Doula as a Model for Diaconate

I have become increasingly aware of the term doula. True, I do not move in the circles in which the word is more common. The first modern use of the term doula is in a 1969 anthropological paper by Dana Raphael:

“In working with human groups we note that the motivation for doula behavior is extremely complex. The doula may be assisting the new mother because she expects to be helped in like manner when her turn comes.”

Raphael, Dana. “Uncle Rhesus, Auntie Pachyderm, and Mom: All Sorts and Kinds of Mothering”. Perspectives in Biology and Medicine, vol. 12 no. 2, 1969, pp. 290–297. Project MUSEdoi:10.1353/pbm.1969.0035

The word comes from the modern Greek δούλα, derived from the the classical δούλη, ‘bondswoman’ or ‘slavegirl’. It came to be used to refer to a woman who accompanies another woman through preparation for childbirth, the birth itself and aftercare, giving advice and support either informally or in a professional manner. At first glance, it sounds much like the work of a midwife, but the doula is entirely non-medical, focusing on emotional support for the mother, alongside family, friends and healthcare professionals.

Doulas are becoming more popular with expectant mothers. And doulas are setting themselves up in business to be hired to accompany women through childbirth, even setting up agencies of several doulas. They offer a variety of skills and experience, often having given birth themselves, some trained in mindfulness meditation or home births, and so forth.

The term doula has started to be used beyond the sphere of childbirth to describe someone who provides one-to-one emotional support at other times of change or stress. Some doulas specialise in supporting the elderly, and particularly those with dementia. I’ve heard of death doulas who specialise in helping the dying to prepare for their death.

With that last example, the concept of the doula begins to sound more like a secularised form of pastoral ministry. Perhaps this is inevitable that secular societies find ways to reintroduce the services once offered by the church in non-religious ways, just as the wise-woman doula of the village of the past is a professional with a website today.

The church is need of new models of pastoral care. It is not that the old ones no longer work, but that they were not designed to work in our constantly shifting social spaces. In a world of specialists, church pastoral care often is rather general. This is a good thing — we should recognise the importance of unstructured general pastoral support — but there is increasing need for pastors who bring particular specialisms.

I wonder what a diocesan or deanery doula agency might look like. Perhaps it might train doulas to specialise in one or two areas, dying and dementia care perhaps. Their services could be offered for a fee, with the allowance to waive the fee whenever it might become a problem. Their services would be religious, praying with and for the person they support and offering spiritual counsel. However, I am also a believer in Christians demonstrating the love of God in pastoral work that is offered without these outwardly religious activities — “Well, I am trained by the Church of England to support those who are preparing for death. I am a Christian and I pray for all whom I support, but I do not impose matters of faith on my conversations or expectations of those whom I support”.

In the church, we have a word that is much like doula, and that word is deacon, from the Greek διάκονος for ‘servant’, ‘waiter’ or ‘errand runner’. Our bishops ordain men and women as deacons as the first order of clerical ministry. Most deacons quickly are ordained as priests, often a year later, and the diaconate has only swelled in times where certain people — women or married men — could be ordained as deacons but their churches would not ordain them as priests.

In the liturgy, a deacon assists the bishop or priest and encourages the people. In demonstration of this, to the deacon is particularly reserved the liturgical reading of the Gospel, the leading of the prayers of the people, and the serving of the Communion chalice (although others can fulfil these roles also). They may baptize, preach, teach, lead non-eucharistic worship and conduct funerals. As deacons are members of the clergy, they can wear the white clerical collar and use the style the Reverend. Sometimes people mistake deacons for priests, but that is hardly a problem: they are recognising someone who is a minister of the church, not asking them to fulfil a priestly function.

I wonder, that if a diocese of deanery trained doulas in a particular pastoral specialisation whether also ordaining them as permanent deacons, not to be later ordained as priests (who have plenty of other things to do), it would lend them added professionalisation and visibility, linking their personal and emotional care with the pastoral work of the church. A death doula-deacon could even conduct the funeral of the person whom she supported in their last days of earthly life. A childbirth doula-deacon could bring the family to church and celebrate the baptism.

As deacons of the early church, doula-deacons could be attached to local churches for daily prayers and Sunday worship, but minister at the direction of the bishop rather than a parish priest. They could pray with fellow doula-deacons regularly in the cathedral for spiritual support of one another. This would not mean that parish priests stop doing pastoral care or visiting the dying, but that the doula-deacons offer a specialised service that is perhaps more likely to be taken up by those who are not regularly in attendance at church. In fact, the ministries could be complementary. There is the tradition that the anointing of the sick is a priestly ministry (from James 5·14), and not for a deacon to do. Therefore, a death doula-deacon could call on a priest colleague to anoint a person preparing for death.

Watch and pray

Liturgists are often accused of focusing on the pointless minutiae of Christian worship; to the accusers, this articles is a gift! I want to discuss the rarely discussed issue of wearing a watch while ministering liturgically.

Bishop Conley wearing a watch.
Bishop Conley wearing a watch.

The photograph to the right shows Bishop James Conley of the Catholic Diocese of Lincoln, Nebraska. Everything about him in this picture is dignified and elegant in the context of Mass. All except his wristwatch. At first, it looks like a chunky Casio G-Shock on a rubber strap, but it might be something a bit more sophisticated on a ‘gun metal’ bracelet. It is rather obvious, and that is partly because he has chosen to wear it on his right wrist. Priests always bless with their right hand and perform most liturgical gestures with the right, so a watch on the right is always going to have more presence. The picture of Bishop Conley would probably not have jumped out at me if he had worn his watch on the left.

The wristwatch became popular in the early twentieth century. Earlier wristwatches tended to be for women, an alternative to wearing a watch on a chain or ribbon around the neck and worn on a bracelet. It is odd to think of the wristwatch as feminine: pocket watches were the then masculine style. War changed things; it always does. Officers coordinating manoeuvres of troops advancing under rolling artillery barrages were issued wristwatches as they needed to be able to check the time constantly while keeping their hands free. Wristwatches quickly became popular after the First World War but were still considered rather gauche in certain circumstances. In the early 20th century, it would have been unusual for a priest to wear a wristwatch at the time of divine service. I am not sure that there have any been instructions against priests wearing wristwatches while ministering liturgically, but quite a few retired priests have the habit of removing their wristwatch in the sacristy before celebrating.

Most wristwatches have a crown at 3 o’clock. They are traditionally worn on the left wrist so that one could easily wind and adjust them with the right hand (a watch worn on the right is still awkward to work with the left hand, even for a left-handed person, as the hand will cover the face). With the advent of quartz and digital watches, this became less of an issue, and many now wear their watch on their right wrist as a matter of personal choice. However as was noted above, a priest wearing a watch on the right wrist will be constantly flashing it at every liturgical gesture.

Pius IX (1792–1878) was perhaps the first pope to wear a watch and was gifted with a Patek Philippe pocket watch. Pope John Paul II was known to wear a silver-gold Rolex Datejust, which is fairly mid-range as far as Rolexes go (and the same model as worn by the Dalai Lama). Pope Benedict XVI was given a rather fine Junghans Tempus Automatic. Pope Francis wears a little black plastic Swatch. They all wear or wore their watches on their left wrist, and all are fairly subtle, even John Paul II’s Rolex was fairly discreet. The lesson perhaps is that, if a priest wears a wristwatch, it should be a subtle model worn on the left. Even when worn on the left, certain two-handed liturgical gestures — greeting with arms outstretched, raising the Gospel, the orans position, and the elevation of the Eucharistic gifts — can make the watch visible.


Popes and their watches


Some older patterns of cassock come with a small pocket for a pocket watch. The Wippell version has this pocket high on the left breast, while others have it slightly above the waistline, on the left also, so that it is covered by the cincture. One point is that it is virtually impossible to check a pocket watch whilst vested in a surplice or alb, and perhaps there is a meaning deeper than Houdini-like moves in white linen here.

The time of prayer and praise should be timeless. In liturgy, there is a foretaste of the heavenly banquet, and therefore of eternity. I remember one dapper gent at a formal dinner (which are two-a-penny in Oxford) telling me that he thought it incorrect to wear a watch with a dinner jacket, thinking it symbolizes a rather rude indication that one might have other plans. Surely this argument is even more appropriate for divine worship.

In my last parish, the vicar and I would often check our watches at the end of the main Sunday Mass to see how long the service had taken. There is a lot to pack into a big Parish Mass, and it is important to be respectful of the time of congregants. The parish at which I preached last Sunday has a little pocket-watch-shaped indentation on the top edge of the pulpit, sadly sans watch, and, likewise, the good timing of a sermon is important. In the past, a church clock might be the only timekeeper in the parish, so we have a long interest in telling the time (out loud). There is a discipline here of the punctuality needed to honour others and God that leads us to worship, and the timelessness within worship.

My Orient Bambino.

To the right is a picture of my Orient Bambino Automatic. It is really cute and quite reasonably priced. Its classic look makes it suitable for wear with the cassock. Its case is a little on the large size, but it remains subtle. I retain the watch for choir offices but have taken to removing it before celebrating Mass for the reasons cited above. I pray

O God, thou art Lord of all time and eternity : in the slenderness of this time that we give unto thy praise, fill thou thy servants with a foretaste of thy eternal promises, through Jesus Christ our Lord.