Is God Still at the Bedside? (review)

It is extremely difficult to find a comprehensive book for use in death and dying courses. Princeton Theological Seminary professor Abigail Rian Evans has produced a notable exception to this. Although her book seems more suited for ministers, chaplains, and pastoral counselors, it would also prove to be useful for those working in the areas of thanatology, medical ethics, health care, and theological eschatology. It could definitely be used as a student textbook, preferably in schools of theology or seminaries.

Acknowledging that the “complexity of death” requires an interdisciplinary approach, Evans invokes a variety of disciplines as she moves through four major sections: “Prologue” (a theological and sociological analysis of American attitudes toward death); “Negotiated Death” (a philosophical, theological, and legal discussion of euthanasia, suicide, organ donation, and legal issues); “The Experience of Dying” (a theological and ethical view of pain and suffering, hospice care, and mourning); and “God at the Bedside” (a practical look at the role of clergy, ministry to the dying, and Christian funerals). She begins each chapter with a literary excerpt, includes statistics and polls to support her analyses, and examines the positions of the mainstream religious traditions with regard to each issue. Included, for example, is a most valuable eight-page chart outlining twenty-seven major religions’ positions on euthanasia (101–8).

While Evans is careful to include references to religious traditions other than her own (Presbyterian), her treatment of some of their perspectives is a bit simplistic. For instance, she asserts that “Aquinas allowed abortion based on the principle of double effect” (14) without providing the essential nuances to his thought. However, she does cite many prominent moral theologians throughout her book, including references to the most recent meetings of theological organizations.

The major strength of Evans’s treatment of death issues lies in her ability to draw upon her own experience as a Presbyterian pastor, liturgist, Christian bioethicist, and theologian. She has served as minister to parish communities, as thanatology instructor, as counselor to the dying and the bereaved, and as consultant to various educational organizations in their efforts to institute faith-based health care programs. The anecdotes she provides from these varied roles imbue the material with a richness that a purely academic treatise would lack.

Because of her experiences, Evans has also furnished her readers with a wealth of practical information. The appendices include resources for patients and their families, information about advance directives, the patients’ bill of rights, a caregiver’s decision-making guide for end of life, and helpful tips for effective care giving and grief management.

The last third of the book is dedicated to a thorough discussion of how to minister to the dying. Based on an extensive theological examination of Christian resurrection, Evans’s advice also includes pastoral, psychological, and sociological dimensions. She cites the concept of FCN (faith community nurse), for example, as one of the latest and much needed nursing specialties (349–66). Tracing its history from deacons and deaconesses in the early church to the traditional black church nurse, Evans objectively sets forth its advantages as well as the disadvantages. She concludes that the current economic environment and credentialing issues might make implementation of this innovation in health care problematic (362–64).

To the question posed by the book, is God still at the beside?, Evans answers with a resounding “yes” (424). Her comprehensive, well-researched, and extremely practical handbook for end-of-life issues makes it clear that a theology of life and death provides a framework in which we make choices not only about how we will die but also how we will live (xvi).