This first descriptive report on the perspectives, experiences, and actions of clergy relative to terminal patients and their families details a highly emotionally charged complex of interactions. Some 276 clerics from fourteen different bodies provided information on their involvement in death-work, spiritual and personal resources, satisfactions and doubts, pastoral goals and purposes, and their background and outlooks regarding their own demise. Implications of these findings are explored with respect to various forms and contents of training and experience. Psychological versus spiritual roles are of special significance in clergy-patient-family relationships.