‘Marriage is martyrdom', seriously?

Arguing relationship requires sacrifice ignites a sleepy tutorial.

Henna Cundill

Henna is a researcher with the Centre for Autism and Theology at the University of Aberdeen.

Quizzical-looking students look across a tutorial to others.

Nick Jones/Midjourney.ai.

It is late afternoon on a rainy Monday. My students mooch through the door, filling up the seats in our overheated, clinically modern tutorial room. They are a particularly young class this term – nearly all teenagers still. The setting feels entirely the wrong for poring over texts that are thousands of years old, texts written by some of the earliest Christians, now displayed on flashy laptops and smartphones.

The first excerpt is short – part of a hand scribbled note by Ignatius of Antioch. He wrote it even as he was marched to his execution at the hands of the Romans.

Suffer me, my brethren; hinder me not from living, do not wish me to die… Suffer me to receive the pure light; when I shall have arrived there, I shall be a human being.

Ignatius shows no fear despite facing his impending martyrdom, I explain, because he goes to his death as one who was utterly convinced by the hope of resurrection. To him, death was life, and life was death.

From the mixture of expressions on the faces around the room, I can easily tell which members of the class have attended Professor Behr’s lectures on this week’s material, and which members of the class have attended only to their mattresses and duvets. (‘Twas ever thus with undergraduates.) “Let’s look at Professor Behr’s own chapter on the subject,” I suggest, adding with a certain emphasis, “It was your required reading for this tutorial.”

Reading Ignatius, along with some other texts from this period, Behr summarises the argument as follows: earthly life is a transitory thing, and driven by the fear of death, it becomes all too easy to focus on and hang on to this fleeting life. However, the Christian hope is that the self-sacrificing death of Christ, who gave up his life in the service of others, has transformed the reality of death. Death is no longer just the end of this life but the beginning of another one – a better, eternal life. And this, for each Christian, becomes the impetus to pursue one’s own journey towards self-sacrifice, towards laying down one’s earthly life for another, following in the example of Christ, just as Ignatius wished to do. Behr writes:

“Through Christ’s having ‘changed the use of death’ we are able to change the ground of our existence from necessity and mortality to freedom and self-sacrificial love…”

I glance around the room. A few students seem mildly interested, some others are gazing at their screens, scrolling. Perhaps their curiosity has been piqued by the chapter that they are meant to have already read? More likely they have zoned out and are flicking through TikTok. One guy at the back stares glumly out of the window, mouth half open, the one next to him is dismantling a ballpoint pen.

“Any thoughts?” I ask the room. Every pair of eyes is on me, and I know that there are thoughts – the silence is thick with them.

A few moments later, however, and all their eyes are on me. Why? Because in the second part of his chapter, Behr takes this argument of self-sacrifice, of death to life, and uses it as a lens through which to examine the specific human phenomenon of marriage. I read out a few well-chosen excerpts – juicy ones that include the words “eros”, “sexuality” and even “ecstasy” – and it is no surprise that a room full of drowsy teenagers becomes somewhat more alert.

It is through the natural human desire to be united with another person, argues Behr, that we are truly drawn out of ourselves, and by doing so we learn to give out of our own lives for the sake of the life of another. To commit one’s life and one’s body to another in marriage is the epitome of dying to self, even a kind of martyrdom. And, if marriage leads to parenthood, then the opportunity to live a life of self-sacrifice only increases. However hard it might be, those who are married, parenting, or both are driven by love to place the lives of their spouses and children before their own.

“Any thoughts?” I ask the room. Every pair of eyes is on me, and I know that there are thoughts – the silence is thick with them. But who will be brave? Patiently I stare them down. Eventually someone cracks, and a hand creeps up into the air.

“Yes, go ahead…” I encourage.

“Well… I think you should never be in a relationship where you have to do that!”

“OK.” We’re off. “Never have to do what, exactly?”

“Like, be expected to give up your life for someone else. Like, it’s your life. No one else has a right to ask for you to sacrifice yourself.”

The conversation went on from there, the class getting more and more animated, a polemic against the idea that marriage, or just long-term relationships in general, should involve the sacrifice of one’s ‘self’. A spouse, they insisted, should be someone who affirms and celebrates everything that you are, and who supports you in whatever dreams or ambitions that you want chase. And children? Well, they should only be brought into the equation to fulfil your dreams, not to limit them. Marriage is many things, but it should not be a sacrifice, less still a martyrdom.

Well, let us not be too hard on the optimism of youth. The optimism that imagines marriage and family life will be something that gives, and gives, and will never take anything away. How can they know – those who have never been awake at 3am with a projectile-vomiting toddler, and those who have never had to calmly negotiate over where all the money goes? It is the optimism of those who have never had to pass up on a job or an opportunity because it doesn’t fit in with the spouses’ promotion or the kids’ schooling. These, and a thousand other moments of self-sacrifice: the gritty realities of a daily choice to stick in a marriage (or any kind of long term relationship) and make it work.

This is a much slower kind of martyrdom, a decision made not once but daily, in a society where such decisions are frequently undone.

But is this gritty reality a giving up of life, or an embracing of it? Perhaps, like Ignatius, in this kind of death to self we actually find life. In a committed union, we carefully place our lives in the service of another, not because they expect us to, but because out of love we choose to. This is done, of course, in trust that the other person will do the same in return. There is no suggestion, either here or in Behr’s chapter, that someone should stay in a union where that placing of oneself is being merely used and abused. But where two people find a true mutuality in that laying down of self, well, love has funny way of making limits feel like a kind of freedom after all.

“Hinder me not from living…” writes Ignatius, as he is marched to his certain death. His eyes were filled with the image of new self, a better self, that would come to him all at once and suddenly through the laying down of his life for what he believed in. With a faith so strong, this may have been an easy kind of martyrdom – a decision made once, which could not, by him, be undone. But let us also hinder not those who choose to unite their lives to another. This is a much slower kind of martyrdom, a decision made not once but daily, in a society where such decisions are frequently undone. One day some of these young people will feel the call to this kind of death, and that in this death there is life. Hinder them not to die.

Article

Care

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.