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Harold G. Koenig, MD, Discussant

JAMA. 2002;288:487-493.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Dr Burns: Mrs A is an 83-year-old woman who has multiple medical problems and, despite numerous medical interventions, chronic progressive pain and weakness. She feels that her faith offers the most help for coping with her illness. She lives in a senior residence near Boston and has 3 daughters, 2 sons, and many grandchildren. Mrs A attends church regularly and has a strong social support network through church. She has Medicare insurance, and her primary physician is Dr M, who practices at Beth Israel Deaconess Medical Center.

Mrs A has a history of hypertension, diabetes, and goiter. In the late 1980s, she developed diffuse body pain. An evaluation found that she had polymotor and sensory neuropathy, most likely secondary to diabetes. Initially, she was treated with intravenous gamma globulin without improvement in her symptoms. She was subsequently treated with gabapentin, topiramate, mexiletine, tramadol, . . . [Full Text of this Article]

Mrs A: Her View

Dr M: Her View

AT THE CROSSROADS: QUESTIONS FOR DR KOENIG

Do Religious Beliefs Make a Difference?

Mechanisms

Health Consequences

Promoting Spirituality

Professional Boundaries

Recommendations for Mrs A

QUESTIONS AND DISCUSSION

Author Affiliation: Dr Koenig is Associate Professor of Psychiatry and Associate Professor of Medicine, Duke University Medical Center, Geriatric Research, Education, and Clinical Center, VA Medical Center, Durham, NC.

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