The Deconstructionists

Ep. 244 - Rev. Sally Miller "The Modern Chaplain" pt. 1


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What comes to mind when you hear the word "chaplain"?

For many of us, it's an older Christian minister carrying a Bible into a hospital room to pray with patients. But what if that image no longer reflects the reality of modern spiritual care?

In Part One of this conversation, John sits down with Rev. Sally Pelinka Miller, board-certified chaplain, ACPE Certified Educator, and Manager of Clinical Pastoral Education at Johns Hopkins Hospital, to explore how chaplaincy has transformed over the past several decades.

Today's chaplains come from an extraordinary range of religious and philosophical traditions—including Christianity, Judaism, Islam, Buddhism, Humanism, Unitarian Universalism, and more. Rather than focusing on converting people or providing religious answers, modern spiritual care emphasizes presence, curiosity, accompaniment, and compassionate listening during life's most vulnerable moments.

Together, John and Rev. Sally discuss:

  • Why most of us have an outdated picture of what a chaplain is.
  • The fascinating history and evolution of chaplaincy.
  • What board-certified chaplains actually do.
  • Why spiritual care is about far more than religion.
  • How hospitals care for patients with widely different beliefs and worldviews.
  • The shift from authority and hierarchy toward relationship and mutuality.
  • Why "being present" can sometimes be more healing than having the right answers.


Whether you're deeply religious, spiritually curious, deconstructing your faith, or simply interested in what it means to care well for another human being, this conversation offers a fresh perspective on one of the most misunderstood professions in healthcare.

Guest:

Rev. Sally Pelinka Miller, MDiv, MA (DMin candidate) is a Board Certified Chaplain (APC), an ACPE Certified Educator, and serves as Manager of Clinical Pastoral Education at The Johns Hopkins Hospital. She is currently writing New Images of Spiritual Care, a book exploring the diverse voices and evolving practices shaping modern chaplaincy.

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