Chapter Three

“The Art of Arts and Science of Sciences”: Pastoral Ministry as Soul Care

Section 16: Pastoral Ministry as Art and Science

Even a person with requisite godly character should pause before becoming a minister because of the nature of the work—guiding mankind, “the most variable and manifold of creatures.” Ministry work is more challenging than the work of a medical doctor. Pastoral ministry is the work of a soul physician—“the art of arts and science of sciences.” A medical doctor tends to physical bodies which are temporary and decaying.

16. But granted that a man is free from vice, and has reached the greatest heights of virtue: I do not see what knowledge or power would justify him in venturing upon this office. For the guiding of man, the most variable and manifold of creatures, seems to me in very deed to be the art of arts and science of sciences. Any one may recognize this, by comparing the work of the physician of souls with the treatment of the body; and noticing that, laborious as the latter is, ours is more laborious, and of more consequence, from the nature of its subject matter, the power of its science, and the object of its exercise. The one labors about bodies, and perishable failing matter, which absolutely must be dissolved and undergo its fate, even if upon this occasion by the aid of art it can surmount the disturbance within itself, being dissolved by disease or time in submission to the law of nature, since it cannot rise above its own limitations.

Section 17: A Physician of the Soul

Pastoral ministry is soul work. The physician of souls has a harder work than the physician of bodies. Soul care is difficult work for two reasons. First, the soul struggles against earthly things as in a refinery as it attains glory. Second, the soul helps refine the flesh, purifying it and raising the lower nature heavenward.

17. The other is concerned with the soul, which comes from God and is divine, and partakes of the heavenly nobility, and presses on to it, even if it be bound to an inferior nature. Perhaps indeed there are other reasons also for this, which only God, Who bound them together, and those who are instructed by God in such mysteries, can know, but as far as I, and men like myself can perceive, there are two: one, that it may inherit the glory above by means of a struggle and wrestling with things below, being tried as gold in the fire by things here, and gain the objects of our hope as a prize of virtue, and not merely as the gift of God. This, indeed, was the will of Supreme Goodness, to make the good even our own, not only because sown in our nature, but because cultivated by our own choice, and by the motions of our will, free to act in either direction. The second reason is, that it may draw to itself and raise to heaven the lower nature, by gradually freeing it from its grossness, in order that the soul may be to the body what God is to the soul, itself leading on the matter which ministers to it, and uniting it, as its fellow-servant, to God.

Section 18: Soul Work Is Harder Than That of Medical Doctors

The difficulties of a body physician—diagnosis, prescription, surgery—do not compare with the difficulties of the work of a soul physician—curing habits, passions, life, and wills. Soul work has its aim at the transformation of the person—banishing sin and inculcating virtue.

18. Place and time and age and season and the like are the subjects of a physician’s scrutiny; he will prescribe medicines and diet, and guard against things injurious, that the desires of the sick may not be a hindrance to his art. Sometimes, and in certain cases, he will make use of the cautery or the knife or the severer remedies; but none of these, laborious and hard as they may seem, is so difficult as the diagnosis and cure of our habits, passions, lives, wills, and whatever else is within us, by banishing from our compound nature everything brutal and fierce, and introducing and establishing in their stead what is gentle and dear to God, and arbitrating fairly between soul and body; not allowing the superior to be overpowered by the inferior, which would be the greatest injustice; but subjecting to the ruling and leading power that which naturally takes the second place: as indeed the divine law enjoins, which is most excellently imposed on His whole creation, whether visible or beyond our ken.

Section 19: Armed Resistance Against Spiritual Healing

Body physicians tend to patients with only mild resistance. Soul physicians tend to patients who have a deep inclination—“an armed resistance”— against virtue, spiritual health, and godliness. Even when people tell pastors their spiritual sickness, they can tend to powerfully resist their treatment with a “skill in shunning what is for our health.”

19. This further point does not escape me, that the nature of all these objects of the watchfulness of the physician remains the same, and does not evolve out of itself any crafty opposition, or contrivance hostile to the appliances of his art, nay, it is rather the treatment which modifies its subject matter, except where some slight insubordination occurs on the part of the patient, which it is not difficult to prevent or restrain. But in our case, human prudence and selfishness, and the want of training and inclination to yield ready submission are a very great obstacle to advance in virtue, amounting almost to an armed resistance to those who are wishful to help us. And the very eagerness with which we should lay bare our sickness to our spiritual physicians, we employ in avoiding this treatment, and shew our bravery by struggling against what is for our own interest, our skill in shunning what is for our health.

Section 20: Various Ways People Don’t Address Their Sin

Humans are mad in not addressing their sins or listening to spiritual direction. Many hide their sins like a festering and malignant disease. Others excuse their sin. Others intentional deafen themselves to conviction. Others boast of their sin in brazen and shameless fashion.

20. For we either hide away our sin, cloaking it over in the depth of our soul, like some festering and malignant disease, as if by escaping the notice of men we could escape the mighty eye of God and justice. Or else we allege excuses in our sins, by devising pleas in defense of our falls, or tightly closing our ears, like the deaf adder that stops her ears, we are obstinate in refusing to hear the voice of the charmer, and be treated with the medicines of wisdom, by which spiritual sickness is healed. Or, lastly, those of us who are most daring and self-willed shamelessly brazen out our sin before those who would heal it, marching with bared head, as the saying is, into all kinds of transgression. O what madness, if there be no term more fitting for this state of mind! Those whom we ought to love as our benefactors we keep off, as if they were our enemies, hating those who reprove in the gates, and abhorring the righteous word; and we think that we shall succeed in the war that we are waging against those who are well disposed to us by doing ourselves all the harm we can, like men who imagine they are consuming the flesh of others when they are really fastening upon their own.

Section 21: Armed Resistance Against Spiritual Healing

The work of soul physician is more difficult and worthy than that of a body physician. The soul physician is concerned about the interior of a man—“the hidden man of the heart”—not just his exterior. Soul care is like a war that takes place in the interior and requires counter-maneuvering since the enemy uses ourselves as a weapon against ourselves.

21. For these reasons I allege that our office as physicians far exceeds in toilsomeness, and consequently in worth, that which is confined to the body; and further, because the latter is mainly concerned with the surface, and only in a slight degree investigates the causes which are deeply hidden. But the whole of our treatment and exertion is concerned with the hidden man of the heart, and our warfare is directed against that adversary and foe within us, who uses ourselves as his weapons against ourselves, and, most fearful of all, hands us over to the death of sin. In opposition then, to these foes we are in need of great and perfect faith, and of still greater co-operation on the part of God, and, as I am persuaded, of no slight counter-maneuvering on our own part, which must manifest itself both in word and deed, if ourselves, the most precious possession we have, are to be duly tended and cleansed and made as deserving as possible.

Section 22: Providing the Soul with Wings

The aim of soul care is to bring the soul to God and watch over it with care protecting, correcting, restoring. Pastors aim to have Christ dwell in the heart by faith and to have believers share in life with God.

22. To turn however to the ends in view in each of these forms of healing, for this point is still left to be considered, the one preserves, if it already exists, the health and good habit of the flesh, or if absent, recalls it; though it is not yet clear whether or not these will be for the advantage of those who possess them, since their opposites very often confer a greater benefit on those who have them, just as poverty and wealth, renown or disgrace, a low or brilliant position, and all other circumstances, which are naturally indifferent, and do not incline in one direction more than in another, produce a good or bad effect according to the will of, and the manner in which they are used by the persons who experience them. But the scope of our art is to provide the soul with wings, to rescue it from the world and give it to God, and to watch over that which is in His image, if it abides, to take it by the hand, if it is in danger, or restore it, if ruined, to make Christ to dwell in the heart8 by the Spirit: and, in short, to deify, and bestow heavenly bliss upon, one who belongs to the heavenly host.

Section 23: God Became Flesh

All of God’s word and works—law, prophets, incarnate Christ—point to the union God wants with his people. Specifically, the incarnation of Christ highlights the reconciliation and union between God and his people.

23. This is the wish of our schoolmaster the law, of the prophets who intervened between Christ and the law, of Christ who is the fulfiller and end of the spiritual law; of the emptied Godhead, of the assumed flesh, of the novel union between God and man, one consisting of two, and both in one. This is why God was united to the flesh by means of the soul, and natures so separate were knit together by the affinity to each of the element which mediated between them: so all became one for the sake of all, and for the sake of one, our progenitor, the soul because of the soul which was disobedient, the flesh because of the flesh which co-operated with it and shared in its condemnation, Christ, Who was superior to, and beyond the reach of, sin, because of Adam, who became subject to sin.

Section 24: Incarnation and the Union of God and Humanity

The whole of the incarnation of Christ—his birth, life, and ministry—highlight this aim of reuniting God and man.

24. This is why the new was substituted for the old, why He Who suffered was for suffering recalled to life, why each property of His, Who was above us, was interchanged with each of ours, why the new mystery took place of the dispensation, due to loving kindness which deals with him who fell through disobedience. This is the reason for the generation and the virgin, for the manger and Bethlehem; the generation on behalf of the creation, the virgin on behalf of the woman, Bethlehem because of Eden, the manger because of the garden, small and visible things on behalf of great and hidden things. This is why the angels glorified first the heavenly, then the earthly, why the shepherds saw the glory over the Lamb and the Shepherd, why the star led the Magi to worship and offer gifts, in order that idolatry might be destroyed. This is why Jesus was baptized, and received testimony from above, and fasted, and was tempted, and overcame him who had overcome. This is why devils were cast out, and diseases healed, and the mighty preaching was entrusted to, and successfully proclaimed by men of low estate.

Section 25: Restoring Fallen Mankind From the Old Adam

The culmination of the incarnation of Christ—death and resurrection—secured the reuniting of God and man—restoring what was lost in the fall and undoing the effects of the curse.

25. This is why the heathen rage and the peoples imagine vain things; why tree is set over against tree, hands against hand, the one stretched out in self indulgence, the others in generosity; the one unrestrained, the others fixed by nails, the one expelling Adam, the other reconciling the ends of the earth. This is the reason of the lifting up to atone for the fall, and of the gall for the tasting, and of the thorny crown for the dominion of evil, and of death for death, and of darkness for the sake of light, and of burial for the return to the ground, and of resurrection for the sake of resurrection. All these are a training from God for us, and a healing for our weakness, restoring the old Adam to the place whence he fell, and conducting us to the tree of life, from which the tree of knowledge estranged us, when partaken of unseasonably, and improperly.

Section 26: Those Who Heal Others Must Themselves Be Healed

Pastors participate in the work of the incarnation. Their ministry is a work of healing humanity and restoring people to relationship with God. Because of this healing work—the formation of a new man and restored humanity—leaders must be healed themselves as they seek to heal others.

26. Of this healing we, who are set over others, are the ministers and fellow-laborers; for whom it is a great thing to recognize and heal their own passions and sicknesses: or rather, not really a great thing, only the viciousness of most of those who belong to this order has made me say so: but a much greater thing is the power to heal and skillfully cleanse those of others, to the advantage both of those who are in want of healing and of those whose charge it is to heal.

Section 27: Physical Healing Does Not Mean Soul Healing

Body physicians labor hard—with detail, precision, and tirelessness—to extend the life of someone on earth. Even if a person is healed physically, they may still be under the dominion of sin and vice. Physical healing does not result in eternal life.

27. Again, the healers of our bodies will have their labors and vigils and cares, of which we are aware; and will reap a harvest of pain for themselves from the distresses of others, as one of their wise men said; and will provide for the use of those who need them, both the results of their own labors and investigations, and what they have been able to borrow from others: and they consider none, even of the minutest details, which they discover, or which elude their search, as having other than an important influence upon health or danger. And what is the object of all this? That a man may live some days longer on the earth, though he is possibly not a good man, but one of the most depraved, for whom it had perhaps been better, because of his badness, to have died long ago, in order to be set free from vice, the most serious of sicknesses. But, suppose he is a good man, how long will he be able to live? Forever? Or what will he gain from life here, from which it is the greatest of blessings, if a man be sane and sensible, to seek to be set free?

Section 28: Skill of Caring for Eternal Souls with Tailored Care

Spiritual leaders bear a great and weighty responsibility in the tending of souls and require great skill to administer spiritual health to each person’s particular needs.

28. But we, upon whose efforts is staked the salvation of a soul, a being blessed and immortal, and destined for undying chastisement or praise, for its vice or virtue,—what a struggle ought ours to be, and how great skill do we require to treat, or get men treated properly, and to change their life, and give up the clay to the spirit. For men and women, young and old, rich and poor, the sanguine and despondent, the sick and whole, rulers and ruled, the wise and ignorant, the cowardly and courageous, the wrathful and meek, the successful and failing, do not require the same instruction and encouragement.

Section 29: Great Differences Between People Who Need Care

Different people in different stages of life, conditions, and classes require different spiritual care—married and unmarried, hermits and communalists, contemplatives and simple, townspeople and rustics, simple and complex, businessmen and those of leisure, rich and poor.

29. And if you examine more closely, how great is the distinction between the married and the unmarried, and among the latter between hermits and those who live together in community, between those who are proficient and advanced in contemplation and those who barely hold on the straight course, between townsfolk again and rustics, between the simple and the designing, between men of business and men of leisure, between those who have met with reverses and those who are prosperous and ignorant of misfortune. For these classes differ sometimes more widely from each other in their desires and passion than in their physical characteristics; or, if you will, in the mixtures and blendings of the elements of which we are composed, and, therefore, to regulate them is no easy task.

Section 30: Healing Is Not Applied in the Same Way to Everyone

Just like the same medicine is not applied to every patient in the same way, so soul care requires discernment to understand what each disciple needs for their maturity.

30. As then the same medicine and the same food are not in every case administered to men’s bodies, but a difference is made according to their degree of health or infirmity; so also are souls treated with varying instruction and guidance. To this treatment witness is borne by those who have had experience of it. Some are led by doctrine, others trained by example; some need the spur, others the curb; some are sluggish and hard to rouse to the good, and must be stirred up by being smitten with the word; others are immoderately fervent in spirit, with impulses difficult to restrain, like thoroughbred colts, who run wide of the turning post, and to improve them the word must have a restraining and checking influence.

Section 31: Variety of Care in Unique Seasons

People differently respond to various means of spiritual care—praise and blame, encouragement and rebuke, public admonishment and private correction. All care should be administered in the right season.

31. Some are benefited by praise, others by blame, both being applied in season; while if out of season, or unreasonable, they are injurious; some are set right by encouragement, others by rebuke; some, when taken to task in public, others, when privately corrected. For some are wont to despise private admonitions, but are recalled to their senses by the condemnation of a number of people, while others, who would grow reckless under reproof openly given, accept rebuke because it is in secret, and yield obedience in return for sympathy.

Section 32: Close and Careful Watch Is Necessary

Close and careful watch is necessary to be able to discern the approach care for people. Ultimately, we must know people well to care for them best.

32. Upon some it is needful to keep a close watch, even in the minutest details, because if they think they are unperceived (as they would contrive to be), they are puffed up with the idea of their own wisdom: Of others it is better to take no notice, but seeing not to see, and hearing not to hear them, according to the proverb, that we may not drive them to despair, under the depressing influence of repeated reproofs, and at last to utter recklessness, when they have lost the sense of self-respect, the source of persuasiveness. In some cases we must even be angry, without feeling angry, or treat them with a disdain we do not feel, or manifest despair, though we do not really despair of them, according to the needs of their nature. Others again we must treat with condescension and lowliness, aiding them readily to conceive a hope of better things. Some it is often more advantageous to conquer—by others to be overcome, and to praise or deprecate, in one case wealth and power, in another poverty and failure.

Section 32: Soul Care Requires Wisdom and Discernment

Vice is always wrong and virtue is always right. But applying spiritual medicine can be dangerous or healing depending on the season, circumstance, and disposition of the patient. Spiritual leaders need wisdom and experience for this work—“actual experience and practice are requisite.”

33. For our treatment does not correspond with virtue and vice, one of which is most excellent and beneficial at all times and in all cases, and the other most evil and harmful; and, instead of one and the same of our medicines invariably proving either most wholesome or most dangerous in the same cases—be it severity or gentleness, or any of the others which we have enumerated—in some cases it proves good and useful, in others again it has the contrary effect, according, I suppose, as time and circumstance and the disposition of the patient admit. Now to set before you the distinction between all these things, and give you a perfectly exact view of them, so that you may in brief comprehend the medical art, is quite impossible, even for one in the highest degree qualified by care and skill: but actual experience and practice are requisite to form a medical system and a medical man.

Section 34: Knowing the Souls of One’s Sheep

Just as it is dangerous for a man on a tight rope to lean to either side, so the pastor needs to have "perfect balance."A good shepherd knows his flock and is able to apply appropriate methods of pastor care which are “right and just, and worthy of our true Shepherd.”

34. This, however, I take to be generally admitted—that just as it is not safe for those who walk on a lofty tight rope to lean to either side, for even though the inclination seems slight, it has no slight consequences, but their safety depends upon their perfect balance: so in the case of one of us, if he leans to either side, whether from vice or ignorance, no slight danger of a fall into sin is incurred, both for himself and those who are led by him. But we must really walk in the King’s highway, and take care not to turn aside from it either to the right hand or to the left, as the Proverbs say. For such is the case with our passions, and such in this matter is the task of the good shepherd, if he is to know properly the souls of his flock, and to guide them according to the methods of a pastoral care which is right and just, and worthy of our true Shepherd.

Reflection Questions

1. How is the work of ministry like that of a physician? How does a “soul physician” give us a fitting metaphor for pastoral work?

2. What would change in your life, ministry, and church if you viewed yourself as a physician of souls? What would need to change for this to become a reality? How can you better equip yourself for this work?

3. What examples do you have of people who have approached the work of ministry as a doctoring of the soul? What most impacted you about their approach to ministry?