The work of any rabbi is primarily pastoral.  This means creating, nurturing and maintaining authentic relationships.  It is also being in what we call in Clinical Pastoral Education a 'ministry of presence.'  Often the mere act of being there in someone's hour and moment of need can help them refocus and help them deal with the pain.  But pastoral care extends to joyous events, as well.  How wonderful to be a part of the wedding celebration, to dance at the bat mitzvah, to write special prayers for important occasions, etc.  All this is pastoral.  All this comes from my heart and love for my people.  Pastoral care can be in many different forms.