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Clinical & Research News
Published Online: 18 June 2004

How to Start Dialogue on Spirituality

Publication: Psychiatric News
Volume 39, Number 12
https://doi.org/10.1176/pn.39.12.0390050
To help physicians conduct a “spiritual history” of their patients, Christine Puchalski, M.D., director of the George Washington Institute for Spirituality and Health, advises physicians to use the acronym FICA to help them remember to ask crucial questions that elicit dialogue around spiritual or religious issues.
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F: Faith and Belief
“Do you consider yourself spiritual or religious?” or “Do you have spiritual beliefs that help you cope with stress?” If the patient responds “No,” the physician might ask, “What gives your life meaning?” Sometimes patients respond with answers such as family, career, or nature.
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I: Importance
“What importance does your faith or belief have in your life? Have your beliefs influenced how you take care of yourself during this illness? What role do your beliefs play in regaining your health?”
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C: Community
“Are you part of a spiritual or religious community? Is this of support to you and how? Is there a group of people you really love or who are important to you?” Communities such as churches, temples, and mosques, or a group of like-minded friends can serve as strong support systems for some patients.
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A: Address in Care
“How would you like me, your physician, to address these issues in your treatment?”

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Psychiatric News
Volume 39 • Number 12 • June 18, 2004
Pages: 50

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Published online: 18 June 2004
Published in print: June 18, 2004

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