Spiritual distress
Disruption in the life principle that pervades a person's entire being and that integrates and transcends one's biological and psychosocial nature Defining Characteristics: Expresses concern with meaning of life/death and/or belief systems; questions moral/ethical implications of therapeutic regimen; describes nightmares/sleep disturbances; verbalizes inner conflict about beliefs; verbalizes concern about relationship with deity; unable to participate in usual religious practices; seeks spiritual assistance; questions the meaning of suffering; questions meaning of own existence; displacement of anger toward religious representatives; anger toward God; alteration in behavior/mood evidenced by anger, crying, withdrawal, preoccupation, anxiety, hostility, apathy; gallows humor (inappropriate humor in a grave situation) Related Factors: Challenged belief and value system (e.g., due to moral/ethical implications of therapy...