The 4th century social justice warrior

He was the first to condemn slavery, over 1,500 years ago. Gregory of Nyssa critically examined society, looking at the relationships and structures everyone takes for granted.

Ryan Gilfeather

Ryan Gilfeather explores social issues through the lens of philosophy, theology, and history. He is a Research Associate at the Joseph Centre for Dignified Work.

A mosaic shows a saint with a beard holding a bible and his hand held up in a blessing.

Gregory of Nyssa fresco.

Public domain, via Wikimedia Commons.

In January 2023 the Church of England committed £100m to invest in communities affected by historic slavery. Rightly so. Research since 2019 shows that the wealth it accumulated through historic investment in a slave trading company and receiving gifts from slave traders, may still benefit its finances today. This past is, as the Archbishop of Canterbury says, shameful. So, it is only right that these actions are addressed.

This story also highlights the complex relationship between Christianity and enslavement. On one hand, inspired by their faith, Christians led the fight for abolition. But on the other, some Christians supported and benefitted from the enslavement of other humans. And, the further back we look in history, the more Christians seem to accept enslavement as part of the fabric of society.

There is, however, an exception. In the late fourth century AD, Gregory of Nyssa, a bishop and theologian, critically examined this practice of enslavement, which so many others did not even think to question, and explicitly names it as a sin, about a millennium and a half before the abolitionist movements. Gregory is, in this way, a light in the darkness and an inspiration to Christians today.

He is convinced, on a fundamental level, that the domination of one human being over another in slavery is incompatible with Christian belief. In one of his sermons on the biblical book of Ecclesiastes, delivered in Cappadocia (Turkey), he calls slavery a sin.

It is a ‘gross example of arrogance… for a human being to think himself the master of his own kind’: When someone…arrogates dominion to his own kind, so as to think himself the owner of men and women, what is he doing but overstepping his own nature through pride, regarding himself as something different from his subordinates?'

It is wrong to dominate others, because all human beings share the same fundamental nature. That nature is being made in the image of God:

'God said, let us make man in our own image and likeness. If he is in the likeness of God, and rules the whole earth, and has been granted authority over everything on earth from God , who is his buyer, tell me?'

Since we are made in the image of God, we share His freedom to choose our own path, be it good or evil. When you enslave another, you take away this fundamental freedom and treat them as if they are animals, lower than the image of God:

'Why do you go beyond what is subject to you and raise yourself up against the very species which is free, counting your own kind on a level with four-footed things an even footless things?'

Therefore, Gregory says it is a shameful arrogant pride to enslave another human being, because you treat that which is made in the image of God as less than human, denying them the freedom God has given them.

We see this conviction about slavery as domination playing out in his biography of his sister Macrina. As wealthy aristocrats, his family owned enslaved people. Yet, at the heart of his narrative about his sister’s life, he explains how she began to treat her family slaves as equals:

'Weaning her [mother] from all that she had been accustomed to, she led her down to her own standard of humility, showing her how to live in equality with the whole body of virgins (slaves), that is, by sharing with them the one table, the same kind of bed, and all the necessities of life on an equal basis, with every distinction of rank removed from their life.'

Gregory does not explicitly say she freed these enslaved people, but inviting an enslaved person to share one’s table was a way of freeing them called manumissio inter amicos. In these passages, he particularly praises Macrina for undoing destructive relationships of domination, where one human treats another as less than themselves and lower than the image of God.

Gregory isn’t perfect. His condemnation of enslavement centres on the enslaver: he encourages his audience to avoid the moral pitfall, rather than expressing concern for the enslaved people. In another text he says it is good to free slaves, but he does not appear to campaign to end slavery. As we saw in the biography of his sister, he is so concerned to undo the relationships of domination of one person over another, that he is less clear if these people are free to leave. Finally, there is no evidence from his contemporary theologians that Gregory persuaded anyone else that slavery was a sin. In these ways, from our perspective today we would want Gregory to go further to dismantle slavery, or shift his perspective.

But, we don’t need him to be perfect. He offers a light in the darkness, not the rising of the sun. Gregory is an inspirational example of critically examining the fabric of one’s society, looking at the relationships and structures everyone takes for granted, and having the clarity and courage to see and proclaim that they are fundamentally incompatible with what he thinks the Bible says about the worth of human beings.

Many Christians are inspired by this way of thinking today. Even if they don’t know Gregory of Nyssa’s name, they will be drawn to charitable giving, certain professions, or activism, out of a deep desire for all to be treated with equality, because all are made in the image of God. To name one example of many. In the UK, Christians were heavily involved in the real living wage campaign. Society at large told them it was impossible to pay a wage where one did not need to choose between feeding and seeing one’s children. But, they campaigned alongside other community groups so that workers are being paid enough to live on, because they were convinced, like Gregory, that all human beings are due the same dignity and worth.

Enslavement: Voices from the Archives.

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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.