Hostility to Hospitality

Spirituality and Professional Socialization within Medicine

Michael J. Balboni and Tracy A. Balboni

The first book-length argument in more than a generation focused on solving the dilemma around the practice of medicine and the religion of patients as they face serious illness
Synthesizes scholarship from empirical studies, interviews, history and sociology, theology, and public policy
Points toward a 21st Century pluralistic model for medicine and spirituality to partner together in the service of patients

Hostility to Hospitality

Spirituality and Professional Socialization within Medicine

Michael J. Balboni and Tracy A. Balboni

Description

Spiritual sickness troubles American medicine. Through a death-denying culture, medicine has gained enormous power-an influence it maintains by distancing itself from religion, which too often reminds us of our mortality. As a result of this separation of medicine and religion, patients facing serious illness infrequently receive adequate spiritual care, despite the large body of empirical data demonstrating its importance to patient decision-making, quality of life, and medical utilization. This secular-sacred divide also unleashes depersonalizing, social forces through the market, technology, and legal-bureaucratic powers that reduce clinicians to tiny cogs in an unstoppable machine.

Hostility to Hospitality is one of the first books of its kind to explore these hostilities threatening medicine and offer a path forward for the partnership of modern medicine and spirituality. Drawing from interdisciplinary scholarship including empirical studies, interviews, history and sociology, theology, and public policy, the authors argue for structural pluralism as the key to changing hostility to hospitality.

Hostility to Hospitality

Spirituality and Professional Socialization within Medicine

Michael J. Balboni and Tracy A. Balboni

1. Introduction: A Rising Hostility in American Medicine

Part I. Empirical and Sociological Perspectives on the Separation of Medicine & Spirituality
2. The Spiritual Event of Serious Illness
3. Spirituality and End-of-Life Outcomes
4. The Frequency of Spiritual Care at the End of Life
5. What Hinders Spiritual Care? Empirical Explanations
6. Social Structures Separating Medicine and Religion
7. The Secular-Sacred Divide in Medicine

Part II. Theological Perspectives on the Separation of Medicine & Spirituality
8. Defining Religion and Spirituality
9. Toward a Theology of Medicine
10. Theology within the Patient-Clinician Relationship
11. The Sacramental Nature of Medicine
12. A Spirituality of Immanence

Part III. Restoring Hospitality to Medicine
13. Why Medicine Should Resist Immanence
14. Problematic Rapprochement Strategies
15. Structural Pluralism for Medicine and Religion
16. From Hostility to Hospitality

Hostility to Hospitality

Spirituality and Professional Socialization within Medicine

Michael J. Balboni and Tracy A. Balboni

Author Information

Michael J. Balboni, PhD is on faculty at Harvard University and a theologian-in-residence in the Department of Psychiatry, Brigham & Women's Hospital, Boston. His social science research has centered on the intersection of spirituality and medicine. He serves as a congregational minister at Park Street Church and the Longwood Christian Community.

Tracy A. Balboni, MD is an Associate Professor at Harvard Medical School and serves as the Clinical Director of the Supportive and Palliative Radiation Oncology Service at Dana-Farber Cancer Institute and Brigham & Women's Hospital. She is an internationally recognized leader and researcher at the intersection of spirituality, palliative care, and oncology.

Hostility to Hospitality

Spirituality and Professional Socialization within Medicine

Michael J. Balboni and Tracy A. Balboni

Reviews and Awards

"An audience of theologians, pastoral care workers and Palliative care physicians would gain some insights from this book. It is a subject that is receiving more attention and a distinction between spirituality and religion is being more widely recognized." -- Dr Sue Colen, CPCRE Newsletter

"No matter what your existing stance on the matter is, Hostility to Hospitality reads as an invigorating thought-experiment that may be judged "successful merely if readers are willing to consider the underlying grounds for their values and motives as they inform the practice and institutions of medicine" (129). Readers of all sorts, from healthcare providers and executives to scholars of the humanities, will benefit from the authors's acute analysis of where religion and healthcare stand today, and where we may drive them tomorrow." -- Avery Glover, Reading Religion

"If you work in palliative care, this book will emphasise the importance of spiritual care and should be of interest to physicians and nurses as well as chaplains and pastoral care workers." -- Roger Woodruff, International association for hospice and palliative care