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tempo of character chahge is a slow one. Being’ American-minded, we naturally expe.~t rapid results. The very at- . mosphere of our times--an era of modern machine .efficiency, high- 13ressure business methods, production miracles, and high-speed travel--promotes an ingrained bent toward immediate success. Rightly’ or wrongly, we feel there should be a twentieth-century ¯ masterkey to the spiritual life, a foolproof device as dependable ?s the multiplication table. Yet strangely enough, our spiritual life seems to move at the tempo of the first centuiy in a twentieth-century World. True character change may be hard to see. We Americans see the, entrancing picture of industrial production, but we look upon spiritual progress in our own lives as a vague or blank picture. Sanc-tifying grace and internal actual grace are both intangible and invis-ible. We sow the representative crops, the seeds of humility, love of God, obedience, and the other virtues, yet always wonder2--when’s the harvest? To see results, we often make one good resolution suc-ceed another in rapid succession, turning our spiritual life into a series of short-term cycles, partly for variety, partly to convince ourselves that we are getting somewhere and making progress. But after six months of short-term cycles we are ready to doubt whether we are changed an iota. That old spiritual problem which we settled once, and for all two weeks ago somehow surges back to life again today. A series of .these experiences can readily warp ore: spiritual judgment or ~lgrudence and lead to loss of effort and discouragement. Then 195 CHARLES A. NASH Review for Religious failure charts our course. Being constitutiOnall~y successful, we shift our effort to some more promising line of_ endeavor, and the spirit of’ spiritual progress becomes like a ghost on the outermost rim of the real business of daily living. 200-300 Hours Psychiatrists have much this same time-problem. How much time is required to make a permanent change in a patient’s character~ How long to turn a man around and start him forward again on the life-line to maturity? A considerable body of evidence indicates that it takes two hundred to three hundred hours, roughly speaking

to make a permanent character change.4 This means one hour a day, seven days a week for about nine months devoted to making the change, whate

cer that change may be. No matter how un-American it may sound, there seems to be normally no substitute for time in a ’permanent character change. Even if our minds thunder and rever-berate in syllogisms, it still takes from two to three hundred hours to drive’ the lesson home permanently and to relate it in experience to the concrete parts of life. A religious may profitably add a bit of timing to his spiritual motor

Permanent growth is not like reading through a spiritual book in three or four days ~nd expecting the result

it is more l,!ke the slow, nine-months’ nurturing of the child in the mother’s womb. It is not the work of a day or a week, but it finds a closer parallel in the one hour a day for nine months thata student devotes, say, to mathe-matics ~r history or language in school.. Putting on a facet of Christ’s personality is not done in one meditation

it slowly develops like the b.aby slowly developing back and neck muscles, balancin’g on his feet at six months, and finally learning to walk near the end of a year. Permanent character change, is more in the image of St.,Peter and the Apostles learning confidence in Christ over a period of several years, and still being a bit shaky at His death when confronted with actual life experience. But worth noting is the ever-recurring fact of suc-cess. After nine months in the womb the baby actually is born

a year later he walks

in nine months the student knows his history, mathematics, and language. In time the Apostles did attain cona-dence in Christ. Actual success is the constant experience of the hu-man race if timk and energy are dev6ted to the task. 4Leland E. Hinsie, Concepts and Problems of Psychotherapy, 11-12. 169. John Knight, S~o’ry oI My Psychoanalysis, 2-3. 196 155, 166- Ju~,~, ! 953 PROGRESS AND REGRESS ¥~rhat l~appens in two or three hundred hours? In that time our perso.nal equilibrium changes. Through ~ur mind and emotions there slowly winds a new track of virtue all its own. Character change invoIyes a rather thoroughgoing shift in our habitual reaction to life. It requires a new appreciation of life as a permanent part of the m~nd, a’ new emotional pattern, a new reaction to a vast number of concrete situations. Suppose, for example, a close friend dies with whom you have associated night and day for ten years. In all the old situations which constantly remind you of this lost friend you m~lst make clear to yourself that you have this friend no longer, and that a renunciation is necessary. He is Vividly represented {n many personal memories and experiences. You will have to correct your reactions for many a day, and detachment must t~ke place separately in each instance. Similarly in character chan, ge. "The single action, the passing thought hardly dents the human system: it remains more like a feeble echo in the soul. A single action leaves one’s equilibr!uin for meeting life largely unchanged.. In two or three hundred" hours, however, the new reaction "works through" and permeates our mind and our thinking~ In that time it develops its own emotional pat-tern and becomes permanently related in experience to most of the concrete parts of life. Factors in Adult Progress As adults, we tend to sell human nature short. We frequently forget what a long way we have come since childhood, the countless number of small successes involved in our present degree of maturity. Starting out as a helpless babe, man slowly learns t6 walk, to speak, to run, to master language, to enjoy countless new experiences,, to cope with school life, to earn a living, to marry and support a fam-ily. Any one of thesehas practical difficulties of time and energy and personal ability somewhat like those in the spiritual life: Yet by the common experience of mankind, their attainment ih practically cer-~ rain if sufficient time and energy is devoted to the task. As adults we tend to forget the countless milestones we have already passed, and even come to expect no new milestones in the future. Often as adults we cut down on spiritual time and energy, and act in the practical order as if religious experience had been exhausted. If a religious tries to compress thirty hours int6 twenty-four, it is inevitable that he will have to scalp time from his spiritual life to ac-complish this feat. In this regard it would seem that all of us are endowed with a certain native shrewdness of the horse-trading vari- 197 CHARLES A. NASH ety. But little time means little progress. Sometimes we run our spiritual life like a carburetor with too thin a mixture of energy to operate the machine. Life’s fast teinpo drains away energy. The more our limited daily energy is channeled to other things, the less remains available for character change or spiritual growth. ~ If there is no time and energy, there is no progress. As we grow older, our ideas of spiritual experience tend to become mote and more .rigid. Spiritual progress is difficult in a rigid mind, like mov, ement in a. straitjacket. Progress demands an open and pliant mifid with the door ever open to wider spiritual experience. Often in order to pro-gress we first have to unstiffen our spiritual ideas and keep them lim-ber. Age is not a true limit to spiritual growth. Remai’ning ever an experiencing being, man normally moves ever forward irma dynamic equilibrium toward an ever greater maturity in God. If the human mind closes to the future, it falls back upon the past. Not age but the man himself puts a stop to progress, by refusing new spiritual ex-perience. The Divine Plan Time, energy, and an open mind docile to the Holy Spirit fit into God’s design for human experience on earth. In His divine plan as the Creator of human nature and every human experience, God has an eminently skilful regard for bo~h the strength and the weakness of the earthly pilgrim in his slow daily progress. He assists the slo~v, three-hundred-hour pace by the superior motivation of divine reve-lation, by countless actual graces, by the supernatural virtues of faith, hope, and charity. When only a miracle can be substituted for time, when our very best efforts are always attended by some failure, we catch no small glimmer of the "divinity that shape~ our ends" in the gift of-the three theological virtues. For without hope progress stops

without faith the path grows dim: without love the heart grows faint along the way. But in God’s design for religious ex-perience ,the pilgrim is fortified by God Himself. Faith illumines our mind along the road to God

hop~ keeps effort alive and the goal be-fore our eyes

and love is even now a participation of the goal itself while progressing along the way: Divine assistanc~ and a ready w~l-come ever await the pilgrim at every step of his journey. "Come to Me all you that’labor and are heavily burdened and I will refresh you." The lq.ng-run trend of spiritual growth, in God’s design, is a quickening triumphal march. ~ 198 The Unseen World Jerom~ Breunig, S.J. THE telescope and microscope have extended our horizons im-

measurably. They have opened up unseen worlds for us. "How mean is earth when I look to heaven," said St. Ignatius one night in Rome more than 400 years ago. Hbw much more mean-ingful this remark is today when the giant eye at Mt. Palomar, California, a 200 inch telescope, helps us penetrate into the sky to the staggering limits of more than one billion light years" and reveals millions of suns like our own moving at the incredible .speed of 500,000 miles, per hour. .~Apart from the findings of the great ob-servatories, even a good telescope on a clear night can reveal wonders hidden to the eye. We can see the pock marks that craters ma~ke on our next ~lo~r neighbor, the moon, which is a scant 238,000 miles fr6m our planet. We. can see the nine moons that cluster about Jupiter, the’ring of light about Saturn, as well as the fiery masses said to be billions of stars. ~The inicroscope opens another unseen world. To the unaided eye what is on the glass slide lo6ks like’a drop of water. Under the microscope we see many protozoa of all kinds. We can see scores of little slipper-shaped animals called paramecia caromin~ about in the water. Perhaps a sluggish, slow-moving amoeba can be sighted or a green euglena of the mastigophora (whip-bearing) family, propel-ling itself by its whiplike tail. After human vision gtopped, the zo-ologist has pushe,d on with his microscdpe to discover 30,000 kinds of protozoa in an unseen world. But there is another world still more ’marvelous and far more important than the worlds that the magnifying glass reveals. It is the unseen world of spiritual realities. Higher visual aid is required to penetrate far into this invisible but real world. We are blind and helpless without the eyes of faith. St. Paul speaks right to the point. "What is faith? It is that which’gives substance to our hopes, which convinces, us of things we cannot see." What are some of the realities in this unseen world? What are some of the "things we cannot see" except with the eyes of fai’th? No one has ever seen a soul at the moment God created it,’when it.left the body, or at any other time. Nor has anyone seen the re-birth of a soul at Baptism when the higher life of grace is infused and the human clay is made immortal diamond, when the bap’tized 199 ,In I JEROME BREUNIG Reoieto for Religious is made a son of God and heir of heaven, when the Three Persons of the Blessed Trinity come and make their home in the soul, trans-forming it into a temple of God. "Blessed are those who have not .seen and have believed." Faith convinces us of things we cannot see. No one has seen a soul red as scarlet washed whiter than snow by the absolution of a priest. Nor has anyone seen the bread of heaven restoring the waning strength of the soul. No one has seen the inexpressible joy of the elect in the mansion,s of heaven, the chastening anguish of the souls in the prison of purgatory, or the black despair of the damned ’in hell. "Blessed are those who have not seen and have believed." Faith convinces us of things we can-not see. Opposition of the Sense-World It is essential to salvation to stay aware of the unseen world but it is not easy. We live in a world of sense. Our very mode of learning is rboted in sense impressions. There is nothing in the mind / that was not first in the senses. Even faith comes by hearing. Our convictions about what we cannot see are constantly being challenged by things we can see. It is a losing battle, naturally. For instance, we will ordinarily be more vividly impressed by paging through a national picture magazine for a few minutes than we will by reading the Imitation of Christ for the same length of time. Unless we con, stan.tly cultivate supra-sensible reality by reading, reflection, and prayer, we will not be able to offset the ever-present attraction of the sensible. We.are also at the m’ercy of our less immediate environment. We are influenced by what we see, hear, feel

and much of this is secular. It is not informed with respect for the sacred unseen realities. There are also abundant examples of godlessness. To claim there are no atheists in foxholes, on the operating tables in our hospitals, among the alumni of our schools

Or ("there but for the grace of God go I") among ex-religious is to close one’s eyes to the facts. The lack of respect for God’s creative co-operation in h.uman generation is widespread and appalling. There are hardened, blinded men who look on death like the fallen-away who "assured" the hos-pital chaplain: "If I die on the operating table, there will not b’e any-one to take me away." Many non-believers patronize our "naivete" in accepting the sacramental system. A Catholic mayor was openly ridiculed in the public press: "How can he be fit to manage the city goverttment when he is foolish enough to believe a little wafer is his 200 duly, 1953 THE UNSEEN WORLD God." Communists use brutal methods..to eradicate, "to wash away," a sense of the supernatural, but secularism has a smooth ap-proach that sometimes is even more effective in uprooting faith, hope, and charity. The recent ~u.rvey of religion in the United States has produced some startlin~ data. The first report that 99% of the people be-lieved in the existence of G~od was heartening, but the subsequent studies revealed the shallowness of much of this belief. Thd eighth" of the series, "What Americans Think of Heaven and Hell," reported the following statistics in the March number of the Catholic Digest. "Do you think there is any real possibility of your going to.hell? Yes, answered .I 2 %

No, 29 % : Don’t know, 17 %

Do not beh.eve in hell, 42 %." In other words, 88 % of those questioned were not greatly concerned with .a truth that Christ underlined clearly, in His teaching. And this is the. environment, through the press, radio, television(?), and a thousand other contacts, we live in. The un-seen world of faith has competition. Witnesses to the Unseen The greatest Witness to the reality of the unseen world was" Christ, God2s Son, who clothed Himself with flesh and blood, a true human nature, worked miracl~s, and founded a ,visible Church to bear witness to the invisible grandeur of divine realities. He invites religious in a special way to continue to bear witness. He has invited them to prove the eternal value of.a better world to a money-mingled, sex-sick, rugged-individual generation by being poor, chaste, and obedieht as He was in the wor’ld. "But if religious are not inhabi-tants of this unseen world they will never impart the irresistible con-viction that the unseen world exists." The recent communication from a Poor Clare (REVIEW, No-vember~ 1952, 312-14) contained the eloquent witness to the un-seen world that is afforded by contemplatives. "There is an unseen world which to her (a Poor Clare) is very real. The incidents of daily lilt’are mere accidentals which are of value so far as they pur-chase for her more perfect union with God. This unseen world is as real to her as the things she can reach out and touch, and touching it she can make every action of hers prayer. I am speaking of prayer,mnot prayers," Until the unseen world is as real to us as the things we can reach out and touch, we will not convey the conviction so badly needed. 201 C. A. HERBST Reuieto for Religious, There is on~ way to make this world that real. It is by living in it. I remember a retreat master’s remark on tills point. "You have to have darkness to find a picture on the sensitive plate, and you ha~e to have prayer to bring out the invisible presence of God." Again, it is ’ prayer and not prayers that will enable us to live the convictions of our faith. Chari!:y C. A. Herbst, S.J. W~HEN a learned man among the Jews asked Our Lord: "Which is the great commandment in the law?" Christ answered: "Thou shalt love the’ Lord thy God with thy whole heart, and with thy whole soul, andwith thy whole mind. This is the greatest and the first commandment." (Mt. 22: 37, 38). This was not new with Christ. It is the burden not only of the New but als0 of the Old Testament. written, as St. Paul says, "with the Spirit 6f the living God...in the fleshly tables of the heart" (II Cot. 3:3). The theological virtues are the greatest of all the virtues. Thdre are three of them: faith, hope, and charity. "And now there remain faith, hope, and charity, these three." Of these three, love of God’ for His own sake is the queen: "But the greatest of these is charity" (I Cot. 13:13). Its object is God Himself, and our motive for loving Him,. too, is His own dear Self, "because Thou are all good and worthy of all love." "I call charity that virtue which moves the soul to love God ’for His own sake and oneself and the neighbor for God’s ~ake," said St. Augustine. Charity makes all the virtues live. It is the soul even of faith, without which it is impossible to please God. "The life. of the body is the soul. By it the body moves and feels. Even so the life of faith is charity, because it works through charity, as you read in the Apostle: ’faith that worketh by charity’ (Gal. 5:6). When charity grows cold, f~ith dies, just as the body does when the soul leaves it." (St. Bernard, Serrn. "2 In Resurr.) "O my God, ,I love Thee above all things." How can I truth-fully say this when I prove many times every day by committing venial sins that I love even tiny creatures more than I love God? Or why is it that I do not cry for love of God wheaa I lqse Him by mor-tal sin but I do cry when I lose my mother by death? Although ¯ 202 drain, 1953 CHARITY these actions seem to be contradicting my words "0 my God, I love Thee above all things," they, really do not. I can weep over my mother’s death and commit venial sins and" still love God objectively above all things. That is, I can, and do, go on sincerely and earnest-ly wishing Him the l~reatest good, .that He will continue to be the supreme object of all love and receive divine honors. I can commit venial sins and weep over temporal ld~s and still love God above all things appreciative4 , too. by preferring God with an efficacious will to all created things, by esteeming Him as thehighest good. I can so value and esteem Him ak to be r~eady to lose all else rather than abandon God. We canndt recall too often that true love is in the will, not in the fe~!ings or ~motions. A mother’s instinctive and spontaneous feelings and enfotions may draw her to love her child more ir~rensel~, with greater ease, tenderness, and alacrity, than she does God, yet she is ~eady to lose her child rather than offend God seriously. Her love for God is greater and deeper, and influences her soul more p[ofoundly. She loves God objectively and appreciatively more, and intensively and emotionally less. Thihgs of sense appeal more directly and affec-tively than spiritual things do. That in the supreme test, love for God is greater and stronger than any natural love is wonderfully shown in the death of St. Perpetua, martyr. "Neither the tears and oft-repeated prayers of her. aged father, nor the mother-love for the baby boy at her breast, nor the ferocity of her tormentors could move Perpetua from her faith in 3esus Christ." This is brought out, too. by the incidents in the daily lives of the "little people" in Christ’s Church’ in this living present, so well presented by Father Trese. " ’We’ve a good pastor,’ my.people say --and I am ashamed. Ashamed as I stand beside Katie Connelly at the bed of her just-dead son, and hear her say, ’It’s God’s will. isn’t it, Father?’ while she clutches my. hand. Ashamed as I stand beside Ed Fetter at his wife’s bier, and hear him say, with three little tykes hanging to his pants-legs, ’If this is what God wants,, we’ve got to take it, Father.’ Ashamed as I ride with the Martins to the Stat~ Hospital where they are taking their son, and hear the mother say, as she bites her lip, ’Well, we’ve all got to have our cross, Father.’ " (Leo Tress, Vessel of Clapt, 24.) Love has various degrees. - In the love of concupiscence there is something of self. I love another because I will get something out of it for myself. This is love of God for my own sake, with selfishness, 203 C. A. HERBST but a very good selfishness. This is the great virtue of hope. Then there is the love of complacency, in which I am glad and rejoice, take pleasure in, another’s good, just~ because it ishis good. By it I re-joice in ~the divine perfections~ "Thus approving the good which we see in God, and rejoicing in it, we make the act of l~ve which is called complace-ncy

for we please ourselves in the divine pleasure infinitely more than in our own,’ (St. Francis de Sales, Looe of God, V, i). A third and higher’degree of love is~ the love of benevolence, By it we wish another well, want good to come to him. This love we express in the Our Father when we pray: "Hallowed be Thy Name, Thy kingdom ~ome, Thy will be done!" Love consists more in deeds than in words. "If you love me, keep my commandments," Our Lord said (John 14: 15). Every-body knows that "talk is che~p,’° but actions filled with love are purest gold. A fine expression of love is a gift. That is why we give gifts on birthdays and on other joyous occasions. Gifts are the language of love. This is shown most strikingly at Christmas time. It is ~ the . feast of giving, of the Gift. Men give then because God taught them to show love that way. He gave the first Christmas Gift by giving Jesus Christ, His son. "God so loved the world, as to give his only begotten son" (John 3:16). That was Bethlehem. That was Calvary, too. "God so loved the world, as to give his only begotten son." The .lesson ChriSt taught from the crib and from the cross is the same lesson

love in deed, in giving. The soul that loves God cannot miss that. It is convinced that love consists in a mutual exchange of gifts. "What have I done for Christ? What am I doing for Christ? What ought I do for cnrlst. The answer leaps forth: "Take, O Lord, and receive all my liberty, my memory, my understanding~ and my whole will." One gives oneself whole and entire. We cannot do more. But we can do it more solemnly and more specifically, and we have. Religious surrender to God the goods of the world by the vow of poverty. They surrender to .God the goods of the body and of family, life by the vow of chastity. They surrender to God the goods of the soul, especially that most precious thing, their will, by ~he vow of obedience. "Almighty and Eternal God, I vow to Thee perpetual poverty: chastity, and obedience." This is our answer to the divine challenge: "Thou shalt love’the Lord thy God with thy whole heart, and with thy .whole soul, and with all thy strength, and wi’th all thy mind .... This do, and thou shalt live." 204 The Moral Code Cat:holic I-lospit:als Gerald Kelly, S.J. SOME years ago there was a colorful basketball official who used to delight (and sometime~ enrage) spectators by his dramatic way of telling players, "You can’t do that[" Again and again his whistle would be heard and he would be seen speeding across the floor, an accusing finger’ pointed at some offending player, as his piercing voice insisted," "You can’t do that!" ¯ For all too many people, I fear, this officialmminus his pleasing dramatics--might represent the Catholic hospital and its moral code. Engraven in the minds of these people is the picture Of a devoted non- Catholic physician bending over his patient in the operating or de-livery room, yearning to do something to save the patient’s life, but frustrated in this salutary design by the Church, which, through the Sister superior or supervisor or chaplain, raises its restraining hand ’and says unsympathetically, "You can’t do that!" Certainly much of the publicity given to v~arious events that take place in our hos-pitals caters to this impression. For example, a few years ago, in Brownsville, Texas, a physician who had sterilized a woman in defiance of the hospital code was dis-missed from the staff. The incident received nation-wide publicity in the daily’papers

and the correspondent of one widely-read weekly devoted to it considerable space and ev?n more emotion. The Sisters of Mercy had closed the doors of mercy to the doctor whose only purpose was mercy~ Follow-up letters from doctors, including one from the vice-chief’-of-staff of their hospital, favored the Sisters and showed little sympathy for the expelled physician. Other letters, however, showed marked sympathy for the doctor and for his emo-tional reporter. One letter in particular expressed great !mpatience with this.Church which insists on projecting the taboos .(a favorite epithet for commandments, divine and human) of the Dark Ages into the twentieth-century operating and delivery rooms. In this and similar incidents We have examples of the old prob-lem of misunderstanding.’ The critics usually do not understand our hospital code. Even Catholics, I think, seldom realize what goes into a code. In fact, many seem to have the impression that a Cath- 205 GERALD KELLY Review fur Religious olic hospital moral code consists in ond supreme principle (which, incidentally, is "best-seller" nonsense at its best) that mothers must die fortheir babies. These people ought ko have more accurate in-formation, and it seems logical that they might expect to get it from religious because the Catholic hospital, is one of the most distinctive and extensive achievements of our religious institutes. The following paragraphs p~ovide at least the minimum essentials for giving correct information. ~ Why a Code? Since.the administrators of Catholic hospitals are men and women whose lives are consecrated to God, they can conscientiously conduct these hospitals only when they have a reasonable assurance that the law of God will be observed in the treatment of the sick. One way of obtaining this assurance is to formulate the pertinent moral prin-ciples and their applications into a code and to have the staff-members guarantee that they will observe this code. The first reason for having a code, therefore, is to satisfy the conscience of the admin-istrators. This is aptly stated in the introduction to the present code of the Catholic Hospital Association: "Catholic hospitals exist to render medical and spiritual care to the sick. The .patient adequately considered, and inclusive of his spiritual status and his claim to the helps of the Catholic religion, is the primary concern of those entrusted with the management of Catholic hospitals. Trustees and administrators of Catholic hos-pitals understand this responsibility tbwards each patient whom they accept, to be seriously binding in conscience. "A partial statement of this basic obligation is contained in the present Code of Ethical and Religious Directives. All who associate themselves with a Catholic hospital, and particularly the members of the medical and nursing staffs, must understand the moral and reli-gious obligations binding on those responsible for the management and operation of the hospital, and must realize that they are allowed to perform only such acts and to carry out only such procedures as will enable the owners and administrators to fulfill their obligations." What was .lust said might be construed as meaning that the sole or primary purpose for having a moral code is to protect administra-tor~ against doctors who might perform illicit opera.tions in their hospitals. This" is not true. Generally speaking, doctors and nurses, both Catholic and to a large extent the non-Catholics, want clear 206 July, 1953 ~ HOSPITAL CODE guidance in the ethical problems of their profession. And they want it because they are conscious of a need. As members of a. profession ithat deals constantly with life and death, with mutilation of the hu-man body, with expensive and sometimes dangerous remedies, they are faced again and again With acute ethical problems. Yet large numbers of them, even among tl~e Catholics, have never had the op-portunity of taking~a course in medical ethics. Others who have had such a course have grown "rusty" and need some convenient way of refreshing their memories. For all of these a moral code, which con-tains concisely-stated principles and practical applications to the field of medicine, satisfies a definite need. Making a Code What have our Catholi~ hospitals done to provide the needed guidance through a moral code? For many years the hospitals of the United States and Canada used a very brief ~ode which was excellent at the time it was formulated but which became more and mor~ in-adequate as the progress of medicine introduced new problems and threw new light on old ones. A new and more complete code was needed, and many dioceses prepared such a cod~ for their own use. It was not until 1947 that work was begun on a revised code for the Catholic Hospital Association of the United States and Canada. The work done by the committee on this revised code may be of interest., The committee first made a careful examinationof all the recently-composed diocesan codes, selected what seemed the best material from them. and arranged this material plus their own contributions in a manner that seemed best for handy reference. When this was done, a preliminary draft of a new code was sent for criticism to a large number of doctors and moralists in various parts of the United States and Canada. The doctors consulted included both Catholics and non-Catholics. They were chosen for eminence in their profession and not for ~hei~’religion. These consultants, doctors and moralists

: submitted criticisms some of them. very detailed---of the prelim-inary formula. The criticisms were carefully weighed by the com-mittee and a new formula was drafted. , This was referred again to the original critics

more suggestions were offered

and the code was finally formulated in a manner that met"with universal apprbval. This code was publ!shed in 1949 by the Catholic Hospital Associa-tion of the United States arid Cahada, and it is used today in most o’f the dioceses of these two countries. Some dioceses which had gone~ 207 GERALD KELLY Review [ur Religious to great trouble to prepak-e their own codes still use these in preference to the revised code of the C~tholic Hospital Association. Two observations are in place here in order to ~0revent misunder-standings. First, there is a question pertinent to revising a code: does this mean that morM principles change, or, as some people would put it, does it mean that the Church has changed its moral ~tandards? Obviously, the revision of a hospital code should have no such im-plications. Moral principles do not change: and, from the stand-point of ~principles, the only’reasons for revising an approved code might be to include some principle not beret0fore included, or to ex-press more clearly and simply one of the principles already included. But the application of moral principles to medicine can change be-cause this application depends on the medical facts, which can change with the progress of.science. For example, there was a time when the only way of successfully treating certain infections was’ by surgi