Spiritual Care Framework
SOLER
 STANCE – Face people squarely
 OPEN body shape
 LEAN forward slightly
 EYE Contact
 RELAXED appearance & manner
FIVE PASTORAL FUNCTIONS
1. Sustaining – presence
2. Healing – empathy, listening
3. Guiding – options
4. Reconciling – relationships
5. Nurturing Spiritual Growth –
strengthening the link with their
source of strength. This may include
rituals or prayers, chanting or
imagining.
PASTORAL RESOURCES – 4F’s
1. FACTS of their situation
2. FEELINGS about their
circumstances
3. FAITH - Spiritual Resourcefulness or
Meaning Making
4. FREEDOM to choose / having
options / able to transcend the
situation
EMPATHIC RESPONDING
 Connecting with patients’ emotions
and offering suggestions of the
emotions experienced
WORDEN’S 4 Tasks of Mourning
1. To accept the reality of the loss
2. To work through the Pain of Grief
3. To adjust to a world in which the lost
person, thing, situation, or
understanding is missing.
a. External b. Internal c. Spiritual
4. To find an enduring connection with
the deceased (lost) while embarking
on a new life.
MASLOW’S HIERARCHY OF
NEEDS
Self-Actualisation
Esteem
Love/Belonging
Creativity
Morality
Spontaneity
Self-esteem
Respect
Achievement
Friends, Family,
Sexual Intimacy
Safety
Security – of body, work,
health, the family,
morality
Physiological
breathing, sex, water, food
KÜBLER-ROSS: FRAMEWORK
FOR GRIEF
D. Denial & Shock. Not Me! A refusal
to accept facts – usually temporary
A. Anger & Rage. Why me? Why now?
It’s not fair. Who can I blame?
B. Bargaining. Yes it is me BUT… I’ll
do anything for a few more years etc.
D. Depression. Yes it is me! I’m going
to die, so what’s the point?... I miss my
loved one. I can’t go on.
A. Acceptance. Inner & outer peace.
Kübler-Ross applied this framework to
persons suffering from terminal illness.
The stages can occur in any order& can
affect people for other types of losses,
e.g. health, job, relationships, etc.
SPIRITUAL ISSUES
1. FAITH – or lack or loss of FAITH
2. HOPE – or lack or loss of HOPE
3. LOVE – or lack or loss of LOVE
© 2014-15 MACCM. Certificate of Spiritual Care: Course Book – Level 2- Version 3.1 – 13 May 2015
FREEDOM is how we choose to look
at our circumstances and discern our
options
ERIKSON’S STAGES OF HUMAN
DEVELOPMENT.
Child Stages: 0-11 years.
1. Basic trust vs. basic mistrust.
2. Autonomy vs. Shame
3. Purpose-Initiative vs. Guilt
4. Competence-Industry vs. Inferiority
Adolescent Stages: 12-20
5. Fidelity-Identity vs. Role Confusion
Early Adulthood: usually 20-24
6. Intimacy vs. Isolation
Later Adulthood: usually 25-64
7. Generativity vs. Stagnation
Later Chapter of Life: usually 65+
8. Ego Integrity vs. Despair
FOWLER’S STAGES OF
SPIRITUAL DEVELOPMENT
1. Intuitive-Projective: pre-school
2. Mythic-Literal: Faith Community or
their Stories
3. Synthetic-Conventional: teenagers –
authority placed in individuals or
groups – many people remain her all
their lives.
4. Individuative-Reflective: people
critically examine their beliefs –
angst & struggle – openness to other
beliefs (20’s – 30’s).
5. Conjunctive Faith: midlife
acceptance of the paradoxes of life.
Life is a mystery. Transcendence is
recognized.
6. Universalizing Faith: life in service
to others, no worries or doubts.
Enlightenment.
Framework compilation originally conceived by Wyn Coghlan,
and used by MACCM Inc with her approval.
Edited July 2015.
GENERIC PASTORAL GOALS
1. To get into the habit of using
Empathic Responses.
2. To get into the habit of using the
Pastoral Resources: Facts, Feelings,
Faith & Freedom.
3. To assess where the patient is within
Maslow’s Hierarchy of Needs.
4. To assess where the patient is within
Kübler-Ross’s Loss and Grief
Framework.
5. To assess what stage the patient is in
Worden’s 4 Tasks of Mourning.
6. To assess what stage is the patient in
Erikson’s Eight Stages of Human
Development.
7. To assess where the patient is in
Fowler’s Six Stages of Faith
Development.
8. To assess the patient’s Spiritual Issues:
Faith, Hope and Love
9. To explore what the patient’s beliefs
and spiritual resources are.
Level 3 & 4:
10. To become familiar with and use
Carl Roger’s Gentle Confrontation
where appropriate.
11. To become familiar with and use the
skill of story listening where
appropriate.
12. To assess what is the patient’s
spiritual anthropology.
SPIRITUAL ANTHROPOLOGIES
1. Humankind is damaged goods in need
of restoration
2. Humankind is basically good, but
frustrated from achieving selffulfilment by poor life choices or by
external circumstances or the
intervention of others.
3. Humankind, like every other living
thing, is part of the eternal cycle of
birth, death and the regeneration of
the Universe.
© 2014-15 MACCM. Certificate of Spiritual Care: Course Book – Level 2- Version 3.1 – 13 May 2015