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Pastoral intervention in a temporary burn unit

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Abstract

In February, 1978 a tank car exploded in Waverly, Tennessee. Nine of those severely burned in the fire were brought to Vanderbilt University Medical Center. The author describes his role as chaplain as defined by the patients' primary and secondary adaptive behaviors. Integrating this basic data in psychodynamics with his own understanding of ministry, he characterizes his ministry as both clinically and community based.

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Reference Notes

  1. A more definitive treatment can be found inThe Merck Manual of Diagnosis and Therapy, 13th Edition (Rahway, N. J.: Merck Sharp and Dohme Research Laboratories, 1977), pp. 1718–1724.

  2. For an interesting and helpful discussion on “fire” and its philosophical, religious, and symbolic meanings see Gerhard Kittel, Gerhard Friedrich.Theological Dictionary of the New Testament (Grand Rapids: Eerdmans Publishing Company, 1968), VI, pp. 928–952.

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  3. One dimension of this is described by Gary Brock, et. al. “Use of a Multiple Family Group for Crisis Intervention,General Hospital Psychiatry 2 (June, 1980), pp. 95–99.

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  4. David Hamburg, Beatrix Hamburg, Sidney deGoza, “Adaptive Problems and Mechanisms in Severly Burned Patients,”Psychiatry 16 (February, 1953), pp. 1–20.

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  5. David Hamburg, et. al, “Clinical Importance of Emotional Problems in the Care of Patients With Burns,”The New England Journal of Medicine 248 (February 26, 1953), pp. 355–359.

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  6. Scripture quotation is fromThe New English Bible (Cambridge: The Cambridge University Press, 1972).

  7. N.J.C. Andreason, et. al. “Factors Influencing Admustment of Burn Patients During Hospitalization,”Psychosomatic Medicine 34 (November–December, 1972), pp. 517–525.

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  8. Some recent efforts have been made to assess nurses' individual differences in understanding the patient's suffering. Noted have been such variables as the patient's social class, age, different illnesses and injuries, cultural background of the nurse, etc. See Lois Davitz, Joel R. Davitz,Nurses' Responses to Patients' Suffering (New York: Springer Publishing Company, 1980.).

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  9. For one study dealing with the post-hospitalization psychological problems see N.J.C. Andreasen, A. S. Norris, “Long-Term Adjustment and Adaptation Mechanisms in Severely Burned Adults,”Journal of Nervous and Mental Disease 154 (May, 1972), pp. 352–362.

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  10. An excellent book dealing with a wide variety of chronic disabilities and their resultant behaviors in Rudolph Moos (ed.).Coping With Physical Illness (New York: Plenum Medical Book Company, 1977).

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He also serves as an adjunct faculty member of The Divinity School, Vanderbilt University.

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Brock, G. Pastoral intervention in a temporary burn unit. Pastoral Psychol 29, 270–277 (1981). https://doi.org/10.1007/BF01771347

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