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Strangers or friends?

A proposal for a new spirituality-in-medicine ethic

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An Erratum to this article was published on 01 May 2005

Abstract

We argue that debate regarding whether and how physicians should engage religious concerns has proceeded under inadequate terms. The prevailing paradigm approaches dialogue regarding religion as a form of therapeutic technique, engaged by one stranger, the physician, upon another stranger, the patient. This stranger-technique framework focuses the debate on questions of physicians’ competence, threats to patients’ autonomy, and neutrality regarding religion, and in so doing, it too greatly circumscribes the scope of physician-patient dialogue. In contrast, we argue that dialogue regarding religion is better approached as a form of philosophical discourse about ultimate human concerns. Such moral discourse is often essential to the patient-physician relationship, and rather than shrinking from such discourse, physicians might engage patients regarding religious concerns guided by an ethic of moral friendship that seeks the patient’s good through wisdom, candor, and respect.

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Correspondence to Farr A. Curlin MD.

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The authors have no conflicts of interest to report.

See editoral by Sheurich, p. 379

An erratum to this article is available at http://dx.doi.org/10.1111/j.1525-1497.2005.02005001.x.

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Curlin, F.A., Hall, D.E. Strangers or friends?. J GEN INTERN MED 20, 370–374 (2005). https://doi.org/10.1111/j.1525-1497.2005.04110.x

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  • DOI: https://doi.org/10.1111/j.1525-1497.2005.04110.x

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