'Maybe we are losing sight of the human dimension' - physicians' approaches to existential, spiritual, and religious needs among patients with chronic pain or multiple sclerosis. A qualitative interview-study

• Published in: Health psychology & behavioral medicine 2020-01, Vol.8 (1), p.248-269
• Main Authors: Andersen, Aida Hougaard, Assing Hvidt, Elisabeth, Hvidt, Niels Christian, Roessler, Kirsten K.
• Format: Article
• Language: English
• Subjects: Chronic pain; Doctor-patient communication; existential needs; interpretative phenomenological analysis; Multiple sclerosis; Pain; Patients; Physicians; qualitative methods; Qualitative research; Religion; religious needs; spiritual needs
• ISSN: 2164-2850; 2164-2850
• DOI: 10.1080/21642850.2020.1792308

Research suggests that existential, spiritual, and religious issues are important for patient's psychological adjustment when living with chronic pain and multiple sclerosis. However, there is a paucity of studies investigating how physicians experience and approach these patients' needs. Physicians' experiences with and approaches to existential, spiritual, and religious needs when treating chronic pain or multiple sclerosis were studied in eight semi-structured interviews and analysed using interpretative phenomenological analysis (IPA). Physicians found that only few patients had spiritual and religious needs; however, they experienced that every patient were struggling with existential challenges related to the illness and rooted in a changed identity and approaching death. How the physicians approached these needs appeared to be influenced by six conditions: Their medical culture, training, role, experiences of time pressure, their personal interests, and interpersonal approach. Physicians' training seems better suited to meet biomedical objectives and their patients' concrete needs than patients' wish for a relational meeting focused on their subjective lifeworld. This challenge is discussed in relation to modern patient-centeredness, doctor-patient relationship, culturally constructed experiences of privacy, and future clinical practice and research needs.