Well-adjusted

C. S. Lewis, The Four Loves (1960):

Medicine labors to restore “natural” structure or “normal” function. But greed, egoism, self-deception, and self-pity are not abnormal in the same sense as astigmatism or a floating kidney. For who, in Heaven's name, would describe as natural or normal any man from whom these failings were wholly absent? “Natural,” if you like, in a quite different sense; archnatural, unfallen. We have only seen one such Man. And he was not at all like the psychologist's picture of the integrated, balanced, adjusted, happily married, employed, popular citizen. You can't really be “well adjusted” to your world if it says “you have a devil” and ends by nailing you up naked to a stake of wood.

Stanley Hauerwas, “Being with the Wounded: Pastoral Care Within the Life of the Church” (2019):

I have little sympathy for clergy who think their ministry of pastoral care to be the expression of a more general stance identified as a helping profession. Admittedly those who so understand their ministry may often manifest pious pretensions necessary to justify their self-proclaimed identity as someone who responds to a crisis “pastorally,” but I do not think such piety is sufficient to justify describing what they do as a church practice.

There is the problem, moreover, when the ministry becomes just another helping profession, and those who occupy that office discover they have no protection from those they are supposed to help. People think they can ask those who identify as “helpers” to do anything because those committed to be a “helper” do not work for a living. As a result, it does not take long before those in the ministry who identify as “helpers” soon discover they feel like they have been nibbled to death by ducks. A little bite here and a little bite there, and before they know it they have lost an arm. Hence, those that started out wanting to be “of help” often end up violently disliking those they are allegedly helping.

Insofar as the ministry is understood as a helping profession, it is difficult to avoid an alienation between those who help and those that need help. One of the great gifts of being in the ministry is the permission it gives to be present to people in crisis when they are often at their most vulnerable point in their life. They are often appreciative that you are present during the crisis, but after the crisis is over they prefer that you be kept at a distance. They excommunicate those who have been present during the crisis because they fear those that have seen them when they were so vulnerable. That they do so makes the up building of the community difficult, to say the least. . . .

I think we get some idea of the character of contemporary understandings of pastoral care by attending to the account that Alasdair MacIntyre provides in After Virtue of the main characters that have authority in modernity ― that is, the rich aesthete, the manager and the therapist. Each, in their own way, is an expression of a culture of emotivism which is based on the presumption that, insofar as our lives makes sense, they do so only by the imposition of our arbitrary wilfulness. Such wilfulness is required because it is assumed that our lives have no end other than what we can create and impose by the sheer force of our arbitrary desires. As a consequence, it becomes impossible to avoid the reality that all our interactions are manipulative.

In such a context, the task of the therapist, as MacIntyre puts it, is to “transform neurotic symptoms into directed energy, maladjusted individuals into well-adjusted ones.” The therapist must do so, moreover, assuming that there is no normative framework other than respect for their clients' autonomy that can shape their interactions.

To be a moral agent in such a culture entails that we can never be fully present in our actions because if we are to be free we must always be able to stand back from our actions, as if someone other than ourselves did what was done. Such a perspective is the only way to avoid being determined by particularistic narratives that would constrain our choices. The therapist cannot avoid reflecting these conditions because the therapist cannot assume a narrative that can help us make sense of the moral incoherence of our lives. Thus MacIntyre's claim, in Ethics in the Conflicts of Modernity, that any challenge to these modern habits of thought faces the difficulty of only being able to think about our lives in terms that exclude those concepts needed for any radical critique.

What MacIntyre helps us see is how the eclectic character of the various psychological theories that so often inform pastoral care reflects liberal political theory and practice. That many people in advanced industrial societies suffer from a sense that they are alone because no one — including themselves — understand who they are is expected result of living in a time when freedom is assumed to be found in having a unimpeded choice. . . .

The account of the development of pastoral care I have just given does not do justice to the complexity of much of the work done under the headings of “pastoral care” and “pastoral theology.” I am not apologizing because I think, as Stephen Pattison has argued, that the pastoral care movement, particularly in America, has ignored the theological tradition that makes the care given through the church Christian. It is not at all clear that Christians are called to be mature or well-adjusted, but it is surely the case that the care Christians give one another ― and particularly the care that is thought to be the province of those that occupy the pastoral office ― will and should depend on being an expression of the fundamental convictions that make Christians Christian.

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A double review of my books in The Christian Century

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A therapeutic church is an atheist church