Occasional experience with disaster casualties raised questions about the neglect of spiritual factors in the appraisal of their condition. The experience is briefly outlined, reflections presented, and proposals generated for elaborating the WHO definition of health and well-being to take patterns of belief/value systems into account. The outcome, it is argued, should more closely approximate the reality of human reactions seen after catastrophe, indicate more of the support systems available sometimes to assist in the recovery of casualties, and encourage academic psychologists to reconsider the place of values in human behaviour.