More than Just Health: Theo--ethical Reflection as a Religious Health Asset Öffentlichkeit
Bersagel Braley, Matthew (2012)
Published
Abstract
In this dissertation, I examine the recent turn on the part of global health leaders to religious entities as allies in the response to the HIV pandemic. A cursory survey of this turn highlights how global health leaders have used the language of religious health assets to revalue the activities of religious entities. But a closer examination of this revaluation reveals how it obscures an important dimension of religious participation, namely, critical theo-ethical reflection. In the first part, I analyze changing understandings among global health policymakers, funders, and practitioners of the value of Christian religious entities. This analysis shows how the HIV pandemic has both intensified tensions between religion and global health and served as a catalyst for a renewed interest in the relationship between religion and health.The second part draws on the work of James Gustafson and Lisa Sowle Cahill to recover and expand a form of participatory theology that renders visible the distinctive role of critical theo-ethical reflection in the interpretation of and response to complex social issues like those animating global health. In the third part, I offer a historical and contemporary case study to highlight how processes of theo-ethical reflection have affected and been affected by participation in global health conversations, suggesting the possibility of processes of theo-ethical reflection as a religious health asset. I conclude by pointing toward the institutional commitments and arrangements necessary for recognizing theo-ethical reflection as a religious health asset and supporting a mutually generative encounter between Christian ethicists and persons responsible for setting the policies and priorities of global health.
Table of Contents
TABLE OF CONTENTS
CHAPTER 1: INTRODUCTION
I. Introduction1
II. As the Global Health World Turns 9
III. Statement of the Problem 15
IV. Statement of the Thesis 16
V. Separate, but Not Equal: Religion and Health 18
In a Differentiated World
VI. Not Separate, but Equal 26
VII. Clarifying the Terms: Global Health, Religion
Religious Health Assets, Theo-Ethical Reflection 29
GLOBAL HEALTH
RELIGION
RELIGIOUS HEALTH ASSETS
THEO-ETHICAL REFLECTION
VIII. Chapter Outline47
IX. A Note on Sources 52
X. Conclusion 59
CHAPTER 2: CHRONIC TENSION, DIACHRONIC PANDEMIC: RELIGIOUS
MORALITY IN AN HIV-INFECTED WORLD
I. Introduction65
II. Scope and Scale-Up: The HIV Pandemic Today 68
III. Chronic Pandemic: The Paradox of Prevalence 69
IV. Religion and HIV: New Forms, Old Tensions 74
V. Conclusion 81
CHAPTER 3: APPRECIATING RELIGION AS A HEALTH ASSET: THE TURN
TO RELIGION IN AN HIV-INFECTED WORLD
I. Introduction 83
II. Religious Entities as Relevant 88
III. Theo-ethical Reflection for an HIV Competent Church 97
IV. Religious Entities as Desirable: Religion as a Health Asset 106
V. Religious Health Assets: A Critical Appreciation 123
VI. Conclusion 128
CHAPTER 4: THE POSSIBILITY OF THEO-ETHICAL PARTICIPATION:
PARTICIPANT THEOLOGIANS IN THE INTERSECTIONS
I. Introduction 132
II. The Persistence of James Gustafson 137
III. The Insistence of the Theo-ethical 141
IV. The Cheap Grace of Self-Doubt 149
V. Gustafson's Participant Theologian in the Intersection 157
VI. Feminist, Liberationist Christian Ethics in a Gustafsonian Key:
Lisa Sowle Cahill and Participatory Theological Bioethics 175
VII. Do, Don't Just Say, Something Theological 187
VIII. Conclusion 192
CHAPTER 5: PARTICIPATORY THEO-ETHICAL REFLECTION IN AN HIV-
INFECTED WORLD: A CONTEMPORARY CASE STUDY OF
THE MASANGANE INTEGRATED HIV TREATMENT
PROGRAM
I. Introduction 195
II. Locating Masangane in an HIV-Infected World:
Epidemiological and Socioeconomic Contexts 197
III. Evolution of the Masangane Program 202
ORIGIN STORY: MASANGANE AS CAREGIVER
COMMUNITY HEALTH: MASANGANE AND
DOCTORS WITHOUT BORDERS
EMBRACING MEDICINE: MASANGANE AS AN
INTEGRATED TREATMENT PROGRAM
IV. Embracing a Theology of Abundant Life for All 233
V. Conclusion 239
CHAPTER 6: THE RECOVERY OF PARTICIPANT THEOLOGIANS IN
GLOBAL HEALTH HISTORY: A CASE STUDY OF THE
CHRISTAN MEDICAL COMMISSION
I. Introduction 247
II. Christian Medical Commission: A Theological History 250
TUBINGEN I: THE HEALING CHURCH, OR THE
PRIESTHOOD OF ALL HEALERS
MEDICAL MISSIONS IN A POSTCOLONIAL CONTEXT
TUBINGEN II: HERE IS THE HEALING CHURCH, HERE
IS ITS STEEPLE, OPEN IT UP AND…?
III. Christian Medical Commission: An Institutional History 266
THEOLOGICAL AND PUBLIC HEALTH CRITIQUE OF
HOSPITAL-BASED MEDICAL MISSIONS
SPECIFIC OBJECTIVES OF THE CMC
HEALTH FOR ALL! FOR A MOMENT, ANYWAY
IV. Conclusion 281
CHAPTER 7: THEO-ETHICAL REFLECTION AS A RELIGIOUS HEALTH
ASSET: IMPLICATIONS FOR PARTICIPANT THEOLOGIANS
AND GLOBAL HEALTH LEADERS IN TRANSDISCIPLINARY
SPACE
I. Introduction 287
II. Appreciating Theo-ethical Reflection as a Religious Health Asset 291
III. Getting a Sense of Transdisciplinary Praxis 297
IV. Toward Mutually Generative Conversations 301
TRAINING
RESEARCH
LEADERSHIP
V. Conclusion: Christian Ethics after Pentecost308
BIBLIOGRAPHY 312
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