Ebook Caring for Those in Crisis: Facing Ethical Dilemmas with Patients and Families, by Kenneth P. Mottram
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Caring for Those in Crisis: Facing Ethical Dilemmas with Patients and Families, by Kenneth P. Mottram
Ebook Caring for Those in Crisis: Facing Ethical Dilemmas with Patients and Families, by Kenneth P. Mottram
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From the Back Cover
In a day of advanced medical technology, many families will at some point be forced to face a complicated medical crisis with a loved one. All too often, these situations entail spiritual and ethical dilemmas for which most families are not prepared.Kenneth Mottram writes to better equip pastors and church leaders to minister to patients and their families in times of crisis and confusion. He provides a Christian model for ethical decision making; addresses such issues as organ donation, living wills, and withdrawing life support; offers counsel on helping patients and families face mortality; and gives practical advice on hospital visitation, prayer, and serving as advocate for the family to the medical staff."Caring for those in Crisis will fill an empty space in the literature at the intersection of pastoral care and medical ethics. From a Reformed/Evangelical perspective, the author offers ethical principles illustrated by case studies for the use of the chaplain or pastor in the area of medical ethics. This book will be useful in the practical courses of any seminary and in the bibliographies for CPE programs. It should be required reading for every pastor, hospital or hospice chaplain, as well as for medical care providers. Mottram enters the 'health-care maze of competing values and ethical dilemmas' and offers to the chaplain and pastor ethical principles in combination with categories from the Christian tradition that will bring informed counsel and the presence of God to patients and to their doctors."--Kathryn Greene-McCreight, author of Darkness Is My Only Companion: A Christian Response to Mental Illness"Written out of the clinical experience of the author as a hospital chaplain who has sat with many families in crisis, this is an ideal introduction to hospital ministry for seminarians and lay persons."--Larry VandeCreek, author of Spiritual Care for Persons with Dementia: Fundamentals for Pastoral Practice"Every person in crisis could use the wisdom of an experienced chaplain like Mottram. While many of us will recognize our own difficult decisions and hard times in these pages, this is a book worth reading before heading into those valleys. To those who labor amidst the thorny ethical issues that lie in wait at hospital bedsides and in physician's waiting rooms, this book will be both comfort and guide."--Lillian Daniel, senior pastor, First Congregational Church, Glen Ellyn, IL
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About the Author
Kenneth P. Mottram (DMin, Golden Gate Baptist Theological Seminary) is a health care chaplain, spirituality researcher, and Baptist minister. He has over twenty-five years of ministry experience as a congregational pastor and hospital chaplain. Mottram lives in Bozeman, Montana.
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Product details
Paperback: 160 pages
Publisher: Brazos Press; Annotated edition edition (April 1, 2007)
Language: English
ISBN-10: 1587431912
ISBN-13: 978-1587431913
Product Dimensions:
6 x 0.5 x 8.8 inches
Shipping Weight: 8 ounces (View shipping rates and policies)
Average Customer Review:
4.5 out of 5 stars
5 customer reviews
Amazon Best Sellers Rank:
#206,595 in Books (See Top 100 in Books)
A rough draft of Caring for Those in Crisis was unmistakably penned on the heart of Kenneth Mottram through the course of years as a loving pastor and conscientious hospital chaplain long before the printed version. Sure to be a relevant guide to those serving in either of these respected and timeless professions, in what has become an increasingly depersonalized society. We would readily agree that unprecedented advances in science and technology have significantly altered traditional approaches to medical care and quality of life. Much like the bold challenge of regulating activity and behavior on the World Wide Web, or internet, it is no surprise that these marked developments within the field of healthcare have produced a swelling cloud of complexity for those tasked with the administration of medical services in keeping with an existing framework of moral and ethical standards. The resulting fog not only obstructs the moral and ethical clarity of the care-giver, but the patient as well. The ensuing circumstances often result in the need for an objective third-party, or counsel to weigh in on a particular dilemma in order to tip the scales. Often in a life and death situation a decision must be made quickly with limited information and resources. This is often defined as a crisis situation as things could improve, or worsen, depending upon the accuracy of the final decision. Mottram identifies four common medical ethics principles: 1) Beneficence (the duty to "do good."); 2) Nonmaleficence (The duty to "do no harm."); 3) Autonomy (personal freedom and responsibility); and finally, 4) Justice (fairness and equality) as a fundamental framework within the medical profession. And yet, we are all too familiar with countless examples where at least one of these principles was compromised, or violated altogether. This is all the more reason to have an advocate during times when one is blinded by emotion or fatigue resulting from a traumatic event. Oftentimes a caring pastor can offer his assistance in clarifying decisions to be made or ensure that proper care is being extended to the patient. Philosophically, Pragmatism is perhaps America's most distinctive contribution to philosophy. In pragmatic theory truth is "what works." People can in effect make up their own truth to fit whatever is confronting them. G. E. Moore once argued, "If we reduce truth to "what works," we lose a different, distinctive, independent meaning of truth as "saying what is." Furthermore, pragmatists reject all forms of absolutism and insist that all principles be regarded as "working hypotheses that must bear fruit in lived experience." In stark contrast to this view, Mottram maintains, "...the Christian's belief is that God has spoken to us in a "revelational" way and disclosed Truth that is true and reflective of the realities we find in life." In conclusion he states, "Christians look to a book, the Bible, for objective truth providing an independent source of guidance in ethical matters." The author then argues that the truth contained in the revealed Word of God offers at least three foundational suppositions that inform what we would maintain as distinctively Christian worldviews. The first is the revealed character of God throughout Scripture as a model for medical ethics - from Genesis to Revelation. Secondly, the immense value assigned human beings as created in the "image of God" needs to be properly addressed. Hence we have inestimable value and have a God-given right to be treated with personal dignity and respect. Finally, a form of biblical basis for Christian ethical advocacy is important and illustrated well in the New Testament for those "children in the faith." It is worthy of note that Christian bioethics is not seen merely as an academic field, but a Christian way of living. It comprises our journey from the time we draw our first break, to the last, and everything between. Alternatives to the Christian view of bioethics include the idea that we are merely "biological machines" who respond in predictable ways based upon biological drives, especially sexuality." B.F. Skinner, founder of behavioral psychology saw humans as "sophisticated animals" that responded to positive and negative reinforcement in habitual patterns. On the other hand, the Bible states that human beings were created by a loving Creator in a unique way and with distinctive characteristics. The author rightly distinguishes humanity as spiritual in nature. This characteristic is uniquely bestowed upon mankind in God's creative act enabling humanities ongoing relationship with God. This relationship is exemplified at the outset when God speaks directly to Adam and Eve in the garden.In speaking of current controversies with bioethics, Mottram writes, "`The image of God' is not a capacity we possess or lose, but rather a part of our essence." Building upon this argument, he then surmises, "If embryos and fetuses carry the complete essence of the image of God, then they must be held as sacred and protected in medical decision making as full human beings."Additional thought is given to apparent conflicts between deontological and consequentialism in decision making. Similar to earlier discussions the deontological perspective is the ability to make a decision based upon "absolute standards ... revealed by God." In this instance, consequences do not and should not enter into deciding whether actions are moral or immoral. In the case of consequentialism, "decisions are to be made with the ultimate goal or consequences of an action in mind." Essentially, whatever is believed to bring about the greatest amount of good.In the final pages, the author addresses cultural trends and worldviews that reveal the materialistic posture of those living in the 21st century. In illustrating our distorted view, and desire to postpone death, Tristram Engelhardt writes, "If one does not know that each of our deaths leads to resurrection and final judgment, then the postponement of death can take on a dominating and distorting importance ..." He continues, "Medical centers are now the place where many, if not most, seek to resolve the problems of their sexuality, suffering, dying, and death ..." If medicine takes this distorted role, it becomes an idol - in the Christian view - and distracts from the pursuit of the Kingdom.In closing, the contents of Caring for those in Crisis sheds much-needed clarity and direction while walking through the dark clouds of medical terminology, technology, insurance agencies, and a changing culture with those in need of pastoral care.
His insight and intutiveness were a major fact in the good instructions for handling situations. All Chapalins will benefit from reading this book!
Book arrived on time and in excellent condition. I will order from your company again. Great customer service.
I like it as it will be helpful to me in preparing assignments for University studies and found it easy reading to understand.
As a hospital chaplain Kenneth P. Mott ram, is faced with helping patients or their families face ethical questions during crisis situations, on a daily basis. "Caring for those in Crisis" is written to be a help pastors and church leaders to minister to those families.New procedures in modern medicine and medical technology have created questions of medical ethics and resulting spiritual dilemmas for the Christian. These changes have often resulted in depersonalizing patient care. The role of the pastor takes on a new significance in counseling in these ethical areas. The book provides a model for making ethical decisions.Mottram addresses issues such as organ transplants, living wills, and life support measures. Other issues such as self-determination, suicide, advance care planning and personal loss and grief are also considered in depth. Drawing from his own personal clinical experiences, Mottram uses actual stories of patients in crisis, the medical evaluation and recommendation, the response of the family, and the outcome of the decisions made.I personally found the importance of patient advocacy to be particularly helpful in light of intervention on the part of the spiritual advocate."Caring for those in Crisis: Facing Ethical Dilemmas with Patients and Families" is an important, timely book. Pastors, counselors, and seminary students will benefit from Kenneth Mottram's insight and articulate presentation of principles for patient advocacy, and family counseling in light of health care evaluations in times of crisis.
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