ABSTRACT
This chapter begins with a discussion about some significant changes in Western culture that have a bearing on how spirituality is considered in relationship to psychotherapy and its theoretical development. It explores current definitions of spirituality and how practical theology in conjunction with qualitative research, with reference to the ethnographic imagination, can provide a framework and methodology to understand spirituality. The chapter provides a result of the case study analysis using a qualitative ethnographic research methodology demonstrates the unique place of art therapy to facilitate the expression and exploration of spirituality. Hospice and palliative care services, like everything else, reside within a particular cultural history and more specifically within the culture of health care represented by the National Health Service and the charitable sector in the UK. J. Swinton approach is considered with regard to mental health but is equally relevant and transferable to that of other health and social care needs including palliative and end of life care.
