Spirituality in Patient Care

Why, How, When, and What

Harold G. Koenig

Third Edition

Since the publication of the first edition of Spirituality in Patient Care in 2002, the book has earned a reputation as the authoritative introduction to the subject for health professionals interested in identifying and addressing the spiritual needs of patients. The body of research on religion, spirituality, and health continues to grow at a dramatic rate, creating an urgent need for a new edition of this landmark work. In this, the third edition, Harold G. Koenig, M.D., updates every chapter by incorporating the newest research and introducing sensible ways of translating that research into caring for patients.

Like previous editions, this new one addresses the whyshowswhens, and whats of patient-centered integration of spirituality into patient care so that health professionals, including physicians in primary care and the medical and surgical specialties, can utilize this information in clinical practice. Whole chapters are also included offering profession-specific information for nurses, clergy, mental health professionals, social workers, and occupational and physical therapists. Other chapters address topics like culturally and spiritually sensitive care for each major religious group, potential limitations or barriers to application, and even what may happen when research on spirituality and health is misapplied. Throughout these chapters, readers will find new case histories and clinical examples on how to integrate spirituality into patient care depending on their particular circumstances. A ten-session model course curriculum on spirituality and health care for medical students and residents is also provided, with suggestions on how to adapt it for nursing, social work, physical and occupational therapy, and mental health training programs.

For more than ten years Spirituality in Patient Care has offered sound guidance to anyone wishing to do more than simply treat their patients’ physical symptoms. Treating the whole patient often requires becoming something more than just a skilled technician. With this new edition, Dr. Koenig once again shows the way for any health professional seeking to bridge this gap and help patients regain their lives by finding hope, meaning, and healing.

Introduction / 3

One. Why Include Spirituality? / 23

Two. How to Include Spirituality / 51

Three. When to Include Spirituality / 78

Four. What Might Result? / 96

Five. Boundaries and Barriers / 115

Six. When Religion (or Spirituality) Is Harmful / 135

Seven. Chaplains and Pastoral Care / 151

Eight. Spirituality in Nursing Care / 173

Nine. Spirituality in Social Work / 191

Ten. Spirituality in Rehabilitation / 200

Eleven. Spirituality in Mental Health Care / 213

Twelve. A Model Course Curriculum / 230

Thirteen. Information on Specific Religions / 244

Fourteen. Summary of Key Points / 281

Notes / 287

Index / 329