Anointing of the Sick

<http://www.catholic.com/library/Anointing_of_the_Sick.asp>http://www.catholic.com/library/Anointing_of_the_Sick.asp

The anointing of the sick is administered to 
bring spiritual and even physical strength during 
an illness, especially near the time of death. It 
is most likely one of the last sacraments one 
will receive. A sacrament is an outward sign 
established by Jesus Christ to confer inward 
grace. In more basic terms, it is a rite that is 
performed to convey God’s grace to the recipient, 
through the power of the Holy Spirit.

The Sacrament’s Institution

Like all the sacraments, holy anointing was 
instituted by Jesus Christ during his earthly 
ministry. The Catechism explains, "This sacred 
anointing of the sick was instituted by Christ 
our Lord as a true and proper sacrament of the 
New Testament. It is alluded to indeed by Mark, 
but is recommended to the faithful and 
promulgated by James the apostle and brother of 
the Lord" (CCC 1511; Mark 6:13; Jas. 5:14-15).

The anointing of the sick conveys several graces 
and imparts gifts of strengthening in the Holy 
Spirit against anxiety, discouragement, and 
temptation, and conveys peace and fortitude (CCC 
1520). These graces flow from the atoning death 
of Jesus Christ, for "this was to fulfill what 
was spoken by the prophet Isaiah, ‘He took our 
infirmities and bore our diseases’" (Matt. 8:17).

Mark refers to the sacrament when he recounts how 
Jesus sent out the twelve disciples to preach, 
and "they cast out many demons, and anointed with 
oil many that were sick and healed them" (Mark 
6:13). In his epistle, James says, "Is any among 
you sick? Let him call for the elders of the 
church, and let them pray over him, anointing him 
with oil in the name of the Lord; and the prayer 
of faith will save the sick man, and the Lord 
will raise him up; and if he has committed sins, 
he will be forgiven" (Jas. 5:14–15).

The early Church Fathers recognized this 
sacrament’s role in the life of the Church. 
Around A.D. 250, Origen wrote that the penitent 
Christian "does not shrink from declaring his sin 
to a priest of the Lord and from seeking medicine 
. . . [of] which the apostle James says: ‘If then 
there is anyone sick, let him call the presbyters 
of the Church, and let them impose hands upon 
him, anointing him with oil in the name of the 
Lord; and the prayer of faith will save the sick 
man, and if he be in sins, they shall be forgiven 
him’" (Homilies on Leviticus 2:4).

In the year 350, Bishop Serapion wrote, "We 
beseech you, Savior of all men, you that have all 
virtue and power, Father of our Lord and Savior 
Jesus Christ, and we pray that you send down from 
heaven the healing power of the only-begotten 
[Son] upon this oil, so that for those who are 
anointed . . . it may be effected for the casting 
out of every disease and every bodily infirmity . 
. . for good grace and remission of sins . . . " 
(The Sacramentary of Serapion 29:1).

The Sacrament’s Effects

"The special grace of the sacrament of the 
Anointing of the Sick has as its effects: the 
uniting of the sick person to the passion of 
Christ, for his own good and that of the whole 
Church; the strengthening, peace, and courage to 
endure in a Christian manner the sufferings of 
illness or old age; the forgiveness of sins, if 
the sick person was not able to obtain it through 
the sacrament of penance; the restoration of 
health, if it is conducive to the salvation of 
his soul; the preparation for passing over to eternal life" (CCC 1532).

Does a person have to be dying to receive this 
sacrament? No. The Catechism says, "The anointing 
of the sick is not a sacrament for those only who 
are at the point of death. Hence, as soon as 
anyone of the faithful begins to be in danger of 
death from sickness or old age, the fitting time 
for him to receive this sacrament has certainly already arrived" (CCC 1514).

Does God Always Heal?

Today some Christians go to extremes in their 
expectation of divine healing. On one hand, some 
say that if a Christian is not healed of all his 
diseases, this reflects his lack of faith. Others 
claim that divine healings were only for the 
apostolic age, when all diseases were healed 
instantly and automatically. Both extremes are wrong.

God does not always heal the physical infirmities 
that afflict us. Paul preached to the Galatians 
while he was afflicted by a "bodily ailment" 
(Gal. 4:13– 14). He also mentions that he had to 
leave his companion Trophimus in the town of 
Miletus because he was too sick to travel (2 Tim. 
4:20). In his first letter to Timothy, Paul urges 
his young protégé to "no longer drink only water, 
but to use a little wine for the sake of your 
stomach and your frequent ailments" (1 Tim. 5:23).

The last passage is especially informative. Not 
only does it reveal that illnesses were not 
always healed in the apostolic age, but it also 
shows an apostle’s practical advice to a fellow 
Christian on how to deal with an illness. Notice 
that Paul does not tell Timothy to pray harder 
and have more faith that God will heal him from 
his stomach ailment. Rather, he tells him how to 
manage the illness through medicinal means.

Some argue that healings were always 
instantaneous and were only for those living 
during the apostolic age, but that afterward the 
gift of healing disappeared. The problem with 
that theory is that the Bible tells us otherwise. 
For example, when Jesus healed the blind man at 
Bethsaida, he laid his hands upon him twice 
before the man was fully healed (Mark 8:22–26).

Finally, we have a standing command of the New 
Testament in James 5:14–15, cited earlier. This 
command is never revoked anywhere in the Bible, 
and there are no statements anywhere that God 
will cease to heal. Thus the command is in effect to this very day.

Of course, our healing, like all things, is 
subject to God’s will. As James pointed out just 
a chapter earlier, "You do not know about 
tomorrow. What is your life? For you are a mist 
that appears for a little time and then vanishes. 
Instead you ought to say, ‘If the Lord wills, we 
shall live and we shall do this or that’" (Jas. 
4:14–15, emphasis added). We have a promise of 
healing, but not an unqualified one. It is conditional on the will of God.

Why Doesn’t God Always Heal?

If God can heal us, why doesn’t he? Why isn’t it 
always his will to do so? One answer to this 
question is found in the spiritual discipline and 
training that can result from facing illness and 
adversity. Scripture asks, "Have you forgotten 
the exhortation which addresses you as sons?­‘My 
son, do not regard lightly the discipline of the 
Lord, nor lose courage when you are punished by 
him. For the Lord disciplines him whom he loves, 
and chastises every son whom he receives’ [Prov. 
3:11–12]. It is for discipline that you have to 
endure. God is treating you as sons; for what son 
is there whom his father does not discipline?

"If you are left without discipline, in which all 
have participated, then you are illegitimate 
children and not sons. Besides this, we have had 
earthly fathers to discipline us and we respected 
them. Shall we not much more be subject to the 
Father of spirits and live? For they disciplined 
us for a short time at their pleasure, but he 
disciplines us for our good, that we may share 
his holiness. For the moment all discipline seems 
painful rather than pleasant; later it yields the 
peaceful fruit of righteousness to those who have 
been trained by it" (Heb. 12:5–11).

The Value of Suffering

Sometimes God allows us to undergo sickness as a 
form of discipline and training in righteousness. 
God often permits these trials for our 
sanctification, as Paul himself learned when he 
prayed that God would remove from him an angel of 
Satan who was afflicting him: "And to keep me 
from being too elated by the abundance of 
revelations, a thorn was given me in the flesh, a 
messenger [Greek: angelos] of Satan, to harass 
me, to keep me from being too elated. Three times 
I besought the Lord about this, that it should 
leave me; but he said to me, ‘My grace is 
sufficient for you, for my power is made perfect 
in weakness.’ I will all the more gladly boast of 
my weaknesses, that the power of Christ may rest upon me" (2 Cor. 12:7–9).

Even though we must face a certain amount of 
suffering and affliction in this life, we know 
God’s grace is sufficient to sustain us. All of 
God’s graces, including physical health, are 
bestowed to lead to the salvation of our souls. 
The Catholic Church teaches that the sacrament 
brings "the restoration of health, if it is 
conducive to the salvation of his soul" (CCC 1532).

God also uses our suffering to help others. If 
Paul had not become ill while on his first 
missionary journey and been forced to stop 
traveling, he would not have preached to the 
Galatians, for he tells them, "You know it was 
because of a bodily ailment that I preached the 
gospel to you at first" (Gal. 4:13). If he had 
not preached to the Galatians, he would not have 
later written them the epistle that appears in 
our New Testament. God used Paul’s illness to 
bring salvation to the Galatians and to bring us 
a work of Scripture, through which we are still receiving benefits from God.

This is just one example of how God used 
suffering to bring about good. Therefore, if we 
suffer, we should look upon it as an opportunity 
for good, such as by offering up our sufferings 
for our own sanctification and for our departed 
brothers and sisters in Christ.

This applies also to the physical suffering of 
death, which will come for each of us one day. 
The Bible reminds us, "As for man, his days are 
like grass; he flourishes like a flower of the 
field; for the wind passes over it, and it is 
gone, and its place knows it no more" (Ps. 103:15–16).

The "Last Rites"

Though the psalmist teaches us to ponder our 
mortality, he immediately comforts us by saying, 
"But the steadfast love of the Lord is from 
everlasting to everlasting upon those who fear 
him, and his righteousness to children’s 
children, to those who keep his covenant and 
remember to do his commandments" (Ps. 103:17–18).

In his steadfast love for us, the Lord gives us 
the sacraments involved in the last rites to 
comfort us in our final days and prepare us for 
the journey ahead. "These include penance (or 
confession), confirmation (when lacking), 
anointing of the sick . . . and Viaticum (which 
is meant to be the last reception of Communion 
for the journey from this life to eternity). . . .

"The present ritual orders these sacraments in 
two ways. The ‘continuous rites of penance and 
anointing’ include: Introductory Rites, Liturgy 
of Penance, Liturgy of Confirmation, Liturgy of 
Anointing, Liturgy of Viaticum, and Concluding 
Rites. The ‘rite for emergencies’ includes the 
sacrament of penance, Apostolic Pardon, Lord’s 
Prayer, Communion as Viaticum, prayer before 
anointing, anointing, concluding prayer, 
blessing, sign of peace" (Fr. Peter Stravinskas, Catholic Encyclopedia, 572).

The most important part of the last rites is the 
reception of the Lord in one’s final Communion, 
also called "Viaticum" (Latin = that which you 
take on the road, i.e., provisions for a journey) 
This special Communion prepares us to travel with 
the Lord on the final part of our journey.

The comfort of Viaticum has been valued by 
Christians since the beginning of Church history. 
The first ecumenical council, held at Nicaea in 
325, decreed: "Concerning the departing, the 
ancient canonical law is still to be maintained, 
to wit, that, if any man be at the point of 
death, he must not be deprived of the last and 
most indispensable Viaticum" (canon 13). Having 
repented of our sins and received reconciliation, 
we travel with the Lord Jesus out of this earthly 
life and to eternal happiness with him in heaven.

 From the earliest times, the sacrament of the 
anointing of the sick was cherished among 
Christians, not only in immediate danger of 
death, but even at the beginning sign of danger 
from illness or old age. A sermon of Caesar of 
Arles (ca. A.D. 470-542) contains the following: 
"As often as some infirmity overtakes a man, let 
him who is ill receive the body and blood of 
Christ; let him humbly and in faith ask the 
presbyters for blessed oil, to anoint his body, 
so that what was written may be fulfilled in him: 
‘Is anyone among you sick? Let him bring in the 
presbyters, and let them pray over him, anointing 
him with oil; and the prayer of faith will save 
the sick man, and the Lord will raise him up; and 
if he be in sins, they will be forgiven him. . . 
. See to it, brethren, that whoever is ill hasten 
to the church, both that he may receive health of 
body and will merit to obtain the forgiveness of 
his sins" (Sermons 13[325]:3).

John Chrysostom

"The priests of Judaism had power to cleanse the 
body from leprosy­or rather, not to cleanse it at 
all, but to declare a person as having been 
cleansed. . . . Our priests have received the 
power not of treating with the leprosy of the 
body, but with spiritual uncleanness; not of 
declaring cleansed, but of actually cleansing. . 
. . Priests accomplish this not only by teaching 
and admonishing, but also by the help of prayer. 
Not only at the time of our regeneration [in 
baptism], but even afterward, they have the 
authority to forgive sins: ‘Is there anyone among 
you sick? Let him call in the priests of the 
church, and let them pray over him, anointing him 
with oil in the name of the Lord. And the prayer 
of faith shall save the sick man, and the Lord 
shall raise him up, and if he has committed sins, 
he shall be forgiven’" (On the Priesthood 3:6:190ff [A.D. 387]).

NIHIL OBSTAT: I have concluded that the materials
presented in this work are free of doctrinal or moral errors.
Bernadeane Carr, STL, Censor Librorum, August 10, 2004

IMPRIMATUR: In accord with 1983 CIC 827
permission to publish this work is hereby granted.
+Robert H. Brom, Bishop of San Diego, August 10, 2004


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