Psychological Safety and Appreciation of Differences in Counselor Training Programs: Examining Religion,Spirituality, and Political Beliefs

This study focused on the extent to which religion, spirituality, and political beliefs predicted counseling students' perceptions of psychological safety and appreciation of differences in their programs. The authors used hierarchical regression models to analyze data from 264 students from 4 different institutions. Results indicated that student age, political conservatism, extrinsic religiosity, and intrinsic spirituality were significant predictors of perceived psychological safety and appreciation of differences. The authors discuss implications of these findings.     

My Soul to Take: A Phenomenology of the Struggle for an Authentic Gay Spirituality

This phenomenological study explored the “coming‐out” experience of 7 gay men who were significantly influenced by conservative Christianity in their formative years and who are living as “out” gay men. Four commonalities were revealed in their experience of this phenomenon: (a) a realization and acceptance of their gay identity, (b) a reckoning that action was required, (c) a rejection of the oppressive religious authority in their lives, and (d) a reorientation in their pursuit of a healthy spirituality. The study includes a review of the relevant literature and recommendations to counselors in addressing the unique needs of spiritually oriented lesbian, gay, bisexual, transgender, and questioning individuals.     

Spirituality in MFT Training: Development of the Spiritual Issues in Supervision Scale

As spirituality moves increasingly to the forefront of the body of marriage and family therapy (MFT) literature, many clinicians still find it uncomfortable or difficult to address spirituality in therapy. This study presents a new measure—the Spiritual Issues in Supervision Scale (SISS)—that examines supervisees' perceptions of the degree to which spirituality is addressed in supervision. Researchers distributed the SISS to mental health professionals around the United States who either were receiving supervision currently or had received supervision recently from professionals in their fields or programs. Results indicated that the new instrument has evidence of reliability and validity.     

Religious Addiction: Obsession with Spirituality

Religious addiction is a disease only recently recognized; however, it has been with humanity throughout the ages. This obsession with spirituality not only has harmful effects for the individual but also a devastating effect on his/her family. As with any addiction, recovery is possible. This article covers the history of religious addiction, its symptoms and characteristics, and also its downward spiral. The effects on the addict, the codependent spouse, and children are discussed. Recovery, including intervention and treatment, is also covered.     

The Role of Religion and Spirituality in Mental and Physical Health

An increased interest in the effects of religion and spirituality on health is apparent in the psychological and medical literature. Although religion in particular was thought, in the past, to have a predominantly negative influence on health, recent research suggests this relationship is more complex. This article reviews the literature on the impact of religion and spirituality on physical and mental health, concluding that the influence is largely beneficial. Mechanisms for the positive effect of religion and spirituality are proposed.     

Spirituality and Religion: The Ninth CACREP Core Curriculum Area

On the basis of the ACA Code of Ethics (American Counseling Association [ACA], 2014) and ACA‐endorsed competencies, the ability to address spirituality and religion is a recommended skill set of counselors. The Council for Accreditation of Counseling and Related Educational Programs (CACREP) addresses the “spirit” in the standards; however, in the training of students, additional focus could be placed on this competency. The authors introduce expert‐reviewed standards to be considered as a 9th core curriculum area of the CACREP Standards (CACREP, 2015 ) titled Spirituality and Religion .     

Examining Spirituality and Sense of Calling in Counseling Students

This study explored the link between counseling students’ spiritual well‐being and sense of calling to the profession. A final sample of 415 counseling students demonstrated significant spiritual well‐being (religious and existential) and a strong sense of calling to the counseling profession. Results also indicated that spiritual well‐being was predictive of students’ sense of calling to the profession. Implications for counselor training are discussed.     

The Role of Religion and Spirituality in Medical Patients in Germany

Using the new developed SpREUK questionnaire (version 1.0b), we examined how German patients (n = 129) with cancer, multiple sclerosis and other diseases view the impact of spirituality and religiosity (SpR) on their health and how they cope with illness. Patients with both a religious and spiritual attitude (32%) had significantly higher values in the sub-scales dealing with the search for meaningful support, and the stabilizing effects of SpR than patients without such attitudes (20%), while patients with a non-spiritual religious attitude (35%) had lower perception of the beneficial effects of their SpR and had significantly lower scores in the search for meaningful support sub-scale. Just half of the non-spiritual religious group and 42% of religious patients are convinced that finding an access to a spiritual source has a positive influence on their illness.     

Thematic Analysis of the Intersection of Spirituality and Eating Disorder Symptoms

The authors interviewed 12 female participants about the intersection of their spiritual beliefs and eating disorder symptoms. Three main themes emerged from the data: (a) spiritual beliefs as helpful, (b) choice not to ask for spiritual help, and (c) guilt.     

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.     

Spirituality in Disability and Illness

Spirituality appears with increasing frequency in the research literature, and a paradigm involving mind-body-spirit interaction is emerging. The relationship of spirituality to disability and illness is at the center of a growing body of knowledge. A comprehensive literature review supported spirituality as coping method among individuals experiencing a variety of illnesses including hypertension, pulmonary disease, diabetes, chronic renal failure, surgery, rheumatoid arthritis, multiple sclerosis, HIV/AIDS, polio and addictive illnesses. Additionally, spirituality is a resource when dealing with critical illness as well as terminal illness and end of life issues, and it is utilized by both patients, and family members. Discussion of research findings, implications for health care practice and future research is also presented.     

Definitions and Evaluation of Religion and Spirituality Items by Religious Professionals: A Pilot Study

In an effort to clarify the concepts of religion and spirituality religious professionals (Imams, Ministers, Priests, and Rabbis) defined the terms religion and spirituality and responded to whether the concepts religion and spirituality were different (i.e. non-overlapping), the same, or overlapping. Additionally, they rated each item from the five measures (purportedly to assess religion or spirituality) for the extent to which the items assess the construct of religion and/or spirituality. Content analysis of definitions revealed religion as objective, external, and ritual or organizational practices that one performs in a group setting and that guide one’s behavior; while spirituality was defined as internal, subjective, and divine experience or direct relationship with God. Primarily the concepts were viewed as overlapping. Analysis for item ratings revealed few within group differences and relatively few between group differences for ratings of item relevance to assess religion and spirituality. Factor analysis of item ratings revealed one factor named religion/spirituality.Corine Hyman, M.S., is a Ph.D. candidate in clinical psychology at Saint Louis University. Her research interests include religion, spirituality, anxiety, and depressive disorders, minority issues, PTSD, and test development.Paul J. Handal received his Ph.D. degree from Saint Louis University in clinical psychology in 1969. His interests have included education and training of clinical psychologists as director of the clinical program at Saint Louis University from 1973 until 1993. Additional interests include research in the area of psychology and religion and its relationship to adjustment and health in adolescence and adults. Correspondence to Dr. Paul J. Handalm, handalpj@slu.edu.     

Spirituality,Culture and Mental Health: Prospects and Risks for Contemporary Psychology of Religion

This paper asks whether: (1) psychology of religion is doing what it is supposed to do, (2) the contemporary psychological attention to religion and spirituality is perhaps of a transgressive nature, and (3) conceptualizations of spirituality in psychological publications are biased. It makes a plea for phenomenologically well-informed research on real forms of religion and spirituality, from a perspective that is as broad as psychology at present has become, with due regard for both the cultural make-up of the phenomena and the unavoidable limits of psychologists' professional competence.     

Spirituality in Older Adults: A Cross-Cultural and Interfaith Perspective

The definition of spirituality poses a variety of problems for the development of theory and research, as well as practical problems for persons interested in promoting the spiritual well-being of older adults. Although any definition of spirituality is problematic, a definition is proposed that comes out of the writer's clinical experience and is relevant to his understanding of the aging process in different cultural and religious contexts. Two case studies are presented to illustrate the relevance of the definition to the experience of older persons from different cultural and religious backgrounds. Reflections on the case studies suggest ways that an appropriately trained advocate might have helped the persons in these illustrations make changes in their situations that might have improved the quality of their lives. Material from the case studies is also used to clarify differences among terms such as spirituality, religion, religiosity, and piety. The paper proposes to be a contribution to a theoretical foundation for studying and working with spirituality in older adults.     

Religion,Spirituality, and Alternative Health Practices: The Baby Boomer and Cold War Cohorts

Research in religion and health has suggested positive relationships, and most recently has concentrated on the experience of religion, or spirituality. Currently, cohort studies have shown that the baby boomers differ significantly from their elders in their approach to religion, preferring to explore spirituality rather than the religious doctrine of their elders. They also differ in their approaches to health, including greater acceptance and use of alternative health practices. This study isolates the baby boomer and cold war cohorts in order to explore differences in religion, spirituality and alternative health practices. Findings indicate that, for boomers, increased spirituality is significantly related to increased positive health perceptions, while their elders' health perceptions are related to increased religiosity. Alternative health practices and spirituality, however, are not related for either cohort. However, this study does identify important distinctions between the two cohorts. Future studies must recognize differing cohort constructions of reality concerning the meanings of health, spirituality and religion.     

Couple Therapy and Spirituality and Religion

Abstract

The current state of the art of the integration of couple therapy with spirituality and religion is presented. Each of three waves of this integration identified in this article have seen an increase in the literature in this area, although only a limited amount in each wave has addressed couple therapy specifically. In the first wave, from 1990–1994, articles set forth arguments for why spirituality should be integrated in therapy. During the second wave, 1995–1999, publications focused on the ways that including spirituality in therapy can enhance as well as harm the therapeutic process. In the third wave, 2000-present, attention has shifted away from whether to include spirituality to how it should be included, and the literature of this period features many practical interventions and suggested guidelines for integrating spirituality and religion into therapy and training. The article concludes with recommendations for further developing the integration of spirituality and religion into couple therapy models, research, and training.     

Dimensions of Religion and Spirituality: A Longitudinal Topic Modeling Approach

In lieu of the traditional text data analysis methods, structural topic modeling was utilized to analyze the text contents of 255 self-report inventories of religion and spirituality (R/S) published from 1929 to 2017. The study had two objectives: (a) to clarify and identify the latent dimensions of R/S inherent in the items of the measures; and (b) to examine and demonstrate the usefulness of a longitudinal topic modeling in the study of R/S. We identified 5,617 unique text terms from the measures and fitted topic models on those terms to extract latent dimensions called topics. We also simultaneously analyzed the longitudinal effect of publication decade (i.e., 1950s–2010s) on the topics. A topic model with three topics was chosen to best support the data: Experience of Transcendence (Topic 1), Engagement in Transcendence (Topic 2), and Essence of Transcendence (Topic 3). In addition, the longitudinal analysis revealed that Topic 1 showed a continual increase over the decades, while Topics 2 and 3 both demonstrated a gradual decrease, in effect matching the general trend of Topic 1's increasing popularity in society and the academia.     

The Role of Theistic Spirituality in Adolescent Girls' Body Esteem: A Pilot Outcome Study

A pilot outcome study explored associations between psychospiritual variables and body esteem in adolescent girls at a Roman Catholic high school by examining the influence of The Imago Dei Experience (TIDE), an intervention program the first author designed. Perception of God's loving acceptance accounted for significant variance in weight and appearance body esteem; religious crisis accounted for significant variance in weight body esteem. Lack of significant changes in body esteem from pretest to 18‐month follow‐up suggested the TIDE program may have buffered the typical increase in body dissatisfaction over that period of time for adolescent girls. The authors recommend counselors explore qualities of God image and religious crisis with adolescent girls.     

Religion and Spirituality in Quality of Life Studies

The authors present their views on the current state of the art for research focused upon religion/spirituality and quality of life. Because of the undeniable influence of religion and spirituality at the macro-level of cultures, the internal and external worlds of individuals embedded in any culture are touched by religion and spirituality – even for individuals who deny any religious affiliation or beliefs. Religion and spirituality has already attracted attention from QOL researchers across a wide set of disciplines and should continue to do so in the future. The authors discuss approaches, topics and methodological issues that should be considered when researching religion/spirituality and QOL. Recommendations for future research are set in italics.     

Spirituality in Physical Health and Aging

A variety of research has documented the association between various measures of religion/spirituality and physical health outcomes. The purpose of this paper is to review the literature on this topic. The paper also discusses the mechanisms that are thought to underlie the associations found in the literature. Further, the paper presents several avenues along which future research might proceed in order to advance our understanding of these issues. The paper concludes by making a case for the need for empirical examinations of these issues in countries other than the United States. Particular focus is paid here to religion among older adults in Japan.