The article questions an assumption in palliative care literature, namely that all patients have a spiritual dimension and that all staff can offer spiritual care. The article identifies spirituality as a particular kind of discourse. In late-modern Anglophone societies, this discourse arises from the experience of a particular generation and a particular segment of the population, namely those moving beyond formal religion; this segment is probably better represented among caring professionals than among dying patients. A four-fold typology of patients' approaches to religion/spirituality is developed, indicating the potential of differentiating between actual patients, rather than presuming a universal ‘search for meaning’. This alternative approach may enhance opportunities for team working and reduce the likelihood of any one member of staff feeling spiritual care to be an unwelcome burden.
Stoter D. Spiritual aspects of health care. London: Mosby, 1995.
2.
Speck P. Spiritual issues in palliative care. In Doyle D, Hanks G, MacDonald M eds. The Oxford textbook of palliative medicine. Oxford: Oxford University Press, 1997: 805–814.
3.
Carson VB. Spiritual dimensions of nursing practice. Philadelphia: WB Saunders, 1989.
4.
Harrison J, Burnard P. Spirituality and nursing practice. Aldershot: Avebury, 1993.
5.
Kellehear A. Spirituality and palliative care. Palliat Med2000; 4: 149–155.
6.
Babler J. A comparison of spiritual care provided by hospice social workers, nurses, and spiritual care professionals. Hospice J1997; 12: 15–27.
7.
Sloan RP, Bagiella E, Powell T. Religion, spirituality and medicine. Lancet1999; 353: 664–667.
8.
Small N. Spirituality and hospice care. In Cobb M, Robshaw V eds. The spiritual challenge of health care. Edinburgh: Churchill Livingstone, 1998: 167–182.
9.
Saunders C. Spiritual pain. Hospital Chaplain, 1998, March.
10.
Frankl V. Man's search for meaning. London: Hodder & Stoughton, 1987.
11.
Saunders C, Kastenbaum R eds. Hospice care on the international scene. New York: Springer, 1997.
12.
Markham I. Spirituality and the world faiths. In Cobb M, Robshaw V eds. The spiritual challenge of health care. Edinburgh: Churchill Livingstone, 1998: 73–87.
13.
Bradshaw A. The spiritual dimension of hospice. Soc Sci Med. 1996; 43: 409–419.
14.
Orchard H. Hospital chaplaincy. Sheffield: Sheffield University Press, 2000.
15.
Walter T. The ideology and organization of spiritual care. Palliat Med. 1997; 11: 21–30.
16.
OFSTED. Framework for inspection. London, 1993.
17.
King U. Women and spirituality. Basingstoke: Macmillan, 1993.
18.
Cobb M, Robshaw V. Introduction. In Cobb M, Robshaw V eds. The spiritual challenge of health care. Edinburgh: Churchill Livingstone, 1998: 1–6.
19.
Macfarlane A. The origins of English individualism. Oxford: Blackwell, 1978.
20.
Heelas P. The New Age movement. Oxford: Blackwell, 1996.
21.
Abercrombie N, Keax R, Whitley N eds. The authority of the consumer. London: Routledge, 1993.
22.
Walker A. Thoroughly modern. In Hunt S, Hamilton M, Walter T eds. Charismatic Christianity. Basingstoke: Macmillan, 1997: 17–42.
23.
Walter T. The revival of death. London: Routledge, 1994.
24.
Davies C. The creation, morality, the afterlife and the fission of religious tradition. J Contemp Religion. 1999; 14: 339–360.
25.
Gill R. Competing convictions. London: SCM, 1989.
26.
Woodhead L, Heelas P eds. Religion in modern times. Oxford: Blackwell, 1999.
27.
Yamane D. Spirituality. In Swatos WH Jr ed. Encyclopaedia of religion and society. Walnut Creek, CA: Altamira, 1998: 492–492.
28.
Davie G, Walter T. The religiosity of women in the modern west. Br J Soc. 1998; 49: 640–660.
29.
Towler R, Coxon A. The fate of the Anglican clergy. Basingstoke: Macmillan, 1978.
30.
Bailey E. Implicit religion. Implicit Religion. 1998; 1: 9–22.
31.
Fowler J. Stages of faith. San Francisco: Harper & Row, 1981.
32.
Davie G. Believing without belonging. Soc Compass. 1990; 37: 455–469.
33.
Witzel L. Behaviour of the dying patient. Br Med J. 1975; 2: 81–82.
34.
Johnson A. The notion of spiritual care in professional practice. In Cobb M, Robshaw V eds. The spiritual challenge of health care. Edinburgh: Churchill Livingstone, 1998: 151–165.
35.
Heyse-Moore LH. On spiritual pain in the dying. Mortality. 1996; 1: 297–315.
36.
Johnson M. Biographical pain at the end of life. Paper given to the Department of Sociology, University of Reading, 4 Feb 1999.
37.
Marshall V. Last chapters. Monterey: Brooks/Cole, 1980.
38.
de Hennezel M. Intimate death. London: Warner, 1997.
39.
Wolfelt A. Companioning versus treating. Forum Newslett. 1998;: 24: 1–10.
40.
Speck P. The meaning of spirituality in illness. In Cobb M, Robshaw V eds. The spiritual challenge of health care. Edinburgh: Churchill Livingstone, 1998: 21–33.
41.
Carroll B. A phenomenological exploration of the nature of spirituality and spiritual care. Mortality. 2001; 6: 81–98.
