Skip to main content
Log in

Spiritual Versus Religious Identity: A Necessary Distinction in Understanding Clinicians’ Behavior and Attitudes Toward Clinical Practice and Medical Student Teaching in This Realm

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

Social sciences view spirituality and religion separately; medicine views them together. We identified distinctions regarding clinical practice and teaching among clinician educators based on their self-identified spirituality versus religiosity. We emailed a 24-item survey on spiritual/religious (S/R) issues to clinician educators (n = 1,067) at our institution. Three summary scales were created. Responses to statements, ‘I consider myself to be spiritual’ and ‘I consider myself to be religious’ generated four comparison groups: ‘spiritual only,’ ‘religious only,’ ‘both spiritual and religious’ and ‘neither.’ Analyses employed ANOVA and T tests. A total of 633 (59 %) surveys were completed. Four percentage self-identified as ‘religious only’; remaining respondents divided evenly, about 30 % into each of the other categories. Groups differed from one another on all summary scales (p < .0001). Using T tests, the ‘spiritual only’ group differed from the ‘religious only’ group regarding teaching. The ‘spiritual and religious’ group had the highest mean ratings for all summary scales. The ‘neither’ and ‘religious only’ group had the lowest mean ratings. Clinicians’ spiritual versus religious identity is associated with differences in behavior/attitudes regarding S/R toward clinical practice and medical student teaching. These findings elucidate opportunities for faculty development to explore effects of beliefs on behavior and attitudes within this realm.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • AAMC Report III. (1999). Contemporary issues in medicine: Communication in medicine. Medical School Objectives Report (MSOP III).

  • American Medical Association (AMA). (2005). Retrieved August 29, 2012 from www.ama-assn.org/amednews/2005/08/01/prsa0801.htm.

  • Chibnall, J. T., & Brooks, C. A. (2001). Religion in the clinic: The role of physician beliefs. Southern Medical Journal, 94, 374–379.

    Article  CAS  PubMed  Google Scholar 

  • Curlin, F. A., Chin, M. H., Sellergren, S. A., Roach, C. J., & Lantos, J. D. (2006). The association of physicians’ religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter. Medical Care, 44, 446–453.

    Article  PubMed  Google Scholar 

  • Curlin, F. A., Lantos, J. D., Roach, C. J., Sellergren, S. A., & Chin, M. H. (2005). Religious characteristics of U.S. physicians: A national survey. Journal of General Internal Medicine, 20, 629–634.

    Article  PubMed Central  PubMed  Google Scholar 

  • Curlin, F. A., Rasinski, K. A., Kaptchuk, T. J., Emanuel, E. J., Miller, F. G., et al. (2009). Religion, clinicians and the integration of complementary and alternative medicines. The Journal of Alternative and Complementary Medicine, 15, 987–994.

    Article  PubMed Central  PubMed  Google Scholar 

  • Curlin, F. A., Sellergren, S. A., Lantos, J. D., & Chin, M. H. (2007). Physicians’ observations and interpretations of the influence of religion and spirituality on health. Archives of Internal Medicine, 167, 649–654.

    Article  PubMed Central  PubMed  Google Scholar 

  • Ehman, J. W., Ott, B. B., Short, T. H., Ciampa, R. C., & Hansen-Flaschen, J. (1999). Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill? Archives of Internal Medicine, 159, 1803–1806.

    Article  CAS  PubMed  Google Scholar 

  • Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality. American Psychologist, 58, 64–74.

    Article  PubMed  Google Scholar 

  • Koenig, H. G. (2007). Boundaries and barriers. In H. G. Koenig (Ed.), Spirituality in patient care (p. 103). USA: Templeton Foundation Press.

    Google Scholar 

  • Luckhaupt, S. E., Yi, M. S., Mueller, C. V., et al. (2005). Beliefs of primary care residents regarding spirituality and religion in clinical encounters with patients: A study at a midwestern U.S. teaching institution. Academic Medicine, 80, 560–570.

    Article  PubMed  Google Scholar 

  • MacLean, C. D., Susi, B., Phifer, N., Schultz, L., Byrum, D., et al. (2003). Patient preference for physician discussion and practice of spirituality. Journal of General Internal Medicine, 18, 38–43.

    Article  PubMed Central  PubMed  Google Scholar 

  • Maugans, T. A., & Wadland, W. W. C. (1991). Religion and family medicine: A survey of physicians and patients. The Journal of Family Practice, 32, 210–213.

    CAS  PubMed  Google Scholar 

  • McCord, G., Gilchrist, V. J., Grossman, S. D., King, B. D., McCormick, K. F., et al. (2004). Discussing spirituality with patients: A rational and ethical approach. The Annals of Family Medicine, 2, 356–361.

    Article  Google Scholar 

  • Merriam Webster Dictionary and Thesauras. (2013). Retrieved July 12, 2013 from http://www.merriam-webster.com/dictionary/religion.

  • Monroe, M. H., Bynum, D., Susi, B., Phifer, N., Scultz, L., et al. (2003). Primary care physicians’ preferences regarding spiritual behavior in medical practice. Archives of Internal Medicine, 163, 2751–2756.

    Article  PubMed  Google Scholar 

  • Pew Forum. (2009). The stronger sex—Spirituality speaking. Retrieved August 29, 2012 from http://www.pewforum.org/2009/02/26/the-stronger-sex-spiritually-speaking/.

  • Rasinski, K. A., Kalad, Y. G., Yoon, J. D., & Curlin, F. A. (2011). An assessment of US physicians’ training in religion, spirituality and medicine. Medical Teacher, 33, 944–945.

    Article  PubMed  Google Scholar 

  • Young, C., & Koopsen, C. (2011). Spirituality, the healthcare professional and the spiritual care provider. In C. Young & C. Koopsen (Eds.), Spirituality, health and healing: An integrative approach. Sudbury, MA: Jones and Bartlett Publishers, LLC.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mimi McEvoy.

Rights and permissions

Reprints and permissions

About this article

Cite this article

McEvoy, M., Burton, W. & Milan, F. Spiritual Versus Religious Identity: A Necessary Distinction in Understanding Clinicians’ Behavior and Attitudes Toward Clinical Practice and Medical Student Teaching in This Realm. J Relig Health 53, 1249–1256 (2014). https://doi.org/10.1007/s10943-014-9844-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-014-9844-0

Keywords

Navigation