A Review of Integrating Spirituality and Religion Into Counseling: A Guide to Competent Practice

Book reviewed in this article: Craig S. Cashwell and J. Scott Young, Eds. (2005). Integrating Spirituality and Religion Into Counseling: A Guide to Competent Practice     

Spirituality in Counseling: A Faith Development Perspective

This article describes the use of Fowler's (1981) faith development theory (FDT) in counseling. FDT is a stage model of spiritual and religious development that allows counselors to identify both adaptive qualities and potential encumbrances in spiritual or religious expression. FDT offers a nonsectarian model of spiritual growth that permits assessment of spiritual development apart from the specific contents of various faith traditions. This article summarizes Fowler's faith stages and demonstrates their clinical utility through composite vignettes.     

Spirituality and Multimodal Therapy: A Practical Approach to Incorporating Spirituality in Counseling

The purpose of this article is to describe how the dimension of spirituality can be added to an existing counseling theory, multimodal therapy (MMT; A. A. Lazarus, 1984), to provide counselors with a practical approach to incorporating clients' religious and spiritual beliefs in the counseling process. An explanation of MMT is given, as well as its supporting research. The context of spirituality in counseling is discussed, and the process by which it can be integrated into the MMT model is explained. Two case studies are described to demonstrate how spiritual issues can be assessed and used to strengthen the counseling process. Finally, implications for counseling are discussed.     

Research and Theory: Spirituality and Counseling Class: A Teaching Model

The purpose of this article is to introduce the content taught by the second author in a class titled “Spirituality and Counseling” and to evaluate its effectiveness in increasing students' confidence in integrating spirituality in counseling. Specific interventions taught included the focusing method, a forgiveness model, the prayer wheel, and meditation. Results of the pilot study are reported, and implications for future classes are discussed.     

Spirituality and Homelessness: Implications for Pastoral Counseling

This article presents a limited number of findings from a larger research project that explores spiritual themes related to the experience of homelessness as reported by 16 research participants following their residence in a 90-day emergency shelter program in Los Angeles County, California. By utilizing interpretive phenomenological analysis, the study focuses solely on three spiritual themes present in the experience of homelessness. Participants noted experiencing the presence of hope and motivation while homeless, the challenges of coping with the homeless stigma, and times in which they felt (and did not feel) “human.” Implications for pastoral counselors and others offering spiritually-integrated counsel in the context of homelessness are discussed.     

Integrating Spirituality and Religion Into Counseling: A Guide to Competent Practice

Book reviewed in this article: Craig S. Cashwell and J. Scott Young, Eds. (2005). Integrating Spirituality and Religion Into Counseling: A Guide to Competent Practice.     

Assessment of Spirituality in Counseling

A growing body of evidence points to the important role of spirituality in treating medical and psychological conditions. The authors suggest that spirituality is a 5th force in counseling and psychology. Consequently, the assessment of spirituality is a new and growing area of interest for counselors. Assessment can assist both the counselor and client in obtaining a better understanding of the role of spirituality in the issues that bring the client to counseling and in designing treatment interventions appropriate for resolution of those issues. Selected instruments currently in use are described and their psychometric properties and potential uses are examined.     

Spirituality and Loss: Approaches for Counseling Grieving Adolescents

The death of a loved one has serious implications for adolescent growth and development. The authors review relevant research on the grief process and spirituality in adolescence, and they give a rationale for integrating spirituality into adolescent grief work. By way of a case illustration, they draw implications for counselors’ use of spirituality in addressing adolescent grief.     

Perceptions of Clients and Counseling Professionals Regarding Spirituality in Counseling

Although current research indicates that psychotherapeutic change both affects and is affected by spiritual concerns, relatively little is known about the degree to which spirituality is used as an intervention in counseling and how it is perceived by clients and mental health professionals. The purpose of this study was to examine the perceptions of clients and professionals regarding the use of spirituality in counseling. The results suggest that more professionals may be using spirituality in counseling than has previously been reported.     

Counseling African Americans: Integrating Spirituality in Therapy

African American culture is rich with religious and spiritual traditions and practices that largely have been ignored in traditional approaches to counseling with this population. The purpose of this article is to describe the religious and spiritual dimensions of African American culture and to offer strategies for incorporating them into counseling African American clients.     

Spirituality and Counselor Competence: A National Survey of American Counseling Association Members

A random sample of 505 American Counseling Association (ACA) members completed a questionnaire that evaluated respondents' ratings of the importance of 9 competencies developed at the Summit on Spirituality (G. Miller, 1999; “Summit Results,” 1995) meetings to effectively address spiritual and religious issues in counseling practice. Results suggest that, in general, ACA members strongly support the importance of the competencies for effective counseling practice.     

Spirituality and Recovery from Cardiac Surgery: A Review

A large research literature attests to the positive influence of spirituality on a range of health outcomes. Recently, a growing literature links spirituality to improved recovery from cardiac surgery. Cardiac surgery has become an increasingly common procedure in the United States, so these results may provide a promising indication for improved treatment of patients undergoing surgery. To our knowledge, a comprehensive review of the literature in this area does not exist. Therefore, this paper reviews the literature relevant to the influence of spirituality on recovery from cardiac surgery. In addition, it proposes a conceptual model that attempts to explicate relationships among the variables studied in the research on this topic. Finally, it discusses limitations, suggests directions for future research, and discusses implications for the treatment of patients undergoing cardiac surgery.     

Ethical Aspects of Spirituality in Counseling

The authors review the professional literature related to spirituality and ethics in counseling. The American Counseling Association's (1995, 2005) code of ethics was used as a basis for exploring the possibilities and limits/boundaries appropriate for discussion of spirituality in counseling. Implications for practice and research are discussed.     

The Ways Paradigm: A Transtheoretical Model for Integrating Spirituality Into Counseling

Research suggests that an emphasis on spirituality and religion in counseling has increased awareness but not translated into changes in practice. The authors contend that part of this challenge is the lack of a broad, heuristic model for integration that seeks to embrace the complex, fluid, and negotiated nature of spirituality and religion. Cheston's ( 2000a ) Ways Paradigm for teaching counseling theory provides such a model, leading to new perspectives on counselor education, research, and practice.     

Therapists' Integration of Religion and Spirituality in Counseling: A Meta‐Analysis

The authors conducted a 26‐study meta‐analysis of 5,759 therapists and their integration of religion and spirituality in counseling. Most therapists consider spirituality relevant to their lives but rarely engage in spiritual practices or participate in organized religion. Marriage and family therapists consider spirituality more relevant and participate In organized religion to a greater degree than therapists from other professions. Across professions, most therapists surveyed (over 80%) rarely discuss spiritual or religious issues in training. In mixed samples of religious and secular therapists, therapists' religious faith was associated with using religious and spiritual techniques in counseling frequently, willingness to discuss religion in therapy, and theoretical orientation.     

Measuring Spirituality as a Universal Human Experience: A Review of Spirituality Questionnaires

Spirituality is an important theme in health research, since a spiritual orientation can help people to cope with the consequences of a serious disease. Knowledge on the role of spirituality is, however, limited, as most research is based on measures of religiosity rather than spirituality. A questionnaire that transcends specific beliefs is a prerequisite for quantifying the importance of spirituality among people who adhere to a religion or none at all. In this review, we discuss ten questionnaires that address spirituality as a universal human experience. Questionnaires are evaluated with regard to psychometric properties, item formulation and confusion with well-being and distress. Although none of the questionnaires fulfilled all the criteria, the multidimensional Spiritual Well-Being Questionnaire is promising.     

Assessing Religion and Spirituality in Counseling: Some Reflections and Recommendations

In this article, the importance of conducting a religious and spiritual assessment in counseling is considered. Some essential dimensions of religion and spirituality to assess are described. The authors recommend assessment questions that can be asked during clinical interviews or included on written intake questionnaires. They also briefly describe a few standardized religious and spiritual assessment instruments. Finally, they offer suggestions for conducting spiritual assessments in school settings.