beatrice_otter: Me in red--face not shown (Default)
I've been recommended for Endorsement! That means that I can continue my seminary education and go on Internship next year in preparation for becoming a rostered minister in the ELCA. There wasn't much doubt that I would be recommended for Endorsement (if my candidacy committee or my professors or my CPE supervisor thought there were problems or room for doubt, they would have told me so that I could do something about it). It is still a great relief to get through it. The process is this: your academic advisor and two people from your synod's Candidacy Committee go over your transcripts, your ten-page Endorsement Essay, and your CPE final evaluation. They talk about them for about ten minutes without you, then bring you in and ask you about them and anything else they have questions about. The question-and-answer portion lasts about 45 minutes, and can include anything they think is relevant to being a pastor and/or anything that gets brought up. Then they send you out and discuss things, before bringing you back in and letting you know what they're recommending. Then they give their report to your committee as a whole, and the committee votes on it (the vote is basically a rubber stamp; I've never heard of anybody getting recommended for Endorsement who doesn't actually end up getting Endorsed). It's pretty important; without being Endorsed, basically, you can't progress any farther towards ministry.

This semester as a whole )

I preached last Sunday the 21st; here's my sermon.
Sermon for Sunday, October 21, 2007 )
beatrice_otter: Me in red--face not shown (Grey)
So, I haven't been giving regular updates on my life as I usually do. I'm sorry, I kept meaning to, but CPE was (as it is designed to be) highly stressful, and when I got home I wasn't really in the mood for writing about it--I just wanted to relax and forget as much about it as possible until the next day. As you may recall, I did my CPE at Oregon State Hospital, the mental facility where they filmed One Flew Over the Cuckoo's Nest.

I don't remember what I've said before, but the point of Clinical Pastoral Education is to find any issues you might have that interfere with your ability to act pastorally/counsel people. And help you deal with them, or at least figure out how to not let them interfere with the counseling. Needless to say, dealing with one's issues can be quite emotionally stressful. My supervisor was very experienced, and very, very good at his job--which I had mixed feelings about, since it would have been much easier for me if he'd been not quite so good, y'know? One of those experiences that one is glad for afterwards because it was valuable, but never never never wants to have again.

Highlights from this summer )
beatrice_otter: Cameron Mitchell, bored with a stack of files (Schoolwork)
So, at the beginning of your second year of seminary, Lutherans have this thing called "endorsement" where they look at your first year's academic transcripts, your CPE evaluation, talk with your advisor, read a ten page essay you've written, interview you, and decide whether or not you get to go on with the program and eventually become a pastor or not. It's more than a bit nerve-wracking, even when you know your evaluations have been positive and that your candidacy committee likes you. (Because I have seen my evaluations, and my candidacy committee does like me. That doesn't make it any easier, alas.)

I am currently writing the essay. It is a maximum of ten pages, double-spaced. The guidelines and instructions for writing it are two and a half pages long, single spaced. That's right, folks, two and a half pages long. Anyone who thinks it is possible to write a coherent essay that covers all of what they want to see in sufficient depth to be worth anything and still fit into ten double-spaced pages, please raise your hand.

Yeah. That's what I thought.

I'll just be over here in the corner agonizing over this whole thing.
beatrice_otter: Me in red--face not shown (Arrogance)
There's a front-page article in the Statesman Journal about how there have been a lot of suicides in the "Super Max" (super-maximum) facility at the State Penitentiary. Color me so not surprised.

The thing about the Oregon corrections laws, is that if you plead "Guilty Except for Insanity" you get sentenced under the Psychiatric Security Review Board instead of the regular penal system, and there's no trading between the two systems so if you get PSRB you go to the hospital and if you get penal you go to jail, and that's it. Period. Even if you really do belong at the other facility, there's no way to transfer you. And there's no pleading down your sentence: you always get the max. Thing is, time at Oregon State Hospital is much nicer than at the pen, and you're actually getting help for your problems, and if you're good you can be released to a half-way house. But a lot of lawyers figure it's better for their client to get two years in jail instead of seven years in the hospital, so a fair number of people get the Pen who should be at OSH. And the people who should be at OSH are the people most likely to act out, and thus are the most likely to get sent to maximum security and Super Max.

In Super Max, you have a small cell, in which you stay 23 hours a day, with almost no human contact besides the guards who come to check on you every half hour (if they're doing their job right). The whole facility is concrete and steel, so every sound echoes, so it's noisy 24-7. It's never completely dark because the guards need to be able to see everybody. If there's a worse environment for a person with a mental illness, I can't think of it off the top of my head. And then they're surprised at the number of suicides and suicide attempts!
beatrice_otter: Cartoon Obi-Wan and Yoda: The thing is, there were just no warning signs. (Warning Signs)
Well, I reached a milestone in my chaplain internship at the Oregon State Hospital today: my first warning that one of the forensic patients has fixated on me and I need to steer clear of him. Joy. I don't even know the guy; never heard his name before, couldn't pick him out of a crowd if my life depended on it. Apparently, he heard me singing in chapel and liked my voice. You can imagine how warm and fuzzy this makes me feel. Not.

My supervisor is a great guy who really knows his job, both as a chaplain and as a teacher of Clinical Pastoral Education (CPE). If you're having a problem dealing with a patient he's a great resource. He's also good at teaching chaplains. The main point of CPE is to help the interns work through any issues they might have that might get in the way of their pastoral care, and Roy's good at getting to the heart of things. We have about 16 hours of class with Roy per week (the rest of our time is spent on the wards in one way or another), plus homework such as weekly reflection papers designed to make us really think about what's going on and how we interact with other people. Roy is pretty good about getting to the heart of what's really going on, and he doesn't take any BS. At all. He's nice about it, but he doesn't let it get past him. I find myself torn by this. On the one hand, I know I'm going to learn a lot. On the other ... CPE would be a lot easier, and a lot more comfortable, if he wasn't so good at this. I've never been on the receiving end of things, but that'll change as the program goes on.

The main thing that's bothering me, though, is one of the patients in the geriatric ward I'm assigned to. She's 75, but in excellent physical health for her age (a rarity on the ward), intelligent, and perfectly aware of her surroundings (an even greater rarity). Her main problem is severe clinical depression, one of the main components of which is a fixed delusion that she is such a horrible sinner that God can never forgive her. And I mean fixed. There is no budging her absolute certainty. Even ignoring the fact that her "sins" aren't sins at all by the most stringent definition I can imagine, there is no sin that God cannot forgive if the sinner truly repents (in layman's terms, "turns away from"). And boy, has she repented. As a pastor, I am called to preach the Good News of God's grace and forgiveness, which she desperately needs. But she doesn't listen; her depression is so severe she cannot possibly conceive of any possibility of forgiveness--not even a glimmer of hope. There is a psychiatrist assigned to the ward, but his hands are full (more than full!) just keeping the patients properly medicated (or at least trying to figure out the right balance of meds) and seeing to their physical health. There is a part-time psychologist in the ward two days a week, but he's got his hands full just running the group sessions, never mind individual therapy (which she needs--groups just ain't cutting it for her). The social worker and the nurses and the mental health technicians do their best but they're swamped--they're very understaffed, and only get by on lots of overtime. Basically, there's no one but me, a first-year seminarian, to minister to this woman. Everybody's very nice and helpful and has lots of advice, but that doesn't change the fact that it's up to me to implement that advice.
beatrice_otter: Since no one is perfect, it follows that all great deeds have been accomplished out of imperfection. (Great)
Today was my first time on the wards, as we held services for the patients in the various buildings. They do two sets of services, Catholic and Protestant; I was observing the Catholic services (all chaplains have to do both--there isn't a priest on the chaplaincy staff, so the bring in wafers that have already been consecrated for communion). The first building we visited held maximum-security forensic wards; to get in to where the patients are, you have to go through several locked gates and doors, some of them little sally ports where you're enclosed in a small room or cage and can't open the door in front of you until the door behind you is closed. It's rather claustrophobic and intimidating; I can't imagine what it'd be like to live there. The second was much lower security, and had a much more cheerful atmosphere.

Services were not really what I was expecting. They're fairly compressed (around half an hour long). In addition, although the patients are mentally ill, not stupid, they're usually on medications that decrease their mental capability/focus/whatever as a side effect. Following services can be a challenge for them, as can maintaining appropriate behavior. All music comes from a CD player, and it's the contemporary folk-Catholic stuff I've never really gotten into. The chapels are small, plain, cramped, and just about as well-maintained as the rest of the facility.

But. Today was (for Catholics) the feast of Corpus Christi, the Body and Blood of Our Lord. The songs were communion songs, and one of them talked about grains of wheat being broken and one again in the bread, asking God for wholeness and unity in the same way. The music was nothing worth noting. But hearing such broken people sing about their brokenness and pray to Christ for healing was one of the most powerful worship experiences I've ever had.

On a related note, the first book we're required to read for class is called All Our Losses, All Our Griefs: Resources for Pastoral Care by Kenneth R. Mitchell and Herbert Anderson. It is aimed at pastors, but it is fundamentally an examination of loss and grief from psychological, sociological, and theological perspectives. I've found it to be very insightful and useful, and I highly recommend it for everyone regardless of creed or occupation; it is valuable to more than just pastors, and I think even non-Christians may find the psychological and sociological viewpoints quite useful. The copy I have now belongs to the hospital; I'm going to ask for a copy for my birthday.
beatrice_otter: Me in red--face not shown (home)
I have a problem at the hospital, and it's all my Dad's fault. Really. It is. He's a big guy (6'2"), played football in high-school and a little in college. Can be very loud. Little bit of a temper, at times. Lots of people find him intimidating.

He's also a complete teddy bear. Seriously. Ask anyone who knows him well.

So when I'm interacting with a guy a lot bigger than me with a loud voice, it doesn't occur to me that there might be a problem or that I might be unsafe in any way. Even if I intellectually know that something's wrong, it's not exactly real to me. Because, hey, I'm used to my Dad's growling.

We did some role-playing yesterday and talked about it some more today as part of orientation, and I got critiqued for not paying enough attention to things like staying out of range of patients and making sure I always had an escape route. And clearly, it is all Dad's fault.
beatrice_otter: Me in red--face not shown (Default)
Hello, everybody! Sorry for the long time between updates; I'd planned to send one out the first day of CPE, but I've had computer troubles. It's all fixed now, so here it is.

How I'm Spending my Summer Vacation--at the State Mental facility )
beatrice_otter: Cartoon Obi-Wan and Yoda: The thing is, there were just no warning signs. (Warning Signs)
I've been unable to post or comment to LJ without first logging out, deleting all cookies, and refreshing the page twice first since receiving the latest Firefox update a few days ago. I think the problem is fixed, now, though I'm not sure what changed.

Coming Soon: News from Oregon State Hospital, where they filmed One Flew Over the Cuckoo's Nest. And where I am interning this summer.

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