Monday, July 22, 2013

Listening is an Indispensable Element for Better Serving

In my reflection on the Jesus' parable on the Good Samaritan (Luke 10:25-37) in this blog,  I emphasized the importance of acting with love.  Love must be demonstrated through our acts of charity (caritas) as exemplified by the Good Samaritan- rather than kept in our heart as an emotion of affection. This also reflects what James said in St. James 2:14-26, namely, "faith without work is as good as dead", as faith is not to be just kept in our heart but to be translated into our actions - actions of love.

In his "The Enchiridion on Faith, Hope and Love", St. Augustine of Hippo discusses how the three theological virtues:  faith, hope and love, are interrelated, echoing what St. Paul says in 1 Corinthians 13:1-13. Because love is inseparable from faith, if faith without action is as meaningless as dead, then, love without action is also meaningless. Jesus' Parable of the Good Samaritan is a good example to illustrate this theological teaching on love.

Though action - work - is indispensable to make our love valid in light of the three theological virtue, what is really important yet often neglected or forgotten is the virtue of listening.  In order to teach us that listening authenticates love, the Jesus' action in the Gospel reading for the 16th Sunday of Ordinary Time (Year C) (Luke 10:38-42) tells how listening can set the act of love in a right direction.


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In the Gospel story, Jesus visited the house of Martha and Mary (and their brother, Lazarus).  It was Martha how came out and welcomed him. She kept herself busy serving Jesus - perhaps food and drinks. But, her sister, Mary was not helping Martha but simply sat with Jesus and enjoyed listening to his story.

Because Martha found herself to be the only one diligently working and working to serve Jesus, the house guest, she became frustrated over her sister, Mary. So, Martha tried to win Jesus' support by telling him, "Lord, do you not care that my sister has left me by myself to do the serving? Tell her to help me!". 

Yes, Martha is whining! She is so-called "pissed"! Because, in her subjective eyes, her sister, Mary appeared "lazy" as she just sat and be with the guest.

You could have thought that Jesus would side with Martha - or at least he would show some sympathy for Martha, by telling Mary to help Martha. But, in the Gospel story, Jesus rather rebuked Martha.

" Martha, Martha, you are anxious and worried about many things. There is need of only one thing. Mary has chosen the better part and it will not be taken from her", said Jesus, instead of telling Mary to help Martha.

So, why did Jesus was rather responding to Martha's frustration as if he would further fuel it, rather than appeasing it, by making a comment to sound like siding on Mary?  Why did Jesus say that Mary has chosen the better part, indicating that Martha chose a worse part - though she was the one working so hard to serve Jesus?

On the surface, Martha is the one working. Martha seems to represent the faith demonstrated by action, reflecting the teaching of St. James. On the other hand, Mary appears to symbolize just the faith - the faith without action, which St. James could have said "dead faith".

Important teaching of this Gospel narrative goes beyond such a superficial view that we tend to have, based on our human ordinary experience. As I pointed out that Jesus' teaching does not necessarily fit in the dominant paradigm of social and behavioral sciences in my last blog entry on his teaching on the Good Samaritan, a very important teaching of this Gospel story does not reflects our typical view, which can see Martha,  "hard working", to be justified and Mary, "lazy", to be rebuked.

In the Gospel story, Jesus responded to Martha's complaint about Mary in a way to support Mary, instead of Martha, to teach us the importance of listening.

Not in the Gospel narrative that Mary was LISTENING to Jesus (Luke 10:39).  But, there is no indication that Martha listened to him.

Imagine you visited a psychiatrist.....and the psychiatrist welcomes you, smiling and shaking hands with you. But, just imagine - if this psychiatrist starts prescribing medicines after medicine, making himself/herself busy as you sit in his/her office.  Now, how would that make you feel as a patient?

The psychiatrist may say, "Hey, I am just doing my best to help my patients! I am a doctor. I went to a med school. So, I know medicine! I know what medicine my patients need, and I know how to diagnose!"

Yes, the psychiatrist may say so rightfully. But, that's only from the psychiatrist's point of view.

How about the patient's perspective?!

As a patient, especially in psychiatry, what you would want first and foremost is to be listened with compassion.

When Jesus arrived to the house of Martha and Mary, Jesus could have felt that he wanted to be listened. He could have had a lot of stories to tell.

The Gospel story is also about hospitality.

Imagine how hospitable you could be if you had never took time to listen to our guests? Would your hospitality truly be appreciated by your guests if you had started serving and serving but never listened - because you were too busy to listen?

In the Gospel story, Martha was like the psychiatrist, who never listens to his/her patient but does "great" service with friendly smile by diligently giving you medicine. But, Martha obviously failed to meet Jesus' need at that time - thought she could have thought she was helping Jesus by serving food and drink.

On the other hand, Mary, appeared not as restless as Martha, listened to her guest, Jesus, while he seemed to have found her hospitality to be more suitable to his need, compared to Martha's restless service.

Perhaps, Jesus would have wanted to eat and drink after talking after talking and being listened. Then, guess who can serve him better?

I bet Mary can serve Jesus better without making her as restless as Martha was - because she listened to her guest first.

One important take-home point from this Gospel narrative is that action of love, act of charity and hospitality, may not be as good as it can be - if it is not preceded by good listening.

So, we must fist listen to a person we serve - getting to know what the person wants and need better. We cannot guess or assume his or her need. And, we cannot start serving with such an assumption. In order to authenticate our acts of love - first we must listen with compassion.



Jesus at the House of Martha and Mary  (Harold Copping)


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The importance of listening is also found in Buddhist teaching. I found that the Sutra of the Medicine Buddha (the Sutra on Bhaisajya (薬師経)) emphasizes listening in the context of increasing mindfulness with all senses in order for better understanding.  The below excerpts captures this.


若昔人中。曾聞世尊藥師琉璃光如來名號。 由此善因今復憶念至心歸依以佛神力衆苦解脱。諸根聰利智慧多聞。恒求勝法常遇善友 (薬師経 1-8)

"If you have heard the name of the World Honored Bhaisajya Lapis Lazuli Light Tathagata, and as a result of this good cause, now remember and take refuge in him wholeheartedly, they will be freed from all suffering , thanks to this Buddha’s spiritual powers. Their senses will be sharp and they will be learned and wise, constantly seeking the supreme teachings, and encounter good spiritual friends. They will forever break through Mara’s net, smash the shell of delusion, dry up the river of afflictions, and thus escape all the distress and suffering of birth, old age, illness, and death."

To put this Buddhist teaching in the context of Luke 10:38-42, it is obvious why Jesus said that Mary, the listener, has taken the better place. Mary must be listening to Jesus "with all her heart, with all her being, with all her strength, and with all her mind".

Michael P. Nicholas has written "The Lost Art of Listening - How Learning to Listen Can Improve Relationship".  This book talks about our innate needs and yearning to be understood through listening. The is a book can be read along with Luke 10:38-42, as well as the Sutra of the Medicine Buddha.  Reading these assures that listening is an indispensable art of love, which build a relationship, heals and leads to salvation as taught both by Christ and Buddha. 



















Thursday, July 18, 2013

Embodying the Compassionate Spirit of the Good Samaritan in Health Care – A Pastoral Perspective


Whether you are practicing Christian or not, I am sure it is deep in your heart to desire to be as compassionate as the Good Samaritan.  I believe that those who want to make their careers and to find their vocations in light of the Good Samaritan tend to seek their professional development paths in health care, social services, and ministries.

As a pastoral consultant, as well as a psychotherapist,  I want to share a bit of my own perspective – prompted by Jesus’ Parable of the Good Samaritan (Luke 10:29-37) in the reading of the  15th Sunday Ordinary Time (Year C). 

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Being like the Good Samaritan is what clinical pastoral care strives for. Hospital chaplains reach out to any patients, patients’ families and friends, hospital staff – regardless of their background or status.  

Let’s face it. Hospital can be a quite discriminatory place.  Arriving patients are always asked what kind of insurance plans they have.  Based on their answers, they receive certain payer “codes”, and the way they are treated upon this phase of admission is affected by the “codes”. 

Patients with good insurance plans always receive favorable “codes” and are treated really well, like VIPs, because treating such patients means generating more incomes to the hospital.   

I have seen how physicians and nurses talk to and about patients with certain payer “codes”. To patients with unfavorable payer “codes”, especially if they are no family members to be contacted, physicians and nurses tend to engage less conversation. It is also true that many of these patients are not easy to start a conversation with – at least at the beginning.

Behind the sight ….behind the counter of a nurse station, physicians and nurses often “chat” with each other about patients. Sometimes, this conversation sounds like gossiping.  Though physicians and nurses may not necessarily use a contemptuous  word on patients with unfavorable payer “codes”,  there is something disdainful in the tone of their voice as they speak about such patients.  This phenomenon can be a reflection and manifestation of their presumptions and biases about such patients. .  It leads to minimalistic care, given to them – just to meet the minimum standard of care.

Patients with unfavorable payer “codes” are medically treated. But, physicians and nurses in treating such patients do not seem as engaging as treating patients with better payer “codes”. 

This reality in the hospital always bothered me, and it prompted me to pursue a path to become a hospital chaplain, besides my deep desire to engage in conversation with patients on their spiritual level.

Probably, chaplains the only hospital clinical staff not so affected by the hospital’s “patients classification” culture, unlike physicians and nurses.  Chaplains’ services are not subject to billing.  While physicians and nurses have to spend an enormous amount of time and energy in billing of their services, chaplains do not.  This not only keeps chaplains relatively free from the hospital’s “coding” culture but also enables to reach out to more patients beyond the payer “codes” and spend more time with each patient.  This is truly a blessing to be a hospital chaplain. 

One effort I made during my CPE (clinical pastoral education – clinical training to become a hospital chaplain) was to visits charity care patients (meaning, patients who can neither pay nor have no one or insurance to pay), who have no family member or friend to visit them in the hospital.  Such patients usually lay on beds alone all day pretty much alone. Such patients were with unfavorable payer “codes”.

Physicians and nurses tend to engage in less conversation with such patients, compared to favorable payer “code” patients, whose family members and friends often visit.  Such patients must be feeling extremely lonely. Perhaps, they may feel “forgotten” or even “abandoned”, as the robbed and beaten man in the parable of the Good Samaritan could have felt.  If this is the case, then, clinical pastoral care shall reflect the compassionate spirit of the Good Samaritan. 

Oftentimes, I found it difficult to engage in conversation with such patients, as their hearts tend to be so guarded, perhaps, as a result of living alone, feeling isolated and lonely, for a significant amount of time.  I also learned that I cannot approach them with a naïve nation of bringing a human contact to them.   I was rejected by them quite often – as they must have felt that I was also one of these hospital staff, who bear scornful notion toward them. 

One patient said to me, “Go away.  Leave me alone. I don’t want to talk to nobody”.  Another patient said, “Why in the hell you want to talk to me?” 

I sure sensed some anger in these patients’ voices. 

But, anger toward what? 

Obviously, their anger was projected to me.  But, is that mean they were angry at me, or they were simply projecting their anger toward something else (or someone else) toward me – because my presence or attempt to reach out to them invoked something relevant to the objects of their anger? 

It took me a while to learn what was behind their angry initial rejecting reaction to my presence. 

Even though they rejected me, I always kept my eyes on them.  If they had other patients in their rooms, I always tried to initiate an opportunity to strike a conversation with them – though it was not always successful.  But, with my persistent attention to them, many of them gradually began opening their hearts to me.  Instead of responding to my “hello” with their verbal rejection and silence, they began asking me some questions, such as, “Hey, are you a priest?”, “Are you Chinese?” and so forth.  They must have become curious about me.  I suppose that any Asian-looking guy in the United States are first assumed to be Chinese. 

Actually, these were great moments to make real human connections with these patients.  Maybe, otherwise, such patients would have to leave the hospital without having real human conversations and remain angry, lonely and disconnected. 

Through these ice-breaking moments, I also ask them what really turns them on, what they are passionate about, and so forth.  Through such questions, I tried to touch on something that can take their minds from illnesses to things that may invoke meaning of life. Choosing such topics, rather than anything that may strike fears on their illnesses or what they are angry at, I found it helpful to engage in conversations about something that make them feel who they really are. 

Prompted by their curiosity about me and my invitation to speak about their passions in life, these patients usually began to open their mouth and speak, as their hearts also gradually become opened toward me.  As conversation gained built momentum, they also started asking me about my passion and hobbies. 
 
So, we enjoyed talking about food we like, things we like to do, and such and such.  And, patients who looked sad, worried and angry began to smile as our conversation went on. 

Then, some of them also talked to me about their fears and worries about illnesses and prognoses.  They also shared their anxieties about their lives after being discharged from the hospital, because they feel they would be living without much human conversations, again. 

I expressed my gratitude to the patients for sharing their stories, allowing me to learn about their passion in life, as well as fears and anxieties. Then, it was a good moment to guide patients discern meaning of their lives in the context of being in the hospital and being discharged.  For this, those who believe in God expressed their desire to pray together. Some religious patients asked me to help reconnect themselves to God.  And, I was so honored to serve God by serving such psychospiritual needs of these patients.
It is not to say that I was playing a role of the Good Samaritan – though my commitment to pastoral care was certainly, in part, inspired by the Good Samaritan.  I was simply striving to make my service as reflective of the Good Samaritan, as I could, by the grace of God.  And, God sure sent grace to help me serve patients, who were least reached out before.

In fact, the Parable of the Good Samaritan (Luke 10:29-37) echoes  these words of Jesus in Matthew 25:35-40:

For I was hungry and you gave me food, I was thirsty and you gave me drink, a stranger and you welcomed me,  naked and you clothed me, ill and you cared for me, in prison and you visited me.’  Then the righteous will answer him and say, ‘Lord, when did we see you hungry and feed you, or thirsty and give you drink?  When did we see you a stranger and welcome you, or naked and clothe you?  When did we see you ill or in prison, and visit you?’ And the king will say to them in reply, ‘Amen, I say to you, whatever you did for one of these least brothers of mine, you did for me.’

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While physicians and nurses tend to talk about symptoms, diagnoses, test results, prognoses, and so on, I wanted to focus on things unique and important to patients to assure that they are not just diagnoses or objects of health care businesses’ money making or economic burden.  In fact, more physicians and nurses these days, especially those trained in narrative medicine,  make efforts to speak not just about patients’ diagnoses and illnesses but to elicit patients’ unique leverage factors in the context of their life histories. However, working in high-pressured and high-demand managed-care environment, physicians and nurses find it extremely difficult to engage in their patients in their life context. 

That is why roles hospital chaplains play are very important.

Though chaplains do not bill, they do chart their services in each patient’s medical record. So, it helps physicians and nurses to understand patients’ whole-life pictures beyond diagnoses and symptoms to read supplemental narratives inserted by chaplains in each patient’s chart. 

Greenhalgh and Hurwitz, in their ‘Why study narrative?” (BMJ 1999; 318:48.1) argue for the importance of getting each patient’s life history, through patient’s narrative, by comparing health care professionals’ roles to the roles historians play, in terms of getting to patients beyond their diagnoses and illnesses.  In this regard, my attempts to engage in conversations with patients, who tend to be emotionally isolated, was also my efforts of applying narrative medicine in my pastoral care service.

Monday, July 15, 2013

Jesus' Parable of the Good Samaritan (15th Sunday Year C) Discussed


The Paradigm of Jesus’ Teaching from the Parable of the Good Samaritan and the Paradigm of Social Science 

Through the parable of the Good Samaritan (Luke 10:29-37), Jesus shows that his teaching does not fit in  the dominant paradigms of philosophy, social science (sociology) and behavioral science (psychology) about human behaviors.  The prevailing paradigm of social science is the social exchange theory, which is in line with rationalism, including the theory of justification, utilitarianism, logical structuralism, and Skinnerian behaviorism. 

Having studied sociology, psychology and theology, this aspect of Jesus always fascinates me. What Jesus teaches through the parable of the Good Samaritan certainly transcends a typical Western rational thinking process.  I can certainly imagine how Jesus would fiercely debate with some professors of philosophy, sociology and psychology about what motivates human behaviors. 

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Drawing upon my dual background in psychology and theology, I would like to discuss the parable of the Good Samaritan in light of some psychological views, followed by some theological discussions. 

Just as there are unconditional love and conditional love, kind behaviors can be sorted generally in two types:  acts of love motivated by altruistic compassion, and acts of love calculated with cost-benefit analysis. The former is more affect-driven, while the latter is more cognitive.  In my opinion, what the Good Samaritan exhibited is this kind. The altruistic action of love is more instinctive and even seems impulsive as it often comes with a sense of immediacy. On the other hand, the calculated action of kindness can be more rational and cognitive as it comes through some deliberations. 

Usually, when this deliberation, which is a rational as well as cognitive, takes place, a self-serving factor is weighed into the behavioral decision-making process.  Because of this cognitive and rational process, it has to make “sense” in light of self-serving interest, in order to decide to take actions. However, there is no cognitive and rational deliberation in the very kind of altruistic action that Jesus is encouraging to practice in his parable of the Good Samaritan. The altruistic action of the Good Samaritan rather seems as impulsive as “love at first sight” as he engaged in his compassionate action as immediately as he was “moved with compassion at the sight” (Luke 10:33). 

The more we deliberate, the more anxious we may become, delaying and even discouraging us from taking actions, as Morita Therapy’s clinical theory suggests.  Those who tend to make excuses often go through a significant amount of deliberation to come up with rationalization to justify their inactions or actions.  

Like cognitive behavioral therapy, Morita Therapy challenges the rationalization process, which is driven by self-serving ego, in order to ensure that a person’s ego defense mechanism does not negatively affect the behavioral decision-making process. 

The self-serving ego is what divides love conditional and unconditional.  Likewise, it is what differentiates calculated kind behaviors from altruistic behaviors. 

Think how the 15th Sunday Gospel reading begins.

There was a scholar of the law who stood up to test him and said, ‘Teacher, what must I do to inherit eternal life?’” (Luke 10:25). 

A scholar of the law indicates that his motive is to inherit eternal life.  This indicates that the scholar of the law’s motive of knowing and observing the law rather reflects his self-serving interest, besides he was obviously challenging Jesus. 

In response, Jesus simply asked the scholar of the law, what is in the law? 

Then, the scholar of the law answered, “You shall love the Lord, your God, with all your heart, with all your being, with all your strength, and with all your mind, and your neighbor as yourself”(Luke 10:27), in reference to Leviticus 19:18(Take no revenge and cherish no grudge against your own people. You shall love your neighbor as yourself. I am the Lord.) and Deuteronomy 6:5 (Therefore, you shall love the LORD, your God, with your whole heart, and with your whole being, and with your whole strength.).

Yes, the scholar of the law has just proved to Jesus how smart he is –demonstrating his excellent scholarship in the law, which is written in Leviticus and Deuteronomy. 

In response, Jesus said to the scholar, “You have answered correctly; do this and you will live” (Luke 10:28), citing Leviticus 18:5, “Keep, then, my statutes and decrees, for the person who carries them out will find life - through them. I am the Lord.” By citing another law (Leviticus 18:5), Jesus reminded the scholar of the law that knowing the law is one thing but it is more important to put the law in practice. In this case, it is to love God with all our heart, all our being, all our strength and all our mind, and to love our neighbor as ourselves.

Problem of Minimalism Demonstrated by the Scholar of the Law

Now, the scholar of the law begins to reveal his ego more  by asking Jesus this question: 
And who is my neighbor?”(Luke 10:29)

Why this question reflects the scholar’s ego? It is because such a question indicates the minimalist mentality – trying to limit the scope of who he has to love. In other words, the scholar seems to try to find the easiest way to inherit eternal life.  Now, you do not have to be a psychologist or sociologist to see how the scholar of the law in the Gospel narrative is exercising the rational calculation, as in the social exchange theory. 
Of course, Jesus must have been disappointed to hear such a “dumb question” -  “dumb question” in terms of the kind of theological wisdom that Jesus wants to teach, though such a question may be “brilliant” in typical sociology, psychology and philosophy classes.  In a way, the scholar’s question of “who is my neighbor?” to love to inherit eternal life is like a goofy college freshman asking his professor, “Excuse me, how many pages do I have to write to get an A on this paper?”  

So, to help the highly rational scholar of the law get” enlightened”, hoping to get the scholar’s heart opened up, Jesus begins to speak the parable of the Good Samaritan.  It is to show that the he cannot limit who the neighbor is – in order to inherit what he wants  - in order to truly keep the law that he knows so well.  Jesus is also teaching the scholar of the law that there is no “loop hole” in the laws of God to inherit eternal life.  This means that we must go beyond – transcend the rational paradigm, such as what the equity-based social exchange theory teaches and what the reward-and-punishment-based Skinnerian behaviorist theory teaches.

The Ego Problem of the Scholar of the Law from a Buddhist-Christian Perspective

It is obviously a phenomena of cognitive calculation, prompted by his self-serving ego,  that the scholar of the law asked Jesus,  “And who is my neighbor?”(Luke 10:29). Asking such a minimalist question is a psychological indication of narcissistic disposition in the scholar of the law, spilling his self-centered ego forces over the behavioral decision-making process for the important law (God’s commandment) of loving God and loving neighbor.

The scholar’s ego must be quite strong, given that he approached Jesus with his self-serving desire to inherit eternal life and showed his ego manifestation to minimizing his personal cost in doing good deeds of love for another person by trying to limit the scope of the objects of his acts. 

In the eyes of Buddhist teaching, the kleshas(煩悩) of the scholar of the law is quite powerful, as his attachment (obsession) to his self-serving interest (manifestation of his ego) is so strong.  Because of his strong kleshas, his focus is himself and his own benefits, rather than God and another person, which God in Christ can be theologically projected or manifested – though his manas-vijnana (末那識) in his mind create an illusion that he is holy enough to serve God through God’s commandment of loving God. 

See how kleshas and manas-vijnana can hijack our understanding and practice of God’s commandment (law) of loving God and our neighbor.

To apply Buddhist’s important teaching in the Jesus’ teaching in the 15th Sunday’s Gospel narrative (Luke 10:25-37), his own klesha, his attachment (obsession) to inheriting eternal life (his self-serving ego phenomena)  and his minimalist rational calculation in reducing the cost on himself actually keep himself from what he desire: inheriting eternal life.  Just as Jesus teaches the importance of self-denial to become his disciple and inherit eternal life (i.e. Luke 9:23 from the Gospel reading of the 12th Sunday ),  Shakamuni Buddha teaches anatta (no ego) to attain the ultimate freedom from suffering called the state of nirvana (i.e. Three Marks of Existence doctrine,  the Tathagatagarbha sutra),  which may be compared to a benefit of inheriting eternal life.

Act of Kindness with Conditional Love vs. Act of Kindness with Unconditional Love

Though everyone talks about unconditional love, like saying, “Oh, baby, I will love you unconditionally!”, and expresses their desire for unconditional love, it seems that many of them do not really understand that unconditional love is not about rationalism. It is not something we can understand and practice in light of what the scholar of the law exhibits in the Gospel narrative.  Ironically, the more we slip into the quagmire of the rationalism, including the social exchange theory and the Skinnerian reward-and-punishment behaviorism,  the farer we deviate from real unconditional love.  

When our self-serving ego kicks into our rationalism, then, this makes a dangerous “psychological cocktail” of illusion.  This psychological problem is like the problem of manas-vijnana (末那識) in Buddhist’s yogacara (唯識) psychological concept. 

Whether it is due to our rational calculation for the minimum requirement on the scale of self-preservation (ego motive) or due to manas-vijnana,  many people struggle with a gap between conditional love, which is an outcome of rational calculation, and unconditional love, which has no such calculation.
Most people often exhibit behaviors  of conditional love upon calculating the benefits of the acts over the costs out of the ego-driven self-serving concerns (self-preserving interest).  This cost-benefit calculation is a cognitive decision-making process to most people, because of manifestation of the self-preservation, even narcissistic disposition. 

This psychological process reflects Skinner’s behavior theory of operant conditioning: behaviors are shaped with conditions of reward and punishment. In this simplified behavioristic Skinnerian theory, not only humans but also all animal behaviors are motivated to seek reward and to avoid punishment. Namely, this is a carrot-and-stick theory.

In Sigmund Freud’s view, human behaviors are shaped in order to seek pleasure and to avoid pain. But, those who challenged such a Freudian view argued that human behaviors are motivated and influenced by non-tangible factors, such as meaning of life, as Viktor Frankl did.

One cautionary factor about rationalism like the Skinnerian behaviorist theory and Freudian theory is an inherent and inevitable problem of reductionism.  Rationalistic view tends to over simplify rather complex phenomenon, thus committing errors of oversimplification, resulting from  things like the “Occam’s Razor” and  the “Law of Parsimony” . Both of these reductionistic concepts in science are a form of minimalism. Thus, the law  scholar’s  question of “And who is my neighbor?” reflects reductionism as in “Occam’s Razor” and the  “Law of Parsimony”.

Examining the Good Samaritan and the Victim in light of Social Psychology (Baston) and Neurology (Siegel)

Perhaps, if your primary motive of “loving our neighbor”  is to inherit eternal life – or I should say, if we are obsessed with inheriting eternal life, then, chances are, our “loving” behaviors would be rather conditional and not like what the Good Samaritan exhibited. 

Is your compassionate behavior motivated by your desire “inheriting the eternal life”(Luke 10:25, 18:18; Matthew 19:16; Mark 10:17) or for “inheriting the Kingdom of God”(1 Corinthians 6:10) or “getting name written in the Book of Life”(Revelation 20:15)? Then, it can be explained with social exchange theory, which assumes that altruistic behavior is rather a myth human prosocial behaviors are motivated by some kinds of self-gain, overweighing costs.   However, Daniel Batson’s “empathy-altruism hypothesis” argues, otherwise.  Baston, in his “empathy-altruism hypothesis” asserts that you are more likely to reach out and help someone in need, even though you have nothing to gain from helping, if you have empathy toward the person, because empathy makes you believe that delivering the person from his or her suffering is the most important matter.  In other words, in Baston’s view, the locus of your thought is not you or your ego but on the welfare of another person. Thus, in Baston’s view, empathy is not just standing in another person’s shoe and feeling this person’s suffering but finding it the priority to relieve another person from his or her suffering, regardless of the cost on yourself to engage in such a behavior.

Baston, a social psychologist, asserts that not every helping behaviors are motivated for self-gains because some people act with genuine empathic concern, which is an others-oriented emotions, rather than self-centered emotions. The Good Samaritan in Jesus’ parable, highlighting the commandment of loving God and neighbor wholesomely (Luke 10:25-37) echoes Baston’s  “empathy-altruism hypothesis .  Its main component, empathic concern, can be neurologically explained with Daniel Siegel’s  concept of the neuro-circuit from the mirror neuron to the superior cortex, in connection with the subcortex limbic system, the brain stem and the somatic (visceral) response, through the insular cortex.  

It is also important to note that Siegel’s neurological concept is rooted in the developmental psychology of the mother-child attachment and attunement.  Thus, in order to neurologically understand Baston’s “empathy-altruism hypothesis”, we must first be aware of how the mother-infant attachment and attunement can affect a person’s mirror neuron, insular and other neurological factors, involving in empathy and empathy-driven altruistic behaviors. In fact, a mother, who can provide a nurturing environment for her baby to form attachment, is selfless and puts her baby’s welfare ahead of hers. Thus, a baby who can form a healthy attachment with such an empathic and altruistic mother can attune himself or herself to his or her mother’s empathic and altruistic nature. This is a possible developmental psychological explanation as to how a person can become as empathic and altruistic as the Good Samaritan. 

The Baston’s view of empathy itself is altruistic, alluding to that this is the very empathy that the Good Samaritan had toward a man left beaten and half-dead. 

Christological Consideration of the Good Samaritan and the Victim in light of Dual Psychological Projection

There is a psychological projection of Christ as the compassionate healer who immediately responds to a person of suffering to relieve his or her suffering onto the Good Samaritan.  This is evident in consulting the original Greek text of the Gospels.  

The very Greek word to characterize the compassion of Jesus, as appeared in  Matthew 9:36, 14:14, 20: 34, and Luke 7:13, is “splagchnizomai” (σπλαγχνίζομαι).  In fact, the same Greek word is being used to characterize the compassion of the Good Samaritan in Luke 10:33.  It is also interesting to notice that the same Greek word of compassion is being used to characterize the merciful father of the prodigal son in Luke 15:20, as this merciful father can be understood as a psychological projection of the God the Father and His mercy. 

There is another psychological projection of Jesus as the least among us (Matthew 25:34-40). Jesus is projecting himself both to the Good Samaritan and to the victim of injustice in the parable, reflecting the Jesus’ Christological dual identity:  Christ as a victor, as well as, Christ as a victim (Paschal victim). This dual psychological projection of Jesus in the parable of the Good Samaritan is a very important Christological concept to be noted. 

By being like the Good Samaritan, as Jesus command, we become deeply in touch with Christ. At the same time, we also become more drawn to Christ by exercising Baston’s “empathy-altruism hypothesis”, empathically imagining what it would be like to be left beaten, half-dead and alone – like the rejected corner stone ( Luke 20:17, Psalm 118;22, Acts 4:11  ).  To put it in light of Siegel’s neurological concept of empathy, we must viscerally feel the suffering of Christ the victim in order to fully appreciate the parable of the Good Samaritan, as your mirror neuron, insular cortex, limbic system and brain stem are all fully activated. 

It is also very interesting to note that the Greek word for compassion, splagchnizomai” (σπλαγχνίζομαι), which is being used to characterize both Jesus and the Good Samaritan, literally means “to have the bowels moved and yearn”.   Feeling empathy and becoming compassionate is a figurative understanding of having the guts feeling in response to a psychophysiological recognition of another’s person’s suffering – in the Greek understanding.  Interestingly, such a Greek view of compassion, based on , splagchnizomai” (σπλαγχνίζομαι), echoes Siegel’s neurological theory of empathy. 

We must have this kind of psychosomatic empathic response to fully appreciate this parable, in light of Baston’s “empathy-altruism hypothesis” and Siegel’s mirror neuron and insular concept of empathy. In fact, because empathy is visceral by its nature, as Siegel argues, it mobilizes our bodies to take compassionate action toward another person in suffering.

Connecting Frankl’s psychology of meaningfulness and Baston’s “empathy-altruism hypothesis”

Daniel Baston’s argument for empathy and altruism echoes Viktor Frankl’s view on meaningfulness, which helps us sustain our life during crises.  

When Frankl was consulted by suicidal inmates during his time in Nazi concentration camps, he gently directed their self-centered attention to greater factors outside their ego spheres, such as life itself, as well as their beloved family members.  When their attention gradually shifted from themselves to these factors, they were no longer suicidal as they regained meaning of life.  

When a suicidal inmate said that his life is hopeless, thus, it became meaningless, because his life in concentration camp offers him nothing, to rationalize his plan to commit suicide, Frankl asked him what he thinks his life is expecting him, rather than asking what he expects from his life.  To another suicidal inmates, Frankl asked what he think his beloved daughter in America is hoping for him, while waiting for him and reunification. 

The clinical paradigm of Viktor Frankl to help suicidal inmates regain meaning of life by shifting their attentional focus from ego to another person or things greater than self.  This is what mindfulness is about, as addressed in Morita Therapy, a Japanese psychotherapy with Zen Buddhism bearings, Buddhist spirituality and Daniel Baston’s “empathy-altruism hypothesis”. 

In Baston’s view, we must be mindful of what is outside our own self-sphere in order to be empathic.  And, this mindfulness toward another person and his or her needs in suffering  - empathy – reflects the introspective mindfulness of our own needs.  When our mindfulness toward another person and self synchronize, then, helping another person through an altruistic action brings profound meaningfulness and immeasurable joy as a human. 

Ignatian Spirituality, Buddhism, and the Good Samaritan

In linking empathy to meaningfulness, one important thing is synchronized mindfulness – the external mindfulness and the internal mindfulness. 

Just as Siegel’s view on empathy  connects both perception and imagination of another person (external stimuli) and the perceiver’s visceral response through the limbic system, brain stem and somatic physiology, the mindfulness toward another person and the mindfulness toward our own deep heart’s desire must be in synchronized harmony to be truly as compassionate as altruistic.  This is the psychophysiological and psychospiritual bottom line of acting with unconditional love, as exemplified by the Good Samaritan. 

Speaking of importance of the mindfulness of our own heart’s desire, this is best understood through the Ignatian Spirituality (the spirituality of St. Ignatius of Loyola) and Buddhist spirituality.

St. Ignatius of Loyola’s prayer, Prayer of Generotity, asks God to teach us not to count the cost (of helping) but to become more willing to give (to help altruistically). 

Lord Jesus, teach me to be generous;
teach me to serve you as you deserve,
to give and not to count the cost,
to fight and not to heed the wounds,
to toil and not to seek for rest,
to labor and not to seek reward,
except that of knowing that I do your will.

Amen.

The gist of the Good Samaritan’s altruistic behavior and the St. Ignatius’ Prayer of Generosity echoes the spirit of Buddhism, the concept of anatta (anatman), the selflessness to become one with all things in the universe. 

The Buddhist teaching of anatta helps us better appreciate what enabled the Good Samaritan to be so altruistic, helping the half-dead abandoned man in spite of the heavy cost on himself. The farer we are from anatta , the more attached (clinging to) we are to our own ego’s self-centered desires (self-serving passions, narcissistic disposition). Then,  our attachment makes it very difficult for us to translate our empathy into our altruistic behaviors because the attachment prompts us to perform mental calculation of minimalism (as in “Occam’s Razor”, the Law of Parsimony). 

When St. Ignatius said the Prayer of Generosity, he must have been facing a spiritual tag of war deep inside his heart between his deep heart’s desire to be altruistic like Christ, who is projected in the Good Samaritan, and the ego temptation of minimalistic self-serving.  Citing Ignatius’ Prayer of Generosity is a powerful way to overcome the ego temptation toward self-serving interests so that we can move more toward genuine compassion, unconditional love, expressed in our altruistic actions, as a manifestation of our spiritual journey toward anatta.