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The article explores the integration of Paul Ricœur’s ideas in spiritual and psychological care, emphasizing the narrative dimension of human existence. It highlights the importance of the self-narrative, which allows patients to rediscover meaning in the face of suffering and adversity. The reflexive capacities - such as speaking, acting, narrating, and moral self-attribution - are central to the constitution of the self in Ricœur’s philosophy. Suffering is redefined as a diminishment of the capacity to act, providing an original perspective on human vulnerability. This approach proposes a holistic vision of care, where spiritual and psychological dimensions are interconnected. It invites reflection on human dignity and historicity. Ultimately, this method encourages professionals to utilize philosophical and narrative tools to support patients in their quest for meaning and reconciliation with their own life stories.