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In die Skriflig

On-line version ISSN 2305-0853
Print version ISSN 1018-6441

In Skriflig (Online) vol.42 n.4 Pretoria Jan. 2008




Kanker as lewensnood: Voorlopige merkers vir die pastoraat


Cancer as a life crisis: Preliminary markers for the pastorate



A.R. BrunsdonI; G.A. LotterII

IPraktiese Teologie, Potchefstroomkampus. Noordwes-Universiteit. Potchefstroom. E-pos:
IIPraktiese Teologie, Potchefstroomkampus. Noordwes-Universiteit. Potchefstroom. E-pos:




Die diagnose van kanker is ingebed in die negatiewe sosiale diskoers van 'n doodsvonnis. Dit het derhalwe 'n eksistensiële krisis tot gevolg in die lewens van persone wat daardeur geaffekteer word. Waar die mediese wetenskap sy optrede laat bepaal deur die tipe kanker wat gediagnoseer is, is die roete wat die pastoraat moet volg nie dadelik duidelik nie. In hierdie artikel word gepoog om voorlopige merkers te identifiseer wat van belang sal wees vir die pastoraat aan persone wat deur kanker geaffekteer is. Deur kanker fenomenologies te beskou en ook in die lig van die bekendste vorme van mediese ingrype, sal sekere sleutelveranderings geponeer word wat vermoedelik deur 'n kankerdiagnose meegebring sal word. Agt geantisipeer-de sleutelveranderings word bespreek, te wete: die verskuiwing van grense, blootstelling aan nuwe verhoudings, gevoelens van verwerping, 'n identiteitskrisis, die radikalisering van kommunikasie, die radikalisering van tyd, skeidings- en doodsangs as-ook geloofsvrae. In die lig van hierdie geantisipeerde veranderings word 'n sestal voorlopige fokusareas vir die pastoraat bespreek. Die teodiseevraag, lydingsvraagstuk, die sonde-siekte-vraagstuk, medies-etiesevraagstukke, sterwensbegeleiding en rousmart asook die eskatologiese bestemming van die gelowige. Hierdie aspekte kom in aanmerking as voorlopige merkers vir die pastoraat aan persone wat deur kanker geaffekteer is.


The diagnosis of cancer is embedded in the negative social discourse of a death sentence. It therefore creates an existential crisis in the lives of its victims. This article will explore the pastoral implications of a cancer diagnosis. Whereas the medical path becomes clear upon the diagnosis of a particular type of cancer, the pastoral path may not immediately be evident. By viewing cancer phenomologically and in the light of the most common medical treatment, the article will try to establish what key issues (changes) would be brought upon persons affected by cancer. Eight key issues are taken into consideration: the change of short and long-term goals, the exposure to new relationships, feelings of rejection, an identity crisis, a radicalisa-tion of communication, a new perspective on time, death-anxiety and faith issues. In the light of these anticipated key issues, six focus areas are identified as preliminary markers for the pastoral process. The problem of theodicy, suffering, the relationship between sin and illness, ethical issues of a medical nature, end of life counselling and eschatological perspectives are taken into consideration as areas that would be of great value in the pastorate to persons affected by cancer.



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