Abstract
This paper explores the potential for patients to express spiritual concerns other than through a religious vocabulary. The spiritual is presented as an indivisible dimension rather than a compartment of existence and spiritual expressions are regarded as intertwined with autobiography, and attempts to discover ultimate meaning in life's events. It is argued that metaphor and symbol may reveal truths as compelling as those disclosed by the natural sciences and that multiple layers of meaning exist in all human activity and expression. Professionals are invited to reflect upon the authenticity of their communication with patients, for the simplest act of care may be deeply significant when a patient feels that their own sense of reality has been recognised.
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