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PEDIATRICS Vol. 106 No. 4 Supplement October 2000, pp. 899-908

SUBJECT REVIEWS: SPIRITUALITY AND FOSTER CARE:
Spirituality, Religion, and Pediatrics: Intersecting Worlds of Healing

Received Mar 20, 2000; accepted Jul 10, 2000.

Linda L. Barnes*, Dagger , Gregory A. Plotnikoff§, Kenneth FoxDagger , and Sara Pendletonparallel

From the * Spirituality and Child Health Initiative, Department of Pediatrics, Boston Medical Center and Medical Anthropology, Dagger  Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts; § Center for Medicine and Spirituality, Academic Health Center, University of Minnesota and Internal Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota; and parallel  Department of Pediatrics, Wayne State University Medical School, Detroit, Michigan.

Religious practices such as prayer represent the most prevalent complementary and alternative therapies in the United States. However, biomedicine has sometimes viewed faith and related religious worldviews as relevant only when they obstruct implementation of scientifically sound biomedical care. Recent efforts to arrive at a new synthesis raise challenges for pediatricians. This article reviews theories of child faith development, and models of child spirituality from different disciplinary perspectives. It provides sources illustrating how spirituality and religion may inform children's lives; play a part in children's moral formation, socialization, and induction into a sacred worldview; and provide the child with inner resources. It also suggests some of the positive and negative effects of spiritual and religious engagement. Second, this article examines aspects of spirituality and religion that parents may bring to bear in relation to their children's health. Third, this article addresses the spiritual and/or religious identity of the provider. These topics are discussed in the context of cultural competence and the related importance of religious diversity. The authors suggest 1) some approaches for appropriate inclusion of spirituality in clinical practice, 2) challenges for medical education, and 3) areas requiring further research.

 Key words:  pediatrics, spirituality, religion, complementary therapies, cultural competence.




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