Burnout and Vocation

A caution, though, is in order. Economic vocations can easily change, and sometimes people in one line of work, which they find frustrating, can be called to another line of work. Some vocations, though, such as the family callings and the calling of the Gospel, are permanent.
Dealing with the COVID epidemic has been taking a toll on nurses and other health care professionals. The overtime shifts, the staffing shortages, the triage of patients, the grief at losing so many, exasperation with the healthcare establishment, and firings due to the vaccine mandate are leaving frontline medical workers frustrated, exhausted, and emotionally drained.
It has gotten so bad that two-thirds of America’s nurses say that the COVID epidemic has made them consider leaving their profession.
So reports The Wall Street Journal in an article on burnout among nurses that turns into a reflection on vocation. Rachel Feintzeig has written the feature story When You’re Burned Out at Your Job, But It’s Also Your Calling , with the deck “Overworked nurses are considering less intense and remote jobs due to Covid-19, but stepping away is hard when you’ve dedicated your life to caring for others.”
Though the Wall Street Journal doesn’t discuss “calling” in terms of the One who calls us to love and serve our neighbors in all of our stations in life into which He has brought us, it raises some important issues that are worth thinking through theologically.
The problem of burning out in one’s calling is not, of course, limited to nurses. Nor is vocation limited to our economic callings, what we do to make a living. We also have callings in our families (as spouses, parents, and children), in the church (as pastors, other church workers, and laypeople), and in the state (as citizens, officials, voters, etc.). We can burnout in our work and we can burn out in those vocations, as well.
In the course of her discussion of the plight of nurses, Feintzeig says,
In recent months, as I’ve written about burnout, I’ve heard from overwhelmed teachers and social workers who say they too struggle with toxic bosses and unsustainable workloads, but wrestle with the guilt of abandoning people they pledged to help.
The question they face: How to leave a job that feels like a calling?
“When you do really feel called to your profession it becomes intertwined with your identity,” says Delaney Barsamian, a 31-year-old in the Bay Area who left her emergency-room nursing role last year for a remote job helping patients make end-of-life plans. “It was almost like a breakup. I was in love with emergency medicine.”
Of course, all callings have as their purpose, in different ways, to help people. And the constellation of our multiple callings, given to us uniquely and personally, constitutes our identity. So frustrations with our callings and leaving our callings can be traumatic. The article gives a useful term for why that can happen:
“Nurses are so angry,” she says. “I’m seeing and hearing this incredible sense of malaise and hopelessness.”
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Child Custody’s Gender Gauntlet
This is gender ideology—the belief, not backed by any meaningful empirical evidence, that we all have an ineffable gender identity, knowable only to us. This identity has no observable markers, and it is immutable (until the moment we change our minds and reveal ourselves as “gender fluid,” of course). It is promoted by virtually every practitioner of “gender-affirming care,” it is unfalsifiable, and its hold on our legal system is gaining ground.
Before she decided to strip him of all custody over his son, Drew*—before determining that he would have no say in whether Drew began medical gender transition—California Superior Court Judge Joni Hiramoto asked Ted Hudacko this: “If your son [Drew] were medically psychotic and believed himself to be the Queen of England, would you love him?”
“Of course I would,” the senior software engineer at Apple replied, according to the court transcript. “I’d also try to get him help.”
“I understand that qualifier,” Judge Hiramoto replied. “But if it were—if you were told by [Drew’s] psychiatrist, psychologist that [Drew] was very fragile and that confronting him—or, I’m sorry, confronting them with the idea that they are not the Queen of England is very harmful to their mental health, could you go along and say, ‘OK, [Drew], you are the Queen of England and I love you; you are my child and I want you to do great and please continue to see your psychologist.’ Could you do that?”
“Yes,” Hudacko said. “That sounds like part of a process that might take some time, sure.”
“What process?” Judge Hiramoto said. “What is the thing that might take some time? Accepting the idea that [Drew] occupies an identity that you believe is not true?”
“The identity you just mentioned to me was the Queen of England,” Ted began. “I can tell him and I can affirm that to him, to reassuring him situationally; but objectively, he is not the Queen of England and that won’t change, and even the therapist in that case would know that.”
The then-54-year-old father of two teenage minor sons (Drew is the elder) felt that he was walking into a trap. For Ted, precision is not merely a requirement for his job but almost a constitutional necessity. His recall of every fact, date, and filing of the complicated court proceedings involving him and his ex-wife is astoundingly accurate—the sort of feat you might expect from a brilliant lawyer, not a distraught father battling the legal system alone for his son.
But at this point in the child-custody hearings, Ted couldn’t understand what the judge wanted from him. His soon-to-be-ex-wife, Christine, then an executive at the investment firm BlackRock, had already agreed to shared custody of their younger son; no one—not even this judge—seemed to believe that he was anything like an unfit father.
Ted isn’t a particularly devout Episcopalian, and he describes his politics as libertarian. He’s athletic, health-conscious, and takes a keen interest in his sons’ talents. He coached their baseball teams and researched conservatory programs for Drew, already an accomplished pianist. Just one year earlier, Ted had been one-half of a Bay Area power couple with high-status careers and precocious kids. Now, he was one-half of a contentious divorce, presided over by a judge who was referring to Drew as “they” and pressing Ted to accept that his 16-year-old son was actually a girl.
“And do you think that being transgender is a sin?” Judge Hiramoto asked, according to the transcript.
“No, of course I don’t think it’s a sin.”
“So you don’t think that it’s a sin. But you probably think that [Drew], if they are truly transgender, you would prefer that [Drew] not be transgender because in our society transgender people are the subject of a lot of discrimination. Would you agree with that?”
“I agree that transgender people suffer some discrimination and prejudice. I agree with that,” he said.
“I’m sort of going off the parallel experiences that I’ve read about or heard in family court or in family law classes for judges where gay children come out to their parents,” the judge said. “And sometimes it is difficult for the parents because they believe that the identity of being gay or lesbian, in their religion, is a sin. And then some people don’t feel that it’s a sin, but they say—they take a different angle, and they say, I just would prefer my child not to be gay or lesbian because they suffer so much discrimination in our society.
“So I’m sort of asking these parallel questions to see what is your—what I see in the papers is that you think that [Drew] is not truly transgender and that they are merely confused and—”
“He might be transgender,” Ted said. “He might be.”
“Okay. So if [Drew] might be transgender, it’s just to say they might.”
Ted realized his error and corrected himself: he had used the “he” pronoun because he remained deeply skeptical that the boy he’d coached in little league—the son he’d once seen crushing on a cute girl in his fifth-grade class—was actually a young woman.
“They might be,” Ted said. “[Drew]—they might be. Might be. We don’t know.”
While trying to keep an open mind about Drew’s gender, Ted was adamant to the judge that he did not want Drew to begin medical transition. In the 312 days since he had last seen his boy, Ted had done a lot of research on medical transition and gender dysphoria. He begged the court to consider research that suggested puberty blockers could impair cognition and diminish bone density. He knew that Drew, if administered puberty blockers along with estrogen, would be at high risk of permanent infertility. He wasn’t even sure that his son had gender dysphoria. He wanted to see his son—and he wanted this bullet train to slow down.
“It sounds to me that you would prefer that [Drew], when all is said and done, is just going through a phase. Is that a fair assessment?”
Ted evaded the question. Did he prefer that his son avoid a medically risky regimen that would render him permanently infertile and make him a lifetime medical patient? Wouldn’t anyone?
In the three years I’ve spent writing about families with transgender-identifying minors, the story of Ted Hudacko stood out as a case study of how gender ideology has infiltrated family law. It also frames the unintended consequences of medical professionals’ fudging science, rewriting medical definitions, and tolerating shoddy research to placate activists. At each stage, doctors may have thought: Where was the harm? And so, as a consequence, judges now decide the fate of children and their families based on phony, medically unsubstantiated metaphysics, as if it were factual that all adolescents have an immutable, ineffable “gender identity,” knowable only to the adolescents themselves.
On June 24, 2020, following her discussion with Ted about the Queen of England hypothetical, Judge Joni Hiramoto granted Christine sole legal custody of Drew on a temporary basis and approved the shared legal and physical custody arrangement of their younger son. She assured Ted that her order was not yet permanent. Judge Hiramoto had decided to order the appointment of a minor’s counsel to investigate how the boys were faring before making any permanent decisions. She already had the perfect person in mind. “I actually know of one who was previously appointed by the court, by a different judge, on a case involving children that were allegedly transgender,” she said. That minor’s counsel was attorney Daniel Harkins.
Ted didn’t know it yet, but the appointment of Harkins would place the final nail in the coffin of his parental rights. Within just a few months, the court would definitively end Ted’s parental relationship. He would have no right to see Drew, no right to talk to him, no right to demand that Drew attend therapy with him, and absolutely no right to stop a medical transition already planned by the Child and Adolescent Gender Center of UCSF Benioff Children’s Hospital.
And finally, the court also felt that Ted had no right to know that Judge Hiramoto had a transgender child of her own, whose gender transition she had publicly supported. No one disclosed this information to the parties.
Ifirst spoke to Ted in May 2021, after Judge Hiramoto—following the recommendation of minor’s counsel—had stripped him of all custody of Drew. Ted was leaning heavily on support groups just to get himself through the day. He compared himself to the morose Edward Norton character from the movie Fight Club, who attends multiple support groups to relieve his depression and insomnia. “I’m in six support groups,” Ted said, laughing a little at himself.
Ted estimated that he had spent only 75 minutes total with Drew in the previous 12 months. His wounds were raw. Part of him wanted to blast his story across America, but he also worried that he might lose any remaining chance to see his son again if he did so. He had dismissed his attorney, who had failed to restore any of Ted’s rights, notwithstanding $25,000 in legal fees. For four months, Ted had been representing himself in court, filing motion after motion, attempting to terminate the appointment of the minor’s counsel (denied), pleading the court for more access to his son (also denied). The man I spoke to was distraught, half in shock, like someone arriving home from work to find his house being bulldozed.
The whole notion that Drew might be transgender still seemed bizarre to Ted—a fantasy told about someone else, bearing no connection to him. Even his divorce still seemed more like a nightmare than waking life. Sure, Christine had been distant in their marriage for some time, Ted told me, but that was easy to explain: for more than a year, she had been distracted by tragedy. In 2018, Christine’s sister had been stabbed 23 times at her workplace by her own estranged husband, who had recently been discharged from an inpatient mental-health facility. Christine spent the next year shuttling from the Bay Area to upstate New York to aid her sister’s recovery and provide evidence to strengthen the district attorney’s attempted murder prosecution. For the sentencing phase of the criminal trial—in June and July 2019—Christine stayed on the East Coast with both boys.
Ted was then fully preoccupied with a grueling six-week project for Apple. He hadn’t slept well in weeks, he says. On a Saturday in August 2019, shortly after returning from upstate New York with the boys, Christine walked into Ted’s home office and announced both that she was leaving and that their son Drew was transgender. By his own admission, Ted became angry. He believed Christine must have talked Drew into this during their weeks together in upstate New York. Ted says he begged to have this conversation after he had gotten some sleep. But Christine walked out, taking the kids to stay with her at a neighbor’s house.
“Saturday, when she left, I was under the impression, mistaken impression, that, you know, she simply temporarily left,” he said. “You know, maybe going out to get some fresh air or to just get, you know, give us some space or maybe even have gone to see a movie. I just went upstairs. I didn’t get up till the following morning.”
Court documents reveal Ted’s struggles with the court-appointed minor’s counsel, Daniel Harkins. No part of his tragedy is more Kafkaesque.
Harkins met with both boys, interviewed Drew’s therapist and both parents, and conducted two 90-minute interviews with Diane Ehrensaft of the UCSF Benioff Child and Adolescent Gender Clinic. Harkins also did some research on Ken Zucker, the Toronto-based psychologist and gender dysphoria specialist whom Ted preferred. Harkins never spoke with Zucker.
Zucker is arguably the world’s leading expert on gender dysphoria. He oversaw the writing of the entry of the condition for the DSM-5, the most recent Diagnostic and Statistical Manual of Mental Disorders. He also helped write the most recent final “Standards of Care” guidelines for the World Professional Association of Transgender Health. (New final standards are forthcoming.)
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“The Power of the Cross” – Paul’s Declaration in 1 Corinthians 1:17
The cross is the divinely appointed means by which God saves sinners. It is in this message, and no other, where God’s wisdom and saving power is revealed. But since the cross was such a scandalous and offensive thing, we can see why it would have confounded any and all who heard the philosophers and wise men of the day and found them both entertaining and helpful, when the gospel preached by the unimpressive Paul was anything but. Paul could not have proclaimed a more offensive message. Paul will not preach the wisdom of pagans, instead he preached the crucified Christ through which God confounds all human wisdom.
Note: What follows is an excerpt from episode four of season three of the Blessed Hope Podcast which covers Paul’s first letter to the Corinthians.
In verse 17 of the first chapter of 1 Corinthians, Paul defines his mission as apostle to the Gentiles. “For Christ did not send me to baptize but to preach the gospel, and not with words of eloquent wisdom, lest the cross of Christ be emptied of its power.”
There are a number of points about the cross of Christ we can draw from his declaration.
First, the great commission includes the command from our Lord to make disciples by baptizing them in the name of the triune God (Matthew 28:18-20). But as apostle to the Gentiles, Paul understands that his divinely-appointed mission is to preach the gospel and not to become overly involved in the day to day affairs of church life. The office of apostle was centered in the responsibility of preaching in an evangelistic context (establishing churches), with the day to day responsibility for church life assigned to the successors of the apostles–the ministers of word and sacrament, elders, and deacons. The calling of the first church officers begins with Jesus’s call of the twelve disciples during Jesus’s Galilean ministry, and moves on to the establishment of the office of deacon (as recounted in Acts 6:1-6), then to those who hold the office of elder identified in the book of Acts, throughout the letters of Paul, and with the qualification and duties of the church offices of elder and deacon defined in 1 Timothy 3:1-13.[1]
Second, Paul’s emphasis upon the centrality of preaching contains loud echoes from Isaiah 40, which speaks of the messianic age as one in which the Messiah would establish the preaching of good news. Ciampa and Rosner, citing Dickinson, point out that,
Paul’s usage of gospel-terminology [esp. euangelizomai] was heavily influenced by the particular significations contained in the messenger traditions arising from Isa 40:9, 52:7 and 61:1, wherein ‘secular’ messenger language had been transposed to a higher, eschatological level, depicting the end-time herald(s) commissioned by Israel’s God to announce his salvific reign.[2]
What Paul was witnessing was the fulfillment of that age foreseen by Isaiah in which the good news of the gospel was proclaimed throughout the Gentile world.
Third, in light of such echoes taken from Isaiah, Paul does not place his confidence in the power of “eloquent wisdom” as one would expect in a Greco-Roman context, if he were merely attempting to win them over on their terms. He never uttered challenges like “our God is greater than your philosophers,” but he does make clear that his gospel news (the account of Christ’s doing and dying) confounds his audience because divine wisdom is only so much foolishness to those who are not given ears to ear.
Fourth, Paul is especially concerned that the Corinthians realize that the preaching of the cross does not center in “words of eloquent wisdom” (literally “cleverness in speech”).
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What the Early Church Can Teach Us about Living in This Strange New World
Written by Carl R. Trueman |
Tuesday, August 16, 2022
The Apologists and Augustine both offer a vision of the church in a hostile culture that calls on the church to be the church and on Christians to be constructive members of the wider society in which they are placed. Some might respond that failing to engage in aggressive and direct confrontation looks rather like defeatism or withdrawal. But is it?Learn from the Ancient Church
Traditional Christians are typically those who take history seriously. We have a faith rooted in historical claims (supremely the incarnation of Jesus Christ and the events and actions of his life) and see our religious communities as standing in a line extending back through time to Pentecost and beyond. Thus, when faced with peculiar challenges, Christians often look to the past to find hope with regard to their experience in the present. Typically, Protestants look to the Reformation, and Catholics look to the High Middle Ages. If only we might be able to return to that world, we tell ourselves, all might be well.
Anyone with a realistic sense of history knows that such returns are at best virtually impossible. First, neither the Reformation nor the High Middle Ages were the golden eras that later religious nostalgia would have us believe. The societies in which the church operated in those periods are gone forever, thanks in large part to the ways in which technology has reshaped the world in which we now live.
If we are to find a precedent for our times, I believe that we must go further back in time, to the second century and the immediately post-apostolic church. There, Christianity was a little-understood, despised, marginal sect. It was suspected of being immoral and seditious. Eating the body and blood of their god and calling each other “brother” and “sister” even when married made Christians and Christianity sound highly dubious to outsiders. And the claim that “Jesus is Lord!” was on the surface a pledge of loyalty that derogated from that owed to Caesar Lamentation for Christianity’s cultural marginalization. That is much like the situation of the church today. For example, we are considered irrational bigots for our stance on gay marriage. In the aftermath of the Trump presidency, it has become routine to hear religious conservatives in general, and evangelical Christians in particular, decried as representing a threat to civil society. Like our spiritual ancestors in the second century, we too are deemed immoral and seditious.
Of course, the analogy is not perfect. The church in the second century faced a pagan world that had never known Christianity. We live in a world that is de-Christianizing, often self-consciously and intentionally. That means that the opposition is likely better informed and more proactive than in the ancient church. Yet a glance at the church’s strategy in the second century is still instructive.
First, it is clear from the New Testament and from early noncanonical texts like the Didache that community was central to church life. The Acts of the Apostles presents a picture of a church where Christians cared for and served each other. The Didache sets forth a set of moral prescriptions, including a ban on abortion and infanticide, that served to distinguish the church from the world around. Christian identity was clearly a very practical, down-toearth, and day-to-day thing.
This makes perfect sense. Underlying much of the argument of previous chapters—indeed, underlying the notion of the social imaginary—is that identity is shaped by the communities to which we belong. And we all have various identities—I am a husband, a father, a teacher, an Englishman, an immigrant, a writer, a rugby fan, in addition to being a Christian. And the strongest identities I have, forming my strongest intuitions, derive from the strongest communities to which I belong. And that means that the church needs to be the strongest community to which we each belong.
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