'Can You See What I Say?' Beyond Words

Pastoral Care Education and Practice Among the Deaf and Hard of Hearing Community

Authors

  • John Patrick Doherty National Chaplaincy for Deaf People
  • Daniel Nuzum Cork University Hospital and University College Cork

DOI:

https://doi.org/10.1558/hscc.25862

Keywords:

Deaf, Pastoral care, Chaplaincy, Communication, Healthcare, Spiritual care, Sign Language, clinical pastoral education

Abstract

Empathic relational communication is a key competency in spiritual care for establishing a trusting pastoral relationship. Ministry with d/Deaf persons requires a deeper level of relational skill, where attentiveness to sign language, non-manual features, visual cues and facial grammar are important for meaningful pastoral relatedness. It is widely recognized that d/Deaf persons experience higher than average healthcare access barriers and associated psychological impacts, and therefore spiritual need. In addition, d/Deaf persons develop a non-auditory approach to emotional expression and communication. The competencies of clinical pastoral education (CPE) provide a natural context to further develop the necessary deeper relational skills for healthcare ministry. This article draws on the lived experiences of a chaplain for the d/Deaf engaged in CPE and a CPE educator, in order to highlight current deficiencies in pastoral care for d/Deaf persons, and to explore and illustrate how relational empathy and spiritual connection can be deepened among d/Deaf persons in healthcare by developing the competencies of CPE.

Supplementary resource: video format in American, British and Irish sign languages
View ASL Keith Nolan video
View BSL Ayesha Gavin video
View ISL John Patrick Doherty video

Author Biographies

  • John Patrick Doherty, National Chaplaincy for Deaf People

    John Patrick Doherty is Chaplain at the National Chaplaincy for Deaf People, Ireland, and a Lecturer in Irish Sign Language at Munster Technological University, Ireland.

  • Daniel Nuzum, Cork University Hospital and University College Cork

    Dr. Daniel Nuzum is a Clinical Pastoral Education Supervisor/Educator at Cork University Hospital, and Lecturer at the College of Medicine and Health, University College Cork, Ireland. 

References

Association of Clinical Pastoral Education (ACPE) Ireland (n. d.). ACPE Ireland (Ltd.): Home. Dublin. Retrieved 22 April 2016 from https://www.acpeireland.com

Ashori, M., & Aghaziarati, A. (2022). The relationships among social-emotional assets and resilience, empathy and behavioral problems in deaf and hard of hearing children. Current Psychology. https://doi.org/10.1007/s12144-022-03152-5

Barclay, D., Rider, M., & Dombo, E. (2019). Spirituality, religion, and mental health among deaf and hard of hearing people: A review of the literature. Journal of the American Deafness and Rehabilitation Association (JADARA), 46(1). https://nsuworks.nova.edu/jadara/vol46/iss1/5

Bartlett, S. (2018). Disabled or deaf? Investigating mental health clinicians’ knowledge of and attitude towards deafness as a culture. International Journal of Culture and Mental Health, 11(4), 437–446. https://doi.org/10.1080/17542863.2017.1409779

Bauman, H.-D. L., & Murray, J. J. (Eds.) (2014). Deaf gain: Raising the stakes for human diversity. Minneapolis: University of Minnesota Press. https://www.upress.umn.edu/book-division/books/deaf-gain

Boisen, A. T. (1960). Out of the depths: An autobiographical study of mental disorder and religious experience (1st ed.). New York: Harper & Brothers. https://archive.org/details/outofthedepthsan012920mbp

Bosworth, R. G., & Stone, A. (2021). Rapid development of perceptual gaze control in hearing native signing Infants and children. Developmental Science, 24(4), e13086. https://doi.org/10.1111/desc.13086

Brentari, D. (2019). Sign language phonology. Cambridge: Cambridge University Press. https://doi.org/10.1017/9781316286401

Byrne, B., & McNamee, C. B. (2022). The emotional wellbeing of deaf children and young people in Northern Ireland. Queen’s University Belfast. https://www.qub.ac.uk/research-centres/CentreforChildrensRights/CCRFilestore/Filetoupload,1554000,en.pdf

Byrne, M. J., & Nuzum, D. R. (2020). Pastoral closeness in physical distancing: The use of technology in pastoral ministry during COVID-19. Health and Social Care Chaplaincy, 8(2), 206–217. https://doi.org/10.1558/hscc.41625

Carey-Sargeant (2017). Eye-tracking of gaze allocation during story listening: Influence of early communicative input and current language-competence for students with a cochlear implant. Melbourne: Department of Audiology and Speech Pathology, Melbourne University. http://hdl.handle.net/11343/194145

Fellinger, J., Holzinger, D., & Pollard, R. (2012). Mental health of deaf people. Lancet, 379(9820), 1037–1044. https://doi.org/10.1016/S0140-6736(11)61143-4

Grimell, J. (2022). From theory to practice when presenting core features of a Swedish hospital chaplaincy identity: A case study analysis. Health and Social Care Chaplaincy, 10(2), 165–184. https://doi.org/10.1558/hscc.20372

Handzo, G. F., Flannelly, K. J., Kudler, T., Fogg, S. L., Harding, S. R., …, & Taylor, R. B. E. (2008). What do chaplains really do? II. Interventions in the New York chaplaincy study. Journal of Health Care Chaplaincy, 14(1), 39–56. https://doi.org/10.1080/08854720802053853

Hilsman, G. J. (2018). How to get the most out of clinical pastoral education: A CPE primer. London: Jessica Kingsley.

Jernigan, H. L. (2000). Clinical pastoral education with students from other cultures: The role of the supervisor. Journal of Pastoral Care, 54(2), 135–145. https://doi.org/10.1177/002234090005400203

Jones, L. C. (2010). You learn it in your heart: Transformative learning theory and clinical pastoral education. Journal of Pastoral Care & Counseling, 64(4), 1–10. https://doi.org/10.1177/154230501006400407

Karvinen, I., Winqvist, S., & Lipponen, V. (2022). A reflection on empowerment through spirituality: Relationships between disabled individuals and their assistants explored in the process of renewing a spiritual guidebook in Finland. Health and Social Care Chaplaincy, 10(2), 185–194. https://doi.org/10.1558/hscc.20190

King, S. D. W. (2007). Trust the process: A history of clinical pastoral education as theological education. Lanham: University Press of America.

Krejtz, I., Krejtz, K., Wisiecka, K., Abramczyk, M., Olszanowski, M., & Duchowski, A. T. (2019). Attention dynamics during emotion recognition by deaf and hearing individuals. Journal of Deaf Studies and Deaf Education, 25(1), 10–21. https://doi.org/10.1093/deafed/enz036

Kuenburg, A., Fellinger, P., & Fellinger, J. (2015). Health care access among deaf people. Journal of Deaf Studies and Deaf Education, 21(1), 1–10. https://doi.org/10.1093/deafed/env042

Kushalnagar, P., Reesman, J., Holcomb, T., & Ryan, C. (2019). Prevalence of anxiety or depression diagnosis in deaf adults. Journal of Deaf Studies and Deaf Education, 24(4), 378–385. https://doi.org/10.1093/deafed/enz017

Leeson, L., & Saeed, J. I. (2012). Irish Sign Language: A cognitive linguistic approach. Edinburgh: Edinburgh University Press. https://doi.org/10.1515/9783110261325.245

Love, J. (2019). Emotion recognition among deaf and hearing adolescents. Doctoral thesis. California State University, Fullerton.

Malebranche, M., Morisod, K., & Bodenmann, P. (2020). Deaf culture and health care. Canadian Medical Association Journal (CMAJ), 192(50), E1809. https://doi.org/10.1503/cmaj.200772

Mapson, R. (2013). Politeness in British Sign Language: The effects of language contact. In A. N. Archibald (Ed.), Multilingual theory and practice in applied linguistics: Proceedings of the 45th annual meeting of the British Association for Applied Linguistics (pp. 167–170).

London: Scitsiugnil Press.

Marschark, M., & Spencer, P. E. (2011). The Oxford handbook of deaf studies, language, and education (vol. 1, 2nd ed.). Oxford: Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199750986.001.0001

Marschark, M., Peterson, R., & Winton, E. A. (2005). Sign language interpreting and interpreter education: Directions for research and practice. New York: Oxford University Press. https://doi.org/10.1093/acprof/9780195176940.001.0001

Mekonnen, M., Hannu, S., Elina, L., & Matti, K. (2015). Socio-emotional problems experienced by deaf and hard of hearing students in Ethiopia. Deafness & Education International, 17(3), 155–162. https://doi.org/10.1179/1557069X15Y.0000000002

Mezirow, J. (2000). Learning as transformation: Critical perspectives on a theory in progress. Francisco: Jossey-Bass.

Mohr, S. (2014). Mouth actions in sign languages: An empirical study of Irish Sign Language. Boston & Berlin: De Gruyter. https://doi.org/10.1515/9781614514978

Morisod, K., Malebranche, M., Marti, J., Spycher, J., Grazioli, V. S., & Bodenmann, P. (2022). Interventions aimed at improving healthcare and health education equity for adult d/Deaf patients: A systematic review. European Journal of Public Health, 32(4), 548–556. https://doi.org/10.1093/eurpub/ckac056

National Deaf Children’s Society (NDCS) (2020). Emotional wellbeing in deaf children and young people, and their families: A literature review. NDCS. Retrieved 4 March from https://www.ndcs.org.uk/media/6198/emotional_wellbeing_literature_review_2020.pdf

Pesut, B., Sinclair, S., Fitchett, G., Greig, M., & Koss, S. E. (2016). Health care chaplaincy: A scoping review of the evidence 2009–2014. Journal of Health Care Chaplaincy, 22(2), 67–84. https://doi.org/10.1080/08854726.2015.1133185

Petrocchi, E. (2021). Prosody of emotions: The relation between (prosodical) linguistic and affective functions of non-manual components in Italian Sign Language. Ca’ Foscari University of Venice.

Roberts, S., Wright, B., Moore, K., Smith, J., Allgar, V., …, & Rogers, K. (2015). Translation into British Sign Language and validation of the Strengths and Difficulties Questionnaire. Health Services and Delivery Research, 3(2). https://doi.org/10.3310/hsdr03020

Rodger, H., Lao, J., Stoll, C., Richoz, A. R., Pascalis, O., …, & Caldara, R. (2021). The recognition of facial expressions of emotion in deaf and hearing individuals. Heliyon, 7(5), e07018. https://doi.org/10.1016/j.heliyon.2021.e07018

Rogers, C. R., & Carmichael, L. (1957). Counseling and psychotherapy: newer concepts in practice. Boston: Houghton Mifflin.

Sutton-Spence, R., & Woll, B. (1999). The linguistics of British Sign Language: An introduction. Cambridge: Cambridge University Press. https://assets.cambridge.org/97805216/37183/sample/9780521637183web.pdf; https://doi.org/10.1017/CBO9781139167048

VandeCreek, L., & Burton, L. (2001). Professional chaplaincy: Its role and importance in healthcare. Journal of Pastoral Care & Counseling, 55(1), 81–97. https://doi.org/10.1177/002234090105500109

Van Dijke, J., Duyndam, J., van Nistelrooij, I., & Bos, P. (2023). “Genuine and fundamentally human”: A qualitative study into Dutch humanist chaplains’ conceptualizations of empathy. Journal of Health Care Chaplaincy, 1–18. https://doi.org/10.1080/08854726.2023.2169535

World Health Organization (WHO) (2023). Deafness and hearing loss. WHO. Retrieved 4 March 2023 from https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss

Zollfrank, A., & Garlid, C. (2012). Curriculum development. Part II: Clinical pastoral education. In M. R. Cobb, C. M. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 429–433). Oxford: Oxford University Press. https://doi.org/10.1093/med/9780199571390.003.0057

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Published

2023-10-19

How to Cite

Doherty, J. P. ., & Nuzum, D. . (2023). ’Can You See What I Say?’ Beyond Words: Pastoral Care Education and Practice Among the Deaf and Hard of Hearing Community. Health and Social Care Chaplaincy, 11(2), 205–219. https://doi.org/10.1558/hscc.25862