Cited by 417Religion, Spirituality, and PsychologyEthics and bioethics in healthcareEthics in medical practice

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Physicians and Patient Spirituality: Professional Boundaries, Competency, and Ethics

Post, Stephen G., Puchalski, Christina M., Larson, David B.·2000·Annals of Internal Medicine

DOI 10.7326/0003-4819-132-7-200004040-00010

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Abstract

Clinical studies are beginning to clarify how spirituality and religion can contribute to the coping strategies of many patients with severe, chronic, and terminal conditions. The ethical aspects of physician attention to the spiritual and religious dimensions of patients' experiences of illness require review and discussion. Should the physician discuss spiritual issues with his or her patients? What are the boundaries between the physician and patient regarding these issues? What are the professional boundaries between the physician and the chaplain? This article examines the physician-patient relationship and medical ethics at a time when researchers are beginning to appreciate the spiritual aspects of coping with illness.

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Authors: Post, S. G., Puchalski, C. M., & Larson, D. B.
Affiliations: George Washington University (US)
ORCID: Post, Stephen G.
Puchalski, Christina M.
Larson, David B.
Venue: Annals of Internal Medicine
Publisher: American College of Physicians
Published: 2000-04-04
Volume: 132
Issue: 7
Pages: 578-583
ISSN: 0003-4819 (ISSN-L)
1539-3704
DOI: 10.7326/0003-4819-132-7-200004040-00010
OpenAlex: W1980401671
Cited by: 417
References: 72
Citations by year: 2026: 4 · 2025: 7 · 2024: 3 · 2023: 7 · 2022: 5 · 2021: 10 · 2020: 15 · 2019: 11 · 2018: 20 · 2017: 15 · 2016: 14 · 2015: 11 · 2014: 12 · 2013: 16 · 2012: 17
FWCI: 3.03
Type: journal article
Language: en
Open access: closed
Licence: www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations: Annals of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics: Social Sciences › Health › Religion, Spirituality, and Psychology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
Keywords: patient spirituality, religion and illness, physician-patient relationship, professional boundaries, chaplaincy, medical ethics, physician competence, coping with illness, terminal illness, chronic disease
MeSH terms: Adaptation, Psychological, Complementary Therapies, Chronic Disease, Ethics, Medical, Humans, Patients, Physician-Patient Relations, Religion and Medicine, Social Values, Spiritualism, Terminally Ill, Spirituality, Empirical Research

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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Physicians and Patient Spirituality: Professional Boundaries, Competency, and Ethics

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