After publishing "General Psychopathology" in 1913, Jaspers turned his attention to serious philosophical contemplation. Using the term grenzsituation (limit situation) as a key concept, he first presented a framework to shed light on the pathology of both individuals and groups, and this led on to include the perspective of resilience. He then used three more key concepts, transzendenz (transcendence), chiffer (cipher), and unverständliche (unintelligible) to offer a framework to focus on the possibilities of human existence. In the field of medicine, this is useful to support a spiritual approach which is discussed in palliative treatment. The philosophy developed by Jaspers can be considered as indicating a practical form of guidance for people to find self-support from a limit situation where they have lost their own support, and finally, come to a degree of mutual acceptance. Mutual acceptance is made possible at the level of ciphers, in which specific meaning remains undefined, by directing both the self and the other toward a state of "transcendence."
 Nowadays there is a trend for those chaplains involved in spiritual care from a specialist point of view to be trained to effectively transcend any difference in religious belief. As a basic premise, the author considers there is a need to once again return to a state before the start of individual religions, and stand on a cross-sectional ground level, an area which could be regarded as common to all religions. When conducting such a task, in the author's view, the restrained spirituality that Jaspers expounded is thought-provoking.
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