“…Researchers developing the Spiritual Attitude and Involvement List (SAIL;de Jager Meezenbroek, et al, 2012) for working with patients with life-threatening conditions focused on connecting with the "essence of life," especially connectedness with self, others, nature, and the transcendent (p. 142), which they do not equate with God (Garssen, Visser, & de Jager Meezenbroek, 2016). Another review (Kimball, Cook, Boyatzis, & Leonard, 2016) cited trends that identify spirituality with transcendence (notably Elkins, Hedstrom, Hughes, Leaf, & Saunders, 1988) and that involve a relationship to the "sacred," signifying entities representing ultimate truth and devotion, including God (notably Hill & Pargament, 2003;Shults & Sandage, 2006;Pargament, 2007). According to Hitzhusen (2004), spirituality "can involve transcendence, ineffability, mystery, feelings 'deep in one's soul,' beauty, goodness, contemplation, a sense of inspiration or renewal, encounter with sublime natural settings, and intuition of the divine; it is often characterized by a sense of awe, unity, personal balance, or inner peace" (p. 41).…”