RESUMEN
Spiritual conflicts and concerns often accompany serious illness, but many family physicians are slow to recognize these concerns or unsure how to address them. The case of a patient with spinal cord injury and who later developed an astrocytoma is used to illustrate a team approach that involved a family physician, a spiritual counselor, and a psychologist. Narrative writing exercises in which the patient was encouraged to tell his own story also played a role in treatment. The case report includes the patient's own description of his experience with spirituality and spiritual counseling, as well as the perspectives of the spiritual counselor.
Asunto(s)
Consejo , Trastorno Depresivo/terapia , Medicina Familiar y Comunitaria , Grupo de Atención al Paciente , Espiritualidad , Adulto , Trastorno Depresivo/psicología , Humanos , Masculino , Neoplasias/psicología , Cuidado Pastoral , Traumatismos de la Médula Espinal/psicologíaRESUMEN
Knight has shown how the moral growth of medical students involves a spiritual journey. He may, however, present too sanguine a portrayal of the extent to which the medical education environment promotes this moral and spiritual growth. Medical school may indeed be more abusive than supportive. Admitting more women to medical school and teaching more humanities courses, while worthwhile, will not necessarily promote the goals that Knight appropriately advocates.
