who are, at the same time, joyful, vibrant, productive creatures, with attractive, vital, and no less feminine personalities is a living admonishment against believing that the poten-tially infantilizing (to the neurotic) features of religious life must necessarily (that is, also in the healthy) cause transferential relationships and reactions. Whether the superior is a trained counselor or not and whether her qualities of "understanding" will be rightly perceived by sisters wearing or not wearing transference-colored glasses, there can be little doubt that the "understanding" superior will contribute to the pre-vention of emotional crises in her community. Too often one thinks of an understanding superior as someone who smiles, agrees, and gets emotionally involved with her sisters or who is gentle and unassertive and goes around giving realistic or unrealistic reassurances or who shows total approval of whatever neurotic behavior is exhibited on the part of her sisters. This actually is more the stereotype for a neurotic superior than for an under-standing one. I remember a priest counselor whom I once supervised. He was counseling a hostile, resentful, rebellious adoles-cent whose father was rigidly authoritarian and coldly punitive. The counselee acted out his hostility in the counseling situation itself by being.consistently late for his sessions or breaking appointments without previously canceling them. The counselor was extremely "under-standing," remarked about the patient's lateness only casually and gave him a full-session time by cutting into his own rest periods, feebly joked about the cancelations and, to his own great inconvenience, rescheduled make-up appointments, and made sure not to appear in the least annoyed at his patient's erratic behavior. The counselor's conscious rationale for his "understanding" was: "I want him to see that there are understanding people in this world . 1 don't want him to think that everybody is as bad as his father . " In reality his "understanding" covered his own neurotic feelings about hostility and assertion; he neurotically equated justifiable annoyance (at having his schedule continuously disrupted) with irrational rage and rigidly controlled the former to avoid the risk of expressing the latter. Another counselor I supervised managed to convey to his patient his tacit approval of the patient's practically delinquent behavior; in this case the "understanding" dis-guised the counselor's own neurotic rebelliousness and hostility against authority. The giving of unrealistic reassurances (also often seen as a sign of "understanding") may actually be a symptom of neurosis. I remember the case of a sister with a paranoid char-acter neurosis, very intelligent but extremely disagreeable because of her mistrusting, hostile personality. Sister believed the other sisters disliked and resented her be-cause of her scholastic accomplishments; and her superior usually reacted to these complaints by "reassuringly" telling her that when one is very bright one may be resented by those who are less bright, and telling her not to worry, the other sisters really liked her. The con-scious rationale of this "understanding" was: "Sister is too sick to be told that the other sisters do dislike her. and for her arrogance and imperiousness, rather than for her brilliance . " In reality, this "understanding" covered the superior's unconscious fear of the paranoid sister and only resulted in the consolidation and strengthening of sister's hostility and disagreeableness. Real understanding--whether in the knowledgeable superior or in the trained counselor--basically cor-responds to the ability to understand human psychology and, especially, the complexity of human motivations. This understanding, which the counselor obtains from training, the superior can only derive through her own studies, readings, and observation, since in the great majority of cases we are not born endowed with it. "Intui-tive understanding," "horse sense," the "knack of under-standing people," are either an altogether di~erent quality of understanding (the superficial understanding of ÷ ÷ ÷ Counseling VOLUME 24, 1965 353 ÷ ÷ ÷ Vincent S. Coniglidro, M.D. REV|EW FOR RELIG|OUS few, superficial situations) or the major ingredient of often catastrophic "snap diagnoses" (the simplified con-clusions on "what really bothers" our fellow human beings). If this is fully realized, the superior who has little understanding should not blame her constitution, heredity, luck, or intelligence~in most cases she only needs to study, read, and observe. I am not implying that every superior should go to medical school and eventually specialize in psychiatry. I am suggesting, however, that any investment she will make in courses and lectures on human psychology will pay huge dividends in terms of house morale, a smoothly growing community, and her own peace of mind. Actually, it is a wonder that so many superiors, in spite of very little training in human psy-chology, do such a creditable job as leaders of a com-munity. Industry or government would not expect such a performance from untrained leaders of theirs who were to operate under conditions as difficult as most superiors (unisexual environment, closeness of quarters, the ever present possibility of transferential developments and transferential reactions; and so forth). If real understanding is to work--for the house as a whole, for the sisters, and for the superior herself---it must be mature and loving. It must be loving, or there will r~ot be the concern, care, interest motivating one human being to want to understand another (or, at least, to want to apply this u. nderstanding for healing purposes); and it must be mature, or it may be a neurotically motivated understanding in ~which the superior distorts the sister's demands because of unconscious needs to do so or understands these demands rightly but out of proportion to the total picture and more for her own needs than sister's. The positive features and attributes of real understand-ing can best be discussed in reference to counseling and religious counselors. Some of these features will be of great interest also to the superior: the superior who, without being a counselor or without intending to be-come one, wants to achieve, through her own efforts, personal interest, and dedication, real understanding of her sisters. This superior, however, would not be fair to herself if she expected to attain the quality of under-standing of the trained counselor just by following "a few simple rules," listening to the house counselors' "talk-ing shop," or reading a few articles, like this, at best just glossing over a few aspects of counseling theory. Both in real life and in the understanding of human psy-chology, there are no short cuts; and there are no instant substitutes for the understanding that can be derived only from years of studies, readings, and observation. The trained counselor attains a specialized quality of understanding of human psychology. A house counselor, through the time and effort invested in a comprehensive curriculum on theory and technique of counseling, can recognize, diagnose (in the connotation given before), and prognostically evaluate the signs and symptoms of healthy and unhealthy mental functioning. She can determine which patients are an indication for therapeutic counsel-ing and which patients, an indication for motivational counseling, should be referred to a psychotherapist, psy-chiatrist, or psychoanalyst. With the patients with whom she practices therapeutic counseling she knows, after evaluating the patient,s ego strength, environmental conditions within which the patient functions, and the overall circumstances surrounding the counseling rela-tionship, what techniques of counseling to follow and for how long. The counselor knows that human behavior and the symptoms of emotional disturbances are always over-determined (related to multiple causes and factors) and that the more disturbed is behavior, the more distressing a symptom, the more critical a crisis, the less likely it is that just one or two factors are responsible. Consequently, she will not "jump to conclusions," oversimplify, dispense quick, superficial "diagnoses" ("What really bothers you, Sister, is this and that"). She also knows that presenting symptoms and initial complaints are often a disguise for more distressing and intimate problems. Thus she waits beyond the first few sessions before concluding that sister has told her the "whole story" or even the "real story." She knows the inherently devious and implicitly mimetic nature of defense mechanisms; within herself, therefore, in the process of privately evaluating and understanding her counselee's problems, she will not take "no" (or "yes") for an answer, will not accept every-thing at its face value, will try to read between the lines of the counselee's manifest verbalization, will obtain clues from nonverbal communication, and will, in fewer words, constantly try to understand the dynamic motiva-tions, the "why," the "latent,'.' of her counselee's com-munication. (The really understanding superior may well try to remember this. Sister may come to see her to discuss problem "A"; whether sister knows it or not, she may actually be in the superior's office to discuss problems "B" or "C." The patient, knowledgeable, and, especially, un-hurried superior, will help sister to come to the real problem by prolonging the first interview, by non-direc-tive prodding--"is anything else on your mind, Sister?" is much better than "Is this (or that) what is really on your mind, Sisterl" and, especially, by asking sister to come in again "to talk more about problem A or any-thing else that might be on your mind, Sister . ") 4- 4- 4- Counseling + ÷ Vineent S. Conlgliaro, M.D. REVIEW FOR RELIGIOUS 356 The counselor knows that even truly distressing symp-toms may only be a first line of defense the personality uses against even more distressing problems and con-flicts. The counselee of a priest I supervised was literally torn apart by persistent masturbatory behavior con-sistently accompanied by vivid heterosexual fantasies; yet this behavior was only a cover-up for very frighten-ing, still unconscious, homosexual problems. A sister I treated was painfully convinced (and so was her superior) that she had a severe sexual problem as she was mainly obsessed with obscene fantasies and per-secuted by sexual compulsions; after several months (and a dream in which she discovered a knife hidden by stacks of pornographic literature) it became apparent that she was using obscene fantasies also to punish herself for unconscious fantasies of a sadistic nature against the superior (and her mother). Thus the counselor knows better than to prematurely remove symptoms or defenses, lest the problems so disguised come to the fore, thus causing disintegration of the whole personality and psychosis. The counselor knows that the best way to counsel is, often, by the "non-directive, minimal activity" technique. Within this technique the counselor, after having ascertained (with a minimum of activity and direction) the quality and severity of the counselee's problem, assumes an "actively passive" posture. She patiently listens; benevolently and calmly waits out pauses of silence; asks few or no questions; stimulates the counselee's continuity of communication by nonverbal means (nodding, assenting, saying "Uhm-uhm") or, verbally, by repeating the counselee's terminal sentence; echoes and reflects back, in simpler, clearer, more concise phraseology the counselee's utterances, and so forth. With the mildest counseling problems this approach is therapeutic in itself and is both means and end. The counselor becomes the counselee's oral vehicle; and the counselee, just by listening to the counselor's clearer re-formulations of the problem, can see solutions or the roads towards them. With most counseling problems this approach is very valuable as a means to an end, as it provides the counselor with material through which she will be able to help the sister to help herself. (A little tip for the superior: "true" listening, with minimal ac-tivity and direction, will cause the "true" problem to shape itself in its clearest outlines under her very eyes.) An important point, made just in passing before, is the one to the effect that light attempts at premature removal of symptoms can be catastrophic. Freud spoke of "wild psychoanalysis"; in a sense, one can talk of "wild counseling." In "wild counseling," the counselor tells the patient what to do; advises; judges; prescribes courses of action; removes symptoms or eliminates defenses; prods too actively, eliciting too much too soon, all this without knowing enough of his counselee's personality structure and whether the patient can safely ~ollow the prescription or in ignorance of the adaptive and defensive meaning of normal and abnormal be-havior. One of the most important discoveries of psychoanalysis was that psychic disorders have a meaning and represent partly successful attempts at defensive adaptation. Even the most distressing symptoms are a partly successful defense---without the distressing symptom of hysterical mutism, the hysteric would be hced with the more distressing problem of wishing to verbalize highly ex-ceptionable sexual desires; without the embarrassing symptom of "trigger-finger paralysis" (a hysteric condition of soldiers on the battle line), the patient would be ~aced with the more serious problem of wanting to press the trigger of a rifle aimed at his own sergeant; without the torturing symptom of persecutory thinking, the schizophrenic would be faced with the much more painful problem of having homosexual desires. The dis-comfort of hysterical mutism, trigger-finger paralysis, and persecutory ideation are a psychic bargain compared with the discomfort the psychic apparatus would experi-ence were it to face, in raw state, the sexual desires, the murderous aggression, and the homosexuality that mutism, paralysis, and persecutory delusions stand for. Thus, if we remove one line of defense, a more drastic defense will be set up and, with it, a more severe mental illness. I remember the patient who came to the emer-gency room of a city hospital in a wheelchair because of hysterical paralysis of both her legs. A brash and eager young psychiatric interne decided he would omnipotently remove the paralysis by hypnotic suggestion. The patient did walk out of the hospital on her own legs; once home, however, she became severely depressed and attempted suicide. The hysterical paralysis was, to her personality structure, an indispensable prop; deprived of that prop prematurely (that is, without any preliminary work on her ego), her personality could only cave in; the process could only be arrested by the setting up of more primitive defenses (more drastic "props"), for instance, the defense of depression. Counseling can be powerful medicine. Words and advice are to the counselor what scalpel and clamps are to the surgeon. Wrong counsel and ill-timed advice can have disastrous effects. I remember a patient "counseled" into borderline psychosis by her own G.P. A twenty-eight year old girl, beautiful and quite feminine, she had never been 4- ~,ounseling VOLUME 357 ÷ 4. ÷ Vincent $. Conigliaro, M~. REVIEW FOR RELIGIOUS engaged, married, or romantically involved, She had consulted her physician because of ill-defined heart and stomach symptoms, fatigue, sleeplessness, and choking sensations; the physician correctly diagnosed hysteria. In discussing her social life, he was struck by the fact that she never went out with men; he took the explanations she gave (shyness, moral reasons) about her sexual isola-tion at their face value and proceeded to persuade her into going out. After several sessions of "counseling" she reluctantly agreed to go out on a date. Shortly after the first date (and having given in to a very minor physical exchange of affection) she became depressed and with-drawn. Again, the physician accepted the explanations she gave for her depression (moral guilt) at their face value and counseled her to be "more broadminded." She became more depressed and withdrawn and eventually attempted suicide. Several weeks after she had finally en-tered psychotherapy, it was found that at the ages of five and nine she had been sexually molested by a psycho-pathic father. Unconsciously, she had come to associate adult sexuality with the incestuous sexuality experienced at five and nine; and the guilt, horror, and remorse at-tached to the latter had become associated to the former; thus sexuality had to be shunned in all its forms and manifestations. Deprived of her defenses of shyness, ti-midity, and sexual isolation, the patient could only ex-perience severe anxiety, depression, and guilt. The above examples refer to situations in which "wild counseling" was both erroneous from a psychoanalytic point of view and faulty from an ethical and moral standpoint. Yet examples can be given of morally un-exceptionable counseling that is equally "wild" from a psychodynamic point of view. A judgmental and psycho-dynamically imprudent pastoral counselor once strongly advised a young man to give up compulsive masturbation at all costs; the counselee did, at the cost of severe homo-sexual panic and suicidal behavior. A couple was once treated in marital counseling; he was a drug addict, moody, manipulative, exploitative, sadistic, occasionally violent; she, the unnervingly patient and "holy" type of woman who goes through life proudly protesting her humility and vigorously proclaiming her martyrlike good-ness in the face of unbearable male provocations. The counselor did not see that this was a neurotic marriage and that this woman (fully aware of her husband's long record of addiction at the time she had married him) had done so to fulfill her masochistic needs and express her controlling and manipulative polarities in the least obtrusive way. The counselor also failed to realize that this woman had a need to foster her husband's addiction (for example, she used to express astonishment at the fact that her husband always managed to steal the groceries money to buy drugs; in actuality, it was she who would unconsciously "forget" some money [always just the right amount for "a fix"] on her dresser for her husband to steal) and that his addiction was an essential '"prop" to her personality. When the counselor finally persuaded her to separate from her husband, she became severely depressed and became an alcoholic. As indicated before, the counselor should be both mature and loving; without these qualities, the most sophisticated psychological understanding will be basi-cally vitiated; and counseling will remain ineffectual. The psychoanalyst's personal maturity can be assured, in most cases, by the fact that he is demanded to undergo inten-sive personal psychoanalysis before he is o~cially per-mitted to psychoanalyze others; the counselor's maturity can only be assured by rigorous screening procedures at the time he applies for training; constant supervision during training gives the additional opportunity to certify as counselors only those who have demonstrated the needed maturity. Why should the counselor be mature (the quality of "loving," I would like to suggest, is an inevitable by-phenomenon of maturity) is self-evident. The mature and loving counselor practices counseling in terms of his counselee's needs--not his own. He is actively passive and non-directive because he believes in the rationale of this technique--not because he is uninterested or because he wishes to work as little as possible. When he gives active counsel, he does so because he honestly believes that it is right to do s~not because, by so doing, the counselee will love, admire, and respect him or "get off his back.~' The mature counselor responds to his patients realisti-cally and not in terms of neurotic reactions set up in him by the counselee's attitudes, symptoms, or values. He can be acceptant of his counselee's behavior, without condon-ing or approving it. He does not "judge" the counselee's actions; rather, he helps him to understand why he acts this or that way and what results can be anticipated from these actions. In being loving, the mature counselor is also capable o~ the adequate measure of self-love and self-respect, without which, I might suggest, there may be no genuine and consistent love and respect of others. A few examples may be given which will clearly in-dicate the maturity or the immaturity of the counselor. A lay counselor I supervised always managed to ask his counselees very personal questions of a sexual nature not to clarify his views on relevant aspects of his patients' personality but to fulfill, vicariously, neurotic sexual needs of his own. Examples given before (while we were 4- Counseling VOLUME 24, 1965 359 ÷ ÷ + Vincent S. Conlgliaro, M~. REVIEW FOR RELIGIOUS on the subject of the "understanding superior" and "understanding coun.selor") indicated how the counselor (or the superior) responded in terms of their own neurotic needs rather than their patients'. One pastoral counselor's sternly judgmental reaction to the rage exhibited by one of his counselees was less related to the patient's prob-lems with sadism than it was to the counselor's fear of his own hostility. Sometimes the counselor's immaturity first creates problems to the counselor himself which will then be transmitted to the counseling relationship and the counselee. A counselor I once supervised, incapable of mature self-love and self-respect, became very anxious because of his inability to resist his counselees' manipula-tions and dependency. He allowed counselees to contact him at home, at all hours of the day or night; the more dependent they became on him (and the more they in-convenienced and disrupted his family life), the more he resented them and the more he felt he had to "make up" for his hostility by giving in to their manipulations and dependency, thus getting involved in a self-perpetuat-ing vicious circle. Immature~or insufficiently trained--counselors may want to terminate a counseling relationship for a com-bination of '"right," conscious reasons (that is, the pa-tient is too sick and needs psychotherapy) and uncon-scious, "wrong" reasons (that is, hostility set up by the patient's values, attitudes, habits, and so forth). These counselors may feel so guilty, unconsciously, for the "wrong" reasons that they may be unable to recommend termination on the basis of the conscious, "right" reasons. They may present the "right" reasons to their counselees in such ambivalent, confusing fashion that the counselees sense the existence of hidden hostility, perceive the recommendation to terminate as '"rejection," and neu-rotically cling to the relationship: "interminable counsel-ing." On the other hand, an untrained pastor I know (truly and genuinely loving--of others; not enough, per-haps, of himself) often feels he does not have the right to refuse or deny anyone and gets involved in intermi-nable counseling in a different way: the parishioner keeps on coming, once, twice a week, to the rectory, refuses to be referred to a psychiatrist, and clings to the unhappy and helpless priest for years. Sometimes it is a superior who makes herself un-realistically available to her sisters. She is "willing" to practice informal counseling at any time during office hours (and beyond) and is unable to turn down any sister's request for "a few minutes of time." This superior may be taking too literally the Christian, ethical, or professional obligation to make oneself available to those who suffer, forgetting the equally ethical and Christian obligation to be good to oneself. One superior I knew refused no one coming in to see her, no matter how busy she was, how many deadlines she had to meet, and how many unfinished tasks were before her. She made her-self available "so that sister won't feel rejected."; her inner discomfort and tension, however, inevitably diffused to the counseling relationship. She would listen superficially and be exposed to the risk of making super-ficial, premature comments; or, while she "listened," her eyes would dart to the typewriter or steal a glance at the wristwatch; or her hands would tap impatiently by the telephone or tug at the crucifix ("Dear God, help me be patient."). The sisters she "listened" to inevitably received the message and felt just as rejected as if they had been asked to return later. A more self-loving superior will do better (by herself and by the sister) by recognizing her right (and her duty, perhaps, to herself) to tell sister warmly but firmly that she will take just a few minutes right away to discusse the matter of an appointment: which will be given within the day if sister feels the matter is that important, later, if sister feels her problem is not that urgent. I am suggesting, then, that when counselor, superior, pastor have sufficient mature self-love and self-respect (at least enough of it to resist the temptation of making themselves unrealistically, or masochistically, available to others) they will, at the same time, be capable of mature, joyful, and genuine love of others. (Could it be that "love thy neighbor as thyself" really means that one has as much obligation to love oneself as to love one's neighbor? And that this beautiful maxim, read between the lines, suggests that without mature self-Jove there cannot be mature other-love?) ! On the subject of "mature and loving understanding," it may be very appropriate to conclude by briefly reflect-ing on the question of values and counseling. While the counselee's values should have little relevance to the counselor's effectiveness, the same cannot be said of the counselor's values. ("Values" here is meant on a broad ethical and philosophical plane, not only on a religious or moral plane.) At the risk of being considered an incorrigible idealist, I should like to suggest that the effective counselor (like the effective psychotherapist) must be, above all, a decent, good human being. If he is not to be, at best a sterile and antiseptic technician, at worst a manipulator and a hidden persuader, he must be committed to a philosophy of integrity, love and respect of others, self-love and self-respect. The attributes of maturity, loving-ness, and understanding will ulti-mately be inherent and intrinsic in the man's existential ÷ ÷ ÷ Counseling VOLUME 24, 1965 36] integrity and ethical commitment. He cannot be auto-cratic, manipulative, devious outside of office hours, and genuinely permissive, truthful (to himself and his work), and sincere in his office; by the same token, he cannot be weak, manipulable, neurotically self-effacing outside of his office and reasonably assertive, reliable, and helpful during office hours. He need not be "perfect" (whatever this word may connote in his personal weltanschauung), but honest. He need not feel that he must make no mis, takes; all he needs is mental alertness to the mistakes he makes and the emotional courage to recognize them and try to do his best to rectify them. He need not be a self-righteous crusader for love, freedom, and a democratic philosophy of life, but someone who does his best to love, be free, and set others free. I began by noting that "counseling, as a technique and a philosophy of human relatedness., is important to both psychoanalysts and religious persons. (who) both work with human beings and are both committed to a profession of service . " In closing, I should like to suggest that both psychoanalysts (or psychotherapists, counselors, and so forth) and religious persons (or pastoral counselors, house counselors, and so forth), be-cause of the specific quality of their relatedness to the human beings they work with, are alike also in this respect: the measure of their success in their work is, to a large extent, a measure of their existential richness and integrity. ,4" 4. + Vincent $. onigliaro, M.D. REVIEW FOR RELIGIOUS WILLIAM J. REWAK, S.J. Mortification: An Entry inta the Christ-Mystery I. Aversion of Modern Man In the spirit of the Church's aggiornamento, there is a great demand today for authenticity in moral and ascetical theology, a demand for new and valid expres-sions for the old values. A value is a value, after all, not because it is traditional but because it is an authentic expression of my personal relationship to God and to other people. We are aware of, and fear, the crystalliza-tion of the primary Christian experiences. It has often happened that the Church---or more exactly, institutions and individuals within the Church---have bequeathed to succeeding generations rites, methods, and customs with-out any inner ideal and spirit. Such a stagnation of the original value can occur in any human experience: mysticism can degenerate into magic and ritualism; prophecy is always in danger of crumbling into moral-lsm. So the original value, idea, must forever be reex-pressed; it must grow within the historical context and be reinterpreted in the light of changing modes of thought. At the same time, it must keep a strong hold on the primitive experience. It is for this reason we will investigate the New Testament doctrine on mortifica-tion. A theology of mortification is badly needed. The pres-ent doctrine is inadequate, for it has not kept pace with the advancements in Sci'ipture and other branches of theology. At the present, we are reacting against a moral theology that has emphasized sin and progressing towards a positive program of Christian life: doing good in the service of a generous charity. The idea of morti-fication, then, which according to many manuals is practiced either as a punishment for past sins or as a deterrent against future sins must be reappraised,x What ~$ee P. J. Meyer, s.J., Science o] the Saints (~t. Louis: Herder, ÷ ÷ ÷ William J. Re-wak, s.J., is a mem-ber of Regis Col-lege; 3425 Ba~.view Avenue; Wallow-dale, Ontario; Can-ada. VOLUME 24, 1965 4, 4, 4, William ~. Rewak, 5.1. REVIEW FOR REL]G~OUS 564 is objected to is not that sinful man needs mortification, but that theories of mortification seem to bypass Christ and have for their starting point, their raison d'etre, the fact of sin. Every natural philosophy tried to elimi-nate "sin"; the Stoics were concerned with perfection, but only natural perfection. A Christian existential view of sin cannot fall into this trap. Many wish to find their mortification in the daily struggle involved in working for their neighbor, in the apostolate. The absolute value itself of mortification is not always questioned; a blank rejection would be an act of infidelity to the Word of God. What is vehe-mently questioned is selpchosen mortification: corporal punishments, voluntary acts of abnegation of the intel-lect and will, all those acts, freely chosen, which hurt our pride or human respect. Their necessity is question-able in the light of the very real difficulties confronting the apostle in today's pluralistic society, in a world where the general breakdown of morality requires a new and more refined, more soul-searching response in his communication with his neighbor. There is no doubt about it: mortification is the daily fare for the dedi-cated apostle. Why opt for additional, self-chosen acts of mortification? Mortification has too often been identified with ex-traordinary corporal austerities. The ordinary apostle, not given to sackcloth and ashes, hairshirts, dank caves, and bloody lacerations, is sincerely seeking an "ordi-nary" saint. He wants as an example someone who must stay strong and healthy in order to perform manfully, joyfully, and effectively the tasks of a university pro-fessor, a retreat master, or a Catholic businessman. Besides, corporal austerities are currently out of favor as a result of the renewed "theology of matter." We have, it is hoped, at least theoretically banished all traces of Platonism and Jansenism from our books and lectures on spirituality. There is today an emphasis on the sacramentality of matter, an emphasis fostered by the late Teilhard de Chardin. The body, the world of the material and concrete, are all good and will con-tribute in their own specialized way to the glory of the kingdom to be revealed in us. If corporal austerities are to be retained, they must be based on a more solid foundation than the Jansenistic distrust of the ma-terial. 2 1902), pp. 88-91. Father Meyer's primary reason for practicing morti-fication is "as an atonement for past sins"; and it is "still more neces-sary as a preservative from future sins." This obviously needs quali-fication and completion. i We use the terms "Jansenistic" and "Jansenism" because they are readily intelligible to the modem reader. It must be admitted, how-ever, that the use of such terms is more for convenience than for Older spiritual books, books which influenced the ascetical teachers of the first half of this century, are notoriously negative in tone: If we were to count all the miseries of human life, we should never have done. Holy Job says, "The life of man is a per- Detual warfare upon earth, and his days are like the days of a hired servant that labours from sun-rising to sun-set" (Job vii. 1, 2). Several of the old philosophers had such a lively sense of this truth, that some of them said, they could not tell whether to call nature a mother or a step-mother, because she has sub-jected us to so many miseries. Others again used to say, it were better never to be born, or at least to die as soon as we were strict and complete historical accuracy. An explanation is therefore in order. We urge the reader to consult Louis Bouyer, The Spiritual-ity o] the New Testament and the Fathers, trans. Mary P. Ryan (London: Burns and Oates, 196~) for an excellent account of the problem of gnosis in the early Church. Contrary to modern popular belief, Father states, there was a legitimate gnosis sought by St. Paul and by the early fathers; one has only to think of the formulation of the First Epistle to the Corinthians on knowing God even as we are known (1 Cor 13:12; see also Eph 3:19 and Phil 3:7-11). And this is a knowledge which is really an experience of God, in the love of the Spirit. St. Ignatius of Antioch says: "Why do we not all become wise in receiving the gnosis of God, Jesus Christ?" (p. 246). Gnosis for primitive Christianity was an experiential knowledge of the mysteries of the Father's plan for salvation. But at the same time the natural Greek philosophers themselves were seeking ~alvation through a gnosis of their own. These influences came in turn to form Christian gnosis. "Eons or angels descended in endless cascades from a pleroma in which everything is divine, towards a foreign matter in which everything is mired and becomes degenerate. To this fall, which is one with creation itself, is opposed the mission of the Logos, more or less strictly identified with the man Jesus. But since salvation is nothing but the recovery of an con fallen into mat-ter, the incarnation could be only apparent. It must lead, in fact, to a salvation which is not a redemption of the whole of man, but a disengagement in man of what has never ceased to be immortal 'spirit,' that is to say, an escape from the bonds of the body and the world . The cross of the Saviour only frees our soul along with his from the chains of the body" (p. 223). It is immediately apparent that the grandfather of the heretical positions of the Jansenists, Puritans, Albigensians, Manicheans, is Greek Gnosticism--a corrod-ing rationalism which understood nothing of the true Gnosis, the Word of God. It is not the Logos of Hellenistic syncretism that we, as Christians, come to know, but the Word made flesh. This is why so many spiritual writers of the last few centuries have misfired with their ascetical doctrine; they were influenced by the same rationalism that has threatened Christianity from the beginning and is too often the error of Christian "humanism": the adoption of ascetical prac-tices for the purification and reintegration of the purely natural man, with no consideration for the priority of the interpersonal relation-ship between man and God. The early Greek Gnostic sought an apatheia: the calming of all disordered tendencies, rendering him insensible to outside influence. The Christian Gnosdc also sought apatheia, but it was attained through perfect submission to charity. This in no way meant an extinction of the human, "but rather its unification in which everything is taken up and transfigured which is worthy of being so" (p. 274). Christian asceticism must begin from faith, from the Word of God; it must proceed from the Spirit of love speaking within us. + + .I-Mortification VOLUME 24, 1965 365 4. 4. 4. William J. Rewak, SJ. REVIEW FOR RELIGIOUS 366 born; nay, some of them have gone so far as to say, there are but few persons, that would accept of life after having made an experiment of it, that is, if it were possible to make a trial of it beforehand,s If one were to take this seriously, he would have to regret that God ever uttered a fiat. Having disposed of the object, the author turns to the subject: Cast your eyes on yourself, and you will find there motives enough of humility. Do but consider what you were before you were born, what you are since you have been born and what you are like to be after your death. Before your birth, you were a filthy matter unworthy to be named, at present you are a dunghill covered with snow, and in a short time you will be meat for worms.~ An adequate understanding of the Incarnation can surely dispel such gross misconceptions of God's creation. But it is precisely upon such misconceptions that the author--and other authors--have based their arguments for mortification. Little wonder modern man is repelled. An unhappy refrain running through most spiritual manuals of the eighteenth and nineteenth centuries is A bstine et sustine! Refrain and endure,s Cast unwillingly into a flaming abyss of sin where even the apostolate is fraught with unimaginable dangers, mortification alone will lead us to "perfection." And this is perhaps the worst aberration of rationalistic moralism: the use of ascetical practices not for establishing and maintaining a dialogue with God but for the stoical perfection of all the virtues. Most spiritual books of the last century offered detailed instructions on how to develop the virtues of fortitude, for example, or temperance, chastity. And the first means was always mortification--as they understood it. "We must possess more virtues; through them only can we reach our end. Here comes in the aid of self-denial and self-discip-line." 0 Another section of the book explained the ob-stacles to the acquiring of these virtues;7 and a third sec-tion enticed the reader with such titles as "Of the Spiritual and Temporal Advantages Promised to Virtue in this Life, s Rev. F. Lewis, O.P., The Sinner's Guide (Dublin: Richard Coyne, 1825), p. 162. ~ Ibid., p. 271. ~ See, for example, Alphonsus Rodriguez, S.J., Practice o! Perfec-tion and Christian Virtues, trans. Joseph Rickaby, S.J. (London: Manresa Press, 1929), p. 567; and Meyer, Science of the Saints, p. 97. °Moritz Meschler, s.J., Three Fundamental Principles of the Spiritual Life (Westminster: Newman, 1945), p. 80. The author seri-ously calls his book "Christian Asceticism in a Waist-Coat Pocket" (p. v). 7See John Baptist Scaramelli, S.J., The Directorium Asceticum, trans, at St. Bueno's College, North Wales (4 vols.; London: R. and T. Washbourne, 1902), v. 2. This second of four volumes is devoted en-tirely to the manifold obstacles to Christian "virtue" and the means for overcoming them--penance and mortification. and particularly of Twelve Extraordinary Privileges be-longing to it" s or "Some Easy Kinds of Mortification." 9 Such pragmatic spirituality, which is nothing but the victory of reason over animality, lacks a real Christian motive based on Christ's entry into our life through baptism and the sacraments. Fortunately, we have recovered the notion that per-fection is not the piling up of virtues, computer-fashion; it is more fundamental, it is Chrigt-centered. We see Christ as the focal point of all our religious activity, of all our apostolic activity, of all human relations; and when an author bids us go forth from our father's house because "in the shelter of the religious life, separated from the world, from all that might .have occupied your thoughts and your hearts, you live for God alone," 10 we cannot believe him. Or if someone counsels us: "If the religious vocation demands the abandonment of the parental roof, sons and daughters must sacrifice their affections for parents and relatives that they may gain thereby Christ's promise of eternal life," or asserts that friendships are dangerous because "friendship between proper parties that has for object their mutual spiritual advancement is rare and found only among saints," 11 we can hardly take him seriously. The author is too much like those of whom P~guy wrote that "they think they love God because they don't love anyone." Mortification and sacrifice have often been put in opposition to joy. Come, my children, when pain, sacrifice, and duty press heavily upon you, when you experience dryness and disgust, endeavour to make, if you will, a dry and bitter act of love of God . Fervour and sensible devotion is good for small minds; shake off these feminine ways, aspire to something more noble, more vigorous. As for ourselves, we have had not one quarter of an hour's consolation in forty years.~ Hard saying for a generation that is experiencing the ascetical consequences of St. Paul's theology of the Res-urrection. Surely sacrifice and consolation, as authentic expressions of God's Good News, must somehow be re-lated. But most authors of moral guidebooks struggled with this "problem" of pleasure, happiness, consolation, and could not easily reconcile it with Christ's example of suffering. There exists in fact the problem of pleasure. Readily enough ~ Lewis, Sinner's Guide, p. 85. ~ Meyer, Science oJ the Saints, p. 101. 10 P~re de Ravignan, S.J., ConIerences on the Spiritual LiIe, trans. Mrs. Abel Ram (London: Washbourne, 1877), p. 185. Italics mine. ~aMonsignor P. J. Stockman, Manual o] Christian Per]ection (Hollywood, Calif.), p. 611. ~ De Ravignan, ConJerences, p. 191. Mortification VOLUME 24, 196S 367 4. 4. William ]. Rewak, 8.1. REVIEW FOR RELIGIOUS $68 does the concept of pleasure evoke the idea of something which, morally, has little to recommend it, or at the most, something which is to be tolerated. Living in the memory of Christ, the Christian soul with difficulty separates sanctity from suffering. Is it not by the cross that Christ redeemed and sanctified us? How can pleasure, then, be integrated into the moral life? Does this life not seem, on the contrary, to exclude it? Is there a place for pleasure in the context of a life of selbcontrol?18 And the author solves this conundrum by consoling his readers with the distinction that the essence of an act is what determines it and not the pleasure that may sur-round or follow upon it. Pleasure is outside the moral law: if the act is good, the pleasure is good; if the act is bad, the pleasure is bad. It is, he states, permitted to renounce this pleasure for a superior motive; but it is sometimes better to accept it, especially if it leads to virtue; and it may not always be possible to exclude it.14 Such a treatment of pleasure and consolation strikes the modern reader as negative, moralistic, and exces-sively rationalistic. It has not embodied the spirit of St. Paul: "They will forbid marriage, and will enjoin ab-stinence from foods, which God has created to be par-taken of with thanksgiving by the faithful and by those who know the truth. For every creature of God is good and nothing is to be rejected that is accepted with thanksgiving. For it is sanctified by the word of God and prayer:' (1 Tim 4:3-5). One last remark, and this first part will have per-formed its function. Mortification has been strongly identified with the devotions centering around the idea of reparation. We supposedly mortify our flesh to al-leviate the pain of the lash as it struck Christ during His passion; we kneel for hours to repair for the sins which are causing Him pain and sorrow. Sentimentality has conjured up the image of a Sacred Heart, sitting on the banks of the Loire, weeping and bewailing the sins which men are committing. Such misguided devotions can readily develop into dolorism, a perverted anguish which plays on false feelings of guilt; and for the modern psychology-oriented intellectual, this" is territory to be shunned. Mortification, if it is to be Christian, must turn one away from the self and towards Christ and ="I1 existe de fait un probl~me du plaisir. Assez ais~ment le con-cept de plaisir ~voque l'id~e d'une chose moralement peu recom-mandable, d'une tolerance tout au plus. Vivant du souvenir du Christ, l'fime chr~tienne dissocie malais~raent la saintet~ de la soul-france: n'est-ce point par la croix que le Christ vous a rachet~s et sanctifi~s? Peut-on donc integrer le plaisir clans la vie morale? Ne convient-il au contraire de l'en exclure? Peut-on lui assigner une place clans le gouvernement de soi-m~me?" Dora Odon Lottin, Aux sources de notre grandeur morale (Editions de l'Abbaye du Mont Cesar, 1946), p. 32. a~ Ibid., pp. 33-4. man. Sentimentality has no place in the authentic Chris-tian experience of reparation. It is the sum of all these inaccuracies, these exaggera-tions, these inauthentic expressions of Christian asceti-cism, which are causing the current questioning, if not the rejection, of mortification. If we are to retain morti-fication and sacrifice as indispensable e|ements of Chris-tian life, they must be integrated into the scheme of the "Christ-life" of which St. Paul is the outstanding interpreter. We have to make what we mean intelligible to modern Christians so that, as Karl Rahner says, "they will not think that 'sacrifice' is an expression for that misanthropy and secret hatred of life felt by failures who are incapable of courageously enjoying life and this world and the glory of human existence." a~ H. New Testament Doctrine on Mortification We have been using the term "mortification" in its popular sense, meaning all those acts of abnegation, of sacrifice, which are commonly understood as "mortify-ing." It is time now, however, to clarify the meaning of the three words ordinarily used interchangeably as synonyms: abnegation, renouncement, and mortification; and we will present, in the main, Fr. Iren~e Hausherr's distinctions,a6 This analysis will lead us into a further study of the Pauline texts on mortification. The Synoptics have all preserved the saying: "If any-one wishes to come after me, let him deny himself, take up his cross, and follow me." a7 Fr. Hausherr has pointed out that in the Scriptures, when abnegate, "to deny," concerns a duty, there is always the same direct object: oneself. We cannot, strictly speaking, deny ourselves; that is, negate ourselves. We cannot deny what we really are. The abnegation demanded by Christ consists in denying, or not attributing to myself, that which I am not. The great truth about myself is that I am a creature ---or better, a son---of God; negatively speaking, I am not God. This elementary negation constitutes the es-sence of abnegate, of the "denial" of oneself. It is, to be sure, an intellectual judgment on my condition as a creature, a fully free human commitment to adore and praise the God Who has entered my life. But to stop here would enclose us in the same narrow straits of rationalism that hemmed in former ascetical writers. This basic abnegation--the adoration of God---demands that I act as a creature; but it demands primarily that ~ Karl Rahner, S.J., The Christian Commitment, trans. Cecily Hastings (New York: Sheed and Ward, 1963), p. 167. l~Iren~e Hausherr, S.J., "Abnegation, renouncement, mortifica-tion," Christus, v. 22 (1959), pp. 182-95. a7 Mt 16:24. See also Mk 8:34; Lk 9:23. Mortification VOLUME 24, a965 William ]. Rewak, $.1. REVIEW FOR RELIGIOUS 370 my filial relationship to God, which is discerned by faith, take precedence over and therefore exclude the primacy of every purely natural reference to self, and this in consequence of the existential character of the supernatural order of redemption I am now living. Transposed into life, this principle demands acts of mortification. The commandment "to renounce" appears in only one text: "He who does not renounce all that he pos-sesses cannot be my disciple" (Lk 14:33). Christ is here again referring to all men, to whoever wishes to follow Him; it is therefore not a counsel but a command, a Christian duty. Obviously, the degree of embodiment of this renunciation will vary for every person and every state in life. Renunciation for a religious is not the same as renunciation for a layman. Although the specific command, "to renounce," does not appear elsewhere, there are related texts: "If your right eye is an occasion of sin to you, pluck it out . " (Mr 5:29); "If you wish to be perfect, sell all that you possess, give it to the poor, and come, follow me" (Mt 19:21); "And anyone who has left house, or brothers, or sisters, or father, or moth.er, or wife, or children, or lands, for my name's sake, shall receive a hundred-fold and shall possess life everlasting" (Mt 19:29). The first Matthaean text is hypothetical but is uni-versal in its application. The remaining two texts refer to those who have decided to follow the counsels, since "to leave" is not commanded, it is optional. Luke has seemed to use the same logion, but the tone is harsh: anyone comes to me and he does not hate his mother and his son and his brother and his sisters, and himself, he cannot be my disciple" (Lk 14:26). In this context, "to hate" someone is to love him less than God, or better, to discern by faith that love of the Father grounds our love for other men. "To leave" is not a duty (except in the hypothetical case of an occasion of sin); but "to hate" and "to re-nounce" are obligations which fall on every Christian, as they indicate the relation that should exist between a son and a Father. Abnegation, then, refers to the subject: my self-love will be characterized and determined by my love for the Father. Renouncement refers to the persons or things outside the subject: all created things will be loved in the Father and through the Spirit because they are ex-pressions of God's love for me. "The charity of God is poured forth in our hearts by the Holy Spirit who has been given to us" (Rom 5:5). Transposed into life, both of these principles demand acts of mortification. It is St. Paul who uses the word "mortification," and the first text we wish to examine is Col 3:5: "Therefore, mortify your members which are on earth." Some have understood this text literally to refer to punishment of the physical body. The Greek word for mortify, nekro-sate, does mean "to cause to die"; but St. Paul is not asking for the physical amputation of our members, he has too great a respect for the body: "Learn how to possess your vessel [body] in holiness and honor" (1 Th 4:4). But neither should the word be weakened to merely mean "suffer," for this, too, would have no precedent in Pauline doctrine. The word "members," then, can-not refer to our physical members; and in the context of the passage, there is an interpretation given to the word. Appearing in apposition to "members" are: "im-morality, uncleanness, lust, evil desire, and covetousness (which is a form of idol worship)" (Col 3:5). What we must put to death, what we must "mortify," are the dis-ordered affections which proceed from blunted self-love, a self-love not grounded in the Father's love, in Paul's terminology, the "flesh," sarx. Now the works of the flesh [sarx] are manifest, which are immorality, uncleanness, licentiousness, idolatry, witchcrafts, enmities, contentions, jealousies, angers, quarrels, factions, par-ties, envies, murders, drunkenness, carouslngs and such like . And they who belong to Christ have crucified their flesh with its passions and desires (Gal 5:19-21,24). The effects of selfish egoism destroy the beauty and the harmony of the Christian person. All these sins which Paul enumerates set a man against his neighbor, against God, even against himself. We must "crucify" the source of this disorder, our "flesh," in order that we may "walk in the Spirit" (Gal 5:16). Mortifying the flesh will produce the "fruit of the Spirit: charity, joy, peace, patience, kindness, goodness, faith, modesty, continency" (Gal 5: 22-3). The primacy of the spirit of charity in our lives is evidence that we have "risen with Christ": If you have risen with Christ, seek the things that are above, where Christ is seated at the right hand of God. Mind the things that are above, not the things that are on earth. For you have died and your life is hidden with Christ in God. When Christ, your life, shall appear, then you too will appear with him in glory. ThereIore, mortify your members . " (Col 3:1-5). Paul is inviting us to the state of mortification, in the interests of our resurrected life. "If by the spirit you put to death the deeds of the flesh, you will live" (Rom 8:13). Egdism must be mortified and sensuality curbed; then we live in the full supernatural sense. And here we begin to touch upon a basic Pauline theme. For Paul, the fundamental law of the spiritual life is a dying and a living with Christ. This occurs sacra-÷ ÷ ÷ Mortifwatlon VOLUME 24, 1965 371 4, SJ. REVIEW FOR RELIGIOUS 372 mentally in baptism and it is of this he speaks to the Colossians. Perhaps his most explicit statement is in the epistle to the Romans: Do you not know that all we who have been baptized into Christ Jesus have been baptized into his death? For we were buried with him by means 6f baptism into death, in order that, just as Christ has arisen from the dead through the glory of the Father, so we also may walk in newness of life" (Rom 6:3-4). The spiritual life is union with Christ; but this is a fellowship with His death and life. We die and rise again sacramentally in baptism, an invisible action which must be fully manifested and made effective in our daily lives. The sacramental, ontological change we undergo in baptism must have a corresponding effect on our moral and ascetical conduct,is Only in this way, by uniting ourselves sacramentally and ascetically to Christ's earthly activity of suffering, can we obtain a freedom from sin and our final resurrection: For his sake, I have suffered the loss of all things, and I count them as dung that I may gain Christ and be found in him not having a justice of my own which is from the Law, but that which is from faith in Christ, the justice from God based upon faith; so that I may know him and the power of his resurrection and the fellowship of his suffering: become like to him in death, in the hope that somehow I may attain to the resurrection from the dead (Phil 3:8-11). Fr. F. X. Durrwell states: These texts do not say that the remission of sin is gained in virtue of the merit acquired in the past by that death---one must not water down the reality of a single word of Scripture on the ground of reason being unable to cope with it; they say that it is gained in a communion in that immolationTM. Only by entering completely into the mystery of Christ, by uniting our sufferings to His in such a way that they are no longer our sufferings but Christ's--"l bear the marks of the Lord Jesus Christ in my body" (Gal 6:lT)-~can we truly become a "new creation" (Gal fi:lS) and enter upon the glorious life awaiting us. And so a radical transformation has already taken place at baptism: "As many of you as have been baptized in Christ have put on Christ" (Gal 3:27); "You were heretofore darkness but now light" (Eph 5:8); "The law of the spirit of life, in Christ Jesus, hath delivered me from the law of sin and death" (Rom 8:2). In the Chris-tian life, however, there is a vast difference between establishing a beachhead and the full experience of ~ Concerning this Pauline theme, see Alfred Wikenhauser, Pauline Mysticism (New York: Herder and Herder, 1960), pp. 149-56; and F. X. Dun'well, In the Redeeming Christ (New York: Sheed and Ward, 1964), pp. 84-90. ~ Durrwell, In the Redeeming Christ, p. 85. victory--the pleroma. In principle, Christ's death and resurrection and our sacramental participation in it have destroyed the inevitable domination of "the lusts of the flesh" (Gal 5:16); but the possibility of sin remains. The Christian life is a life of struggle, as Paul knew so well from his own personal experience and fa'om his ex-periences with the imperfections of the early Christian communities. But Christian suffering, the appropriation in our own person of the passion and death of Christ, must reflect the same motive that inspired the exinanitio: the redemp-tion of man and of the universe. "For we the living are constantly being handed over to death for Jesus' sake, that the life also of Jesus may be made manifest in our mortal flesh. Thus death is at work in us, but life in you" (2 Cor 4:11-2). Only to the extent that what is exclusively natural in us dies can the life of Christ become manifest in us in the form of apostolic activity. The death of the apostle is the necessary condition for the life of the Church and her members. And every Christian is an apostle. Only to the extent that we "bear about in our body the dying of Jesus" (2 Cot 4:I0) can we effectively continue the redemption by applying its saving activity to men. And here we reach the basic reason for all mortification: it is an entry into the mystery of Christ, a communion in His suffering, for the purpose of prolonging His re-demption in the world through the Church. His activity in Jerusalem two thousand years ago was not ineffica-cious for the present age; He effected the transforma-tion at that point in time, but He continues it in His glorified state through the members of His Church who recapitulate in their lives His redeeming experience. "Therefore I pray you not to be disheartened at my tribulations for you, for they are your glory" (Eph 3:13). The most important statement of this theme appears in Col 1:24: "I rejoice now in the sufferings I bear for your sake, and what is lacking of the sufferings of Christ I fill up in my flesh for his body which is the Church." Paul does not mean, of course, that he must supply by his sacrifices the defects in the sufferings of the historical Christ. Interpreting "the sufferings of Christ," Fr. Benoit says they are, in general, the tribula-tions of the apostolic life;2° while Fr. Wikenhauser ap-plies them more personally, stating they are Paul's own sufferings.21 These interpretations do not do injustice to Paul's thought; as he says elsewhere, "the sufferings ~o Pierre Benoit, "L'Epitre aux Colossiens," Bible de Jdrusalem (Paris: Cerf, 1959), p. 60, footnote (b). m Wikenhauser, Pauline Mysticism, p. 161. ÷ ÷ Mortification VOLUME 37~ of Christ abound in us" (2 Cor 1:5), meaning his own sufferings. At any rate, all reputable scholars agree with the general tenor of the text: Paul, and all Christians, must express in their lives Christ's passion and death for the salvation of the members of the Mystical Body, the Church. Quite simply, "they live no longer for them-selves" (2 Cot 5:15). And this salvation of the Body of Christ is a source of great joy for Paul, a joy that is a participation in the Resurrection: "For our present light affliction, which is for the moment, prepares for us an etei-nal weight of glory that is beyond all measure" (2 Cot 4:17). Com-munion with Christ in His death necessarily means com-munion in His Resurrection, for this too is the moral and ascetical prolongation of baptism. The Resurrection should be lived, as mortification and suffering are lived. The apostle is a man of joy: "For as the sufferings of Christ abound in us, so also through Christ does our comfort abound" (2 Cor 1:15). It is in the letter to the Philippians, written during a harsh and humiliating im-prisonment, that Paul overflows with joy--a word that appears in this epistle eleven times because of the fellowship he experiences with his converts who them-selves have endured suffering for the sake of the gospel: "I have you in my heart, all of you, alike in my chains, and in the defense and confirmation of the gospel, as sharers in my joy" (Phil 1:7). In summary, Paul puts great emphasis on the mystical and sacramental fellowship in Christ that is effected at baptism; but he is equally insistent that Christians must foster in their lives a personal relationship founded on imitation--and this can only be done by re-experienc-ing Christ's life, performing the same redeeming activity He performed. To be one with Him in glory, we must be one with Him in suffering. This is the only way we know, the only way given to us by which we can be saved: "If anyone wishes to come after me, let him deny him-self, take up his cross and follow me" (Mr 16:24). III. Some Conclusions ÷ ÷ + William I. Rewak, Sd. REVIEW FOR RELIGIOUS And what then is mortification? Most basically, it is a state of having died with Christ so that we may live with him, We must make more explicit, however, a dis-tinction which until now has only been implied: St. Paul is speaking primarily about absolute mortification, the state we all must enter as a result of our communion in baptism with Christ. Every Christian is called to this state; and the requirements are the same: the "putting to death" of the disordered inclinations and affections that are ours as a result of original sin.2~ We do not "mortify" the body, properly speaking; we mortify our flesh, sarx, the urge we possess to disassociate our in-terests from God's interests. And we do this that through us the Body of Christ, the Church, may live the Res-urrection more fully. But a problem remains. For this absolute principle of the spiritual life must be appropriated by each Chris-tian and embodied in his daily life. The acts of mortifi-cation, therefore, by which we make St. Paul's principle our constant concern, we term relative mortification. For these acts are always relative, to our state in life, to the inspiration of the Holy Spirit, and to the force of the disordered affections which remain in us. It is this we are concerned with now and it is under this heading we discuss selpchosen, freely imposed mortifica-tion. We live as members of a Church; all our Christian acts are ecclesiological--through, with, and in the struc-ture Christ set up for our sanctification. The existence of sin in any one of its members stops the flow of grace in a particular area and impedes there the growth of the Christ-life. Mortification does serve, then, as punishment for sin and as a deterrent against future sin, as the manuals have pointed out; but sin must be seen in the context of the Mystical Body, of charity: "For you have been called to liberty, brethren; only do not use liberty as an occasion for sensuality, but by charity serve one another" (Gal 5:13). We mortify our disordered affec-tions so that nothing will hinder us from entering into a meaningful dialogue with God and with our neighbor. We must make of our lives a dynamic redemption--a redemption that is continued through our Christian acts of prayer and mortification, in the Church, for mankind. It is in the light of this Christian experience, for example, that we seek the meaning of reparation. Acts directed to reparation are performed principally to further the penetration of the Christ-life in the members of the Church: the Church suffering and the Church militant. They are intended to "repair" the damage done by sin, to heal the wounds which Christ--in His members m St. Ignatius of Loyola insists that a "disordered affection" is an affection which does not take into account the action of God in our life. To mortify this affection, (I) w~ starve it by not allowing it to exercise its influence and (2) we pray that God may change this af-fection. It is obvious how important Ignatius considered both the initiative and the decisive influence of God's action in us; for this reason he puts great emphasis on the necessity of prayer when troubled by "inordinate attachments." See Spiritual Exercises, Nos. 16, 157. ÷ ÷ ÷ Mortit~ation VOLUME Z4, 1965 375 ÷ ÷ William J. Rewak, Sd. REVIEW FOR RELIGIOUS --has suffered, to open the channels of sanctification that we all may live healthy, grace-filled lives. Christ does not suffer, but His members do: the loss of grace, caused by the power of sin. The dialogue must be re-established, and our acts of mortification do effect, in ourselves and in our neighbor, through the mercy of God, the resurgence of the Christ-life. For within the mystery of the Mystical Body, there is room for mutual help--and this in the sphere of grace alone. This re-vealed fact in itself attests to the mysterious character of the organic union of this Body: "For we the living are constantly being handed over to death for Jesus' sake, that the life also of Jesus may be made manifest in our mortal bodies. Thus death is at work in us, but li[e in you" (2 Cor 4:11-2). But many Christians, agreeing with the general nec-essity of mortification, point to the apostolate, as we have indicated, as source enough of that "dying" Paul insists we must undergo for ourselves and our brothers in Christ. Failure in the apostolate, the limitations of our personality in dealing with others, the rejection of love, the inability to be effective--these are real crosses to be borne by every apostle. They point also to the one great abiding mortifica-tion, the acceptance of personal death. Karl Rahner has said: We have only to recall that death, as an act of man, is pre-cisely that event which gathers up the whole of the personal human life of the individual into one consummation. We have only, too, to recall, as Eutychius (A.D. 582) said, that there oc-curs "pragmatically" in death what had occurred mystically at the sacramental heights of Christian experience, in Baptism and in the Eucharist, namely our assimilation to the death of the Lord.~ And the death of the Lord was not an easy one. But self-chosen mortification, we affirm, performs ex-actly the same function, and that is one of the reasons it is so necessary. Just as personal death demands activity on the part of the Christian, so should our mortification, for mortification prepares us for and establishes a begin-ning and an acceptance of our final assimilation to the death of the Lord. Acceptance of suffering, of the crosses meted out to us in our apostolate, has great value; but it does not reach the depths of the personality as our self-chosen acts do. It is easier to accept .the loss of something we hold dear than to throw it away of ourselves. The blame can al-ways be put on circumstance, on someone else, even on God; and this is a consoling thought, for it is hard to ~a Karl Rahner, S.J., On the Theology of Death (New York: Herder and Herder, 1964), p. 77. blame ourselves, to freely commit ourselves to a dying in Christ. Penances imposed from without are .not free from the nonchalance and superficiality of routine. What may pass for a religious act may often be unthinking obedience. As Fr. Rahner says: One has only to have heard something, however little, about depth psychology, repression, substitution, self-deception, etc., to have to agree that thousands of "religious" and "moral" acts can take place in man which are induced by training, imitation, suggestion, mere instruction from without and a "good will" which does not reach to the real kernel of the person; acts which are not really religious acts because they do not stem from that level of personality, supernaturally elevated and ab-solutely individual, whose free fulfillment they must be if they are to signify, before God, the creation of an eternally valid life?' To maturely and effectively create a situation in which I turn back upon myself the hand of penance and deal a death-blow to self-love, is a fearful thing. Self-love is frightened of it; but self-love, inasmuch as it opposes God's interests and plans for me, must be hammered, molded, that a "new man" might appear whose affections are ordered to one end: that the Lord may appear in us. This creation of an act of mortification, then, reaches profound depths; it engages the whole personality, calls for a personal commitment that acceptance of suffering alone cannot command. What St. Paul calIs sarx--"im-morality, uncleanness, lust, evil desire and covetousness" (Col 3:5)---is rooted out only with dogged and ruthless persistence. "This kind can be cast out only by prayer and fasting" (Mk 9:18). Those who would reject all forms of mortification are, unwittingly, Platonists--any of the forms of false Gnosticism--for they make of us angels who do not need to be on the offensive against attacks of the "flesh"; they would not subscribe to a real Incarnation. Freely-chosen acts of mortification do prepare us for death because they anticipate it; but they also prepare us for the moral and physical suffering which we have admitted will be ours in the apostolate. There is no question of will power here: performing ten acts of morti-fication will not make my will ten times stronger than it was. It does increase our faith, our insight into the suffering Christ as He appears in mankind. We cannot make quick improvisations when Christ approaches in the sufferings we have not chosen. If we have begged for the grace of faith--for that is what we do when we "practice" mortification--it will not be lacking when the crosses He has prepared for us appear. To recognize Christ, where He is and who He is, is the fruit of a life of faith; this does not come full-blown from our hearts; it is the result of much hard labor. The Christian Commitment, p. 88. + + Mortification VOLUME 24, 1965 William ~. Rewak, SJ. REVIEW FOR RELIGIOUS Besides, Christ has given us an example. It is surely not a coincidence that before His public life He fasted and prayed in the desert for forty days. This unique and signal attention to the Father for the good of men is our invitation to imitate Christ at this salvific moment of His life. We need not retire to the desert, conceived of as a geographical place. But the inner quiet, the fast-ing, doing battle with each one's personal "devil" re-stores an equilibrium that leaves us docile to the inspira-tions of the Spirit. Some type of solitude is necessary for every Christian, be he a contemplative, a diocesan priest, a lay apostle, or the busy parent of a large family. This solitude will take different forms, dictated by the person's own. spiritual potential, the age he lives in, the labors he must perform as a citizen in a highly complex social and economic structure. But some type of inner quiet seems mandatory for true growth in the Christian spirit: Solitude is a terrible trial, for it serves to crack open and burst apart the shell of our superficial securities. It opens out to us the unknown abyss that we all carry within us. And. soli-tude discloses the fact that these abysses are haunted: it is not only the depths of our own soul, unknown to us, that we dis-cover, but the obscure powers that are as it were lurking there, whose slaves we must inevitably remain as long as we are not aware of them. In truth, this awareness would destroy us, if it were not illuminated by the light of faith. Only Christ,, can open out to us with impunity "the mystery of iniquity, be-cause he alone, in us today as ]or us in the past, can confront it successfully.~ ~Bouyer, Spirituality, p. 313. Apropos of the "flight into the desert," Father Bouyer is at pains to dispel the misconceived notions surrounding the early Christian hermits. They were not inspired by net-Platonic spirituality; on the contrary, he states, there was nothing more evangelical than their primary motivation. Speaking of St. Antony, he says, "Anchoritism did not make Antony a con-templative unconcerned with the fate of his brothers; it made him a spiritual father beyond all others" (p. 315). He quotes the beautiful passage ~rom the Vita of St. Antony where, after twenty years, friends break down the hermit's door in their enthusiasm to be with him and to imitate him. This is what they find: "Antony came out, as one initiated into the mysteries in the secret of the temple and inspired by a divine breath. Thus, for the first time, those who had come saw him. They were lost in wonder: his aspect had remained the same; he was neither fat from lack of physical exercise nor emaciated by his fastings and struggle against the demons, but just as they had known him before his withdrawal. Spiritually pure, he was neither shrunken with regret nor swollen with pleasure; in him neither laughter nor sadness; the multitude did not trouble him, having so many people greeting him gave him no excessive joy: always equal to himself, governed by reason, natural" (p. 314). Antony recognized that solitude allowed him to discover the obscure forces he had within himself and to discover the means to cast these forces out. Solitude was not an end in itself: it was a victory of one Spirit over the others that made him seek it. "Men can no longer tempt him, separate him from God. On the contrary, it is he who now finds himself in a position to guide them, to lead them to God. Here Mortification in the form of a retreat, in the form of fasting, became a part of Christ's plan of the redemp-tion; we can do no better than to make it a part of the role we play in the redemption¯ And this is surely the key: by mortification we enter into the Christ-mystery. We become His Body, resuming in our lives His redemptive acts, pleading with the Father for the salvation of man; for mortification is a language, not a sign. It is a response to a Person who has initiated a dialogue with me through baptism and the sacraments and through His reve~led Word. God's action in history is a word to me now; I can only trespond by placing myself before Him as His son, by per~forming acts which indicate my willingness to accept His love, to treat Him as Father¯ I accept Him as the bes.t part of my life, the whole of my life. This is prayer, of course; and mortification, as a language, is an essent, al part of my prayer life. All of my acts as a Christian. are a prayer, and they all contribute to the consolation I should experience--as a Christian--in formal~ prayer. The formal prayer itself fills the reservoirs of f~ith and love, just as formal, self-chosen acts of moruficatlon do, so that my effectiveness in the Mystical Body, through Christ in me, is increased a hundredfold. My formal mortification will result in lived mortification. I The af-fections become ordered, their false security uhmasked by a judicious use of corporal and spiritual p.enances, and the inmost person is calmly and confidently la~d open to receive God's Word. I It must not be forgotten, however, that theseI acts are relative to my present insertion into the mystery of Christ; and so all must be ruled by an expertl discern-ment of spirits. To codify too carefully pemtentlal prac-tices in the novitiate, for example, destroys the'ir mean-ing and their effectiveness; it stultifies ~nventlveness and I often just creates matter for humorous stones. Young religious, no less than young lay people, must be edu-cated in the reality of sin in their lives, in the part they must play in salvation history; and only in this way, I ¯ through the direction of a wise spiritual father, ,will they discover the path of mortification which is suitable to them. result Uniformity of ascetical practices is often the~ of pragmatic spirituality. If everybody performs an act of mortification at a certain time in a predetermaned way, there is an implied assurance that all are r~ortifying themselves. This is hardly the case. St. Ignatius, la mystic who was keenly aware of the value of acts of Oortifica-anchoritism reveals how httle it is a way of escaping from charity. On the contrary, ~t ~s simply the means of effectively ga~m.ng integral charity" (p. 315). ÷ ÷ Mortification VOLUME 24, 1965 379 ÷ William ]. Rewak~ sd. REVIEW FOR RELIGIOUS 380 tion, refused to set down any rules governing their performance: ¯. it does not seem good that in those things which regard ~Pgnsr,a ywear,t cmheindigtast iaonnd a ondth setru dayu,s oter rciotirepso,r aaln eyx reurclies essh souuclhd abse f alasti-d down for them except that which a discreet charity will dictate to each: provided, nevertheless, that their confessor is always consulted . ~ It is for this reason some countries and dioceses have cur-tailed or abolished the fasting rules. This action does not indicate the depreciation of the value of penance; it has been made obvious that the Christian obligation of penance now devolves upon the individual who, guided by the Holy Spirit and insured against error by the advice of his confessor, will perform more spontaneously and therefore more effectively the penitential practices suitable for him.27 It is not necessary that mortification be identified with corporal austerities, though these will ordinarily be useful to some extent. The best way 0f seeking mortifica-tion is in the sphere of human relations. There is much need here for broadening the scope of our penitential practices: seeking the solutions to others' problems, standing up for others' rights in the face of ridicule, intelligent obedience to legitimate authority--being a Christian individual, in other words, in a world where conformity is a despotic fashion. Father David Stanley says this was the real mistake of the Judaizers: they could not be Christian individuals in a society which con-sidered the cross of Christ a folly and a stumbling-block.~ s "As many as wish to please in the flesh compel you to be circumcised simply that they may not suffer persecution for the cross of Christ" (Gal 6:12). The state of mortification is a state of love; for love is the source of the dialogue that takes place between ~".non videtur in iis quae ad orationem, meditationem et studium pertinent, ut nec in corporali exercitatione ieiuniorum, vigiliarum aut aliarum return ad austeritatem vel corporis casti-gationem spectantium, ulla regula eis praescribenda, nisi quam discreta caritas unicuique dictaverit; dum tamen semper Confessarius consulatur . " Constitutions o! the Society of Jesus, P. VI, c. 3, n. 1 08~). ~ See Paul J. Bernadicou, $.J., "Penance and Freedom," R~vmw FOR Ra~LIOIOUS, v. 23 (1964), pp. 418-9, Father Bernadicou writes with conviction and persuasiveness of the need for expert spiritual guid-ance in the sphere of mortification. Karl Rahner applies this same principle of each one's unique entrance into and expression of the mystery of Christ to the problem of the relation between the indi-vidual and the Church, and here also insists upon the application of the discernment of spirits. See "The Individual and the Church," Nature and Grace, trans. Dinah Wharton (London: Sheed and Ward, 1963). ~ David Stanley, s.J., Christ's Resurrection in Pauline Soteriology (Rome: Pontifical Biblical Institute, 1961)0 p. 78. man and God and results in man's response of faith, prayer, and acts of mortification. Love is forgetfulness of self because of the neighbor who is loved with the charity of Christ, and what else but this is an act of true penance? Kenunciation, then, cannot but be an exer-cise in joy, for where there is love, there is joy. Our self-chosen acts of mortification, performed at times in great spiritual unrest, are tokens of confidence: Man implicitly recognizes that he does not know where his true happiness lies and that it is hidden from him, but God knows it ~or him. He perceives it through the signs which reveal it to him: the escape from Egypt, the land of slavery, the crossing of the desert under God's guidance, the hope which dwelt in the heart of the wandering host making its way to the Promised Land. The desert is the apprenticeship of an austere joy which is like the dawn on the horizon of conscience.~ We do share in Christ's resurrection, having shared in his death; and consolation will ever be the keynote of authentic Christian experience. But the fullness of joy is not yet ours for we live in the eschatological age, an age of tension between time and eternity, hope and fulfillment. Acts of mortification take on, in this con-text, the character of witness. Asceticism is the eschato-logical attitude of the Church, an attitude that is most acute in religiou