I've written-up some rudimentary thoughts for the elders here on how to approach pastoral care. It, of course, doesn't say everything (err...it's a primer) and is intended to sit alongside discussions of other related topics.
But I thought it might be useful to stick it here on the blog, fwiw. All names & situations are made-up and do not in any way relate to people known to me. The paradigm was suggested by a similar approach in Mark McMinn's book, Sin and Grace in Christian Counselling.
Approaching Pastoral Care: A Creational Paradigm
John is 43 years old and is married to Anne. They have three children (17; 15 and 12). Three months ago John was made redundant. It is the third time in the past seven years he has lost his job. Anne works 25 hours as a teaching assistant at a local primary school.
During a conversation with John, he opens up and tells you he has recently felt at a distance from the Lord, that his Christian life seems stale. During the course of the conversation, he confesses to watching online pornography in the morning when Anne is at work.
How are we to approach pastoral care for John? Or, indeed, for others in a variety of situations?
A useful place to begin is the recognition that we are made in God's image. That has been taken to have at least 3 dimensions of meaning: functional, structural and relational. Those aspects can be helpful windows into the need for pastoral care and how it can be given.
1. Functional (creative/physical)
God is a creative being. He expresses his character in his works. And he has made humanity in his image, commissioning us to express his likeness through our engagement with creation. We are created to work, to form and fashion, to create and care. Where there are functional limitations (through age, illness, circumstances etc) people are affected. We were made to function. Closely allied to this is our physicality. We were created for appropriate, physical activity. The body matters.
2. Structural (Spiritual, Moral, Rational)
We were made to know God, to relate to him. We were created to promote his character through our lives. We have a conscience that, however impaired, instructs us in our relationship with God. We have emotions that are intended to be vehicles for expressing that relationship. We are made with the ability to reason and to make choices.
3. Relational
God is three-in-one; he is a relational being. People made in his image are made for relationships. Not only is that so in terms of marriage but in the fullest range of relationships. People need people because people are made in the image of God.
Those different aspects of being made in God's image are profoundly inter-related. They are not discrete dimensions of human existence; they together form one whole reality. That means pastoral care needs to be alert to significant factors across the board and then seek to help by paying attention to all 3 areas.
When faced with a person in need, we must be careful to ask questions that relate to all 3 dimensions, to get the fullest understanding of what is happening in their lives and why. Recalling John in our example above, it is clear that there are functional (his lack of employment), structural (his awareness of guilt) and relational (his role as husband and father) factors at play. It isn't hard to see how all those factors can contribute to an overall sense of need and how they mutually reinforce each other (the 'vicious circle' effect).
In seeking to care for people, we need to recognise that help may be appropriately given by attention to all dimensions of a person's being. Even where the need is primarily related to one aspect of a person's being, attention to the whole person can help to address the most pressing and causal issue.
[It's likely that we will tend to see things more in terms of one dimension than the others (that's simply an observation, not a judgement). We need to be aware of our 'default' mode of thinking and work hard to ensure we include possibilities from the other aspects of being made in God's image.]
Using this creational paradigm, how would you approach John's situation? What are the significant factors here? How do those factors inter-relate to each other? In what ways could you seek to help him?
