Giles.Miller.Contemplative Care

Title and Editorial Information

The Arts of Contemplative Care: Edited by Cheryl A. Giles and Willa B. MillerForeword: Judith Simmer-BrownPublication: Wisdom Publications, Boston, 2012Preface by Pat Enkyo O'HaraThe text introduces a critical exploration of compassionate caregiving in secular contexts, addressing a growing recognition of the emotional and spiritual needs that arise in caregiving environments. It highlights how traditional Buddhist practices can inform and enhance caregiving by cultivating compassion and presence, particularly through insights gained from experienced practitioners such as oncology nurses. The chapter references Avalokiteshvara, a compassionate figure in Buddhist tradition, illustrating how the embodiment of compassion can serve as a model for caretakers, demonstrating that while effective caretaking feels intuitive, it is a skill that involves continual practice and learning.

Contemplative care emphasizes the interconnectedness of patient and caregiver, encouraging an environment of mutual healing facilitated by mindful presence and awareness.

Foreword by Judith Simmer-Brown

Simmer-Brown recognizes the significant and varied contributions of contemporary Buddhist practitioners within chaplaincy roles across diverse sectors, including healthcare and military settings. She identifies the essential need for "secular parishes," acknowledging that these spaces offer supportive environments that welcome diverse belief systems while addressing spiritual care needs.

The foreword elaborates on the fundamental nature of care which lies in the ability to simply be present, highlighting that addressing emotional distress with compassionate awareness can profoundly affect the healing process. The text stresses the importance of cultivating inner clarity through meditative practices as an essential element for effective caregiving.

Overview of the Chaplaincy Training

Buddhist chaplains navigate unique challenges, particularly when serving in predominantly Judeo-Christian or secular settings, where their roles may be misunderstood or undervalued. They engage in teaching key meditative practices, including loving-kindness meditation, and emphasize the importance of maintaining a compassionate presence, which allows those in distress to feel truly seen and heard.

Chaplains are trained to draw from the Four Noble Truths as a vital framework for understanding suffering and its alleviation, linking these teachings directly to their caregiving practices.

The Four Noble Truths as Framework for Contemplative Care by Trudi Jinpu Hirsch

1. Life is suffering: This foundational assertion acknowledges the fundamental hardships inherent in human existence—recognizing that suffering is a shared experience.

2. Cause of suffering: The teachings articulate that suffering largely arises from attachment, desires, and the transient nature of life, inviting caregivers to reflect on their relationships with these elements.

3. Cessation of suffering: This concept introduces the possibility of liberation from suffering through enlightenment and realization of one's true nature, offering hope to both caregivers and patients.

4. Path to end suffering: The path involves practical efforts centered around mindful living and compassionate engagement, encouraging caregivers to embody these principles in their interactions with patients and families.

The Contemplative Approach to End-of-Life Care by Kirsten Deleo

This segment emphasizes a contemplative approach to end-of-life care that is rooted in being fully present with patients while acknowledging the realities of aging, illness, and death. Deleo encourages caregivers to adopt a compassionate mindset, facilitating emotional and spiritual connections that can enrich both patient and caregiver experiences.

The engagement with suffering not only serves the patient but also deepens the caregiver's own spiritual journey, as they confront the challenges posed by mortality.

Self-Care: The section underscores the necessity of self-care and personal practice among caregivers, emphasizing that without nurturing their own well-being, caregivers cannot effectively support others.

Conclusion

The text concludes with a powerful call for genuine care that is rooted in compassion, positing that both personal and societal transformation is possible through such practices. The authors recognize the integral role of meditative practice in fostering understanding, healing, and meaningful connections in the caregiving process. Ultimately, care is portrayed as a sacred process that nurtures and transforms both the caregiver and the receiver, fostering deep connections that transcend mere professional duty.