Spiritual experiences of transcendence in patients with advanced cancer

Am J Hosp Palliat Care. 2015 Mar;32(2):178-88. doi: 10.1177/1049909113512201. Epub 2013 Nov 20.

Abstract

Purpose: Spirituality encompasses a wide range of meanings between holistic wellbeing and mysticism. We explored advanced cancer patients' spiritual experiences of transcendence.

Methods: A total of 251 patients with advanced cancer were included and observed (participant observation) over 12 months by a psycho-oncologist/music-therapist. She recorded and documented patients' spontaneously expressed spiritual experiences during hospitalisation. Interpretative Phenomenological Analysis was applied.

Results: 135 patients communicated a spiritual experience, as expressed by altered body-awareness, less pain, less anxiety, higher acceptance of illness/death, new spiritual identity. Spiritual experiences were communicated by patients across different religious affiliations/attitudes. We identified types of spiritual experiences.

Conclusion: The occurrence of spiritual experiences seems to be frequent and associated with profound, powerful reactions. Our results indicate that experienced-based spiritual care may complement current needs-based approaches.

Keywords: connectedness; empathy; music therapy; mysticism; palliative care; spiritual care; spirituality; transcendence.

MeSH terms

  • Attitude to Death
  • Attitude to Health
  • Communication
  • Humans
  • Neoplasms / psychology*
  • Pain / psychology
  • Pastoral Care
  • Spirituality*