Axis SC · Sp — Spirit
Meaning, made measurable.
Spiritual coherence isn't about religion — though it can be. It's about whether your daily life lines up with what you say matters to you. Twelve signals across mindfulness practice, values clarity, awe-frequency, and existential well-being. Self-report-heavy, but cross-checked against behavior.
The non-physiological face of spirit — meaning, mindfulness, values alignment.
Twelve signals. Spiritual coherence is the most self-report-heavy axis we run, but every report is cross-validated against measurable behavior on the other seven axes.
From signals to a single value.
Each signal contributes a weighted partial score. The axis aggregates them and clamps to 0–100. Here's a worked example for a real (anonymized) patient on this axis today:
Sample contribution
Where it lands in CH
SC contributes to Sp, paired with NM. Its signals tend to lag — meaningful gains take 3–6 months — but they're the most stable of any axis once established.
Sp — Spirit
A typical week, on the axis.
No single day defines you. A consistent week does. Here's what consistent looks like — and the HCR you'd earn for it.
The pay ladder.
SC payouts are smaller per-action and larger per-streak. We pay for practice density, not for any single moment. Always free to receive — patients never pay to earn HCR, and clinics never see a bill for hosting it.
All payouts settle to the patient's HCR wallet within 24 hours of verification. HCR is redeemable for care, contributions to a Conceptual Health pharmacy account, or held as a long-term reserve.
For providers ordering on this axis.
For Conceptual Health-credentialed clinicians: this is the recommended order-of-operations on this axis. Free to use, no certification required, no software to install — the protocol lives inside the EHR you already use through us.
Spiritual Coherence · clinical sequence
- Read this section as optional. Many providers skip SC. We don't recommend skipping it.
- Pull the SC trace alongside ER. The two move together; SC tends to lead during recovery.
- If a patient's ER is improving but SC is flat, the gain is fragile — consider a meaning-based intervention (referral, group, retreat).
- If SC is high during a flare in another axis, the patient's resilience reserve is intact. You probably have more time than the labs suggest.
- No clinical interventions are owned by this axis. Refer when relevant; chart when stable.
The peer-reviewed evidence base.
Every signal we score has a literature trail. These are the foundational papers we cite in our scoring model documentation. Our full bibliography (404 references) is available in the methodology appendix.
One real (anonymized) trajectory.
Names changed. Numbers verified. A composite from three patients with similar starting conditions — the chart, the intervention, and the outcome.
Robert M., 71, Sarasota
"My doctor put me on an antidepressant and it didn't do much. Then she pointed at my SC chart, said it had been flat for a year, and asked what I used to do that mattered. I started volunteering. Three months later I didn't need the pill."
What you can study, and how.
SC is the only axis where consent is opt-in by default for research access — religious practice and existential beliefs are treated as protected categories. Research access is available to credentialed institutions through the HCC research portal — pay-per-query, patient revenue-shared.
All fields below are time-aligned and de-identified to NIST 800-53 standards.
Standards we conform to.
No new yardsticks. We map every signal on this axis to existing peer-reviewed instruments and regulatory norms — the same instruments your clinician learned in residency.
EWB-S
Existential Well-Being Scale, short form, public domain.
FACIT-Sp
Functional Assessment Spiritual Well-Being.
Mindful Attention Awareness Scale (MAAS)
Short-form mindfulness measure embedded in the patient app.
Patient-Pluralism
No religion or tradition is privileged in the scoring algorithm.
The other seven axes
Eight axes. One score. Each pulls.
Health is multi-dimensional. SC is one of eight. The Master Equation weights them, multiplies them, and gives you and your clinician a single number — and the ability to see exactly which axis is moving it.