Includes bibliographical references (p. [263]-284) and index.

In the beginning : a tour -- Looking back : glimpses of religion and spirituality in the history of academic medical centers -- From symbols to silence : the design and use of hospital chapels -- Wholeness, presence, and hope : the perspectives of hospital chaplains -- Essential or optional? : how hospitals shape the professional tasks of chaplains -- Spirituality and religion in intensive care : staff's perspectives and professional responses -- Why sickness and death? : religion and spirituality in the ways intensive care unit staff make meaning -- Managing death : the personal and institutional 'dirty work' of chaplains -- Conclusion : looking forward.