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Where do we go from here? Implications for modern childbirth education. Part 12

March 14, 2019 By Deena Leave a Comment

The interconnectedness of faith and medicine, as illustrated with the case of Dr. Grantly Dick-Read, offers us a new perspective when tackling ethical issues where faith and medicine seems to collide. When physicians can have the understanding that patients can, consciously or otherwise, regard them in a parallel status to that of a priest, with their words and suggestions as gospel truth on their health and well being, it may help physicians to communicate with patients in a new way that is more conducive to collaborative care.

By Edwardx – Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=38918671

This knowledge can also help medical providers better reach patients with dogmatic beliefs against standard of care treatments, such as childhood vaccinations or other arenas where patients values and beliefs may lead them to cause harm to self or to others.

Yet, I caution about this because there are other areas in medicine where doctor knows best, does not apply. The case of a physician refusing to offer birth control or abortion rises to the top of my list of where physician beliefs and faith in their own rightness can interfere negatively with patient care.

More broadly, this pushes out into politics and legislation. When issues like this are seen as an “either / or”, rather than an “and”, then one side is “right”, rather than having a deeper understanding of the nuance and complexity of the issues. When an issue is seen as two boxers in a ring, one will always need to come out as a clear winner. Rather, when, as suggested by Levin, Vanderpool, Mann and Messikomer, we see the integration of faith and medicine, faith can become a powerful tool to motives patients to act.

If the broader avenues of scholarship, religious studies, anthropology, sociology, law, public health, medicine, etc. can widen their perspectives and work in an interdisciplinary manner, then, I propose, we may see a new paradigm for research in the field.

After doing this research, I am left with more questions that I am as of yet, unable to answer. As a childbirth educator and doula, I see my own teachings reflected back in Read’s words and method, and yet, I am dismayed and left wondering, knowing the history of eugenics, the desire to control women’s bodies and their childbearing ability and the foundations of modern childbirth education in this concept of the noble savage and the overcivilized woman, how can we childbirth educators teach in good conscience?

Are the positive outcomes regarding happy parents and satisfied consumers of our classes, enough to keep teaching as we do?

To use a colloquial term, now that we are “woke” because the evidence shows the roots of Read’s method to be buried in the idea of white racial superiority and the continuation of the race, how do we move forward?

Knowing that Read was, in effect, an anti-science doctor, how do we still teach his techniques and theory?

Are the results worth the little lie we tell ourselves and our students? Is it a little lie after all or is faith alone what women need to preserver through a potentially long and painful experience?

Is is that faith in themselves, in the work they did to prepare for birth and faith in their medical providers enough?

Is childbirth education effective not because of what we teach, but because of how we teach it?

Fundamentally, Read’s encouragement and direct support of women, whether at the bedside or through his book, gave women the faith they needed to shirk unnecessary medical interventions and have births that were predominantly physiologically normal, with limited medical interventions. The seeds he planted and germinated grew to be an international movement promoting natural childbirth which still thrives today, though with the same controversies as when it originated.

Fin.


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Filed Under: All Topics, History Tagged With: Childbirth, Childbirth Education, Dr. Grantly Dick-Read, Faith, History of Pregnancy & Childbirth, Medicine, Natural Childbirth, Pregnancy

Rethinking Faith vs. Medicine to become, Faith and Medicine, Part 10

March 7, 2019 By Deena Leave a Comment

At first glance, faith and medicine seem to be two separate spheres. However, when, as suggested by Levin, Vanderpool, Mann and Messikomer, when there is the integration of faith and medicine, faith can become a powerful tool that motivates patients to act and for physicians to practice better medicine. Natural Childbirth, as created by Read and cultivated by pregnant mothers since, is a movement rooted in both faith and medicine, as inseparable as sperm and egg once joined to create a new human. The line between one and the other blurs to create a new being, which is to be defined on its own terms, not by that of an outsider who only uses the one familiar perspective.

Read’s critics, using their singular perspective as medical doctors, claimed that because of his lack of scientific evidence and his reliance on “his own eyes” that his method lacked credibility and validity. Yet, the testimony of the mothers who used his method tells us otherwise. Read’s preacher-like storytelling engaged his readers and listeners such that he created a fervent set of believers. Childbirth without Fear, still in publication seventy-six years later, illustrates the strength of Read’s teachings and the faith people have in him and his method.

It is the combination of both Read the self-proclaimed prophet and Read the method that created his success. When we look to the models of clergyman and physician, we not only see the corresponding personal callings, but we also see distinct expressions of faith in both fields. It is these parallels and similarities, rather than the superficial differences in outlook on specific topics within medicine that scholarship could be applied.

Read viewed pregnancy and birth as a fulfillment of a woman’s highest calling and that far from being pathological and something to be feared, birth can be pain free through proper preparation with adherence to Read’s method. Read believes that birth is normal and that it is a woman’s God given duty to produce children and raise them. By doing so, she is introducing and creating “motherlove”, which in turn will save the world.

Read, as the preacher of his gospel, views himself as a savior of women and of all mankind. Women have found faith in Read and his method for generations. It is through this faith that they can have births that create feelings of empowerment and strength as opposed to fear and weakness. Although Read’s prophecy of saving the world through “motherlove” did not come to fruition, his prophetic insights in to childbirth education, relaxation techniques and labor support from fathers have endured.

Next Up: Where do we go from here? Implications for modern childbirth education.


Bibliography, Deena Blumenfeld, The Silent Mother, Dr. Grantly Dick-ReadDownload
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Filed Under: All Topics, History Tagged With: Dr. Grantly Dick-Read, Faith, History of Pregnancy & Childbirth, Medical Anthropology, Medicine, Physician, Religion

A Calling – Parallels Between Clergy and Physicians, Part 9

February 28, 2019 By Deena Leave a Comment

The similarities between how Read, and physicians in general, interact with and are perceived by patients and clergy and their interactions with believers of the faith are notable. Levin says that “physicians have been compared to a secular priesthood.”[1] This I find to be true in the case of Read in the way he positions himself as a prophet, preaching his “gospel of natural childbirth”. Read’s patients, the mothers, seek him out for his guidance and his unwavering faith in his method and in the idea of painless childbirth. The repetition and the allegorical storytelling Read uses to engage his readers and listeners mimics that of a preacher or priest on the pulpit.

Raphael, St Paul Preaching in Athens

Louw, in a commentary on preaching says, “Words and communication are attempts to transcend the immediacy of the experience – its aim is to take human life further than merely the phenomenology of facts and observation of mundane entities. Its aim is to give language and vocabulary to life events and spiritual experiences.”[2] Birth is therefore viewed as a life event that is both medical and spiritual.

This association between medical and spiritual can be seen in Messikomer’s ethnographic study on the spirituality of modern physicians. She found that her sample group all agreed that their desire to become physicians was a calling, not unlike a calling to the ministry.[3] One of her subjects stated, “Apart from being called to ministry, I think it’s (medicine) the highest calling.”[4] It becomes the highest calling one can have because of the duty to serve, protect and heal the sick. Though Messikomer doesn’t use the term moral theology I will choose to use it in the context of physicians and their practice. Given that physicians tackle the issues of pain, suffering, accidents, depression, anxiety, birth and death, and religion does the same then physicians are practicing a variant of moral theology.

This goes beyond the traditional definition of the term relating to Christian ethics. We can look at moral theology through the broader perspective of decision making which is relative not only to one’s own actions and how that relates to God or to any one specific religious doctrine. Moral theology can be applied to any religion, philosophy or model of behaviors. In this case, with physicians relating their calling to medicine as to that of the ministry, and with physicians having to adhere to specific codes of ethics such as: the Hippocratic Oath, HIPPA regulations, privacy guidelines, informed consent rules, and so on, they are provided with a moral framework within which they must work. This moral framework for physicians mirrors that of organized religion.  Authority from on high, within a hierarchical structure, creates and enforces these moral and ethical guidelines for physicians.

Vanderpool suggests that “religious and medical professionals rely upon certain common dynamics”.[5] He lists six shared functions between faith and medicine: postulating, prescribing and proscribing, establishing, alleviating, managing and enhancing and that each of these reflects both religion and medicine.[6] These shared axioms regard the interplay between body and mind, the meaning of suffering, sexuality, death, strives to understand or manipulate the body and mind, and define personhood.[7] These six shared functions allow for a mapping of faith based, or religious thinking and ritual to be replaced, in part, with medical thinking and ritual.

Vanderpool states, “Religious beliefs thus sustain and shape the practice of medicine, whether or not religion is overtly recognized or practiced within medical institutions.”[8] This is especially recognizable when it comes to the nature and care of a gravid woman. Her beliefs will influence everything from whether she chooses to give birth in a hospital, a free-standing birth center or at home. Her faith in the process, herself and her care providers will inform her sense of safety when making the choice as to where she births and with whom. This is the intangible aspect of pregnancy and birth which Read so successfully tapped into with the mothers who held him in reverence. Vanderpool notes that, “religion and medicine are widely used as ethical gatekeepers for the daily decisions of ordinary persons. In concert with law, religion and medicine specific normative and deviant action for many areas of human life.”[9]

Ethics are moral principles which provide guidance in how people are to live and interact. Religion and medicine both have a framework of ethical precepts and behaviors. Both attempt to define a universal truth about life and how things function. Wardlaw claims that, “science was a particularly appealing tool for an intellectual climate that focused on a search for universalizable truths, and medicine was the ideal conduit for the application of these truths to the human body.”[10] She says that “medical thinking began to function religiously.”[11] Like Vanderpool and Levin, Wardlaw sees doctors as a new type of priesthood, she uses Foucault’s term, “therapeutic clergy.” This is an apt way to describe both Read and his method. Like those entering the clergy, Read felt a calling for medicine. This calling, along with Read’s revelation of natural childbirth and preacher-like style embody this idea of the inseparability of faith and medicine. He, whether intentionally or not, set himself up as a leader of a movement among women, akin to a new religious movement in is fervency and dogmatic structure.

Next up: Rethinking Faith vs. Medicine to become, Faith and Medicine


[1] Levin, J. (2018), The discourse on faith and medicine, a tale of two literatures, p. 275

[2] Louw, D. (2016), Preaching as art (imaging the unseen) and art as homiletics (verbalizing the unseen): Towards the aesthetics if iconic thinking and poetic communication in homiletics, p. 2

[3] Messikomer, C. (2002), The Spirituality of Academic Physicians: An Ethnography of a Scripture-based Group in an Academic Medical Center, p. 562

[4] Messikomer, C. (2002), The Spirituality of Academic Physicians: An Ethnography of a Scripture-based Group in an Academic Medical Center, p. 572

[5] Vanderpool H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 10-11

[6] Vanderpool H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 14

[7] Vanderpool H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 11-12

[8] Vanderpool H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 12

[9] Vanderpool, H.Y. and Levine J.S. (1990), Religion and Medicine, how are they related? p. 12-13

[10] Wardlaw, M. P., (2010), America medicine as religious practice: care of sick as a sacred obligation and the decent into secularization, p 64

[11] ibid

Bibliography, Deena Blumenfeld, The Silent Mother, Dr. Grantly Dick-ReadDownload

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Filed Under: All Topics, History Tagged With: Dr. Grantly Dick-Read, Faith, History of Pregnancy & Childbirth, Medical Anthropology, Medicine, Preaching, Pregnancy, Religion

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