Spirituality and Dream Work in Counseling: Clients’ Experiences

The authors suggest that focusing on dreams in counseling may be a useful framework to explore clients’ spiritual values and beliefs. Because little is known about how spirituality and dream work are integrated in practice, the purpose of this article is to document how some counselors and clients work on spirituality and dreams. Responses of clients who focused on dreams from a spiritual perspective are described and discussed. Relevant clinical issues that counselors may encounter are identified. Recommendations are made for counselors who wish to integrate spirituality and dream work in counseling.An earlier version of this article was presented at the Semi-Annual Meeting of the Association of Mormon Counselors and Psychotherapists, Salt Lake City, Utah, April 2004.     

Client Perspectives on Spirituality in the Therapeutic Relationship

There has been increasing interest in the integration of spirituality into psychotherapy in the last 10 years, yet we have very little in-depth information about clients' perspectives on spirituality in the counseling relationship to help guide this integration. Using a narrative methodology to explore the counseling experiences of 12 spiritually-committed clients in detail, this study suggests that clients who may not identify as traditionally religious may still view the entire process of psychotherapy through a spiritual lens. Furthermore, their spirituality may guide their interpretation of therapy, their expectations of the therapist, and their choice to engage in or terminate treatment in complex ways. By exploring the experiences of this growing breed of spiritually-committed clients, the results shed new light on the dimensions that deserve consideration as we think about how to respond to a client's spiritual needs in psychotherapy.     

Therapists' Use of Religious and Spiritual Interventions in Christian Counseling: A Preliminary Report

This study explored the use of religious and spiritual interventions in counseling by Christian therapists (N = 100). Use of religious and spiritual interventions correlated with personal religiousness and clinical training involving religious clients and religious and spiritual interventions. Course work involving either psychology or theology did not correlate with use of or self‐reported competency in using religious and spiritual interventions. Self‐reported competency was associated with personal religiousness; professional beliefs, attitudes, and values; personal experiences with counseling; and clinical training involving religious clients and religious and spiritual interventions. It is suggested that training programs incorporate clinical rotations, workshops, and supervision involving religious clients and religious and spiritual interventions to teach therapists to use religious and spiritual interventions in counseling.     

The Only Way Out Is Through: The Peril of Spiritual Bypass

Given the increased attention to spirituality in the counseling literature, with a primary emphasis on helping clients find their spiritual path, it is important for counselors to be aware of one potential pitfall of the spiritual path, namely spiritual bypass. Spiritual bypass occurs when clients seek to use their spiritual beliefs, practices, and experiences to avoid genuine contact with their psychological “unfinished business.” The purpose of this article is to define spiritual bypass, discuss the necessity of healing at the cognitive, emotional, and physical levels, as well as at the spiritual level for holistic wellness, and provide examples of clients in spiritual bypass.     

Promoting Cognitive,Emotional, and Spiritual Client Change: The Infusion of Solution‐Focused Counseling and Ritual Therapy

Solution‐focused brief counseling offers clients an opportunity to find solutions to problems and evoke cognitive change. This treatment modality is criticized for negating the emotional and spiritual aspects of client change. The authors propose that the inclusion of rituals in solution‐focused brief counseling can enhance the counseling experience for clients by encouraging meaningful cognitive, emotional, and spiritual change. A new model, Brief Solution Rituals, was developed to incorporate the use of rituals into solution‐focused counseling. The 6‐phase model, example clinical scenarios, and a case study are presented in this article. The strengths and potential limitations of the new model are discussed.     

Jewish Meditation in Counseling

Many counselors integrate meditation into treatment with clients. Although meditation can be presented as a secular practice, it also holds spiritual and religious relevance for many faith communities. In this article, we explore the use of Jewish meditation as a spiritually oriented treatment intervention with Jewish clients. Literature examining the relationships among counseling, the Jewish population, and Jewish meditation is presented. This article also includes practical considerations for integrating Jewish meditation into counseling.     

The God‐Shaped Hole: Addictive Disorders and the Search for Perfection

Clients with addictive disorders who have an internalized need for perfection benefit from an integration of spirituality into counseling treatment. This article provides a review of the literature, offers a spiritual approach for working with clients who struggle with addiction and perfectionism, and provides a case study to demonstrate the effectiveness of the integration of spirituality and counseling.     

Influence of Counselor Spirituality and Training on Treatment Focus and Self‐Perceived Competence

Spirituality is a potential area of concern for counseling clients. This study presents the empirical results of a survey completed by 572 counselors to determine if counselors' spiritual beliefs, experiences, or training had an impact on their focus of therapy or self‐perceived competence. A counselor's personal spirituality, spiritual experience, and spirituality training did significantly influence treatment focus as well as self‐perceived competence to counsel a client with spiritual concerns.     

Solution‐Focused Counseling for Clients With Religious and Spiritual Concerns

Solution‐focused counseling is presented as a framework for clients with religious and spiritual concerns. The theory of solution‐focused counseling is described. Implications for using this model with religious and spiritual clients are considered. A case example is provided to illustrate the application of solution‐focused counseling for a client dealing with religious and spiritual issues.     

Research and Theory Religion and Spirituality in Coping With Stress

Relations among and between religion, spirituality, and the ability to cope with stress were examined using a sample of 115 graduate students in counseling. Religion and spirituality positively correlated with coping with stress. Counseling students who expressed spirituality through religious beliefs had greater spiritual health and immunity to stressful situations than counseling students who identified themselves as spiritual but not religious. Counseling students with a religious/spiritual affiliation indicated more discomfort counseling clients hostile to religion compared with counseling students with a spiritual‐only affiliation. The results have implications for preparing counseling students to work with clients with religious/spiritual issues.     

Application of Yoga as a Spiritual Practice to Enhance Counselor Wellness and Effectiveness

In this article, we explore potential benefits of yoga, an ancient Indian tradition for spiritual growth and development, for counselors. Counselors use themselves as instruments to support clients and are constantly exposed to the traumatic experiences of clients, which may leave them susceptible to secondary traumatic stress or compassion fatigue (Shallcross, 2011). Yoga can help counselors not only in achieving holistic wellness but also in developing a way of being consistent with the characteristics of an effective counselor. Furthermore, yoga, as a spiritual practice, can empower counselors to embark on a spiritual journey driven by their own personal experiences.     

The Straight Path to Healing: Using Motivational Interviewing to Address Spiritual Bypass

Spiritual bypass is the avoidance of underlying emotional issues by focusing solely on spiritual beliefs, practices, and experiences. Motivational interviewing (MI) is a client‐centered, compassionate approach to effectively addressing resistance among those who present with spiritual bypass. In this article, the authors provide background information on spiritual bypass and a rationale for adopting an MI approach to working with these clients. A case presentation illustrates 1 example of using MI with spiritual bypass.     

Psychosynthesis: A Foundational Bridge Between Psychology and Spirituality

Pastoral psychologists have long tried to establish a working model that encompasses the seemingly conflicting disciplines of science and religion. Psychosynthesis, a transpersonal psychology and therapeutic approach, offers such a model of the human personality, in which the psychological and spiritual perspectives can converge. This article explores psychosynthesis psychology and therapy as a theoretical framework for pastoral psychology. Although psychosynthesis psychotherapy relies on an array of techniques, it fundamentally works with the clients’ will while emphasizing, exploring, and cultivating their relationships on all levels—intrapersonal, interpersonal, and with the Higher Self. In addition to the subconscious, psychosynthesis includes a higher psychological plane, called the superconscious, from which our higher ethical, aesthetic, scientific, and spiritual values are derived. This article begins by introducing psychosynthesis concepts and techniques. It then provides qualitative findings showing that psychosynthesis counseling helped to awaken spirituality in three out of eleven clients who had formerly identified themselves as atheists. In addition, testimonies are included that show that psychosynthesis counseling also helped all eleven clients to attain personal growth. Finally, the counselor describes her experience of psychosynthesis as a Christian in the therapeutic setting. The framework of psychosynthesis psychology and its techniques are viable methodologies for anyone searching to incorporate spiritual growth into a psychological working model.     

Attachment Theory and Religiosity: A Summary of Empirical Research With Implications for Counseling Christian Clients

The authors summarize the growing body of empirical research literature in the area of psychology of religion that has been guided by attachment theory and indicate implications for counseling, including practical suggestions for case conceptualization, possible spiritual interventions, and ethical guidelines for practice. Attachment theory provides a fertile framework whereby counselors may conceptualize the religious experiences of Christian clients whose spirituality involves the belief in and relationship with a personal God.     

Spiritual Empowerment: A Metaphor for Counseling

The metaphor of counseling as spiritual empowerment is presented, followed by an explanation of spiritual empowerment as a metaphor and spiritual empowerment as a theoretical framework for counselors. In the use of this metaphor, counselors initiate a spiritual experience with clients, and clients often experience a spiritual awakening in which they discover or rediscover their own spiritual power. Five conclusions are identified.     

Exploring the Influence of Culture on Career Through the Career‐in‐Culture Interview

This study sought to understand how culture in general affects career development. Using an adapted version of the Career‐in‐Culture Interview (Ponterotto, Rivera, & Sueyoshi, 2000 ), the authors interviewed 14 adults from a variety of cultural backgrounds. Through a qualitative analysis of the interviews, themes were identified based on 4 of the interview questions and were reported based on occupations the participants were aware of while growing up, their cultural and ethnic backgrounds, religious/spiritual backgrounds, and family influence. These themes promote a developmental consideration of career‐related issues in counseling. The findings can help counselors better work with clients by focusing not just on the individual but also on cultural influences on career development.     

Counselor Bias in Working With Gay Men and Lesbians: A Commentary on Barret and Barzan (1996)

This article comments on R. Barret and R. Barzan (1996), who do well in exploring the spiritual experiences of gay men and lesbians but in the process set up a precedent of reverse discrimination against the client whose religious beliefs proscribe homosexual behavior. Suggestions are offered to sensitize counseling professionals to such bias so that therapists' values are not imposed on clients in an unreflected manner.     

Counseling African American Women: Multiple Identities—Multiple Constraints

Multicultural counseling models have limitations in synthesizing multiple cultural variables such as race, gender, class, and sexual orientation. The author describes 3 multicultural models—Afrocentric, feminist, and “womanist”—and their application to psychotherapy with African American women. Using a case illustration of an African American lesbian client, the author offers strategies for assisting clients to integrate multiple cultural identities.     

Client as Expert: Incorporating Spirituality Using the Tree Ring Technique

Addressing spirituality with clients from diverse spiritual backgrounds is a facet of culturally competent and ethical practice, yet various obstacles contribute to spirituality being overlooked. This article features a counseling technique used with clients who are experiencing difficulty with issues of a spiritual nature. Based on constructivist principles, the tree ring technique provides a context and process for examining clients’ spiritual conflicts, whereby the client is the expert and the counselor adopts a not‐knowing stance.     

A Phenomenological Inquiry of Clients’ Meaningful Experiences in Counseling With Counselors‐in‐Training

This study is a follow‐up to Sackett, Lawson, and Burge's ( 2012 ) study that explored the meaningful experiences of clients and counselors‐in‐training (CITs). Using the previous study's themes of clients’ experiences in counseling with CITs as a launching pad, the authors examined in greater depth the meaningful experiences of clients who are in counseling with CITs through qualitative phenomenological interviews. Findings, as well as implications for counselor education, supervision, and counseling, are discussed.