Archdiocese
of Durban Synod
September 2002
Keynote
address
Stuart
C Bate OMI
Casting fire upon the earth.
1.
Fire and Life
In
Luke’s Gospel (12:49) Jesus defines his own mission using the metaphor of
fire. “I have come to cast fire on the earth and how I wish it was already
set ablaze”. When Jesus casts fire upon us we are set ablaze to bring the
light of life and the warmth of compassion and care to a dark, cold and
calculating world. This Lucan version of Jesus’ mission is profitably read
together with the one from John (10:10). There Jesus says: “I have come that
they may have life and have it more abundantly”. This tells us that the fire
Jesus casts is a fire that gives life and as the fire is set ablaze it burns
in the hearts of all to bring the fullness of life to people everywhere. It
awakens the hearts and souls of people and communities and sets them in motion
as they are enlivened by it. It is the fire of which Jeremiah speaks: “a
fire burning in my heart and imprisoned in my bones”(Jer 20:9). For this
fire of Yahweh’s word had overpowered him and made him a prophet. His Word
was made flesh and dwelt amongst us and His Spirit appeared to the apostles as
“tongues of fire which separated and came to rest on the head of each of
them” (Acts 2:2). It is the eternal fire which enters the disciples at
Pentecost allowing them to speak words which brought good news to people of
many languages and which gave them power to begin the impossible task of
bringing the good news of salvation to all nations. This eternal fire has
touched the hearts of men and women throughout the ages. It comes in many
forms. It comes as the gentle light of a candle which dimly lights a darkened
space for many hours. It is found in the flames of the Easter fire which
devours the wood and turns it to ash. Moses came upon it in the burning bush
which was not consumed and which marked out the sacredness of holy ground. It
is a fire which has touched this holy ground in Southern Africa.
2.
Fire and Life in 150 years of Church leaders in Durban.
One
hundred and fifty years ago, the fire was carried in the hearts of the five
Oblate of Mary Immaculate missionaries who landed in Durban on 15 March 1852.
From these humble beginnings was to emerge the Catholic Church of the
Archdiocese of Durban and as many as 34 other dioceses in Southern Africa. Now
the fire burns differently within the hearts of each of us, moving us to do
God’s will in a variety of ways. The different leaders of this local Church
demonstrate this truth in a remarkable way.
First
there was Allard, a shy, retiring man of saintly disposition. Whilst he was
not a highly visible presence, he worked quietly behind the scenes and was
endowed with a gift of the spirit of discernment. One way he showed this was
in his remarkable investment ability. He arrived with only £632 to begin his
work. Yet by means of shrewd purchases he was able to set up a number of
schools and chapels. This same discerning spirit was to prophetically lead him
to the land of the Basuto where he was to build a strong friendship with Chief
Moshoeshoe. He lived there for large periods of his episcopacy and together
with Fr Gerard laid the foundation of the miracle of Catholic Church growth in
that land.
The
fire burned very differently in his successor Bishop Jolivet who was an
extroverted, sociable, powerhouse
organiser who blazed to and fro throughout his vast vicariate, built 90
churches and set up many schools. He organised for many religious groups like
the Trappists, the Loreto Sisters, the Augustinians,
the Holy Cross sisters and others to come to the Vicariate to establish
monasteries, schools and hospitals.
Jolivet’s
successor was a schoolteacher. The fire in Bishop Delalle used this careful,
intellectual man to tie up many of the loose ends left by Jolivet. The
vicariate was in debt and it took many years to become financially viable
again. These were years of struggle, depression, two world wars and yet
tremendous Church growth. Delalle’s missionary vision led him to pour many
of the limited resources he had into Black missionary work. The Vicariate he
took over in 1904 had become six separate ecclesiastical territories by the
time he resigned in 1946.
His
successor, Denis Hurley is still with us. The fire burning in him was a
prophetic fire for Christian Justice and social morality. The first South
African to head the diocese, the Spirit called him to speak to those in the
land of his birth about God’s will for our society. He was a prophet who was
to live to see a new South Africa based on justice and freedom for all. But to
reach it he had to suffer the vilification of a so called Christian government
bent on ideological, racist infection of our people. And this infection
destroyed individuals, families and traditions and brought division and enmity
between the people of one land. Hurley
was helped for 24 of the 45 years he headed this diocese by Bishop Dominic
Khumalo in whom the fire had created a great heart, always affirming of new
initiatives and supportive of people.
Today,
the fire burns red in the person of Wilfred Napier, a Cardinal of the Church.
He witnesses that the Church of Durban has matured into another dimension of
Catholicity. He is called to service in assisting the Holy Father in the
governance of the Church. Durban is no longer a dependent mission calling on
resources of people and finance from elsewhere, but a local Church which makes
a theological and pastoral contribution at the highest level of the Universal
Church. One day, God willing, the Bishop of this Church will receive a special
gift of the Spirit’s fire as he helps discern God’s will for the next
Pope. And latterly, a new tongue of fire has come upon us. His lordship,
Jabulani Adatus Nxumalo, has received the intellectual gift of many tongues
and languages. This new bishop amongst us, sent to help the Cardinal, will no
doubt show us what the fire can do in a new, young leader.
3.
Fire in
our hearts: a response to poverty, unemployment and AIDS
But
the fire doesn’t only burn in bishops. It is God’s gift to all of us. Each
of us here has the fire burning in our hearts. It is the fire which brings us
to a Synod like this to see what we can do to play our part in setting
the world ablaze with the love of God and in filling it with life, life
to the full. There is always much to do but, like those who have gone before
us marked with the sign of faith, we have to make choices and the choices are
determined for us by the vineyard we are sent to tend, the world in which we
live. In our world of this diocese three principal priorities have been
identified: Poverty, Unemployment and AIDS.
In your own deliberations during this Synod you will reflect on the
life of the Church here in the areas of youth, service, formation and
outreach. Poverty, unemployment and AIDS; youth, service, formation and
outreach. Quite a big agenda!! Where to begin? Yes it is a big agenda but no
bigger than that of Allard, of Jolivet, of Hurley, or indeed of Peter and the
apostles. So let us not be overawed by what we are called to do.
In fact, a good starting point might be to see how much these issues
are related to one another within the bigger picture of our South African
social context.
AIDS
and Poverty
I
have just completed an extensive study of all the HIV/AIDS projects run under
the auspices of the Southern African Catholic Bishops’ Conference. There are
eighty different projects throughout this country, Lesotho, Botswana, Namibia
and Swaziland. After a slow start, the Catholic Church is doing a wonderful
job in responding to the HIV/AIDS pandemic providing AIDS awareness education,
lifestyle change training for youth, home
based care services for people living with AIDS, clinics, hospices and a whole
range of other services. In February this year the South Africa Press
Association reported: “...that the Catholic Bishops’ AIDS Office is the
‘single largest provider’ of HIV/AIDS services in South Africa, excluding
the government. The bishops spent $1.2 million last year on HIV/AIDS
projects...” (SAPA, 26 Feb 2002). The response of the Catholic Church in
Southern Africa reflects a worldwide trend. In a communication from the
Vatican on July 11 2002, Archbishop Javier Lozano Barragan told the Roman
agency, I Media, that 26% of all AIDS-treatment centres in the world are
Catholic facilities (Zenit.org). The fire is burning bright in our response to
the AIDS pandemic, but it is not yet fully ablaze.
One
of the things discovered by many of our Southern African HIV/AIDS projects,
especially those based in rural village communities, is the absolute necessity
of having a poverty relief component within the project. Indeed one can trace
a direct link between poverty and the prevalence of HIV/AIDS.
Poor
people are less well informed and so are more likely to be unaware of the
dangers of high risk behaviour. Traditional
lifestyles also make it difficult for women to refuse the advances of menfolk
who come home during the holiday periods from their jobs in the city. Highways
are a magnet for poor people looking to benefit, in any way, from the riches
of truckers and others who pass by. Sex for money is endemic along our
highways and our province of KZN has the busiest highway in the country,
probably in the whole of Africa, running right through it.
For those who are already infected, medication is rendered almost
useless if those taking it are inadequately nourished. The progression from
HIV infection to AIDS is far faster amongst poor people for these reasons.
In
1995 the Human Sciences Research Council reported that 50% of the population
of KwaZulu Natal were living in poverty, usually understood as being unable to
attain a minimum standard of living, Only the Northern Province and the
Eastern Cape were worse.[1]
KZN also has the highest infection rate in the country, with 33% of women
attending antenatal clinics testing positive in 1999.[2]
What
all this means is that if you want to do something about HIV/AIDS, you also
have to deal with the question of poverty which is a deeper underlying cause
of the problem. In the report “Poverty and inequality in South Africa”,
prepared in May 1998 for the Office of the Executive Deputy President (ie
Thabo Mbeki) and the Inter-Ministerial Committee for Poverty and Inequality[3],
Julian May says
Qualitative
data ... indicates clearly that poverty typically comprises continuous ill
health, arduous and often hazardous work for low income, no power to influence
change, and high levels of anxiety and stress. The absence of power is
virtually a defining characteristic of being poor, and is worsened for women
by unequal gender relations. Poverty also involves constant emotional stress,
and violence has a profound impact on the lives of the poor.
Ill
health and poverty are linked together in a dance of despair which is
expressed in this quote from May as “the absence of power” which the
author goes on to express as the “defining characteristic of being poor”.
Sometimes
we get frustrated in our efforts to respond to poverty and AIDS because we do
not have access to the resources which will “solve the problem”. If we had
enough money and if we had enough medication then we could eradicate poverty
and give AIDS sufferers a better quality of life. Part of our response must be
to fight for these resources. It is a new ongoing liberation struggle. But we
should also take the warning of Jesus seriously: “you have the poor with you
always” (Mt 26:11). Without this, our inability to access the resources we
perceive as necessary will lead us to be come disappointed and downhearted and
in that way we too join in the dance of despair - a dance which is
choreographed by the power of evil. Instead, we should recognise the defining
quality of poverty as the experience of powerlessness. Bringing good news into
a situation of poverty does not only mean
solving the material problem; it also means bringing power into a world of
powerlessness. It means casting fire into the experience of anxiety, stress,
violence, helplessness and the continual experience of unwellness. Christian
community, mutual support and the experience of prayer are all ways in which
the power of God can enter into people’s lives. Many of the Catholic AIDS
projects in South Africa have reported their greatest strength is the
community based support for the work that they do. Working together to respond
to a world of poverty and despair brings hope and power. It brings the fire of
life into a world of broken dreams.
But
God’s power is quintessentially a spiritual power. It has a transcendent,
mystical quality about it which we should never forget. It is this quality
which transforms individuals and communities into beacons of fire and hope.
Now one of the principal ways in which this quality manifests itself in our
lives is in the power of prayer. Indeed,
the power of prayer should never be downplayed. Yet, to what extent do we
Catholics access, and witness, to this power in our own lives and ministries?
One
of the things which surprised me in my study of Catholic AIDS projects was the
relatively small number of comments focussing on the importance of prayer and
worship. It was difficult to detect from the project activities whether this
specifically Christian contribution is being pursued at all by these
Christians. It appears to be a disappointing lacuna if these projects are to
be seen as the work of the Church and different to those of other NGOs and the
State. Recent studies have
demonstrated scientifically that religious factors have a positive effect on
healing. In the USA, the National
Institute for Healthcare Research published a series of three volumes between
1993 and 1995 collecting together medical research on spiritual subjects.[4]
It was shown that “most of
these studies indicate a positive benefit for religious commitment”[5]
including improved general health, reduced blood pressure, improved quality of
life in cancer and heart disease patients, and most importantly, increased
survival. Harvard Medical School’s conference on “Spirituality in
Healing” provided studies showing the clinical benefit of religious
practices like prayer and worship.[6]
These
studies, and others like them, allow us to venture that medical science is now
beginning to recognise the operation of clinical factors in religious healing.
It is thus disappointing to see an absence of such an approach to healing in
Church based organisations which appear to run the risk of becoming too
secular in their approach. In a deeply religious society like Southern Africa,
people may come to Catholic pastoral services just for their material
well-being and go to the “healing churches” such as African Indigenous
Churches and Pentecostals for their spiritual needs.
I
know from personal experience that prayer can have a powerful effect on
people. It brings hope. It brings healing of body and soul. It gives people
confidence to know that they do not walk alone but that they walk with God. It
brings power to the powerless. It deepens faith because in our own world we
are conditioned more and more to believe only in human power. But in fact when
we lay hands on the sick, they do get healed. The healing happens in a deeper
place than just on the level of a physical cure. It happens in the soul. It
transforms May’s fundamental experience of poverty as powerlessness into
wealth which comes from God. The consequences of this power are very varied.
Sometimes there is a physical cure, sometimes not. Sometimes a person gets a
job, sometimes not. But at the centre, in the heart and in the soul, there is
healing. We need to come to believe a little more in the power of this form of
fire. Then we will trust more in God and less in our own plans which are
sometimes infected by other interests and concerns. Only then, in the power of
the fire, should we go on to use all our human skills and abilities to do
whatever we can to make things better.
Jesus’
ministry was packed full of healing: there are 42 healing stories in the four
gospels. Unfortunately our English translations of the scriptures have
obscured the nature of these healings and the illusion is fed that Jesus just
healed by miracle cures, something which we cannot replicate. But this is a
false understanding of biblical healing.
We know from scripture that Jesus
heals by dunamis which really means
a powerful deed, but which is unfortunately
sometimes translated as “miraculous power” or “miracle” (Mt 13:54, Mk
6:14, Acts 6:8; II Thess 2:9). The healing effected was either sotso
which is also the word for salvation, or therapeuo
which is not physical healing but a total healing of the human being.[7]
Our English word therapy comes from the same root. These words both
specifically exclude the notion of physical cure (iasthai)
which the English translation “cure the sick” seems to imply. This healing
is a restoration to the fullness of human life as salvation. Salvation and
healing are two aspects of the same process in Greek an understanding that
African languages share but Latin and European languages do not as they are
usually based on the two separate Latin concepts: curare
(to cure) and salvare (to
save). The Church has no mission of its own but the continuation of the
mission of Christ and in Matthew 10, Jesus mandates the disciples to continue
his own work: cast out unclean spirits; heal every disease (the word used is
again therapeuo), preach the
kingdom of heaven is close, raise the dead, cleanse the lepers, and cast out
demons. This mission mandate has been unpopular in modern Christian discourse
because these things seem so hard to do. Yet they are not. What is required is
a critical attitude to the secular world which reduces reality to what can be
seen and measured. But we cannot touch, feel or measure God’s fire.
The fire opens us to recognise that a response to anxiety, fear,
oppression, AIDS stigma and powerlessness is to be sought in the heart and
soul of people through care, affirmation, support, prayer, touch, love,
availability, charity, service and
a whole host of other imponderables and immeasurables which are part of
God’s fire for us. It is here that salvation, health and life are to be
found.
Casting
fire on the earth means a greater focus on healing in all of our ministries.
Now is the time to develop healing ministries where people can express their
fears, rage and anger in an environment that can lead to new life. Indeed, in
the history of the Church many
religious congregations were established to live the charism of healing and
bring the gift of healing to the sick. With the demise of the medical
missions, many have moved out of healing into pastoral ministry. I find that
to be a problem when there is such a need for the emotional healing of anger,
stress, fear, rejection, stigma and powerlessness in our people today. We need
people whose vocation is to do this. People have been oppressed,
hurt, robbed, discarded, infected and violated.
Healing here can be facilitated by the emotional release which can
occur in just telling the story
to someone who cares to listen. Counselling, as well as helping people to
emote creatively and move on to better emotional health, is a way to cope with
the trauma of the past and this is so important in our society today.
Poverty
and Unemployment
Responding
to poverty also means working for development.
Research has shown that the top three development issues facing the
country at present are: Unemployment, Crime, and Education and training.
People are poor because they cannot get access to resources. Developing our
people involves finding a way for people to get access to the resources needed
for human survival. This is the justification that Robert Mugabe makes for
what he is doing in Zimbabwe. The land is a resource through the land
redistribution policy, the Mugabe government wants to take this resource out
of the hands of a few whites and put it into the hands of many landless
peasants. That at least is the legitimating theory. To avoid the chaos of
Mugabe praxis which just destroys the resource and leads to increasing social
disintegration, a process which is now well on the way in that country, we
must find workable solutions to the dilemma of how to give poor people access
to resources.
In
some ways our situation is even worse. In May this year Anthony Stoppard, in
an article for Inter Press Service, wrote “Although South Africa suffers
from an unemployment rate of about 35 percent of the workforce...it is
estimated that there are between 300,000 and 500,000 vacancies for skilled
people in the economy”.[8]
The
reality of millions of people looking for work and half a million jobs which
cannot be filled is a gross reflection on the social irresponsibility of those
who have had, and those who currently have, access to
power in our country. This includes, government, business, the labour
movement, the media and the religious sector including the churches. We have
not prepared our people to respond to the needs of our society. There are many
people wandering the streets with Matric and even higher qualifications who
cannot find work. And there is no-one trained to do the jobs that are
available. What a stupid, indeed evil, state of affairs. Clearly the
iniquitous apartheid system, and in particular Bantu education and the herding
of people into unsustainable reserves where no effective quality of human life
was possible, are the greatest culprits. But all of us are to blame! And the
scapegoating of Apartheid has now become a national pastime played especially
by those leaders who are unwilling, unable, or too busy doing other things, to
take responsibility now for what needs to be done.
Unemployment,
crime and education are patently interconnected. People turn to crime only if
it benefits them. For many today, it’s the only occupation available. It’s
the only way to get access to resources. Yet this way must also lead to the
destruction of the resources, for a society predicated on crime is a society
descending into social chaos and a society in chaos cannot protect its own
resources. Another solution is required and it is clearly visible in the light
of the fire. It is the solution of education. If you want to respond to
poverty and unemployment, then provide people with education in the knowledge
and skills which will enable them to get the jobs which are available, or to
create new opportunities in society. We must get involved in this. Indeed, the
provision of effective education and training, which will produce people with
the skills required and a value based commitment to society, is a critical
necessity at this time.
Now
the Catholic Church has a proud record in this regard.
The education mission was a major Catholic mission in the past. It was
a mission which was actively undermined by the Apartheid State leading to the
Mission schools debacle in the 1950s. But now our efforts can be part of a
larger process of government, civil society and church working together for
the betterment of people’s lives here. Today, those Catholic schools which
remain and the Catholic Institute for Education are doing tremendous work in
providing a future for our children. But much more needs to be done. It is a
sad fact that the provision of education has dropped far down our list of
priorities. So called renewal, in the Church and in religious life, has meant
that this mission is no longer seen as relevant to the demands of the day.
This reveals an astonishing blindness about our society and some questionable
practices of spiritual discernment which have led us to where we are today. It
is interesting that the decline in religious vocations has almost parallelled
the move out of education and healing of those who were specifically founded
through the crystallisation of these two gifts of the Spirit: the gift of
healing and the gift of educating. Yet they are gifts that are sorely need
throughout our society. What are we to do? We must cast fire. Every parish and
every diocese, every religious institute and every society needs to examine
exactly how it can bring the fire to burn in providing those skills and
training which can help our people find a place of hope in the sun. We cannot
do everything, but we must play our part in helping bring the kind of
education to our people that will allow them access to some the resources of
our land and theirs.
Youth
And
finally I come to youth. Here too we face an urgent challenge. This ministry
is becoming a pressing priority. The youth of our country are faced with
tremendous challenges. They live in a country that is being renewed but they
were born and brought up in a society which lived in a state of low intensity
war. Many of those who are 21 this year, spent the first 15 years of their
lives in a most violent, chaotic and confused society in transition: a country
going through the pangs of birth from old to new. They lived the first ten
years of their lives during the nineteen eighties when the whole country was
in turmoil. Here in KwaZulu Natal there were battles on the ground
between Inkatha and UDF and between police and students. They went to
schools that were initially racially homogenous, then some were changed into
model C mixed schools and then they completed matric in the New South Africa
with the education system changing yet again. For some, the events of these
difficult years became an encouragement to commitment and involvement but for
most it just meant the acceptance of poor education, teachers not teaching and
corrupt officials charging for certificates. In my own parish, the matric
results at the local government school were cancelled in 1992 because it was
found that the pupils, with the collaboration of the teachers, had cheated.
How many times had this happened before without them being found out.
The
Catholic Church used to have a powerful influence amongst youth. By 1953 the
Catholic Church controlled 15% of all black schools, by far the most visible
Catholic presence in society at the time. Besides this, during the 1960s and
70s a number of Catholic youth
movements emerged within the country which provided leadership training for
young people. CLG, Chiro, YCW and YCS were movements which focussed on
Christian youth activism and leadership training. In the early 1970s I was an
organiser for the YCW and there was a thriving movement throughout the
country. Many of you may remember organisers such as Michael Faya, Jane
Bandes, Rob Lambert, Louis Mazoue and Theresa Mthembu who was recently mayor
of the Southern part of Durban and is still a city councillor. Lawrie Henry in
Cape Town, now Archbishop, was a
zealous chaplain, as was Eddie Adams, now Bishop of Oudtshoorn.
I meet former YCWs’ all over the place. Besides these two bishops,
they are in parliament, in city councils, in trades unions and in leadership
positions in the Church. The YCW,
which I know best, earned the praise of then President Mandela, who in an
address to them in 1995, said:
It
is common knowledge that the YCW has made a significant contribution to
building the organs of civil society in South Africa...The YCW’s approach
has always been to acknowledge and challenge injustice, and then to build the
capacity of the oppressed to act in a constructive way that will bring an end
to injustice and create a better world for all of us.[9]
Today
the Catholic church has a very small influence amongst young people. It is the
area of ministry in which the church has reduced its involvement more than any
other. Yet it is the most important area for the future of the church in this
country. What I am saying here is that if the Church is not involved with
young people in a meaningful way then the future for us will be quite bleak.
Allowing the flame of this fire to dwindle also shows a certain lack of
responsibility. Many young people find the attractions of African Independent
Churches and Pentecostals much more appealing than what we Catholics have to
offer. From a focussed effort in schools in particular, but also in youth
movements, our involvement as church with youth is now increasingly only on
the parish level. Parish youth groups, however, are unlikely to be very
effective. Youth work requires vision, structure and resources to be
effective. It is impossible for individual parishes to do this work. What the
schools provided was an ethos within which people grew up. They imbibed, if
you will, a Catholic culture. The ability to do this today is limited. We
cannot compete with the State and whilst some Catholic schools will continue
to exert an important influence, it will only be small on the wider societal
level. What youth movements provide is a structure which allows for leadership
training on a higher level than the parish or even the diocese. It also forces
young people to exercise leadership on regional and national levels. Such
leadership skills can be put to great use in other public and civil
structures. I would consider a greater regional and national effort on the
development of youth ministries and movements to be one of the most urgent and
pressing needs for evangelisation today. More priests and religious must be
released to specialise in this work, but they must also be inserted into
structures which can train them to do it well. For some, this may entail
advanced studies but for others it may just require working within existing
effective youth organisations to learn on the job. Whatever we do, such
activities need planning on a national and regional level.
“I have come to cast fire on the earth and how I wish it was already set ablaze”. “I have come that they may have life and have it more abundantly”. These two statements of Jesus’ purpose amongst us, are a sign of encouragement for us who wish to follow in his way. We can bring life into a world of poverty, AIDS and unemployment. We can mobilise the resources that we have developed over 150 years to make our world a better place and to become an effective community serving humanity. We can do it because we recognise, in the lives of those who lived and worked in this part of God’s vineyard which is the Archdiocese of Durban, the Vicariate of Natal, the fire of the Spirit of God which Jesus has cast amongst us. It is a witness not only in the lives of the leaders whom I mentioned earlier but even more so in the lives of ordinary men and women, the Catholics who have lived their faith to make the Church what it is here today. We follow in the footsteps of brave pioneers. As they succeeded in the power of God’s presence, so shall we.
[1]Statistical information taken from ‘SA 95/96: South Africa at a glance. Craighall, SA: Editors Inc., p. 33.
[2]The figures refer to “women attending antenatal clinics of the Public Health Services in South Africa” and are for 1999. They cannot be extrapolated to include the entire population but merely give an indication of the geographical spread of the disease. Source: University of Cape Town: http://www.uct.ac.za/depts/mmi/jmoodie/anc0.html
[3]J.
May et al. “Poverty and Inequality in South Africa: Report prepared for
the Office of the Executive Deputy President and the Inter-Ministerial
Committee for Poverty and Inequality: Summary Report 13 May, 1998"
available at www.polity.org.za/govdocs/reports/poverty
html
[4]Matthews, Dale, M.D., Larson, David B., M.D., M.S.P.H. and Barry, Constance, M.P.H., The Faith Factor: An Annotated Bibliography of Clinical Research on Spiritual Subjects Vols 1, 2, 3. (Rockville, MD: National Institute for Healthcare Research 1998). The idea was to provide a collection of clinical abstracts of research carried out using the medical model and the scientific method showing the influence of religion on medicine and psychology.