The Art of Sacred Listening: Divine Presence and Clinical Empathy in Contemporary Medical History Taking

This discursive analysis examines the evolution of medical history-taking techniques and proposes an innovative framework that integrates theological concepts of divine presence and concealment with established clinical methodologies. Drawing on contemporary approaches such as the “golden minute” technique and structured interviewing methods, while incorporating insights from narrative medicine and theological reflection, this paper introduces a “sacred silence” model for therapeutic listening that fundamentally reconceptualizes clinical empathy. This framework suggests that authentic healing encounters require practitioners to develop capacities for witness, accompaniment, and meaning-making that transcend conventional biomedical paradigms, moving beyond traditional empathy toward what we term “sacred empathy”—a form of therapeutic presence that honors both the explicable and inexplicable dimensions of human suffering while maintaining profound connection with patient experience.

Keywords: Medical History Taking, Therapeutic Listening, Sacred Silence, Sacred Empathy, Patient-Centered Care, Narrative Medicine, Divine Concealment, Clinical Empathy, Theological Medicine, Therapeutic Presence.