BEYOND WINTER: The Irrelevant Reflections of An Old Man—THE FIXING AND HELPING DILEMMA [Sa, 6-28-25]
Rachel Naomi Remen makes a useful distinction between fixing, helping, and serving. I call it the FHS dilemma. It’s a dilemma for anyone, but especially for professionals in helping professions.
Indeed, by referring to doctoring and nursing and pastoring and teaching and social working, etc as “helping” professions, we are setting up ourselves and our patients/clients for failure.
Not total failure, of course. Most of us are better off-- at the physical level of need--if we are fixed and helped. But fixing and helping also diminish us at the spiritual/human level of need.
Remen is an MD, and has
Crohn’s Disease. She had an ileostomy when just a young woman, and the bag ever
since, of course. She makes the FHS distinction both as a physician and a
patient.
She notes that as a physician, she is constantly tempted first to fix and help. As a patient, she understands that what we need most is service.
Fixing and helping are efficient. They make the fixer/helper feel good. “I have done something worthwhile.”
Fixing and helping make the “patient” feel weak and diminished. “I cannot be a person on my own; I require someone else to fix and help me.”
Like Dr. Ramen, I had intestinal surgery, for colon cancer. Unlike her, I did not end up with a colostomy and the subsequent bag. Neither of us could have done our own surgeries or recovery regimens. We needed fixing and helping… no. We needed doctors and nurses. But as they work on us, doctors and nurses can serve us instead of fixing and helping us.
The end result physically is usually the same, but the attitude is different, and so the emotional outcome for both server and served is different.
The difference is in approach and attitude.
Remen tells of a doctor friend who had delivered hundreds of babies when one day he had to make an emergency delivery. Even before he could hand the little girl to her mother, she opened her eyes and looked straight at him. He suddenly realized that he was the first person in the whole world that she had seen. He would always be that person. It was a spiritual bond. It felt like he needed to welcome her to the world. He said that she was really the first baby he ever delivered, because she was the first he delivered through serving, welcoming her to the world, rather than fixing and helping.
I have always been a fixer/helper. That’s why I wasn’t a very good pastoral counselor. People who come to a pastor don’t need fixing; they need pastoring. When I stuck to pastoring rather than counseling--listening and being, instead of providing solutions--I did better.
Most of us who are old now were trained, by parents and culture and education and life, to be fixers and helpers. But we don’t have to be. Now, even in small every-day exchanges with people, we can choose to serve rather than fix or help.
By serve, I don’t mean being a servant, as in a maid or hired man. Serving is the attitude of: I’m not better than you. I don’t have something you don’t have, something I can give you out of my superiority. We are spirits together in this mysterious life, and we can fix each other, and help each other, without fixing and helping.
Jesus, in announcing his purpose in the world, said: “I am among you as one who serves.” [Lk 22:27.]
John Robert McFarland