Most people in the United States today no longer live their lives under the guidance of local institutionalized religious leadership, such as rabbis, ministers, and priests; rather, liberals and conservatives alike have taken charge of their own religious or spiritual practices. This shift, along with other social and cultural changes, has opened up a perhaps surprising space for chaplains—spiritual professionals who usually work with the endorsement of a religious community but do that work away from its immediate hierarchy, ministering in a secular institution, such as a prison, the military, or an airport, to an ever-changing group of clients of widely varying faiths and beliefs.

In A Ministry of Presence, Winnifred Fallers Sullivan explores how chaplaincy works in the United States—and in particular how it sits uneasily at the intersection of law and religion, spiritual care, and government regulation. Responsible for ministering to the wandering souls of the globalized economy, the chaplain works with a clientele often unmarked by a specific religious identity, and does so on behalf of a secular institution, like a hospital. Sullivan's examination of the sometimes heroic but often deeply ambiguous work yields fascinating insights into contemporary spiritual life, the politics of religious freedom, and the never-ending negotiation of religion's place in American institutional life.

In 1967, when abortion was either illegal or highly restricted in every U.S. state, a group of ministers and rabbis formed to counsel women with unwanted pregnancies—including referral to licensed physicians willing to perform the procedure. By 1973, when the Roe v. Wade court decision made abortion legal nationwide, the Clergy Consultation Service on Abortion (CCS) had spread from coast to coast, referred hundreds of thousands of women for safe abortions without a single fatality, become a medical consumer advocacy group, and opened its own clinic in New York City.

As religious leaders spoke out on issues of civil rights, peace, or poverty, CCS members were also called to action by the suffering of women who had approached them for help. Overwhelmingly male, white, affluent, and middle-aged, these mainline Protestant and Jewish clergy were nonetheless outspoken advocates for the rights of women, particularly poor women. To Offer Compassion is a detailed history of this unique and largely forgotten movement, drawing on extensive interviews with original participants and on primary documents from the CCS's operations.