In a fragmented world, which lacks coherent and integrated ways of understanding spirituality and health, there is nonetheless a growing research evidence base which supports the importance of spirituality and religion as variables of interest in the aetiology and treatment of a wide range of health-related conditions and disorders. Controversies concerning the interpretation and application of this evidence base easily polarize around immanent and transcendent concerns. Spirituality, which is itself a fragmented concept, has been understood in a crude way as being concerned with the transcendent pole of this debate. An approach to research and practice is needed within which both immanent and transcendent concerns are addressed and which serves to reduce rather than increase the fragmentation of the concepts which govern our shared understanding of spirituality and wellbeing.
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