On the Nature, Matter and Form, Minister and Subject of Extreme Unction

What is extreme unction? - Extreme Unction is so called because, of all the sacred unctions which the Lord our Savior entrusted to his Church, it is the last to be administered. Roman Catechism 3. Extreme unction is a sacrament of the New Law, instituted by Christ the Lord and promulgated by Blessed James the Apostle, by which, through anointing with oil and the prayer of the priest, there is conferred upon sick adults in danger of life the salvation of the soul, and sometimes also health of the body. James 5:14, 15; Trent, sess. 7, c. 1; sess. 14, de E. U., C. 1, c. 1, 2; Florence, Decree for the Armenians; L. 706; Decree of the Holy Office Lamentabili, July 3, 1907, prop. 48; St. Thomas, Suppl., q. 29, a. 1, 3; 4, d. 23, q. 1, a. 1; E. M.

What are the effects of extreme unction? - To confer grace. - To remit venial sins, and also mortal sins if they are present and there is at least attrition for them, if one can neither be contrite nor confess. This sacrament is the complement of penance, for it was chiefly instituted to wipe away the remnants of sins. "But because, when sin is found in the soul, the remnants cannot be taken away unless the sin is first taken away, therefore consequently this sacrament takes away sin." L. 731. Hence it is primarily a sacrament of the living, secondarily of the dead. Therefore Confession or contrition ought, of itself, to precede if the sick person is in mortal sin. - To wipe away the remnants of sin and to relieve and strengthen the soul of the sick person. - The remnants of sin are not only the punishments due to sins, but also anxiety and fear of soul, weakness and torpor toward good.

Therefore the effect of this sacrament is the strengthening of the sick person against the temptations of the devil, the relief and raising of the soul by hope in the divine goodness and mercy. - Sometimes to restore health of body, where this is expedient for the salvation of the soul, by aiding natural causes. Therefore they err who do not receive this sacrament except when the sickness has prevailed so much that they cannot be healed without a miracle. - James, l.c.; Trent, sess. 14, de E. U., C. 2, c. 2; Florence, Decree for the Armenians; Roman Catechism, n. 5-7, 9, 12, 14-16; L. 714, 716, 731; Billuart, art. 7; St. Thomas, Suppl., q. 29, a. 1 ad 2, ad 3, a. 2; q. 30; q. 32.

Does extreme unction confer grace in the individual anointings, or only when all are completed? - It is disputed, and each opinion is probable to St. Alphonsus. The reason is that each anointing is completed by its own matter and form; but from all of them one anointing at last coalesces. L. 707, H. A., tr. 17, n. 3. But St. Thomas, Suppl., q. 30, a. 1 ad 3, says: "grace is conferred in the last anointing." - Yet "it is certain that this sacrament is one; for although the anointings are several, nevertheless all pertain to one signification of interior healing." L. 706. - St. Thomas, Suppl., q. 29, a. 2; Benedict XIV, de Syn., l. 8, c. 3; Roman Catechism, n. 4.

What is the matter of extreme unction? - The remote matter of this sacrament is necessarily olive oil, which must be blessed by a Bishop not only for liceity but also for validity, even when extreme necessity presses. Trent, sess. 14, C. 1; Florence, Decree for the Armenians; S. I. C., Jan. 13, 1665; Sept. 14, 1842; Jan. 10, 1850; May 15, 1878. By a Bishop, namely by the diocesan, or, when the See is vacant, by another neighboring Bishop; on Holy Thursday the oil of the sick, just like the oil of catechumens and chrism, must be renewed each year, though not for the validity of the sacrament, from the precept of Clement VIII and from the Roman Ritual, de Extr. Unct. And this more probably is grave. Nevertheless, if new oil cannot be had, it is licit to use the old. L. 708. It was granted to Latin America by Leo XIII, Constitution Trans oceanum, "that sacred oils even old ones can be used, yet not beyond four years, provided they are not corrupted, and after all diligence has been carried out new or more recent sacred oils cannot be had." But if perhaps within the year the blessed oil seems to be failing, and no other blessed oil can be had, it can be repaired by pouring in a small amount of unblessed oil in lesser quantity. Roman Ritual. And this several times, although in the end the added quantity has been greater than that which was blessed by the Bishop and which was there from the beginning. Blessed; whether it must be blessed in order to extreme unction is disputed. Some probably deny, because the Church requires nothing else except that it be blessed by a Bishop. Others probably affirm, because by a special blessing it must be deputed to the sacrament of extreme unction. Yet in practice the safer opinion is to be held, except in a case of necessity, in which, after another oil of catechumens or chrism has been used, which is used in the sacrament of confirmation and in the ceremonies of baptism, if afterward the oil of the sick can be had, the sacrament is to be repeated. Blessed. A simple priest by concession of the Supreme Pontiff can bless oil of this kind, as is clear from the use of the Greek Church. Benedict XIV, de Syn., l. 8, c. 1, n. 4.

The oil is to be preserved in a clean and decently adorned place, in a silver or tin vessel, Roman Ritual, de Sacr. extr. unct., namely in the church or sacristy, or even at home, if the pastor's house is very distant from the church. S. R. C., Dec. 16, 1826, n. 2650.

The proximate matter is the anointing of five principal parts of the body, namely the eyes, ears, nostrils, mouth, hands, or, if someone lacks one of them, the part nearest to it, although he has lacked it from birth. But whether all these anointings are necessary by necessity of the sacrament, or whether one alone suffices, with a universal form comprehending all the senses, is disputed, and each opinion is probable; and in practice, outside the case of necessity, one must stand by the opinion affirming the necessity of all. Yet the resolution of the Holy Office about one form, although in a case of necessity, seems to favor one anointing. Cf. 869. Nor indeed is the order among the various anointings of parts necessary for the sacrament; nor, in paired senses, is the anointing of each necessary, but only by precept is it to be observed outside a case of necessity. Besides, unless the usage of the place provides otherwise, the feet and loins are to be anointed, but the loins only of men, provided they can conveniently be moved. In some places the anointing of the loins is omitted in male religious. Where however it is not in use, let it be introduced, if this can be done. S. R. C., Aug. 14, 1858. And it can never be omitted unless in particular cases, with precautions applied, decency cannot otherwise be sufficiently provided for. Holy Office, May 15, 1878. The Greeks anoint the forehead, chin, both cheeks, breast, hands, and feet. - Trent, sess. 14, C. 1, c. 3; Florence, Decree for the Armenians; Roman Ritual, de Sacr. Extr. Unct.; Roman Catechism, n. 5, 10; Benedict XIV, de Syn., l. 8, c. 1, n. 4, c. 3; L. 707, 710, 732; St. Thomas, Suppl., q. 29, a. 4, 6; q. 32, a. 5-7; E. M.

What is the form of extreme unction? - The form is: "Through this holy anointing, and his most loving mercy, may the Lord forgive you whatever you have committed through sight, or hearing, etc. Amen." Roman Ritual, de Sacr. Extr. Unct.; Florence, Decree for the Armenians. Certainly essential are: Through this anointing, by which the sacramental action is signified; May the Lord forgive you, by which the sacramental effect is expressed generally; more truly also, when it is conferred in the ordinary way, outside a case of necessity, cf. 869, Whatever through sight, etc., you have committed, by which the special effect of this sacrament is contained; and in a case of true necessity, when one anointing and one form have been used, whatever you have committed.

On the contrary, more truly the following are not essential: Through his mercy; for they are tacitly comprehended in the words, May God forgive you; nor certainly are these essential: Holy, Most loving, Amen, which signify neither the sacramental action nor the sacramental effect. To omit essentials is grave; accidentals light or grave according as the omission is light or notable.

Therefore it is grave to omit through his mercy; but light to omit holy, or most loving, or amen. The form of Extreme Unction is essentially deprecatory. Roman Ritual, l.c. Therefore, if it is pronounced in the indicative or imperative mode, according to the more common opinion, it is invalid. - Florence, Decree for the Armenians; Trent, sess. 14, de E. U., C. 1; Benedict XIV, de Syn., l. 8, c. 2; L. 710, 711; St. Thomas, Suppl., q. 29, a. 7, 8, 9. "Although some change certain words, when for May God forgive you they put May he remit or May he spare; sometimes also, May he heal whatever you have committed; nevertheless, because no change of meaning is made, it is clear that the same form is religiously observed by all." Roman Catechism, n. 6. Cf. here 869.

Who is the minister of extreme unction? - The minister of Extreme Unction is a priest. Any priest validly confers it; licitly only the pastor of the place in which someone is sick, who confers it also on clerics, but not on Regulars and those who enjoy the privileges of Regulars. For their own prelate confers it on Regulars. St. Pius V, Constitution Immarcescibilem, 1567. The Bishop himself chooses by whom he would prefer to be anointed, whether the Sacristan, i.e., the greater Dignitary of his Chapter, or the Curate. Ceremonial of Bishops, C. 38, § 4; S. C. C., June 7, 1760; March 24, 1873, A. S. S., vol. 8, p. 202 ff. - But any priest can more probably licitly also minister this sacrament from the reasonably presumed consent of the pastor. For it does not seem that one must proceed with such rigor where there is question of mere delegation for liceity, and in no way for the validity of the sacrament.

They validly confer it whether one priest or several; and these either simultaneously perform the various anointings, one anointing one part, another another, and pronouncing the form corresponding to that anointing; or successively, if namely one begins the anointings and another continues them. But outside the case of necessity this is grave, namely either of the sick person about to die soon, or because, once the anointings have begun and have not yet been completed, the minister fails. But if this happens, another minister must complete the anointings not yet performed, but must not repeat those performed, not even under condition, unless a notable delay intervenes, namely a quarter of an hour; therefore after a quarter hour they must be repeated under condition. - But in the Greek Church seven or at least three priests anoint the sick person. Benedict XIV, de Syn., l. 8, c. 4, n. 8. - James, Catholic Epistle, 5:14; Trent, sess. 14, C. 1, 3, c. 4; Florence, Decree for the Armenians; L. 722, 723, 724; St. Thomas, Suppl., q. 29, a. 2 ad 3; q. 31; Roman Catechism, n. 13; Benedict XIV, de Syn., l. 8, c. 4; E. M.

How are the anointings to be performed? - As regards validity, the part must be truly anointed; but to anoint is to smear with oil. Therefore if the oil is only dripped, there is no anointing; but whether one drop of oil suffices is disputed. Moreover, it suffices in the individual anointings to dip the tip of the finger in the oil and anoint. L. 709. - All the senses are to be anointed, and indeed continuously.

The reason is that it is probable that from all of them one anointing coalesces, and that grace is conferred when all have been completed; but if a longer delay is interposed between one and another anointing, the moral union is no longer preserved and the sacrament becomes doubtful. - As regards liceity, the anointing must be made with the thumb, and it is light matter to use another finger; nor may a little rod or brush be used, even if usage has this, except from a cause of necessity, if, e.g., the sick person is laboring under a contagious disease. S. R. C., May 9, 1857, Portus Aloysii, ad 2; Benedict XIV, de Syn., l. 13, c. 19; L. 710. Likewise, except for a cause of necessity, neither in baptism is it lawful to use a little rod or brush. S. R. C., Aug. 31, 1872, n. 3276. The anointings must be made in the figure of a cross, and again this is light matter, L. 728; and in the prescribed order, which some judge grave, others of itself light, since there is question only of a certain accidental manner, L. 710; and in paired senses, which is grave, and one must begin from the right; nor is the form to be completed before paired members of this kind have been anointed, which seems light. Roman Ritual, de Sacr. extr. unct.; L. 711; St. Thomas, Suppl., q. 29, a. 2; q. 32, a. 5; E. M.

Note: The anointing begins from the eyes. That they may be anointed conveniently, they must be closed, and the anointing made upon both eyelids. If they cannot be closed, let the anointing be made on the eyebrows, near the corners of the eyes, as the very ancient Catalan Ritual has it. - The ears come next, which are anointed on the lobe or lowest part of the ear; not on the helix or in its hollow, and this so that they can more easily be wiped. - The nostrils; let the nostrils be anointed outside, which are the lateral wings of the nose, to avoid sneezing, which would easily arise if it were done otherwise. - The mouth, with the lips pressed together: here there must be one anointing, and therefore the lips are to be joined so that it can be done more easily; but, if this could not be obtained, it will suffice that the lower or upper lip be anointed; nevertheless there are those who still anoint each. - The hands; the anointing is made in the middle of the palm of each hand, or on another nearer part if it cannot be done otherwise, nevertheless on the inner side; for only priests and Bishops must be anointed on the outer part of the hand. - The feet; the anointing is made at the metatarsus, commonly the instep; according to St. Charles it is made on the soles, because namely we use them for walking. Moreover it will suffice if that part of the feet is anointed which conveniently can be; nor does it matter if both cannot be anointed because of sickness, or difficulty, or because one has been cut off; for this anointing is only an integral part. And indeed the feet fall under the sense of touch. The anointing of the loins may be omitted while the essence of the sacrament nevertheless remains. For the loins fall under all the other five senses, which according to St. Thomas, Suppl., q. 32, a. 6, are, as principles of acting, so principles of sinning.

Each piece of cotton or similar thing prepared for wiping the anointed parts serves for each paired member anointed. The priest rubs well with bread crumb the thumb with which he anointed, and washes it with water in some vessel prepared for this, then wipes it with a towel; but he brings the water-washing together with the crumbs and the tufts of cotton used for wiping to the sacrarium. Yet some are accustomed to hand over all these things to be burned in the house itself of the sick person, and to carry to the sacrarium only the cotton or tow that was anointed. - Trent, sess. 14, c. 3; Benedict XIV, de Syn., l. 8, c. 3; L. 711, 730; E. M.

Is it ever lawful to minister extreme unction with one form and one anointing? - If danger of imminent death is present, it is lawful to perform all the anointings under one formula: "Through this holy anointing and his most loving mercy may God forgive you whatever you have committed through sight," while he anoints the eyes, "hearing," while he anoints the ears, etc., putting the word committed before, lest if it is placed after and the sick person dies in the meantime, the anointings performed would be utterly invalid. Indeed, when death is soon imminent, one anointing on the forehead, or breast, or shoulders will suffice, with these words: whatever you have committed THROUGH THE SENSES; or better, by expressing the senses thus: Through this holy anointing, etc., may God forgive you whatever you have committed through the senses: sight, hearing, taste, smell, and touch. And "in a case of true necessity the form suffices: Through this holy anointing may the Lord forgive you whatever you have committed. Amen." Holy Office, Apr. 25, 1906. And consequently one anointing also suffices. - L. 710; Benedict XIV, de Syn., l. 8, c. 3; A. S. S., vol. 33, fasc. 7.

What of the various ceremonies and prescribed prayers? - It is grave, without urgent necessity, to omit the prayers prescribed by the Roman Ritual; and if they have been omitted because of danger of instant death, afterward, if time is available, they will have to be said. The prayers which precede the anointings; the Psalms and Litanies are not to be said by the minister, but by the bystanders, because from even the Ambrosian Ritual they are to be said only by counsel and not by precept. S. R. C., June 20, 1902. - It is likewise grave, apart from necessity, to minister this sacrament without surplice and stole. - But it is light matter to minister it without a light, without a minister, or with a woman serving. According to several, however, it is not even light matter to minister without a light, or to employ no minister. - If a cleric or layman cannot easily be found, the priest alone should perform all the ceremonies, and he himself should respond to the prayers. - Roman Ritual, h.t.; L. 724-728; E. M.

Pastors cannot for their own convenience retain the holy oil of the sick in their own houses, except however in the case of great distance from the church, in which case the rubric concerning honorable, decent, and safe custody must altogether be observed even at home. S. R. C., Aug. 31, 1872, ad 5, n. 3276; Nov. 15, 1890, Comp. ad 2, n. 3739; June 23, 1892, ad 7, Laud. n. 3779.

Who is the subject of extreme unction? - The subject of Extreme Unction is a baptized man who has reached the use of reason and is sick in probable danger of death, from disease, difficult childbirth, a received wound, poison, or old age, although he has not yet communicated, although he is mute, deaf, or blind from birth; although he is insane, if he has lucid intervals; although he is delirious or deprived of the senses, if beforehand he asked for the sacrament or would have asked for it if he had thought of this, and all irreverence toward the sacrament is absent. - Therefore it is invalidly given to healthy persons about to enter battle, to those condemned to capital punishment, to children not yet having attained the use of reason, or to those like children, namely idiots and the insane from birth, and to the sick outside the aforesaid danger. - But it is to be given only once in the same infirmity and danger; if the infirmity is long-lasting and the danger has at least probably passed, when a new danger is imminent it can be given again; and it must be given if the new danger is certain. - Trent, sess. 14, Doctrine on the Sacrament of Extreme Unction, C. 3; Decree for the Armenians; Roman Ritual, de Sacr. E. U.; Benedict XIV, Constitution Ex quo primum, de Syn., l. 8, c. 5-8; Suarez, d. 4, s. 2; L. 713-721, 732; St. Thomas, 4, d. 23, q. 2, a. 4, q. 2; Suppl., q. 32, q. 33; Roman Catechism, n. 9, 11; E. M.

Is there a grave obligation of receiving extreme unction? - No precept is present concerning this matter. Therefore, with contempt, scandal, and danger of combat with the devil removed, one who does not receive it does not sin gravely. L. 733; St. Thomas, III, q. 65, a. 4. But the proper pastor is nevertheless bound from office to minister it, and consequently sins gravely, unless some grave cause excuses him, by not conferring it on those asking, or by deferring it until the sick person, with health despaired of, is deprived of the senses. For thus the sick person lacks the richer fruit which he would have perceived, is deprived of spiritual strength for resisting the devil and for enduring the inconveniences of sickness; if he were in mortal sin, by conceiving attrition he would have obtained grace; and if it had been given at a suitable time, he could also have obtained bodily health. - It is given by custom after Viaticum, but it can be given before it. S. R. C., March 8, 1879, n. 3486. - Roman Ritual, de Sacr. E. U.; Roman Catechism 9; La-Croix 2120; L. 714, 716, 728, 729.