Business Ethics Journal Article

 

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Journal Article Analysis Each student will select one of the key terms presented in the module and conduct a search of Campbellsville University’s online Library resources to find 1 recent peer-reviewed academic journal article (within the past 3 years) that closely relates to the concept. Your submission must include the following information in the following format: DEFINITION: a brief definition of the key term followed by the APA reference for the term; this does not count in the word requirement. SUMMARY: Summarize the article in your own words- this should be in the 150-200 word range. Be sure to note the article’s author, note their credentials and why we should put any weight behind his/her opinions, research or findings regarding the key term. DISCUSSION: Using 300-350 words, write a brief discussion, in your own words of how the article relates to the selected chapter Key Term. A discussion is not rehashing what was already stated in the article, but the opportunity for you to add value by sharing your experiences, thoughts and opinions. This is the most important part of the assignment. REFERENCES: All references must be listed at the bottom of the submission–in APA format. Be sure to use the headers in your submission to ensure that all aspects of the assignment are completed as required. Any form of plagiarism, including cutting and pasting, will result in zero points for the assignment . 

The following terms for your research:   Ethical Awareness 

RESEARCH ARTICLE Open Access

Self-evaluated ethical competence of a
practicing physiotherapist: a national study
in Finland
Kati KULJU1* , Riitta SUHONEN2 , Pauli PUUKKA3, Anna TOLVANEN1 and Helena LEINO-KILPI4

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  • Abstract
  • Background
  • : Patients have the right to equal, respectful treatment. Nowadays, one third of patient complaints
    concern health care staff’s behavior towards patients. Ethically safe care requires ethical competence, which has
    been addressed as a core competence in physiotherapy. It has been defined in terms of character strength, ethical
    awareness, moral judgment skills in decision-making, and willingness to do good. The purpose of this study was to
    analyze the ethical competence of practicing physiotherapists.

    Method: A self-evaluation instrument (Physiotherapist’s Ethical Competence Evaluation Tool) based on an analysis
    of a concept “ethical competence” was constructed in 2016 and physiotherapists (n = 839), working in public health
    services or private practice responded to the questionnaire.

  • Results
  • : Based on the results, most of the physiotherapists evaluated themselves highly ethically competent in all
    areas of ethical competence, subscales being Strength, Awareness, Skills and Will. Willingness to do good was
    evaluated as highest, while character strength, including the strength to support ethical processes and speak on
    behalf of the patient, was evaluated the lowest. Physiotherapists most commonly consult a colleague when
    encountering an ethical problem. Other methods for problem solving are not very familiar, neither are the
    international or national ethical codes of conduct.

  • Conclusion
  • s: This was the first attempt to assess all aspects of ethical competence empirically in a clinical
    environment in physiotherapy, using a novel self-evaluation instrument. Even if physiotherapists evaluate
    themselves as competent in ethics, further exploration is needed for ethical awareness. Also the patients’
    viewpoints about ethically competent care should be considered, to better ensure ethical safety of the patient.

    Keywords: Ethical competence, Physiotherapy, Ethical awareness, Character strength, Self-evaluation, PECET

    Background
    Ethically safe care is a central goal of health care world-
    wide [1]. All interaction with patients should be human-
    oriented, recognizing more clearly an individual patient
    in the center, to ensure dignity and respect in care [2].
    This requires ethical competence of a professional and
    can be acquired through educational interventions [3, 4].

    Ethical competence is an important, foundational aspect
    of health care professionals’ competence. It is considered
    as a part of professional competence [2], about being
    honest and loyal to patients [5], requiring abilities of
    character, action and knowledge [6]. In health care the
    concept has been defined in many ways – no consensus
    on the definition can be found in the literature. Concept
    analysis of ethical competence [7] defines the concept in
    terms of character strength, ethical awareness, moral
    judgment skills, and willingness to do good. Ethical

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    * Correspondence: kati.kulju@utu.fi
    1Department of Nursing Science, University of Turku, FI-20014 Turku, Finland
    Full list of author information is available at the end of the article

    KULJU et al. BMC Medical Ethics (2020) 21:43
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    competence needs support from the organization, and at
    the personal level emerges from experience, knowledge
    and communication. It results in positive outcomes for
    the patient, professional and society [7]. An integrative
    literature review [8] states several dimensions of ethical
    competence, many of them corresponding to those in
    the previous concept analysis, e.g. sensitivity as a part of
    ethical awareness and reflection included in moral judg-
    ment skills [8].
    Physiotherapists as autonomous practitioners, and

    often working in a multidisciplinary health care environ-
    ment, also encounter unique and complex ethical chal-
    lenges. These concern e.g. incompatibility of available
    resources and patient’s needs [3, 9, 10], unethical behav-
    ior of physiotherapists or other professionals and
    realization of patients’ autonomy [3, 10]. Also close
    physical and emotional relationship between the patient
    and the physiotherapist creates specific ethical issues
    [11, 12], such as how to maintain a professional proxim-
    ity in the close and very often continued relationship. In
    addition, ethical issues have raised questions about ac-
    cess to physiotherapy [11, 13] and asymmetrical power
    between the physiotherapist and the patient [12].
    Physiotherapists need skills in clarifying their ethical

    values and professional moral obligations and in making
    decisions which are in the best interests of their patients
    [14, 15]. In the European Qualifications Framework, by
    the European Commission (2008), ethical competence is
    described as an integral part of knowledge, skills and
    competence, and as essential for the development of re-
    sponsibility and autonomy [16]. The WHO Global Com-
    petency Model (2012) states core qualities that are
    related to ethical competence: active listening, responsi-
    bility for one’s own work, ability to identify conflicts, re-
    specting others’ individuality, acting confidentially and
    according to the ethical and legal framework and per-
    sonal values [17]. Important is being present, empathetic
    and supportive and having a reciprocal relationship with
    patients [18]. Among the core competences in physio-
    therapy defined in a Finnish survey/Delphi study [19]
    the ethical aspects were addressed as important and es-
    pecially ethical sensitivity will be emphasized in the
    future.
    Health care educators, leaders and researchers need to

    give high priority to the development of ethical compe-
    tence of health professionals [20]. Ethical competence is
    assumed to be acquired for example through role
    models and experience [5], through education and ex-
    perimental learning in multiprofessional groups [21], by
    case study method, role-playing [22] and ethics simula-
    tions [23]. Ethics education increases ethical awareness
    and the development of reflective and analytical skills [3,
    24] and ethical theories should also be considered as
    good ways to enhance ethical decision-making skills [3].

    Clinical ethics consultations and facilitating mentorship
    between professionals have been regarded as a good way
    to assist physiotherapists to identify and negotiate the
    ethical dimensions of their everyday practice [3, 14].
    There are some documents that emphasize an essen-

    tial knowledge base for ethical competence in health
    care [16, 17, 25]. Physiotherapists have developed and
    published their own code of ethics [26, 27], which
    should support the professionals to clarify their obliga-
    tions towards patient and the public, and the rights of
    the patient. However, challenging ethical situations
    occur in everyday practice when working in different
    settings with a variety of patients having different ages,
    values and attitudes, backgrounds and health situations.
    It is also known that professionals are not very familiar
    with their ethical codes and how to use them in real sit-
    uations [12, 15, 28]. They rarely use ethical knowledge,
    e.g. theoretical frameworks to analyze the ethical issues
    raised in their practice [29].
    Recently, care complaints from patients have raised

    concerns about patients’ treatment – complaints about
    health care staff’s attitudes and behaviors towards pa-
    tients are common and discussed in public [30]. Uneth-
    ical behavior of health care professionals can result in
    patients’ diminished courage to ask about their treat-
    ment and lack of activity in their own care [31], feelings
    of depersonalization and ignorance [30] and thoughts of
    somehow deserving bad treatment. The physiotherapist’s
    opinion about what’s best for the patient can be com-
    pletely foreign to the patient and in that situation, it is
    difficult for the patient to make a commitment to care.
    Patients want to be involved in their own care and
    decision-making, which fosters active engagement in
    physiotherapy [28, 32]. Ethically competent good care
    results in the best possible solutions for the patients and
    reduced moral distress of a professional, which is also an
    important aspect when considering well-being at work
    [5, 33].
    As ethical competence is one of the core competencies

    in physiotherapy, ethical competence should be continu-
    ously evaluated [2]. Assessment of this competence is
    important to be able to offer effective ethics education,
    achieve ethical knowledge and skills through education
    [34], as well as for achieving higher ethical competence
    at the organizational level. Self-evaluation tool for ethical
    issues could increase physiotherapists’ interest in ethics,
    helping them to identify strengths and weaknesses that
    need to be addressed and to develop critical skills for
    analysis of their own work [35]. A sufficient theoretical
    base of the concept has made it possible to precede from
    conceptualization to measuring ethical competence
    subjectively [36]. A comprehensive instrument which
    could measure all the aspects of ethical competence in
    the physiotherapy context has been lacking. Some

    KULJU et al. BMC Medical Ethics (2020) 21:43 Page 2 of 11

    instruments have been used to measure mainly parts of
    ethical competence. In previous physiotherapy research,
    ethical awareness has been studied as a constitutional as-
    pect in ethical judgment skills (Moral Sensitivity Ques-
    tionnaire – Revised; Measuring Instrument for Ethical
    Sensitivity in the Therapeutic Sciences )[10, 37] and also
    ethical judgment skills have been analyzed in physiother-
    apy (Defining Issues test) [38].

    The aim of the study
    The aim of the study was to evaluate ethical competence
    of practicing physiotherapists by using a novel self-
    evaluation tool. In this tool, the dimensions under inves-
    tigation concerned ethical awareness, character strength
    and courage, willingness and skills in decision-making.
    In the future, this tool will be offered to work as a
    checklist for teachers, supervisors as well as for students
    and physiotherapists themselves to think and evaluate
    the skills to identify ethical problems and ethical judg-
    ment skills. This study aims to answer the following re-
    search questions:
    What is the self-evaluated level of ethical competence

    of physiotherapists? What demographics are associated
    with the self-evaluated level of ethical competence?

  • Methods
  • A descriptive and correlational study design was used by
    a cross-sectional questionnaire survey via Webropol 2.0
    in spring–autumn 2016. A total sampling from the
    Finnish Association of Physiotherapists’ membership
    register was used to maximize variability in age, length
    of work experience and practice setting. Physiotherapists
    who had retired or were off work for other reasons (e.g.
    maternity leave) were excluded. A total sample of 5719
    physiotherapists working in various settings (outpatient
    and inpatient physiotherapy facilities, in private practice)
    and covering the whole of Finland were invited in this
    study. A total of 839 valid, completed questionnaires
    were received via Webropol (response rate 15%).

    Survey instrument
    A novel self-evaluation instrument based on the concept
    analysis [7] and a literature review was used, including a
    cover letter. The Physiotherapist’s Ethical Competence
    Evaluation Tool (PECET) is a self-administered, mainly
    structured questionnaire including two sections: (A)
    demographic data and background information about
    ethical knowledge and methods used for ethical
    decision-making, and (B) self-evaluation of ethical com-
    petence designed as a 4-point Likert-type scale consist-
    ing of 59 items representing the phenomenon of ethical
    competence and answering the question “I feel I succeed
    in this area of ethical competence”, the anchors being
    4 = ‘excellent’ and 1 = ‘not at all’. Section B consists of

    four subscales according to the attributes defined in the
    concept analysis [7]. The attributes defining ethical com-
    petence were repeatedly presented by seven different au-
    thors in the reviewed literature. They all illustrate the
    professional’s personal characteristics: 1) Character
    strength (12 items, e.g. “I have strength to work as an
    advocate in client matters. I have strength to work as the
    client needs, even if it is inconsistent with my own
    values.”), 2) Awareness (17 items e.g. “I listen to the cli-
    ent. I have sensitivity to identify an ethical dilemma in a
    situation.”), 3) Skills (17 items e.g. “I know the ethical
    codes guiding my work. My work is evidence-based.”)
    and 4) Will (13 items e.g. “I want to act according to the
    ethical guidelines. I want the patient’s best in all situa-
    tions.”). (Table 1.)
    When developing the questionnaire, two expert

    panels were carried out to evaluate the relevance and
    clarity of the items to enhance the content validity of
    the questionnaire [39]. Expert panel I consisted of
    PhD students in Nursing Science (n = 16) (health care
    professionals, teachers, clinical specialists, health care
    managers, physiotherapy clients) who had expertise in
    ethics. Expert panel II consisted of practicing physio-
    therapists, physiotherapy students and physiotherapy
    teachers (n = 7). Revision of the items was carried out
    after the panels. A pilot study was conducted with
    physiotherapy students (n = 12) and practicing physio-
    therapists (n = 15). Only minor technical changes for
    tenses or redundant wording were made based on the
    pilot study.

    Data analysis
    Data from a structured questionnaire were entered into
    the SAS 9.1 (SAS Institute INC: Cary, NC, USA) statis-
    tical software in order to undertake descriptive and in-
    ferential statistics. Frequencies, percentages, means and
    standard deviations (SDs) were used to describe the data.
    The sum variables were calculated based on the theoret-
    ical construct and the internal consistency of items of
    Section B (Character strength, Awareness, Skills and
    Will) was measured using Cronbach’s alpha coefficient
    [40]. Cronbach’s alpha value of 0.70 has been recom-
    mended as the lowest acceptable coefficient for a new
    instrument [39]. The differences between the four sum
    variables were analyzed by repeated measures analysis of
    variance. The Tukey-Kramer adjustment for multiple
    comparisons was used. The correlation between age and
    working experience and sum variables was examined
    using Pearson’s correlation test. T-test was used to ex-
    plore the association between dichotomous variables
    (e.g. gender, further ethics education, participation of
    ethics committees etc.) and sum variables. In case of var-
    iables with more than two categories (e.g. respondent’s
    perception of the stage in ethical competence), an

    KULJU et al. BMC Medical Ethics (2020) 21:43 Page 3 of 11

    analysis of variance was used to test the association be-
    tween background variables and sum variables of the
    four subscales in ethical competence (section B). The
    level of significance was defined as p < 0.05.

    Ethical considerations
    The University Ethics Committee approved this study.
    The Finnish Association of Physiotherapists gave the
    permission for data collection. The respondents were

    Table 1 Items representing the phenomenon of ethical competence in the questionnaire (PECET)

    Subscales Abbreviated items

    Strength 1. promote the best of the client
    2. act as an advocate of the client
    3. work in cooperation with various professional groups
    4. act independently
    5. take care of own well-being
    6. work according to client needs, even if it conflicts with own values
    7. work according to client needs, even if it conflicts with organization’s values
    8. have the courage to discuss difficult topics
    9. support a colleague
    10. be brave by nature
    11. take the responsibility that the client gets good care despite of insufficient resources
    12. take responsibility for the actions

    Awareness 1. succeed in interaction with client
    2. listen to the client
    3. recognize the ethical problem
    4. recognize the needs of client
    5. respect the obligation of secrecy
    6. can settle in client’s position
    7. take into account client’s social background
    8. take into account client’s cultural background
    9. take into account client’s opinion
    10. respect client’s dignity
    11. respect client’s individuality
    12. respect client’s self-determination
    13. know when doing ethically right
    14. aware of own values
    15. aware of own attitudes
    16. know that working environment can have an impact in ethical decision-making
    17. aware of possible pre-emption towards clients

    Skills 1. professional activity is guided by the ethics guidelines
    2. know laws governing professional activity
    3. client understands the purpose of therapy
    4. client understands the possible consequences of therapy
    5. ask client’s informed consent
    6. use experts in ethical problem solving
    7. use literature in ethical problem solving
    8. use support from colleagues
    9. act as a responsible expert in work by keeping track of new knowledge
    10. recognize limits as a professional
    11. work in multiprofessional cooperation in accordance with ethical principles
    12. express myself clearly
    13. identify the ethical conflict
    14. work evidence-based
    15. justify therapy choices
    16. identify the need to educate more in ethics issues
    17. decide on the therapeutic content together with the client

    Will 1. act according to ethical values
    2. treat clients equally
    3. promote the client’s best
    4. tell the truth to the client
    5. act confidentially
    6. act according to what I think is right
    7. commit to providing high quality care
    8. work evidence-based
    9. get educated in ethics
    10. act evidence-based
    11. work in multiprofessional cooperation in accordance with ethical principles
    12. justify therapy choices
    13. decide on the therapeutic content together with the client

    KULJU et al. BMC Medical Ethics (2020) 21:43 Page 4 of 11

    given written information about the aim of the study
    and informed that answering the questionnaire was con-
    sidered as informed consent to participate the study.
    Participation was voluntary. The anonymity of the sub-
    jects and confidentiality were considered and protected
    by treating the data anonymously and confidentially.

    Results
    Respondent characteristics
    The physiotherapists’ (n = 839) mean age was 45 years
    (range = 22–70), and the majority of them (90%) were
    women. The distribution in gender between women and
    men is the same as member structure of the Finnish As-
    sociation of Physiotherapists (FAP, 2016). The mean
    length of working experience was 18 years (range = 0–45
    years) (Table 2). The respondents’ current job included
    diverse areas in neurological, musculoskeletal, pediatric,

    mental health, geriatric and occupational rehabilitation
    in inpatient and outpatient care, both in public and in
    private sectors. All respondents (n = 839) had a main de-
    gree in physiotherapy either at polytechnic / university
    of applied sciences or at college level. Some of them
    (n = 81) had also educated themselves further at higher
    level (e.g. Master in Health Sciences, PhD).
    The respondents used different methods in ethical

    problem solving and decision-making. When encounter-
    ing an ethical challenge, physiotherapists mostly con-
    sulted a colleague (93% of the respondents). Also
    discussions in groups (69%) and use of ethics literature
    (38%) were rather common methods to ease ethical
    problem solving. Only 8% of the respondents had con-
    sulted a specialist in ethics, ethical committees’ help had
    been needed by 11% of the respondents and theories of
    ethical decision-making used by 12% of the respondents.

    Table 2 Respondents’ demographic data (n = 839)

    n % Mean Median SD Min Max

    Age (years) 839 44.53 46.00 11.57 22 70

    Working experience (years) 839 18.10 18.00 11.79 0 45

    Gender

    Male 86 10

    Female 753 90

    Education 839

    Polytechnic 414 49

    College level 385 46

    Othera 40 5

    Work place 819

    Public sector 392 48

    Private sector 397 48

    Otherb 30 4

    Encountering of ethical problems at work 833

    Yes 611 73

    No 222 27

    Frequency of encountering ethical problems 614

    Daily 24 4

    Weekly 122 20

    Monthly 175 29

    Rarely 293 48

    Continuing education in ethics after graduation 838

    Yes 166 20

    No 672 80

    Team / committee work in ethics 832

    Yes 24 3

    No 808 97

    SD: standard deviation.
    aonly the highest degree reported (MSc, PhD)
    bunemployed, researcher, teacher

    KULJU et al. BMC Medical Ethics (2020) 21:43 Page 5 of 11

    Self-evaluation of ethical competence
    In section B of the constructed instrument PECET,
    physiotherapists evaluated themselves in four subscales
    of ethical competence consistent with the theoretical
    construct of the phenomenon [7]: Character strength,
    ethical awareness, moral judgment skills and willingness
    to do good (Table 1). Cronbach’s alphas were calculated
    to evaluate the internal consistency of the total scale
    (0.95) and its sum variables (0.76–0.90).
    The respondents evaluated themselves highly ethically

    competent in all subscales of ethical competence. Will-
    ingness to do good, to act ethically, was evaluated as
    highest, while character strength including the ability
    and strength to support ethical processes and speak on
    behalf of the patient, was evaluated lowest. All differ-
    ences between the four subscales were significant (ad-
    justed p = 0.028 or less). (Table 3.)
    The older (r = 0.174, p < .0001) and the more experi-

    enced (r = 0.135, p < .0001) the respondent was, the higher self-estimated value was in sum variable Skills. The connections between dichotomous variables gen-

    der (Male/Female), further ethics education (Yes/No),
    participation of ethics committees (teams; Yes/No), en-
    countering ethical problems at work (Yes/No) and sum
    variables were detected (Table 4; T-test). In total, partici-
    pating in further ethics education and ethics committees
    was associated with higher self-perceived ethical compe-
    tence in all areas. In addition, female physiotherapists
    considered themselves more competent than men in all
    areas. Participating in ethical committees was not com-
    mon, but the differences were clear. Respondents who
    reported that they had not encountered ethical problems
    in their work, considered themselves as competent com-
    pared to those who had encountered ethical challenges
    in their work.
    The respondents’ self-estimated knowledge of different

    documents essential for ethical competence varied quite
    much. Overall, the respondents knew the Finnish Act on
    the Status and Rights of Patients [41] quite well, the eth-
    ical principles of World Confederation for Physical
    Therapy were known poorly [26]. The Finnish Associ-
    ation of Physiotherapists has their own codes of ethics
    [27]. Those codes are known excellently by 13% of the
    respondents, while 30% of the respondents know the

    Finnish codes poorly or not at all. Those who reported
    excellent or fairly good knowledge of the documents
    evaluated themselves also more ethically competent in
    all areas of ethical competence compared to those
    reporting poor or no knowledge of the documents. The
    results were statistically significant.(Table 5.)
    Generally, the respondents were not very familiar

    with different methods for ethical problem solving and
    decision-making. The best (excellently or fairly well)
    were known consulting a colleague (93%) and discus-
    sions in groups (60%), while a minority of the respon-
    dents knew excellently or fairly well ethical theories
    (28%) and literature (31%) or other methods that could
    be used to enhance ethical decision-making. Use of eth-
    ical committees or ethics specialists were known rather
    poorly or not at all by a majority of the respondents.
    Those who reported excellent or fairly good knowledge
    of the methods evaluated themselves also more ethic-
    ally competent in all areas of ethical competence com-
    pared to those reporting poor or no knowledge of the
    methods. The results were statistically significant.
    (Table 5.)
    As illustrated in the background information of the re-

    spondents, only 12% of respondents had used ethical
    theories to ease ethical decision-making. These respon-
    dents also evaluated statistically significantly higher their
    ethical competence in the Skills sub-variable (p =
    0.0049). The 11% who had needed help from ethical
    committees, also had higher values in the Skills sub vari-
    able (p = 0.0002), but also in the Character strength sub-
    variable (p = 0.0001). One third of the respondents (38%)
    had used ethical literature to help ethical problem solv-
    ing. These respondents also evaluated statistically signifi-
    cantly higher ethical competence in sub-variables
    Character strength (p = <.0001), Skills (p = <.0001) and Will (p = 0.0009). Overall, the better the respondents knew different ways in ethical problem-solving and decision-making (consulting an ethics specialist, consult- ing a colleague, group work, ethics literature, theories, committees, further ethics education), the higher they evaluated themselves in ethical competence. This con- nection was statistically significant in total PECET (p = <.0001).

  • Discussion
  • The aim of this study was to evaluate the ethical compe-
    tence of a practicing physiotherapist by using a novel
    self-evaluation tool in Finland. The total level of ethical
    competence PECETtotal (Character strength, Awareness,
    Skills and Will) was assessed quite high, at 3.58 (anchors
    being 1 = not at all, 4 = excellent). Age and length of
    working experience correlated with ethical judgment
    skills. The older and more experienced the respondent
    was, the higher the self-estimated value was in the sum

    Table 3 Sum variables in self-evaluated ethical competence

    Variable n Mean 1) SD Cronbach’s Alpha

    Char Strength 834 3.23 0.32 0.76

    Awareness 835 3.45 0.33 0.89

    Skills 830 3.26 0.39 0.90

    Will 830 3.56 0.34 0.88

    PECET total 823 3.38 0.29 0.95

    1) Scale 1 = not at all, 4 = excellent.

    KULJU et al. BMC Medical Ethics (2020) 21:43 Page 6 of 11

    variable Skills. This finding supports the previous study
    of Höglund, Eriksson, and Helgesson [5] as they state
    that ethical competence can be acquired through experi-
    ence. Willingness to do good, to act ethically towards
    beneficence of the patient, was evaluated as highest. Also
    Praestegaard and Gard [12, 28] have highlighted that
    physiotherapists desire to work for the patient’s well-
    being.
    It seems that physiotherapists still have different abil-

    ities to recognize ethical issues: almost one third of the
    respondents reported that they have never encountered
    ethical problems in their practice. Interestingly, these re-
    spondents considered themselves as ethically competent
    as compared to those who have encountered ethical
    challenges in their work. This comes to a question of
    ethical awareness. If the ethical aspects of a situation are
    not recognized, it is difficult to address any ethical prob-
    lem [37] – physiotherapists need to be challenged to
    practice identifying ethical issues and being ethically
    conscious in all interaction with the patient [12, 28].
    Physiotherapists are not very familiar with different

    methods and aids that could be used in ethical judgment
    and decision-making, such as ethics rounds, ethics com-
    mittees, ethical theories or ethics literature. This finding
    is consistent with previous studies [12, 29] which state
    that physiotherapists rarely use ethical knowledge to
    analyze ethical issues. Knowledge of the different
    methods, but also knowledge of the different documents
    related to ethical decision-making, are positively

    associated with higher self-estimated ethical competence.
    This finding follows the previous study of Delany [14]
    and is also consistent with the concept analysis [7]
    which states the knowledge of ethics to be the prerequis-
    ite of ethical competence. Furthermore, further ethics
    education is positively connected to physiotherapist’s
    self-estimated ethical competence. That result is consist-
    ent with previous research which notes that ethical com-
    petence can be acquired through education [4, 21, 24].
    Taking part in ethics education after graduation is still
    very uncommon among physiotherapists (20% had par-
    ticipated). To support the ethical competence of physio-
    therapists, multidisciplinary ethics committees in health
    care organizations and also ethics consultation and edu-
    cation are available. The possibilities still vary among or-
    ganizations to get consultation in ethical issues,
    possibilities for all health care professionals to
    strengthen their ethical competence, develop their eth-
    ical knowledge, awareness and courage and moral judg-
    ment skills, in ethics discussion groups, virtual ethics
    labs or by playing ethics games.

    Strengths and limitations
    In the physiotherapy field, this was the first attempt to
    assess all aspects of ethical competence empirically in a
    clinical environment and the concept of ethical compe-
    tence was for the first time operationalized in this ex-
    tent. The PECET instrument needs further development
    to be used as a checklist, thought-provoking tool as a

    Table 4 The association between dichotomous variables gender, further ethics education, participation of ethics committees,
    encountering ethical problems at work and sum variables

    Character strength Awareness Skills Will PECET Total

    n Mean SD Mean SD Mean SD Mean SD Mean SD

    Gender

    F 738 3.24 0.32 3.46 0.33 3.27 0.39 3.58 0.34 3.39 0.29

    M 85 3.14 0.29 3.36 0.31 3.12 0.34 3.44 0.36 3.27 0.28

    pa 0.0086 0.0093 0.0007 0.0003 0.0003

    Further ethics education

    Yes 165 3.31 0.33 3.50 0.34 3.40 0.38 3.63 0.32 3.46 0.30

    No 668 3.20 0.31 3.44 0.32 3.22 0.38 3.55 0.34 3.35 0.29

    pa <.0001 0.0305 <.0001 0.0055 <.0001

    Ethics committees

    Yes 24 3.50 0.30 3.72 0.25 3.56 0.32 3.76 0.19 3.64 0.22

    No 803 3.21 0.32 3.44 0.32 3.25 0.38 3.56 0.34 3.37 0.29

    pa <.0001 <.0001 <.0001 <.0001 <.0001

    Encountering ethical problems

    Yes 608 3.24 0.32 3.45 0.32 3.26 0.38 3.58 0.32 3.38 0.29

    No 220 3.20 0.32 3.45 0.34 3.25 0.39 3.53 0.38 3.36 0.31

    pa 0.1186 0.9775 0.6851 0.1426 0.4735
    aT-test

    KULJU et al. BMC Medical Ethics (2020) 21:43 Page 7 of 11

    Table 5 Knowledge of the different key documents and ethical problem-solving methods and its connection to self-evaluated
    ethical competence

    Character strength Awareness Skills Will Total

    Document/ Method n Mean SD Mean SD Mean SD Mean SD Mean SD

    FAP a

    Excellent 109 3.403 0.296 3.640 0.278 3.572 0.319 3.715 0.271 3.585 0.244

    Fairly well 474 3.241 0.313 3.462 0.316 3.280 0.363 3.590 0.332 3.396 0.277

    Rather poorly 216 3.121 0.295 3.334 0.324 3.086 0.340 3.440 0.346 3.248 0.275

    Not at all 36 3.101 0.300 3.381 0.311 2.993 0.415 3.493 0.349 3.238 0.271

    p <.0001 <.0001 <.0001 <.0001 <.0001

    WCPT b

    Excellent 20 3.625 0.198 3.743 0.239 3.794 0.209 3.903 0.125 3.763 0.140

    Fairly well 179 3.294 0.336 3.544 0.327 3.417 0.347 3.649 0.322 3.481 0.285

    Rather poorly 439 3.210 0.291 3.416 0.305 3.219 0.359 3.544 0.329 3.347 0.269

    Not at all 195 3.154 0.326 3.404 0.348 3.132 0.401 3.489 0.358 3.230 0.302

    p <.0001 <.0001 <.0001 <.0001 <.0001

    ETENE c

    Excellent 53 3.479 0.293 3.608 0.290 3.685 0.316 3.750 0.227 3.665 0.231

    Fairly well 372 3.260 0.312 3.464 0.322 3.314 0.358 3.588 0.338 3.408 0.286

    Rather poorly 326 3.185 0.307 3.414 0.314 3.173 0.353 3.530 0.337 3.326 0.271

    Not at all 79 3.076 0.293 3.357 0.340 3.039 0.409 3.464 0.365 3.238 0.283

    p <.0001 <.0001 <.0001 <.0001 <.0001

    Act on the Status and Rights of Patients [41]

    Excellent 139 3.381 0.313 3.617 0.291 3.552 0.336 3.689 0.286 3.567 0.260

    Fairly well 479 3.222 0.305 3.430 0.328 3.242 0.352 3.561 0.335 3.364 0.281

    Rather poorly 197 3.135 0.321 3.367 0.304 3.378 0.378 3.486 0.358 3.274 0.277

    Not at all 18 3.128 0.212 3.556 0.317 3.436 0.436 3.542 0.403 3.313 0.261

    p <.0001 <.0001 <.0001 <.0001 <.0001

    Personal data act [42]

    Excellent 120 3.391 0.315 3.622 0.301 3.534 0.356 3.679 0.292 3.563 0.273

    Fairly well 437 3.235 0.307 3.447 0.328 3.273 0.363 3.581 0.338 3.384 0.284

    Rather poorly 236 3.148 0.308 3.369 0.298 3.118 0.358 3.492 0.340 3.282 0.266

    Not at all 38 3.110 0.297 3.448 0.344 3.049 0.404 3.487 0.386 3.281 0.292

    p <.0001 <.0001 <.0001 <.0001 <.0001

    Consulting a specialist in ethics

    Excellent 11 3.614 0.323 3.786 0.297 3.818 0.239 3.795 0.211 3.762 0.227

    Fairly well 66 3.337 0.313 3.546 0.299 3.460 0.327 3.608 0.323 3.493 0.265

    Rather poorly 236 3.217 0.305 3.425 0.322 3.246 0.334 3.560 0.335 3.364 0.275

    Not at all 333 3.189 0.304 3.421 0.322 3.144 0.382 3.538 0.337 3.324 0.284

    p <.0001 <.0001 <.0001 0.0414 <.0001

    Consulting a colleague

    Excellent 288 3.295 0.313 3.489 0.325 3.326 0.370 3.598 0.322 3.428 0.284

    Fairly well 210 3.135 0.282 3.389 0.302 3.145 0.347 3.538 0.335 3.302 0.260

    Rather poorly 24 3.024 0.265 3.266 0.326 2.995 0.339 3.356 0.360 3.172 0.273

    Not at all 12 3.128 0.453 3.399 0.357 3.015 0.525 3.385 0.414 3.264 0.391

    p <.0001 0.0002 <.0001 0.0008 <.0001

    KULJU et al. BMC Medical Ethics (2020) 21:43 Page 8 of 11

    part of ethical reflection. Because the survey instrument
    is a self-evaluation tool in nature, the respondents are
    demanded to acquire and use self-reflection skills to
    analyze their knowledge and action in quite a difficult
    topic. How they use these skills is a question of validity
    and raises a question about what actually is being mea-
    sured with the self-evaluation tool. Ethics in clinical
    practice can be very complicated and choosing how to
    act depends on how a situation is interpreted. The re-
    spondents assessed themselves very positively in all

    dimensions of ethical competence, even though 27 % re-
    ported that they have not encountered ethical problems
    in their practice. This is a contradictory result that is dif-
    ficult to justify and raises a question of validity of the
    novel instrument. Attaching Ethical guidelines for phys-
    iotherapists [27] and a definition of ethical problem to
    the questionnaire would have facilitated answering the
    questions. Besides ethical awareness, this may also be a
    question of over assessment of knowledge and skills
    [35]. However, self-assessment can increase the interest

    Table 5 Knowledge of the different key documents and ethical problem-solving methods and its connection to self-evaluated
    ethical competence (Continued)

    Character strength Awareness Skills Will Total
    Document/ Method n Mean SD Mean SD Mean SD Mean SD Mean SD

    Theories in ethical decision-making

    Excellent 16 3.483 0.332 3.625 0.368 3.597 0.363 3.748 0.310 3.616 0.297

    Fairly well 212 3.308 0.307 3.523 0.332 3.430 0.346 3.643 0.320 3.482 0.279

    Rather poorly 307 3.203 0.307 3.425 0.324 3.235 0.359 3.533 0.342 3.350 0.287

    Not at all 268 3.187 0.319 3.429 0.316 3.141 0.384 3.545 0.332 3.328 0.278

    p <.0001 0.0033 <.0001 0.0019 <.0001

    Ethics literature

    Excellent 26 3.503 0.270 3.744 0.243 3.707 0.283 3.875 0.161 3.714 0.189

    Fairly well 195 3.307 0.300 3.497 0.320 3.399 0.345 3.627 0.296 3.460 0.266

    Rather poorly 378 3.198 0.301 3.417 0.330 3.185 0.344 3.531 0.345 3.332 0.281

    Not at all 115 3.107 0.322 3.381 0.305 3.021 0.377 3.469 0.354 3.251 0.271

    p <.0001 <.0001 <.0001 <.0001 <.0001

    Ethical committees

    Excellent 34 3.370 0.358 3.623 0.345 3.539 0.394 3.666 0.337 3.558 0.316

    Fairly well 134 3.329 0.338 3.527 0.293 3.397 0.318 3.668 0.281 3.483 0.250

    Rather poorly 341 3.201 0.300 3.411 0.328 3.216 0.362 3.546 0.346 3.343 0.285

    Not at all 204 3.162 0.301 3.412 0.319 3.114 0.388 3.500 0.343 3.301 0.281

    p <.0001 <.0001 <.0001 <.0001 <.0001

    Ethics education

    Excellent 16 3.653 0.224 3.820 0.191 3.843 0.179 3.875 0.143 3.806 0.147

    Fairly well 66 3.297 0.316 3.489 0.339 3.413 0.330 3.647 0.299 3.466 0.277

    Rather poorly 364 3.229 0.314 3.430 0.321 3.246 0.352 3.559 0.344 3.366 0.280

    Not at all 275 3.178 0.306 3.434 0.316 3.150 0.391 3.532 0.336 3.327 0.282

    p <.0001 <.0001 <.0001 0.0002 <.0001

    Group discussion

    Excellent 113 3.345 0.324 3.563 0.311 3.436 0.352 3.662 0.285 3.505 0.271

    Fairly well 259 3.202 0.300 3.429 0.305 3.228 0.341 3.575 0.324 3.358 0.262

    Rather poorly 161 3.192 0.318 3.390 0.335 3.146 0.353 3.489 0.364 3.307 0.286

    Not at all 87 3.126 0.277 3.403 0.313 3.034 0.408 3.498 0.348 3.269 0.282

    p <.0001 <.0001 <.0001 <.0001 <.0001 aFinnish Association of Physiotherapists. 2014. Codes of Ethics [27] bWorld Confederation for Physical Therapy. 2011. Ethical Principles [26] cThe National Advisory Board on Social Welfare and Health Care Ethics. 2001. Shared values in health care, common goals and principles: Principles of Health Care Ethics [43]

    KULJU et al. BMC Medical Ethics (2020) 21:43 Page 9 of 11

    for ethical issues and enhance critical thinking among
    physiotherapists to analyze their own work, which is an
    essential component of lifelong learning [35]. The survey
    instrument used in this study was constructed based on
    a concept analysis of the concept ethical competence,
    which formed a theoretically solid ground for the ques-
    tionnaire. The internal consistency of the constructed
    instrument was good, for the total scale 0.95 and be-
    tween the sum variables Strength, Awareness, Skills and
    Will 0.76–0.90 being acceptable [39].
    The number of respondents (n = 839) was statistically

    sufficient, but the response rate (15%) was low repre-
    senting less than one fifth of all possible respondents
    and thus, leading to low generalizability of the results.
    The low response rate may be because the data were
    collected electronically via Webropol. Also, the topic
    may be perceived as difficult to think of or not consid-
    ered as important as hands-on clinical skills. Since the
    data were collected from the Finnish Physiotherapist As-
    sociation’s membership register, it can be assumed that
    the results are nationally representative.
    It is worth discussing, if ethical competence can in its

    wholeness be measured objectively in physiotherapy or
    generally in health care, using quantitative measures.
    However, the way physiotherapists evaluate their ethical
    competence is important as this would likely affect
    whether they see a need to pay attention to their ethical
    decisions or educate themselves in ethical issues, even
    when it does not tell about physiotherapists’ actual cap-
    acity to act ethically in a given situation. This article de-
    scribes the implementation of a novel self-evaluation
    instrument to measure ethical competence from a phys-
    iotherapist’s viewpoint, leaving the patient’s point of
    view and experiences still incomplete. This needs further
    consideration.

    Conclusion
    This study was the first attempt to evaluate ethical com-
    petence in this extent in the context of physiotherapy.
    The ultimate goal was to enhance physiotherapists’ eth-
    ical knowledge and awareness of moral issues and illus-
    trate the role of ethics in physiotherapy to improve the
    ethical quality of physiotherapy care. Constructing an in-
    strument to be able to self-evaluate these aspects in
    physiotherapy situations has been a step towards this
    goal. Physiotherapists consider themselves quite compe-
    tent in ethics, even if they are not very familiar with eth-
    ical codes or methods for ethical problem-solving. The
    competence to recognize ethical issues in a situation,
    ethical awareness, needs further exploration, as almost
    one third of the respondents report they have not en-
    countered ethical challenges in their practice. Both
    quantitative and qualitative data should be collected to
    consider the patients’ viewpoint about ethically

    competent care, to better ensure the ethical safety of the
    patient. Also, the exploration of the structure of the
    PECET using confirmatory factor analysis, and Rasch
    analysis for the item level assessment should be con-
    ducted in the future.

  • Abbreviations
  • ETENE: The national advisory board on social welfare and health care ethics;
    FAP: Finnish association for physiotherapists; PECET : Physiotherapist’s ethical
    competence evaluation tool; SD: Standard deviation; WCPT: World
    confederation for physical therapy

  • Acknowledgements
  • The authors would like to thank the physiotherapists who spent time
    answering the questionnaire and reflecting on the aspect of ethical
    competence in physiotherapy practice. The authors would also like to thank
    the Finnish Association of Physiotherapists of a grant received.

  • Authors’ contributions
  • KK, RS and HL-K have made contributions to the conception and design of
    the work. PP has made contributions to the analysis of the data. KK was a
    major contributor in writing the manuscript. AT, RS and HL-K have revised
    the work. All authors read and approved the final manuscript.

  • Funding
  • For the statistical support a grant was received from the Finnish Association
    of Physiotherapists. The FAP’s membership register was used for data
    collection.

  • Availability of data and materials
  • The datasets used and/or analyzed during the current study are available
    from the corresponding author on reasonable request.

  • Ethics approval and consent to participate
  • The Ethics Committee for Human Sciences at the University of Turku
    (reference number 30/2014) approved this study. The respondents were
    informed that the completion of the survey is an indication of consent to
    participate the study. The use of implied consent was clarified in the
    application and approved by the Ethics Committee.

  • Consent for publication
  • Not applicable.

  • Competing interests
  • The authors declare that they have no competing interests.

  • Author details
  • 1Department of Nursing Science, University of Turku, FI-20014 Turku, Finland.
    2Department of Nursing Science/ Turku University Hospital and City of Turku,
    Welfare Division, University of Turku, Turku, Finland. 3National Institute for
    Health and Welfare, Turku, Finland. 4Department of Nursing Science, Turku
    University Hospital, University of Turku, Turku, Finland.

    Received: 9 September 2019 Accepted: 1 April 2020

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    https://etene.fi/documents/1429646/1571616/Publication+3+Shared+values+in+Health+Care%2C+Common+Goals+and+Principles%2C+2001 /10bdd2be-c322-48c2-a143-4e11ebc9235f/Publication+3+Shared+values+in+Health+Care%2C+Common+Goals+and+Principles%2C+2001

    https://etene.fi/documents/1429646/1571616/Publication+3+Shared+values+in+Health+Care%2C+Common+Goals+and+Principles%2C+2001 /10bdd2be-c322-48c2-a143-4e11ebc9235f/Publication+3+Shared+values+in+Health+Care%2C+Common+Goals+and+Principles%2C+2001

    https://etene.fi/documents/1429646/1571616/Publication+3+Shared+values+in+Health+Care%2C+Common+Goals+and+Principles%2C+2001 /10bdd2be-c322-48c2-a143-4e11ebc9235f/Publication+3+Shared+values+in+Health+Care%2C+Common+Goals+and+Principles%2C+2001

    https://etene.fi/documents/1429646/1571616/Publication+3+Shared+values+in+Health+Care%2C+Common+Goals+and+Principles%2C+2001 /10bdd2be-c322-48c2-a143-4e11ebc9235f/Publication+3+Shared+values+in+Health+Care%2C+Common+Goals+and+Principles%2C+2001

      Abstract
      Background
      Method
      Results
      Conclusions
      Background
      The aim of the study
      Methods
      Survey instrument
      Data analysis
      Ethical considerations
      Results
      Respondent characteristics
      Self-evaluation of ethical competence
      Discussion
      Strengths and limitations
      Conclusion
      Abbreviations
      Acknowledgements
      Authors’ contributions
      Funding
      Availability of data and materials
      Ethics approval and consent to participate
      Consent for publication
      Competing interests
      Author details
      References
      Publisher’s Note

    Of Beltways, Runways, and Sight
    Lines: Perspectives, Challenges,
    and Futures of ATS “Global
    Awareness and Engagement”

    Lester Edwin J. Ruiz

    The Association of Theological Schools

    ABSTRACT: Providing a century of context for the ATS commitment to
    global awareness and engagement, the author outlines briefly how that com-
    mitment has evolved, with a growing recognition of the changing character of
    “globalization״ and, in that context, the need for diversity, mutuality, respect;
    and equity among all partners. The article goes on to cite complex dilem-
    mas and challenges that effective global partnerships must address: defining
    ministry for a globalizing world, navigating politics and institutional com-
    mitments, and adjusting approaches to pedagogy, delivery, programs, and
    accreditation. His contention is that the ultimate success of global engage-
    ment will rest not only on programming but also on a shared understanding
    about and practice of partnerships and relationships.

    We recommend that this Conference assure the [Inter- national Missionary] Council of our genuine interest
    in theological education in all lands; that we express our

    conviction that the educational problems of any particular
    land must be met primarily from within that land; that we
    express our readiness to share in any possible and desired
    way in the meeting of these problems; and that we call
    attention to significant cooperative undertakings already
    carried out, such as the Deputation of the American
    Church History Society . . . the study of Christian educa-
    tion in India … and the approaching study of theological
    education in China.1

    … a text is made of multiple writings, drawn from many
    cultures and entering into mutual relations of dialogue,

    1 ATS Bulletin 9, “Biennial Minutes, The Ninth Biennial Meeting of the Conference of
    Theological Seminaries and Colleges in the United States and Canada,” June 12-13,1934,
    15.

    119Theological Education, Volume 52, Number 1 (2018): 119-

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    Of Beltways, Runways, and Sight Lines

    parody, contestation, but there is one place where this
    multiplicity is focused, and that place is the reader, not,
    as was hitherto said, the author. The reader is the space
    on which all the quotations that make up a writing are
    inscribed without any of them being lost; a text’s unity lies
    not in its origin but in its destination.2

    From “globalization” to “global awareness and
    engagement”3

    Globalization, or what The Association of Theological Schools (ATS) Com-
    mission on Accrediting Standards currently calls “global awareness and
    engagement” (Commission Standard 3, section 3.3.4), has been a central
    concern of ATS at least since the 1990s, although one can argue that these
    concerns reach as far back as 1967, with the reflections of Harvey Cox
    on “world dialogue for theological education” in the journal Theological
    Education.4

    The terminological move from “globalization” to “global aware-
    ness and engagement”—at least as a normative description of that part of
    the work of theological education that acknowledges that North American
    theological education is not (or ought not to be) the center of the theologi-
    cal education universe—was not made lightly, and marks a critical move
    within ATS. Those familiar with the dynamics of ATS as a membership
    organization know that by the time a normative statement is adopted
    (or revised) as part of its Standards of Accreditation, a long, somewhat
    complex, iterative process already would have been travelled by ATS

    2 Roland Barthes, Image-Music-Text (New York: Hill and Wang, 1977),

    142

    148

    .

    3 Part of the reason, perhaps more implicit than explicit, for the Association’s
    move from “globalization” to “global awareness and engagement” has to do with an
    acknowledgement of the need for a working definition of “globalization” that is (1)
    broader in reach, perhaps intentionally metaphoric; (2) more hospitable of the diversi-
    ties of global experiences, institutional priorities, and missional commitments of ATS
    member schools; and (3) more capable of accommodating and “holding together” both
    the legacies of tradition and innovation and continuities and changes of accredited
    graduate theological education in terms of its being decidedly normative, thoroughly
    performative, and intentionally formative.

    4 Harvey Cox, “The Significance of the Church—World Dialogue for Theological
    Education,” Theological Education 3, no. 2 (Winter 1967).

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    Lester Edwin J. Ruiz

    member schools, including a formal two-thirds, “super majority” vote on
    the Standards of Accreditation themselves.

    While there are multiple reasons for this terminological shift, one
    reading of the ATS conversations, perhaps the dominant one, is related
    to the pervasive skepticism about the appropriateness or adequacy of
    the term “globalization” (and its consequences for theological educa-
    tion) given its co-optation by (neoliberal) economic—even political (read
    “western hegemonic”)—globalization to characterize the normative vision
    of ATS in this area of theological education. Another reading of this shift
    is tied to the recognition that there are multiple meanings and emphases
    of “globalization” among ATS member schools—often deeply contested,
    sometimes almost incommensurable—hence the need for “less ideo-
    logical,” or polarizing signifiers that would allow for a more inclusive
    organizational embrace of diversity in this area of work. A third reading
    of this shift is rooted in assumptions about the nature of human reality
    and language itself where human experience, because of its densities, is
    not always amenable to or exhausted by what Paul Ricoeur called the
    “moment of explanation” within the larger interpretive framework of
    explanation, understanding, and appropriation that the nature of human
    reality demands because of these assumed densities.

    There are rich traditions, perspectives, resources, and practices on
    globalization within the Association, the significance of some still waiting
    to be rediscovered, further developed, or critically revisited.5 Formal ATS

    5 Even the most cursory review of the issues of Theological Education will reveal the
    depth and breadth of this tradition. See for example: volume 9, no. 4 (Summer 1973);
    volume 21, no. 1 (Autumn 1984); volume 22, no. 2 (Spring 1986); volume 26, supplement
    1 (Spring 1990); volume 27, no. 1 (Autumn 1990); volume 27, no. 2 (Spring 1991); volume
    29, no. 2 (Spring 1993); volume 30, no. 1 (Autumn 1993); volume 35, no. 2 (Spring 1999).
    Of direct relevance for this discussion, perhaps, are: ״Incarnating Globalization in ATS
    Schools: Issues, Experiences, Understandings, Challenge,״ volume 35, no. 2 (Spring
    ;(volume 26, supplement 1 (Spring 1990 ״Fundamental Issues in Globalization״ ;(1999
    and ״Patterns of Globalization: Six Studies,״ volume 27, no. 2 (Spring 1991). One piece
    of historical trivia suggests how far back in the history of ATS globalization reaches:
    -At a meeting of the Continuation Committee, June 3,1919,” the minutes of the Com״
    mittee records, ״a subcommittee was appointed to procure data relating to theological
    schools, courses of study, conditions of admission, etc., in England, Scotland, France,
    Switzerland, and Flolland for the information of students of the United States and
    Canada who desire to continue their studies in the countries named …” Conference
    of Theological Seminaries of the United States and Canada, Minutes of Continuation
    Committee, ATS Bulletin 2, December 1921.

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    Of Beltways, Runways, and Sight Lines

    programming in the past ten years, at least, has not only built on these
    resources but has moved ATS discourse toward even more critical and ere-
    ative directions that have contributed to the deepening and broadening
    of diversity, mutuality, and equity—core values that have animated not
    only this long tradition of “global awareness and engagement” in accred-
    ited graduate theological education in general and within the Association
    itself, in particular, but also in the larger life and work of the Association’s
    member schools.

    Three historical developments are worth mentioning at the outset
    because they pose significant framing implications for the question of
    “global awareness and engagement”: (1) the demographic shifts signaled
    by the cipher “2040,” (2) the shifting “center” of Christianity from the
    Global North to the Global South, and (3) the rapid growth of immigrant
    churches in North America in the last 20 years. ATS has programmatically
    attended to the first development for some time now (e.g., through the
    programmatic work of its Committee on Race and Ethnicity). And while
    it has addressed the second two on occasion or indirectly (e.g., the racial/
    ethnic, constituency-based conferences in the early 2000s), these areas
    remain largely unaddressed, leading some racial/ethnic constituencies
    who were involved in these events to note that “ATS has abandoned us.”
    These three historical developments are not only raising even more clearly
    the question of “global awareness and engagement,” but they also hold
    the possibility of decisively shaping the future of ATS itself.

    For many ATS member schools, “global awareness and engagement”
    is framed largely, though not exclusively, by a concern about how best to
    understand the relationship—broadly conceived—between their particular
    locations as institutions in the United States and Canada and the rest of the
    world. Such awareness and engagement is built directly into the histories,
    missions, and ethos of their institutions—because of either the worldwide
    character of the ecclesial family to which they belong, their missionary or
    evangelistic orientations, or their geographical locations and the natures
    and compositions of their faculty and/or student bodies, and the commu-
    nities to which they declare both affinities and accountabilities.

    More recent ATS surveys that are part of its Educational Models and
    Practices in Theological Education project strongly suggest a growing
    engagement of schools in transnational, transborder, and transcultural

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    Lester Edwin /. Ruiz

    theological education.6 Many schools have collaborative degree programs
    with partner institutions in the “majority world” at the certificate, bacca-
    laureate, post-baccalaureate, and post-master’s levels—some in extension
    education, distance-learning, or “global-consortiums” formats. Others
    have faculty exchanges involving short-term teaching and/or research.
    Still others have both credit- and noncredit-bearing intercultural and con-
    textual programs (e.g., travel seminars, immersion and contextualization
    programs, and “missionary” initiatives). Others also have partnerships
    with their historic communities of origin—whether global-global, global-
    south, or south-south.

    Some schools have established centers directly related to global aware-
    ness and engagement (e.g., Trinity Evangelical Divinity School’s Center
    for World Christianity and Global Theology, Ambrose Seminary’s Jaffray
    Centre for Global Initiatives, and New York Theological Seminary’s Center
    for World Christianity). Certain schools offer Spanish- or Mandarin-
    language courses, while others have Korean-language degree programs.
    Some ATS schools have extension sites in Germany, the Ukraine, Indone-
    sia, Guatemala, and Thailand.

    While not always uniformly articulated, member schools—in addition
    to their missional and theological convictions regarding global aware-
    ness and engagement—have a wide range of rationales for their programs
    and initiatives. These include (1) a recognition that quality theological
    education in North America, including its relevance, must not only have
    an external “global reach” but must also integrate non-North American
    theological resources as constitutive of its North American identity; (2) a
    realization that sustainable quality education should be a globally shared
    enterprise whose survival is inextricably linked to this “global” reciproc-
    ity in the production and reproduction of theological knowledge, wisdom,
    and practice; (3) an affirmation that the educational purpose of a “good
    theological school” or “good theological education” is to prepare students
    to be “global citizens” who have the appropriate competencies, capad-
    ties, and sensibilities adequate to a fast-changing interdependent and
    globalizing world; and (4) a conviction that any theological education that

    6 See Deborah H. C. Gin, “Four points to consider for international partnerships,”
    Colloquy Online, February 2018, https://www.ats.edu/uploads/resources/publications־
    presentations/colloquy-online/four־points־to־consider־for־intemational־partnerships.
    pdf.

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    deserves to be called “good” must be able to embrace, if not navigate, the
    difficult but necessary intersectionalities of “the global” and “the local.”

    In the past five years, due in part to an increasing, if not re-awakened,
    interest in ATS outside North America, and also to the “globalization of
    theological education” in a shrinking world,7 ATS staff and other ATS-
    related individuals have been involved in transborder, transdisciplinary,
    transorganizational conversations, resource sharing, and cooperative pro-
    gramming with such international organizations as the Asia Theological
    Association (ATA), the Association for Theological Education in Southeast
    Asia (ATESEA), the Foundation for Theological Education in Southeast
    Asia (FTESEA), the International Council on Evangelical Theological
    Education (ICETE), the Lausanne Movement, the World Conference of
    Associations of Theological Institutions (WOCATI), and the World Council
    of Churches’ Ecumenical Theological Education (ETE).

    These international organizations and others like them are important
    partners who rightly perceive that ATS may have much to offer them. In
    return, no doubt, individual ATS member schools as well as the Associa-
    tion as a whole, have much to learn from theological education outside
    North American boundaries. Recognizing this growing rediscovery of
    mutual, reciprocal need, the ATS Board of Directors began to revisit, at
    least since 2009, the idea and practice of “globalization,” engaging in more
    structured conversations regarding the subject, first in terms of the notion
    of “ATS as a ‘big’ tent” and more recently in terms of the framework of
    “ATS and world Christianity.”

    Inside the “big tent” ecumenical beltway: institutional,
    organizational, and programmatic issues

    Where the former is concerned, the working group convened by the ATS
    Board of Directors to explore the subject and review the practice of “big
    tent ecumenicity,” after several meetings by conference call culminât-
    ing in its November 2012 board meeting, decided to pursue the notion

    7 Dietrich Werner, David Esterline, Namsoon Kang, and Joshva Raja, eds., Handbook
    of Theological Education in World Christianity: Theological Perpsectives, Ecumenical Trends,
    Regional Surveys (Oxford, England: Regnum Books International, 2010). World Con-
    ference of Associations of Theological Institutions, Challenges and Promises of Quality
    Assurance in Theological Education: Multicontextual and Ecumenical Inquiries (Fort Worth,
    Texas: WOCATI, 2013).

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    Lester Edwin J. Ruiz

    of “big tent ecumenicity” largely within a programmatic rather than an
    administrative/organizational framework, where “big tent” meant the
    larger Jewish-Christian tradition. It was agreed that, while the Association
    may have reached a level of maturity that allows for robust conversa-
    tions on theological diversity among its membership, the administrative/
    organizational conditions were not congenial at that time for pursuing
    the question of diversity across religious and multifaith lines. While some
    member schools understand their institutional identities in terms of an
    interreligious perspective (e.g., Claremont School of Theology, Harvard
    University Divinity School, University of Chicago Divinity School, Hart-
    ford Seminary, and Graduate Theological Union), most member schools
    continue to understand their missions within a North American Jewish-
    Christian perspective, notwithstanding their recognition of the importance
    of addressing interreligious and multifaith issues.8 World Christianity,
    rather than world religions, was affirmed as the primary organizing meta-
    phor for “big tent ecumenicity.” That said, the question of interreligious,
    multifaith ecumenicity will not go away; and the conversation cannot be
    postponed indefinitely.

    Thus, in its meetings during this period, the board agreed to more
    fully explore the implications of “world Christianity” for the future of
    ATS—of which focused reflection on the meaning and significance of
    transdisciplinary, transborder, and transorganizational perspectives and
    practices was a logical “next step.” In fact, while racial/ethnic and gender
    diversity under the sign of multiculturalism had its own specific origins in
    ATS discourse apart from the discourse on “globalization,” their co-con-
    stitutive character vis-à-vis global awareness and engagement has come
    to be recognized more fully so that the need to deal explicitly with the
    latter has come to the fore once again, this time within a multicultural,
    multireligious framework. These steps included an affirmation of the
    need to pursue more systematically at least two substantive and program-
    mafic questions: (1) What should ATS be doing with its member schools in

    8 One way to read Dan Aleshire’s “Community and Diversity” plenary address at
    the 2012 Minneapolis Biennial Meeting is as a cipher of the Association’s readiness
    to explicitly address the fundamental importance of theological/ecclesial diversity,
    in addition to the more conventionally-accepted racial/ethnic, gender, and missional
    diversities long recognized by the Association, for the meaning of “big tent” ecu-
    menicity. See https://www.ats.edu/uploads/resources/publications-presentations/
    documents/communi ty-and-diversity .

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    Of Beltways, Runways, and Sight Lines

    terms of the question of ATS involvement outside North America? and (2)
    What should ATS be doing with its “partners” (e.g., ATESE A, ATA, ICETE,
    WOCATI, etc.) outside North America? The first question fixes its gaze
    internally; the second question gazes externally. Both are important to how
    ATS, as an organization, understands global awareness and engagement
    and are decisive not only to the programmatic direction that ATS should
    take but also, perhaps more importantly, to the future of ATS either as
    a binational organization that prefers to remain so, or as an organiza־
    tion that seeks to engage the world globally in the service of accredited
    graduate theological education. Needless to say, a substantive bifurcation
    of these questions would be ill-advised; and a programmatic bifurcation
    would most probably prove to be perilously nearsighted.

    In December 2013, the ATS Board of Directors adopted a framework
    statement to both authorize and guide future ATS work related to global
    awareness and engagement in six sufficiently discrete, though fundamen-
    tally interconnected, major areas: (1) understanding effective partnerships,
    (2) global engagement within North America, (3) cultivating scholarly and
    programmatic “trade routes,” (4) contributing to a pan-Christian conver-
    sation on theological education, (5) educational and degree programs of
    study, and (6) continuing research and care. The statement also under-
    scored the guiding principle that current and future ATS involvement in
    programs with a “global reach” must include constituencies and publics
    that involve mainline, evangelical, and Roman Catholic/Orthodox indi-
    viduals and groups—a practice for which ATS is known in its work with
    member schools.9

    As if to both pre-figure and embody this landmark framework state-
    ment, in the fall of 2012, a small group of individuals representing some
    of the ATS mainline member schools and international partners (ATESEA
    and WCC) met in Pittsburgh to discuss the present and future shape of
    theological education as well as the need for developing systematic and
    intentional partnerships beyond North America in the service of good
    theological education. Similarly, in late spring 2013, a small group of
    presidents and deans representing some of the ATS evangelical member

    9 Guidelines on Global Awareness and Engagement from ATS Board of Directors,
    https://www.ats.edu/uploads/accrediting/documents/guidelines־on־global־aware־
    ness־and־engagement־from־ats־board%20%282013%29 , accessed October 15,2017.

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    Lester Edwin J. Ruiz

    schools and organizations (e.g., the Overseas Council) met by conference
    call also to address the same questions that were discussed in the fall 2012
    consultation of mainline schools. In January 2015, Roman Catholic rectors
    and presidents met to discuss similar issues in a consultation in Chicago,
    hosted by Catholic Theological Union. In June 2015 in Pittsburgh, ATS con-
    vened representatives of member schools engaged in global partnership
    programs of one kind or another to explore further the meaning and sig-
    nificance of those partnerships for theological education. Finally, in May
    2016, ATS coordinated the first meeting of the Global Forum of Theological
    Educators (GFTE) in Dorfweil, Germany, gathering, possibly for the first
    time ever in one united forum, approximately 80 theological educators
    from 35 countries from six major church confessional families—Orthodox,
    Roman Catholic, Protestant, Evangelical, Pentecostal, and Independent
    churches—to learn from one another and to share about the current situa־
    tion of theological education and ministerial formation on a global scale in
    the context primarily of fellowship.10 Finally, ATS staff participated in the
    historic consultation of ICETE accreditation agencies in Rome in fall 2017,
    the purpose of which was to develop a structure and process “whereby
    common accreditation standards and benchmarks [can] be developed
    within the ICETE network among accreditation agencies in consultation
    with the church.”11

    In addition, for the ATS Educational Models and Practices in Theo־
    logical Education (EMPTE) project, two working groups on “global
    partnerships” drawn from ATS member schools explored, among other
    things, not only what “global partnerships” might look like under the con-
    ditions of diversity, mutuality, and equity, but also how these partnerships

    10 These meetings were made possible through existing ATS undesignated funds
    and a 2014 planning grant from the Henry Luce Foundation.

    11 ICETE,Rome Benchmarks,https://www.facebook.com/groups/1241553362592175/,
    accessed October 15, 2017.

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    Of Beltways, Runways, and Sight Lines

    can be enacted where unevenness (political, economic, and administra-
    ti ve) is a dominant reality.12

    These ATS staff-supported initiatives may be interpreted not only as a
    response to the ongoing commitments of ATS noted above but also as part
    of the goal of enlisting individuals and groups both within and without
    North America, assuming a framework of collaboration and shared
    wisdom, to help ATS as an organization to formally and substantively
    define its role “in the world.” In this regard, the WOCATI example is illus-
    trative of an important institutional initiative in which ATS was involved.
    In the 1990s, with ATS support, accrediting agencies around the world
    were brought together for “fellowship, academic research, and mutual
    support.”13 Unfortunately, for reasons larger than the limited support pro-
    vided by ATS, WOCATI was not able to build a sustainable institutional
    infrastructure on which the continuity of the organization needed to rest.

    12 As part of the Educational Models and Practices in Theological Education Project,
    two focused groups on ״global partnerships,” consisting of 12 schools, met to explore
    the different issues, questions, and challenges that cluster around the notion of “global
    partnerships.” One group explored matters related to issues of reciprocity, spiritual
    formation (study abroad/immersion), and international accreditation. This group
    identified best practices for initiating, practicing, sustaining, and concluding global
    partnerships. The group identified a number of educational principles, including, but
    not limited to, excellence both institutional and educational, diversity and mutual-
    ity, experiential and group learning, interreligious faith dialogue, and integrity and
    accountability. The other group, identified crucial issues that, in their shared expe-
    rience, arise when considering, initiating, and sustaining global partnerships. This
    included faculty ownership of the globalization processes in their respective institu-
    fions, the need to establish coherence in articulating degrees offered in different global
    contexts, and the need to investigate the philosophical and theological mindset behind
    global partnerships. The group also identified challenges and opportunities in global
    partnerships, including issues of institutional and educational effectiveness, financial
    viability, and attentiveness to educational principles. See The ATS Educational Models
    and Practices in Theological Education Project, “Educational Models and Practices
    Peer Group Final Reports,” https://www.ats.edu/uploads/resources/current-initia־
    tives/educational-models/publications-and-presentations/peer-group-final-reports/
    peer-group-final-report-book , accessed April 16, 2018.

    13 “WOCATI’s greatest service to American theological education,” Glenn T. Miller
    writes, “may lie in the future. American religion, especially Mainstream Protestantism,
    is changing rapidly, and these changes may require substantial changes in how the
    United States educates its ministers . . . Just as America provided much of the world
    with the model of the graduate theological seminary, so the rest of the world may
    provide American Christians with fresh understandings and strategies of how to train
    their ministers.” Glenn T. Miller, Piety and Plurality: Theological Education Since 1960
    (Eugene, Oregon: Cascade Books, 2014), 297.

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    The WOCATI experience raised large strategic questions for ATS that
    presupposed even broader substantive, not to mention political, questions,
    including the following:

    • If ATS were to be involved outside North America, what should that
    involvement look like: immersion? solidarity? missionary? contextual?
    dialogical? bilateral? multilateral?14 Who should be involved, and with
    whom?

    • What are the dilemmas posed by such an involvement, and how may
    they best be addressed? For example, it seems clear that involvements
    at any of these levels (dependence, interdependence, independence)
    are welcomed by some and rejected by others? Put somewhat differ-
    ently, what are the consequences of such involvement?15

    • If “being involved” or “being available” are appropriate stances, how
    does ATS structure institutionally such “availability” that avoids past
    mistakes, while rejecting the easy response of “non-involvement/
    non-interference”? What would this “availability” cost in terms of per-
    sonnel, financial, and other resources?

    These difficult questions notwithstanding, the experience of collabora-
    tion globally affirmed the “convening capacity” of ATS, based not only on
    its long history as a membership organization but also on the basis of its
    commitment to “big tent” inclusivity in terms of both its program and its
    accreditation functions. And while ATS may be more known intemation-
    ally for its expertise as an accrediting body, it has the capacity to convene
    and to extend the binational reach of its programs and services to a more
    multilateral, if not more global, level and to serve as yet another contribu-
    tion to the vitality of “world Christianity.” For example, ATS programs

    14 Some of the images of involvement shared by consultation participants included
    ATS as both ״host and guest” (hospitality), resource or broker, companion (accompani-
    ment), or dialogue partner.

    15 For example, if the Commission were to extend its scope of accreditation to schools
    outside North America, as some regional accreditors have, this could create a tiered
    structure of theological education in other parts of the world based on some kind of
    “favored status” achieved by schools that would be recognized by the USDE by virtue
    of ATS accreditation. Members of the ATS Board of Directors have advised caution, as
    part of its commitment to an ethics of “global awareness and engagement,” if ATS or
    the Commission were to move in this direction.

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    for presidents, deans, CFOs, development officers, and student services
    personnel might be made available to interested institutions outside
    North America while also introducing a more “global” content (e.g., the
    consequences of the presence of visa students in ATS member schools for
    theological education in North America) to benefit North American theo-
    logical educators. ATS could also serve, as it has in the past, as a resource
    “broker” for its international partners, recommending or connecting
    individuals and organizations with ATS-related program or accreditation-
    related expertise.

    Various consultation participants also acknowledged that many of the
    programs of ATS member schools—whether educational, denominational,
    or missional—already have some kind of global reach. And while there
    is no pressing need for ATS to provide a coordinating function, it could
    nonetheless serve as a clearing house or informational, cormectional portal
    for these programs. The ATS database, for example, could be utilized to
    organize information provided by member schools related to areas of
    international interest, and made more available or accessible to partners
    outside North America.16

    Consultation participants also acknowledged that not only does the
    global reach of ATS need to be deeply attentive to the diversities of mission,
    theology, polity, and identity both within and without North America, but
    also that its global awareness and engagement needs to be disciplined by a
    commitment to mutuality, respect, and care. For example, attentiveness to
    the unevenness of resources and interpretation of “good theological edu-
    cation” could express itself programmatically in the principled sharing
    of accreditation expertise, but without extending ATS or Commission
    membership to non-US and Canadian schools. Or, such attentiveness to

    16 Dan Aleshire’s plenary address at the 2013 ATESEA General Assembly in Silang,
    Cavite, Philippines, as well as David Esterline’s and Lester Edwin J. Ruiz’s presen-
    tâtions at the 2011 WOCATI meeting in Johannesburg, South Africa, are illustrative
    of this transborder information sharing. The point, of course, is, how can ATS make
    this valuable information and insight more readily available or accessible in ways
    that affirm both the importance of “high touch” engagement and the need for more
    sustainable, more efficient, and less labor-intensive methods of dissemination? See
    Namsoon Kang, John Gichimu, et al., Challenges and Promises of Quality Assurance in
    Theological Education: Multicontextual and Ecumenical Inquiries, https://www.oikoumene.
    org/en/resources/documents/wcc-programmes/education-and־ecumenical־formation/
    ete/wocati/challenges-and-promises-of-quality-assurance-in-theological-education,
    accessed October 15, 2017.

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    the importance of mutuality, respect, and care could be expressed by ATS
    opening its North American programs to interested theological institu-
    tions outside North America while ensuring that its modes of delivery do
    not violate the ecologies of “local” theological education—including the
    rights of theological “self-determination.” It could also convene presidents
    of ATS member schools together with the presidents of theological schools
    from outside North America to discuss what partnership in a global context
    might mean. In this context, it is clear that ATS programming and engage-
    ment understands the constitutive necessity for diversity and mutuality,
    as well as the programmatic implications of equity.

    Broader dilemmas, challenges, and perspectives: the
    runways of global awareness and engagement

    One might wish that the Global Awareness and Engagement initiative was
    only about program, planning, and policy. Happily, it is not. A number
    of broader issues require attention, even as they exemplify the challenges
    that theological education has always faced.

    First, there are definitional and substantive challenges including,
    for example, (1) how globalization and theological education are to be
    understood and linked, given the contested and uneven experiences of
    globalization arising out of different, if asymmetrical, institutional and
    educational resources, priorities, preferences, and commitments, as well
    as the fact that (western or “north Atlantic”) globalization in its multiple
    expressions has both constructive and destructive effects on life more gen-
    erally or that it is only one among many “globalizations” alongside, for
    example, Chinese, Islamic, etc.; (2) what constitutes an adequate theology
    and ministry for a globalizing world, particularly in relation to historic
    faith and practice; and (3) how “effective global partnerships” should be
    defined and by what measures and criteria they should be assessed.

    Second, there are political and institutional push-and-pull challenges,
    including (1) “brain drain” (for the Global South) vis-à-vis “brain gain”
    (for the Global North); (2) the need to develop self-reliant, self-sufficient,
    indigenous leadership vis-à-vis mission-driven commitments for resource
    sharing in a world of declining resources; (3) strong denominational
    missionary commitments vis-à-vis a recognition of the need for the affir-
    mation of the non-Christian “Other”; (4) the perception of North American
    power and privilege and their accompanying agenda-setting prerogatives

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    vis-a-vis the ethical and moral imperative for hospitality and mutual
    accountability in an asymmetrical world; and (5) the singular though not
    exclusive accountability of North American theological education vis-à-vis
    the rest of theological education elsewhere in the world.

    Third, there are educational and pedagogical challenges including
    (1) the perceived, if often assumed, normativity of English in terms of
    learning, teaching, and research; (2) the very real differences between
    and among cultures leading to different understandings of theology and
    pedagogy, for example, the differences between oral and reading/writing
    cultures, of rote and constructivist learning, and of egalitarian and authori-
    tarian pedagogies; and (3) the growth of new delivery systems and models
    of education and mission (including distance/online, extension, and com-
    petency-based education), which are based on infrastructural asymmetries
    in technology and resources, as well as the dominance of an academic and
    curricular structure and culture that tend to privilege the Global North at
    the expense of the Global South.

    Fourth, there are programmatic challenges related to educational ini-
    tiatives—whether degree-granting or not—among ATS member schools,
    for example, that have international extension sites raising questions
    about (1) the viability, sustainability, and desirability of such programs,
    the roles of partner institutions in the implementation of these programs,
    and the effects of North American-run programs on the ecology of theo-
    logical education in the Global South and (2) the role of North American
    educational institutions, including theological ones, in the credentialing
    needs and desires of individuals and institutions outside North America,
    for example, direct accreditation or assistance in the development, imple-
    mentation, or improvement of their own practices of accreditation.

    Effective partnerships: The religio-moral dimension of
    global awareness and engagement
    These challenges are illustrative of the complexity of global awareness
    and engagement, and instructive for understanding the deeper, perhaps
    less visible, religio-moral character of global awareness and engagement.
    By definition, the religio-moral is fundamentally about “what we can and
    need to do together”17 in the light of what Plato called “the good, the true,

    17 Manfred Halpem, Transforming the Personal, Political, Historical and Sacred in Theory
    and Practice, ed. David Abalos (Scranton, PA: University of Scranton Press, 2009).

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    Lester Edwin J. Ruiz

    and the beautiful.” What is notable about the work of both ATS member
    schools and the Association’s own initiatives—at least in my own reading
    of the situation—is the religio-moral assumptions they share. Both are
    based on a belief that global awareness and engagement are fundamen-
    tally about the practice of “effective partnerships”: those institutional and
    educational practices that are animated by normative expectations of mutu-
    ality and collegiality, shared responsibility, accountability, transparency,
    and decision making between and among the partners at whatever level or
    kind; that have clearly agreed upon purposes that empower and transform
    those in the partnerships; and that are contextualized, sustainable, useful,
    and attainable. In short, effective partnerships are an inherently norma-
    tive, value-explicit human activity.

    Effective partnerships further illustrate the religio-moral, especially
    when they include those practices that emphasize the desirability of mul-
    tilateral, multilayered, and multiperspectival strategies and voices that
    (1) seriously attend to the intersectionality of the issues related to global
    awareness and engagement, including issues around the dialogical, ecu-
    menical, evangelistic, and justice efforts of faith-based communities
    including churches; (2) broaden and deepen collaborations, particularly
    in terms of inclusion, plurality, and difference; and (3) are intentionally
    sensitive to the nuances and specificities of asymmetrical space, time, and
    place. The religio-moral is articulated even more fully in those initiatives
    that encourage interdependence and relative autonomy in Global North-
    South relationships, that empower those involved in the partnership, and
    that flatten power differentials that arise out of the unevenness of human,
    financial, and physical resources as well as history and location. A more
    intentional multidirectional flow of resources between the Global North
    and the Global South, where the notion of resources is redefined in more
    comprehensive terms than just human, financial, or physical, is illustrative.

    Effective partnering as religio-moral practice also includes the forma-
    tion of a spirituality, where formation is understood as being constituted

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    by “wholeness, purpose, and community,”18 that is articulated in (1) the
    enhancement and improvement of individual and institutional capad־
    ties and skillsets for cross-cultural, contextual, and inter- and multifaith
    competencies for institutional and educational innovation and change;
    (2) the knowledge and sensitivity to and respect for economic, cultural,
    and religious differences that shape theological education and practice
    worldwide; (3) the development and nurture of shared ideals, values, and
    principles among and between the partnering individuals and institutions;
    (4) the constitutive and regulative practices of active, empathie, principled,
    and humble listening, as well as translation and appropriation; and (5) the
    sobering “fact” that partnerships take a long time to develop and require
    trust for their full flowering. The importance of such a spirituality cannot
    be underestimated because our generation is heir to an insidious, subter-
    ranean spirit of indifference not only to others but to the excluded Others
    that, if left unchecked, will compromise the possibility of any kind of part-
    nership—if it has not done so already.

    In the end, global awareness and engagement cannot be under-
    stood apart from the kind of personal, professional, and institutional

    18 Stanton Wortham deploys the phrase, “formative education.” See “Educat-
    ing whole human beings,” http://www.ascd.org/ASCD/pdf/siteASCD/wholechild/
    Stanton-Wortham-2017-WCWP , accessed April 16, 2018. Put somewhat differ-
    ently, following the pathway charted by Jacques Derrida, one could argue that “global
    awareness and engagement” is about a sustained meditation on what “togetherness”
    means—both in terms of “death” or alterity (part of what “the religious” means)
    and “togetherness” (what this essay calls “global awareness and engagement” and/
    or “global partnerships.” The former is explored in Jacques Derrida, Learning to Live
    Finally: The Last Interview, trans., Pascal-Anne Brault and Michael Naas (New York,
    NY: Melville Publications, 2007); the latter in a lecture titled Vivre ‘ensemble’—Living
    ‘together/ delivered at the international conference on “Irreconcilable Differences?
    Jacques Derrida and the Question of Religion,” University of California, Santa Barbara,
    October 23-25, 2003, where he explores the entanglements of living together as an
    obvious inevitability, on the one hand, and, on the other hand, as a promise (and
    despair) occasioned by proximity and distance, identity and difference, and violence
    and forgiveness—themes explored in this essay as integral parts of global awareness
    and engagement as being-in-the-world. What is both salutary and illustrative, however,
    is Derrida’s unequivocal commitment to the practice of engagement, particularly with
    representatives of the historic Others. See, for example, his conversation with Musta-
    pha Cherif in Mustapha Cherif, Islam and the West: A Conversation with Jacques Derrida
    (Religion and Postmodernism), trans., Teresa Lavender Fagan (Chicago, IL: University
    of Chicago Press, 2008). Indeed, my largest debt to Derrida may lie both in the funda-
    mental assertion of the necessity to explore practically and theoretically what “living
    together” means—which this essay has called, “global awareness and engagement.”

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    Lester Edwin J. Ruiz

    partnerships that characterize such awareness and engagement; in fact,
    effective partnerships constitute the meaning, significance, and definition
    of global awareness and engagement itself. Moreover, such partnerships
    are fundamentally performative. They come into being as they are lived
    out and have no meaning apart from this enactment.

    Therefore, any understanding of global awareness and engagement
    and the partnerships that constitute it must be linked to some understand-
    ing of the nature of actual human bodies and the “body politic”—as ethnos,
    demos, and bios—as these are the embodied sites of meaning, performativ-
    ity, and spirituality. This essay now turns to these themes.

    Bodies, the “body politic,” and Mondialisation: ATS belt-
    ways and runways rerouted—a socio-philosophical sight
    line

    Globalization, Mondialisation, biopolitics
    In the English-speaking world, globalization has come to be assumed not
    only as the horizon (i.e., a range of vision that includes everything that can
    be seen from a particular situation, location, or vantage point) but also as
    the way in which totality is grasped as an (intentional) amorphous, undif-
    ferentiated whole and as a spatial and temporal extension of a particular
    [Euro-American] way of life. The more conventional critique of globaliza-
    tion is that it is not only a limited horizon granted universal status but
    also that it has led us down a pathway that destroys other ways of life that
    stand in the way of its geopolitical, geostrategic, and geocultural exten-
    sions [e.g., colonialism, imperialism, patriarchy, cultural chauvinism, and,
    more recently, extractivism]. Moreover, globalization as we have inher-
    ited it is almost always accompanied, particularly in the Global North,
    by a fundamental subterranean epistemological temptation to represent
    the world as an act of a self-sufficient, autonomous, “subject of history.”19
    Such representation bears resemblances to a Cartesian-like aspiration for
    that philosophical, perspectival, and foundational certitude that grounds
    all modem thinking, feeling, and acting, as well as a Hobbesian-Lockean-
    like anthropology of a possessive and extractive individual that is also an

    19 Martin Heidegger, “The Age of World Picture,” in The Question Concerning Technol-
    ogy and Other Essays, trans. William Lovitt (New York: Harper and Row, 1977), 115-154.

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    epistemological or thinking-knowing subject with the power, privilege,
    and opportunity to name or represent, and therefore, to create, the world
    in his image: Cogito ergo sum becomes Cogito ergo vinco, and eventuates in
    Vinco ergo sum.20 The biblical tradition calls this idolatry.

    However, globalization is not the only term or meaning of world that is
    available to us. For example, Jean-Luc Nancy argues that “world” in the
    French language does not always carry with it the connotations of world
    as “globalization.” Nancy foregrounds Mondialisation as that process of
    differentiation and formation that “maintains a crucial reference to the
    world’s horizon as a space of human relations … of meaning held in
    common … of signification or possible signification.”21 In fact, Mondialisa-
    tion, unlike its Anglophone counterpart globalization, places the emphasis
    not on the representation of the world but on the creative act of forming a
    world. And while it is not clear to me that Nancy fully extricates himself
    from the representational, apophantic dilemma of globalization conven-
    tionally understood, the notion of Mondialisation and its implicit relational,
    dialogical, and personal sensibilities offers a possible clearing in the dark
    forest of globalization—a place of relational, intersubjective, and bodily
    disclosure the ancient Greeks called αλήθεια—in our conversations about
    global awareness and engagement.22

    In this context, my insistence on understanding “partnerships” in
    terms of reference to the body and the “body politic” (as ethnos, demos,
    bios), which in this essay is another name for “communities of faith,
    learning, and accountability,” is decidedly empirical; I deploy the term
    to signify, quite literally, material, concrete, sensuous human bodies not
    only as a way to ground and orient my understanding of global awareness
    and engagement but also as a way to resist the objectification, reifica-
    tion, and commodification of human beings and nature arising out of the

    20 C.B. Macpherson, The Political Theory of Possessive Individualism: Hobbes to Locke
    (Oxford: Clarendon Press, 1962); Enrique Dussel, History and the Theology of Liberation:
    A Latin American Perspective, trans. J. Drury (New York: Orbis Books, 1976).

    21 Jean-Luc Nancy, The Creation of the World or Globalization, trans. Francois Raffoul
    and David Pettigrew (Albany: State University of New York, 2007), 33-55.

    22 In his work, Besinnung (Gesamtausgabe 67), Martin Heidegger lists nine texts where
    he examines the question of truth. See Mindfulness, trans. Parvis Emad and Thomas
    Kalary (New York: Continuum, 2006). One could make a persuasive argument that the
    “question of truth” as disclosure has huge implications for the present state of affairs,
    at least in the US context.

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    Lester Edwin J. Ruiz

    estrangement [Entfremdung] intrinsic to the dynamics of capitalism’s rela-
    tions of production, reproduction, extraction, and representation.231 also
    deploy the term philosophically and metaphorically to signify my affini־
    ties with what Michel Foucault and those who have followed his lead have
    called “biopolitics.”24

    The labyrinthine discourses on biopolitics need not detain us here. It
    is sufficient to say that they remind us of the necessary role, status, and
    function of “the body” whether construed literally, metaphorically, or
    biopolitically in discussions of religion, politics, or ministry today, par-
    ticularly, where “bare life” itself has become a site of both disciplinary
    power and “dispositifs of control.”25 We need only recall that under the sign
    of capitalism and sovereignty today, the practical and conceptual divide
    between the οίκος and the πόλις, or what the ancient Greeks saw as a dis-
    tinction between “natural life” [zoe] and “political life” [bios], can only be
    sustained with great difficulty. The collapse of the distinction, as Antonio
    Negri points out, results in the “control of populations as a way to govern
    life” [itself].26 Life today—and therefore ministry—cannot be extricated
    from its multistranded embodiments or from multiple bodies across time,
    space, and place. The good life can no longer be recuperated by upholding
    the distinction between zoe and bios, since the collapse of the distinction,
    under conditions of the exercise and circulation of power of globalizing,
    transnationalizing capitalist regimes, has profoundly altered religious and
    public life through discipline, punishment, and [dispositifs] of control. This
    is evident, for example, in the dynamics of forced migration so starkly

    23 Karl Marx and Fredrick Engels, The Economic and Philosophic Manuscripts of 1844
    and the Communist Manifesto, trans. Martin Milligan (Amherst: Prometheus Books,
    1988); Bertell Oilman, Alienation: Marx’s Conception of Man in a Capitalist Society (Cam-
    bridge: Cambridge University Press, 1977).

    24 Michel Foucault, ׳The Birth of Biopolitics/’ in Ethics: Subjectivity and Truth, ed.
    Paul Rabinow (New York: The New Press, 1997), 73-79; Roberto Esposito, Bios: Bio-
    politics and Philosophy, trans. Timothy Campbell (Minneapolis: University of Minnesota
    Press, 2008).

    25 Giorgio Agamben, What is an Apparatus? And Other Essays, trans. David Kishik
    and Stefan Pedatella (Stanford: Stanford University Press, 2009), 2-3; Michel Foucault,
    “The Confession of the Flesh,” in Power/Knowledge Selected Interviews and Other Writings
    1972-1977, ed. Colin Gordon (New York: Pantheon, 1980), 194-228.

    26 Antonio Negri, “The Labor of the Multitude and the Fabric of Biopolitics,” trans.
    Sara Mayo, Peter Graefe and Mark Coté, Mediations 23, no. 2 (Spring 2008): 8-25.

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    demonstrated recently in Europe or “gentrification” in such areas as
    downtown Detroit or Harlem; or the framing of “the good, the true, and
    the beautiful” by Silicon Valley, Bollywood, Wall Street, and the fashion
    runways of Tokyo, Paris, Milan, and New York; or the proliferation of mul-
    tiple iterations of technology (from the technical to the perspectival) and
    their multiple applications in realms of the political, the economic, the cul-
    tural, and the educational.

    A dispersed, displaced, and dislocated (and therefore mobile) body
    I have long argued that the “body politic,” including those communities
    engaged in accredited graduate theological education, is shaped by, or
    more precisely, embedded in, a number of intersecting, but contingent,
    mobile, and polymorphic conditions: one, it is dispersed, displaced, and
    dislocated; two, it is racialized and ethnicized; and three, it is gendered
    and sexualized.27

    I have also argued that the transformative dimensions of these inter־
    secting conditions, which go by many names, including, for example,
    mobility, hybridity, innovation, and improvisation, are compromised by
    the fact that significant numbers of the “body politic” have been either dis-
    embodied (i.e., expunged from that very body: dismembered, incarcerated,

    27 Dietrich Wemer, David Esterline, Namsoon Kang, and Joshva Raja, eds., Handbook
    of Theological Education in World Christianity: Theological Perspectives, Ecumenical Trends,
    Regional Surveys (Oxford: Regnum Books, International, 2010). See, for example, Lester
    Edwin J. Ruiz, “Recovering the Body: When Race and Power Migrate,” 85-103; Lester
    Edwin J. Ruiz, “Race, Power, and Migration: Reimagining Graduate Theological Edu-
    cation,” in Contemporary Issues of Migration and Theology, eds. Elaine Padilla and Peter
    Phan (New York: Palgrave, 2013), 211-231; Lester Edwin J. Ruiz, “I believe in the res-
    urrection of the body—meditations and explorations on ׳the religious/ ׳the public/
    and the Asian diaspora: a research framework and agenda,” in Asian Christian Review,
    (Summer 2013): 63-111.

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    Lester Edwin /. Ruiz

    disabled, pathologized, commodified, criminalized, or securitized)28 and
    erased and forgotten, not only by modern politics but also by institutions
    of the “body politic” itself, including by the government, the military, the
    university, the church, and the clinic.29

    28 This assertion of these “disembodiments” requires a more complex argument
    that a short essay cannot sustain. Because I have made this argument elsewhere, it
    is sufficient to suggest here that a fulsome understanding of global awareness and
    engagement, even in graduate theological education, will need to attend to the new
    geopolitics experienced by many today as being more unapologetically predatory,
    even more widespread, almost proto-fascist, and undeniably xenophobic. The reali-
    ties of “forced migration,” globally, and of “immigration,” in the US context that have
    exploded on the world stage in the past few years (e.g., the “refugee crisis” in Europe,
    the US debate on immigration in the United States, and even more poignantly, the
    forced migration of communities resulting from “natural” disasters—Puerto Rico,
    Florida, Texas, California)—particularly the responses to certain sectors of the body
    politic—reveal a profound reliance on a geopolitical understanding that is state-centric,
    juridically-bounded, administratively implemented, and an intentionally exclusionary
    aggregate of competing interests. It is a spatial and temporal extension of a partie-
    ular North Atlantic way of life, articulated in terms of structures and processes that
    privilege sovereign states and their bureaucratic apparatuses as the legitimate form of
    planetary life. Those who are “strangers” (or Others) to these structures and processes,
    or who do not conform or comply, are treated as criminals or as “security risks” —
    hence the phrase “bodies that are criminalized, incarcerated, and securitized,” or are
    excluded or minoritized because of disability or pathology. This is not new, of course,
    but the point directly relevant to this essay is not only that these crises are ethical prob-
    lems requiring a response, but rather that this understanding of geopolitics that has
    come to be assumed not only as the horizon (i.e., a range of vision and its accompa-
    nying practices that includes everything that can be seen from a particular situation,
    location or vantage point), but also as the way in which totality is grasped, making it
    both an ontological and epistemological matter to be addressed. See Lester Edwin }.
    Ruiz, “Conversations with Migrant Advocates: Do we believe in the resurrection of the
    body?” in The Intersections of Migration, Human Rights, and Development Justice, Liberato
    Bautista and Mervin Toquero, eds. (New York and Quezon City: NCCP & GBCS UMC,
    2014), 81-106; Lester Edwin J Ruiz, “Afterword: CWWM’s Journey From New York to
    Berlin—Finding Our Way Home,” in Turning Strangers into Friends: Hospitality, Mercy,
    Justice, Liberato C. Bautista, ed. (Quezon City: National Council of Churches in the
    Philippines, 2017), 65-76.

    29 Saskia Sassen calls this “expulsions” in her book, Expulsions: Brutality and Com-
    plexity in the Global Economy (Cambridge: Belknap Press, 2014). See also Mark Lewis
    Taylor, The Executed God: The Way of the Cross in Lockdown America (Minneapolis:
    Augsburg Fortress Publishers, 2015); Elizabeth Barnes, The Minority Body: A Theory
    of Disability (Oxford: Oxford University Press, 2016); Nancy Leong, “Racial Capital-
    ism,” Harvard Law Review 126, no. 8 (June 2013): 2,151-2,226. See, more generally,
    Karl Marx, “The Fetishism of Commodities and the Secret Thereof” in https://web.
    stanford.edu/~davies/Symbsysl00-Spring0708/Marx-Commodity-Fetishism ,
    accessed December 22, 2017. See also, for example, https://boxedambivalence.word-
    press.eom/2008/06/08/ql-commodification-of-the-female-body/, accessed December
    22, 2017.

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    https://web

    https://boxedambivalence.word-press.eom/2008/06/08/ql-commodification-of-the-female-body/

    https://boxedambivalence.word-press.eom/2008/06/08/ql-commodification-of-the-female-body/

    Of Beltways, Runways, and Sight Lines

    Four things can be said concerning the first condition. First, the disper-
    sal, displacement, and dislocation of bodies cannot be explained by any
    one theory, although one of the suggestive metaphors for the changes that
    are occurring worldwide has been that of turbulence, suggesting by its
    use not mere motion, activity, or movement, but disruptive, unpredict-
    able, volatile speed.30 Second, there is a compelling argument to be made
    that these changes are, in fact, part of what Anthony Giddens called “the
    consequences of modernity,” including (1) the separation and emptying
    of time and space, (2) the development of disembedding mechanisms like
    symbolic tokens and expert systems, and (3) the reflexive appropriation of
    knowledge.31 Third, these conditions are not only structured and sustained
    by the movements and flows of capital, people, goods, information, ideas,
    and images; they are, in fact, socially constructed by the very actions and/
    or activities of those individuals and communities that have been globally
    dispersed, displaced, and dislocated. And, fourth, these dispersals, dis-
    placements, and dislocations—while creating conditions of estrangement,
    marginalization, antagonism, exclusion, even disintegration and anomie,
    and what Zygmunt Bauman calls the “endemic uncertainty of liquid
    modernity”32—have also given rise to languages and experiences of multi-
    plicity, plurality, and difference as well as hybridity, intersectionality, and
    liminality, and therefore to the possibilities of transformation, innovation,
    and improvisation in political, economic, cultural, and religious life.

    A racialized and ethnicized body
    Two things may be said concerning the second condition. First, follow-
    ing the work of the “critical race theorists,” it is important not to yield to
    the temptation of the “uncritical use of biological and essential concep-
    tions of race as premises of antiracist struggles,” and to acknowledge that
    “the term ‘race’ may be so historically and socially overdetermined that it

    30 Nikos Papastergiadis, The Turbulence of Migration: Globalization, Deterritorialization
    and Hybridity (Cambridge: Polity Press, 2000), 3-21.

    31 Anthony Giddens, The Consequences of Modernity (Stanford: Stanford University
    Press, 1990), 16-50.

    32 Zygmunt Bauman, Liquid Times: Living in an Age of Uncertainty (Cambridge: Polity
    Press, 2007), 4-26.

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    Lester Edwin J. Ruiz

    is beyond rehabilitation.”33 At the same time, following Ronald Takaki, it
    may be important to assert that racial experience is both quantitatively and
    qualitatively different from ethnic experience and, therefore, to be careful
    not to reduce “race” to “ethnicity” or “cultural identity.”34 An undiffer־
    entiated view fails to account for the centrality of race in the histories of
    oppressed groups and therefore underestimates the degree to which tradi-
    tional notions of race have shaped, and continue to shape, the societies in
    which we live, including through the decisive, far reaching area of law.35

    Second, drawing on the work of Michael Omi and Howard Winant—
    which deploys the term “racialization” to signify “the extension of racial
    meaning to a previously racially unclassified relationship, social practice
    or group,” thereby underscoring the “contingent and changing nature of
    race and racism while recognizing its pervasive and systematic effect on
    our history”36—we can argue that there can be no homogenous or unitary
    notion of race and that its meaning, of necessity, will not only arise out of
    its multistranded contexts but also will have multiple accounts: biological,
    social, cultural, essential, strategic, and political. With Chong־Soon Lee we
    might conclude not only that “race as ethnicity may actually hinder our
    ability to resist entrenched forms of racism” but that race as a creature
    irreducible to ethnicity is needed in order to understand that colonialism,
    say in Africa, as an expression of imperialism, is both about racial domina-
    tion and ethno-cultural oppression.37 It may be, as well, that the notion of
    (white) privilege or (white) supremacy globally construed may be a more
    productive framework for addressing this form of oppression, especially
    in order to move the discourse beyond the “white/black” racial binary.
    Such a construal of race also provides opportunities to discover how the

    33 Jayne Chong-Soon Lee, “Navigating the Topology of Race,” in Critical Race Theory,
    eds. Kimberle Crenshaw, Neil Gotanda, Gary Peller, and Kendall Thomas (New York:
    The New Press, 1995), 441.

    34 Ronald Takaki, A Different Mirror: A History of Multicultural America, rev. ed. (New
    York: Back Bay Books, 2008).

    35 Kimberle Williams Crenshaw, “Race Liberalism and the Deradicalization of Racial
    Reform,” Harvard Law Review 130, no. 9 (October 2017): 2,298-2,319. See also Nancy
    Leong, “Racial Capitalism,” note 28.

    36 Michael Omni and Howard A. Winant, Racial Formation in the United States from the
    1960s to the 1980s (New York: Routledge, 1986), 68.

    37 Chong-Soon Lee, “Navigating the Topology of Race,” 442.

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    different ways one’s racialized and ethnicized contexts and origins are
    constitutive of transformative theological education.

    A gendered and sexualized body
    Concerning the third condition, I have argued that much can be learned
    about the body and the “body politic” from the struggles of feminist,
    womanist, and Mujerista, as well as lesbian, gay, bisexual, trans, queer,
    and intersexed [LGBTQI] members of the “body politic,” not only to regain
    control of their bodies, but also to recuperate the places of their bodies in
    religious and public life.

    In the first place, these struggles to recover the place of the body in
    religious and public life involve different ways of producing, reproducing,
    and valuing (different) knowledges (epistemologies), consistently focused
    on the necessity of rethinking the relationship between reason and desire
    and the construction of conceptual models that demonstrate the mutually
    constitutive rather than oppositional relationship between them. In the
    second place, these struggles to recover the place of the body in religious
    and public life involve different modes of being (ontologies), insisting not
    only that thinking, feeling, and acting are relational practices but also that
    bodies—more than passive, sexualized biological objects—can be refig-
    ured and reinscribed. In the third place, these struggles to recover the
    place of the body in religious and public life involve different forms of
    consciousness (subjectivitities), not only acknowledging that conscious-
    ness arises out of concrete and sensuous activity but also that subjectivity
    itself is performative and that spirituality is always and already ecologi-
    cally-embedded and embodied experience, including different practices
    of touching, feeling, smelling, tasting, eating, imagining, and making love.
    In the fourth place, these struggles to recover the place of the body in reli-
    gious and public life involve different empowering practices (politics),
    recognizing not only the importance of self-definition, self-valuation, self-
    reliance, and self-determination but also the necessity of transformation,
    transgression, and resistance, and of finding shared safe places and clear
    voices in the midst of difference—particularly where the asymmetries of
    power are mediated through structures and processes that legitimize or
    naturalize some differences and not others.

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    Lester Edwin J. Ruiz

    A spirituality of global engagement: the religio-moral as
    being-in-the-world

    Avta Brah and Ann Phoenix, in a 2004 essay titled, ‘Ain’t I A Woman?
    Revisiting Intersectionality,” demonstrate through the use of autobiog-
    raphy and empirical studies that “social class [and its intersections with
    gender and ‘race’ or sexuality] are simultaneously subjective, structural,
    and about social positioning and everyday practices.” Especially intriguing
    is the conclusion to the essay that invites reflection on the “potential con-
    tributions to intersectional analysis of theoretical and political approaches
    such as those associated with poststructuralism, postcolonial feminist
    analysis, and diaspora studies.”38

    Intersectionality directs our gaze to at least three important reli-
    gio-moral questions: the nature of the social totality, the character of
    subjectivity, and the challenge of practice, this time articulated as the ques-
    tion of “effective partnerships.” But why are they important?

    First, the importance of attending to the nature of the social totality
    underscores the importance of embodied connections of space, time, and
    place. Richard Thompson Ford argued, for example, that racial segregation
    in the United States is created and perpetuated by racially identified space
    and that the latter “results from public policy and legal sanctions . . . ,”39
    which, I will add, are played out—articulated, represented, implicated—
    on the actual bodies of human beings. In a different though not unrelated
    context, Foucault may be interpreted as underscoring the rearticulation of
    the social totality when he observes that “a whole history remains to be
    written of spaces—which would at the same time be the history of powers
    (both these terms are in the plural)—from the great strategies of geopoli-
    tics to the little tactics of the habitat… passing via economic and political

    38 Avta Brah and Ann Phoenix, “Ain’t I a Woman? Revisiting Intersectionality”
    Journal of International Women’s Studies 5, no. 3 (2004): 75-86; Avta Brah, Cartographies of
    Diaspora: Contesting Identities, (New York: Routledge, 1996), 17-83. See also, Giorgio
    Agamben’s notion of “apparatus” in What is an Apparatus? and Other Essays, trans.
    David Kishik and Stefan Pedatella (Stanford, CA: Stanford University Press, 2009), 2-3.
    See also, Michel Foucault’s dispositif in “The Confession of the Flesh,” 194-228.

    39 Richard Thompson Ford, “The Boundaries of Race: Political Geography in Legal
    Analysis,” Critical Race Theory, note 32, 449-465.

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    Of Beltways, Runways, and Sight Lines

    installations”40—not only from the Global North to the Global South, but
    also within the Global South.

    Second, where subjectivity is concerned, the recognition of actual
    bodies as multiple, multistranded, and multifaceted performative sites
    fundamentally challenges all ahistorical, essentialist, nonrelational, and
    reified construals of “the Subject” and directs us not only to the ques-
    tion “What is to be done?” but also to the questions of identity: “who we
    are, what we hope for, where we are going, how do we get there?” This
    “reinstalls” the notion of subjectivity within a much deeper, broader, inter-
    sectional, relational, ecological, and performative whole. My insistence on
    situating “the Subject” in these ways is an attempt to side-step the long
    and destructive shadow cast by the anthropocentric, auto-referential, phil-
    osophical, epistemic, and political Sovereign of that part of Euro-American
    life associated with “modernity” or “the Enlightenment.” In this context,
    race, gender, sexuality, and security are not only the extensions or effects
    of human action; they are also entanglements of structure, process, agency,
    ecology, and thought.

    Third, where the performative and therefore challenge of practice is
    concerned, such bodies direct us to the intersections of a peoples’ plural-
    istic and are therefore always and already contradictory, antagonistic and
    agonistic economic, cultural, political, and religious histories—there not
    only to be reminded of the importance of context for ministry but also to
    be directed toward the religio-moral as “practical-critical activity.41 The
    challenge is not only to link theory and praxis, thought and action, spirit
    and matter, but also “to grasp the root of the matter . . . man [sic] himself
    [sic]”—as sensuous human activity, (i.e., practice [performance]).To put
    the matter boldly, global awareness and engagement as the practice of
    effective partnerships is concrete, sensuous, human activity.

    40 Michel Foucault, “The Eye of Power,” Power/Knowledge Selected Interviews and
    Other Writings 1972-1977, ed. Colin Gordon (New York: Pantheon, 1980),

    146

    -149.

    41 Karl Marx and Friedrich Engels, Selected Works, vol. 1, trans. W. Lough (Moscow:
    Progress Publishers, 1969), 13-15; Karl Marx, “Contribution to the Critique of Hegel’s
    Philosophy of Law,” Deutsch Französische Jahrbücher (1844), http://www.marxists.org/
    archive/marx/works/l843/critique-hpr/intro.htm, accessed October 15, 2017.

    144

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    Lester Edwin J. Ruiz

    Conclusion: the futures of global awareness and engage־
    ment—the heart of the matter

    Focusing on the metaphor of “the body” as sensuous human activity
    brings the conversation both of global awareness and engagement and the
    religio-moral imperative of “effective partnerships” into the domain of the
    categorically personal, not only in the sense that it touches our lives (the
    phrase in ATS־style accreditation is “high touch”) but also that we bear
    simultaneous unconditional responsibility for the good, the true, and the
    beautiful, as well as the bad, the false, and the ugly ( i.e., we own but
    do not control them). It also allows us to shine light (Heidegger’s image
    of light and clearing in the Schwarize Wald of Baden-Württemberg) on the
    practices of accredited graduate theological education—which arguably
    is a necessary but much larger task than is possible in this brief essay. My
    more modest goal in this essay has been to suggest some reasons for the
    need to reframe the conversation on global awareness and engagement by
    bringing it more fully into the realm of everyday personal practice as effec-
    tive partnership without separating the conversation from its ontological
    and epistemological connections. However, one more caveat needs to be
    stated—namely, while the personal may be necessary, it is not a sufficient
    condition of possibility for effective partnerships.

    “Three things remain,” Saint Paul reminds us: “faith, hope, and love;
    but the greatest of these is love” (1 Corinthians 13). In fact, theologically
    put, at the heart of the religio-moral is the ineffable, irrepressible, exces-
    sive, and unconditional love of God. Without this love—given to us in
    its contingency, impurity, and at great cost in the life, death, and resur-
    rection of Jesus, and through the communities of faithful struggle both
    named and unnamed throughout history—the religio-moral would be an
    empty shell; global awareness and engagement would be less meaning-
    ful; ministry would only limp along. Love itself is performative as it is
    fundamental; it is constitutive as it is transformative. And while we essen-
    tialize and romanticize it only at our own peril, with some certainty we
    can say that existentially, without love, there can be no passion or com-
    passion, no unconditional forgiveness, no vulnerability, and no genuine
    humility. Love makes courage, resistance, and struggle bearable; it makes
    diakonia necessary and it makes mutual respect, decency, and recognition
    of difference obligatory. Separated from love, empowerment, integrity,
    and righteousness would be mere dogma; there would be very little

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    Of Beltways, Runways, and Sight Lines

    tenderness, or kindness, or enduring joy. Love invites curiosity, wonder-
    ment, and awe. It contextualizes goodness, truth, and beauty. It sustains
    justice, modulates power, and nourishes transformation.

    The “heart of the matter” is that global awareness and engagement,
    theologically and existentially comprehended, are about effective, loving,
    embodied partnerships that—in the context of ATS—are foregrounded
    as a “big tent ecumenicity” that includes theological/ecclesial diversity,
    in addition to the more conventionally-accepted racial/ethnic, gender,
    and missional diversities long recognized by the Association and the
    Commission. And where these reach to “the global,” they must include
    constituencies and publics that involve individuals and groups from the
    historic Protestant, Evangelical, Pentecostal, Roman Catholic, Orthodox,
    and Independent Churches (e.g., in Africa and China)—a practice for
    which ATS is known not only in its work among its member schools but
    also in its involvements with “partners” outside the United States and
    Canada. The diverse gifts and virtues that these communities of faith bring
    to the table, when taken together and bound by love, inspire what ATS
    calls the “improvement and enhancement of [both] theological schools
    [and theological education] to the benefit of communities of faith and the
    broader public.”42

    Strategically, I want to suggest that the future, if not relevance, of ATS
    as a “North American” institution implicated in the realities of “global
    Christianity” rests on its capacity to institutionally embody “global aware-
    ness and engagement” with global sensibilities as an intentional horizon, a
    sixty-thousand-foot sightline, if you will, for its work. Programmatically,
    I want to suggest, that the future of global awareness and engagement, in
    the ATS context, is exemplified in the kind of work of the Global Forum

    42 ATS Mission Statement, https://www.ats.edu/about, accessed October 15, 2017.
    Where diversity and inclusion are concerned, the truism was, even without theological
    or ecclesial orthodoxy, in the past ATS was held together by an educational orthodoxy
    (e.g., the MDiv, residential education, and graduate-level theological education), and
    that now, without an educational orthodoxy, the challenge is to find that which will
    hold the organization together. My own sense now is that despite all the diversity that
    can divide, all our member schools actually cannot disagree that our God is a gracious
    God—and when this graciousness is embodied in ATS practice, all the diversities can
    be “parked” in the presence of such grace, thereby allowing member schools to “live
    well together finally.” How this grace looks institutionally, I believe, remains the chai-
    lenge for the future.

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    Lester Edwin J. Ruiz

    of Theological Educators—a relatively new initiative that ATS has helped
    birth as part of its previously noted Global Awareness and Engagement
    initiative.

    Designed to provide an opportunity for leaders in theological educa-
    tion from every Christian tradition to meet and learn from those doing
    similar work but whose faith tradition might be different from their own,
    the purpose of GFTE was to establish a common platform for theologi-
    cal educators to share experiences and explore commitments and areas
    for potential collaboration. The role of ATS in the development of GFTE
    has been significant, primarily due to ATS’ reputation as inclusive and
    not privileging one group or ecclesial family over another. As a primary
    objective of GFTE is to develop trust among theological educators across
    the long-established boundaries, ATS’ commitment to maintaining a “big
    tent” in which everyone is welcome and no particular agenda is allowed to
    take precedence over others has been particularly important. As described
    in the final report of the meeting, “People talked across boundaries—both
    ecclesial and geographical—that many participants had not crossed pre-
    viously. Perhaps more importantly, people listened to commitments of
    persons from Christian families that they had not heard before.”

    I wish to conclude this essay by noting, yet again, what lies at the core
    of both the initiative and the Forum—and which Daniel Aleshire, during
    his term as executive director of ATS, had the ecumenical wisdom and
    grace to see and from which he had the courage and humility to insist on
    our learning from again and yet again. To put the matter boldly, it was
    his practical insistence on “big tent ecumenicity” in the context of the chai-
    lenges of world Christianity and the call for transformation in accredited
    graduate theological education that are his gift and legacy, as well as the
    hope of many.43

    43 See Daniel Aleshire, ״The Future has Arrived: Changing theological education
    in a changed world,” Theological Education 46, no. 2 (2011): 69-80, where he signals the
    need, perhaps, even the necessity, of continuity and change, conflict and collabora-
    tion, and the recreation of accredited graduate theological education in light of the
    fundamental importance of theological/ecclesial diversity, in addition to the more con-
    ventionally-accepted racial/ethnic, gender, and missional diversities long recognized
    by the Association. See also, Daniel Aleshire, “Diversity in Theological Education and
    Ecumenical Engagement: Diversity among the Theological Schools of North America,”
    in Theological Education and Theology of Life, eds. Atóla Longkumer, Po Ho Huang, and
    Uta Andree (Eugene, Oregon: Wipf and Stock Publishers, 2016), 208-217.

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    Of Beltways, Runways, and Sight Lines

    Excerpts from “The Concluding message of the Global Forum of
    Theological Educators (GFTE)” are instructive as they are prophetic and
    summative for future work:

    . . . The GFTE’s composition is unique . . . key theologi-
    cal educators from the six major church confessional
    families—Orthodox, Roman Catholic, Protestant, Evan-
    gelical, Pentecostal, and Independent churches—gathered
    together in one united forum in order to learn from one
    another and to share about the current situation of theo-
    logical education and ministerial formation on a global
    scale … to underline the common tasks that face all Chris-
    tian traditions. Some of these tasks include: building up
    new leadership for the mission of the church, strengthen-
    ing the sense of unity among Christians, giving witness to
    justice with peace in the world, and supporting all aspects
    of theological education. The meeting was characterized
    by a deep sense of humility and of mutual openness in
    prayer and dialogue …

    … In our many contexts, we realize again that unity and
    cooperation in theological education beyond the tradi-
    tional divides are not a luxury or mere specialized vocation
    for some, but are essential to the future of theological edu-
    cation. Cooperation and dialogue in theological formation
    are required for the majority of settings where the church
    finds itself in the twenty-first century …

    . . . We are aware that we can complement one another
    and need one another with the different gifts we bring
    to the common table in the area of theological education.
    The need to overcome stereotypes and caricatures of one
    another is crucial not just for theological education but
    also for our witness in a world that is tom apart by wars,
    violence, and so many types of injustice. We have been
    made aware of the need to continue conversations started
    in this first gathering, to foster friendships and collabora-
    tion birthed from our dialogue, and to seek together, as

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    Lester Edwin J. Ruiz

    educators, to work toward transformative theological edu-
    cation that serves the churches and God’s kingdom.44

    Lester Edwin J. Ruiz is Senior Director of Accreditation and Institutional Evalua-
    tion at The Association of Theological Schools in Pittsburgh, Pennsylvania.

    44 Global Forum of Theological Educators, “Concluding Statement.” http://www.
    ataasia.com/concluding-message-of-the-global-forum-of-theological-educators-gfte/,
    accessed April 16, 2018. See also http://gfte.org, accessed May Î, 2018.

    149

    http://www

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