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Using counseling methods in chaplaincy
No full textProviding spiritual care to individuals who experience disorientation is a core aspect of chaplaincy. In this chapter, inspired by insights from humanist chaplaincy as it is theorized and practiced in the Netherlands, it is explained how chaplains may draw from existing counseling methods when providing spiritual care in one-on-one encounters. The chapter contains a model aimed at guiding chaplains’ reflection concerning the question of what counseling methods to use in what situations and contexts. Reflection on the moral visions underlying counseling approaches and methods is an important element of the model. Various counseling methods that chaplains may use to work towards specific chaplaincy goals in one-on-one encounters are presented and critically explored
Engaging with the Suffering Other:Moral Reorientations of Health Care Chaplains at the Start of the COVID-19 Pandemic
No full textChaplaincy care is often described as a relational and moral practice, which is based on an attitude of presence. Safety measures during the COVID-19 pandemic, challenged chaplains in reshaping their work. This article questions what characterized chaplains’ relational practice during the crisis, and what moral orientations helped them in maintaining or rebuilding this. In-depth interviews were conducted with 25 health care chaplains during the lock-down of Dutch nursing homes, spring 2020. Thematic analyses revealed six subthemes as part of the overarching theme of ‘engagement with the suffering other’. Participants had to overcome moral challenges which required a reorientation or revaluation of their standards of care. Although the research focused on these particular COVID-19 circumstances, the relational work and accompanying moral perspectives is intrinsically tied to chaplaincy practice. Moreover, the study points to the need for attention to moral dilemmas and meaning-seeking processes of the chaplains themselves in crisis situations.Chaplaincy care is often described as a relational and moral practice, which is based on an attitude of presence. Safety measures during the COVID-19 pandemic, challenged chaplains in reshaping their work. This article questions what characterized chaplains’ relational practice during the crisis, and what moral orientations helped them in maintaining or rebuilding this. In-depth interviews were conducted with 25 health care chaplains during the lock-down of Dutch nursing homes, spring 2020. Thematic analyses revealed six subthemes as part of the overarching theme of ‘engagement with the suffering other’. Participants had to overcome moral challenges which required a reorientation or revaluation of their standards of care. Although the research focused on these particular COVID-19 circumstances, the relational work and accompanying moral perspectives is intrinsically tied to chaplaincy practice. Moreover, the study points to the need for attention to moral dilemmas and meaning-seeking processes of the chaplains themselves in crisis situations
Wat wil je bewaren? Een gesprek over vergankelijkheid, kunst en materialiteit:Interview met Sijben Rosa
No full textDit jaar hostte Kunstinstituut Melly in Rotterdam de tentoonstelling ‘Bewaard’ van beeldend kunstenaar Sijben Rosa. Voor de tentoonstelling was Sijben in gesprek gegaan met vier mensen die aan het eind van hun leven stonden: Welke objecten zouden ze willen bewaren en waarom? Deze objecten vormden de basis voor een aantal papierpulp-sculpturen die de waarden en persoonlijkheden van Sijbens vaak oudere gesprekspartners ten voorschijn brachten.In de volgende uitwisseling met filosofie-promovendus Hans-Georg Eilenberger reflecteert Sijben op het maakproces en de betekenis van kunst in de confrontatie met vergankelijkheid, verlies en de dood. Boven alles is het een gesprek over de materialiteit van het kunstwerk in zijn (a)symmetrische verhouding tot de stoffelijkheid van het lichaam. Volgens Sijben heeft kunst de potentie om bepaalde aspecten van de menselijke ervaring uit te vergroten. Het ‘Bewaard’ project destilleerde de materiele betekenis van de uitgebeelde object door ze uit hun gewoonte omgeving te halen, in papierpulp te transformeren en in een museum te plaatsen. Deze “stofwisseling” weerspiegelt de transformatie van het lichaam in het sterf- en rouwproces, maar creëert geen exacte overeenstemming. In hun gesprek gaan Sijben en Eilenberger langs verschillende gebieden waarin kunst overlapt met de ervaring van ouder worden en sterven, en verkennen ze de ruimtes voor betekenisgeving die daarin schuilen.<br/
The Impact of Relocations Within Nursing Home Care on Long-Term Care Residents According to Stakeholders:A Qualitative Study
No full textINTRODUCTION: Nursing home residents can be faced with relocations within nursing home care for various reasons, whether individual or per group. We aimed to collect a broad stakeholder overview of observed and experienced impacts on residents and aspects that influence the impact.METHODS: We conducted a qualitative study using semistructured interviews followed by one focus group. We recruited participants from various stakeholder perspectives based on differences in roles while having an interest or involvement in relocations, and experience with relocations. The interviews and focus group were audiorecorded, transcribed verbatim and analysed using responsive and thematic analysis.RESULTS: In 17 interviews including one duo interview, participants described the impact on residents varying from very positive to very negative. In addition, stakeholders addressed differences in impact related to the relocation phase (before, during, after). Aspects influencing the impact of relocations were (1) mental resilience of residents, (2) organisation of relocations, (3) social connections of residents, and (4) the new (care) environment. The focus group with six participants added further insights in the subtheme 'organisation of relocations', emphasising the importance of clear and timely communication with residents and relatives and recognizability of (personal) items and professional caregivers from the former nursing home.CONCLUSION: Stakeholders described the impact of relocations within nursing homes to vary between and within nursing home residents. Aspects they identified to influence this impact provide incentives to reduce the negative impact on residents and foster positive impact. Further research needs to zoom-in on the perceived impact of relocations within nursing homes of residents themselves.</p
Passible polyphony:An extensive team-reflexivity process for hierarchical, transdisciplinary research teams
No full textThis article showcases an extensive team-reflexivity process of an embarking transdisciplinary research team in psychiatry. It explores a multilayered tension between the authors, five Dutch researchers with different embodied positions, from diverse research traditions and at different stages of their careers. This article represents a meaningful collision between the rise of horizontalizing participatory research practices, and persistent traditional hierarchies in academic psychiatry. We show how this played out in a hierarchical, transdisciplinary research team, including its emotion work and power ambiguities. Such an intensive and shared reflexivity process is novel, that is, not typical of a responsive research design. The value of this article is that we show and analyze what we have come to call our ‘passible polyphony’: a thorough grappling with multiple perspectives in often disharmonious interactions
Manifestations of research ethics and integrity leadership in national surveys–cases of Estonia, Finland, Norway, France and the Netherlands
No full textBackground: A systems approach encourages the consideration of the national dimension of research integrity. National surveys provide a picture of a wider research community overarching research institutions. Material: We investigated how research ethics and integrity leadership (REI) is manifested in national surveys by conducting a cross-case meta-synthesis of national surveys of Finland, Estonia, Norway, France and the Netherlands using deductive thematic analysis. The REI leadership competence framework involves four central principles: “people’s needs,” “developing the community,” “leaders” personal competencies,’ and “open culture.” Results: The principle “researchers” needs’ seemed to be related to the support in the working environment, socializing for values and principles, leaders taking responsibility and the need for understanding for career planning, common practices and managing pressure. “Community development” was characterized through REI infrastructure, like guidelines and training, even though participation in training varied substantially across the countries. The principle “leaders” competencies’ indicated that leaders should be role-models especially in acting appropriately when allegations of misconduct arise. “Open culture” was displayed through trust and courage to talk about ethics including whistleblowing. Conclusions: Results indicated that observed misconduct was often not reported because of fear of retaliation, missing instructions or seeing no point in reporting. We provide recommendations for the development of REI leadership
‘Unburden us and them’:Encountering ‘the other’ in meetings between Bosnian genocide survivors and Dutch UN veterans
No full textRecently, the Dutch government granted ‘Dutchbat 3’ veterans and their partners the opportunity to return to Srebrenica and its surroundings, where they had been located up until the genocide of 1995. An important part of these return trips is dedicated to on-site meetings with women survivors of war and genocide. These encounters are thought to encourage more dialogue, mutual understanding, and an engagement with ‘the other’s’ points of view, with the aim of transforming the relationship between the participants. However, the conditions needed to make these encounters equal and meaningful are not yet fully understood. Levelling the playing field in encounters implies an ‘unlearning’ of earlier acquired perspectives, narratives, and worldviews, and involves mutual openness and respect. The success of an encounter is dependent on the willingness of visitors and hosts to think and do differently. This might be challenging in a context in which the memory of past conflict is highly gendered, polarized and politicized. By better grasping whether and in what ways encounters with ‘the other’ might become meaningful, it could be possible to design and implement these encounters accordingly. In this article, we aim to identify the conditions needed to enable or disable such encounters. Based on ethnographic research of survivors and veterans, we ask: which conditions need to be met to make the encounters meaningful for the participants? We argue that their current form has potential, but that, to be successful, more attention is needed to better understand what engaging with ‘the other’ really requires: it means being ready to ‘restory’ the past and be open to different perspectives. Our research shows that this is not easily done: dominant narratives feed into dichotomous memory cultures, causing people to fall back into old patterns, despite the fact that both groups had suffered from very similar forms of institutional neglect. To redress this the conceptualization of the encounters and return trips would need to be carefully considered
Reanimatieverklaring
No full textIn dit artikel wordt ingegaan op de casus van meneer Graas, 80 jaar. Hij wordt met de ziekte van Parkinson opgenomen in een zorginstelling voor langdurige zorg. Tijdens de intake komt het gesprek op het onderwerp wel of niet reanimeren. Meneer Graas en ook zijn zoon twijfelen. Hoe en wie moet dit gesprek met de cliënt en zijn naasten aangaan
Creating moral space:How military chaplains in the Netherlands support veterans with moral injury
No full textThe concept of moral injury has drawn attention to the role of military chaplains (MCs) in supporting veterans. While international research has explored military chaplaincy interventions, collaboration with mental health professionals, and institutional influences, longitudinal, process-oriented insights into military chaplaincy practice remain scarce, particularly in the Dutch context, which combines secularization, pluralized worldviews, and a unique institutional position of MCs