While her discussion of pastoral care and spiritual direction is enlightening, I do not think Stairs ever fully forms her thoughts in two areas that seemed central to her book: 1) What is the difference between pastoral care and spiritual direction? And, secondarily, is there a difference between the two? 2) Is soul-listening a pastoral or a therapeutic action?
Stairs' discussion is not fully appropriate to the chaplain context, aiming it more for the local minister or pastoral care leader. Her lines are both blurred and defined at the same time, which makes it hard to determine what her actual goal is. I could very easily read this book from a pastoral care/chaplain perspective, where spiritual direction (like counseling) is simply an avenue for delivering pastoral care. However, I could also read this though the lens of a spiritual director, where pastoral care is simply an avenue for delivering spiritual direction. This distinction is most muddied in the chapter about offering pastoral care to children, where she focused her discussed within a liturgical/sacramental context.
I guess it is possible that this was the point, for the reader to determine the avenue through which this book would travel in his or her pastoral practice. The final chapter does provide a one-page "comparative summary" of both pastoral care and spiritual direction, lining them up side-by-side to distinguish their differences. Still, with the epilogue being entitled "Toward a Soulful Pastoral Care," it seems that Stairs never fully finishes her thought.