The traditional roles of Christian chaplains in aiding patients, physicians, nurses, and hospital administrators in repentance, right belief, right worship, and right conduct are challenged by the contemporary professionalization of chaplaincy guided by post-Christian norms located in a public space structured by three defining postulates: the non-divinity of Christ, robust ecumenism, and the irrelevance of God’s existence. The norms of this emerging post-Christian profession of chaplaincy make interventions with patients, physicians, nurses, and hospital administrators in defense of specifically Christian bioethical (...) norms and goals unprofessional, because the chaplain is now directed as a professional to support health care services held to standards articulated within a secular morality. These changes are exemplar of the profound recasting of the dominant moral culture with wide-ranging implications for bioethics. (shrink)

In this article, I argue that while Christians should share Engelhardt’s disappointment in how bioethics functions in the world, they should not share his exasperation. I begin by outlining the general argument in After God, its understanding of secularism, and of how such secularism has impacted bioethics. Next, I suggest that Englehardt appears to lean toward disengagement or at least an extremely suspicious sectarianism. Rather, I claim that it is possible for Christians to morally engage in a useful way with (...) others and still base their own moral activity on proper life telos. Such cooperation is not to serve a commonly-held ultimate purpose, but shared proximate ends. That said, the moral discourse with those outside the Church may be necessarily limited by shallow moral acquaintanceship. I argue that the concept of “middle axioms” can be used as a mechanism for engagement with others in this society. Importantly, this approach does not require abandoning distinctive Christian commitments and foundational assumptions. (shrink)

H. Tristram Engelhardt, Jr.; Generic Chaplaincy: Providing Spiritual Care in a Post-Christian Age, Christian bioethics: Non-Ecumenical Studies in Medical Morali.