Integrating Spiritual Experiences in Counseling

Although the spiritual dimension is an integral part of psychotherapy, most mental health professionals lack the necessary training for working with spiritual experiences therapeutically. The experiential focusing method developed by Eugene Gendlin (eg., 1969, 1981) offers a key tool for counselors to help clients integrate their spiritual experiences in counseling. In this article, the author offers a definition of the spiritual experience, outlines the focusing method, presents examples of its application, and discusses the implications of using focusing to help clients integrate spirituality in counseling.     

Values and Social Justice in Counseling

The construct of social justice in counseling is defined and operationalized in this article. This is followed by a discussion about the intersection between social justice in counseling and philosophy, ethics, and spirituality. A call to action for counseling professionals is offered.     

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.     

A Primer on Celtic Spirituality With Recommendations for Counseling Practice

Research suggests that expressions of Celtic spirituality are widespread among the U.S. populace (e.g., Pew Research Center, 2014; Sullivan, 2016). Adherents vary in their commitment levels, ranging from informal cultural participants to followers of structured forms of the faith tradition (e.g., Celtic Christianity, Wicca, Paganism). The counseling literature provides scant information on this movement and germane approaches to support clients who identify with this spirituality. To respond to this deficiency, we address the topic by contextualizing Celtic spirituality from definitional, historical, and thematic perspectives. Next, we consider implications for spiritually sensitive counseling practice. We include a case study, exemplifying potential adaptive counseling processes and interventions.     

Impact of Childhood Sexual Abuse on Client Spiritual Development: Counseling Implications

The spiritual development of sexually traumatized clients is an important area of concern for counselors. In this paper, spirituality is defined, and its relevance for counselors who work with childhood sexual abuse survivors is discussed. Impact of abuse on client spirituality is described, and several suggestions are given for assessment and intervention approaches that address spiritual issues as part of the counseling process.     

Using the Developmental Counseling and Therapy Model to Work With a Client in Spiritual Bypass: Some Preliminary Considerations

At a time when attention to spirituality within the counseling profession is unparalleled, 1 potential problem is that clients who engage in spiritual bypass will be supported in this dysfunctional pattern by their counselor. The purpose of this article is to define and describe spiritual bypass and to discuss the use of the developmental counseling and therapy model to assess and intervene with a client who is in spiritual bypass.     

Entering the Sacred: Using Motivational Interviewing to Address Spirituality in Counseling

Despite the salience of spirituality in the lives of many clients, counselors are often hesitant to explore spiritual issues in counseling, largely out of a valid concern of imposing values on the client. Motivational interviewing provides a framework within which a counselor can both assess spirituality and facilitate client exploration of spiritual issues without fear of imposing values.     

Understanding Spirituality in Counseling Psychology: Considerations for Research,Training, and Practice

Selective understandings of spirituality among early, contemporary, and current theorists were reviewed. The purpose is to suggest the multiple implications these varied understandings of spirituality have for practicing clinicians in the field of counseling psychology. Sources of literature were primarily drawn from published literature and classical texts. The conclusions suggest that professionals within the field may need to increase objective and subjective interpretations of spirituality in the therapeutic realm. With this awareness, it is assumed that clinical sensitivity to multiculturalism, recovery movements, and dysfunctional religious systems may be achieved and, subsequently, therapeutic competence may be increased.     

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.     

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.     

Counseling blacks

As a subcultural group in our society, blacks have developed unique environmental perceptions, values, and attitudes which intrude in the counseling relationship, making it difficult for the counselor to establish and maintain a positive rapport with Negro clients. This article examines attitudinal ingredients posited by Carl Rogers for their relevance to this problem, and it suggests in-service training to help counselors and other professionals relate more effectively with inner-city blacks.     

Navigating Bereavement With Spirituality‐Based Interventions: Implications for Non‐Faith‐Based Counselors

The relationship between spirituality and bereavement has been studied in a multitude of disciplines, yet there is a significant gap in the counseling literature on this topic. The authors explore how spirituality is often avoided in secular counseling settings, discuss adverse effects of unresolved grief on clients' functioning, and propose the concept that spirituality can be used to help clients through the bereavement process. Finally, the authors offer research and clinically based interventions that counselors, particularly those who do not identify as faith‐based, can use to incorporate spirituality into their work with bereaved clients.     

The Black Church,Values, and Secular Counseling: Implications for Counselor Education and Practice

There has been a recent increase in the amount of attention given in the counseling literature to addressing clients’ religion and spirituality. However, Black American churchgoers are rarely the target population in the discourse, and little is known about how the Black church shapes their views. This article provides information on values of the Black church and the church's influence on Black American churchgoers regarding secular counseling. Implications for counselor education and practice are discussed.     

Experiences of Healing Touch and Counseling on a Bereaved Population: A Grounded Theory

Grounded theory was selected as a way to develop a theory about the potential adjunctive use of energy healing in the form of healing touch (HT) along with counseling on a bereaved population. Semi-structured interviews were conducted twice with clients and once with the counselors and HT practitioners. Results indicated that the participants agreed that both counseling and HT operated well together to provide bereavement support. The themes of trust, openness, intention, and spirituality within the holistic context seemed to make this model possible. Potential ethical concerns are discussed, as well as areas for future research and clinical applications.     

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.     

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.     

Spa in Counseling

A place may be made in nearly every counseling session for spa: uplifting, positive experiences in which the focus is placed directly on helping clients feel good about themselves. With many clients, a few minutes at the end of each interview may be saved for these positive experiences; with some clients the entire effort of an individual session may be that of spa. The simplest of the several examples of spa in counseling offered in this article is the activity “Things I Can Do,” in which the counselor helps the client focus on and savor some of the most often-repeated actions of which he or she is capable: breathe, walk, talk, eat, sleep, think, and so on. All counseling clients can benefit from the emerging sense of wellness that can come from spa in counseling.     

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.     

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.     

Ego Development and a General Model for Counseling and Psychotherapy

Swensen describes a general model within which various techniques of counseling and psychotherapy may be integrated. This model is based on Lewin's formula, B = f (P, E), that is, behavior is a function of the person and the environment. Therapists should assess both the personality of the client and the environment. Client assessment is based on the concept of ego development. The behavior of clients who are at simpler levels of ego development is determined largely by reward and punishment in the environment. As a consequence, professionals should direct therapy with these clients toward changing the reinforcement contingencies in the environment. On the other hand, behavior of clients at more complex levels of ego development is more self-controlled. Therefore, therapy with these clients should concentrate on self-directed and self-controlled change.