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A Call for Theological Triage

In our sermon on 2 John, we learnt about undertaking “theological triage”. It may be a term that is new to some of us, so it may help to reinforce the concept with clear examples.

 

This week’s article details how one reformed pastor engages in theological triage. May it remind and urge us to consider how to carefully and faithfully pursue both truth and love in obedience to God’s commandment.


Ps Luwin Wong

 

Theological seriousness and maturity demand that we consider doctrinal issues in terms of their relative importance. God’s truth is to be defended at every point and in every detail, but responsible Christians must determine which issues deserve first-rank attention in a time of theological crisis.

 

A discipline of theological triage would require Christians to determine a scale of theological urgency that would correspond to the medical world’s framework for medical priority. With this in mind, I would suggest three different levels of theological urgency, each corresponding to a set of issues and theological priorities found in current doctrinal debates.

 

First-level theological issues would include those doctrines most central and essential to the Christian faith. Included among these most crucial doctrines would be doctrines such as the Trinity, the full deity and humanity of Jesus Christ, justification by faith, and the authority of Scripture.


In the earliest centuries of the Christian movement, heretics directed their most dangerous attacks at the church’s understanding of who Jesus was, and in what sense He was the very Son of God. Other crucial debates concerned the question of how the Son was related to the Father and the Holy Spirit. The earliest creeds and councils of the church were, in essence, emergency measures taken to protect the central core of Christian doctrine. At historic turning points such as the councils at Nicaea, Constantinople and Chalcedon, orthodoxy was vindicated and heresy was condemned — and these councils dealt with doctrines of unquestionable first-order importance. Christianity stands or falls on the affirmation that Jesus Christ is fully man and fully God.

 

The church quickly moved to affirm that the full deity and full humanity of Jesus Christ are absolutely necessary to the Christian faith. Any denial of what has become known as Nicaean-Chalcedonian Christology is, by definition, condemned as a heresy. The essential truths of the incarnation include the death, burial and bodily resurrection of the Lord Jesus Christ. Those who deny these revealed truths are, by definition, not Christians.

 

The same is true with the doctrine of the Trinity. The early church clarified and codified its understanding of the one true and living God by affirming the full deity of the Father, the Son and the Holy Spirit — while insisting that the Bible reveals one God in three persons.

 

In addition to the Christological and Trinitarian doctrines, the doctrine of justification by faith must also be included among these first-order truths. Without this doctrine, we are left with a denial of the Gospel itself, and salvation is transformed into some structure of human righteousness. The truthfulness and authority of the Holy Scriptures must also rank as a first-order doctrine, for without an affirmation of the Bible as the very Word of God, we are left without any adequate authority for distinguishing truth from error.

 

These first-order doctrines represent the most fundamental truths of the Christian faith, and a denial of these doctrines represents nothing less than an eventual denial of Christianity itself.

 

Second-order issues would include the meaning and mode of baptism. Baptists and Presbyterians, for example, fervently disagree over the most basic understanding of Christian baptism. The practice of infant baptism is inconceivable to the Baptist mind, while Presbyterians trace infant baptism to their most basic understanding of the covenant. Standing together on the first-order doctrines, Baptists and Presbyterians eagerly recognise each other as believing Christians, but recognise that disagreement on issues of this importance will prevent fellowship within the same congregation or denomination.

 

Christians across a vast denominational range can stand together on the first-order doctrines and recognise each other as authentic Christians, while understanding that the existence of second-order disagreements prevents the closeness of fellowship we would otherwise enjoy. A church either will recognise infant baptism, or it will not. That choice immediately creates a second-order conflict with those who take the other position by conviction.

 

Third-order issues are doctrines over which Christians may disagree and remain in close fellowship, even within local congregations. I would put most of the debates over eschatology, for example, in this category. Christians who affirm the bodily, historical and victorious return of the Lord Jesus Christ may differ over timetable and sequence without rupturing the fellowship of the church. Christians may find themselves in disagreement over any number of issues related to the interpretation of difficult texts or the understanding of matters


of common disagreement. Nevertheless, standing together on issues of more urgent importance, believers are able to accept one another without compromise when third-order issues are in question.

 

A structure of theological triage does not imply that Christians may take any biblical truth with less than full seriousness. We are charged to embrace and to teach the comprehensive truthfulness of the Christian faith as revealed in the Holy Scriptures. There are no insignificant doctrines revealed in the Bible, but there is an essential foundation of truth that undergirds the entire system of biblical truth.

 

The misjudgment of fundamentalism is the belief that all disagreements concern first-order doctrines. Thus, third-order issues are raised to a first-order importance, and Christians are wrongly and harmfully divided.


Living in an age of widespread doctrinal denial and intense theological confusion, thinking Christians must rise to the challenge of Christian maturity, even in the midst of a theological emergency. We must sort the issues with a trained mind and a humble heart, in order to protect what the Apostle Paul called the “treasure” that has been entrusted to us. Given the urgency of this challenge, a lesson from the Emergency Room just might help.

 

1. Connie L. Nelson, (August 15, 2024), Three Ways We Can Rest as Parents Who Are Justified. Rooted Ministry. Taken from: https://rootedministry.com/three-ways-we-can-rest-as-parents-who-are-justified/


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