Book reviews

This paper reports findings from a study of the psychometric properties of a newly developed measure, the Spiritual Issues in Supervision Scale (SISS). The instrument was originally conceived in response to the growing need within the helping professions to understand the role of spirituality within clinical practice and supervision. While evidence supporting the internal consistency of the measure was obtained through a preliminary study, the present investigation provides a more detailed examination of the measure. Results reflect that the instrument in addition to being reliable, measures four dimensions of supervision that related to spirituality. Based on the findings of this study, conclusions are provided pertaining to the potential utility of the instrument.     

Spirituality and religion in training, practice and personal development

In the midst of a revitalized interest in spirituality and religion in Western societies, there has been reported a resurgence of activity regarding spirituality and religion in the mental health professions, including marriage and family therapy (MFT). Little is known, however, about the beliefs, behaviours, and training experiences of MFT graduate students. Therefore it is important to examine the training (education and supervision) needs in this area. For this initial study, a sample of US MFT graduate students were surveyed regarding their spiritual and religious attitudes and practices in their personal and professional lives. In most areas, graduate students were found to be similar to the previously published reports of practising professionals. In other areas, they report even more investment in spirituality and religion. The results of the survey suggest a need to include systematic attention to these areas in graduate training curricula and in the professional supervision process.     

Reciprocal maturities: Spirit and psyche in pastoral counseling and spiritual direction

This article uses a model for integrating spiritual and psychological maturity (Conn, 1989) in theological anthropology to contend that there is a reciprocal relationship not only between spiritual and psychological maturity but also between pastoral counseling and spiritual direction. I review Christian spirituality in terms of maturity in relationship: to self, to others, and to God. Next is an examination of the prevailing attitude in pastoral counseling toward spirituality and spiritual direction. Then Conn's integration is assessed — of spirituality with psychology, of spiritual direction with pastoral counseling — as a combination of spiritual and hermeneutical perspectives on the maturing self.     

Sexuality and Spirituality: A Humanist Account

Typical accounts of spirituality define it by association with religious faith and especially one's relationship with God. Without impugning the validity of theological considerations, this humanist account treats spirituality apart from them. Whereas the standard model of the human being is bipartite (body and mind), this paper distinguishes two dimensions within the human mind—psyche and spirit—and thus proposes a tripartite model (organism, psyche, and spirit). Attention to human spirit grounds an account of spirituality, and attention to organism and psyche introduces sexuality into the picture. Then, the reconciliation of sexuality and spirituality is nothing other than the integration of the human being: organism, psyche, and spirit. Granted that human spirit entails its own criteria for unbounded unfolding, such integration would generally express the ideals of spirituality proposed by the various religions. Psychotherapist and educator at     

Marriage and Family Therapy Graduate Students’ Satisfaction with Training Regarding Religion and Spirituality

Marriage and family therapists are likely to encounter religious or spiritual clients in their career and thus are encouraged to be aware of their clients’ religious and spirituality. This awareness is often fostered within graduate training programs. This study aims to examine graduate students’ incorporation of religion and spirituality in therapy and their satisfaction with the quality and amount of training programs’ adherence to religion and spirituality. A sample of 135 graduate students from American Association for Marriage and Family Therapy accredited programs completed the survey. Findings showed that graduate students with greater levels of religiosity and spirituality were more likely to perceive it important to address religion/spirituality in therapy and to perceive there is a need for religious/spiritual education. When controlling for religious and spiritual orientations, overall regression results revealed that not having a course on religion and spirituality and perceiving a need for religious/spirituality in education predicted lower satisfaction with the amount and quality of current training surrounding these dimensions. Implications demonstrate the need to address religious/spiritual concepts in the curriculum, supervision, and in marriage and family therapy training.     

Spirituality, Gender, and Supervisory Style in Supervision

This study used the following guiding question: Is gender associated with variations in perceptions of supervisory style and the frequency with which spiritual issues are addressed in supervision? Results suggest that spirituality is perceived relevant to numerous aspects of supervision. For example, findings indicate that a relationship exists between two characteristics of supervisory style and the frequency with which spirituality is addressed in supervision. Results also intimate that male therapists viewed male supervisors as addressing spirituality more frequently than female supervisors, and female therapists viewed female supervisors as addressing spirituality more frequently than male supervisors. Overall, these findings highlight the significance of spirituality within the context of supervision and underscore the critical need for attention to gender in the study of spirituality within clinical settings.     

The role of spirituality in building up the resilience of migrant children in Central America: bridging the gap between needs and responses*

Abstract

Academic research across different disciplines has evidenced that spirituality contributes significantly to the building up of resilience. Little research, however, exists on the relationship between spirituality and resilience among displaced children. Enquiring into this particular area is urgent not only because of the increasing numbers of displaced children in the world today but also because of the insufficiency of current responses, which fail to address children’s deep questions about life, themselves, the world and God. This paper argues that spirituality has the potential to answer these deep existential needs, and, by doing so, can constitute a key resilience factor for migrant children. Furthermore, it argues for the value of using interdisciplinary approaches to explore these issues. Through a qualitative investigation involving adult professionals working with migrant children and adult faith leaders and/or experts in spirituality, this paper provides new insights into how to understand the relationship between spirituality and resilience among displaced populations, and how to nurture migrant children’s spirituality in multi-faith and non-faith settings.     

Recognizing Spirituality as an Important Factor in Counselor Supervision

Despite the recent, growing emphasis on spirituality in the counseling and psychotherapy literature, information regarding spirituality and the supervision process is limited. The purpose of this article is to help supervisors and supervisees enhance awareness of spiritual values in supervision. Factors such as counselor competency, conceptualization of spirituality, cross‐cultural awareness, and the similarity of clients' and counselors' values form a foundation for developing effective intervention and supervision strategies. A series of research questions is proposed to spur a program of empirical exploration.     

‘And if not now,when?’: Spirituality,psychotherapy, politics

Abstract

Without collapsing distinct discourses into each other, the paper considers the linkages between spirituality, psychotherapy and politics. Changes are taking place in all three areas. Therapists who focus on the spiritual dimension as part of their ordinary work still tend to be marginalized. Similarly, the political dimensions of the client's experience often receive insufficient attention. The author offers an initial sketch of a new ‘anatomy of spirituality’: into social spirituality, democratic spirituality, craft spirituality, profane spirituality and spiritual sociality. He criticizes the practice of ‘safe therapy’, meaning therapy based on an object relations paradigm that represses the (incestuous) sexuality that lies at the heart both of the therapy encounter and the domain of spiritual values. The paper concludes with some thoughts about justice and an account of pertinent grassroots political developments.     

Establishing the Validity of the Spirituality in Clinical Training Scale: Measuring the Level of Integration of Spirituality and Religion in Family Therapy Training

The existing literature suggests that family therapy training programs are not adequately preparing students to address spiritual and/or religious beliefs as a resource for change in therapy. Therefore, this study sought to validate the Spirituality in Clinical Training Scale (SCTS) as a measure of the level of integration of spirituality and/or religion in family therapy training. Additionally, this study examined the latent associations among the subscales of the SCTS and measures of personal importance of spirituality, spiritual clinical competence, and spiritual self-exploration. Finally, given that the type of educational institution (i.e., religious compared to non-religious schools) may influence the extent to which spirituality is addressed in training, this study examined whether attending a religious or non-religious institution moderated the associations among the SCTS and constructs used to assess validity. A sample of 341 master’s and doctoral family therapy students completed an on-line survey for this study. The results suggest that the SCTS is a reliable and valid measure for assessing integration of spirituality into family therapy training. The establishment of this measure is important given that no previous scale measuring the integration of spirituality into therapy training exists. The results also suggest that spiritual self-exploration is associated with increased use of interventions that integrate spirituality into therapy. Implications for clinical training are discussed.     

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.     

The “religiosity gap” in a clinical setting: experiences of mental health care consumers and professionals

ABSTRACT

In Western countries, professionals in mental health care (“professionals”) tend to be less religious than “consumers”. This qualitative study explores the meaning of this “religiosity gap” for professionals and consumers in mental health care. Both a regular, secular and a Christian clinic in the Netherlands participated in this study. Content analysis was applied to 35 consumer interviews and 18 interviews with professionals. Consumers reported negative experiences (e.g., perceived disrespect and a lack of confidence) and/or negative expectations (e.g., misunderstanding and misinterpretation) related to a religiosity gap. They also mentioned advantages of a “religiosity match”, like safety and confidence and appreciated professionals’ religious/spiritual self-disclosure. Professionals in secular care setting tended to avoid religion and spirituality. In both clinics, they tended to neutralise religious/spiritual differences and be reticent in self-disclosure. Professionals are recommended to recognise the relevance of a religiosity gap and to consider different strategies in approaching religion/spirituality.     

Therapists’ Responses to Religious/Spiritual Discussions with Trauma Versus Non-trauma Clients

This research explores therapists’ reactions to discussions of religion and spirituality in secular psychotherapy. We used a mixed method design including qualitative and quantitative components to examine data from 14 mental health professionals. Therapists acknowledged the importance of, and outlined reasons for, engaging in religious/spiritual discussions. They provided examples of the diverse ways in which their own views on religion/spirituality have an effect on their therapeutic work. Therapists view attention to religion/spirituality in trauma therapy as necessary. They see an emphasis on religion/spirituality within the treatment of traumatized clients as possessing distinctive qualities in comparison to their treatment of other populations.     

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.     

Perspectives of Indian Traditional and Allopathic Professionals on Religion/Spirituality and its Role in Medicine: Basis for Developing an Integrative Medicine Program

Allopathic medical professionals in developed nations have started to collaborate with traditional, complementary, and alternative medicine (TCAM) to enquire on the role of religion/spirituality (r/s) in patient care. There is scant evidence of such movement in the Indian medical community. We aim to understand the perspectives of Indian TCAM and allopathic professionals on the influence of r/s in health. Using RSMPP (Religion, Spirituality and Medicine, Physician Perspectives) questionnaire, a cross-sectional survey was conducted at seven (five TCAM and two allopathic) pre-selected tertiary care medical institutes in India. Findings of TCAM and allopathic groups were compared. Majority in both groups (75 % of TCAM and 84.6 % of allopathic practitioners) believed that patients’ spiritual focus increases with illness. Up to 58 % of TCAM and allopathic respondents report patients receiving support from their religious communities; 87 % of TCAM and 73 % of allopaths believed spiritual healing to be beneficial and complementary to allopathic medical care. Only 11 % of allopaths, as against 40 % of TCAM, had reportedly received ‘formal’ training in r/s. Both TCAM (81.8 %) and allopathic (63.7 %) professionals agree that spirituality as an academic subject merits inclusion in health education programs (p = 0.0003). Inclusion of spirituality in the health care system is a need for Indian medical professionals as well as their patients, and it could form the basis for integrating TCAM and allopathic medical systems in India.     

From Working Through the Holocaust to Current Ethnic Conflicts: Evaluating the TRT Group Workshop in Hamburg

The TRT (To Reflect and Trust) approach of bringing together descendants of Holocaust survivors and descendants of Nazi perpetrators relies on group dialogues in which participants share their personal life stories, thereby enabling them to reflect on their personal and collective histories as victims and victimizers. This process was initiated and led by the second author—an Israeli psychologist and a specialist in group processes—in the context of the socially and historically contextualized approach to group interventions that he has developed. The present study describes a new phase of the TRT group that brought together, in the framework of a workshop, professionals from South Africa, Northern Ireland, and Israel and the Palestinian Authority—all of whom were working with victims and victimizers in current conflicts. Our question was whether the TRT process, using methods of storytelling to address a past catastrophe of human making, could help the professionals who try to help other people move out of current conflicts into peace-building. We found that the TRT storytelling approach facilitates the working through of current ethnic conflicts. Participants' responses to the workshop indicated the importance of the storytelling process and of the emotional support provided by the TRT group members. We focus here on the special significance of the group process between Germans, Jews, and Palestinians, which emerged as highly significant for the Jewish participants in their efforts to reconcile being both victims and victimizers (within two separate historical contexts: German/Jewish and Israeli/Palestinian).     

Spiritual Transcendence and Mental Health of Psychotherapists and Religious Professionals in a Hungarian Adult Sample

In this study we examine whether components of spiritual transcendence can explain individual differences in mental health in a Hungarian adult sample (N = 583), with a special focus on the associations in two subsamples, religious professionals and psychotherapists. Using the Spiritual Transcendence Scale (STS), we found that religious professionals presented higher Prayer Fulfillment and Universality than psychotherapists; however, members of both professional groups scored higher than other professionals on these dimensions. By contrast, psychotherapists were superior to religious professionals in Connectedness. Moreover, higher Universality predicted better mental health, even after controlling for gender, age, profession, and basic personality traits. No interaction effects were found between profession and the subscales of the STS. Results suggest that the potential mental health benefits of spirituality, especially in form of a universal view of existence, are equally present in both specific professions and in the general sample, whereas the professions themselves still reflect differences both in spirituality and in well-being.     

Spirituality in Occupational Therapy: Do We Practice What We Teach?

This mixed-method study examined the responses of 97 occupational therapists on the subject of spirituality in occupational therapy practice. The inclusion of spirituality into the Occupational Therapy Practice Framework (2008) implies that clinicians address spirituality as a component of client-centered practice. This research revealed a gap between education, theory, and practice as evidenced in the quantitative and qualitative data. Although occupational therapy is intended to be holistic, therapists require a more complete understanding of what spirituality is and what the role of the occupational therapist is when addressing spirituality in evaluation or treatment. The discussion of this research provides information for future occupational therapy educators and educational programs as they seek to incorporate the construct of spirituality into curricula.     

The Soul of Supervision: Counselor Spirituality

Because spirituality training for counselors and supervisors is vital to counselor development, the authors examined the relationships between purpose in life, the integration of spirituality into supervision, and the supervisory working alliance among a sample of supervisors and trainees. Supervisors reported a greater sense of purpose and spiritual discussion during supervision than trainees. Trainees' personal sense of purpose was positively related to spiritual discussions with a supervisor and to an emphasis on client issues in supervision.