Objective: Access to cancer drugs is a public health concern in low and middle-income countries. In Cameroon, the National Cancer Control Programme (NCCP) faces various obstacles to ensure accessibility of cancer drugs. This research aims to analyse the strategies implemented by the NCCP to ensure drugs selection and supply chain management,and obstacles encountered at the central level. Methodology: A qualitative cross-sectional situational analysis was carried out at the NCCP and the National Essential Medicines Supply Central (NEMSC)in Yaounde. For this purpose, tape-recorded interviews were conducted with key informants using two interview guides. After transcription, the verbal data were kept in a textual corpus and rendered in verbatim. The content analysis was done manually on the basis of a dimension matrix. SPSS version 20 was used to determine descriptive parameters like frequencies and means. Results: 47% of the drugs retained were part of the National list of essential medicines. The NEMSC ordered 13 princeps. Among these, 35% had generics on the market. In logistics chain management, drug needs estimation and supply planning were based on approximation. As there was no sure information trackability and coordination between actors, not ensured. Also, a monitoring and evaluation plan had not been put in place. Furthermore, the only source of funding was the Government through the annual budget line. Limited financial resources allocated to supply was the main bottle neck, due to the high cost of the therapies and the ever-increasing demand. This resulted in a long stock-out(up to 15 months) for all the drugs and complete unavailability for others, like morphine, despite its great palliative care demand. Conclusion: There are many challenges around cancer drugs accessibility in Cameroon. Therefore it is an urgent need to strengthen drug provision services within the NCCP. Peer Review History: Received: 4 September 2021; Revised: 10 October; Accepted: 4 October, Available online: 15 November 2021 Academic Editor: Dr. Ali Abdullah Al-yahawi,Al-Razi university, Department of Pharmacy, Yemen, alyahawipharm@yahoo.com UJPR follows the most transparent and toughest 'Advanced OPEN peer review' system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is 'to improve the quality of a candidate manuscript'. Our reviewers check the 'strength and weakness of a manuscript honestly'. There will increase in the perfection, and transparency. Received file: Reviewer's Comments: Average Peer review marks at initial stage: 5.5/10 Average Peer review marks at publication stage: 7.0/10 Reviewers: Dr. A.A. Mgbahurike, University of Port Harcourt, Nigeria, amaka_mgbahurike@yahoo.com Dr. Muhammad Zahid Iqbal, AIMST University, Malaysia, drmmziqbal@gmail.com Similar Articles: EVALUATION OF CURRENT SCENARIO OF CANCER DISEASE AT CHATTAGRAM IN BANGLADESH TREATMENT OF PATIENTS WITH ADVANCED CANCER FOLLOWING CHEMOTHERAPY AND TRADITIONAL MEDICINE - LONG TERM FOLLOW UP OF 75 CASES
The dynamism of human needs and the inability of the state and governments to guarantee a satisfactory access to, as well as consumption of private and public goods and services have prompted an up-sprung of alternative institutions such as the Non-Governmental Organizations. This study sought to evaluate selected NGOs in provision of health, education and housing services in Alice Township of the Eastern Cape Province. The study had the following specific objectives: to evaluate the role of selected NGOs in Alice in the provision of health, education and housing services; to examine the successes and possible gaps of selected NGOs in provision of aforementioned services; to examine the relationship between the NGOs and the government in provision of above mentioned services; and finally to establish the strategies that can be adopted to enhance NGOs' capabilities in services delivery. To achieve these objectives, the study utilized mixed methods research approach, with an explorative and a mini-survey design. Non-probability sampling methodology was used and specifically purposive sampling was used to get a sample of 115 research participants and respondents. Data collection was cross- sectional and was facilitated by the use of in-depth interviews using semi-structured interviews and questionnaires. Data was analysed using both qualitative and quantitative approaches, and the results were triangulated to answer the research problem. The study was premised on the Public-Private Partnership (PPP) model of service delivery, and diverse literature was sought to strengthen the findings. The study revealed that: the females were more active in welfare sector than men; the concept NGO posed a conceptual challenge to the research participants; high level of unemployment and low level of tertiary literacy among study participants was reported. Furthermore, NGOs in Alice provided health based services which included creating awareness, control and treatment of communicable and non-communicable diseases such as HIV/AIDS, tuberculosis, diabetes, psychological and palliative care, counselling and old age care services. Educationally, early childhood development services took the lion's share. This is evidenced by an array of day care centres in Alice. Regrettably, there were no housing services offered by NGOs in the area. The findings also revealed diametrically opposed debates on successes of NGOs in Alice, with some not seeing the success while others indicated some successful milestones. Notably, the NGOs in Alice suffered a paucity of resources which included: lack of funds, unskilled and inadequate staff, infrastructural and technological challenges, lack of transport facilities among others. The study also indicated a sour relationship between the government and the NGOs. Despite this, the NGOs were reported to adhere largely to the policy guidelines postulated by the government. Moreover, the government was the major funder of the most NGOs in the area of study. The findings revealed that fundraising skills were needed to bolster the NGOs financial muscle towards the achievement of project implementation. The state of infrastructure also needed to be addressed as well as scaling up the NGOs services to reach to a greater section of the society, Partnerships, collaborations and networking for NGOs would enable NGOs services delivery. The study also recommended: inclusivity in the welfare sector, establishment of vibrant housing NGOs in Alice, empowerment approaches to service provisioning, proper visibility of the NGOs in the community, systematic and regular promotion of training among the NGOs' staff, sound and up to date harmonised policies, mutually designed partnerships, collaborations and networks, flexibility of donor funding approaches, intensive and extensive government support to NGOs, periodic scientific inquiry on NGOs operations and finally recommendation is made for further research in the area under the study. Conclusively, it is critical that NGOs in Alice are doing their best compared to their resource base and therefore, the government should study the environment of the NGOs in the area with the hope of coming up with plausible and pragmatic ways of bolstering their operations. ; Thesis (M Soc Sc)(Social work) -- University of Fort Hare, 2015
Advanced Practice Nursing (APN) emerged as a response to the need for professionals capable of giving care to patients, thereby improving the quality of healthcare; the results obtained by implementing APNs in healthcare teams confirm that APNs can be implemented in the healthcare of patients of all ages and with varied health situations (1). Levels of development in APN are very diverse in distinct countries, in the legal aspect as well as in the roles that a nurse with this level of training can fulfill. The International Council of Nurses (ICN) counts around seventy countries as being preoccupied with introducing clear function for APNs (20); nonetheless, literature describes the main progress in this sense occurring in Canada, Australia, Ireland, Finland, the United Kingdom, and the United States, although in the last ten years significant advances have been identifies in Belgium, Germany, Switzerland, Thailand, Singapore, Korea, and Africa (3, 4). In Latin-American, progress in this initiative is embryonic: the role that a APN can fulfill has not been sufficiently disseminated and the implementation of this strategy has been limited by healthcare policies in many countries or by the opposition to APNs by professionals in other areas who are reacting to misinformation or to fear of usurpation of certain functions by APNs. However, in primary care, APNs have been incorporated into healthcare teams, and research shows positive results for the expansion of coverage and reduction of healthcare costs, in both rural areas and urban centers (1, 5). Thanks to these advances, in 2000 the ICN supported the creation of the International Nurse Practitioner/Advanced Practice Nursing Network (INP/APNN) with the objective of favoring dialogue, advancing the installation of APNs in the countries, facilitating the interchange of knowledge, determining the limits in the expansion of the role of nurses, and defining the guidelines for the formation of human resources at this level. Likewise, the World Health Organization and the Pan-American Health Organization (PAHO) have worked with universities and nursing associations in Latin America and the Caribbean to, through context analyses, propose implementation of APNs (5). During August 2018, the 10th Conference of the International Nursing Council convened in Rotterdam with the goal of exploring the role of APNs in the transformation of healthcare (6). With the participation of more than fifty countries, the council established a global panorama of the situation and of the challenges nursing faces as an active participant and agent for achieving universal health coverage. An important conclusion drawn from the event is the recognition given by all participating countries to APNs for allowing significant advancement of strategies for primary healthcare and the achievement of goals related with universal health coverage and sustainable development: the guarantee of a healthy life and the promotion of wellness for everyone at every age (4, 5). These propositions imply a process and the need for countries to work towards the expansion of nursing roles, which requires the promotion of a collective project that unites different sectors involved in the formation of human talent, on one hand, that the offering of health services on the other. Likewise, administrators of education and health policy along with associations involved in the nursing discipline need to contribute to the analyses of strategies for implementing a sustainable and efficient health system that allows universal access to health (1, 4, 7). In this context, APNs are understood to have undergone master or doctorate level training that develops scientific knowledge, clinical expertise, leadership, political formation, communicational capacity, and education for the patient, family, and community groups. Therefore, the professional is enabled to take ethical decisions, work autonomously, interact in intra- and interdisciplinary groups, and understand that ANP's work will be determined by the unique environment, healthcare structure, and legislation of different countries. In accord with Morán-Peña (8), the International Nursing Council states that APNs are characterized by an autonomous practice that allows the implementation of tools like: valuation, diagnostic reasoning, decision making for the handling of cases, plan development, implementation and evaluation of programs as part of consultation services, and being the first point of contact in the healthcare system. This implies that an ANP will have competencies to participate in the elaboration of public policy as well as on teams dedicated to care for individuals, families, groups, and communities in disease prevention, health promotion, treatment, recuperation, and palliative care (7, 9, 10). Consequently, working on the implementation of the EPA can possibly lead to transformation of healthcare systems in the clinical area, improvement in the access to primary healthcare, and in the design and development of investigation projects whose results can be applied in practice; in short, it would affect the quality and effectiveness of healthcare at different levels and allow the urgent and much needed evolution of healthcare systems (11). With this perspective, the fundamental question is whether sufficient political interest exist for the development of APN's roles, the definition of APN's limits, the adaption of the existing structure, the establishment of guidelines for educational programs, and the application of expert knowledge, among other aspects, in benefit of health coverage, healthcare quality, and the establishment of a sustainable healthcare system. ; Advanced Practice Nursing (APN) emerged as a response to the need for professionals capable of giving care to patients, thereby improving the quality of healthcare; the results obtained by implementing APNs in healthcare teams confirm that APNs can be implemented in the healthcare of patients of all ages and with varied health situations (1). Levels of development in APN are very diverse in distinct countries, in the legal aspect as well as in the roles that a nurse with this level of training can fulfill. The International Council of Nurses (ICN) counts around seventy countries as being preoccupied with introducing clear function for APNs (20); nonetheless, literature describes the main progress in this sense occurring in Canada, Australia, Ireland, Finland, the United Kingdom, and the United States, although in the last ten years significant advances have been identifies in Belgium, Germany, Switzerland, Thailand, Singapore, Korea, and Africa (3, 4). In Latin-American, progress in this initiative is embryonic: the role that a APN can fulfill has not been sufficiently disseminated and the implementation of this strategy has been limited by healthcare policies in many countries or by the opposition to APNs by professionals in other areas who are reacting to misinformation or to fear of usurpation of certain functions by APNs. However, in primary care, APNs have been incorporated into healthcare teams, and research shows positive results for the expansion of coverage and reduction of healthcare costs, in both rural areas and urban centers (1, 5). Thanks to these advances, in 2000 the ICN supported the creation of the International Nurse Practitioner/Advanced Practice Nursing Network (INP/APNN) with the objective of favoring dialogue, advancing the installation of APNs in the countries, facilitating the interchange of knowledge, determining the limits in the expansion of the role of nurses, and defining the guidelines for the formation of human resources at this level. Likewise, the World Health Organization and the Pan-American Health Organization (PAHO) have worked with universities and nursing associations in Latin America and the Caribbean to, through context analyses, propose implementation of APNs (5). During August 2018, the 10th Conference of the International Nursing Council convened in Rotterdam with the goal of exploring the role of APNs in the transformation of healthcare (6). With the participation of more than fifty countries, the council established a global panorama of the situation and of the challenges nursing faces as an active participant and agent for achieving universal health coverage. An important conclusion drawn from the event is the recognition given by all participating countries to APNs for allowing significant advancement of strategies for primary healthcare and the achievement of goals related with universal health coverage and sustainable development: the guarantee of a healthy life and the promotion of wellness for everyone at every age (4, 5). These propositions imply a process and the need for countries to work towards the expansion of nursing roles, which requires the promotion of a collective project that unites different sectors involved in the formation of human talent, on one hand, that the offering of health services on the other. Likewise, administrators of education and health policy along with associations involved in the nursing discipline need to contribute to the analyses of strategies for implementing a sustainable and efficient health system that allows universal access to health (1, 4, 7). In this context, APNs are understood to have undergone master or doctorate level training that develops scientific knowledge, clinical expertise, leadership, political formation, communicational capacity, and education for the patient, family, and community groups. Therefore, the professional is enabled to take ethical decisions, work autonomously, interact in intra- and interdisciplinary groups, and understand that ANP's work will be determined by the unique environment, healthcare structure, and legislation of different countries. In accord with Morán-Peña (8), the International Nursing Council states that APNs are characterized by an autonomous practice that allows the implementation of tools like: valuation, diagnostic reasoning, decision making for the handling of cases, plan development, implementation and evaluation of programs as part of consultation services, and being the first point of contact in the healthcare system. This implies that an ANP will have competencies to participate in the elaboration of public policy as well as on teams dedicated to care for individuals, families, groups, and communities in disease prevention, health promotion, treatment, recuperation, and palliative care (7, 9, 10). Consequently, working on the implementation of the EPA can possibly lead to transformation of healthcare systems in the clinical area, improvement in the access to primary healthcare, and in the design and development of investigation projects whose results can be applied in practice; in short, it would affect the quality and effectiveness of healthcare at different levels and allow the urgent and much needed evolution of healthcare systems (11). With this perspective, the fundamental question is whether sufficient political interest exist for the development of APN's roles, the definition of APN's limits, the adaption of the existing structure, the establishment of guidelines for educational programs, and the application of expert knowledge, among other aspects, in benefit of health coverage, healthcare quality, and the establishment of a sustainable healthcare system. ; Advanced Practice Nursing (APN) emerged as a response to the need for professionals capable of giving care to patients, thereby improving the quality of healthcare; the results obtained by implementing APNs in healthcare teams confirm that APNs can be implemented in the healthcare of patients of all ages and with varied health situations (1). Levels of development in APN are very diverse in distinct countries, in the legal aspect as well as in the roles that a nurse with this level of training can fulfill. The International Council of Nurses (ICN) counts around seventy countries as being preoccupied with introducing clear function for APNs (20); nonetheless, literature describes the main progress in this sense occurring in Canada, Australia, Ireland, Finland, the United Kingdom, and the United States, although in the last ten years significant advances have been identifies in Belgium, Germany, Switzerland, Thailand, Singapore, Korea, and Africa (3, 4). In Latin-American, progress in this initiative is embryonic: the role that a APN can fulfill has not been sufficiently disseminated and the implementation of this strategy has been limited by healthcare policies in many countries or by the opposition to APNs by professionals in other areas who are reacting to misinformation or to fear of usurpation of certain functions by APNs. However, in primary care, APNs have been incorporated into healthcare teams, and research shows positive results for the expansion of coverage and reduction of healthcare costs, in both rural areas and urban centers (1, 5). Thanks to these advances, in 2000 the ICN supported the creation of the International Nurse Practitioner/Advanced Practice Nursing Network (INP/APNN) with the objective of favoring dialogue, advancing the installation of APNs in the countries, facilitating the interchange of knowledge, determining the limits in the expansion of the role of nurses, and defining the guidelines for the formation of human resources at this level. Likewise, the World Health Organization and the Pan-American Health Organization (PAHO) have worked with universities and nursing associations in Latin America and the Caribbean to, through context analyses, propose implementation of APNs (5). During August 2018, the 10th Conference of the International Nursing Council convened in Rotterdam with the goal of exploring the role of APNs in the transformation of healthcare (6). With the participation of more than fifty countries, the council established a global panorama of the situation and of the challenges nursing faces as an active participant and agent for achieving universal health coverage. An important conclusion drawn from the event is the recognition given by all participating countries to APNs for allowing significant advancement of strategies for primary healthcare and the achievement of goals related with universal health coverage and sustainable development: the guarantee of a healthy life and the promotion of wellness for everyone at every age (4, 5). These propositions imply a process and the need for countries to work towards the expansion of nursing roles, which requires the promotion of a collective project that unites different sectors involved in the formation of human talent, on one hand, that the offering of health services on the other. Likewise, administrators of education and health policy along with associations involved in the nursing discipline need to contribute to the analyses of strategies for implementing a sustainable and efficient health system that allows universal access to health (1, 4, 7). In this context, APNs are understood to have undergone master or doctorate level training that develops scientific knowledge, clinical expertise, leadership, political formation, communicational capacity, and education for the patient, family, and community groups. Therefore, the professional is enabled to take ethical decisions, work autonomously, interact in intra- and interdisciplinary groups, and understand that ANP's work will be determined by the unique environment, healthcare structure, and legislation of different countries. In accord with Morán-Peña (8), the International Nursing Council states that APNs are characterized by an autonomous practice that allows the implementation of tools like: valuation, diagnostic reasoning, decision making for the handling of cases, plan development, implementation and evaluation of programs as part of consultation services, and being the first point of contact in the healthcare system. This implies that an ANP will have competencies to participate in the elaboration of public policy as well as on teams dedicated to care for individuals, families, groups, and communities in disease prevention, health promotion, treatment, recuperation, and palliative care (7, 9, 10). Consequently, working on the implementation of the EPA can possibly lead to transformation of healthcare systems in the clinical area, improvement in the access to primary healthcare, and in the design and development of investigation projects whose results can be applied in practice; in short, it would affect the quality and effectiveness of healthcare at different levels and allow the urgent and much needed evolution of healthcare systems (11). With this perspective, the fundamental question is whether sufficient political interest exist for the development of APN's roles, the definition of APN's limits, the adaption of the existing structure, the establishment of guidelines for educational programs, and the application of expert knowledge, among other aspects, in benefit of health coverage, healthcare quality, and the establishment of a sustainable healthcare system.
Die Inhalte der verlinkten Blogs und Blog Beiträge unterliegen in vielen Fällen keiner redaktionellen Kontrolle.
Warnung zur Verfügbarkeit
Eine dauerhafte Verfügbarkeit ist nicht garantiert und liegt vollumfänglich in den Händen der Blogbetreiber:innen. Bitte erstellen Sie sich selbständig eine Kopie falls Sie einen Blog Beitrag zitieren möchten.
Earlier this week, the Food and Drug Administration issued a draft of proposed guidelines for clinical researchers conducting trials on psychedelic drugs. Even though the Drug Enforcement Administration categorizes psychedelic drugs as Schedule I (meaning that the law enforcement agency has determined they have "no currently accepted medical use and a high potential for abuse"), clinical researchers have known for decades that psychedelic drugs can help treat a variety of mental health disorders. Government‐approved Phase 3 clinical trials of the psychedelic MDMA* (colloquially called "molly" or "ecstasy") show the drug can be effective in treating post‐traumatic stress disorder (PTSD). News reports claim the FDA is expected to approve the drug for PTSD treatment later this year. Regulators in Australia approved it last February. The FDA recently approved a clinical trial using MDMA to treat schizophrenia. Psilocybin, the psychedelic found in "magic mushrooms," has been shown helpful in treating tobacco addiction, depression, and suicidal ideation, particularly in patients receiving palliative end‐of‐life care. Research dating back to the 1950s finds that LSD (lysergic acid diethylamide) shows promise in treating anxiety, depression, addiction, and psychosomatic diseases. Of course, none of this matters if the DEA doesn't agree to reschedule these drugs and continues asserting they have "no currently accepted medical use." Accepted by whom? Generally, when the FDA approves a controlled substance for medical use the Secretary of Health and Human Services must next formally request the DEA reschedule the drug. The DEA then has 90 days to issue an interim final rule. But the DEA doesn't have to follow the health care agencies' recommendations. In 1985 the DEA placed MDMA on Schedule I as an emergency action. Clinicians and clinical researchers challenged the decision and, in a 1986 hearing, provided mountains of scientific evidence that convinced administrative law judge Francis L. Young to conclude: If the Administrator of DEA carefully considers the entire record now provided in this proceeding, there is no reason why he cannot come to the informed decision the law requires of him as the Agency head. Needless to say, nothing in this opinion is to be taken as being in any way critical of the Agency's emergency scheduling of MDMA which became effective on July 1, 1985. That action was taken pursuant to certain statutory authority with which this proceeding is not concerned. That action was wholly unilateral, reflecting a view based on evidence then available to the Agency but without opportunity for the presentation of countervailing evidence or argument. This proceeding, a wholly separate process, has provided that opportunity. A complete record, with input from different perspectives, has now been assembled for the benefit of the Administrator, the head of the Agency. The record now assembled contains much more material about MDMA than the Agency was aware of when it initiated this proceeding by publishing a notice almost two years ago.Based upon this record it is the recommended decision of the administrative law judge that the substance 3, 4‑methylenedioxymethamphetamine, also known as MDMA, should be placed in Schedule III.Dated: MAY 22 1986 Francis L Young, Administrative Law Judge
Judge Young vacated the DEA's decision to place MDMA on Schedule I, placing it on Schedule III ("moderate to low potential for physical and psychological dependence"). One month later, Acting DEA Administrator John Lawn overruled the administrative law judge and moved MDMA back to Schedule I, stating that, though expert clinical researchers presented over 200 cases of MDMA‐assisted psychotherapy at the hearing, none of them had been published in medical journals. Think of all the research that has been stifled, and all the lives that could have been saved or improved, if Administrator Lawn had not made that fateful decision. And it's not just psychedelics. Who can state with a straight face that cannabis has "no accepted medical use?" Thus, even if the FDA approves MDMA to treat PTSD and other mental health disorders, clinicians and patients will still have to wait for a law enforcement agency to sign off on the decision. And this is not just a federal law enforcement decision. Each state has its own controlled substance system patterned after the federal system. According to the Multidisciplinary Association for Psychedelic Studies (MAPS), 27 states have laws that require parity with the federal controlled substances schedule. In those cases, the states automatically reschedule controlled substances to conform with a DEA rescheduling. But the remaining 23 states require lawmakers or regulators to make their controlled substance schedules conform. Recently Representatives Dan Crenshaw, Morgan Luttrell, and Jack Bergman–all military veterans– introduced the "Mike Day Psychedelic Therapy to Save Lives Act," which would provide federal grants for research into using MDMA to treat PTSD and traumatic brain injury patients. It is gratifying to see lawmakers begin to appreciate the potential benefits of psychedelics. But law enforcement is in command of the war on drugs. Unless Congress acts, we will continue to see cops practicing medicine. And the people—veterans and non‐veterans— will continue to suffer. *3,4‑methylenedioxymethamphetamine
Advanced Practice Nursing (APN) emerged as a response to the need for professionals capable of giving care to patients, thereby improving the quality of healthcare; the results obtained by implementing APNs in healthcare teams confirm that APNs can be implemented in the healthcare of patients of all ages and with varied health situations (1). Levels of development in APN are very diverse in distinct countries, in the legal aspect as well as in the roles that a nurse with this level of training can fulfill. The International Council of Nurses (ICN) counts around seventy countries as being preoccupied with introducing clear function for APNs (20); nonetheless, literature describes the main progress in this sense occurring in Canada, Australia, Ireland, Finland, the United Kingdom, and the United States, although in the last ten years significant advances have been identifies in Belgium, Germany, Switzerland, Thailand, Singapore, Korea, and Africa (3, 4). In Latin-American, progress in this initiative is embryonic: the role that a APN can fulfill has not been sufficiently disseminated and the implementation of this strategy has been limited by healthcare policies in many countries or by the opposition to APNs by professionals in other areas who are reacting to misinformation or to fear of usurpation of certain functions by APNs. However, in primary care, APNs have been incorporated into healthcare teams, and research shows positive results for the expansion of coverage and reduction of healthcare costs, in both rural areas and urban centers (1, 5). Thanks to these advances, in 2000 the ICN supported the creation of the International Nurse Practitioner/Advanced Practice Nursing Network (INP/APNN) with the objective of favoring dialogue, advancing the installation of APNs in the countries, facilitating the interchange of knowledge, determining the limits in the expansion of the role of nurses, and defining the guidelines for the formation of human resources at this level. Likewise, the World Health Organization and the Pan-American Health Organization (PAHO) have worked with universities and nursing associations in Latin America and the Caribbean to, through context analyses, propose implementation of APNs (5). During August 2018, the 10th Conference of the International Nursing Council convened in Rotterdam with the goal of exploring the role of APNs in the transformation of healthcare (6). With the participation of more than fifty countries, the council established a global panorama of the situation and of the challenges nursing faces as an active participant and agent for achieving universal health coverage. An important conclusion drawn from the event is the recognition given by all participating countries to APNs for allowing significant advancement of strategies for primary healthcare and the achievement of goals related with universal health coverage and sustainable development: the guarantee of a healthy life and the promotion of wellness for everyone at every age (4, 5). These propositions imply a process and the need for countries to work towards the expansion of nursing roles, which requires the promotion of a collective project that unites different sectors involved in the formation of human talent, on one hand, that the offering of health services on the other. Likewise, administrators of education and health policy along with associations involved in the nursing discipline need to contribute to the analyses of strategies for implementing a sustainable and efficient health system that allows universal access to health (1, 4, 7). In this context, APNs are understood to have undergone master or doctorate level training that develops scientific knowledge, clinical expertise, leadership, political formation, communicational capacity, and education for the patient, family, and community groups. Therefore, the professional is enabled to take ethical decisions, work autonomously, interact in intra- and interdisciplinary groups, and understand that ANP's work will be determined by the unique environment, healthcare structure, and legislation of different countries. In accord with Morán-Peña (8), the International Nursing Council states that APNs are characterized by an autonomous practice that allows the implementation of tools like: valuation, diagnostic reasoning, decision making for the handling of cases, plan development, implementation and evaluation of programs as part of consultation services, and being the first point of contact in the healthcare system. This implies that an ANP will have competencies to participate in the elaboration of public policy as well as on teams dedicated to care for individuals, families, groups, and communities in disease prevention, health promotion, treatment, recuperation, and palliative care (7, 9, 10). Consequently, working on the implementation of the EPA can possibly lead to transformation of healthcare systems in the clinical area, improvement in the access to primary healthcare, and in the design and development of investigation projects whose results can be applied in practice; in short, it would affect the quality and effectiveness of healthcare at different levels and allow the urgent and much needed evolution of healthcare systems (11). With this perspective, the fundamental question is whether sufficient political interest exist for the development of APN's roles, the definition of APN's limits, the adaption of the existing structure, the establishment of guidelines for educational programs, and the application of expert knowledge, among other aspects, in benefit of health coverage, healthcare quality, and the establishment of a sustainable healthcare system.
Jamaica has made many notable achievements in the fight against HIV/AIDS, which include a robust treatment program and improved HIV prevention programs that increasingly focus on the key drivers of the HIV epidemic and which are based on evidence. These attainments have resulted in a sustained decline in the estimated incidence of HIV and in a reduction in AIDS mortality. The national response to HIV/AIDS in Jamaica is currently financed by the Government as well as by several external sources, including the World Bank, the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and the United States government. It is expected, however, that external financing will cease or be significantly reduced in the next two years. As a result, a substantial increase in domestic financing for the national HIV/AIDS response will be needed. However, public debt levels are high, and the country is feeling the repercussions of the global financial crisis, thus the availability of domestic resources is and will be very tight. Any shortfall in financing whether domestic, external or both will have serious implications for the delivery of HIV services. The Government of Jamaica requested this study so as to inform its future HIV/AIDS policy response. This study is one input in a series of actions that the Government will undertake to formulate a future sustainability plan and investment framework for the National HIV Program. This study was led and financed by the World Bank and conducted in collaboration with the Government of Jamaica and United Nations Programme on HIV/AIDS (UNAIDS). The study aimed to assess the sustainability of Jamaica's National HIV Program from a fiscal perspective. Specifically, the purpose of the study was to: 1) review current spending on HIV/AIDS and the sources of financing; 2) estimate the fiscal burden of the national HIV/AIDS response and assess the outlook for external financing of the HIV program; 3) project how the epidemic will unfold as well as what the costs would be under different potential scenarios; and 4) provide recommendations to inform policy decisions.
Both healthcare systems were structured as universal access and comprehensive care attention, hierarchized by the level of care, politically and administratively decentralized. To measure the effectiveness of the Brazilian healthcare system, a comparison with another country is desirable. The French healthcare system is considered to be one of the best in the world, the following hypothesis has been developed: Is the French health system more effective in terms of results than the Brazilian in terms of strategies and care in stroke? The general objective was to compare the effectiveness of the Brazilian and French healthcare systems related to stroke care. It was sought to identify the commonalities and discrepancies between both national health policies related to stroke care through the specific objectives that sought to describe health strategies and clinical practice for stroke care in both healthcare systems; to research and to describe the number of acute hospitalizations, the average length of stay in the hospital, hospital mortality rate, deaths and the cost of in-hospital stroke treatment. Methods: Comparison and description of the similarities, differences, or relationships between the data regarding policies, risk factors, and health indicators about stroke care, from 2010 to 2017. The data were obtained from both countries (publicly accessible information or on request) from the respective Ministries of Health or international agencies. As a result, about acute stroke hospitalizations, the in-hospital mortality rate in Brazil was 163 per 1.000 hospitalized people versus 263 in France. The average length of stay of acute hospitalizations was 7.6 days in Brazil versus 12.6 in France. The prevalence of strokes by age group shows from 0 to 39 years old the rate did not show any significant growth or decrease and it can be considered stable; from 40-59 years it was increasing in both countries; from 60-79 and 80+ years this average rate has been increasing in France and decreasing in Brazil. Regarding the acute stroke hospitalizations costs from 2010 to 2017, Brazil had an average expenditure of Power Purchasing Parity 79.579.810.78 dollars per year. France had 446.919.476.40 dollars. The hypotheses discussed are not sufficient to explain the difference in acute hospitalization costs by stroke between Brazil and France. In conclusion, the initial hypothesis seems refuted. Compared to the French healthcare system, the Brazilian healthcare system is more efficient, and it is more effective in terms of in-hospital average stay and in-hospital mortality rate. To conclude, both healthcare systems are constantly changing to meet new needs and obtain sufficient financial resources to provide a quality service to their population. No major differences were found about the health care policies and the National Health Plans related to stroke. However, the data directly linked to the period of hospitalization differed substantially between countries. Subsequent studies can be implemented to identify the explanatory factors, notably among the risk factors and actions in primary care and the moments after hospital care, such as secondary prevention and palliative care. ; Les systèmes de santé brésilien et français ont été structurés comme d'accès universel et une prise en charge globale, hiérarchisés par le niveau de soins, décentralisés politiquement et administrativement. Comme le système de santé français est considéré comme l'un des meilleurs au monde l'hypothèse suivante a été élaborée : Est-ce-que le système de santé français est-il plus efficace en résultats que le brésilien en matière de stratégies et soins de santé en cas d'accident vasculaire cérébral ? L'objectif général était de comparer l'efficacité de résultats entre les systèmes de santé brésilien et français liés aux soins de l'Accident Vasculaire Cérébral. L'étude a cherché à identifier les points communs et les divergences entre les deux politiques nationales de santé liées aux soins de l'accident vasculaire cérébral à travers les objectifs spécifiques qui visaient à décrire : les politiques de santé et la pratique clinique pour les soins de l'accident vasculaire cérébral dans les deux systèmes de santé ; de rechercher et de décrire le nombre d'hospitalisations aiguës ; la durée moyenne de séjour à l'hôpital ; le taux de mortalité hospitalière ; les décès et le coût du traitement des accidents vasculaires cérébraux à l'hôpital. Méthodes : Comparaison et description des similitudes, des différences ou des relations entre les données concernant les politiques, les facteurs de risque et les indicateurs de santé concernant les soins de l'accident vasculaire cérébral, de 2010 à 2017. Comme résultats, les données ont été obtenues des deux pays auprès des Ministères de la Santé ou des agences internationales respectifs. Les résultats ont montré que les données directement liées à la période d'hospitalisation entre 2010 et 2017 différaient considérablement d'un pays à l'autre. Par rapport aux hospitalisations dues à un AVC aigu, le taux de mortalité hospitalière au Brésil est de 163 pour 1.000 hospitalisés contre 263 en France. La durée moyenne de séjour des hospitalisations aiguës était de 7.6 jours au Brésil contre 12.6 en France. La prévalence des accident vasculaire cérébraux par tranche d'âge entre 2010 et 2017 montre que pour les 0 à 39 ans le taux n'a pas montré aucune croissance ou diminution importante et peut être considérée comme stable ; des 40-59 ans, il a augmenté dans les deux pays et que de 60-79 ans et 80+ ans, le taux était en augmentation en France alors qu'en baisse au Brésil. Concernant les coûts d'hospitalisation pour AVC aigu de 2010 à 2017, le Brésil avait une dépense moyenne de Parité de Pouvoir d'Achat de 79.579.810.78 dollars par an et la France 446.919.476.40. Les hypothèses discutées ne sont pas suffisantes pour expliquer la différence des coûts d'hospitalisation aiguë pour cause d'AVC entre le Brésil et la France. En conclusion, l'hypothèse initiale semble réfutée. Le système de santé brésilien par rapport au système de santé français est plus efficient et il est plus efficace en résultats en ce qui concerne le séjour moyen à l'hôpital et pour le taux de mortalité hospitalière. Les deux systèmes de santé sont en constante évolution pour répondre aux nouveaux besoins et obtenir des ressources financières suffisantes pour fournir un service de qualité à leur population. Aucune différence majeure n'a été trouvée concernant les politiques de santé et les plans nationaux de santé liés à l'AVC. Des études ultérieures peuvent être mises en œuvre pour identifier les facteurs explicatifs, notamment parmi les facteurs de risque et les actions en soins primaires, et la prise en charge après les soins hospitaliers aigus en termes de prévention secondaire, de réhabilitation, voire en soins palliatifs.
Both healthcare systems were structured as universal access and comprehensive care attention, hierarchized by the level of care, politically and administratively decentralized. To measure the effectiveness of the Brazilian healthcare system, a comparison with another country is desirable. The French healthcare system is considered to be one of the best in the world, the following hypothesis has been developed: Is the French health system more effective in terms of results than the Brazilian in terms of strategies and care in stroke? The general objective was to compare the effectiveness of the Brazilian and French healthcare systems related to stroke care. It was sought to identify the commonalities and discrepancies between both national health policies related to stroke care through the specific objectives that sought to describe health strategies and clinical practice for stroke care in both healthcare systems; to research and to describe the number of acute hospitalizations, the average length of stay in the hospital, hospital mortality rate, deaths and the cost of in-hospital stroke treatment. Methods: Comparison and description of the similarities, differences, or relationships between the data regarding policies, risk factors, and health indicators about stroke care, from 2010 to 2017. The data were obtained from both countries (publicly accessible information or on request) from the respective Ministries of Health or international agencies. As a result, about acute stroke hospitalizations, the in-hospital mortality rate in Brazil was 163 per 1.000 hospitalized people versus 263 in France. The average length of stay of acute hospitalizations was 7.6 days in Brazil versus 12.6 in France. The prevalence of strokes by age group shows from 0 to 39 years old the rate did not show any significant growth or decrease and it can be considered stable; from 40-59 years it was increasing in both countries; from 60-79 and 80+ years this average rate has been increasing in France and decreasing in Brazil. Regarding the acute stroke hospitalizations costs from 2010 to 2017, Brazil had an average expenditure of Power Purchasing Parity 79.579.810.78 dollars per year. France had 446.919.476.40 dollars. The hypotheses discussed are not sufficient to explain the difference in acute hospitalization costs by stroke between Brazil and France. In conclusion, the initial hypothesis seems refuted. Compared to the French healthcare system, the Brazilian healthcare system is more efficient, and it is more effective in terms of in-hospital average stay and in-hospital mortality rate. To conclude, both healthcare systems are constantly changing to meet new needs and obtain sufficient financial resources to provide a quality service to their population. No major differences were found about the health care policies and the National Health Plans related to stroke. However, the data directly linked to the period of hospitalization differed substantially between countries. Subsequent studies can be implemented to identify the explanatory factors, notably among the risk factors and actions in primary care and the moments after hospital care, such as secondary prevention and palliative care. ; Les systèmes de santé brésilien et français ont été structurés comme d'accès universel et une prise en charge globale, hiérarchisés par le niveau de soins, décentralisés politiquement et administrativement. Comme le système de santé français est considéré comme l'un des meilleurs au monde l'hypothèse suivante a été élaborée : Est-ce-que le système de santé français est-il plus efficace en résultats que le brésilien en matière de stratégies et soins de santé en cas d'accident vasculaire cérébral ? L'objectif général était de comparer l'efficacité de résultats entre les systèmes de santé brésilien et français liés aux soins de l'Accident Vasculaire Cérébral. L'étude a cherché à identifier les points communs et les divergences entre les deux politiques nationales de santé liées aux soins de l'accident vasculaire cérébral à travers les objectifs spécifiques qui visaient à décrire : les politiques de santé et la pratique clinique pour les soins de l'accident vasculaire cérébral dans les deux systèmes de santé ; de rechercher et de décrire le nombre d'hospitalisations aiguës ; la durée moyenne de séjour à l'hôpital ; le taux de mortalité hospitalière ; les décès et le coût du traitement des accidents vasculaires cérébraux à l'hôpital. Méthodes : Comparaison et description des similitudes, des différences ou des relations entre les données concernant les politiques, les facteurs de risque et les indicateurs de santé concernant les soins de l'accident vasculaire cérébral, de 2010 à 2017. Comme résultats, les données ont été obtenues des deux pays auprès des Ministères de la Santé ou des agences internationales respectifs. Les résultats ont montré que les données directement liées à la période d'hospitalisation entre 2010 et 2017 différaient considérablement d'un pays à l'autre. Par rapport aux hospitalisations dues à un AVC aigu, le taux de mortalité hospitalière au Brésil est de 163 pour 1.000 hospitalisés contre 263 en France. La durée moyenne de séjour des hospitalisations aiguës était de 7.6 jours au Brésil contre 12.6 en France. La prévalence des accident vasculaire cérébraux par tranche d'âge entre 2010 et 2017 montre que pour les 0 à 39 ans le taux n'a pas montré aucune croissance ou diminution importante et peut être considérée comme stable ; des 40-59 ans, il a augmenté dans les deux pays et que de 60-79 ans et 80+ ans, le taux était en augmentation en France alors qu'en baisse au Brésil. Concernant les coûts d'hospitalisation pour AVC aigu de 2010 à 2017, le Brésil avait une dépense moyenne de Parité de Pouvoir d'Achat de 79.579.810.78 dollars par an et la France 446.919.476.40. Les hypothèses discutées ne sont pas suffisantes pour expliquer la différence des coûts d'hospitalisation aiguë pour cause d'AVC entre le Brésil et la France. En conclusion, l'hypothèse initiale semble réfutée. Le système de santé brésilien par rapport au système de santé français est plus efficient et il est plus efficace en résultats en ce qui concerne le séjour moyen à l'hôpital et pour le taux de mortalité hospitalière. Les deux systèmes de santé sont en constante évolution pour répondre aux nouveaux besoins et obtenir des ressources financières suffisantes pour fournir un service de qualité à leur population. Aucune différence majeure n'a été trouvée concernant les politiques de santé et les plans nationaux de santé liés à l'AVC. Des études ultérieures peuvent être mises en œuvre pour identifier les facteurs explicatifs, notamment parmi les facteurs de risque et les actions en soins primaires, et la prise en charge après les soins hospitaliers aigus en termes de prévention secondaire, de réhabilitation, voire en soins palliatifs.
The background study for the national strategy on social inclusion and poverty reduction 2015-2020 was produced under a RAS agreement with the Ministry of Labor, Family, Social Protection, and Elderly of Romania. The report is a companion volume of the strategy, adopted by the Romanian Government in May 2015, and summarizes the diagnostics and analyses carried out by the World Bank team to provide a sound empirical base for the strategy. Given the multi-dimensional nature of poverty, the report includes diagnostics and policy recommendations on employment, social protection, education, health, housing, social participation, as well as regional and rural development policies. The document is based on a combination of desk research, qualitative data analysis, new data collected by the World Bank team and analyses of administrative, census, and survey data. This included qualitative research (for example, case-studies in two counties, interviews with representatives of central governmental bodies, interviews with recipients and eligible potential beneficiaries of means-tested benefits and with social workers), and quantitative data collection and analysis (a census on social housing stock; census of frontline social workers; a consolidated database of physicians, representatives of the pharmacies, community nurses, and health mediators; administrative dataset with social services for elderly, social services for people with disabilities and specialized child protection services; analysis of poverty. The book is organized in four parts. The first part starts with an analysis of the trends in poverty and social exclusion over the past few years and with a poverty forecast for the next five years (2015 to 2020). The second part analyzes the sectoral policies that must be implemented to tackle the problems identified in the first part of the volume. The third part turns its focus to area-based policies and discusses regional disparities, urban-rural differences, and specific problems in small towns and villages, rural, and urban marginalized areas, and Roma and non-Roma communities. The fourth part discusses the actions needed to strengthen the capacity of the public system to reduce poverty and increase social inclusion.
Issue 12.6 of the Review for Religious, 1953. ; A. M. D. G. Review for Religious NOVEMBER 15, 1953 Pracfice Of ÷he H01y See, I I . Joseph F. Gallen Psychological Testing . William C. Bier The Eucharistic Fast . : . Hi~ary'R. Wer~s MOfU Proprio Jubilee . c.J. McNaspy Communications Questions and Answers News a'nd Views Book Reviews Index for 1953. VOLUME XII NUMBER 6 RI::VII::W FOR Ri::LIGIOUS VOLUME XII NOVEMBER, 1953 NUMBER CONTENTS NEWS AND VIEWS . 281 PRACTICE OF THE HOLY SEE, II--Joseph F. ~Gallen, S.'J .2.8.5 BOOK NOTICES . 290, 316, 329 LETTER ON OBEDIENCI~ . . . 290 PSYCHOLOGICAL TESTING OF CANDIDATES AND THE THE-OLOGY OF VOCATION---Willlam C. Bier, S.J2.91 OUR CONTRIBUTORS . 304 THE EUCHARISTIC FAST---Hilary R, Werts, S.J . 305 MOTU PROPRIO JUBILEE--C. d. McNaspy, S.J . 317 COMMUNICATIONS . 321 QUESTIONS AND ANSWERS-- 29. Correction of Subject by Immediate or Mediate Superior 322 30. Guidance of Subjects by Superiors . 322 31. Local Superior at Council Meeting . 323 32. Local Superior at General Chapter . 324 33. General Council and Suggestions to General Chapter . 324 34. Postulancy and Readmission . ." . 325 BOOK REVIEWS-- Religious Men and Women in the Code; Fundamental Psychiatry; Most Reverend Anthony 'j. Schuler, S.J., D.D.; I Want to See God 326 BOOK ANNOUNCEMENTS . 330 INDEX FOR VOLUME XII, 1953", . 333 REVIEW FOR RELIGIOUS, November, 1953. Vol. XlI, No. 6. Published bi-monthly: January, March, May,,July, September, and November at the College Press, 606 Harrison Street, Topeka, Kansas,, by St. Mary's College, St. Marys, Kansas, with ecclesiastical approbation. Entered as second class matter 3anuary 15, 1942 at the Post Oflke, Topeka, Kansas, under the act of March 3, 1879. Editorial Board: Jerome Breunig, S.J., Augustine G. Ellard, S.J. Adam C. Ellis, S.J., Gerald Kelly, S.J., Francis N. Korth, S.J. Copyright, 1953, by Adam C. Ellis, S.J. Permission is hereby granted for quota-tions of reasonable length, provided due credit be given this review and the author. Subscription price: 3 dollars a year; 50 cents a copy. Printed in U. S. A. Before wrlfing to us, please consult notice on Inside back cover. News and Views Psychological Testing When we last published an article on the psychological testing of candidates, a religious superior wrote an indignant letter cancelling his subscription and asserting that such testing interferes with the work of the Holy Ghost. Thatthis is a misconception should be evi-dent to all who read Father Bier's article in the present number and a s~cond article to be phblished in January. Whatever may be said 'for or against the value of psychological tests--and we do not claim to have all the answers--it seems clear enough that their use is no more an attempt to "naturMize" religious vocation than is the use of previous medical examinations. Educating Sisters We have just received a very yaluable brochure entitled Directorg of Catholic Women's Colleges with Facilities for the Education oF Sisters. This brochure gives tabulated i'nformation on colleges and motherhouses accredited to offer degree programs, detailing the par-ticular courses provided, the number of Sisters who could be cared for, and the conditions, financial and otherwise, under which they would be received. The information was gathered by the Commit-tee on the Survey Section on Teacher Education of the N.C.E.A. The reason for gathering the information was the fact that many of the smaller religious congregations of women do not have facilities for educating their own members and find the standard costs of "sending Sisters away" prohibitive. These congregations can obtain help from the larger congregations; and this Directorg will show at a glance where and how the help can be obtained. For further information, or for copies of the Directo~g, piease address: Sister Mary Gerard, O.S.F., Chairman, Directory Project, Alverno College, 3401 South 39th Street, Milwaukee 15, Wisconsin. Poor Clares The Poor Clares of New Orleans have prepared a file of at least one hundred 2-inch slides in .black 'and white for use in a still pro-jector. The photos were taken within the cloister, and every" part of the monastery is included. Also prepared is a brief description of every picture. The nuns will send'this file to any desiring to show 281 NEWS AND VIEWS Reoiew for Religious the slides tO interested groups, particularly, young ladies among whom there might be the possibility of a contemplative vocation. They will also send ~lratis literature for distribution, a set of seven large posters, and 6-inch dolls'd~es~ed as" Poor Clar~s. The remailing of, the small slide file is the only expense they would expect the user to assume. Those interested in this vocational project shQ~Id write to: Monastery of Saint Clare, 720 Henry Clay Avenue, N~w Orleans 18, Louisiana. New Indulgence For the purpose of 'increasing devotion to the Blessed Virgin Mary ever more and more, Ou~ Holy Father, Pope Plus XII, in. an audience given to the Cardinal Major Penitentiary on March 30, 1953, granted in perpetuum an indulgence of fifty days, to be gained once a day, to those who, keeping on their person a duly blessed rosary of Our Lady, have kissed it devoutly.and at the same time have recited with a pious mind the words of the Angelic Salutation: "H~iil Mary, full of grace, the Lord is with thee: blessed art thou among women, arid blessed is the fruit of thy womb, Jesus." (Acta Apostolicae. Sedis, XXXXV [ 19 5 3 ], 31 1.) , Valuable Booklets The Grail Press, St. Meinrad, Indiana, has sent us two booklets of immense value for clerics. Both of them are re-editions. One is Rome and the Study of Scri_pture, which contains a collection of papal enactments on the study of Holy Scripture, together with deci-sions of the Biblica.1 Commission. The price is one dollar. The other booklet is The Popes and the Priesthood, which contains English translations of importgnt statements of the Holy See on the.priest-hoo. d. The price of this booklet is only fifty cents. Rural Parish I, Vorke;'s In our last number (see. p. 242) we promised a more complete account of the Rural Parish Workers of Christ the King. This apostolate was begun by Miss Alice Widmer, a graduate of.Webster College, Webster Groves, Missouri, and Miss LaDonna I-fermann, a graduate of Maryville College of the Sacred Heart, St. Louis. In the summer of 1941 they decided to devote ~heir lives to lay action for the salvation of souls and the extension of Christ's Kingdom by the igractice bf the spiritual and corporal works of mercy. That fall they heard Monsignor (later Bishop) Leo J. Steck speak of the'lick 282 Not~ember, 1953 NEWS AND VIEWS. of priests'in rural.areas, and th'ey: asked him whether they might help in one of these areas. With his assis'tance and that of Father William d. Pe~.old, they began work in the latter's parish of Cottleville, St. Charles Count'/, Mi'ssouri. During that same summer they learned to use the short breviary. The remainder of their story i~ told by tlSemselveL as follows: "Activities ir~ St. Ct~arles County, where we lived in two twelve: by-twelve-foot rooms in a portable schoolbuilding on thechurch grounds, included home visiting, care of the sick, helping the poor, Vacation schools, Sianday school for non-Catholic and pre-s~hool .Catholic children, craft classes for,, dhildren and adults, discussion Clubs in' the homes, w~rk with teen-agers, in'structions of converts'. distribution of Catholic literature and sacramentals, religious and social Welfare work. "Originally we had no thought of a continuing organizatio.n. As'we saw the needs and what could be done we went to see Car-dinal John d. Glennon of beloved memory', who had been a benefac-tor from the first. He encouraged us in our plans to £tevelop a per-manent organization and gave permission to solicit funds for~ p, er-manent home not to be located on parish grounds. Shortly there-after he died. "Sev, enteen months, later we discussed our future with Arch-bishop. Joseph E. Ritter. Three months afterwards he asked us;.to work'among.the miners and farmers of the tiff.aiea in Wash, ington County, the mbst e~ploited region in the St. Louis archdiocese. Through ,his generous assistance and that of Auxiliary Bishop: Charles tt.'Helmsing and Rev. Edward A. Bruemmer of Old Mines, we moved in September, 1949, to Fertile iri the Old Mines parish,of St. Joachim. We entered into parish, activity by beginning the in-struction of ninety-one public-school children and visitation in their homes and began extensive remodeling of an old brick residence eight miles from church. "The Rural Parish Worker program is adjusted to the,.needs of the area and is always pointed to the development of Christian homes and the strength.ening of parish life. In Washington County the following activities take precedence: ~eligiotis and social welfare work: distribution of food and ,clothing; transportation, to church, h.ospitals,_a.nd clinics; Sunday instruction classes; preparation of con-verts: home visiting, and instruction; interpretation of rights and 283. NEWS AND VIEWS duties as citizens; assistance in obtaining State and Federal benefits, doctors' care, hospitalization. "Some assistance is given to a few in adjoining parishes. HOw-ever, since.our home parish of St. ,loachim is one hundred and fifty square miles in size with poor and sometimes no roads,, it occupies most of our time. Attendance at civic meetings and participation in civic affairs are also on the agenda, as are outside works, such as land-scaping, building of small buildings, care of goats, and gardening when we can get to it. "Yearly summer sessions ~nd a year-of-service program are offered to young women thinking of the lay apostolate as a way of life or who wish to give at least part of their lives in. concentrated work for the restoration of Christ in society. "Last fall Rev. Bede Scholz, O.S.B., of Plus X Monastery in Labadie, Mo., was appointed by the Most Rev. Archbishop as our spiritual director. Father Bede, then at Conception Abbey, Concep-tion, Mo., had helped form us in the early days. (We would go for a week of spiritual refreshment to Conception.) Father Bede, Rt. Rev. Monsignor Martin B. Hellriegel, and Rev. Charles P. Schmitt were our spiritual advisers for several years when we lived in St. Charles County. "At the beginning we had literally nothing except a few dollars we had saved when working, a typewriter, phonograph and records ¯ bought for the work, our clothes and personal little belongings. Yet we have neve'r been in want and God has sent everything as it was needed for our neighbors and for us. Today many are assisting by prayer, donations of money and materials. The bills are always with us but we know that Almighty God is also, and we have no fears for the future. We know He will do with us as He wishes and that is all we want. It is with humble hearts that we look back over twelve years of labor in His vineyard and it is with confidence that we invite others--young women from all over the United States--to come to Fertile, to the Center of the Rural Parish Workers of Christ the King, and lend their talents and their labors in this rural aposto-late of service based on the spiritual arid corporal works of mercy for the glory of God and the development of Christian homes; to come to Fertile and help in the world-wide work "of the Church today-- the restoration of Christ to society." The address of the Rural Parish 'Workers of Christ the King is: Route 1, Box 194, Cadet, Missouri. 284 ¯ Pract:iceot: :he l-loly See, II Joseph F. Gallen, S.J. [The first part of this article was published in the September REVIEW, pp. 252- 72.] XII INDULTS OF SECULARIZATION New practice of the Holy See. Secularizati-on is the voluntary de-parture from religion, authorized by an indult of competent ecclesi-astical authority, in virtue of which the subject is separated com-pletely and perpetually from membership in the institute and is freed absolute.ly from all obligations contracted by. religious profession. Since secularization dispenses from all religious vows, even if solemn, it is co~nmonly also called a dispensation from the vows of religion. The Holy See alone may grant secularization in pontifical institutes; in diocesan congregations the Ordinary of the place where the, reli-gious is staying is also competent.34 .Indults of secularization granted by the Holy. See for those who are not priests now contain the following sentence: "This decree ceases to have any validity if not accepted by the petitioner within ten days after being informed of the executorial decree.'qs" It has long been a clea~ principle of canon law .that an indult of seculariza-tion, even ~hou.gh freely petitioned,, may be refused and has no effect until accepted by the religious in question,z6 If within the ten days: (a) the indult is expressly accepted, it becomes effective immediately;37 (b) the induli is neither accepted nor refused, it ceases to have any validity at the end of this period; (~') the indult is definitively refused, all validity of the indult cer-tainly ceases at the end of ten days and. at least more probably immediately upon the definitive refusal.3s In practice a new indult is to be petitioned if the religious repents of his refusal and wishes again 34Can. 638; Bouscaren. II, 173. 3s"Post decem dies a recepta comrnunicatione Decreti exsecutorialis, ex porte Oratoris (ricis), prasens Decretum, si non fuerit acceptatum, nullii~s roboris esto.'" Cf. Gu-ti& rez, CpR, XXIV (1953), 186-197. 36Bouscaren, I; 326. 37Cf. Creusen. ft. 332: Jombart, RCR, II (1926), 151; Piontek, 262 ft.: Ver-meersch, Periodica, XI (1923), 151. a8Cf. Guti~rrez. CpR, XXIV (1953),194-195: Goyeneche, CpR, XVIII (1937). 239-240:.Muzzarelli, p. 172; and Jombart, RCR, II 1926), 150-151, who ap-pears to hold the contrary. 285 ¯ JOSEPH 1:::. GALLEN for Religious to leave during the ten-davy period. ," The practice of the Holy See is not to grant the indult directly to the religious but to give to an intermediary person, for example, the local Ordinary, the f~iculty of granting the indult of secularization to the religious. The actual granting of the indult by this intermedia'ry person is called the executorial decree. The ten days begin to run -from the time the religious is officially notified of the granting of this executorial decree, not from the date of notification of the deciee of the Holy See. The day of notification is not computed. If the no-tification is given on August 1, the ten days expire at midnight of August 1 1-12. This time does not run for any period in which the religious was ignorant of or unable to exercise his right of acceptance and refusal. XII. GENERAL CHAPTER 1. Constitutions rec.ently appro~)ed by the Holy See. One congrega-tion of sisters had difficulty in persuading the S. C. of Religious to approve in a general revision of its constitutions the designation of the Secretary and Bursar General by appointment rather than by election. Appointment was approved about the same time in another general revision without any difficulty and had been permitted in some constitutions approved by the Holy See in the past. The num-ber in the grouping of the smaller houses for the election of delegates. is now rather constantly stated to be at least twelve and not more than twenty-three professed. The S. C. of Religious is consistently including in constitutions an article stating that the duties of the pre-siding local Ordinary or his delegate terminate at the proclamation of the election of the mother general.39 Some recent constitutions con-tain the prescription of the Normae of 1901: "If the Ordinary. is ac-companied by one or more priests, these may in no way take part in the election.''40 The present practice of the Holy See permits not only the secretary general but also the bursar general to be elected a general councillor but neither may be elected as the first councillor. The same practice now rather consistently gives the general chapter the right of declaring matters to be of greater importance and subject to the deliberative vote of the general council. Some recent constitu-tions. also give to the general chapter and council the'right to deter- 39Cf. REVIEW FOR RELIGIOUS, XI (1952), 16-18. 4ONormae of 1901, n. 224. Cf. REVIEW FOR RELIGIOUS, ibid., 17-18. 286 Nooember, 1953 PRACTICE OF THE HOLY SEE. min~ matters as subject to the deliberative vote of-the local council. The S. Congregation corrected one set of constitutions to read~ " . . .the newly elected M6.thfir General shall appoint one or seoeral. committees.to examine and arrange the'proposals to the Gerieral Cfiapter and to furnish a report concerning them." Even if not so' stated in the constitutions, several committees may be appointed be~ cause of the amount of work or for greater efficiency and lack of time, since several committees are not forbidden by the constitutions. 2. Indult's. One congregation of si'sters secured an indult from the Holy Se~ permitting th~ anticipation of its next general chapter by' six months. The principal reason given in the petition was the ex-~ p~nse and extensive travel that would be required foi the' capitulars' to return to the motherhouse two months after all had been present there for the annual retreat. ~ Another congregation of sisters requested a change, in its constitu- ' tions by which the novice mistress would be a member of thegeneral chapter in virtue of her offce. The S. C. of Religious replied: "It is not expedient.'" Canonical authors had stated that such a provision was not in accord with the practice of the S. Congregation,4x but a.~ similar article had been approved in a very small number of constitu-. tions in the past. A congregation of sisters was to hold in the United States an ex-traordinary general chapter,, which the delegates of the provinces be-yond the "iron curtain" would not be able to attend. The S. C. of Religious gave to a local Ordinary the faculty of permitting their votes to be sent by letter or for these provinces to choose delegates here who would cast their votes. 3. Roman meeting. The subjects touched upon at this meeting of superioresses general appear to have been the following: (a) The Holy See is opposed to the immediate re-election, or rather postula-tion., of a mother general beyond the limits prescribed in the consti-tutions. Similarly the Holy See only for serious reasons grants a dispensation permitting a local superior to be given a third successive three-year term in the same house. (b) Two excesses are verified in ~lections, an indifference that results in ignorance of the eligible and' suitable and electibneering. (c) Young religious should not be ex-. cluded from higher offices' if they have the necessary natural and spit-. itual qualifications. ., 41Basticn, n. 246, 2; Battandier, n. 352. 287. JOSEPH F. GALLEN Review/:or Religious These subjects present nothing new,4z but the. light thrown on the abuse of electioneering is very Opportune. Electioneering is the deliberate seeking of votes, directly or indirectly, to elect a particular person, or one person rather than another, or to exclude anyone from being elected. The simple seeking of information concerning the abilities or defects of those eligible and the communication of such information to. others, without any attempt at persjaasion, is not for-bidden, and is very frequently necessary and laudable. It is.:remarkable.how often the matter of elections can blind the moral sense of even very good religious. This reason alone has per-suaded the present writer to hold rigidly to the conviction, that in any general revision of the constitutions elections should, be restricted to those absolutely necessary. Only the offices of the superior gen-eral and of his or her councillors demand election. Every religious should have the permanent resolution of nevei uttering a word about future elections in his institute until after he has meditated daily for at least a week on the will of God. XIII. MONASTERIES OF NUNS I. Federations and Con/¥derations. The only federation or con-fdderation affecting American monasteries of nuns that has been made public is that of the Visitandines. The pohtifical constitution Spon~a Christi and the accompanying Instruction should be carefully studied by all nuns. Unwise and exaggerated changes are to be avoided in any state of life, "but no religious institute can reasonably exclude progress and prudent adaptation to .the times; Federations and con-federations are highly recommended by Plus XII in Sponsa, Christi. 2. Restoration o[ solemn ~ows. In 195 1-52 eighteen monasteries of nuns-in the United States secured permission from the Holy See for the taking of solemn vows.43 The restoration of solemn vows is at least strongly urged on all monasteries of nuns in Sponsa Christi. If serious reasons exist against this restoration in any monastery, such reasons are to be submitted to the S. C. of Religi6us for examina-tion. 44. The form of the decree granting solemn vows is uniform. The provisions are: (a) Papal cloister must be observed as' described in 42Cf. REVIEW FOR RELIGIOUS, X (1951), 187-200. 43Guti~rrez. CpR, XXXIV (1953), 102-115. Cf. the list of monasteries of solemn vows in the United States, as of January, 1950. in REVIEW FOR RELIGIOUS, IX (19~50), 58, note 2. 44Larraona, quoted by Guti~rrez, ibid., 1"07. " '288 November, 1953 PRACTICE O~: THE HOLY SEE canon law, Sponsa Christi and the accompanying Instruction (Inter praeclara), and also the Instruction of the S. C. of Religious of Feb-ruary 6, 1924.4s (b) Nuns at present in simple perpe.tual vows and thbse who have compieted the prescribed time of temporary vows make solemn profession. The local Ordinary or his delegate receives the profession of the superioress, who then receives all the other pro-fessions. (c) Any nun in simp!e perpetual vows who does not wish to make the solemn profession may remain in simple vows but she is obliged by all the prescriptions of papal cloister.46 (d) Future per-petual professions Will be solemn except, of course, those of the ex-tern sisters, who may be admitted only to simple perpetual profession at the expiration of the prescribed peridd of temporary vows. 3. Dowr~ . Modifications in the general constitutions were granted to several monasteries of one order of nuns in the United Sta~es by the S. C. of Religious in 1950. A canonically interesting article of these modifications is: "No dowry is required for the admission of postulants." 4. Induhs concerning papa! clbister. A monastery of nuns in. the United States obtained the follov~ing permissions from the S. C. of Religious: (a) for five years--to admit into the enclosure at the funerals of nuns the clergy, acolytes, and pall bearers required to carry the body to the crypt; (b) fbr three years--to allow those taking out naturalization papers to go out to government offices as often as necessary; (c) for three years--t6 allow a nun to leave the enclosure as companion for a nun obliged to go out for bospltal treatment. Iri the case of another monastery, the local Ordinary whs given the faculty for twenty cases of permitting a nun to leave the enclosure with a companion for the reason of ill health. The rescript contained the clause, that any unbecoming circumstance was to b~ avoided. 5. Concession of Masses. A proper ordo or calendar, and thus dis-tinct from the diocesan ordo, is had by all orders of regulars, and this is to be observed also by the nuns and sisters of these orders. A proper ordo is also had in.religious congregations and societies living in common without public vows, whether of men or women, that have been approved by the Holy See,.[re constituted under one gen-eral superior, and are obliged to the divine office, even if only by 45Bouscaren, I, 314-320; .46Escudero, CpR, XXXIII (1952), 35, nota 39. 289 JOSEPH F. GALLEN reason of major orders.47 Nuns that constitute a second order, such as the Carmelites, will follow the proper ordo of the first order of men. Obviously, there-fore, they may not celebrate in the divine office and Mass feasts granted to dioceses or t6 other institutes. For this reason at least one monastery of nuns in the United States secured from the Holy See an indult permitting the celebration of the feasts of the North American Martyrs on September 26 and that of St. Frances Xavier Cabrini on December 22.48 47,SCR, 4312, ad'l-2; 4403, ad 1. 48The autlqors, documents, and abbreviations not clear from their mere citation are." Acta Apostolicae Sedis (AAS) ; Bastien, Directoire Canonique; Battandier, Guide Canonique; Bouscaren, Canon Law Digest; Cervia, De ProFessione Religiosa; Com-mentarium Pro Rell.qiosis (CpR) ; Creusen, Religious Men and Women in the Code; Decreta Authentica Congregationis Sacrorum Rituum (SCR) ; Muzzarelli, De Con-gregationibus luris Diocesani; Piontek, De Indulto Exclaustrationis necnon Saecular-izationis; Revue des Communautis Religieuses (RCR) ; Schaefer, De Religiosis. BOOK NOTICE AUX SOURCES DE LA TRADITION DU CARMEL, by Jean le Soli-taire, is a work that will be of special.interest and value, not only to Carmelites, but also to all who are concerned with understanding well the essentials and the accidentals of the contemplative life and~ with the problem of adapting it fittingly to the changes that mark modern culture and the present situation of the Church. The book is not primarily historical; rather it is conceived from the ,spiritual point of view, and would like to contribute to the best possible re-vitalization and perfection of the contemplative life in the concrete existe.ntial conditions of today and tomorrow." (Paris: Beauchesne et ses Fils, 1953. Pp. 274.) LETTER ON OBEDIENCE Father William J. Young. S.J., has made a new and very readable translation of St. Ignatius' Letter on Obedience. This translation is published in pamphlet form by the America Press. Single copies are twenty cents; special discounts are allowed on quantity orders. Write to: The America Press, 70 East 45th St., New York 17, N.Y. 290 Psychological Test:ing ot: Candida!:es and t:he Theology oF Vocal:ion William C. Bier, S.,I. [EDITORS' NOTE: This article is an adaptation of 'a paper presented at the Fordham "Institute on Religious and Sacerdotal Vocations, July, 1953. Father Bier's interest in the use of psychological tests as helps in evaluating the suitability of candidates for the priesthood and religious life goes back to graduate work in psychology at The Catholic University under Father Thomas Verner Moore, who encouraged him to plan a doctoral research on some.preliminary phases of this problem. After the completion of his doctoral work in 1948 Father Bier went to Fordham and has been teaching in the psychology department of the graduate school since that time. He developed a program of psychological tests for candidates in the New York Province of the Society of 3esus, which has been in operation for five years. This work is now spreading to other Provinces of the Society and to other religious groups. He thinks that the greatest need at the present time is the development of specific, norms on these tests, not only for religious as distinct from lay persons, but probably also for different religious groups. The development of such norms is of necessity a cooperative undertaking, and Father Bier has been serving as a clearing house for gathering the needed information from the various groups working in conjunction with him. At the present time this work is still in its initial stages, and it will have to be in operation some time longer before publishable results are ¯ available, ] THE present article is the first in a series of two dealing with the use of psychological tests in the selection of candidates for the priesthood and for the religious life. This matter receives clari-fication bydistinguishing and giving separate treatment to the two questions involved. The first concerns the role of psychological tests in the selection of candidates and raises the question of the relation-shiio between testing of this kind and the theology- of vocation. It is evident that this first question is largely theoretical, but testing must first be justified on these grounds before it is feasible to discuss the second question, namely, the practical requirements of such a testing program. The current article, therefore, will consider the theoretical basis for the psychological testing of candidates, and a second article will take up the problems involved in the development of such a pro-gram in practice. Religious Vocation Although in full accord, on theological and psychological grounds, with the modern tendency to extend the term vocation to embrace all states of Christian life, the current consideration is never-theless restricted to vocations to the religious life.and to the priest- 291 WILLIAM C. BIER Reoiew for Religi'ous hood. More specifically still, the explicit treatment is confined mostly to the religious life, leaving the priesthood as matter for reasonably evident inference. A vocation, as the nominal definition of the wor~l implies, ex-presses the action of summoning someone to move toward a definite goal; in a word, it is a call. ~n the case of a divine vocation, it is God who calls the person, and in the matte~ of religious vocation, it is a call to the voluntary practice of the evangelical counsels in an institute.approved by the Church. The question that arises in the case of every vocation is: how can we know in a given case that'God calls? How can it be determined that the vocation is real and not illusory, genuine and not deceptive? This is the question ~vhich must be answered by the candidate himself, by his director, and by the superior who accepts him. In his recent book, The Theolog~I of Religious Vocation, Father Edward Farrell, O.P.,1 indicates that St. Thomas Aquinas distin-guished between internal vocation, or desire on the part of the candi-date for the religious life, and external vocation, or acceptance by a legitimate superior. It will be helpful for our present purpose to consider vocation under both of these aspects, and in so doing we shall 9ttempt to place the psychological testing of candidates in its proper perspective and to indicate what is its legitimate function with respect to the discernment of vocation. Internal Vocation By internal vocation St. Thomas means the intention on the part of the candidate to embrace the religious life. This intention is formed by. a man under the influence of the Holy Spirit. -Such an intention is the result of grace, or rather a series of grace~ consisting of interior'andexterior helps, in virtue of which the individual is led to take the resolution to enter.religious.life. This resolution to enter religion may result from an extraordinary illumination of the mind and incitement of the will toward the reli-gious state. Some of the saints have been favored with such an un-mistakable divine call, but Pope Plus X in his decision on the book of Canon Lahitton on Sacerdotal Vocation made it clear that no such special attraction is necessary for a priestly or religious vocation. Gen-erally, the intention to enter religion is formed under the influence of what theologians would refer to as ordinary grace, i.e., a grace which " 1St. Louis: Herder, 1951. 292 o November, 1953 PSYCHOLOGICAL TESTING works through the reasoning processes. Theologians generally would take this to mean that the decision is the result of deliberation where-by the individual perceives, in the light of the Gospel ~ind from other considerations that, everything being taken into account, the way of the counsels is preferable for him. Consequently be experiences a corresponding rational inclination of the will toward such a life. It is Worth n'oting, however, that the proposal to enter r.eligion must be sufficiently firm considering the difficulties involved in this state of life. It is only a firm resolution which, in the opinion of theologians, is the subjective manifestation of vocation. On philo-sophical grounds it may be shown that a state of mind can be logically firm only when reasonable doubt is.excluded. We may .say, therefore, that what God's grace does in the case of vocation is to make it possible for the individual to see with a clarity which ex-cludes the reasonable fear of error that the way of ~he counsels is the preferable way of life for him. It would seem, therefore, that the applicant, whose state of mind prior to entrance is uncertain, who is not ~ure whether he has a vocation or not, but who applies "in order to give the life a try," does not hav~ a vocation, since he lacks this firm proposal which is the subjective sign of vocation. It is possible that such an applicant would become certain bf his vocation during postulancy or noviceship, but it seems more prudent, when such a doubt is known, .to postpone his acceptance until it is solved, and meantime to encour.age him to'pray and consider the matter more maturely. It is evident that such a firm decision to enter the religious state is the result of grace. "You have not chosen me, but I have chosen you" (Jo. 15:16). This is the essence of religious vocation, and it is clearly its supernatural aspect. Directly, therefore, psychology, which can touch only the natural, has nothing to do with this aspect. of vocation. Yet,. indirectly, even here, it may have something to contribute. Canon 538 indicates that the candidate for the religious life must be inspired by a "right intention." This requirement expresses in another way what has already been discussed. If the intention to enter religion has been formed under th~ influence of grace, it will be a right intention. Therefore, no purely natural motive will suffice, such.as disappointment or disillusionment with the world, or per-sonal happiness, or security; or the desire to escape an unhappy home situation. On the other hand, theologians allow that ar~y super- 293 WILLIAM C. BIER Ret~iew for Religious natural motive will suffice, for instance, the desire, to save one's soul, or to work for the salvation of others, or to serve God more per-fectly, or to render salvation more secure. It is at thi~ point, it would seem, that psychology can enter to make a contribution. Human motivasion, we know now, is a much more complex affair than was previously suspected. Our motives are seldom simple, and seldom single. Conscious motives can sometimes serve as a cloak for hidden and undetected tendencies. In the case of the motives inducing a person to apply for admission to the religious life, it will seldom happen that they are pur~ly supernatural. Natural motives invariably enter as well. What seems to be important, how-ever, is that the dominant motives should be supernatural. Granted that in the.concrete the total motive force will bepartly natural and partly supernatural, the more dominant the role of supernatural motives, the more assurance there would be that the call was truly from God. Let us illustrate the point mad~ here by an example. " Suppose a spiritual director, on inquiring why a girl wants to consecrate her virginity to God, were to discover that it is because she finds things of the flesh repugnant. Marriage would be abhorrent to her, and if ¯ the attraction to the religious lifewere in fact nomore than an adjust-ment to such a psychic inhibition, it would scarcely be genuine. Prob-ably, such a girl would have combined this fundamental motive force with some supernatural intention, but the question is how dominant, and hence how genuine, would a supernatural motive be in such a case? Would it be any more'than a case of self-deception? I can conceive of a director telling sucha young girl to thank God that she feels that way, because she is thus freed from many temptations against chastity. Yet such advice, I think, would be highly questionable. It is true, of course, that such a person would have little or no difficulty with the material observance of chastity, but absence of sin or conflict.is not a proof of virtue. In such a case the brake applied to prevent sin is not the regulating influence of rea-son, which would be the basis for virtue, but is an inhibition of the psychic order. It is God's plan that sex should be attractive, not repugnant, and it is clear from the words of Christ (Math. 19:12) and of St. Paul (I Cor. 7:6-9) that the invitation to the counsels implies.a sacrifice. The girl who finds sex repugnant has no sacrifice to make in dedicating her virginity to God. The suitable candidate for the religious life is not one who is incapable of marriage, but one 294 November, 1953 PSYCHOLOGICAL TESTING who freely surrenders this good for a greater. There is a further consideration in a case of this kind which should not be overlooked. The repugnance felt toward sex expression is, as we have presented it, a psychicinhibition. It is due to some psycho-logical twist or other. Suppose, "perhaps after some years of religious life, that this twist is suddenly straightened out--a not inconceivable happening. Once the psychological brake is removed, the person may, for w.ant of virtue, be defenseless against a passion whose existence she never suspected. Could it not be that something similar to this is the explanation of some of those particularl~- puzzling defections after years in religion? The masters of the spiritual life have always recognized the pos-sibility of self-deception in the service of God, and modern psychol-ogy tends to re-enforce their warnings by supplying instances of the subtle ways in which uncon'scious and undetected influences may in-sinuate themselves into human motivation. When such happens in the case of vocation, the good will of the applicant is not in ques-tion, but the genuineness of his vocation.is. He is, in this supposi-tion, deceived himself, and be may quite easily deceive others. The manifestation of virtue is sometimes ambiguous, and what externally passes for virtue may actually be no more than a cover-up for a psychological problem. Natural submissiveness and deep-seated inferiority can ~asily pass for humility, overly-conscientious strivihgs for perfection can, as a matter of fact, be no more than psy-chological defenses against fear of criticism and inability to tolerate failure, while genuine apostolic zeal is not always ea~sy to distinguish from a paranoid discontent. The discernment of spirits is sometimes difficult, and we have the scriptural warning: "Dearly beloved, be-lieve not every spirit, but try the spirits if they be of God" (I John 4:1). This admonition seems to be particularly pertinent in the matter of the discernment of vocation and especially with respect to. the motives prompting the applicant to apply for admission to reli-gion. It would surely be excessive always to question o~ur conscious motives and to see in them nothing but disguises for hidden tenden-cies, but it must be acknowledged that conscious motives are some-times deceptive, and that the dominant motives for our actions are not always the ones which consciously move us. Unconscious fear of contact with the world, for example, may be concealed by perfectly orthodox motives such as contempt for the world and desire of per-fection. For a long time the individual's actions may seem to be in- 295 WILLIAM C, BIER for Refigious spired by these traditional motives, but it may eventually appear that ~hey were in fact but the effects of neurotic tendencies. Where uhcon-scious factors are at work common sense is hardly sufficient for the discernment of vocation, and the eye of the expert, is needed to detect a latent neurosis artfully Concealed behind normal behavior. External Vocation ~ ~ Let us pass now from internal vocation where psychology has but a limit.ed and indirect contribution to make, to external vocation where its contribution is more direct and more extensive. By external ¯ vocation, as previously mentioned, St. Thomas meant the acceptance of ,'i candidate by a legitimate superior. Thus external vocation com-pletes and perfects the internal call essentially determining it to this particular institute. It is evident that before an applicant can be accepted a judgement must be made on his suitabil!ty for the religious life. Some one must 'pass on such firness, and ultimately this decision is the responsibility of the religious superior. The internal call is always subject to the possibility of self-deception, and finds a certain confirmation, there-fore, in the judgement of suitability passed by a competent superior. The junction of the two gives vocation to the religious life in the concrete. Suitability for the religious life might be treated from various-points of vie~v, but for the purposes of the present discussion it will be considered under qualities of body and mind, which in the words of Canon 538 render the individual "fit to bear the burdens of the religious state." A certain level of physical well'being is required for the exercise of religious life, and it is co~nmon practice, to require of applicafits a doctor's certificate of good health. Pertinent to the present discussion, however, is the fact that mental health is no less necessary for religious life. The idea of "mens sana in corpore san&' (a sound mind in a sound body)' seems to be a p~oper estimate of fitness f?r life in religion. The Contribution of Psychological Tests There would be no real disagreement, I think, on the fact that certain psychological qualities are required in a candidate for the reli-gious life. What these qualities are might be diff,erently expre.ssed as maturity, balance, stability, control, adjustment, but there is at least agreement that some over-all psychological integrity is needed. It might even be clearer and there would, perhaps, be even greater agree- 296 Nouernber, 1953 PSYCHOLOGICAL TESTING ment if the propositi6n were put negatively: certain psychologic.al conditions render an applicant unsuitable for the religious life. Con- .sequently no .superior can accept a candidate for religion without making some judgement of psychological fitness. The trouble is that such a judgement, necessary as it is, is frequently superficial and hap-hazard, because the basis for a more adequate judgement is not avail-able. Here the psychological examination of candidates can enter to make its contribution. Such an examination can offer a more ade-quate foundation for the estimate of psychological suitability which must be made. It may be valuable to point out thus early in the pre~ent discussion that the psychological testing of candidates is new only in its methods; not in its p.urpose. Its function is traditional and inescapable: namely, ~a judgement on the psychological fitness of the applicant. The psychological' examination has a function to perfwor~mth " " respect to all candidates. With the greater n~amber of them its func-tion will be negative hnd w. ill consist simply in affirming the fact that th'ey are psychologically suitable, i.e., that no psychological fac-tors are in evidence which would antecedently make it impossible for them to bear the burden of religious life. Even though the contribu' tion here is negative, it is not to be despised for it is precisely what is needed, namely, a clean bill of mental health. It should be noted that such immunity at the time of application is no necessary guar-antee that psychological difficulty ~might not subsequently ,,develop, any more than the assurance of physical health at the time of entrance is a gua.rantee against subsequent ill health, bht at the time it repre-sents what is needed and is sufficient. With ~espect to the remaining candidates the psychological exam-ination, we assume, will show positive results. Sometimes these re-sults will be extreme, for serious mental disorder cannot be a priori excluded in candidates for the religious life. .In this connection, the work of Father Thomas Verner .Moore on the. rate of insanity in priests and religious2 is pertinent. This ~tudy appeared in The Ec-clesiastical Review for 1936, and still remains the only published work on th,e subject. In connection with the investigation, Father Moore contacted all the Catholic and non-Catholic state and .private sanatoria and asyla for the insane in. the United States. On a basis '-'Thomas Verner Moore. "Insanity in Priests and Religious. Part I[ The Rate of Insanity in Priests and Religioi~s." The Ecclesia t;'ca! Reoic~', 95 (1936). 485- 498. : 297 WILLIAM C. BIER Review for Religious of his returns, Father Moo~e reports the following figures for the year 1935. The ratio per 100,000 population was as follows: for priests 446; for sisters 485; for brothers 418: for the ge,neral popu7 lation 595. He found a notable difference between active sisters with a ratio of 428 and cloistered sisters with a ratio of 1034. On a basis of these findings, therefore, the rate of insanity among priests and religious is less than it is among the general population, but the rate for cloistered sisters is more than twice what it is among the popula-tion at large. One additional point is worth noting. Although it is true that the rate of insanity among priests and religious is less than for the general population, this result is due to the fact that syphilitic types of insanity are almost completely absent among priests and re-ligious. If the latter were eliminated from the figures for the general population, the rate of insanity for priests and religious xvould rise above that for the population at large. One might be tempted at first sight to interpret these figures as meaning that religious life makes reore demands on psychological stability than life in the world, with psychological breakdown conse-quently more frequent. Although there is truth in this interpreta-tion, Father Moore is of the opinion that a more important factor in producing these results is the attraction exerted by the religious life upon certain pre'-psychotic personalities. Schizophrenia, for example, is by far the most frequent psychiatric disorder among institutional-ized priests and religious; and there can be no doubt that a consider-able number of pre-schizophrenic personalities are attracted by the retirement and seclusion of religious life, and of the contemplative life more than the active. Their schizophrenic tendencies blossom out into a full psychosis in religion, but they would undoubtedly have done so just as xvell had these persons remained in the world. Outright psychosis among applicants for the religious life is hardly to be expected, but pre-psychosis and incipient psychosis is ~ problem, as Father Moore's findings and fundamental interpretation indicate. Now, the essential point in term} of the present discussion is that pre-psychosis is not likely to be discovered in an applicant for the religious life, apart from some special testing procedur~ designed to reveal it. Sufficient proof of this statement is found in the number of such persons who secure admission to religious life. As indicated above, cases of severe mental disorder among appli-ca, nts for the religious life are relatively rare, nor do they offer too great a difficulty in evaluation. In such cases the picture is unequivo- 298 Not~erober, 1953 PSYCHOLOGICAL TESTING 6al, and upon examination the applicant is found to exhibit such a wealth of psychopathology as to be clearly unsuitable. There is, however, a larger number of cases in which the degree of psychologi-cal difficulty is considerably less. The evaluation of such cases is more difficult for two fundamental reasons: (1) because the degree of disorder being less it is more difficult to detect; and (2) because it is more difficult to predict the extent to which the disorder is likely to render the applicant incapable bf bearing the burdens of the religious life. It is evident that the reference here is to neurosis in 'general and to the milder forms of mental difficulty which wduld not even qualify as neurosis. Neurosis, referring in general to the non-psychotic forms of mental difficulty, is a broad term, and I am inclined to think that most responsible and informed persons would be reluctant to say that the presence of neurosis, ipso Facto, would render an applicant un-suitable for the religious life. The presence of neurosis would un-questionably create a presumption of unsuitability, but the latter might yield to the contrary fact in a given case. What then is to be taken as the norm? I would, suggest that we might distinguish 'on the basis of the kind of neurosis. It is beyond question that there are certain types of neurotic difficulty which would almost surely be accentuated by the demands of religious life, and it would be my suggestion that the presence of a neurosis of this type would render the applicant unsuitable. At the present time I would prefer to leave open the question as to whether there actually are any neuroses of the second type, i.e., which would not be aggravated by the requirements of life in religion. As an example of a neurosis the presence of which would likely preclude acceptance into' religion, I would mention hypochondriasis, an abnormal pre-occupation with bodily health. This tendency, as is well known, can grow into an exclusive pre-occupation leaving the individual with little thought or energy for religious observance. In its milder forms it s.imply interferes with ~ommunity life and regular. observance; in more advanced stages, it renders the individual com-pletely incapable of foIlowing religious routine. Experience quite well attests that the introspection of the religious life develops a cer-tain number of hypochondriacs as it is, so that the expectation seems justified that this life would aggravate such tendencies if they were already present at the time of admission. An even clearer example, to my mind, of the kind of neurosis the presence of which would 299 WILLIAM C. BIEP~ Re'view [or Religious render an indi~cidual unsuitable 'for the religious life, would be an obsessive-compulsive neur6sis, which manifests itself .in the moral sphere as scrupulosity. I have referenc~ not to an isolated instance of scrupulosity in the life of an applicant, but to scrupulosity of suffi-cient duration to have become habitual. Such a state is aggravated 'by the additional duties of religious life, by the continual self-exam-ination which is an iodispensable condition for progress t~ward reli-gious perfection, andparticularly by the obligation of the vows. In its milder forms, scrupulosity impairs efficiency, in prayer no less than in apostolic work. In its severer manifestations, it makes prayer and religious observance a torture, and any substantial measure of pro-ductive work an impossibility. Attitude to be Assumed in Doubtful Cases In connection with the matter just .discussed, a question arises which must be faced directly, and it is this: do we not go too far in excluding applicants with neurotic tendencies? Would it not be more in accord with the spirit of Christ. and the Church to accept them and to leave something to the healing effect of God's grace? In answer to this sort of a question, I would like first of all to. point out that psychological testing is finished, its work complete; its contribution made, when it has ascertained the facts, in as far as it is possible to ascertain them in the case of the applicant, and has put these at the disposal of the superior. It then becomes the superior's responsibility to act upon the facts as seems best, and, in view of them and all other available sources of information, to accept or to reject the candidate. A prudent superior will not come to a decision', of course, without taking the matter to prayer. Indeed everyone con-nected with the discernment of a vocation must pray; the applicant himself must pray, his director must pray, and the superior who acts on his application must pray. The Gospels tell us that Our Lord spent the .night in prayer before choosing the Apostles. The example. of saints teaches us that we should pray in such an important deci-sion, but also work. It was it. Ignatius' advice, for instance., that we should .work as if the entire l)utcome depended on us, buy pray as though the entire outcome depended on prayer alone. Such advice seems particularly apposite in the selection of candidates. In this case, the importance of the matter requires that the most adequate possible investigation be made, but ultimately such s~lection depends upon a judgement of the superior. This judgement should be founded in fact--as far as it is humanly possib, le to discover the truth--and 300 Noaeraber, 1953 PSYCHOLOGICAL TESTING should be illumined b'y grace, in as far as it is possible to invoke the divine assist~ince through prayer. Even when we have proceeded in: the manner indicated abo,~e,.the decision still remains difficult, for we are attempting in such cases just ¯ about the most difficult task in the .world, namely, to predict the interplay of divin'e grace and human freedom. "If the human mind,'r says a distinguished French contemporary, "cannot probe this mys-terious interplay +yen after the event (for when someone leaves a re-ligious institute it is often impossible to tell.whether it was through infidelity to a. real vocation or simply due to the late discovery that there was no vocation at all) still less can it see it~beforehand.'''~ We are compelled .humbly to admit that there are and will continue to be a certain number of cases which cannot be avoided, but there are others which, with a gr.eater expenditure of human effort and l~ru-dence, could be avoided. Such" is our task. When there, is, doubt about the psychological s~itability of can-didates for the religiou~ life, I would offer it as a general principle that we should be severe rather than lenient in admitting. My fun-damental reason for this recommendation is that the religious life demands more than ordinary psychological stability for. its practice. In the vows, which constitute the essence of religious life, man makes of himself a holocaust to God. owe speak also of the martyrdom of the vows. It is true that "holocaust" and "martyrdom" are meta-phorical expressions in this context, but they serve to emphasize the demands made of human nature in the practice of the religious life, " demands which are to a considerable extent psychological. Certainly the number of psychological satisfactions available to religious are considerably reduced over those possible to people in the world, while the occasion~ for frustration are greater, due to the surrender of deep human wants through the vows of religion, and by reason of the demands of day-by-day community lif~. Hence there is required more than the usual amount of psychological stability and maturity in a religious, and it would seem, therefore, to be imprudent to accet3t in religion applicants with distinctly less than the normal amount of psychological integrity. A further point seems worth) of note in this connection. The attitude is sometimes assumed that doubtful candidates should be ac-cepted in religion because religious life wotild benefit them more than 8A. Pit, O.P., "Unconscious Attraction to the Religious Life." Religious Life: H Vocation. Westminster, Maryland, Newman, 1952, p. 110. 301 WILLIAM (~. BIER Reoiew fo'r Religious it would some better individuals who are less in need of helps reli-gion would prgvide. A ~lightly different way of putting this same objection would be to say that if there is a doubt, we should give the ,applicant the benefit of the doubt. We assume that the doubt is a positive one, i.e., one in which there are positive .reasons for ques-tioning the suitability of the candidate. ¯ In such cases, I do not think that the general principle that the applicant should be given the bene-fit of the doubt is the correct one. It must not be forgotten that the religiouscommunity has rights as well, and it .seems a more funda-mental principle that the good of the community should prevail over the good of an individual, particularly when the latter is not yet a member of the community, as would be the case of an applicant. The doubtfully suitable applicant--if indeed the doubt is well founded--is likely to prove to be a problem from the very day of his arrival in the novitiate. If such is the case, he will require a dispro-portionately large amount of the novice master's time, to the detri-ment of the other novices who would profit more from his counsel and direction. Furthermore, psychologically unstable and neurotic individuals are difficult to live with, and it seems really inequitable that such persons should be permitted to enter and to. disrupt the peace and harmony of community life. One such person can be a thorn in the side of an entire community,, as experience very well at-tests. In God's Providence we shall always have enough 'difficult members of the community to make religious~life a source of virtue and sanctification, but it seems quite another thing knowingly to ¯ contribute to the difficulties of religious life by admitting psycho-logically unsuitable persons. Finally, there is always the distinct possibility, if not probability, that the defiaands of religious life will increase the difficulties of psychologically unstable persons to the point where they will ultimately be compelled to leave religion (and the institute may consider itself fortunate if the p}oblm can be solved in this way), or else they will have to be removed from the commun-ity and institutionalized. The latter can be.a tremendous financia'l burden to a c~mmunity, an, d it would seem an unjust one when the likelihood of such an eventuality could have been foreseen at the time of admission. It might be felt by" some that when there is doubt about the psy-chological suitability of a candidate, he should be admitted with the expectation that his inability to adjust to religious life would soon become evident to him through the actual attempt in a way which he 302 Noaernber, 1953 PSYCHOLOGICAL TESTING would never have been able to accept beforehand, and that he xvill in consequence voluntarily leave. The expectation of k, oluntary with-drawal in a case of this kited is not well founded. Even for the psy-chologically well-integrated and mature personality, readjustment to life in the world is difficult and the courage required to face the un-asked questions of family and friends is considerable. Ability to measure up to such demands is not realistically to be expected of one whose difficulty is weakness precisely in this area. Furthermore, it is assumed that the individual is suffering from personality or emo-tional disorders, and one of the main characteristics of such difficulties is a lack of insight on the part of the individual into his condition.' Hence, if the disorder" increases to a point where the individual should leave, insight is likely to decline as well, so that it is not to be ex-pected that the individual will leave voluntarily. I return, therefore, to my earlier proposition that it is a mistaken charity to accept doubt2 fully mature and questionably stable individuals into religion. In concluding the'present article I should like to refer to two quotations which seem to me to re-enforce the viewpoint presented. The first arises out of*the symposium on religious vocation held in France during the summer of 1949, and consists of the following expression of experience on the part of a religious superior: "Experi-ence has taught us one thing, and that is that when there is a doubt about any.one in the novitiate it is n~arly always confirmed later: the situation does not improve. There may be exceptions but they are few and far between.TM I would simply suggest that, under adequate investigation, we can move the process back one step further, and speak about the doubtful applicant, but that the principle remains the same. The second quotation is from our late Holy Father, Pope Pius XI, xvho expressed himself on the severity to be exercised in admitting candidates to the religious life. The occasion was an audience granted to the Capuchin general chapter after the election of Very Reverend Donatus de Welle as Minister General in June I938, at which time the Pope spoke in part as follows: "This recommendation, for which we take full responsibility, ought to be regarded as a father's instruction to his children, based simply on a desire foi the well being of all religious families. And the instruction is this: Be severe. These may be hard words but they~ 4"An Enquiry about Vocation" in Religious Life: II Vocation, Westminster]Mary-land, Newman, 1952, p. 83. 303 WILLIAM C. BIER are p~ompte~t by love, for true love, love worthy of our L.o~d's' friends, can be satisfied with nothing short of the truth . We are not alluding merely to severity of discipline, in general, but first and foremost to the seyerity v,;hich ought to be shown in accepting postu-lants. If ariyone tells you that there is too much sev.erity even now, we authorize you to reply that the Pope wants it to be that .way, be-cause he clearly sees the, need of it, in virtue of his position and.re-sponsibilities, the more so as Providence has granted him a pontifi-cate of some length and thus allowed him to acquire wide .experience in this field. Indeed, if the religious life is to be kept in all its splen-dour there must be severity, particularly with regard, to vocations, because although divine grace helps nature it does not destroy iF; the necessity fordoing battle remains, and in the religious life the stakes. are higher . "It is no exaggeration to say that whenever people unite to form a group, even in small numbers, deterioration occurs. We learn.this from experience. This does not mean that a religious family ought therefore to reduce the number of its members; quite the contrary-- the tendency should always be to increase. But it should see that its members are carefully chosen, like picked soldiers. This is a difficult task, but essential.~ When a number of men join together in some enterprise, their good qualities, and particularly the highest ones, do not become common property; each man keeps his own. Their weak-ness and. bad qualities,I on the other hand, add up and merge to-gether . " These words, coming from so high an authority, speak for them-selves. The purpose of the present article has been to demonstrate the ~)roposition that psycl~ological testing has a function to perform in theselection of candidates for the religious life, and that such,a pro- . gram is in keeping with the spirit of religious vocation as understood in the Church. The theoretical desirability.of such a program is one thing, its practicality is another, arid the latter question will be con-sidered in a second article. OUR CONTRIBUTORS JOSEPH F. GALLEN is professor of canon law at WoodstockCollege, Wood-stock, Md. HILARY R. WERTS is superior and a professo.r of moral theology at Alma College, Los Gatos, Calif. C. J. McNASPY, an authority on ~cclesiastical music, is on the faculty of St.'Charles College, Grand Coteau, La. Information on WILLIAM C. BIER is given in the prenote to his article. ' 304 \ The F:ucharis :ic Fast: Hilary R. Werts, S.3. THE. new and mitigated law of the Eucharistic fast contained in the Apostolic Constitution, Christus Dorninus; and the accom-panying Instructibn of the Holy Office, whose translations were published in this REVIEV~, last March, is a generous concession of our H01y Father the Pope who wishes to make more humanly possible the frequent and even daily reception of Holy Communion so.much recommbnded by Blessed Pope Pius X and his successors in the chair of Peter. In pro.mulgating the new law His Holiness urge~ bishops and priests to take advantage of its concessions to exhort the faithful to more frequent reception of'the Blessed Sacrament. Religious who have much contact with the faithful in schools and hospitals will find many' opportunities for their zeal to promote frequent Com~ munion by expla.ining this law'and leading people to use its condes-sions. For this purpose it is necessary that they have a clear under-standing of the conditions for the.application of these concessions. It is hoped that this article will help to this understanding. The former law for the Eucharistic fast is retained except for the particular conces~ion~ "granted in the new law. The first concession is that water does not break the fast, Water may now b.e taken at any time by anyone, right up to Communion time. The Eucharistic" fast is no longer concerned with water, and abstinence from it can no long, er properly be called fasting, though it may be an act of mortifi-cation ¯ Water here means plain water, that is, water without the admix-ture of'any other substance whatever. Water as it is found in natural conditions is plain water, even.though it be mineral water from a mineral spring, Qr ocean water with its content of salt. But minerals or salt may not be added artificially to the water that is permitted before Communion. How,ever, the chemical additions to our city water su'pplies are not to be considered, f6r otherwise we would have no water available to drink and the change in the law would be meaningless. Aside from the permitted water, the Pope confirms the former law and says that it must be observed by those who are able to do so. But this does not mean that those who c.ome under the conditions of the new concessions must worr, y as to whethe, r or not they should use .305 HILARY R. WERTS . Revieu~ for Religious them. Norm I of the Constitution says: "The law of the Eucharistic fast, to be observed from midnight, continues in force for all those who do not come under the special conditions, which We shall set forth in this Apostolic Constitution" (italics supplied). Hence there is no requirement that those who come under the concessions should rather fast from midnight if possible. Norm II of the Constitution makes concessions for the infirm. They may, without any time restriction, take something by way of drink or medicine. They may take non-alcoholic liquids and they may take medicine in either liquid or solid form at any time before the celebration of Mass or the reception of Communion. The ini~rm who enjoy this concession are either those who are sick, or thos.e who are infirm because of age. For the sick, no kind or length or degree of gravity of sickness is specified, but it is required that the infirmity be such that it is difficult to observe .the fast from midnight. The difficulty need not be extraordinary; a moderate diffi-culty will suffice. If an infirm person who desires to communicate would omit Communion because of th~ fast from mid.night, then surely he finds this fast too difficult. For example, influenza, stom-ach ulcers, diabetes, asthma, the ills of pregnancy, may be presumed to make fasting from midnight difficult. Any sickness in which the doctor recommends nourishment before Communion, or in which re-covery would be delayed by fasting, or any infirmity which causes the feeling of weakness unless nourishment is taken will suffice to permit liquid nourishment before Communion. Insomnia, severe headache, high or low blood pressure, distressing ~ough, rheumatism, arthritis, a bad cold, hay fever, may frequently make fasting rather difficult, ahd permit liquids. Some kinds of infirmity may last for a long time and permit .liquids daily before Communion; others may be tran.sitory and cause difficulty only for a day or a few days and these latter equally suffice for the use of the concession whenever ~hey occur. Since a moderately serious difficulty in fasting is required for the use of this concession, there are cases of infirmity in which the con-cession may not be used because the fast is no more difficult in these cases than it is for ordinary healthy persons; e.g., a person who has weak eyes or is blind, one who has lost an arm or leg, will have no fasting difficulty arising from his infirmity Unless other circumstances enter into the case. The difficulty in fasting required in order to permit the infirm to 306 November, 1953 THE EUCHARISTIC FAST take liquids before Communion is, according to some commentators, also required in order to permit them to take medicine. However it seems to me that a close reading of the Instruction (n. 1) reveals a distinction between liquid nourishment and medicine. There are two clauses, one concerning liquids, which are permitted fi~nder the con-dition that fasting is difficult; the other cgncerning medicine, which is permitted under the sole condition that it is real medicine. Thus [ conclude that a person with a headache, even though it is not severe enough to make fasting difficult, would still be permitted an aspirin before Communion because he is sick and aspirin is real medicine. ¯ It may happen that someone feels well on rising, but knows from exi~erience that if he fasts until he receives Communion, he will be-come ill. In this case be may take medicine or liquid under the con-cession for the infirm, in order to avoid the sickness. Sometimes a person's sickness is due to his own fault, as when one is ill the morning aft, er an evenir~g of overindulgence in food or d~ink. Nevertheless, he .may use the'concession for the sick, sup-posing that he has the .proper dispositions of body and soul for the reception of.the Blessed Sacrament. We may now examine more .in detail what is meant by liquids and medicines. The liquid permitted to the sick before Communion is anything that can be pour,ed and drunk, except alcoholic bever-ages. Thus milk, tea, coffee, broth, fruit juices, soft drinks, and. heavier liquids like egg hog, milk shake, creamed soup and raw or lightly boiled eggs. The liquid may have some° undissolved solids as lo.ng as it remains a potable liquid; e.g., broth with some bread or cracker crumbs, cereals such as cream of wheat or corn meal when diluted with suffici,ent milk to make them drinkable. But all alco-holic beverages, even with low alcoholic content, are excluded after the midnight preceding Communion. Medicine, either liquid or solid, is permitted so long as it is real medicine, and not merely something nourishing or agreeable. True medicine is somethi,ng curative, palliative, or preventive. Any medi-cine prescribed by a doctor is a true medicine, but there are also many substances that are known to be medicine and used without a pre-scription, such as aspirin, sleeping pills, cold remedie~, etc. Commen-tators dispute whether medicine containing alcohol is permitted. It may safely be said that alcoholic beverages may not be used medici-nally before Communion, but a real medicine, even if it contains alcohol, may be used. This accords with the wording of the law, 307 HILARY R. WERTS ° Review for Relioious and the law hardly requires that a sick person know the chemical con-tent of his medicine, or° be prevented from Communiofi because he must take medicine containing some alcohol. We may also note that some things which are ordinarily considered food and not medicine may in certain diseases be real medicine with curative or preventive value. Thus sugar is prescribed for diabetics who have an insulin reactidn. This concession of the use of liquids and medicines for the infirm is granted to priests or rion-priests, and to p~iests for the reception of Communion or th,e celebration of Mass, and applies whether the ¯ Mass or Communion is in the morning or in the evening. The liquids or medicine may be taken once .or several time~ after midnight, and in any quantity. The use of this concession is not directly open to all the infirm, but those who are not priests are required to first consult a confessor, that he may judge whether they may use the concessio~a. This con- ¯ sultation is required in every case, but need be made only once ,for a given cause of infirmity, and the advice of the cQnfessor maY be fol-lowed as long as the infirmity continues, even if it be life-long. When the infirmity diminishes, as during convalescence, the c6ncession may still be used until it is clear that the infirmity no longer makes fasting difficult. . The time'fo[ this consultation is any time before Comm~ion. The confessor's advice is not required to take liquids or medicines. The advice is required for Communion after having taken these things, and so .it may be asked after taking them ~but before receiving Communion. The gravity of the obligation to consult a confessor is discussed by commentators, and some hold that to use the concession without consultation would be to viOlate the law of the Eucharistic fast and commit a grave sin. Others say that a person who is sure that his case comes under the conditions of the concession would sin'venially by disobedience if he were to omit the consultation and rceive Com-munion; and that in an extra.ordinary case, when it is impossible to. consult a confessor, he could use the concession without consultation. This opinion may be followed unless the Holy See ~olves the question otherwise. Of course, if a person were not qualified to judge the matter, he would sin at least, venially b,y acting imPrudently. There is"also some discussion about the confessor who is t6 be consulted. The strictest o.pinion is that he must be a priest who 308 November, 1953 THE EUCHARISTIC FAST could h~re and now hear the confession of the one consulting, and this would be required if the advice were sbught in confession. But the law does not require that the advice be sought in confession. It may be asked in private consultation outside the confe~si6nal and, according to atenable opinion, from a priest who can hear confes-sions somewhere, even though he .has no faculties to hear confessions in the place of the consultation or of the person consulting. Certainly no one but a priest may give the required advice, though teachers and others may explain the requirements to their charges. Since the advice of the confessor may be asked out of confession, it follows'that it may be asked in personal interview, by phone or by letter, or by an int.ermediary,such as a parent or other relative, a Sister or nurse in a hospital, a teacher, etc. The advice is personal and in-dividual and could not be given to a large group together, such as Ill the people attending Mass; but.if there is a group in which the con- "fessor knows that all those present have the same reason for the use of the concession, he could advise the group together, as when all the nurses present are on night duty, or all the people present must make a long trip to Mass, and thus come under the concessions to be seen later. As seen above, a person who is not a priest must consult a con- . fessor before using the concession for the sick (and also the conces-sions to be seen below). Must the sick priest also consult a confessor before using this concession to receive Communion or to celebrate Mass? "A~ first sight the law seems to requlke this, and some com-mentators thus interpret the law., But many, i~ncluding some who are connected with the Holy Office in Rome, say that the sick priest need not consult a confessor. This seems reasonable, for if the priest can decide for others, he should be able t9 decide ~or himself. With-out entering into all the arguments, it might be well to consider one point, The Instruction of the'Holy Office concerning the sick (n. 3) says: "Priests who are ill., may likewise take advantage of the dispensation." The word likewise is a translation of the.word pariter, meaning "likewise," "in the same way." Many'commenta-tors r~fer this word to what has gone before, and understand the law to gay that priests may use the dispensation in the same way as the faithful, that is, .after consulting a confessor. It seems to be as well or even better to refer the word to what follows, and understand the sentence to mean that priests are given permission to .use the dispen-sation as well for celebrating Mass as for receiving Communion, 309 HILARY R. WERTS Review for Reliqious which is a new and very noteworthy concession, emphasized by the word pariter. The next concession is for priests in circumstances other than sickness which make fasting difficult. Three specific causes of diffi-culty are set down and the concession is grant.ed to piiests in these circumstances, without the need of consulting a confessor, and even incases where the pri, est couId fast without difficulty. The three causes are exclusive, and the concession is not to be extended to other circumstano~s, but actually the three given causes cover most of the difficult cases. The first cause is the late hour of celebrating Mass. The hour is defined as nine o'clock in the morning. If a priest celebrat,~s Mass after this hour he may take non-alcoholic !iquids as explained above, up to one hour before the beginning of Mass, and may take them as often as he wishes. The time in this case must be measured mathe-matically. There must be a full hour of fasting before the beginning of Mass. And the Mass must start after nine o'clock. If the priest leaves the sacristy promptly for a scheduled nine o'clock Mass, it will be after nine when he begin? the Mass at the foot of the altar with the sign of the cross, and he is a proper subject for this concession. When a priest is celebrating more than one Mass, and one of them is after nine o'clock, he fulfills the cbndition and may us~ the dispensation by taking liquids any time after .midnight, and therefore before his. earlier Mass, but he must observe the prescription of fasting from the liquids for one hour before each Mass. Thus if he celebrates at eight and nine o'clock, he could take liquids before seven o'clock; if he celebrates at six and nine o'clock, he could take liquids before five and again after the first Mass but before eight o'clock. The second cause which allows priests the use Of liquids up to one hour before the beginning of Mass is heavy work of the ministry done before Mass. No exact definition of this work is given, but in view of the definition of a late hour given above, and of a long jour-ney given in the next cause, it would seem safe to say that one hour or more of concentrated work, such as hearing confessions, taking~ Communion to the sick, preparing a sermon, participating in solemn ceremonies, and the like, would allow the concession, but not an hour of puttering at odds and ends while waiting for Mass time. The third cause permitting liquids to the priest up to one hour before the beginning of Mass is a long journey, before Mass. A long journey is defined by the Holy Office as a distanoe of a mile and a 310 November, 1953 THE EUCHARISTIC FAST quarter on foot, which is a walk of about 20 or 25 minutes. If transportation is used, the distance must be greater in proportion to the kind of conveyance, the d!fficulty of the road, and the condition of the traveler. The inconvenience of the trip by conveyance should be equivalent to the inconvenience of a walk of a mile and a quarter. For a healthy person and a good road, it would seem that about forty minutes by car, or thirty minutes by bus, or twenty minutes by bicycle, would be a long journey in the sense of this law. Where the road or the weather is bad, or the person old or unwell, this distance may be shortened proportionately. Since water no longer breaks the fast, it is noted that a priest celebrating more than one Mass may take the ablutions in each Mass, but using only water except at the last Mass. However, the Holy Office makes an exception to this in the case of Christmas and All Souls Day, if the priest celebrates three Masses on these feasts without interruption. In this case he should observe the rubrics of the missal which require the omission of the ablutions in the first two Masses. If on these two days the priest should take the ablutions with water, he would not be breaking his fast but he would be violating the rubrics. The Holy Office says that if the binating or trinating priest in-advertently takes wine at the ablutions of a Mass before his last one, he may still celebrate the subsequent Mass or Masses. Some commen-tators hold that this permission is granted only if the priest has some special need to celebrate the subsequent Mass, e.g. because it is a sched-uled Sunday Mass. But others say that the law does not necessarily mean any particular need for the Mass, and that the priest may pro-ceed with his Masses for no greater reason than his own devotion. It would seem that if the priest inadvertently took the wine ablu-tion into the chalice in his earlier Mass, and noticed it before con-suming the wine, he would not be obliged to dispose of it some other ~vay, but could consume it. However, if he deliberately took the wine ablution at Mass, not intending to binate, and later the need for another Mass arose, he could not celebrate again .unless there were sufficient need to allow him to celebrate after breaking his fast. But in view of the present mitigation of the law, one might be less severe than formerly in weighing this need. Having seen the concessions for priests who will celebrate Mass, we come to the concession for communicants. This concession, simi-lar to but somewhat different from the preceding, is the one which 311 HILARY Rz WERTS Re, view/or Reli~lious rules the reception of Holy Communion for all non-priests, even though they be religious or clerics in the major orders of subdeacon or deacon, and it also applies to priests who are to communicate rather than celebrate, as for example, priests who do not c~lebrate Mass on Holy Saturday. The concession is given for three exclusive causes of grave diffi-culty, namel~, fatiguing work ¯before Communion, late hour of. Communion, or a long journey before Commianion. The concession requires consultation of a confessor, as seen ~above for the infirm. When the" concession is allowed, the communicant may take .liquids as often as he wisheL from midnight until one hour b~fore Com-munion, and of course water at any time. No solid food,or alcoholic drink is allowed after midnight. Note that the hour is measured be-fore Communion, while for the celebrant we saw that it is measured before the beginning of Mass. The period of fasting must be a full hour and if in doubt about the exact time of Communion one must leave some margin Of time; or risk arriving at Communion before the full hbur is completed and thus be deprived of Communion, for there m'ust be no diminution of the hour. There are various opinions as to the application of the three causes of grave difficulty. One opinion requires not only the exist-ence of one of these three causes, but also the existence of at I~east a moderately grave difficulty in fasting from midnight for this particu-lar communica.nt, A second opinion holds that if one. of the three, causes exists, we may presume that it is actually difficult for any par-ticular person to observe the fast" from midnight, and so he should be allowed to use the concession unl.ess it is clear that fasting causes him no difficulty. A third opinion holds that the only difficulty required is the actual existence of one of the three given causes. For example, if one must make a long journey to church, he may be allowed to use the concession without inquiry as to the inconvenience he would suf-fer by fasting from midnight. TJae practical application of these¯ different opinions will be the same except in border-line cases in which the third opinion will cre-ate less anxiety in the confessor and the comrrluriicant than will the other two opinions. This third opinion has the fewest supporters,. ¯ but I adopt it'as the easiest to. apply and as defensible according to the meaning of the law. Although the tenor of the law is that it in-tends to relieve those who experience grave difficulty in fasting from midnight, it also states that there is grave difficulty in certain cases 312 November, 1953 ¯ THE EUCHARISTIC FAST given as examples. The C0n~titution also insinuates that some cir-stances which do not ~eem to be serious in a single case may have a serious cumulative effect over an extended period. Thus 'the Consti-tution says that the burden of a priest's Sunday ministry unques-tionably undermines his health; the conditions of work in the mod-ern economy and the conditions of modern living especially after re-cent wars have caused a general decline of health. The Constitution, norm V, grants the concession "because of grave incon.venience-- that is, because Of fatiguing work, or the lateness of the hour . or the long distance." (italics supplied), signif~ring that these three conditions are actually grave difficulties. The introduction to the ¯ Instruction says the concessions may be used by those who find them-selves in the particular conditions specified in the Constitution, which in this.concession are the three given causes. The Instruction states 'the concession to the sick conditionally,."if because of their illness~ they are unable without grave inconvenience, to observe a complete fast," signifying that illness may or may not be a cause of grave in-convenience. But in the concession to communicants who are not ill, it states directly that the three enumerated circumstances are (not rna~] be) causes of grave inconvenience. Furthermore, the spirit of these, documents is very lenient, considering a mile and a quarter as a gravely inconvenient walk and nine o'clock as a gravely inconvenient late horn:, if these are considered as.generally grave, there seems to be little room for a reasonable decision that in some.exceptional cases they are not grave. To draw a line betw,een grave and not grave in this matter seems to be practically impossible and the attempt to do so would lead to anxiety and scruples. So it seems to be in accord' with the meaning and spirit of this law to allow the concession to all communicants who are in one of thd three given circumstances, without trying to measure the gravity of the difficulty of fasting for each communicant. ¯ The first cause given, fatiguing work, is illustrated in the law by the cases of night workers in factories, ships or other transportation, ~hose who spend the night in the'service of the sick or as watchmen, and mothers who must perform domestic duty before going to Com~ reunion. The work may be an all-night occupatign, or it may be work done in the morning for a period long enough to make it fa-tiguing, or it may be work done during some part of the night with some sleep afterwards, as when a nurse is called at night for some emergency. An hour's heavy work in the morning would seem to jus- 313 HILARY R. WERTS Reuieto /:or Religious tify the use of the concession. Work done late in the evening does not seem to be ordinarily included in this cause, but .such work and even work done earlier might sometimes be so fatiguing that it would permit use of the concession. The law also mentions pregnant women,rand probably considers them subjects for the concession in-dependently of any work they must do before Communion, merely by reason of the pregnancy. The second cause is the late hour at which alone the communicant can receive. The late hour is not defined, but since nine o'clock has been defined as a late hour for the celebrant, it must also be a late hour for the communicant. Perhaps it was not defined because it maC/ happen that a time before nine o'clock will be a late hour for those who must rise very early. The Instruction gives the example of Communion in a place where a priest is not able to say Mass early because he must come from some distance, as happens when on.e priest has charge of two or more churches. Although the Constitution says: "The ,lateness of the hour at which alone they can receive," this must not be understood to mean that it is absolutely impossible to receive earlier, but rather that it is difficult to receive earlier, or there is some necessity for waiting until a late hour. The concession could be allowed to these: the parent who must care for the children while the other parent goes to an early Mass and then himself goes to a .later Mass; one who is awake until a very late hour at night and so needs to sleep late in the morn-ing; one who needs a late sleep on Sunday or a holiday to rest from his week's work; one who must choose a late Mass to keep peace in the family; the altar boy who is assigned to serve a late Mass, even if he could go to another earlier Mass; a worker who could.conveni-ently go to noon Mass down town but would find it inconvenient to rise early enough for Mass before work; some special reason for a late Mass, as when the bride and groom wish to receive at a late nup-tial Mass, or the family wishes to receive at a late Requiem Mass; and in general, whenever in view of the person's accustomed rising hour, the time of the first conveniently available Mass is relatively late. But one may not without some necessity freely choose the later of two Masses in order to be able to take liquids before Com-munion. A special case of a late hour, mentioned in the documents, is that of children who would have to go to church, communicate, and then return home for breakfast before school. In order to obviate this 314 Nooernber, 1953 THE EUCHARISTIC FAST difficulty, these children may take liquid nourishment up to an hour before Communion. It must be admitted that this concession is not without its own problems. Although a child could have a sufficiently nourishing breakfast made up entirely of liquids, still it might not be a satisfying breakfast for those accustomed to a more substantial meal, and the liquid breakfast might require that the child and hi~ family rise earlier than usual in order to finish it an hour before Com-munion time. From this case of the school child we may conclude that some-times the hour may be considered late because the available time be-tween Holy Communion and other duties does not permit the com-municant to obtain breakfast, readily after Communion. This may be the case not only for school children, but also for college students, and for people who work away from home and do not have conveni-ent time after Mass to return home for breakfast. The third cause which allows this concession is a long distance to travel to church. The distance in this concession is to be measured in the way explained above for priests, i.e., a mile and a quarter walk, or the equivalently inconvenient ride. Here again there must be some need for the travel. One could not choose a more distant church when there is a nearer one unless there was some fairly serious reason for doing so. Sufficient reason might be some special solemnity at the distant church, e.-g., the first Mass of a member of the family; a group Communion of a family or of the Holy Name Society or the Knights of Columbus; .an alumni or father-son Communion-group at a school; a baccalaureate Mass; the close of a M'ission or novena one has attended; but hardly the mere devotional desire to communi-cate in the distant church rather than in a near one. The final concession concerns evening Masses. These Masses are not directly permitted, but the local Ordinary may permit them on the days specified in the law, and he may permit them in all .the churches of the diocese, or in certain designated churches. He may also permit them in the oratories of religious. There must b~ some need for the evening Mass, for workers who cannot go to morning Mass, or for a gathering for a religious or social festivity such as a Eucharistic Congress, a Sodality Convention, a business, labor or scout convention, etc. The evening Mass may begin at four o'clock or later. Some have thought that an eoenin9 Mass differs from a night Mass, and have tried to assign the latest hour at which this Mass may begin as some hour earlier than midnight, but the law does 315 HILARY R. WERTS not ~eem to set a final hour at any time before midnight, and the hour may be defined by the local. Ordinary according to the need. When evening Masses are permitted, all are free t6 go to the Masses and to receive Communion, but no one may communicate twice on the same day, nor may the priest celebrate morning and evening of the same day unless he may legitimately binate on that day. Neither priest.nor faithful need consult a konfessor under this concession. The Eucharistic fast required for evening Communion is a fast "of three hours from solid food and one hour from liquids, and the time.is measured before Communion for the communicant but before the beginning of Mass for the celebrant. No hard liquor is allow~d ¯ after the preceding midnight.Light alcoholic beverages such as beer and wine are allowed in moderation, but only during a meal. Some commentators hold that these beverages may be taken at only one meal, even if the person ~ats two meals before a Mass late in the evening, But it may I~e admitted with other commentators that the law does not intend to exclude the use of these beverage's from any meal taken before evening Mass or Communion. This new law of the Eucharistic fast is a generous help for the increase of frequent Communion. Priests and other teachers of the faithful can use it effectively, as the Holy Father wishes, to encourage the frequent reception of the Blessed Sacrament, and the faithful should take full advantage of these concessions to increase their re-ception of the'Bread of Life in proportion to the greatlyincreased convenience of its reception. " BOOK NOTICI: Over twenty years ago Father Bernard Hausmann, S.J., first translated from the German a notable book on-the devotion to the Sacred Heart written by Father Christian Pesch, S.J., under the title of OUR BEST FRIEND. World War II and other causes kept the book out of print for some years. Now the publisher has reset the book entirely in very legible type. Its thirty chapters, each acom-plete unit in itself, offer ideal reading matter for daily spiritual reading during the month of June; or for the Fridays of the year. The central thought of this work, that Jesus is t, ruly our best Friend, contains the strongest possible motive for fervent practice of devotion to the Sacred Heart. (Milwaukee: Bruce Publishing Cc~mpany, 1953. Pp. 228. $3.00.) 316 Motu Proprio ,Jubilee C.J. McNaspy, S.J. ~IGH MASS ~nd possibly an added toothsome tidbit, at least for the choir, mark St. Cecilia's feast in many religious com-munities. This year is likely to see a fuller fe.stivity on No-vember 22, the golden jubilee of Blessed Pius X's Motu~Proprio on ¯ sacred music. 'Everything about'this famed document is rwell known to music teachers and chant directors, who often have had to flourish it in defense of their innovations or renovations. But this fiftieth anniversary may be a fit .occasion for all religious, however unmusical, .to recall what the Church has to say about her own music. If the Motu Proprio were a dead letter no one would take the trouble to commemorate it. Blessed Pius himself saw to it that this would not easily happen by enshrining his prescriptions in tt~e pre-paratory draft of canon 1264. His immediate, successor, Benedict XV, not long after stated: "We do not wish that the lapse of time should weaken the force of these wise rules.; indeed, we desire them to have their full force." On the silver anniversary, 1928, Pius XI indeed bolstered them with a new papal document, Diuini Cultus, in which he expr~essed surprise "that some have declared that these laws, though so solemnly promulgated, were not binding on their obedience." .Finally, our present Holy Father devotes several pa.ragraphs to sacred music, alway~ stressing the sameprinciples, in his masterly Mediator Dei. No one, unless wi~h a peculiar axe to grind, can say that the Motu Proprio is out of date. Another unfounded notion one sometimes hears is th~t the Motu Proprio is a bit extreme and not practical enough for us to do anything about it. The full reply to this objection would be simply to read it through. By no means does it. state or imply' that one should use only Gregorian chant in sacred worship. Quite explicitly the Holy Father states that "modern music is also admitted in church, as it also offers compositions of such goodness, seriousness, and grav-ity that they are not at all unworthy of liturgical functions." And if this were not enough, the Holy Father explains that "the Church: has always recognized and favored the progress of the arts, admitting to the service of worship everything good and beautiful that genius has been able to discover throughout the centuries." No, only one 317 C. J. McNAsPY Review for Religious type of music is condemned in the Motu Proprio, and that by indi-. rection: the music that does not possess "the qualities proper to the liturgy, namely holiness, and goodness of form, from which spon-taneously there springs its other mark, uniuersaIit~t.:" It is hard to see how anyone could find this either radical or extreme. So much has been done, especially during recent years, to carry out the requirements of the Motu Proprio that another possible qualm may occur: isn't it all so obvious that we needn't discuss it any more? Mu~n personal contact with religious, younger ones particu-larly, is so encouraging that one is tempted to let down, feeling that the battle has been won. The ever-.widening conquests of the Gre-gorian Institute, Piu; X School, and other liturgical or musical or-ganizations must surely bring added joy to the Blessed Pontiff who so recently launched the whole movement. But when one leaves religious house and seminary to venture forth into parish, or even, in some cases, cathedral, the situation is dismal indeed. True, the more offensive, bumptious Masses usual in the last century will h~rdly now be heard. But in too many instances, what replaced them is little better. In fact, there are parishes, even deaneries, Where .the Motu Proprio would seem never to have been promulgated. Sad indeed would be the Blessed Pastor were he not already in heaven. It was with real poignancy that he had written, fifty years ago, while intro-ducing his great statement, of the "many prejudices so stubbornly held even~among responsible and pious persons"; not all of the stub-bornness is gone .today. Need we recall once again that all.discussion of the role of sacred music in divine worship must be situated in the total context of the very m. eaning of liturgy.? The question cannot be simply decided on a purely musical basis. It cannot be just a matter of aesthetic value, abstractly considered, if that were possible. Much less can it be just a question of "I don't know anything about music but I know what I like." ¯ Music that would ~ank high on some ecclesiastical Hit Pa-rade or even music performed in Carnegie Hall will not necessarily be suitable as worship music. Too often, even now, dubious standards are implicitly set up. A meditative reading of the Motu Proprto could remedy that. "Sacred music as an integral part of the solemn liturgy shares in its general, purpose, which is the glory of God and the sanctification and edification of the faithful." Thus far no cavilling possible. "Its principal function is to adorn with suitable melody the liturgical text 318 November, 1953 MOTU PROPRIO JUBILEE proposed to the understanding of the faithful." Here it becomes clearer that music's place must be secondary, that of a handmaid, as Pius XI would make explicit. If tb? sacred text becomes a plaything, or in any way obscured instead of pointed and intensified, then some-thing has gone askew; this may be good concert music; it is no longer liturgical music. Then the Pontiff enumerates the three qualities of sacred music which we gave above. By "holiness" he means ~hat all profanity must be excluded, "not only in itself but also in the manner in which it is presented by the perfgrmers." Farther on he explains that nothing may be admitted ~hat contains anything "reminiscent of theatrical motifs," or "fashioned even in external pattern on the movement of profane pieces." Music of a romantic or sentimental flavor (aptly called "googaudery") in which the."pleasure directly produced by music is not always kept within bounds," is evi-dently excluded under this heading. Next, music "must be true art, for otherwise it is not possible for. it to have that effect on listeners which the Church intends to achieve in admitting the art of music into bet liturgy." This precept is commonly violated in two ways: either by singing music of low artistic worth, music that would never make its mark in "the world ~vere it not put forth under the aegis of the liturgy; or by singing worth~(music in an unworthy way. The second fault, while often less grievous because prompted by good. intentions, can sometimes do more harm than good. People have frequently grown to dislike Gregorian chant or the Church's great polyphony because they were performed with more good will than skill. For this reason Plus XI insisted that at least seminaries teach "the higher and 'aesthetic' study of plainchant and sacred music, of polyphony and organ, which the clergy should by all means thoroughly know." As the seminaries turn out pastors competent in this field, it is likely that choirs will reflect their understanding of sacred music, artistically and liturgically. The third mark of liturgical music, "universality," means that "though every nation is allowed to admit into its ecclesiastical com-positions those particular forms that constitute, so to speak, the spe-cific character of its own music, still these must be subordinated in such a way to the general character of sacred music that no one of another nation may receive a bad impression-on hearing them." This delicate catholicity, a tension between unity and diversity, is perhaps 319 C. J. MCNASPY the hardest principle to apply. However,. ,the Pontiff goes, ,on. ex-plicitly- to condemn the operatic style of his own country. We wonder~ what he would think of certain rather eccentric efforts to produce Negroid or "western" sacred music for use.in our country. But popes are ever practical, and to prevent us from being too abstract in our approach, the Holy Father immediately gives concrete examples of what the Church does want. "These qualities are found, in the highest degree in Gregorian chant,~'' which "has always been considered the supreme model 'of sacred music." Then he sets down, in italics and as unambiguously as possible, the fol-lowing'rule: "The more closely a composition for church approaches the Gregorian melody in movement, inspiration, and flavor, the more sacred and liturgical it is; and the more it departs from that supreme model, the less worthy it is of the temple." It would" take real in-genuity to misunderstand that. Blessed Pius next forestalls a possible escape. Granted, one might object, that.the chant is so sacred and worthy; but isn't other music really more solemn? No, says the Pope, "it must be held by all as certain that an ecclesiastical function loses none of its solemnity when accompanied by no other music than Gregorian chant alone.'.' How-ever, he adds, "the qualities mentioned above are also possessed in an eminent degree by classical polyphony, especially by the Roman school, which in the sixteenth century reached its highest perfection in the work 6f Pierluigi da Palestrina. . Classical polyphony is quite close to the supreme model of all sacred music, namely Gre-gbrian chant, and for that reason deserved to be received together with Gregorian chant in the most solemn functions of the Church." A fir~al scruple: is this not reactionary,, or at least over-conserva-tive? As an interesting corroboration of the Holy Father's stand I believe we could give quotations from almost every leading con-temporary music historian or theorist. To cite only the most recent,, and surely, one of the most eminent, Harvard's Professor. A. T. Davison, a no/~-Catholic. " His new book, Church Music: Illusion and Reality, could almost be called a commentary on the Motu Pro-prio. After calling our chan~ "the unchallenged example o~t:, worship become music" and speaking of Palestrina and other polyphonic corn- .posers in terms of the highest pr~iise, Dr.Davison states in reference to both: "It may appear to the reader that this music of the Roman Cath-olic Church has been rather aggressively held up as a model.If this 320 November, 1953 COMMUNICATIONS is so, it is only because of a conscientious attempt to deal objectively with the matter; for that particular music, it would seem, fulfills two all-important requisites of true church music: first, in vying with the greatest music in any field, sacred, secular, or instrumental; and second, in creating an atmosphere of worship wherein not man but God appears as the important figure in the transaction." . Surely no fine~ tribute to the sainted Pope and his liturgical work for Christ could be offered. Communications Reverend Fathers: The September issue of the REVIEW FOR RELIGIOUS reached me t£day and I should like" to cl~arify a reference made by WilliamGrem-ley, in his article entitled "Intergroup Relatiohs," pages 231-241. The quotation given by Mr. Gremley from This Is Our Town appeared in the old edition of the book. I have since revised all the Faith and Freedom" Readers and the particular story referred to by Mr. Gremley is no longer in the new edition. Mr. Gremley gives 1952 as the date of copyright which is also in-correct. The story referred t0 in This Is Our, Town appeared in the 1942 edition. The re~;ised book was published last spring and has a 1953 copyright. There is no 1952'edition of this particular volume. --SISTER M. MARGUERITE, S.N.D: Reverend Fathers : His Excellency, Bishop Gonzaga, of the Palo (Leyte) diocese in the Philippines; has asked me, during my brief visit to the United States, to try to interest some American Sisterhoods to undert~ike educational work in his diocese. Will you allow me to publicize his request through your e~teeme'd columns? The Holy See has entrusted to this zealous and schokirly Filipino prelate the spiritual welfare of over 1,000,000 Catholics on the large island of Leyte. During my twenty years in the Philippines, I have had the privilege of. long acquaintance with him, and know well his situation. With only about sixty-five priests (some of whom are old and sickly) and only three schools conducted by Sisters, he is in desperat9 need of spiritual reinforcements and most anxious to obtain American Sisters, and also priests, for his diocese. 321 QUESTIONS AND ANSWERS Reoiew/or Religious Anyone acquainted with our own country realizes that we have many regions at l~ome which need additional laborers in the vineyard of the Lord. It is this situation, no doubt, which is preventing many of our high-minded ecclesiastical, and religious superiors from allow-ing their .American subjects to go to foreign fields. On the other hand, Catholic history from the time of the Apostles is replet~ with examples of how the Church has always been prodigal in sending missionaries to foreign fields, even though their home lands were not yet fully manned nor completely evangelized. And they have been richly rewarded by the Holy Spirit, \Vho has multiplied vocations to their ranks as a blessing for their sacrifices. Those interested in further details will please write .to the under-signed. REV. G. J. WILLMANN, S.J. P. O. Box.510, Manila, Philippine Islands --29~ There are members o~ a commun;ty ~;v;ng ~ogefber who bare not spo-ken to one another over a period of four or five-years. Is the local superior obliged to try to correct this situatlbn or should a higher superior who !~nows of the maffer take a hand? As a general norm local situations as far as possible would be handled by the local superior. For a good reason in a particular case it might be deemed advisable that some other than the local superior take care of the matter; t.he case could then be referred to higher supe-riots. Such a good reasbn could be discrepancy in age between the superior and the subject'.who needs correction, possible lack of ex-perience in a younger superior, a question of tactfulness, a clash of personalities, and the like. In our instance the higher superior is al-ready acquainted with the situation; hence the lotal and higher supe-riors might confer together regarding the more prudent and more efficacious way of handling the case. Is it the mind of the Church tha÷ S~sters who de~re and even ask for correction and guidance from their superiors be left wlthouf it on ÷he ex 322 November, 1953 QUESTIONS AND ANSWERS pressed opinion that the Sisters are grown women and know what they are supposed fo do? Canon 530 strictly forbids all religio~s superiors in any way to indfice their subjects to make a manifestation of conscience to them. It does not, however, forbid subjects to open their minds freely, and of their own accord to their superiors; in fact, it encourages filial trust in superiors and, if the superior is a priest, it also recommends sub-jects to reveal doubts and anxieties of conscience to such a superior. Consequently subjects are free to go to superiors, even those who are not priests,~ with their problems, especially if the problem does not in~rolve a question of sin. Superiors on their part will usually lend a sympathetic ear. But the case might arise in which the superior did not feel competent tO handle a certain problem; or one could, en-visage a particular case in which the superior judged that it would be better for the individual to resolve some simpler difficulty for himself and thereby buiid up self-confidence. In these matters a great deal of tact and Christian charity is required on the part of superiors; but subjects also should practice charity in moderating ~he demands they make upon superiors. Some problems could easily be solved on the individual's initiative after prayer and reflection. A decade ago the REVIEW FOR RELIGIOUS invited discussion on the topic of spiritual direction. In the concluding survey (II [ 1943 ], 187-201) the twofold prong of spiritual direction was indicated, namely instruction and encouragement. On pages 19 I-192 the con-clusion is voiced that need of instruction should certainly decrease with the i~assage of years to such a point that normally the intellec-tual help required of one's spiritual director would be mainly friendly criticism. "In other words, these religious plan their own lives, submit their plans to a director for approval or disapproval,. and then occasionally make a report on the success or failure of the plan." In regard to encouragement, the need is more individual ~nd is usually not lessened with the years. "At various periods in our lives, most of us need sympathetic help or paternal correction lest we lose heart or descend to low ideals." Both superiors and subjects might profit by keeping those considerations in mind. --31-- If a councillor is absent and the local superior, who is not a councillor, is called to a council meeting, does the local superior give her vote ~n ÷l~e order the absent councillor would have or after all the councillors? 323 QUESTIONS AND ANSWERS Review for Religious ¯ Canon 106, n. 5 says in part.that among the members of any college (collegium) the right of precedence shall be determined by the legitim.ate constitutions of the college; otherwise by .lawful custom; in default of that, by the norms of the common law. Hence, the con-stitutions of the institute should be consulted. If they make no pro-vision, then follow whatever has been the legitimate custom (which here means the customary way of acting), in this situation. If neither the constitutions nor custom provide a solution, canon 106, n. 1 states that one who represents another enjoys the precedence'that person has; but anyone who is in a council or similar meeting .as a proxy yields precedence to those of the same rank who are personally present. Accordingly, then, a local superior wl~o is not a councillor but who has been summohed to take the place organ absent councillor would vote after the councillors who are present in person. m32m Acjeneral chapter is held in a branch house. When the time comes for voting, does the local superior who is not a councillor .cjeneral vote before or after the ~ouncillors cjeneral? (It is customary for Junior Sisters 1.o vote first, followed by Senior Sistei-s.I The first answer is, consult your constitutions. If they say. nothing, the.n follow whatever has been customarily done in this matter. If no solution is forthcoming from either of those sources in the order enumerated, it would seem that the local superior in this case would yield precedence to the councillors general since the latter in this instance seem to be acting in their "general" capacity, so to speak. (Possibly some institutes follow a simpler method of having all capitulars vote according to strict seniority, upwards or down-wards, without regard to offices h~ld.) ~33~ Propositions to be presented to our cjenera! chapter are very often sent throucjh some member of our cjeneral council or fhroucjh the cjenera/ council. 'Has the cjeneral, councll the right to discard a proposition that pertains dlrec~ly or indirectly to the cjeneral council itself, since the cjen-eral chapter, wh[le in session, is the highest aufhorlfy ~n the concjrecjatlon? Perhaps your constitutions or legitimate custom indicate that proEositions intended for the genekal chapter are to be forwarded ,dlrough the counciI16rs general, and that these latter have the power to judge the feasibility of presenting any such proposition to the gen- 324 0, November, 1953 QUESTIONS AND ANSWERS eral chapter. Otherwise, an answer (in part) appearing in the RE-VIEW ~:OR RELIGIOUS, XI (1952), 309-310 in response to a similar question .says: "Usually they [requests" or complaints intended for thegeneral chapter] are given to one of the delegates to'the general chapter who, in turn, at the proper time, turns them in to the special committee appointed for the purpose of screening such requests .and complaints. Those that are considered worthy of the attention of the general chapter are proposed to it in due time during the chapter of affairs. At the end of the. chapter, before a vote to adjourn is taken, .any delegate may ask tha~ a request or complaint which has been turned in but has not been submitted to the general chapter 'should now be read, and the chapter will then vote first on whether the request or complaint is to be considered or not. If"it is "rejected, that is the end of the matter. If the majority is for considering it, it will then be 'considered in the same way as .the other requests or com-plaints which Were already submitted to the general chapter." m34.- ~ One of our novices left religious llfe aboufa year ago because of ill health. Now she has fully recovered and would like ÷o re-enter our com-munity. We know she has ÷o make a new novitiate, but does she have to make a new postulancy? Unless your own constitutions require a new postulancy, the ap-plicant does not have to rbpeat the postulancy. There is no special provision in the°Code of Canon Law for this case, but the conclusion is reached by analogy with two other provisions in the Code. Accgrding to canon 640, § 2, if a religious who after making profession obtained an indult of secularization is readmitted later on to a religious institute by virtue of an apostolic indult, he must make a new novitiate and a new profession, but nothing is said about making a new postulancy also. Hence a new postulancy need not be made in that case. ~ Likewise in an institute which has two canonical classes of mem-bers, if a novice or professed passes from one ciass to the other, a new novitiate must be made, but no new postulancy is required (~ee canon 558). Hence by analogy with the above two provisions of the Code, no new postulancy is required in the case proposed in our question. (See also REVIEW FOR RELIGIOUS, I [1942], 357.) 325 Book Reviews RELIGIOUS MEN AND WOMEN IN THE CODE. By Joseph Creusen,'S.J. Fifth Engfish edition, revised and edited to conform wi÷h the sixth Frefich edition by Adam C. Ellis, S.J. Pp. xlv -f- 322. Bruce Publish° ing Company, Milwaukee, 19S~}. $S.S0. Religious superiors and subjects will welcome this latest edition of Father Creusen's vhluable work. In editing the fifth English edi-tion, Father Ellis has painstakingly made the various changes, addi-tions, and omissions found in the latest French edition. These emen-dations, due partly to a constant effort to keep the work up-to-date with recent pronouncements of the Holy See, serve to enhance the undoubted worth of this book. It should be kept handy alike for r~ference shelf and classroom study of the Church's law for religious. Something about the annual report and the new questionnaires for the quinquennial report is included. Appendix III gives an English translation of the questionnaire for the quinquennial report of dioce-san congregations and societies. As the author remarks in his preface: "We have not deemed it necessary to add a chapter on Secular Insti-tutes, since by no title' are they a form of the religious life nor are their members religious." There is a revised bibliography. A larger type has been used for the table of contents.--F. N. KORTH, S.J. FUNDAMENTAL PSYCHIATRY. By John R. Cavanagh, B.S., M.D., ¯ C.P., K.S.G., end James B. McGoldrlck, S.J., S.T.D., Ph.D. Pp. x Jr- 582. Bruce Publishing Company, Milwaukee, 19S3. $S.50. For fifty years psychiatry has drawn man's psychic portrait across the medical horizgn without a spiritual intellect or will, with-out a spiritual soul. For decades the brilliant analytic theories and therapeutic techniques, often investigated with scientific precision, have been built upon a false psychic substructure of practical mate-rialism and ihstinctive determinism. The emerging portrait tends to be a distorted caricature of human nature and psychic life as a mere mixture of matter and determined instinct. As a net result, psychia-trists are now left without adequate goals in life to point out to their patients. To interpret, to correct, to refashion psychiatry on the same old base has long been unsatisfactory. The present authors challenge the jaded materialistic framework at every turn ,and discard it com'- pletely. They have produced a first-rate psychiatry textbook that 326 BOOK REVIEWS turns a new medical page and builds the young ~cience of psychiatry entirely upon the time-tested framework of traditional scholastic psychology. This book is important for its psychological structure and its emphases. Perhaps more than any other psychiatry book today it emphasizes, with scientific precision, the spiritual intellect, will and soul; volitional freedom at the root of mental disorder; character formation based upon intellectual, and moral habits; and .the need of an adequate philosophy of life for true mental balance taken from both reason and revelation. Pervading the book with regard to etiology is the author's insistence upon the psychogenic or nonmaterial origin of mental disorders caused by a misuse of man's spiritual faculties. The high caliber and clear structure of Fundamental Ps~chiatr~ reminds one of Dr. Strecker's excellen~ book Fundamentals ot: Psgt-chiatr~ l. It has seven major sections, thirty-one chapters critically written and well-documented, sixty-five thorough case histories, and rich bibliographical material. Publishers and authors have designed a clear and highly readable book. It opens with intr6ductory con- ¯ cepts, the extent of mental disorders, and a picture of normal per-sonality. Five major sections treat of etiology, the clinical approach to psychiatry, psychoneuroses, psychoses, and borderlands of psy-chiatry. The conclusion is devoted to psychiatry, philosophy, and religion. The growing importance of psychiatry makes thi~ an important and valuable book for Catholic hospitals, doctors, nurses, and coun-selors, and for those engaged .in educational and sociological 'work involving modern psychiatric pkinciples.--CHARLES NASH, S.J. MOST REVEREND ANTHONY 3. SC~HULER, S.J.,D.D.,FIRST BISHOP OF I:L PASO, AND SOME CIATHOLIC~ ACTIVITIES IN THE DIOC~ESE BETWEEN 1915-1942. By Sls~'er M. Lilliana Owens, S.L., Ph.D. Pp. xxiv -J- 584. Revls÷a Clatolica Press, El Paso, 1953. $3.50. This labor of love but also a heavily documented work intro-duces us into the career of another "first l~ishop" in the United States coming from the Society of Jesus. When the diocese of El Paso was erected in 1915, the second choice for this new See was the pastor of ¯ a church in Denver, Colorado. He had seen the southwest in earlier days and knew something of the complicated and almost insoluble problems that would have to be faced. But obedience imposed the task; with confidence in God's help the new bishop put his shoulder BOOK REVIEWS Review for Reliytotts to the task. For more than a quarter of a century he carried on, then handed over a well-established organization to his successor. Less than two years later death carried his soul before his Maker. The volume is prgfusely illustrated and well printed. Six ap-pendixes add materials to those cited in the course of the narrative. Thirty pages.of bibliography give a riotion of the industry that went into the preparation of this work. There is a carefullY-madE index. In the treatment the author in the main f~llows the topical meth-od, giving for each theme the background and carrying it through the whole period of the episcopate. ]3ecause of this we do not get a very clear picture of the growth of the diocese as a whole. In giving the background more is at times given than is needed for the purpose intended. Fo~ the most part the ]3ishop appears before us, not so much initiating projects of his own, but as discreetly promoting and supporting movements set afoot by others and at times making them his own and thus leading'them to a happy solution. In his administration Bishop Schuler faced unique problems with which he had to deal prudently. Such were the bilingual popula-tion in the diocese, its location in t~ro states, the onrush of exiles due to the persecution in Mexico, the dire poverty of a large portion of the faithful, the shortage of priests and of priestly vocations. Some of these themes are treated with some completeness while others are merely touched upon--the title gives warning that the work. is not meant to be exhaustive.--AUGUSTIN C. WAND, S.J. I WANT TO SEE GOD. A Pra~:fical Synthesis of C:armellfe Splritualify. By P. Marle-Eug~ne, O.C~.D. Translated by Sister M. Verda C~lare, C:.S.C:. Pp. xxli -I- $49. F~des Publishers Association, .C:hicag~ .10, 19S3. $S.7S. This is the first of a two-volume work. The. second is to be en-titled, 1"Am a Daughter of the Church. ¯ Their grew out of a series of .conferences on the Carmelite theory and practice of prayer. St. Teresa of Avila, rather than St. John of the Cross, was chosen as the proxi-mate "guide." Of St. Teresa's writings The lnterior Castle, with its seven "mansioias," was taken as basic and typical and it provides .the plan for this exposition. St. John's doctrine is introduced here and there as a confirmation or completion of St. Teresa's, not as something that. is continuous a'nd unified in itself. Very often fu'r-ther confirmation or illustration is sought from St. Th~r~se of Li-sieux. The work as a whole has five principal parts, three of them being 328 November, 1953 BOOK NOTICES in this volume. The first part is called "Perspectives" and serves as a general introduction. "The First Stages" deals with the matter treated in St. Teresa's first three mansions. Therefore it is ascetical. Next follows "Mystica~ Li~e and Contemplation." In this section-- nearly half of volume .one--there is much that one would hardly ¯ think of in simpl~¢ reading the works of St. Teresa or St. John; for example, ch~apter two on the "The Gifts of the Holy Spirit." The two principal parts reserved for the second volun~e are "To Union of Will" and "Holiness for the Church." On the value of this study as a satisfactory synthesis of Carmelite spiritual teaching we' had better let the Carmelites themselves pro-nounce. Besides it would be premature to judge it before the second and much the more important volume appears. --AUGUSTINE G. ELLARD, S.J. BOOK NOTICES Highly recommended is THE NEW EUCHARIS:FIC LEGISLATION, by John C. Ford, S.J. This book contains the original Latin texts of the Christus Dominus and the Instruction of the Holy Office, an English translation of these texts, a stimulating and enlightening commentary on the documents, and some brief summaries that should be very useful for confessors, religion teachers, catechism teachers, and parish priests. (New York: P. J. Kenedy U Sons, 1953. Pp. vii -t- 130. $1.50.) Little less than fascinatir~g is .the story of Louis Brisson as told by Katherine Burton in So MUCH So SOON. Carthusiafi-minded himself, this man founded schools for boys and clubs for girls, and the Oblate Fathers and Sisters of St. Francis de Sales to conduct them. Of rare scientific genius, he planned his own buildings and invented various things to keep his foundations operating efficiently. With profound trust in Providence, he quietly saw most of his great works swept a
Issue 12.2 of the Review for Religious, 1953. ; The .Summa, t:or $is :ers Sister Mary Jude, O.P. EVERY good religious longs to perfect herself1 in the technique of that most divine of occupations--the salvation of souls. To that end vacations are sacrificed for "higher studies," precious holidays are spent attending workshops and teachers' meetings, and "free" time is consumed directing co-curricular activities. In this never-ending process the simple religious, as~well as superiors, super-visors, and superintendents may wonder whether they are not losing their perspective, whether the tail is 'not' wagging the dog. Those in authority repeatedly warn the Sister about the "danger" of studies, until she is given the impression that learning is some kind of neces-sary evil, and a uniyersity, an unavoidable occasion of sin. .Although no good religious has entered the convent with the idea of becoming merely a high-powered schoolteacher (or nurse of social worker), by the end of her first year of teaching she finds her-self involved in a complex system of aims and methods, classroom' management and educational devices. If she has time to think, she wonderswhere it all fits in with her longing to, be absorbed in Jesus Christ. The "points" at meditation, the spiritual reading books in the community bookcase, and conferences and retreats are lavish with warnings of all kinds. Sister ~an never say she has not been told the r'ight thing to do, but has anyone ever taught her how? , She marvels afresh at the insight of Pope Pius XII in his Holy Year message to religious: "To harmonize your~exterior work with your spiritual life and to establish a proper balance between the two." The Holy Father knows exactly how she feels. How is this to be accomplished? Sister must teach English and history this year (next year it may be typing and music) the while she longs to make her pupils understand, "If thou didst know the gift of God. the height and deptl'J of Christ's love, the riches of the glory of His in-heritance in the saints." Instead Sister must drill on the rules for capitalization and ex-pound the Monroe Doctrine. In some high schools priests have taken over the teaching of religion. Realizing the importance of training leaders in the secular branches of learning a.ccording t6 Catholic prin- 1The article is. directly concerned with teaching Sisters. But what is said applies equally to teaching Brothers. as well as to religious engaged in social work, nursing, ~7 SISTER MARY JUDE Re~ieu~ [or Religlous ciples, Sister attempts to assimilafe and o~ientate the subject and the child Godward., She suspects that Father bas been given the easier task--that of teaching'religion as religion. Community officials, becoming apprehensive at stories of .Sisters who have lost their vocations or become worldly-minded in pursuit ~f degrees, frequently react by reducirig to a minimum the number of " Sisters engaged in graduate studies, if this reT, ults in a loss of educa-tional standards to their community, many mistresses of studies con-elude that this is the price that must be paid for maintaining the ligious spirit. Unhappily they can neither foresee nor measure in their lifetime the intellectual stagnation effected by this policy. If the senior memb,,er~ .of the congregation remember their own more leisurely days, when summertime meant rest and relaxation: when daily preparation did not include the breadth of background iequired today; when children came to school with respect for au-thority already inculcated at home; when even the lengthier noon period with no police duty allowed sufficient time for slackening emotional tensions and regaining spiritual tranquility; if these thirsts are remembered, they are never brought up in accounts of "the good old days." With higher studies made the privilege of a chosen f~w instead of the constitutional obligation of all, superiors become fearful lest the ~ubjects singled out grow proud. They reason that it is the fault of " the studies if Sisters so favored become complacent. Meanwhile, Sis-ters, being human, continue to substitute emotionalism for true piety and to confuse devotion with devotions. Honor to the Mother of God is frequently a medley of classroom'May-altars and Sodality "activities" fondly imagined to be Catholic Action. On th~ Blessed Virgin's fulness of grace or her other prerogatives they do not expa-tiate much, because they do not know too much about Mariology. Sisters wonder why their students do not turn-out better, why so little that is taught in religion class carries over to daily life. When promising'pupils marry outside the Church or disgrace their faith by misdeeds in public life or in the underworld, their former teachers are bewildered. Have they not done all they can? Have they? Does even Sister's prize pupil know how precious grace really is? Does Sister herself have a proper appreclatlon of what it means to be a member of the Mystical Body of Christ? Has she ever put across to her pupils the beauties of a baptized soul strengthened by. confirma-tion, purified by penance, perfected by the Holy Eucharist, and Mar~h, 1953 .'i SUMMA FOR SISTERS adorned by the gifts of the Holy Spirit? If sl~ has, then Johnny will seek h married partner who will aid in his slSiritual development and will not establish his marriage merely oh emotional grounds. How can Sister teach these things, if she has never been taught them'herself? She has tried to teach children to develop will power, but how well has she emphasized the role of grace in r~sisting temp-tation? How many of her charges know that the grace, of God is theirs for the asking? Or instead have they been. thoroughly indoc-trinated with the idea that the'Jr Guardian Angel is on their right side and the devil on their left? What do they know of the life of grace within themselves? How many children and adults confuse sensible consolation and devotion? lk~ost,Catbolics think that priests and Sisters live in a semi-ecstatic state in which prayer is a series of thrills. They are. consequently, the more horrified when they discoverthat Father and Sister are human. Sister,is such a good teacher that she can mak~ even world history the most gripping subject in the curriculum. She can fiave her pupi_Is laughing merrily at the nineteenth century theory of spontaneous generation.of life. Do any of them know that it is a greater thing for God to raise a soul from mortal sin than to breathe life into a corpse? How different would be her pupils' attitude on leaving the confessional if they believed that they could no more restore grace to their own souls than bring themselves back to life.?_. They are taught to make an act of thanksgiving after confession. Have they ever been "given reasons for awe and wonder at God's mercy in the sacrament of penance? All the dislocations and chaos of the past years have had tre-mendous impact in the classroom. To analyze their cause is not our purpose here. The Korean War and television .are but ancillary to the mental dissipatio.n which teachers must combat. The young peo-ple of today are the offspring of the "Fla'ming Youth" generation .of the 1920's. Greater and " heavier tasks are being placed upon the school. Even so delicate and personal a matter as sex instruction is shirked by parents. Respect for authority is not only not inculc'ated at home; but it is denied to the teache.r,by mother and father.' , Like St. Thomas Aquinas the Sister must accept people as they are. A religious cannot right every wrong in the world, much as she would like to. She must start with that portion of the Lord's vine-yard which the will of God has assigned to her. She does no.t con, clude that the soil is bad becatise she finds weeds thriving in it. Be- SISTER MARY JUDE Re~iew for Religious cause there is so much to be overcome Sister must be equipped with a knowledge of sacred science before she can start to put things in di-vine order. Because the problem is of such complexity, Sister must first see things as God sees them. This wisdom can come from a study of the Summa Theologica. Time was when those entrusted with forming educational poli-cies of communities would have ridiculed the idea of theology for Sisters. Today, however, with the movement of theology for the laity sweeping the country as it has in the last fifteen, years, with* the butcher, the baker, and the candlestickmaker enthusiastically ~d[scus-sing their ultimate end and distinguishing between the moral and in-tellectual virtues at study ,clubs, no excuse is needed for a study of divine trtith by those whose life is dedicated to God by public pro-fession. No longer do people consider the study of theology a pre-requisite only for those who hear confessions. I~ she is going to God-center the'life of her students, a Sister must know. the science of God. "This is eternal life : That they may know thee. the only true God, and Jes~s Christ, whom thou hast sent" (John, 17:3). In order to convince her pupils of the very purpose of their existence she must first develop within herself a reasoned conviction and understanding of the great mysteries of faith. She must learn to distinguish emotionalism from true love of God, and yet evaluate the place of the emotions in the spiritual life. To meet ,the intellectual needs of th~ mid-twentieth centt~ry a scientific knowledge of God is needed. Unless Sister herself believes that "the least knowledge of divine things is greater than hny amount of knowledge about material, things," she will lose ground. Anyone who puts a degree in chemistry, or language, credits in litera-ture or education before a deeper knowledge, of God cannot be suc-cessful in connecting the life of the day and the life of God within the human soul. She is laboring "for the roost thaf perishes," and not for "that which endureth unto everlhsting life." Teaching, according to Saint Augustine, is the highest form of charity. For the religious teacher, then, the study and quest of wis-dom for the development of her vocation is absolutely necessary. Study undertaken for love of God increases her sanctity. The holier she, becomes, the greater is herdesire for a kngwledge of truth. Be-cause in the convent cemetery there lie the remains of Sisters who achieved sanctity without the study of theology, it does not follow that Sister Anno Domini does not need theology. To those who had 60 March, 1953 SUMMA FOR SISTERS not the opportunity for the study of theolo~gy God undoubtedly supplied. He fits each one with the grace needed for the task He wishes her to do. Theology was not ava~labie for those Sisters, nor had they the same problems to face that the Sister of 1953 has: St~ch an excuse will not hold today. The separation of study from. prayer is not a new problem. But the brilliant patron of Catholic schools has left a method by which study can be employed to direct the interior life to God. St. Thomas Aquinas in his Summa Theologica has synthesized the whole rela-tionship 'between God and man in the most perfect harmony. Courses in the Summa Theologica have been opened for Sisters at various centers. Seven of these summer schools'stem from the one at Provi-dence College, Providence, Rhode Island, where the" Summa is stud-ied article by article in courses specially adapted to religious women. Other schools use Father Walter Farrell's Companion to the Summa as a text and the great classic itself as a reference. In accord with the spirit of Saint Thomas and in fulfillment of the spirit of the Do-minican Order the spiritual formation of the religious teachers at-tending Providence College transcends the intellectual. Otherwise the real purpose of the stud~ of theology would be subverted. There is not a mother gener~l anywhere who would grope for an answer if asked whether she would rather gend but in September good religious or good teachers. However~ the study of theology on a graduate level, although enthusiastically endorsed by all the Sisters who have t~iken the courses, is not yet as widespread as it should be. Many consider other educational requirements more pressing. That these members of rel.igious communities may eat their cake and have it too--with icing--Providence College also offers a course in the Summa and additional intensive study of special questions with a master's degree in religious education upon its completion. Theology is the antidote for those who fear that higher studies will~make the Sisters proud, just as it is the preventative for worldli-ness in secular subjects. No one who has learned the Catholic teaching on grace: thai it is "God Who moves in you both to will and to accomplish;" that you cannot even want to be good unless God gik, es you the grace bf that holy desire; no one who has learned the glories of the gifts and fruits in- the soul can find it in her heart to be proud. A man must walk to God by steps of the will, but the mind must tell him tb Whom beis walking and what road he should take. 61 SISTER MARY JUDE Review [or Religious The mind was created for truth, the' will for good. To know the truth and to choose the good a man must have grace. "Not that we are sufficient to think anything of ourselves, as of ourselves: but our sufficiency is from God" (II Cor. 3:5). Humility, St. Thomas teaches, is truth. A distinctive phenomenon of the "active" orders today is the !number of religious seeking to change to a p'urely~contemplative life. Although their final profession is far enough behind them that they should have arrived at some proficiency in the delicate balance between praye.r and work, they now seek to transfer to a cloister. While God. for His own reasons may thus call a Sister, such a voca-tion is unusual. Eor every Sister who makes such a change there are many who for a variety,of reasons never effect the transit. They ar-dehtly desire this transit because they, presume it will bring closer union with God. The Sister who would exchange classroom or hos-pital corridor for cloister, has not yet been brought to a realization of the fulness of her vocation. She is willing to settle for less than th~ overflow of contemplation which needs to find an outlet in lifting her neighbor to God. The author of the.Summa, a high-octane teacher if ever there was one, could, without diminishing any of the power of his spiritual life, give himself to the service of his neighbor, for his compass was ever pointed toward truth. Thomas of Aquin had a list of accom-plishments no superior would dare .assign one person today. He t~ught school, preached, wrote something like 36 volumes, carried on an enormous corresponder~ce, traveled back and forth a~ross Eu- ¯ rope on foot several times and was at every'one's beck'and call. The: religious who resents teachers' meetings which take 'up her valuable time can recall the Angelic Doctor laying down fiiS pen in the middle of an article ("Just when I 'got a good start!") when summoned by the Pope to a General Council. To 'the man who was to become the Patron of C;itholic Schools, action and contemplation were inter- 'woven, interdependent. "Goodness diffuses itself," St. Thomas wrote, and the religious woman who has enough spirituality~will externalize her love of God no matter what she is teaching, which--if her congregation runs true to form--will be something outside her "teaching field." If a Sis-ter's community'has been progressive enough to send her to on.e of 'the summer schools of sacred theology for religious women, she has a lever which can move the dead weight of secula.rism considered l~y 62 , March, 1953 SUMMA FOR SISTERS the Bishops of the United States as l~he number one problem. Be she art or music instructor, baby teacher or cbllege professor, she needs the lever of theology. With ,Thomistic thoroughness and spiritual benefit both to herself and her pu.pils the religious who has met and mastered the order and harmony of the Summa Theologica can fit the most important thing~ in life intb her curriculum. Observant of the world's needs but not preoccupied by them, a Sister who has studied theology can immerse herself in algebra and chemistry without fear of losing the sense of the presence of God. In Him she will live and move and have h~r convent and school life. She will share with her pupils the fruit~ of her contemplation, be it in her presentation, of invertebrates or by .means of geometry theorems worked out in units and lesson plans. After a study of the Summa Sister reaches her peak performance. She can teach about God through, every medium because she has first learned to know God herself. Thrilled as by high altitudes, Sister has become acquainted with the science of God, has learned what~aan is, has studied the~ principles of human acts in relation to God. She has an appreciation" of the role of grace in the soul and has studied the life of Him who is the Way, the Truth, and the Life. Now that she has analyzed the means utkl-ized by the perfect Teacher, the Divine~Physician, the Greatest of all social workers--the means He has ordered for her and her pupils to share His life--now that she. ha~ this equipment, she can gear every moment of her day to the perfect love of God. A survey of Sisters with graduate training in secular subjects will reveal that few have used more than a small p6rtion of the knowl-edge acqutred in Home Economics or Art or Latin at a university. The training in research, the materials, bibliography, the mental con-centration, the technique of organizing knowledge all are invalu-able. These, however, could be acquired and better orientated after a mastery of the queen of the sciences. If Sister has studied only the first twenty-s, ix questions 6f Prima Pars which treat of the nature and attributes of God, hers is a breadth of vision so vast as to leave her untroubled by all the petty things which disturb conventual peac~ of soul. Placed beside the majesty, t~e b~auty, the simplicity of God; what are the annoying manner-isms of Sister Alpha, the inconsiderateness of Sister Beta, the impru-dence of Sister Ghmma ? As~o.the.Holy Eucharist is the great, divinely-ordered means ~f 63 SISTER MARY JUDE transforming.the human soul into the likeness of Christ, so theology lifts convent life above the narrowest of confines, the most ov'~r- ~rowded horarium, the most pQorly systema'tized routine. From the study of the first part of the Summa Sister learns how great God and from the third part of the same work how much He loves her. No spiritual reading book can grip her soul with the irrefutable logii: of Saint Thomas Aquinas. Once these truths have become part of her life, what difference does it make if Sister Delta leaves most of the work for her, or if Sister Epsilon is congenitally unable to mind her own business? No unctuous sermon whose .resultant glow will be chilled by the first reprimand of a superior can fill her with the peace and joy which a knowledge ~f sacred doctrine brings. Theoiogy is thus definitel); needed by all members of our educa-tional system. There is not a Sister in the Catholic Church who feels :satisfied with the results of her teaching. "Ask Father in confession," ¯ will no longer sufficb. Problems brought to Sister by pupils and ex- ¯ pupils by parents and friends should ordinarily be solved by her. .All too frequently.' those turned away will lose their nerve long be-fore they reach the confessional. Many, many people have never :asked a question in confession in all their lives. They would not know at what part of the confession to interject their request for in- .formation. Besides, they feel th.at, knowing SiSter's sympathy and good sense, they would get an answer which would take into tic-count all the circumstances peculiar to their own situation all of which would call for an autobiography in the confessional. As for asking Father outside--oh, no, he's too busy--even though Father, like Sister, is eager to help them. Moreover, there is small danger that Sister is presuming to answer questions and pass judgment in matters requiring.a trained physician Of souls. One of the biggest and surest and most lasting lessons Sis-ter carries away from her study of the Summa is how mu~h she doesn't know! And as she packs a trunk bulging with all the "teaching materials" Sisters tend to accumulate, she doesn't wonder anymore if the v~orld is sneaking up on her, for if she could, she would fill her arms with the world that she might 'give it all back to Christ. IEDITORS' NOTE: Although we would not entirely agree with some points in tml arti_cle, we believe that it calls for careful consideration and perhap~ for some a~o~- sion. Communications on any of the points, pro or con. woUld be welcome.; 64 The blidden Life Michael Lapierre, S.J. T lif~ HE of Our Lord falls into two distinct parts--the hidden life and the active life. The one is predominantly a life o~ .~ prayer, the other predominantly a life of activi.ty. The one comprises a period of thirty years, the other a period of only three. Tile life 'of Mary His Mother'and of His Foster-Father St. Joseph. was, moreover, scarcely ever in the public eye. As .a root supports and steadies the stalk and flower, so they supported and prepared, their Son for His future ministry. So in the hidden life of prayer, penance, and silence led by many in the world today whether in or out of religious orders and congregations, whether with or without vows, we find the root fixed in the good ground by the bank of living waters. This root supports and helps to energize the vast apostolic enterprise of the Church of Christ in the vast chaos called ~ the modern world. It may seem strange, in an age when there seems so much need of active work in the Church and outside of it, that the Church leaves. thedoors of.her monasteries sealed up, does not send a trumpet call to her monks and nuns to rise from their benches of prayer, to doff the robe of elected silence, to step forth from'the monastery wall and cry forth, like the Baptist, the words of light, of life, and of salva-tion. It may seem strange that the Church chose a contemplative as a patron for that most active 0f her activities. For over her intense as well as.extensive mission activity the ChurCh has placed the Car-melite contemplative, St. Thir~se, the Little Flower. And it makes us re~flect a little too when we read of Plus XI singling out a monastery of Trappist monks in the vast mission field.of China for special praise ¯ and commendation. "What can these do in the mission field?" we are tempted to ask. Missioners must instruct, preach, baptize, con-firm, perform marriages,.absolve, be at the ready call of the sick and ¯ the infirm. And how can a monk do this! Yet it is not too strange after all, if we reflect for a few moments upon a few salient truths. Only let us not forget that we are speaking , now as men possessed of the precious treasure of the faith wherein so many things are made clear to us at which unaided reason might~ fumble and endlessly stumble. Yet it is not out of place to mention MIdHAEL LAPIERRE Ret~iew for Religious that¯ pagans in their higher moments did not fail to set abundant stress, upon thefimportance of contemplation. 3apart had her bonzes; China had her monks. , And whatever the motives and intentions of these religious d(votees were, nevertheless there was somewhere.in the depths of their minds, a realiz, ation, dim and distant perhaps, that the better part in the life of man was, after all, contemplation. We are all familiar with the episode .in the Old Testament where-in Abraham is asked by God to sacrifice his Isaac, his only bqgotten and beloved son. It ~vas a hard test of faith and God meant it to 'be so. Abr~ih'am bent his mind to the trial and prepared to carry out God's injunctiofi. But as he raised the sacrificial knife which was to spill:his son's blood upon the altar of holocaust, an angel stayed his hand, saying: "Lay not thy hand upon the boy, neither do thou any thing to him: now I know that thou fearest God, and hast not spared thy only begotten son for my sake'." "At once ~e see that God was pleased with Abraham's intention. And God blest Abraham because in the strength of. his faith'he had bent his mind to the ful-fillment of God's will, though it seemed to Contradict one 6f the promises a~lready made to him. We are not so familiar per.haps.with that passage in Psalm 49, ¯ where God so emphatically insists through the mouth of His P~alm- "ist that internal holiness must accompany external worship. Here i~ the passage--"Listen my people and I will speak, Israel; and.I Will bear witness.against thee: I afi~ God, thy God. Not for thy sacrifices do I chide thee, for thy burnt offerings are always before me. I will not take a, bullock f~om th3~ house, nor he-goats .from thy flocks: For all the wild aniinals of the forest.are mine, the thousands of beasts on my mountains. I know all the birds of the air, and what moves in the field is~known to me. If I were hungry I'would not tell you: for mine is the world and what'fills it. Shall I eat the flesh of bulls? or drink the blood of he-goats? Offer to God the sacri/ice of praise, and pay thy vows to the Most High. And call upon me in the day of trouble; I will deliver thee, and thou shalt glorify me." From this we gather then, that all our external activity, all our efforts ha~'e little or no ,value bdfore God, if our ~minds and hearts ire ,no't in harmony with Him, if we are not seeking him in all "our doings. - We recall too how Gabriel responded to Daniel the Prophet who with prolonged piayer-lnterceded for his people: "From. the ~begin- " ning of thy prayers the word came forth: and I am come to shew it to. thee,, because thou art a man of desires: therefore do thou mark 66 March, 1953 ., THE HIDDEN LIFE the word and understand the vision"~ (Dan. 9:22). Because he was a man of desires, a man of prayer, therefore a man with his mind turned towards God, Daniel's prayer is heard and God reveals him-self to him in pra~yer. Many, many tim~s we have heard repeated or have used ourselves the words of Our Lord to Martha concerning Mary Magdalene: -"Mary has chosen the better part which shall not be taken away from her." And to this saying of Our Lord we. may add another less familiar, spoken to His disciples who asked Him why they could not drive the devil out of the boy: "This kind goeth not out but. by prayer and fasting." All these instances show that God fin~Is as much'delight if not more in the 'supreme effort of man to keep his thoughts subject to God as He does in the supreme effort of man to plant the divine truth in other souls. When we bow before the Will of God. when we strive to extend our mind into God's breadth of view, when we b~nd the whole energy of our being into praising, reverencing, and serving God then we are practicing the Apostolate of intention. All*men must practice this to some degree. For all rrien are by -nature reflective animals. They like to turn in upon.the truth ~hich they have discovered---if they are action-inclined, with a vie~- gen-erally to further action: if they are contemplation-inclined, for sheer love and'joy. The missioner and the contemplative each c~rries on a warfare for souls his own soul and the souls of others. While the missioner works in the macrocosm, we magi say that the contem-plative works in the microcosn~. The contemplative finds God in the' depths of his own thoughts, the missioner finds God in the souls for whom he is spending himself. The contemplative is constantly employed in tapping the source of supplies whence flows the grace of God; the missioner ,is directing this supply" to souls. In the redemptive plan of' God each has his activity, each his definite purpose. Nor are.these 6perations opposed to one" another, but rather they are complementary. In the words of St. Paul, "There ar~e diversities of graces, but the same Spi.rit; and there are diversities of ministries, but the same Lord: and there are diversities of opera-tions, but the same God, who worketh all in all" (I Cor. 12:4-.7). Nevertheless because we are human clay equipped with senses easily and quickly captivated by creatures, perhaps 'because we are a fallen race filled .with the pride of life, caught by the glory of re-nown. haunted by the eclat of reputation, thrilled to be. in the public 67 MICHAEL LAPIERRE Ret~ieto for Religiot~s eye and to have our name trumpeted on the lips of men, we rush for-ward, or set high in our estimation the active phase of apostolic en-deavor: For when all is said and done, has not St. Paul received abundant glory through the ages for his ceaseless journeyings in the cause of Christianity? Think of St. FranCis of Assisi, the troubador "of God singing his way into the hearts of the sinners a'nd of the poor of the Middle Ages; think of St. Catherine being the counselor of kings and popes; St. Francis of Sales winning the stern Calvinists by his disarming evenness of temper and charming good humor; St. Philip Neri entrancing the stolid Romans by his laughter and even saintly jocularity; St. Teresaof Avila, a real Napoleon in her struggles for the reform of the Carmelites. There is a strong appeal in this active apostolate; an appeal enhanced by the passage of time and by the softening of the cross's painful outline in the blaze of .after-glory. "They are the heroes," we say. "How I would like a career like that," or "@hat's the'life for me." "If only we could set the world on fire as they did. If we could cast our lives in such a mould." The supreme success of it dazzles us indeed! Two Apostlesj bad the-same thought that we have had when they sat near Our Lord one day and brazenly asked Him, "Lord may we sit, the one on Thy right hand and the other on Thy left in Thy Kingdom? , And Our Lord replied, "Can you drink of the Chalice of which I shall drink?" As they, so we overlook or forget to see th~ pain and the penance~ paid for such renown. The.glory came only after the crown was. won. If we wish to be realistic we must concentrate on the prelude to alFthis glory. We should see St. Paul, ','preaching not ourselves, but Jesus Christ' Our Lord; . . . in all things suffering tribulation,-but not distressed; straitened but not destitute; persecuted but not forsaken; cast down but not pe~rishing: always.bearing about in our bod~, the mortification of Jesus, that the life Of Jesus may be made manifest in our bodies" (II Cot, 4:5, 8- 10). Hear him cry, "Let us exhibit ourselves as the ministers of God in much patience, in tribulation, in necessities, in distresses, in stripes~ in prisons, in seditions, in labors, in Watchings, in fa~tings, in chastity, in knowledge, in long-suffering, in sweetness, in the Hol~ "Ghost, in charity unfeigned, in the wo~d of truth., as dying, :and behold we live; as chastised, and not killed; as sorrowful, yet always ¯ rejoicing; as n~edyl yet enriching many; as having nothing: yet pgs-sessing all things" (II Cot. 6:4-10). We should hear him say, "God forbid that I should glory save in the cross of Our Lord Jesus Christ 68 March. 1953 THE HIDDEN LIFE by Whom theworld is dead to me and I to the world." We should picture to ourselves St. Francis of Assisi contem-plating and praying to God on the lonely and solitary slopes of Mount Alvernia: St. Catherine drawn' from h~r loving contempla-tion of her °Saviour into the world of turmoil and dissension: St. Francis of Sales pouring out'his soul in prayer to God: St. Philip Neri as the "Hermit of the Streets" whose "little room l~ad a bed in it but that was not always used. Many nights Philip stayed,,up praying or wandering in the Campagna. When he did sleep it was as like as not on the floor. He hung what few clothes he had on a cord stretched from wall to wall." (T~ Maynard. M~cstics in Mot-le~ . page 25.) These are a few indications of the lives of prayer and penance led by men and women whom we know to have been extremely active in the work of spreading God's Kingdom on earth~ Their days and hours of contemplation are concealed beneath the radiance of their active lif~. But just as the sun's rays blind us to the sun, so the glory of these saints' public l~fe shields from us the depth and the richness of their hidden life. And yet, as' ~ith the sun, so with them the brilliance of their renown takes its splendors from the ~ullness Of their prayerful nights and silent days wherein the energy of their souls and bodies spent itself upon God and upon His truth. With their whole souls they sought God: and loving Him with all the fire of their whole being enriched by grace, they loved other men and all things in this one all-consuming love. They set in order and tried to keep aright, the creatures in the little world of self before and even wh~le venturing among the creatures of the larger world of God's creation. In all they strove for God--in everything they sought to live the morning offering made to the Sacred Heart. ' This was-the, hidden life behind, shall we say, the feverish activity: this was the wellspring that on no account they allowed to run dry. If in the earthly life of Jesus we find such a startling proportion between the 'years spent amid the hills of Nazareth and years spent on the stage of public life; if ia the lives of the saints we find the sami~ preponderating inclination to slip into prayer, penance, and seclusion, surely we have a truth to learn and a lesson to practice in imitating Him and His chosen souls. The Church, the Body. of Christ, has caught this lesson; there-fore she cherishes with a jealous love and guards with zealous ca~e those of her members°taking Nazareth for their ideal and the prayer-z 69 MICHAEL LAPIERRE ful life of Mary and Joseph. f6r their model. Fbr she is quite aware that they carry on a very vital, though, unseen activity, just as Mary and Joseph performed a very important task in ~uarding, feeding; cI~thing, and teaching the Son of God. For they, walking in the footsteps of Joseph and Mary, guard, feed. c'l~)the, and'enrich today the Mystical Body of Christ. As consecrated workers of Jesus Christ. we need their intercession and support. Furthermore we need to strengthen the life of grace and of union with God ~n our own souls. If we have, a realization of the value of the Hidden Life we shall go ab6ut this with a wil!. To the degree to which we have formed in ourselves a knowledge and a love of J~sus Christ. to that degree even in the midst of the heaviest .and the most annoying work we shall find our minds and our hearts stealing back to taste and to relish the sweetness of the Lord. To Him our desires will fly as to a'harbor and a refuge; for Him our. whole soul will yearn: 'Who will give me wings like a dove and will fly and be at rest." "I have sought him whom my soul loveth . I have found him and I. will not let him go." "I have loved O lord the beauty ofThy house and the place Where Thy glory dwelleth." "How lovely are Thy tabernacles O Lord of hosts! My soul longeth and fain,teth for the courts of the Lord." It is the v,r-" rues of the Hidden Life that we must sow'and make to take root and flourish in. our souls. The better we succeed in this planting the more contemplative our lives will become. And the ,more contem-plative our lives become the.deeber and richer will be our knowledge of God and of His. love. The deeper and richer our knowledge and love of God becomes, the fuller and livelier becomes our Apostolate of Intention. For then we shall move about our daily tasks, then we. shall face our duties, then we shall ac'cept the disaplSointments of each day, then we shall welcome the joys of our pilgrimage, With one thought, with all the ene.rgies of body and soul, senses~and mind concentrated on one object, ,the seeking and the serving of God in each and everything that we think and say and do. For, "Many Waters cahnot quench charity, neither can the fl.oods.drown ,it. If a man sh6uld give all" the substance of his house for love he shall despise it as nothing." ' ' PROCEEDINGS: SISTERS' SECTIONOF CO'NGRESS Religious Comrnunitg Life in the United States. The Proceedings of the Sis-ters' Section of the First National Cgngress. Of Rel!gioUs' of .the United States, which was.held at Notr, e Dame, Indiana, last August, can now; be obtained from the Pau!- ist Press, 411 W. 59tbSt., Ne~, Ysrk 19, New York. $2.50. 70 I:::at:her bler!:ling on I nt:usefl Cont:empla!:ion Jerome Breunig. S'.J. 44~UT do not think you are mystics just because you have read ~ Garrigou-Lagrange's Three Ages of the Spiritual Life," said the rector of a major seminary who had been urging all to buy and read the book. The laudable prOmotion of books on the :mystical life often produces two very different reactions. Some are inclined to make too little of the possibility or desirability of mysti-cal graces, while others tend to be enthusiastically over-optimistic and. after some quickl.y digested reading, imagine they are in the "fifth mansion" as soon as they experience a few moments of serene prayer. In his manual, Theologica Ascetica. Louis Hertling, S.3., presents the basic, element.ary facts of mysticism b¥iefly and concisely, and in a way that 'inculcates respect in those iiaclined to be cynical or slighting and prudent reserve in those who would seem to expect to attain to infused contemplation in ten easy lessons. Father Hertling taught a course in ascetical theology at the Uni-versity, of Innsbruck and later at the Gregorian and Athenaeum Pon-tifical Universities in Rome. He first published his lectures in 1930 under the title, Lehrbuch clef Ascetischen Theologie. His lectures in Rome were published in 1947 by the Gregorian University Press as Theologia Ascetica. The present a'rticle is drawn from the section in the latter which treats of the way of the perfect, numbers 327-367. It does not attempt to reproduce the entire content but rather some of the more practical directives found in the treatise. Father Hertling's ideas about the theoretical problems of mysticism, the essential nature of it, and so on, are not accepted by many other theologians, but still ~they are well worthy of consideration and respect. His practical directions seem. very sensible and excellent. A mystic is defined as one who has infused contemplation, and infused contemplation as a perception of God orof the mysteries of faith wbii:h is beyond human powers. This perdeption is not miracu-lous as the vision the shepherds in Bethlehem-received, as bearing a voice from heaven, or as a prophet's infused knowledge.of, future events:~:. It is not necessarily altogetbe~ new knowledge, bur"it is a new way of knowing as the beatific vision is a new way of knowing. 71 JEROME BREUNIG Revieu.~ for Religious In fact, infused contemplation is in. the same order as beatific knowl-edge, but it lacks the clarity, extension, and permanence of the oter-hal vision. In the natural order, some of our knowledge is proper, some analogotis. We have proper knowledge of what we perceive through our senses. Of spiritual, suprasensible, and supernatural reality, such as, of God and of the, mysteries of faith, we can have only analogous knowledge naturally. But' supernaturally, through the mystical grace of infused contemplation, the favored soul receives more than that: it receives a proper, that is, a sort of immediate, experimental knowledge of the things of God. The definition 'of infused con-templation can therefore be stated: an experimental or at least quasi-experimental perception of God and of the divine mystdries. In simpler language, the mystic might be said to "sense," "touch," "experience" God. In the beatific vision we shall see God face to face, we shall know God as we are known by Him. This description by St. Paul (I Cot. 13) is magnificent and clear, but he does not explain how the finite mind attains the infinite. Theologians have proposed theories, .but all agree that the beatific vision is a~mystery in the strict sense of the word. Infused contemplation presents a somewhat parallel case. A mystic is said to "experience" God, and theologians propose theories to explain this divine experience. Such investigation is challenging and serves to increase the awe of the searcher before the grandeur of the divine, but it does little to unveil the mystery of the divine opera-tion. Father Hertling merely mentions a few of the theories and then quotes from his former colleagi~e at the Gregorian University, the late 3oseph de Guibert, S.3. "Many place the essence of infused contemplation in the soul's becoming directly and immediately con-scious of the supernatural gifts which it has received from God, and in these gifts attaining God Himself and through them His presence and action in themselves. There is no immediate intuition of God but an intuition in ~ mirror, in some objective medium . Nor must it be thought that the object of contemplation is not God Him-self but only his gifts. For these gifts are not only a mirror or medium in which the soul attains God, not by a dialectic process or reasoning, but intuitively, as when I see an object in a mirror, my attention does not stop with the mirror but is wholly taken, with the object that is seen in the mirror." (Theologia Spiritualis Ascetica et Mgstica, 399,401.) 72 March, 1953 I N FUS ED CONTEMPLATII21~I Some Questions Is the grace of infused contemplation ordinary or extraordinary, relatively rare or frequent? Do all have a vocation to it or only a few? Is infused contemplation the normal goal and crown of the spiritual life or not? There is a difference of opinion among theo-logians on these questions. In general, Father Hertling's position is. that ~he grace of infused contemplation is extraordinary and rela-tively rare, that not all are called, and that it is not the crown and 'goal of the spiritual life. He is careful, however, to make proper distinctions on each qiiestion. ~ Is the grace of contemplation extraordinary? It is if understood simply as not customary. But it is not in the sense that it' would be rash to wish it for oneself, to pray to,receive such a grace, to prepare dispositions as occasion offers, as it ,would be imprudent to seek visions or the gifts of miracles. Is it relatively rare? Those who deny that contemplation is rela-tively rare say that all who are in the state of grace possess it because it is the specific effect of the gifts ,of t,he Holy Ghost, which are in-fused with sanctifying grace. Sin~e it seems contrary to experience that all in grace have infused contemplation, those who hold this opinion say that the contemplation in the imperfect is still below consciousness, and, as perfection increa.ses, or as the soul is more and more freed from inordinate affections, the infused contemplation enters more and mo~e into consciousness. After agreeing that infused contemplation is an effect Of the gifts, or rather that it is a special gift of th~ Holy Spirit, the author gives this ~refutation. Infused contemplation is an act of the intellect or~ at least, it is to be considered in the category of actions and not of qualities, or habits. Now, an unconscious act of the intellect, or an illumination of the mind that is not perceived, seems to be a contra-diction. For this reason, it seems more correct to say tl~at the.gifts infused at the time of justification place in the soul a remote disposi-tion to receive contemplation, but contemplation itself is had only when it enters into consciousness. It would not be necessary for the favored soul to know this rdflectively,, for he could have infused con-templation without knowinlg it was such, or knowing that it wa~s something that others did nbt have. The point is, if it is perceived I in no way~ it is not present.] Are all called to contemplation or only some? This. call can be compared to the call to perfection. There is a remote call for all, if 73 JEROME BREUNIG': ~ Review }'or Religious the reception of sanctifying grace with the ~ifts of the Holy Spirit is considered, sufficient for such a Vocatioh. The author denies a,proxi-mate vocation for all. God does not promise .this grace to. all ',who to-operate as well'as they can with the grace they receive, for God does. not lead all by" the same way, nor does He want to.' God can ~ompensate for the absence of infused contemplation by giving :othei: graces to. help ~i'man attain perfection. Of course, 7the man with in-~ 'fused contemplation will advance more easily and can more re~idily advance .higher on the w.ay of perfection. The not-unrelated question of whether infused contemplation the goal and crown of the spiritual life is answered in the same way. Perfection, or. the goal of the spiritual life, is judged l~y the heroic ~,irtue of a man rather t-ban by his method of prayer. As said above, o ] a, man can attain.perfection without co, nterflplation. Contempl.ation, then. is rather a very efficacious means to reach the goal than the goal .itself. On" the Value of Contemplation The author steers a: middle course between the two extremes found among spi~i.tual directors. On the conservative side arethe spiritual directors who fear infused contemplation in souls hndet ~heir direction, are always afraid of illusions, and try severely the sbuls who may show signs of" contemplative graces. On 'the ovef-enthusiastic side are those who woul~l urge a.nd persuade all novices and young religious that they al~eady have ~or may soon expect in-fused contemplation. These 'men are often deceived by the theories spoken of above, such as the universal call to contemlSlation. Even the theologians do not understand these theories as some dir~ectors would wish to apply them, In this way they~le.ad souls, a~'S~. The-resa says; to'intrude themselves into mystical paths where ihey carry on as fools. On the other hand, infused Fontemplation is not as rare as many b~lieve. The highbst levels are very rare but not the qesser grades which are still 'true mystical states. It would not be tOO much to expect tofind one Or 6ther true contemplative in a large~ religi.ous community, and this not only ~m0ng':'jubilarians. Norneed such religious'be parii~ularly conspicuousbr riecessari.ly revered a~ tibly by '~'11. When a spiritual director meets,such a soul, he need not be filled witl~ dismay. I~ is not too urlusual or da,ngerou~: 'Generally speaking, graces are not dangerous. Illusions appear when there is question~ of something other than contempI'ation itself, such as visions, revelations, supernatural commands.' Of such phenomena March, 1953 INFUSED CON:FEMPLATION Father.i-iertling says: "'I would not believe one in a hundred or even one in a thousand." It can happen that one believes he has infused contemplation when he only has affective prayer. But even this is not harmful if it has the effect of f6stering.,the practice of virtue. When the diredtor investigates too much in these matters, intro~- duces.special trials, and especially when he talks too much about them, he may not only disturb but even cause ,the person he is directing to form too high an opinion of himself. The effects of ihfused'contemplation are ve, ry powerful and most desirable, especially when they occur ~ frequently. Success in living a life of virtue depends on,holy thoroughly the Interior life is pene-trated with the truths of faith. A man will constantly practice heroic virtue 0nly when he is completely penetrated with the truths so they.hold sway in his heart and mind over all else. This interior state can be acquired with labor by ordinary means such as medita-' tion. but it can be attained more quickly and efficaciously with the help of thatspecial light sent from above. In" an ordinary-state, the truths of faith, known only analogously and not directly, have less psychological efficacy, and this must be renewed continually by un-ceasing laboi. In infused contemplation, a man acquires a qug~i-experimental knowledge of divine trutbs so that supernaturalrrib: tives have the same or even greater cogency than natural ones. There is real danger when a man leaves the ordinary way iore: maturely and on his own. thinking he already has contemplation when he does not have it. This happens especially when be assumes privileges. True mystics do not have ' privileges." Such a ofiehears that contemplatives find discursive rheditation difficult a-nd. in time. impossible, and mistakenly thinks be is a m)istic when. because"~'of sloth or lack of training, he finds no delight in mental 15~?ayer anal does not m~ike any progress. Infused contemplation is not attainiid by'leaving off meditation: thi? would rather cut short an~ hope whatever of acquiring it. Since even authentic mystics are not always illumined by contemplation,~ they must in the in~erveni'ng time return tirelessly to ordinary ways of prayer. Again, an immature ~eligious he~ars that contemplatives ~re under the direktion of the Holy Spirit, as though contemplation would act )is a spiritual director, and therefore thinks that he'can now act freely and without'the counsels of older me'n. These illu-sions and dangers do not rise from contemplation itself, but from the error of those who do not have it. It can be seen that out-of.'seasdri 75 ,JEROME BREUN[G admonitions that all are called and must tend to contemplation could do more harm than good. Conditions and Dispositions Since contemplation is a. gratuitous gift of. God, it is not easy to determine the conditions or dispositions that would be more favor-able to the reception of this grace. The best natural dispositions for infused contemplation would seem to be a clear mind, seriousness of purpose, and a simplicity or harmony of character. Contrary. dispo-sitions would be genius and a highly imaginative or emotional na-ture. Too much versatility and talkativeness would also seem to be hindrances. In general, mystics are not reformers, innovators who blaze new trails, or critics. A youthful exuberance would also seem unfavorable. A maturer age (after 40 or 50) and a more tranquil outlook are required. Ordinarily, mystics are men with few ideas, but these are sublime ones. Sometimes their writings tend to be monotonous, continually presenting the same round of thought in the same style. Universal spirits such as St. Bernard and St.Theresa of Avila are the exceptions rather than the type of the true mystics. The ~study of mystical theology, association with mystics, and reading their books does not help directly. It can help indirectly by stirring up. interest in the study of the things of the spirit. Infused contemplation is not "contagious." There is no such thing as a mystical movement in the Catholic Church. Collective mysticism is almost certainly a sign of false mysticism. The best deoeloped dispositions for infused contemplation are magnanimity, the spirit of sadrifice, separation from the wbrld, self-denial, and an intense application to prayer. Without the greatest' diligence in cultivating mental prayer, persevered in over the years, there is hardly any hope of attaining to contemplation. The need for chastity and mortification is clear from the examples of the saints. As it is the best way to sanctity, so the religious life provides the most suitable form of life for the cultivation of a life of prayer. Con-templativeorders are particularly.adapted to help their members at-tain this higher state of prayer. It is not going too far to see in a vo-cation to a contemplative order a proximate vocation to infused con-templation. Still, the membe~ of a contemplative order who does not have this conten~plation is not on that account a poor religious, for the purpose of the religious life is always Christian perfection, which can be had without contemplation. But even those who live an active life dedicated to works of charity for others can attain contempla-tion as is attested frequently in the lives of, missionaries. , Xavier t:he Missionary J. J. De~ney, S.J. ALTHOUGH more than ten years elapsed from the time Xavier landed in India on May 6, 1542, until his death on Decem-ber 3, 1552. less than four years and ten months.were spent in the Indian phase of his apostolate, and even this time was very much broken up by movements from one place to another. The field in which he v~orked longest was the Tamil-speaking sections along the Fishery Coast and the southern coast of Travancore, and even there his stays totalled less than two years and were spread over a coastline considerably more than a hundred miles long. Making liberal allowances we can admit that Xavier ma~ have spent seven-teen months in Goa, but these months were diyided over the whole ten years of his stay in the East, and much of the time here was spent in working with the Portuguese and in administrative work. The time Xavier spent in mgving from one part of India to another. usually by sea, certainly totalled up to many weeks and probably months. The remaining time~ includes stays in Cochin (at least seven different times). Quilon, Bassein, Negapatam, and Mylapore. We must remember too that Xavier's work in Goa and the coastal towns of the Por,tuguese was much different from that among~ the Tamils of the south. Yet in spite of such a sho'rt-lived and diversified apostolate Xavier was to become the "Apostle of the Indies," and to be known and revered as such throughout the world. Few saihts are better known and loved than Saint Francis Xavier. and no country is more closely associated with the name of Xavier than India. How did Xavier merit such a close association with India in these few years of work in our country? Since Xavier's most typical missionary work was in the South. we will first consider his work done there. ~ In late October'of the year 1542 Xavier arrived on the Fishery Coast as the ~only priest among twenty thousand recently baptized Paravas in desperate need of religious instruction and speaking a language which he did not know. He set to" work energetically: studying the language, in-structing the people, and baptizing their children. " In a country where the birth-rate is high and life-expectancy is J. J. DEENE¥ Review for Relioious low. we can easily imagine that the unbaptized children who had ~been born since.the priest was last present among .the Paravas num-bered at least four or five thousand, for it is not likely that the unin-stru. ci~d Paravas baptized their children. Besides this. Xavier bap-tized many,dying babies of pagan parents: in one letter he tells us that bebaptized over one thousand babies who died soon afterwards. Thes~ facts alone would explain Xavier's great preoccupation with baptisms, which is reflected in his letters. However. be also baptized great numbers o'f pagan adults, first of all on-the Fishery Coast whe're he tells us his arm often becfime tired from baptizing new converts to the faith: and finally in Travancore where he himself testifies that be baptized ten thousand in one mon(b among a people who 'bad never before been introduced to Christianity. ° ,It is true that Xavier did not requird a prolonged catechumenate prior to baptizing, and that his "'quick" .baptisms of~ pagan adults wot~ld surprise us of a more exacting age, but we must realize tile cir-cumstances in which Xavier worked. When be came to ~heFishery Coast be was confronted with the immense task of instructing twenty thousand new Christians. baptizing their ~hildren. and gaining new converts. Necessarily the instructions had to be on a limited scale. The people were uneducated and Xavier had to rely for the far greater part on formulas memoi?ized in probably defective Tamil. To bring new converts to the same low'level of instruction witb"tbe rest~would not take much time. Xavier just bad to keep working, trusting in God, begging for more helpers so that be could raise the level of all. old and new Christians. and at least he had the cgnsolation of knowing that those Who died had been baptized." could be fairly sure of the stability of his new converts. The oppor. tunism which had led the greater number of these people to the faith would be a-strong inducement for all of them to remain Christians. for this would be their surest guarantee of protection against the Muslims. Meanwhile Xavier would work hard to supernaturalize their motivation and deepen their religious knowledge and their life of grace. ~ The whole movement among the fishermen of Travancore is but an application, on a grand scale of the same attitudes. Xavier had a sudden'opening, an invitation from a grateful local king to enter his territory and work among the fishermen who lived a!ong the coast. Xavier seized the opportunity and went swiftly from village to village briefly instructing and baptizing the people before 78 XAVIER THE MISSIONARY, the moment would pas.s: alrea'dy he-had .some help,.on tl~e Fishery. Coast when this new opportunity presented itself, and'he was confi-dent that new recruits for the mission would soon arrive from. Europe. These would have to consolidate the work. A modern missionary would perhaps be more cautious, and even some of his fellow missionaries;held a stricter view. Surely-one element which we cannot, excliade'in Xavjer's case is the prompting of divine grace, and We ha.ve, nogreater proof of this than the, strong Catholic .faith which still exists among .these peoples. Xavier's work in Goa and the Portuguese ,centres" wa~ cast in a different.mould, but was no less taxing on his energies. The Goa of Xavier's day was far frbm being a model of strong, religious life. Many of the Portuguese were soldiers of fortune away from the. type of family life that might promote even a modicum of decency. For their own sake of course these souls were important to Xavier: more; over, he saw that unless the life of the Portuguese presented a favourable picture of Christianity,.~tbe Indians would havi~ no inter-est in it. So ~a large amount of Xavier'.s attention was given to the Portuguese, preaching to them, hearing, their confessions, visiting the sick and those in prison, using every means of personal contact by ¯ .which be thought he could bring individuals around to'a better way of living. But the Indians were in no way neglected, and Xavier frequently put-aside special time for them and considered it his° greatest glory when he could find time. to.be with their children. - In all these .activities Xavier followed a very exacting time schedule. We know from the eloquent testimonies of Xavier's contemporaries that his presence infused a renewed spirit into the city- of Goa. In all fields of his activity Xavier's form of apostolate was ~tarkly dire~t. He could not afford to spend his time .producinig plays or organizing boys' ball clubs; there was too much to be done. Rather he approached the people ~ immediately off a highl.y spiritual level. He, tried to imbue everyone he contacted with a sense ofthe importance of .the part they must play in the work of. the apostolate. He considered the children ideal co-apostles, and frequently mentions, working through tl~eir instrumentality. His-letters to the King of Portugal find to the'local officials are ferven,t pleas-that they may do all they can~ to eradicate the abuses which are such.a hindrance to the work, a~nd:that~they may render every positive help they can. In his" numerQus.letters to his fellow ,Jesuits working.in India he constantly guides, and ~ncourages them. and we. know, from the testimony of 79 d. d. DEENEY Review [or Religious these Jesuits that his personal contact was a source o~ great inspira-tion to all of them. Even the letters which Xavier sent back to his companions in Europe produced great good for the work of the mis-sion in India, for each new letter was dagerly sought and widely cir-culated in the Jesuit colleges, and they captured young imaginations and set generous hearts on fire. Thus besides what Xavier did him-self in ministering to the good of souls, he gave a tremendous impetus to the work in India by imparting to others some of the warmth of the flame that burned within him. ~ But isn't there a negative side of Xavier's work in India which we should .not overlook if our picture is to be complete? It is very likely that the modern missiologist would not always find~ in Xavier's life the best exemplar of present:day mission theory." We find in Xavier's life no serious attempt at a sympathetic approach to the cultural life of the India of his day, nor do we see signs of his taking those means of adapting his ways to the ways of the people such as would later prove so effective in De Nobili's apoitolate. Xavier occasionally met Brahmins, but from the start he brands them as being "as perverse and wicked a set as can anywhere be found," and when he had one long talk about Indian religion with a learned Brahmin, he considered the fruits of the ~discussion not worth recording. Xavier knew that Indian literature is largely con-tained in a "sacred language," but there is no indication that Xavier ever considered learning this language. The fact that he started to use the vernaculars immediately is surely a strong point in his favour, but we have indications in Xavier's letters that his knowledge of the vernaculars was quite limited. After a year and a half of the two years spent in the South where Tamil was spoken, Xavier wrote, "I am among these people without an interpreter. Antonio is sick at Man'apar, and Rodrigo and Antonio (a different one)'are my interpreters. Thus you can imagine the life I lead, and the sermons I give, since they do not understand me, nor do I understand them. And you can imagine my efforts to talk with these people!" (29 Aug. 1544). / Also as we read Xavier's letters we feel that he did not seem to realize the importance, or at least the feasibility, of influencing 'the lower classes of India through the~intelligentsia. His own apostolate was carried on almost entirely among people of lower class, which can be explained perhaps, but it is harder 'to explain the fact that in his letters to Europe he regularly minimized learning as a requisite 80 March. 19~ XAVIER THE MISSIONARY for. the new missionary to India. Moreover, not only did Xavier fail to take positive means to identify himself with the chhUral life 6f India, but on the contrary Xavier, as we see him in his letters, is thoroughly identi~fied with the Portuguese; he was in continuous torrespondence with King John III of Portugal, and with the local officials, and had constant recourse to the Portuguese for. financial, legislative, and even military aid, nor was he slow to let this be known. He also required that all the new missionaries who did not know Portuguese should learn it immedi-ately upon coming to India. These might be considered limitations in Xavier's approach, but we must remember the sphere of action in which Divine Providence set Xavier's efforts in India. Si'nce Xavier's apostolate was either among the usually extremely poor fishermen or else in cities within the sphere of Portuguese influence, it' is natural that his attitudes s~hould he largely fashioned' by these environments. In the South he was absorbed in work for a people who were in constant danger of attacks, and for the sake of his people he had to be in close harmony with the Portuguese. In-the coastal cities ~ontroIled by the Portu-guese he had no other choice. Portuguese power would intrude itself whether Xavier wanted it or not. Actually much of Xavier's inter-~ vention with the Portuguese authorities was exerted in order t6 keep the Portuguese from hindering his work. Also we must realize that Xavier lived at a time, when Church and State were still very closely linked together, for good and for evil, and that he was working in a sphere where the State was actually willing to do much to aid the spread of religion, so it is natural that he availed himself of this aid as much as he could. This can explain Xavier's failure to adapt his ways to a more typically Indian society. It explains his failure to. consider learning as a necessary requisite for the new missionary. The apostolate of the Fishery Coast and along the southern coasts of Travancore re-quired practical men of robust health and solid virtue; for'the sea-towns controlled by the Portuguese he required good preachers also, apparently mostly for the benefit of the Portuguese, who were, for tl~e greater part, not so'much"in need of priests who could explain the fine points of dogma, as of priests who could shock them out of their attachment to sin. This brief description of Xavier's works helps us understand something of the accomplishments of.Xavier, and also something of 81 SUMMER: SESSIONS Review [or Religious the limitationk in his techniques, but it does not show us positi3~ely the tremendous force which,was Xavier. This can be gotten only by a direct personal study of Xavier. the man. the saint. Happily it is a study to which we have often applied our minds and hearts. Xavier is above all a marl entirely dedicated to God and absorbed in the work of winning s'0uls to God's love and life. Every line of his letters breathes this whole-soul absorption: nothing else matters: there is never a thought of his co~fort nor of rest: always the work to be done: .He is a man of intense activity, but the action never gets in the way of his deep union with God. His trust in God is unbounded i he fears only not to trust. 'Grace and nature gave him a heart with a great capacity for loving l~is fellowmen, and gave him great powers in influencing his. fellowmen. Indeed, although Xavier may not have made much contact with the higher cultural elements in India. he certainly, showed forth qualities which appealed strongly to all that was finest and typically ¯ Indian in those among whom he worked. For Xavier radiated forth a~ spirit, of profound union with God and of utterpoverty and detachment such as none of the Indian holy men could equal, and Xavier's deep sympathy for his people and willingndss to expend himself in their behalf was something unknown to their holy men, but appealing no less s~trongly on that account to the hearts of his people. Summer Sessions At Marquette University, Father Gerald Kelly, S.3. will con, duct a 5-day institute on Medico-Moral Problems, ~dune 15-!9. This instittite, which, covers all the provisions of the Catholic Hospital code, is for cfiaplains, Sisters, and other hospital personnel. Also, this summer M~rquette will inaugurate a program of studi.es leading to a degree of Master of Arts in the_ology. The program extends through,five summers, and provi~les two plans for the Master's de- .gree: one including a thesis,, the other without a thesis. The. intro~ ductory courses will be given in 1953, ,lune.22LJuly 31, by Fathers Augusti~ne Ellard, S.3., and Cyril Vollert, i.3. Among those who will conduct courses in subsequent years are: Fathers Cyril P. Dono-hue, S.,J., Gerald Ellard, S.3., Gerald Kelly, S.d., and Gerald F. Van 82 Mar¢~, ! 9~ 3 F~R YOUR INFORMATION Ackeren, S.J. For further information ,wi~te to: Rev. Eugene H. Kessler, S.J., Marquette University, Milwaukee 3, Wisconsin. The Institute for Religious at College Misericordia, Dallas, Pennsylvania (a three-year summer course of twelve days in canon law arid :iscetical theology for Sisters), will be held this year August 19-30. This is the first year in the triennial coursd. The course in canon law is given by the Reverend Joseph F. Gallen, S.J., that in ascetical theology by the Reverend Daniel J. M. Callahan, S.J., both of Woodstock College, Woodstock~ Maryland. The registration, is restricted to higher superiors, their councilors, mistresses of novices, and thosein similar positions. Applications are to be :;ddressed to Rev. Joseph F. Gallen, S;J., Woodstock College, Wood~tock, M& For Your Inrrorma ion " Scholarships for Librarians Mary.wood College, an ALA accredited library school, will offer three 'scholarships in librarianship for 1953-54 to graduates of ap-proved colleges. .Two of these scholarships are full tuition, $450, and the third; $350. The course of study for which' these scholar-shops are available le~ids to the, Master of Arts in LilSraria.nship. "They are competitive and are based on scholarship and background. Dead-line for application is May" 1. Address~ Marywood College, De-partn~ ent of Librarianship, Scranton 2, Pa. Futuramic Convention A Futuramic Convention will be held at Central Catholic High S~hool, Canton, Ohio, on March 31 and April I, 1953. Religious ~orders, colleges, business, industry, and branches of the service are in-vited to participate. Those interested can write for more information to Futuramic Cowcention Headquarters, Central Catholic High School, 4824 Tuscarawas Street, West, Canton 8, Ohio. Transparencies for .Vocational Project : A priest, wqrking on a project to foster interest in vocations to the Sisterhood, is: anxious to contact any priest or Sister who has a selection of 35 mm color transparencies depicting the everyday life of the Sister in th~ novitiate, the convent, the school and hospital, and in the missions at home and abroad. Write to. Fr. B. Megannet~, O.M.I., St. Patrick's College, Ottawa, Ontario, Canada. 83 Divided Attention P. De Letter, S.J. ONE of the most common forms of inattention during prayer is divided attention. Who does not know from experience what this means? We go to pray and sincerely try to apply our-selves to prayer. We pray the beads or the Divine Office, make our. meditation, say or hear Mass. But while the deliberate application of our mind goes to and stays on the prayer, another half of our mind, subconsciously or half-deliberately, is taken up with thoughts completely foreign to our prayer, Our interest, worry, preoccupa-tion, Our plans for the day or the week, are at the back of our minds, struggling to come to the fore and divert our attention. Even when we do not. wilfully give in, but strive as best we can, the play of the unwanted thoughts and images carries on ,in the background of our mind like another actor on a second stage. The "intruder" succeeds at times in drawing our attention away from prayer and lessening our application by fifty per cent or more. The resulting prayer looks superficial and shalIow. Our mind and heart seem to have little grip on the subject of\our medi.tation. Prayer is not exactly mere lip service. We still give a half-hearted advektence to the matter of our meditation. But neither vocal nor mental pra)'er is thorough, satisfactory. They do. not occupy us fully. No wonder we feel ,small and draw little profit from them. Could it be other-wise when our prayer is half-hearted? ,Can nothing be done? Is there little hope that sorhe day, with the help of His grace, things maY improve ? Human minds are naturally fickle and prone to divide attention among many objects. This is particu~larly true when they are at-tracted to things other than uninteresting duty. But what makes matters worse is that we train ourselves to divide our attention. The inevitable amount of' ~outine occupation, both Spiritual and tempo-ral, found in regular life a~tually fosters this division. Besides, the advice of spi'ritual authors often tends to emphasize this training for a "double life." Some routine work develops a mechanical Way of acting which demands and generally takes little attention. Without allowing itself to slip into inattention ~hat harms the work, the mind can pursue a different train of thought on its own. How many ideas originate in this twilight zone! While we are performing routine 84 DIVIDED A'VFENTION tasks, oar real intere, st follows up its own spe.culations. In regular community life, moreover, we are positively encour-aged to divide our attention. When we do manual work, we are " to keep our mind occupied with spiritual thoughts that can keep us united with God. When at meals, we are not to be too much en-grossed with the material occupation but "to let the soul have her food" in the reading at table or in pious reflections. We are definitely asked to train ourselves to divided attention. Nor is this practice to be cofifined to exterior occupations. 'When reciting our rosary or saying the Office, there is no need. to try to pay attention to every word. While saying the 'Hail Marys, we are to reflect either on the mystery, on the person to whom we pray, or on our special intention. While reciting a psalm, we need not follow the meaning of every word (who could do that?), but we may keep ¯ our attention on its main idea or on some striking phrase or thought. In that manner we expressly foster, in our very prayer, a psychology of divided attention. Is it surprising that something similar happens when we do not look for it and wish to give ourselves fully to prayer. After developing the habit of dividing our attention, both outside of and during prayer, we must not be surprised to find the habit coming into play even when we are not planning on it. Obviously, divided attention is not all wrong. We cannot help dividing our attention. A spiritual life that is not confined to chapel or prie-dieu but penetrates into our day's work is not possible with-out it. The spiritual advice we are given about attenti6n in spiritual and temporal duties is certainly right. We do ~ell in following it. There is nothing wrong with that divided attention which we foster deliberately. It is a means of saturating our action in contemplation, of making our vocal prayer approach ever closer to mehtal prayer. It is a fact, nevertheless, that the habit of deliberately dividing our attention is not without harmful consequences. We suffer from these when we turn our minds to set period~ of prayer. The habit is prone to act in an indeliberate manner. Such is the mechanism of every habit or second nature. This may evidently hinder our pur-poseful action. Trained to divide their application, our minds often do 'so spontaneously just when we wish to concentrate on one sub-ject. A special effort is required, to counteract this natural and de-veloped propensity. To know ,the factor~ that favor the indeliberate activity of the divided-attention habit is the first step we can take to oppose them 85 'P. DE L~TTER Review ~,or Religious effectively and neutralize their influence., The~se may be divided into three groups: affections that occupy one's emotional powers, such as, desire and hope, fear and anxiety: thoughts and memories steeped in emotional content: new sense-perceptions which we are permitting or seeking here and now. These are factors to be reckoned with. ¯ The shallowness of prayer that is,caused by the habit of divided attention cannot be remedied completely. 'There is no need ~o at- ¯ tempt the impossible. To prevent every surprise of divided attention would require a vigilance so sustained that it could not be demanded in. our every day duties. The power of the habit can be lessened and controlled, but the habit itself can hardly be rooted out'altogether. We can go far in learning to control its spontaneous activity by fol-lowing the wise rules given by the masters of Catholic spirituality. Our emotions, desires, hopes, anxieties, fears are among the chief causes of the thoughts and images that disturb our prayer. A two-fold effort can check the noxious action of these worries and preoc-cupations. First is the long-range strat.egy. By personal effort and with the help of gr.ace we can train ourselves, to control our emotions. We can prevent them from upsetting our peace of soul. The measure of success in this effort varies for different temperaments, characters, ai~d graces. Some are easily excited, preoccupied, worried. Others can take things more evenly. Not all have th~ same will power~ Not ail receive the same graces. But those called to a state of perfection or to the priesthood should possess this self-control to a marked de-gree: this is part of the vocational fitness and they are in a position to inirease'it steadily. .This self-mastery and habituai'peace of mind is-nothing else than the remote preparation for pra3ier which spiritual authors, without exception, recommend. Secondly, spiritual authorities also insist on immediate prepara-tion. -This consists in arranging for a psychological transition-stage from exterior occupations to prayer. This transition must be gradual, It must allow a peaceful and organic switch-over from the .one to the other. It may not be mechanical. Our psychological make-up is such that sudden transitions c6mmanded by sheer will power or whim rarely succeed. What occupied the mind before prayer stays on and continues to hold us" half-consciously. We must allow the hold to decline gradually. Before prayer we must give our mind and heart a chance to shift from @hat occupied them before, and to turn peacefully but definitely to prayer. To make this mgve :effective, motivation is important. We may find. motives by asking 86 March, 1953 DIVIDED.ATTENTION the traditional preparatory questions': "What ain I ,about todo?" "To Whom am I going to speak?" The better we manage this trari-sition, the greater the chance for success in forestalling divided atten-tion. The same twofold effort for remote and. immediate preparation l~elps to ,redu.ce the harmful influence of the thoughts and memories steeped in emotional cbntent that stay on in the mind during prayer. They are reduced as a cause of distraction by habitual union with God, habitual self-control, and a determined immediate l~reparation for prayer. The third source of divided attention is easier to"dr~/up." ¯ It is ~w~at we'see and hear around us during prayer. To allowthe eyes and ears to prey for .new sensations is evidently looking for trouble. Why invite images to enter, when they have to be dismissed at once? A suitable place for prayer should eliminate most divided attention from this source. It may happen that remote and proximate preparation for pra~,er meet with 0nly partial success, for instance, on occasions of marked emotional disturbance, whether of great joy or of great anxiety" When we have been half-hearted in our effort and are paying the price in half-distracted prayer, can we still do something? Can we go agains~ distractions and salvage a little of our prayer? A: condition for success is to nouce the distraction and to desire to overcome it. We are able to notice it, for our mind.is not fully~ taken .up by the distracting thoughts. We can also desire to remedy the situation. Our very dissatisfaction is a first step towards im- -provement. With the help of grace we can rouse ourselves to effecliive volition. '.The following considerations might prove of help in con-trolling and counteracting divided attention. A.first means is to arouse a desire for,.real prayer, for real union with God. We can desire, or at~ least desire to d~sire, this deeper contact with God. We can express this desire by asking for grace. Unless we really wish to pray, we are not likely to make ~he needed effort. In prayer, our effort and God's grace go hand in hand. The desire must be rooted in the awareness of our need for contact w~th God who.is our strength and happiness. A life dedicated to God has no meaning without real union with Him. The awareness of what we are and do should excite a genuine desire of actual union with God. Aided by grace, this desire should grow strong enough to tin-saddle distracting affections. This will .not always succeed. Our worries may be too pervading 87 P. DE LETTER and penetrating~ When it fails, it might be useful to pray about°our distractions. One way of unifying divided attention is to bring the troublesome care to the fore and to center our attention on it under God'~ eyes. We can prayerfully reflect before God on what worries us, on our plans and ideas, hopes and apprehensions, and entrust these to His Providence. What can be better than this? When we beg Him to enable us to do what He demands, our very worries' may unite us closer to Him in genuine prhyer. This use of our distrac-tions is not without danger. Unless we.be fully sincere about ex-ploiting them, we may be !ed into far-away considerations and for- .get about prayer. , But if we are sincere, and if our first effort in tackling distracting worries has failed, there is a good chance that this second means may prove more helpful. At any rate, this prayer will likely be better than a half-distracted and desireless resignation. Lastly, we can insist on the self-surrender we make in prayer. Even under surface inattention this can be genuine. In spite of some unwanted and repelled wandering of the mind, prayer can really be raising of the heart to God. Prayer indeedis more a matter of inten-tion than of attention. Attention, of course, is always required, but the intention of surrendering to God is the heart of prayer When this is thorough, distracting thoughts easily lose" their interest and their grip. Le[ se.lf-surrender 15e sincere: shall we not be'straightfor-ward in setting aside what does not tally with it? Passing and un- '~ccepted wandering of the mind does not seriously break our contact with God. And the more pervading our surrender, the rarer also and less lasting our distractions. This last consideration suggests the radical remedy for divided attention in prayer. But it is not a quick device or a palliative for passing ill. It is a whole attitude of life. Our minds will easily concentrate on God in prayer when our lives are centered in Him, when He is our all?embracing~love and "worry." Then othdr wor- ties and preoccupations shrink into unimportance. They lose their hold on our minds and hearts. The more we grow in that one iove, the higher~ we rise above temp~ral occupations. That growth is the work of a lifetime. In its unfinished stages we are likely to exper,- ence. the trouble of divided attention in prayer now and again. No grave harm will come from it if we sincerely keep up the, struggle T1fiere are no magic or mechanical devices to rid us of this evil. It the simplicity and unity of one Love which ~must rule our' lives that will also bring unity and stability to our naturally wandering minds. 88 The I:ucharis :ic APOSTOLIC CONSTITUTION OF HIS HOLINESS POPE PIUS XI[ ON LEGISLATION TO BE OBSERVED REGARDING THE EUCHARISTIC FAST. PIUS, BISHOP, SERVANT OF THE SERVANTS OF GOD FOR AN EVERLASTING REMEMBRANCE ~i~HR, IST Our Lord, on the in which He was betrayed" Cot. 11 :23), when for the last time He celebrated the Pasch of the Old Law, took bread and, giving thanks, broke and gave it to His disciples after the supper was finished (cf. Ldke 22:20), saying: "This ,is My body which shall be delivered for you" (I Cot. 11:24). Ir~ the same way He handed the chalice to them, with the words: "This is My blood of the New Testament, which shall be shed for many" (Matt. 26:28); and He added: "This do for the commemoration of Me" (cf. I Cot. 11:24 f.). These passages of Sacred Scripture clearly show' that our Divine Redeemer wished to substitute, in place of that last celebration of the Passover in which a lamb was eaten according to the Hebrew rite, a new Pasch that would endure until the end of time. This is the Pasch in which we eat the Immaculate Lamb that was immolated for the life of the.world." Thus the new Pasch of the New Law brought the ancient Passover to an end, and,truth dispelled shadow (cf. the hymn Lauda Sion in the Roman Missal). The relation between the two suppers, was designed to indicate the transition from the ancient Pasch to the new. Accordingly, we can easily see why the Church, in renewing the Eucharistic Sacrifice to commemorate our Divine Redeemer as He had commanded, could relinquish the conventions prevailing at the older Love Feast and introduce the practice of the Eucharistic fast. From the earliest times the custom developed of distributing the Eucharist to the faithful who were fasting (cf. Benedict XIV, De Synodo diocesana, VI, cap. 8~ no. 10). Toward the end of the fourth century fasting was prescribed in a number of Councils for those who were to celebrate the Eucharistic Sacrifice. Thus ir~ the year 393 the Council. of Hippo decreed: "The Sacrament of the Altar shall not be celebrated except by persons, who are fasting" 89 POPE PlUS XII Revieu., for Religious (Conc. Hipp., can. 28: Mansi, III, 923). Not long after, in the year 397, the same prescription, phrased in the vgry same words, was issued by the "Third Council of Carth.age (Conc. Carthag. IlI, cap. 29:'MansL III, 885). By the beginning of the fifth century this practice was quite universal and could be said to be immemorial. Hence St. Augustine asserts that the Holy Eucharist is always received by persons who are fastihg and that this usage is observed through-out the whole world (cf. St. Augustine, Epist. 54, Ad Ianuarium, cap. 6: Migne, PL, XXXIII, 203). Undoubtedly this practice was based on very' weighty reasons. Among them may be mentioned, first of all, the situa.tion deplored b'y the Apostle of the Gentiles in connection with the fraternal Love Feast of.theCbristians (cf. I Cot. !1:21 ft.). Abstinence from food and drink is in accord with the deep reverence we owe to the supreme m~jesty of 3esus Christ when we come to receive Him hid-den' ufider the Eucharistic veil. Moreover. when x~e consume His precious body and blood before we partake of any other food. we give clear evidence of our conviction that this is the, first and most excel!enf nourishment of all, a refreshmen.t that sustains our very souls and increases their holiness. With good reason, then, St. Au-gustine reminds us: ".It has pleased the Holy Spirit that. in honor of so great a sacrament, the Lord's body should enter the mouth of a Christian before food of any other kind" (St. Augustine, loc. c~t.). The Eucharistic fast not only pays a tribute of honor due to our Divine Redeemer, but also fosters our devotion.' Therefore it can help to increase the salutary fruits of holiness which Christ, the source and author of all good, desires us who have been enriched with His grace, to bring forth. ' Besides; everyone who has had experience of the laws of human nature knows that when the body is not sluggish with'food, the mind is aroused to greater activity and is'inflamed ro meditate more ferventl}; on that bidden and sublime mystei'y which unfolds within the temple of the soul, to the growth of divine love. The importance ,which the Church attaches to the observance of the Eucharistic fast can also be gathered from the gravity of the pen-alties imposed for its violation. The Seventh Council of Toledo, in the year 641, threatened with excommunicstion anyone who qcould offe,r the HolyI Sacrifice after having broken his fast (Conc. Tole-tanum VII, cap. 2: Mansi, X, 768). In the year 572 the Third Council of Braga (Conc. Bracarense III, can. 10: Mansi, IX. 841.), 9O March: 1953 THE EUCHARISTIC FAST 'and in 585 'the Second Council of Macon (Conc. Matisconense II, can. 6: Mansi, IX, 952) bad previously decreed that ahyone~ who incurred this guilt should be deposed from office and deprived of his dignities. As the centuries rolled on, however, careful attention was paid to the consideration that expediency sometimes required, because of special circumstances, the introduction of some measure of mitigation into the law of fasting as it affected the faithful Thus in the year 1415 the Council of Constance, after reaffirming the venerable law, added a modification: "The authority of the sacred~canons and the praiseworthy customs approved by the Church havre prescribed and do now prescribe that the Hol~; Sacrifice should not be offered after the celebrant has taken food, and that Holy Communion should not be received by the faithful who are not fasting, except in the case of illness or of some other grave reason provided for by law or granted by ecclesiastical superiors" (Cone. Constantiae, sess. XIII: Mansi, XXVII, 727). We have desired to recall these enactments ~o mind that all may understand that We, although granting not a few faculties and per-missions regarding this matter in view of the new conditions arising from the changing times, still intend by the present Apostolic Letter to retain in full force the law and usage respecting the Eucharistic fast. We also wish to' remind those who are able to observe the law that they must continue to do so carefully. Consequently only they who need these concessions may avail themselves of the same accord-ing to the measure of tbelr need. We are filled with joy--and We are glad to express Our satis-faction here, if only briefly--when We perceive that devotion to the Blessed Sacrament is increasing day by day in the souls of Christ's' faithful as well as in .the splendor surrouhding divine worship. This fact emerges whenever the people gather for public congresses. The paternal directives of Sovereign Pontiffs have undoubtedly contrib-" uted much to the present happy state of affairs. This is particularly true of Blessed Plus X, who called on all to revive the ancient usage of the, Church and urged them to 'receive the Bread of Angels very frequently, even daily if possible (S. Congr. Concilii, Decree Sacra Tridentina S~tnodus, Dec. 20, 1905: Acta S. Sedis, 'XXXVIII~ 400.ft.). At the same time be invited children to this heavenly Fbod, and wisely declared that the precept of sacramental confession and of Holy Communion extends to all without exception who have 91 POPE PIUS XII Review [or Religious attained the use of reason (S. Congr. de Sacramentis, Decree Quam sir~gula~:i, Aug. 8, 1910: ttcta Apostolicae Sedis, II, 577 ft.). This prescription was later confirmed by.Canon Law (C. I. C., canon 8d3; cf. canon 85zL § 5).-In generous and willing response to the desires of the Sovereign Pontiffs, the faithful have been receiving Holy Communion in ever greater numbers. May this hunger for the heavenly Bread and the thirst for the divine Blood burn atidently in the hearts of all m~n, whatever their age or social condition may be! Yet allowance must be made for the fact that the extraordinary circumstances of the times we live in have introduced many modifica-tions into the habits of society and the activities of our workaday life. Consequently serious difficulties may arise to prevent people from participating in the divine mysteries, if the law of Eucharistic fast should have to be kept by.all with the strictness that has ipre-vailed up to the present time. In the first place, priests in our day, owing to insufficient num-bers, ate clearly unequal to the task of dealing with the constantly growing needs of Christians. On Sundays and holydays, particu-larly, they are often overburdened with work. They have to offer the Eucharistic Sacrifice at a late hour, and not rarely twice or even three tim~s the same day. They are frequently obliged to travel a considerable distance that large portions of their flocks may not be deprived of Holy Mass. Apostolic toil of this exhausting kind un-questionably undermines the health of our clergy. The difficulty mounts when we reflect that, besides celebrating Mass and explaining the Gospel, they have to hear confessions, teach catechism, and take care of the manifold tither duties of their ministry which" is more exacting and laborious than ever before. In addition to all this, they must prepare and adopt measures to repel the relentless attacks that in our day are craftily and savagely launched on many fronts against God and His Church. But Our thoughts and Our heart go out most of all to those who are laboring in distant lands far from their native soil, because they have nobly answered the invitation and command of the divine Master: "Going, therefore, teach ye all nations" (Matt, 28:19). We have in mind the heralds of the Gospel. They endure the most crushing burdens and overcome every imaginable obstacle in their travels, with no other ambition than to wear themselves out that the light of the Christian religion may dawn for all men, and that their flocks, many of them but recently received-into the Catholic faith, 92 Ma~h. 1953 THE EUCHARISTIC FAST may be fed with the Bread of Angels which nourishes virtue and re-. kindles love. A similar situation arises amofig those Catholics who live in many of the districts committed to the charge of missionaries or in other places that lack the services of a resident priest. They have to wait hour after bou~ until a priest arrives that they may assist at the Eucharistic Sacrifice and receive Holy Communion. Furthermore, with the development of machinery in various in-dustries, countless workers employed in factories, transportation, sbipping,'or other public utilities, are occupied~ day and night in al-ternate shifts. The exhausting hature of their work may compel them to take periodic- nourishment to restore their energies, with the result that they are unable to observe the Eucharistic fast and hence are kept away from Holy Communion. Mothers of families, likewise, are often unable to go to Holy Communion until they have finished their household duties. Such tasks usually require many hours of hard work. Again, the case of school children presents a problem. Many boys and gibls are eager to take advantage of the divine invitation: "Suffer the little children to come unto Me" (Mark 10:14). They put all their trust in Him "who feedeth among the lilies" (Cant. 2:16: 6:2), knowing that He will guard the purity of their souls against the temptations which assail youth and will protect the in-nocence of their lives from the snares which the world sets to trap them. But at times it is extremely difficult to arrange to go to church and receive HoI~ Communion, and after that to re~urn home for the breakfast they need before setting out for school. Another matter of frequent occurrence today is that large num-bers ~f people c~oss from place to place during the afternoon hours to be present at religious functions or to attend meetings on social questions. If pe.rmis~ion were given on such occasions to offer the Holy Sacrifice, which is the living fountain of divine grace and in-spires wills to desire growth in virtue, there is no doubt that all could draw upon this source of strength to think and act in a thor-ougbly Christian manner and to obey just laws. These specific considerations may well be augmented, by others of a more general kind. Although the science of medicine and the study of hygiene have made enormous progress and have contributed greatly to the reduction of mortality, especially among the young, conditions of life at the present time and the hardships brought on 93 POPE-PlUS XII Review for Religious by the frightful wars of 6ur century have seriously impaired bodily constitutions and public health. For these reasons, and especially for the purpose of promoting reawakened devotion toward the Eucharist, numerous bishops of v~irious, nationalities have requested, in official letters, that the law of fast might be somewhat mitigated. The Apostolic See had previ-, ously shown itself favorably disposed in this regard .by granting special faculties and dispensations both 'to priests and to the faithful. As an e.xample of such concessions, the Decree entitled P. gst'Editum may be mentioned; it was issued by the Sacred Congregation of the Council, December 7-, 1906, for the benefit of the sick (Acta S. Sedis, XXXIX, 603 ffl). Another is the Letter df May 22, 1923, sent by the SacrM Congregation of the Holy Office to local Ordinaries in favor of priests (S.S. Congregationis S. Officii Litterae locorum Or-dinariis datae super ieiunio euc,haristico ante Missam: Acta Ap. Sedis, XV, 151 ft,). ~ In these latter times, the petitions of the bishops hav.e become more frequent and urgent. Likewise the faculties granted have been more liberal, partcularly those that were conferred because of war c6nditions. All this clearly discloses the existence of new, serious. coniinuing, and widely prevailing reasons which, in the diversified circumstances brought to light, render the cdebration ~f the Holy Sacrifice by priests .and the reception of Communion by the faithful ex_ceedingly difficult, if the la~, of fasting has to be observed. ¯ .Accordingly, to alleviate these grave hardships and incOnveni-ences, and to eliminate the possibility of inconsistent practice to which the variety of: indults previously granted may lead, We deem it n.ecessary to mitigate the legislation governing the Eucharistic fast ~to such an extent that all may be able more easily to fulfill the law as perfectly as possible, in view of particular circumstances of time, place, and person. By issuing this decree, We trust that We may contribute substantially to the growth of Eucharistic devotion,, and thus more effectively persuade and induce all to sharc in the An-gelic! Banquet. This will surely redound to the glory,of. God and will enhance the holiness of the Mystical Body of Christ. By our Apostolic authbrit~r, therefore, we enact and decree ihe folio.wing; I. The law of Eucharistic fast, to be observed from midnight,. cgntijaues in force for all those who do not come under the. special Mar~l~. 1953 THE EUCHARISTIC FA ST conditions which We shall set forth in this Apostolic Constitution. In the futuie, however, this general principle, valid for aIl ,, alike, whether priests or faithful, shall prevail: plain water does not break the Eucharistic fast: II. Those who are ill, even though not confined to bed, may, on the advice of a prudent, c.onfessor, take something in the form of drink or of true medicine: but alcoholic beverages are excluded. The same faculty is granted to priests who are ill yet desire to celebrate MASS. ~. III. Priests who are° to offer the Holy Sacrifice at a late. hour or after onerous work of the sacred ministry or after a long journey, may take something in the form of drink, exclgsive of alcoholic.bev-erages. However, they must abstain from such refreshment for the period Of at least ~one hour before' they celebrate Mass. I~r. 'Priests who celebrate Mass twice or three times the ~ame day. may. consume the ablutions at each Mass. In such cases, how' ever, the ablutions must be restricted to water.alone, and mu~t not include, wine. ~ V. Likewise the faithful, even though they are not ill, who are unable to observe a. complete fast until the tiine of Communion, be-cause of some grave inconvenience--that is, because of fatiguing work, or the lateness of the hour at which alone they can receive the Holy Eucharist, or the long distances they have to travel--may, on the, advice of a prudent confessor, and as ,long as such state of necessity lasts, take something in the form of drink, to the exclusion of alco-holic beverages. However, they must abstain from refreshment of this kind for the period of at least one hour before they receive Holy Communion. VI. If circumstances indicate a necessity, We grant to local Or-dinaries authorization to permit the celebration of Mass at. an eve-ning hour, as We have said, but with the restriction that Mass shall notbegin before four o'clock in the afternoon. This evening Mass may be celebrated on the following days: on Sundays and h61ydays of dbligation which are obseived at the present time or were formerly obserged, on the first Friday of each month, and on days delebrated With solemn functions which the people attend in great numbers; finally, in addition to these days, on one day a week~ The pries,t who offers Mass.on these occasions must observe a fast of .three hours from solid f6od and~alcoholic beverages, and of one hour from non- March. 1953 ~ THE EUCHARISTIC FAST alcoholic beverages. At such Masses the faithful may receive Holy Communion, ob, serving the same rule r~garding the Eucharistic fa.~st, but the prescription contained in canon 857' remains in force. In mission territories, after due consideration of the extraordi-nary con(~itions there prevailing; which for the most part prevent priests from v.isiting their distant stations except rarely, local .Ordi-naries may grant to missionaries faculties to celebrate evening Mass also on other days of the week. ' Local Ordinaries are to exercise care that any interpretation en-larging on ~he faculties here granted is precluded, and that all danger of abuse and irreverencein this matter is removed3 In granting these faculties, which circufiastances of person,place, and time make impera-tive in our day, We decidedly intend to reaffirm ~he importance, binding force, and good effects of the Eucharistic fast for those° who are to receive our Divine Redeemer dwelling concealed underneath the Eucharistic veils. Besides, whenever bodily discomforts are re-duced, the soul ought to do~ what, it can to restore equilibrium, either by interior'penance or in other ways. This is in harmony with the traditional practice of the Church, which is accustomed to enjoin other pious works when it mitigates the obligation to fast. Accordingly, they who are in a position to take advantage of the faculties here granted, should offer up more fervent prayers to adore God, to thank Him, and above all to expiate their sins and implore newgraces from on high. Since all must recognize that the Eucharist has been ins[ituted by Christ "as an everlasting memorial of His Passion" (St. ~Fhbmas, Opusc. LVII, Office for the Feast of Corpus ChristL lesson IV, Opera Omr~ia, Rome, 1570, Vol. XVII), they should stir up in their hearts those sentiments of Christian hu-mility and contrition which meditation on the sufferings and death of our Divine Redeemer "ought to arouse, Moreover, let all offer to our Divine Rddeemer, who keeps fresh the greatest proof of His love by uiaceasingly immolating Himself on our altars, ever more abun-dant fruits of their charity toward their fellow men. In this way, surely, all Will do their part, better and better every day, toward alizing the words of the Apostle to the Gentiles: "We, being many, are one bread, one body~ all that partake of one ,bread" (I Cor 10:17). We desire that all the decrees set forth in this Constitution shall be. firmly established, ratified, and valid, an~ything to the contrary 96 March. 1953 THE EUCHAILISTIC FiST notwithstanding, even what "may seem to be deserving of special men-tion. All other privileges and faculties granted in any form by the Holy See are abolished, that this legislation may be duly and uni-formly observed throughout the ;¢ orld by all men. All the decrees herein enacted shall become operative from the date of their publication in the Acta Apostolicae Sedis. Given at St. Peter's in Rome, in the year of Our Lord nineteen hundred and fifty-three, the sixth day of January, on the Feast of. the Epiphany, in the fourteenth year of Our Pontificate. POPE PIUS XlI Instruction ot: Holy OJ:t:ico SACRED CONGREGATION OF THE HOLY OFFICE INSTRU'~TION ON THE LEGISLATION TO BE OBSERVED CONCERNING THE EUCHARISTIC FAST The Apostolic Constitution Christus Dominus, issued this day by the Sovereign Pontiff, Pius )~II, gloriously reigning, grants a number of faculties and dispensations concerning the observance of the law of Eucharistic ~fast. At the same time. it substantially con-firms most of the norms which the Code of Canon Law (canons 808 and 858, § 1) imposes on priests and the faithful who are able to observe the law. Yet these persons are likewise included in the favor conferred by the first prescription of the Constitution, according to which plain water (that is, ordinary water without the admixture of any other substance whatever), no longer breaks the Eucharistic fast (Constitution, n. I). With regard to all the other concessions, however, only those priests and faithful may take advantage of them who find themselve~ in the particular conditions specified in the Con-stitution, or who celebrate evening Masses or receive Holy Commun-ion at evening Masses which are authorized by Ordinaries within the limits of the new faculties granted to them. Accordingly, to secure throughout the world a uniform observ-ance of the norms pertinent to these concessions and t0 forestall every interpretation that would enlarge on the faculties granted, as well as to obviate any abuse in this matter, this Supreme Sacred Congrega-" .97 INSTRUCTION OF HOLY OFFICE Reoietu for'Religious tion of the Holy Office, by order and command of the Sovereign Pontiff, lays down the following directives: Concerning the sick, whether the faithful or priests (Constitution, n~ II) 1. The faithf~ul who are ill, ~ven though not confined to bed. may take something in the form of drink, with the exception of al-coholic beverages, if because of their illness the); are unable, without grave inconvenience, to observe a complete fast until the r.eception of Holy Communion. They may also take something' in the form of medicine, either liquid (but not alcoholic drinks) or solid, provided it is real medicine, prescribed by a physician or generally recognized as such. However. as must be noted, solid foods taken a's mere nour, ishment cannot be regarded as medicine. 2. ,The conditions that must be verified before anyone may use a dispensation from the law of fasting, .for which no time".limit pre-ceding Holy Communion is set down, are to be pru, dently weighed by a confessor, and no one may avail himself of the dispensatior~ without his approval. The confessor may give his approvai either in ¯ sacramental confession or outside of confession, and once and for all so that it holds good as long as the same conditions of illness endure. 3. Priests who are ill, even though not confined to bed, may likewise take advantage of the dislbensation, whether,they, intend to celebrate Mass or wish only to receive Holy Communion. Concerning priests in special circumstances (Consti'tution, nn. III and IV) 4'. Priests who are not ill and who are :to celebrate Mass (a) at a late hou'r (that is,-after nine o'clock in the morning), or (b) after onerous work of the sacred ministry .(beginning, for example, early in the morning or lasting for a lbng time), or (c) after a long jour-ney (that~is, at least a mile and a quarter or so :on fogt, or a propor-tionately greater distance in accordance with the "means of. travel em-ployed, allowance being made, too, for difficulties of the journey and personal~considerations), may take something in the. form of drink, exclusive of alcoholic beverages. 5. The three cases enumerated' above are,formulated .in-such a way'as to embrace all the circu'mstances for which the legislator in-tends to grant the aforesaid faculty. Therefore any interpretation that would.extend the faculties granted must :be avoided~ 98 March. 1953 , THE EUCHARISTICF.AST 6. l~riests who find themselves in these circumstances may take. something in the form of drink once or several times,, but must serve a fast of one hour prior to the celebration of Mass.:. 7. Furthermore, all priests who are to celebrate" tWO . or; three Masses the same day may, at the first Mass or Masses, .take the two ablutions pr~escribed by the rubrics of the Miss.al, .hut using only water. This is merely an application of the new principle that-water does not break the fast. However,. priests who celebrate three Masses without interval on Chrismas or on All Souls' Day are obliged to observe the. rubrics regulating ablutions. 8. Yet if the priest who is to celebrate two or three Masses should inadvertently take wine in'the ablutions', he is not forbidden to celebrate the second and third Mass. Concerning the faithful in special "circumstances (Constitution, n. "V) 9. Similarly the faithful who are unable to observe the Eucha,. risti¢ fast, not because of illness but because of some other grave in-convenience," are allowed to take something in the form of drink, with the exception of alcoholic beverages. But they must keep the fast for one hour prior to the reception of Holy Communion. 10. ,The causes of grave inconvenience, as it is here understood. are three in number, and they may not be extended. a) Fatiguing wbrk undertaken before~ going to Holy ,com-munion. Such is the labor performed by workers employed in suc-cessiv. e shifts, day and night, in. factories, transport and- maritime services, or other public utilitieS; likewise b~ those who, in .virt~ue of their .position or out of charity, pass the hight'awake (for example, hospital personnel, policemen on night duty, and the like). The same.is: true of pregnant women and mothers of families who must spend a long t.ime in household tasks befo~.e, they can go to church :etc. : b) The lateness of the hour at whicb:"Holtj Communior~ ceived. Many of the faithful cannot have Mass until late in the day, because no priest is able to visit them earlier. Many children,find it excessively burdensome, before .sett.ing out for school,'to go to church, receive Communion, and then to return home again for breakfast; etc. c)" A. long distance to travel on the way" to chu.rch. As was explaiped above (n. 4), a distance of at least a~ mile and a quarter or INSTRUCTION OF H~)LY OFFICE Reuieua for Religious so, to be covered on foot, is tb be regarded as a long journey in this connection. The distance would have to be proportion.ately longer if conveyances of various kinds were us~ed, and allowance has to be made for difficulties of travel or the condition of the person .who makes the trip. 11, The reasons of grave inconvenience that may be alleged must be'carefully evaluated by a confessor either in sacramental cofifession or outside of confession; and without his approval the faithful may not receive Holy Communion while not fasting. The confessor, however, may give this approval once and t:or all so that it holds good as long as the same cause of grave inconvenience exists. Concerning evening Masses (Constitution. n. VI) By authorization of the Constitution, local Ordinaries (cf. canon 198) enjoy the power of permitting the celebration of evening Mass in their own territory, if circumstances indicate its necessity, not-withstanding'the prescription of canon 821, § 1. The common good sometimes requires the celebration of the Holy Sacrifice in the after-noon: for example, for those in certain industries who work in shifts even on Sundays and holydays: for those classes of workers Who must be at their jobs on the mornings of Sundays and holy-days. such as those who are employed at ports of entry;' likewise for people who have come in great numbers from distant places to cele-brate some event of a religious or social character; etc. 12. Such Mhsses. however, are not to be celebrated before four o'clock in the afternoon, and are limited exclusively to the following specified days: a) Sundays and 'holydays of obligation which are now in force, according t,o the norm of canon 1247, § 1 : b) Holydays of obligation that have been suppressed, as listed in the Index published by the Sacred Congregation of the Council, December 28, 1919 (cf. A./l.$,, Vol. XII [1920], pp. 42- 43): ) First Fridays of the month: d) Other days that are ~elebrated with solemn functions and are attended by the. people in great numbers: e) In addition to the days mentioned above, one other day during the w.eek0 if the good of particular classes of persons requires it. 100 Ma~h. 1953 THE EUCHARISTIC FAST 13. Priests "who celebrate Mass in the evening, and likewise the faithful who receive Holy Communion at such a M~ass. may, during a meal which is permitted up to three hours before the beginning of Mass or Communion, drink al~c;holic beverages that ate customary at table ifor instance, wine, beer. and the like), but they must observe becoming moderation, and haid liquors are entirely ruled out. How-, ever, with regard to the liquids whi(h they are allowed to take before or after such a meal up to one, hour before Mass or Communion, alcoholic beverages of any kind whatever are excluded. 14. Priests may not offe? the Holy S,acrifice in the morning and afternoon of the same day, unless they have e~xpress permission, to celebrate Mass twice or three times, according to the norm of canon 806. The faithful, similarly, may not receive Holy Communion in the morning and afternoon of the same day, in conformity with the prescription of canon 857. 15. The faithful, even though they/are not included in the number of those for whose benefit evening Mass has been instituted, are. free to receive Holy Communion during such a Mass or directl~ before or immediately after it (cf. canon 846, § 1). If they do so, they must observe the noims prescribed a~ove, relative to the Eucha-ristic fast, 16. In places that are not subject to the general law [ius com-mune] but are governed by the-special law for the missions [ius.mis-sionum], Ordinaries may authorize evening Mass on all days of the week, under the same conditions. Cautions regarding the execution of these norms 17. Ordinaries are to exercise great care that all abuse and irrev-erence toward the Most Blessed S~icrament are completely avoided. 18. They must also see to it that the riew legislation is uniform-ly observed by all their subjedts, and must notify them that all fac-ulties and dispensations, whether territorial or personal, heretofore granted by the Holy See, are abrogated. 19. The interpretation of the Constitution and of the present Instruction must adhere faithfully to the text, and must not in any way extend the faculties that are already so generous. With regard to customs that may be at oddswith the new legislation, the abroga-ting clause is'to be borne in mind: "Anything to the contrary not-withstanding, even what may seem td be worthy of special men-tion." 101 BOOK NOTICES Review ~or ReligioUs 20. Ordinaries and priests who are to avail themselves of the faculties granted by the Holy ,See should zealously exhort the faith-ful to assist at the Sacrifice of the Mass and ~recei~ve Holy Commun-ion frequently. " By initiating appropriate measures and especially by their preaching, they should promote that spiritual good for the sake of which the Sovereign Pontiff, Plus XII, has been pleased to issue t.he Constitution. In approving this Instruction, the iHoly,Father has ordered that it should be promulgated by publication in the Acta Apostolicae Sedis along with the Apostolic Constitution Christus Dominus. From the,Palace of the Holy Offic.e, danuary 6, 1953'. ~ JOSt~PH CARDINAL PIZZARDO, Secretaql A. OTTAVIANI Assessor. [EDITORS' NOTE: The foregoing translations "*'ere made by Father "Cyril Vollert. S.J. professor of sacramental theology at St. Mary's College, St. Marys, Kansas. The - translations wer~ prepared 'from the texts as published in L'Osservatore Romano, January I 1, 1953, and were carefully checked with the official texts published in ,Acta Aoostolicae Sedis, 45 (Jan. 16. 1953), 15-24. 47-51. For our purposes a somewhat free translation, rendering the sense of the documents as accurately as pos-sible, seemed preferable to a strictly literal translation.] ¯ BOOK NOTICES Those who want a life of Our Lord that is scholarly, without the more distracting trappings of scholarship, and very readable, will find what they desire in the popular edition of Giuseppe Ricciotti's LIFE OF CHRIST. By means of careful editing the former large edi-tion has been reduced to a little more than half its size. The popular edition has a 70-page critical introductibn and a :good index. A very good book.f0r either spilitual reading or meditation, i(Milwaukee: The Bruce Publishing Company, 1952. Pp. xiii + 40.2. $3.50.) Every Sister will smile, laugh, and cry as she catches some glimpse, s of herself in EVERYNUN, a, novel and. play by Daniel A. Lord, S.3. Written originally for th~ One Hundredth Anniversary of the-Sisters of St. 3oseph xn Canada, the play is ideal for a similar celebrfftion, for Vocation Week Programs, and for private reading. Many passages seem to glow like grace itself. This "morality play" is a tribute and a consolation to Sisters, and should open the vistas of the religious life to Sisters-to-be as well as to others who have to live outsid~ convent walls] No royalty is charged for the productions of 102' March. 195'3 BOOK NOTI.CES Eoer~mun. If admission is charged by those producing theplay, Father Lord asks a gift ~f ten per cent of the return for his work for the Knights and Handmaids of the Blessed Sacrament. (St. Louis, Missouri: KHBS, 3115 S. Grand Blvd., 1952. Pp. 162. $3.00.) ST. VINCENT DE PAUL, by Mgr. Jean Calvet (translated by Lancelot C. Sheppard), is a l-volume, well-documented biography, as fascinating as good historical fiction. The many aspects of the saint's life--his interior life, his apostolate of charity, his power of organization, his spiritual direction of nobility and especially of his companion saint. Louise de Marillac, and so forth all blend into the picture of an unt~orgettable character. One flaw in the book is ISerbaps a too-evident nationalism on the part of. the biographer. _Bibliography and index are both useful. (New York: David McKay Company, 1952. Pp. 302. $5.00.) RETURN TO THE FOUNTAINHEAD contains the addresses given at the Tercente,nary Celebration of the Sisters, of St. Joseph, Le Puy, France. in July, 1950. by His Eminence, Cardinal Gerlier, and .other French Churchmen. The book is edited and translated into the- American idiom by the Sisters of St. Joseph at Fontbonne College, St. Louis, Missouri. All Sisters of St. Joseph (others, too) will . draw inspiration and strength for today from this return to and consideration of the evidently blessed origins of their congregation. The address, "The Spirit of the Congregation," is particularly de-serving of prayerful attention. (St. Louis 5, Mo.: SistErs of St. Jo-seph of Car, ondelet, Wydown and Big Bend Blvd., 1952. Pp. xi, + 143. $3.00.) Great things might be expected from the girl who was late for school because she had stopped to pick up broken pieces of glass to protect the' feet of the children of the poor from the young lady who preferred the care of blin~t children to the attractive social life her position guaranteed. WHOM LOVE IMPELS, by Katherine Bur-ton, tells her story in another excellent biography., the life of Pauline yon Mallinckrodt, the foundress of the Congregation of Charity. While her brother Hermann .yon Mallinckrodt helped lead 'the growing Center Party t+ ultimate victory over Bismarck in the Reich-stag, Mother Pauline guided a still-growing crusade of charity that began in Paderborn, Germany, in 1849 and now motivates over "2,000 religigus laboring in schools, orphanages, and hospitals in Eu-rope~ throughout the United Sthtes, and in South America. (New York: Kenedy 24 Sons, 1952. Pp. x + 234. $3.00.) ¯ 103 Search t:he Script:ures Henry Willmering, S.J. | N THE ENCYCLICAL Diuino Agtante' Spiritu. published Sep- | .tembet 30, 1943. Pope plus XII remarked "that the condition of biblical studies and their subsidiary Sciences has greatly changed .within the last fifty years." and "after enumerating the various helps which are at the disposal of modern exegetes the Holy Father con-tinues: "All these advantages which, not without a special design of Divine Providence. our age has acquired, are, as it were, an invitation and inducement to interpreters of the Sacred Literature to make dili-gent use of this light, so abundantly given, to penetrate more deeply explain more clearly and expound more lucidly the Divine Oracles." This invitation of His Holiness was promptly accepted by the m~mbers of the British Catholic Biblical Association. After appoint-ing an editorial committee, they drew upa plan to produ.ce a one-volume commentaryI on the whble Bible. In addition to a thorough exposition of the text of all the books of the Old and New Testa-ments, it would include a complete manual of biblical introduction Their ambitious plan has been successfully realized, and the firm of Thomas Nelson and Sons, Edinburgh, has produced their labors in a quarto volume of 1312 pages, double column to a page. clearly printed on excellent paper, and,strongIy bound in buckram. The price is eighty-four shillings (about twelve dollars). The volume includes a condensed, yet adequate and up-to-date commentary on the forty-five books of the Old, and" the twenty-seven bqoks of the New Testament. There' are introductory articles for every book, and also on groups of literature, namely, on the Pentateuch, the historical books, the poetical and Wisdom literature, the prophetical literature, and the Epistles of the New Testament. The place of the Bible in the Church, the formhtion and history, of the canon, the languages, texts and versions, the geography of the'Holy ~.Land,.the history of Israel, chronology of Old and New Testaments, archaeology and the Bible, and many other informative and fascinating articles enable the IA CATHOLIC COMMENTARY ON HOLY 'SCRIPTU'RE." Editorial Committee: Dom Bernard Orchard, Rev. Edmund Sutcliffe, S.J., Rev. Reginald'Fuller, Dora Ralph Russell. Thomas Neldon ~ Sons. Pp. 1312. 4 guineas. The reviewer, Father Willmering, a p~cofessor of Scripture at St. Mary's College. St. Marys. Kansas. has written the commentary on the Catholic Epistles for this volume. 104 March, 1953 SEARCH THE SCRIPTURES reader to obtain a solid background for the proper understanding ot the sacred text. In all there are seventy-two commentaries andthirty-eight separate articles. The commentary is designed to be read with the Douay version of the Bible, which is the version still in widest circulation among Catholics yet every commentator had before him the original text of the book he interpreted, and he faithfully noted any important vari-htion of the English v~rsion from the original. Throughout the book ¯ each paragraph is distinctly marked in the margin for .purpose of reference, and very many paragra~phs have appropriate headings indi-cating their contents. The commentaries on individual books are a positive expos, ition of Catholic interpretation, not directly apolo-getic, but so worded as to provide answers to current unorthodox views. The explanation meets the needs of all who desire to have in limited compass a clear exposition of the sacred text. which is schol-arly, accurate, and thoroughly ~Catholic. Frequently we desired to have at hand a ready answer book to the many perplexing questions which ,the Old Testament poses. Let us take a few examples from Genesis. The opening chapters of this book narrate the story of creation and the origin of the human race. The world was formed by Divine Omnipotence on six successive days. Darkness yielded to light, the firmament unfolded, the waters under it assembled in one place, and dry land appeared. Then God placed the sun, moon, and stars in the firmament, filled the waters with fishes and the air withbirds; gave the land as the habitat for beasts and reptiles, and finally, created man in His own image and made him ruler of the visible world. How must we understand this unscientific account of the development of the earth and its inhabi-tants? What is the meaning of the six days of creation? Recent discoveries have found human bones .and artifacts in sl~rata that .greatly antedate the four thousand years B.C. which was formerly assigned as the age of the human race. To what extent, therefore, are the early narratives of Genesis historical? For what purpose did the sacred writer introduce them? What are we to think of the great ages of the patriarchs? What part of the earth was covered by the flood? We used to look for the answer to these questions~ in the Catholic Enc~Iclopedia or the Catholic's Ready Answer Book: yet these books of reference are nearly a half century old, and exegetical opinion has passed through radical changes since that time. The new Commentary offers satisfactory solutions to these and several hun- 105 HENRY WILLMERING dred other difficulties that have often puzzled us in the past. As the preface ~tates: "it' is a critical survey of modern biblical knowledge-from the standpoint of all those, Catholic and non;Catholic alike, who accept the full doctrine of biblical inspiration" (p. vii). At the end of the volume is a topical index, which lists nearly ten thou'- sand titles and refers directly to the paragraph in which the answer to our difficulties is given. ' But the Commentary,, is not primarily a "question settler." St. Paul reminds .Timothy: "All Scripture, inspired of God, is profitable to teach, to reprove, to correct, to instruct in .justice: that the man of God may be. perfect,, furnished to every good work" (2 Tim, 3: 16f.). Hence, "in the commentaries on individual books a special endeavour is made to give adequate treatment to the doc-trinal and spiritual con.tent." ~pecial articles, which emphasize the spiritual nature of the Bible and are therefore of particular interest to religious, are the following: :'The Place of the Bible in the Church," by W. Leonard and' Dom B. Orchard, which stresses the Church's love for the Bible, and what she has done to preseive and propagate it;' "The Interpretation of Holy Scripture," by, R. C. Fuller, an ac-count full of valuable information: "Our Lady in the Scriptures, by E. C. Messenger, explaining the prophecies relative to the Mother of God, and her tJrerogatives; "The meaning of the Old Testament," by E. F. Sutcliffe, S.J., what it meant for the. israelites, and what is its meaning and value today; "The Religion of Israel," by the same author; "The Person and Teaching of Christ," by Dom Aelred Gra-ham; "Christianity in Apostolic Times," a long and interesting article by M. Bevenot, S.J. and Dom Ralph Russell; and finally "The Life of St. Paul," by D. J. O'Herlighy. Besides the articles mentioned above, there are thirty others, all-well written and abounding with valuable and interesting information. Anyone who digests all these wil
