Essay
Creed
Trauma
8 min read

Pain’s scars and the difficult hope they demand

The tension of pain and hope is hard-wired into the human condition.
A close up of the face of a bruised and bloodied cyclist with a large bandage on his forehead.

When I felt a twinge in my lower back at the age of 30, little did I know that this would lead to chronic pain for over 20 years and counting. Defined as persistent or recurrent pain that is present for more than three months, chronic pain can lead those of us who battle it to struggle to carry out daily activities or to socialise freely. Research shows that up to 15 per cent of the UK’s population live with pain that is moderately or severely disabling. Whether discal, muscular, arthritic, or related to auto-immune or other conditions, medical researchers inform us that we are facing a silent epidemic of chronic pain in our society. 

In the past 20 years, pastoral work has opened my eyes to the fact that those of us who face the ignominy and anguish of chronic pain cannot claim a monopoly on suffering. No stranger to significant hardships himself, psychologist and Auschwitz-survivor Viktor Frankl suggests that all suffering should be taken with utmost seriousness, however brief or minor it proves to be. The “size” of suffering, after all, is relative. It is, he claims, like releasing gas into an empty chamber – it doesn’t matter how much gas is released, it will fill the chamber completely. In other words, it does not matter how great or small our sufferings are, they will always hold the potential to darken our hearts completely. 

Behind even the brightest smiles and the most cheerful demeanours are the scars of a thousand cuts.

Suffering and struggle have been particularly marked in our society in recent years, with the twin-tribulation of the pandemic and the cost-of-living crisis leading to so much grief, illness, depression, loneliness, poverty, and isolation. Some years back, I undertook hydrotherapy at the local hospital. With each patient having endured various injuries, many quite serious, I was struck by the plethora of scars in the pool each week – on backs, shoulders, arms, knees, and ankles. The many years of struggle and pain in that pool was all too visible, but, as I undertook my aquatic exercises, I recall thinking to myself: if we could peer into the souls of those around us, how many more deep-seated scars would we notice? Behind even the brightest smiles and the most cheerful demeanours are the scars of a thousand cuts. 

Neither should we fall into the trap of believing suffering merely impacts us as we age. While it is true that there is a correlation between age and bereavement, illness, and disability, the dark hand of suffering is not partisan to age or circumstance. Many children and young people go through all manner of serious trauma and illness, often hidden to those on the outside. Research is showing a sharp rise in chronic pain in young people, for example, while teachers bear testament to the impact of the pandemic on the mental health of so many of their pupils. Moreover, when I was a university chaplain, I saw how deeply young people were affected by incidences and events, even those that, to others, may have seemed trivial. Younger generations are certainly not immune to life’s struggles. 

Like that tenacious and resilient tree breaking through the harsh concrete, we witness hope and promise shining out of the pages of his letters. 

Christians, of course, have always been aware of the philosophical questions surrounding the existence of suffering. The book of Job in the Old Testament details one of the earliest attempts to consider theodicy, while numerous scholars down the ages have grappled with the “problem of pain” (C.S. Lewis) and the question of “where is God when it hurts?” (Philip Yancey). Their musings are well documented and discussed, but, as a Christian with chronic pain, I have become less interested in the “why?” of suffering and more concerned with the “what now?” In other words, I am increasingly interested in how faith responds when confronted with the crippling and dehumanising personal impact of pain, grief, illness, disability, relationship break-ups, depression, loneliness, poverty, or anxiety. 

During a particularly acute flare-up of back pain recently, I took short walks around our immediate locality. We live in a concrete jungle – there are houses, streetlights, cars parked down both sides of the road, and vehicles driving up and down, especially at school drop-off time. In my pain, I was struggling to see any hope in the incarceration of a city. Then I noticed something on our road that I’d walked past on many occasions. It was a small, solitary tree, which is about twice my height. For a brief moment it lifted my heart and I thought to myself how wonderful that someone had planted that tree, just to give some greenery to this urban sprawl. But then I noticed that this beautiful little tree had not been planted at all. Rather, it had broken through the hard, unforgiving concrete, desperate to reach up to the sunlight and take in the oxygen in the air. That small tree is, in many ways, an apt metaphor for the Christian response to personal suffering. 

From the book of Acts and his letters in the New Testament, it is clear that St Paul had walked the gruelling path of pain and struggle. He faced prejudice, persecution, and prison, not to mention his battle with a personal affliction, which he called a “thorn in my flesh”. Scholars posit this may have been an illness or a disability, such as blindness. Yet Paul does not allow his letters to become dark, depressing diatribes of fear and hopelessness. Like that tenacious and resilient tree breaking through the harsh concrete, we witness hope and promise shining out of the pages of his letters. Here was a man who knew suffering, but, through his vivid encounter of the person of Jesus, he had also grasped the profound meaning of hope. When we attend a funeral or a wedding, we will quite often hear uplifting passages of hope and joy written by him. Discussions around the tension in Paul’s epistles between “flesh” and “spirit” are well worn, but, when I read his letters, especially in light of the life and death of Jesus, it is the tension between “suffering” and “hope” that is most conspicuous. 

“I have seen the light – it flickers on and off like a badly-wired lamp”.

Andrew Motion

This tension, of course, is not just prevalent in the Christian scriptures. It is hard-wired into the human condition. Just take the years of the pandemic, when people were either isolated, lonely, stressed, and anxious themselves or were journeying alongside others facing illness, grief, worry, and fear. During that period, I was a parish priest and would regularly visit people, standing socially distanced on their doorsteps. Yet, despite suffering seemingly being omnipresent during the pandemic, people did not generally regale me with their miseries. Rather, they wanted to inform me of moments of uplifting hope that had broken through their difficulties – the beauty of nature on their daily walks, the tireless care of the NHS workers, and the joy of meeting with friends and family, on zoom or outside in the garden. They seemed naturally aware that hope and suffering are inextricably linked. This fact is at the heart of our Christian experience – its recognition is one of those things that define Christians as Christian. After all, the very symbol that has come to represent the Christian faith – the cross – is both an emblem of torture and suffering and a symbol of liberation and hope. 

Not that opening our eyes to moments of hope, love, and wonder is easy when we are going through difficult times. In the dark moments when my own chronic pain seems overwhelming and utterly debilitating, I am inspired by the words of the former poet laureate Andrew Motion: “I have seen the light – it flickers on and off like a badly-wired lamp”. There will be times when Christians will see God’s light clearly and its beauty and glory will dazzle daily. But there will also be times of doubt, grief, depression, anxiety, and physical pain. During those moments, we can learn to be sustained by the occasional spark of hope that will come to us, even in the very ordinariness and humdrum of our daily lives. 

And so, in travelling through life’s dark moments, Christians recognise two powerful realities. One of these has long been championed by preachers and spiritual teachers – it is the presence of a kingdom to come in a heavenly future where there will be no more tears and no more suffering. The other one, though, can speak powerfully into the present predicament – it is the presence of a kingdom all around us now, breaking through the harshness and bleakness of life, like that small tree bursting through hostile concrete. Theologians refer to these two realities as “inaugurated eschatology” and they can also help us to recognise profound moments when transcendent hope breaks into our lives. Opening our eyes to compassion, beauty, wonder, and awe can help us transcend our suffering, which so often seems all pervasive, and can lead us into a strange new world of God’s providence. 

In the soil that the broken concrete had revealed were little green, sprouting shoots. Hope had begotten hope. 

So, Christians hold onto the hope of the “not yet”, confident in the hope of life after death. But, as the old Christian Aid advert put it, we also believe in life before death. However dark and long our journey seems, hope is birthed when we take time and space to notice strange and uplifting moments of beauty, grace, and guidance breaking through our daily lives now. In these, Christians find, in the words of theologian Karl Barth, “indications, intimations and parables” of the coming reign of God. 

After 20 years of daily struggle, I have made peace with the fact that I am likely to battle chronic pain for the rest of my life. However, I have also come to recognise that hope is not all about smiles, sunshine, and flowers. Hope is often difficult and demanding. It is about delicately holding the joy and challenge of life in a wonderful balance. For the Christian, it’s about both recognising God’s kingdom in the beauty, awe, and wonder of his created world and glimpsing it in our very earthly, wearisome, and draining lives. 

But there was also something else about that small, resilient tree that was breaking through the hard and unforgiving concrete. On another walk, a few weeks later, I noticed foliage growing around the base of the tree. In the soil that the broken concrete had revealed were little green, sprouting shoots. Hope had begotten hope. And it is certainly true that the more we open our lives to recognising hope, however brief it may be in our struggles, the more it can inspire us to bring moments of light and comfort to others. And thus we live out, in the words of Karl Barth, so many “little hopes”, and, by doing so, we scatter seeds of new life and resurrection as we go, trusting that God will water them and bring his “hope, faith, and love” to fruition in the world around us. 

Explainer
Creed
Freedom of Belief
7 min read

Nicaragua in peril

Daniel Ortega's power grab fuels persecution.

Jane Cacouris is a writer and consultant working in international development on environment, poverty and livelihood issues.

An balding man with a moustache turns to look at a camera.
President Daniel Ortega.

Nicaragua is the largest country in Central America with a varied and beautiful landscape; towering volcanoes, unique freshwater habitats - Lake Nicaragua is the region’s largest lake - and spectacular marine environments. It has huge potential for development according to the World Bank. But despite this, not only does Nicaragua remain one of the poorest countries in the region but it is caught in the grip of an increasingly totalitarian regime that, according to a recent all-party “Nicaragua Inquiry Report” by UK Parliamentarians, is taking consistent steps to silence democracy and close civic space. This includes human rights violations against religious leaders, particularly within the Catholic Church, as well attacks against political opposition, journalists, scholars and human rights defenders. 

The Ortega dynasty 

President Daniel Ortego returned to power after a break of seventeen years in 2006. Historically a Marxist revolutionary, on his return as President, Ortega threw out his left-wing ideals for more achievable policies. However, in 2012, his politics took a disconcertingly authoritarian turn when he pressured the Nicaraguan Supreme Court to authorise his bid for a second presidential term. And more recently, the Nicaraguan Government, which includes Ortego’s wife, Vice President Rosario Murillo, and several of their nine children in prominent positions, has escalated its campaign of persecution against Christians and the Catholic Church.  

The harassment started in 2018 with a wave of protests across Nicaragua. University students and others took to the streets to demonstrate against the Government’s proposed social security reforms set to increase pressure on workers whilst providing fewer benefits. Ortega, seeing these protests as a threat, responded with violence using pro-government militia and security forces. According to the United States Commission on International Religious Freedom (USCIRF), 355 people were killed and approximately 2,000 injured making it the deadliest and most violent protest since the Nicaraguan revolution in 1979. Following these protests, the Ortega regime then escalated its human rights violations raising concerns internationally. According to the UNHCR, since 2018, neighbouring Costa Rica has hosted over 300,000 Nicaraguans seeking asylum. 

The intimidation and incarceration of clergymen under the Ortega regime in Nicaragua is particularly chilling. It sends a clear message of contempt for God’s priests. 

Persecution of Christians in a Christian-majority country 

The World Watch list is an annual report published by Open Doors, an NGO which supports Christians worldwide, and lists the fifty countries in which Christians face the ‘most extreme persecution’. The latest report shows Nicaragua has risen up the list, from number 50 last year to number 30 in 2024 rankings. Over 95% of the Nicaraguan population profess to be Christian, so this is perhaps a surprising development.  

In 2022, according to the Nicaragua Inquiry, President Ortega was reported to have:

“ordered the arrest of, forced into exile, and verbally attacked priests and bishops, labelling them ‘criminals’ and ‘coup-plotters,’ and accusing them of inciting violence.”  

Most publicly known about is the Bishop of Matagalpa, Rolando Álvarez, who was sentenced to 26 years in prison and later exiled to the Vatican and stripped of his Nicaraguan citizenship. At the end of 2023, the Government arrested and detained seventeen clergymen including Father Silvio Fonseca, an open critic of the Nicaraguan government’s intense persecution of the Catholic Church, and two Bishops who publicly offered prayers for Álvarez before they were arrested.  

In Latin America, culturally there is a reverence for clergymen that differs to what we see in the West. I lived in Rio de Janeiro in Brazil for a number of years and worked with my husband (who is an ordained Anglican priest) in a favela (shantytown) routinely patrolled by armed gangs. When we first enquired about the safety of walking into the community on our own, a local resident assured us that we would be fine, saying “They will never shoot a pastor”. Perhaps that is why the intimidation and incarceration of clergymen under the Ortega regime in Nicaragua is particularly chilling. It sends a clear message of contempt for God’s priests that will strike to the very core of people of faith across the country.  

Over the past year, according to the Inquiry, the Nicaraguan government has also systematically targeted and closed religious organisations that it views as opponents and banned Catholic traditions such as street processions during Holy Week. A journalist was recently sentenced to eight years in prison for reporting on an Easter procession. And perhaps most insidiously, the government has begun to routinely intimidate worshippers, with uniformed and plain clothes government agents visibly monitoring religious services to intimidate clergy and churchgoers.  

Three centuries of religious persecution across the world 

Religious persecution is etched firmly into the history of humanity through to the modern day. From Emperor Nero’s outlawing of Christians across the Roman Empire to the persecution of Muslims and Jews in the Crusades, to the Armenian genocide in Turkey following the First World War to attacks on the Rohingya in modern-day Myanmar.  

Today religious freedom is a hallmark of a developed society, widely considered to be a basic human right. And indeed, the right to freedom of religion or belief is relevant to an array of SDGs (Sustainable Development Goals) aiming to reduce inequality and improve health, education, gender equality, access to justice and climate action. Religious inequalities and discrimination are key obstacles for progress in many of these areas.  

According to UN’s Declaration of Human Rights, “Everyone has the right to freedom of thought, conscience and religion… either alone or in community with others and in public or private, to manifest his religion or belief in teaching, practice, worship and observance.”  

But in spite of this global commitment, and although 123 of the 193 Member States of the United Nations have served as Council members on the UN Human Rights Council (of which Nicaragua is currently a member state), religious freedom is under threat in many parts of the world today. And it takes many different forms. Some countries in the Middle East expressly forbid all religions except Islam whilst others, such as North Korea, do not permit any religion at all. The most recent annual report of the USCIRF lists 28 countries—home to well over 50 per cent of the world’s population—with Governments actively persecuting their citizens for their religious views.  

But is it about religion or is it all about power?   

In Nicaragua, the Catholic Church has power in numbers and therefore an influential voice. When Christians such as Bishop Álvarez, a vocal defender of civic freedoms, began to join other civil society actors in speaking out more critically against the Government, the persecution began. Catholic clergymen have long been targeted for speaking out against authoritarian regimes in other Latin American countries. For example, Archbishop Romero y Galdamez was assassinated in 1980 in San Salvador when he appealed to the military dictatorship to stop the brutal repression of the people.  

But arguably, the Ortega regime’s crackdown on Christians isn’t only because of its fears of the Catholic Church’s power and influence in Nicaragua.  

Having the capacity and choice to believe in God - to have faith - is a profound and powerful characteristic of being human. For Christians, faith in God and Jesus Christ comes first, before any political, social, or economic order. Humans who have a real and living faith in a higher power are defined by it, both individually in how they live out their lives and collectively in how they come alongside others who share the same faith. Perhaps that is why totalitarian regimes that lay claims on the whole person and want ultimate power and control over the collective, are so intent on destroying or co-opting religion.  

Thankfully the international community is on alert. Ortega is being called out for his regime’s spiralling human rights record and persecution of Christians. But there is no room for apathy. In the book of Proverbs in the Bible, it says “Speak up for those who cannot speak for themselves… Defend the rights of the poor and those in need.”  

As the words of the poem, First They Came by Pastor Martin Niemöller presented at the start of the Nicaragua Inquiry Report movingly remind us, 

First, they came for the Communists 

And I did not speak out 

Because I was not a Communist 

Then they came for the Socialists 

And I did not speak out 

Because I was not a Socialist 

Then they came for the trade unionists 

And I did not speak out 

Because I was not a trade unionist 

Then they came for the Jews 

And I did not speak out 

Because I was not a Jew 

Then they came for me 

And there was no one left 

To speak out for me