To explore the hard questions through the stories of people like Mrs. Gonzales and her family—to retell them, to think about them in such a way that others might benefit from them, and to consider how we might apply the collected wisdom on grief and suffering—is the purpose of this book. While I will hardly be able to absent myself from these pages—my observations and conclusions are essential parts of this process, and as Henry David Thoreau said, I would hardly talk so much about myself if I knew anyone else as well—the stories of the suffering I encountered in the hospital will be our entry into exploration. A hospital is a sort of laboratory for the study of suffering—hyper-realistic, dramatic, life with all the boring bits edited out. Whether loss of life, loss of loved ones, loss of health, the stories that occur daily in a hospital setting crystallize what it might take decades for us to learn in the course of a happy life.
This is a work of narrative theology. What I mean by that is that we will be telling and retelling stories, examining them for theological meaning (What can these stories tell us about God and our experience of God?), and sifting them for philosophical understanding (What wisdom can these stories give me about how I should live my life?). I have discovered that being able to put the pieces of our experiences together in some satisfactory way—telling a story that makes sense, if you will—is an essential part of that process. The thing is, even some of the stories we tell that make some sort of sense to us may be dangerous theologically, emotionally, spiritually. Believing that God is punishing you for your past sins by killing your son may allow you to make a sort of sense out of the trauma your family is experiencing, but it seems to me that it is an unhealthy kind of sense—and probably an unhealthy story about who God is and how God participates in our lives.
In the respect that we’ll be questioning some of the most common and widely held life narratives, this book has Postmodern tendencies: many of the so-called “master narratives” begin to leak when you fill them with grief, and pointing out their inadequacies in favor of individually-constructed narratives fits in with many of the developments in Postmodern thought. But I’m also still Modern enough to think there could be some overarching stories that work: you can’t be a person of faith if you don’t work to reconcile the conflicts between one-size-fits-all belief and personal practice and understanding. Some stories must (and do) mean something to many people—and still hold up under pressure.
One afternoon in our group time, Cyd, my CPE supervisor, told my colleagues and me that “Why?” is the question of all patients and those who love them (and perhaps of those who care for them as well). I believe that she was right, although that why often led people to a whole lot of other questions: Why has this happened to me? Why did God cause this (or permit it)? Haven’t I lived a good life? Aren’t I a good person? Didn’t I do everything that God required? Am I being punished? How am I going to get through this? Where is God when I need Him? Who or what is God, anyway?
I want to suggest that first we step back from all of these questions—even from what seems to be an initial why. Before we can ask why suffering has entered our lives, we first have to uncover our core beliefs about God, about ourselves, and about life itself—to tell, hear, and understand our foundational narratives.
“But this too is true—stories can save you.”
Tim O’Brien, The Things They Carried
“There was a man—or woman—and . . . “ This is story, or at least, the bare beginnings of one. Narrative at its simplest level works in this way: you have a character or characters to whom something happens. That action or event may be the beginnings of a plot, but it is important to realize that what forms plot is our ability to make sequential actions fit together in some logical fashion. English novelist E. M. Forster described it in this way: The king died and the queen died is a sequence of events, but it most assuredly is not plot; however, the king died and the queen died of grief is. Forster’s example reminds us that we cannot form stories without being able to connect the dots; action and character do not equal a satisfactory narrative without some sense of meaning.
Plot typically moves from an initiating action through complications toward some sort of climax and ultimate resolution. The climax may be a physical action: a woman wins an election, a man escapes from prison. But in many of the stories we’ll be telling (or retelling) here, the climax is emotional or spiritual, rather than physical, although it may arise from drama-laden physical actions. The events of these stories should lead us toward some sort of understanding, some sort of reflection that may bring us closer to enlightenment.
The literary term we employ in this regard is epiphany. You may know that this is not only a Greek word, but also a word with religious associations. It means, literally, “showing forth” or revelation; the religious relation is to the Feast of the Epiphany, the date on the feast calendar when we commemorate the “showing forth” of the God-incarnate child Jesus to the Wise Men of the East. Epiphany is what we hope for from a story: insight, inspiration, some understanding that we did not possess before.
So: character, plot (perhaps leading to an epiphany), and then we seek what literature teachers have always most loved, theme. What is this plot about characters truly about? What does it tell us about life? In words sometimes used by teachers, “What is the author [or Author] trying to tell us in this story?”
It is in theme that we find ultimate meaning: When we read, hear, or live a story, we ultimately seek to know what the point of the story is. What does it mean? As Forster noted in distinguishing between a simple story and a sequential plot, “If it is in a story we say: ‘And then?’ If it is in a plot we say ‘Why?’” It is here that we come back to Cyd’s understanding of the patient’s fundamental question: I am in this story where these things are happening, and I really want to know why. Why?
Throughout the Synoptic Gospels (Matthew, Mark, and Luke) as well as in apocryphal documents like the Gospel of Thomas, Jesus told stories: “There was a man—or a woman—who . . .” We know that people, sometimes great crowds of them, listened to his stories. Sometimes the stories were clear enough that Jesus’ rivals understood he was attacking them through the medium of narrative, but we can also feel certain that sometimes people simply scratched their heads even after they had listened carefully, because often someone (more often than not those rock-headed disciples) asked Jesus to delineate the meaning—to explain the themes of the story, if you will—for them, as in this instance from the thirteenth chapter of the Gospel of Matthew:
Jesus told the crowds all these things in parables; without a parable he told them nothing. This was to fulfill what had been spoken through the prophet. “I will open my mouth to speak in parables; I will proclaim what has been hidden from the foundation of the world.”
Then he left the crowds and went into the house. And his disciples approached him, saying, “Explain to us the parable of the weeds of the field.”
Lessons are typically rooted deep in stories, not floating for easy harvest on the surface: we experience the events of stories, but they are not systematic in the way they present the world. We have to create our own systems, our own meaning. As the Apostle Paul might tell you, Jesus told stories, but you can’t found a faith tradition simply on stories; they have to be sifted for meaning.
Why did these events happen?
In the stories and discussions of grief we will consider here, meanings may be, at best, provisional; many of the people whose stories I stepped into in the hospitals during the summer were a long way away from coming to a complete understanding of their experiences, and even writing some time after the end of these events, I can’t be confident that I fully understand their import. We grow in wisdom and understanding as we reflect, gain critical distance, tell our stories again and again.
Anne Lamott notes at the conclusion of one of her essays that sometimes provisional meanings might have to be enough: “This is plenty of miracle for me to rest in now.” Stories may also have mean different things to different people: the words of wisdom spoken by the Desert Fathers were often intended to “diagnose” a specific case, and my friend Rodger Kamenetz says that the great rabbis chose stories to tell individuals based on what they specifically needed to hear to be healed. In any case, no single story will lead us to a single simple understanding of the experience of suffering. Jesus didn’t tell a single story about the Kingdom and stop there: “The Kingdom of Heaven is like this.” He told a number of them: “The Kingdom of Heaven is like this. And this. And this.”
So we too will consider a number of stories to attempt to say something like, “Suffering is like this. And this. And this.”
And perhaps: “Suffering means this. And this. And this. Perhaps one of these is the story you need to hear to be healed.”
Not a cure. But, perhaps, a prescription.
Within these pages—and with these pages—I hope that you will sift through stories of grief to uncover at least one story that acknowledges the experience of suffering and that feels like a truth you can accept and make your own.
My very first day of CPE, I had to go to the sprawling Seton Medical Center to get my ID badge for the Seton system, and as I wandered the maze of hallways looking for the ID office, I got seriously lost, which I did nearly every time I entered that hospital. All summer I had nightmares about being lost in Seton Medical Center that were disturbingly similar to that first actual experience: Dead ends. Long hallways. Unmarked doors.
But at last I found the personnel photo office, had my picture taken, and emerged with the badge that would admit me to parking garages and emergency rooms throughout the Seton system and threaded my way back to the entrance of the hospital, and there at the front door, I observed a paramedic who was wheeling an elderly woman into the hospital from an ambulance. The woman lay atop the gurney, gray and drawn and clearly in distress as they began to process her for admission; he had stepped over to the volunteer station to ask a question, while
The paramedic also apparently was suffering.
“Uhm,” he said, fidgeting, as he leaned over to ask the red-vested volunteer at the desk in a low voice, “Can you tell me how to get to the closest bathroom?”
The Book of Common Prayer tells us that in the midst of life we are in death. But I believe it is also true that in the midst of death, life continues. What that means, is that even when they are confronted by suffering and pain, people still seek directions—and not just directions to the bathroom. What we will hope to do in this book is to discover some directions—perhaps not a one size fits all set leading everyone inexorably to the same destination, but at the very least a compass heading for the perplexed. In the exploration, we will hope to help people make meaning out of pain, develop their own working theology of suffering, and help those who experience suffering, whether directly or as caregivers and comforters. In the exploration, we will hope to find ourselves—and perhaps even something outside ourselves—in ways we never have before.