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This groundbreaking monograph establishes a foundational ethical framework for spiritually sensitive care in pluralistic settings. Bridging gaps in existing scholarship, it offers a rigorous approach that prioritizes the rights, goals, and preferences of the care recipient. Moving beyond traditional paradigms, this work articulates a model in which the ethical imperative of spiritual care is defined by its capacity to foster imminent positive outcomes-as understood by the recipient. Grounded in pluralism, this approach challenges caregivers to place the needs of those they serve above external objectives, ensuring a deeply respectful and ethically sound practice. In today's diverse healthcare landscape, the ethical provision of spiritual care is a crucial resource for chaplains, healthcare professionals, and ethicists.