Spiritual Issues in Counseling: What Do Students Perceive They Are Being Taught?

Client religious and spiritual practices have recently emerged as beneficial to both mental and physical health. However, graduates of counseling programs indicate that they have not been adequately trained to address religious and spiritual issues with clients. This exploratory study focused on the perceptions of counselors‐in‐training regarding what messages they received about these issues during their training programs, as well as their potential behaviors when working with clients. Results indicated that potential behaviors are not always consistent with what they are taught. Implications for training and future research are discussed.     

Incorporating Spirituality Into Core Counseling Courses: Ideas for Classroom Application

Recently, spirituality has received increased attention in the counseling field, and both spirituality and religion have been acknowledged as important aspects of multiculturalism. The role of spiritual and religious beliefs is mentioned throughout the Standards of the Council for Accreditation of Counseling and Related Educational Programs (CACREP), and guidelines for working with spiritual issues within various cultural paradigms are emerging. Nevertheless, many counselor educators seem unsure about how to infuse spiritual issues into courses. This article presents a rationale for inclusion of spiritual issues in counselor education curricula and provides activities to incorporate knowledge and skills for dealing with spiritual and religious diversity in CACREP core courses.     

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.     

Integrating Religion and Spirituality in Marriage and Family Counseling

In the fields of counseling and psychology, interest in religious and spiritual issues is expanding. The authors examined integrating religion and spirituality with marriage and family counseling. They explored potential obstacles and negative consequences for this integration, as well as clinical implications. The positive impact of incorporating a religious or spiritual perspective into clinical practice is discussed. Ethical considerations, techniques, and strategies are presented.     

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.     

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.     

School Counseling Programs as Spiritual and Religious Safe Zones

The authors present a model for creating spiritual and religious safe zones in school counseling programs that implements the Association for Spiritual, Ethical and Religious Values in Counseling's (ASERVIC; 2009) Competencies for Addressing Spiritual and Religious Issues in Counseling in a school setting. The authors frame the model within the context of issues related to the First Amendment of the U.S. Constitution and posit that students' ability to discuss and explore spiritual and religious issues promotes their personal and social‐emotional development.     

Developing Spiritual Competencies in Counseling: A Guide for Supervisors

The recently established competencies for addressing spiritual and religious issues in counseling (Association of Spiritual, Ethical, and Religious Values in Counseling, 2009 ) provide guidelines for counselors to implement in conjunction with evidence‐based counseling practices. These spiritual competencies complement the ethics code established by the American Counseling Association ( 2014 ) in promoting increased cross‐cultural sensitivity and proficiency in counseling. Supervisory tools that promote the ethical and spiritual development of counseling trainees are identified and described.     

Spiritual Wellness for Clients With HIV/AIDS: Review of Counseling Issues

The epidemic of HIV/AIDS has resulted in an increasing population of individuals in need of counseling services: persons living with AIDS, as well as family, friends, and caregivers. The relationship between HIV/AIDS clients' counseling and spiritual issues is demonstrated by a review of salient literature. Three broad themes are used: terminal illness issues such as post-death existence and existential meaning of life, religious disenfranchisement from society or families of origin, and multicultural spiritual and religious issues. Practical recommendations for counselors and research implications are included.     

Working With the Sacred: Four Approaches to Religious and Spiritual Issues in Counseling

This article examines the advantages and disadvantages of 4 helping orientations of the counselor to religious and spiritual issues in psychotherapy: rejectionism, exclusivism, constructivism, and pluralism. The constructivist and pluralist approaches are advocated as those orientations best suited to work with diverse clients and religious beliefs, and flexible enough to deal respectfully, ethically, and effectively with a variety of religious and spiritual issues in counseling.     

Using Drama Therapy to Explore Religion and Spirituality in Counselor Education

Exploring spirituality and religion continues to be an important component when considering multicultural issues. However, understanding how to incorporate spiritual and religious diversity into counseling courses continues to be a challenge for educators. An exercise using drama therapy was developed to explore religion and spirituality.     

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.     

Addressing Spiritual and Religious Issues in Counseling African Americans: Implications for Counselor Training and Practice

Addressing spiritual and religious issues in the context of counseling relationships may be beneficial to many African American clients. The authors discuss various roles and functions of spirituality and religion in the lives of many African Americans, with particular attention to the impact of these issues on their mental health functioning and willingness to seek formal mental health services. The importance of academic training programs that prepare counselors to address potential spiritual and religious issues with their clients, is also highlighted.     

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.     

The Sexual Identity Timeline: A Reflection Tool for Developing Competence in Counseling

Greater attention to sexual identity development from an inclusive and affirmative perspective must be incorporated into counselor education training. Counselors are well positioned to address issues related to human sexuality; however, without reflection across the spectrum of sexuality-related issues, counselors may rely on personal bias, or they may choose to avoid the topic altogether. In order to adequately train counselors, it is important to identify learning activities that counselor educators can utilize. Given the significance of sexuality across the lifespan, we propose that counselor educators actively guide their students through reflection about their own sexual identity development. This article presents the Sexual Identity Timeline (SIT) as a reflective learning activity to incorporate into the counseling curriculum.     

Addressing Spiritual Issues in Secular Counseling and Psychotherapy: Response to Helminiak's (2001) Views

D. A. Helminiak (2001) suggests that counselors who work within the framework of a client's chosen religious or spiritual perspective are illegitimately responding to spiritual issues in counseling. In contrast to this position, this article affirms that spiritually sensitive counselors who work within the religious or spiritual framework of clients can practice both ethically and effectively and can generate useful research examining the relationship between spirituality and successful therapeutic outcomes.     

Providing Guidance on the Health Effects of Religious/Spiritual Involvement: A National Assessment of University Counseling Professionals

This study assessed the perceptions and practices of a national sample of university counseling professionals (n = 306) regarding their provision of guidance on the health effects of religious/spiritual involvement. Relatively few (21%) discussed the physical health effects of religiosity/spirituality with their clients. The majority (52%) were unsure that such discussions would result in lower health risks; however, nearly half (48%) indicated that these would promote recovery. Almost two-thirds (64%) indicated that discussions of religious/spiritual involvement and health “should occur only with clients who indicate that religion/spirituality is important to them.” A plurality (36%) of the respondents had received no formal training on this topic. Implications for clinical training, university counseling centers, and future research are discussed.     

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.     

Stories Matter: Narrative Themes of Counselor Educators' Religious and Spiritual Competency

Using narrative inquiry, the author explored the multicultural aspects of religious and spiritual experiences, assumptions, and patterns of 9 counselor educators to understand the impact that experiences and beliefs have when supervising and teaching counseling students. A gap exists between counselor standards, ethics, competencies, and practice, because counseling students receive mixed messages about addressing spiritual and religious concerns. Through hermeneutic analysis, 6 themes emerged: (a) religious and spiritual journeys, (b) religious and spiritual practices, (c) relationships, (d) marginalization, (e) modeling, and (f) risk and taboo. Trustworthiness strategies, implications for counselor education, limitations, and directions for future research are described.