Trends in the Scientific Study of Religion, Spirituality, and Health: 1965–2000

The present study examined the degree to which interest in religion, spirituality, and health has changed in psychology and the behavioral sciences over the past few decades. To accomplish this, searches were conducted on the PsycINFO database between the years 1965 and 2000. Three basic searches were conducted combining the word “health” with the following search terms: 1. (religion OR religious OR religiosity) NOT (spiritual OR spirituality); 2. (spiritual OR spirituality) NOT (religion OR religious OR religiosity); and 3. (religion OR religious OR religiosity) AND (spiritual OR spirituality). The rate per 100,000 articles was then calculated for each of the three search-terms: religion, spirituality, religion and spirituality. A significant upward trend across years was found for the rate of articles dealing with spirituality, r(34) = .95, p<.001, and religion and spirituality, r(34) = .86, p<.001. A significant downward trend was found for articles that only addressed religion, r(34) = −.64, p<.001. The consequences of these trends are discussed.Dr. Andrew J. Weaver is a United Methodist minister and clinical psychologist. He is the Associate Publisher of Zion’s Herald, an independent religious journal founded in 1823 and is co-author of numerous professional and popular articles and eleven books. His recent book titles include Counseling Survivors of Traumatic Events and Reflections on Grief and Spiritual Growth.Dr. Kenneth I. Pargament is professor of clinical psychology at Bowling Green State University. Dr. Pargament has published over 100 articles on the meanings of religion and spirituality, the vital role of religion in coping with stress and trauma, perceptions of sacredness in life, and psychospiritual treatment. He is author of The Psychology of Religion and Coping: Theory, Research, Practice.Dr. Kevin J. Flannelly has been the Associate Director of Research at The Health Care Chaplaincy since 2001. Dr. Flannelly has published more than 100 studies in various areas of psychology and he has worked in the field of religion, spirituality and health since 1996. He recently published a review and analysis of the methodological quality of research on religion and health in the Southern Medical Journal.Julia Oppenheimer is a Ph.D. student at the University of Oregon, studying child development and clinical practice in the Clinical Psychology program. She has conducted research on the etiology and treatment of anxiety disorders, as well as publishing a number of studies on religion and mental health. Her current research on the development of children’s self-perceptions of personality is funded by a National Science Foundation Graduate Research Award. Correspondence to Dr. Kevin J. Flannelly, kflannelly@healthcarechaplaincy.org.     

An empirically-based rationale for a spiritually-integrated psychotherapy

In this paper, we offer an empirically-based rationale, for a particular kind of psychotherapy, spiritually-integrated psychotherapy. Drawing on several lines of research we note that: (1) spirituality can be a part of the solution to psychological problems; (2) spirituality can be a source of problems in and of itself; (3) people want spiritually sensitive help; and (4) spirituality cannot be separated from psychotherapy. We then discuss the defining characteristics of spiritually-integrated psychotherapy. It is based on a theory of spirituality, empirically-oriented, ecumenical, and capable of integration into virtually any form of psychotherapy. The paper concludes by considering potential problems associated with spiritually-integrated psychotherapy, including the risks of trivializing spirituality as simply a tool for mental health, reducing spirituality to presumably more basic motivations and drives, imposing spiritual values on clients, and overstating the importance of spirituality. Perhaps the greatest danger, however, is to neglect the spiritual dimension in psychotherapy. This paper sets the stage for the articles in this special issue of MHRC which describe the development and evaluation of several innovative approaches to spiritually-integrated psychotherapy.     

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.     

Learning about Spirituality Together with “Seekers”

The present era, often referred to as post‐secular, has in many places seen a resurgence in spirituality. Nevertheless, the contemporary quest for spirituality is unique in the sense that many people do not expect to have their spiritual needs fulfilled within the structures of organized religion, starting on a journey of their own explorations instead. Sociologists of religion, therefore, tend to employ the “dwellers” and “seekers” paradigm to account for this phenomenon. This paper will explore this phenomenon in the context of the Czech Republic, whose citizens are frequently characterized as distrustful toward institutional religiosity, through the lens of the recent World Council of Churches' affirmation on mission and evangelism, Together towards Life: Mission and Evangelism in Changing Landscapes (TTL). For our purpose, the statement's emphasis on both “transformative spirituality” and “mission from the margins” will be of central importance. Using the notion of transformative spirituality as the energy engendered by the Spirit for the transformation of life and creation, it will be suggested that “seekers” can be agents in God's mission of liberation, reconciliation, and transformation, despite their inability or unwillingness to identify themselves with the church as institution. Keeping in mind ethical considerations, the paper will not seek to make a case for a forced “christening” of the seekers. Rather, it will argue that they can become partners in missio Dei, thus giving the notion of “mission from the margins” a new, contextually relevant dimension.     

Bridging the Divide

Abstract

Women who consider themselves traditional or conservative in the context of religious practice often experience tremendous conflicts regarding the integration of same-sex emotional and sexual feelings with their religion and spirituality. Current religious teachings about homosexuality make this combination difficult as only heterosexual sexuality within marriage is permitted in most orthodox faiths. Further, the way that spirituality and sexuality are conceptualized as opposing dichotomous categories (e.g., body vs. soul) presents women with a framework where integration does not seem possible. Observant women who come to psychotherapy often experience tremendous distress, guilt, depression, and even suicidality due to the conflict between their sexual feelings and religious doctrine. Relieving the distress, and resolving the conflicts while honoring the emotional complexity of sexual feelings, spirituality, and religious orthodoxy can present tremendous dilemmas for the practitioner as well as the client. Using the example of psychotherapy of an Orthodox Jewish woman who integrated same-sex desire into her life, this article describes psychotherapy process and alternative ways of viewing spirituality and sexuality that permit possible resolutions for clients.     

“SCIENCE–RELIGION SAMVADA” AND THE INDIAN CULTURAL HERITAGE

This article seeks to delineate some of the fundamental philosophical traits that are special characteristics of the Indian cultural soil. Tracing these from the Vedic period, it is shown that this heritage is still alive and gives a distinctive flavor to the science–religion dialogue in the Indian context. The prevalent attitude is not to view science and religion as antagonistic, but rather as forces that together could create a world where the persistent epistemological and ethical problems can get resolved to the benefit of humanity. In Indian thought rationality and spirituality are not viewed as opposed categories. The notion of “evidence” has played a crucial role in all enquiries for legitimizing the sources of knowledge and the criteria by which any claim to knowledge can be tested. References to investigations pertaining to such areas as cosmology, ecology, ethics, study of consciousness, and so on are made in order to bring out their relevance for science–religion dialogue today.     

Spirituality and Religion: Implications for Counselors

In recent years, the topics of spirituality and religion have become more evident in the counseling literature. It seems logical that these areas could be of great interest to those in the counseling profession. This article summarizes W. R. Miller and C. E. Thoresen's (2003) overview of the field of research dealing with spirituality, religion, and health. Possible roles for spirituality and religion in counselor education and school counseling are highlighted.     

“Out on the edge of my comfort”: Trainee counsellor/psychotherapists' experiences of spirituality in therapy—A qualitative exploration

The integration of spirituality into counselling and psychotherapy poses complex challenges. Personal spirituality, professional competency and ethical considerations may impact on trainees' experiences of integrating spirituality into therapy. This study adopted an inductive, qualitative approach to explore trainee counsellor/psychotherapists' experiences and perceptions of integrating spirituality into therapy. Six trainee counsellors and psychotherapists were recruited using purposive sampling from a professional counsellor and psychotherapist training institution in the UK. In‐depth, semi‐structured interviews were conducted, audio‐recorded and transcribed verbatim. Thematic analysis of the interviews revealed two overarching themes: spirituality provides support but needs a warning; and spirituality is relevant but undervalued. These themes encompass a wide range of trainee concerns associated with integrating spirituality into therapy. Participants reported that they felt unprepared to work therapeutically with clients' spiritual beliefs. However, the value of spirituality in providing support to both the trainee and their clients was highlighted by several participants. Some participants described integrating clients' spirituality as having a positive impact on the therapeutic relationship, but often felt threatening to the trainee. This research has implications that are important for counselling and psychotherapy training and developing enhanced consideration of client spirituality and the interpersonal environment in which therapy is delivered.     

How Separable Are Spirituality and Theology in Psychotherapy?

The authors respond to D. A. Helminiak's (2001) article “Treating Spiritual Issues in Secular Psychotherapy.” They focus particularly on Helminiak's argument for secular spirituality (whether spirituality can be independent of theology/religion) and his inherent biases in discussing the nature and existence of spirituality. The authors argue that all spiritual conceptions have theological implications—and thus a theology, broadly defined—and that theology, in this sense, pervades the theory and practice of all psychotherapists, whether or not they are religious.     

A systematic review of research on religion and spirituality in the Journal of Traumatic Stress: 1990–1999

Surveys reveal that religion and spirituality are highly valuable to many people in times of crisis, trauma, and grief. The relationship between coping with trauma and the use of various spiritual beliefs is well established. The importance of clergy in trauma recovery is also well documented. A review of the 469 research and non-research articles published between 1990 and 1999 in the Journal of Traumatic Stress revealed that 8.7% (6/69) of non-research articles, 4.1% (15/366) of quantitative research articles and 2.9% (1/34) of qualitative research articles considered religion or spirituality in their work. Analysis of variance found a significant overall increase in the percentage of articles that mentioned religion/spirituality between the first half (1990–1994) and the second half (1995–1999) of the study period. The results are discussed in the context of the trauma research and in comparison to related disciplines. Recommendations for future research and clinical application are suggested for both traumatologists and religious scholars.     

Ethical considerations of integrating spiritual direction into psychotherapy

Integrating spirituality and religion into clinical practice or psychotherapy has become a significant area of interest in the mental health field today. This article focuses more specifically on integrating spiritual direction into psychotherapy, discusses ethical issues involved, and suggests ethical guidelines for the appropriate and helpful use of spiritual direction in the context of psychotherapy and counseling.     

Introduction: Special Issue on Spirituality and Adult Development, Part I

This article describes the purpose of the 3-part Special Issue on Spirituality and Adult Development, and the contents of Part I. Developing individuals express their belief that spirituality plays a key role in their development, yet developmental psychologists have given comparatively little attention to this factor. The concept of spirituality is seldom considered separately from that of religion. The purpose of this Special Issue is to begin to remedy this neglect. This introduction is a summary of the 6 empirical and theoretical articles that form Part I.     

The Worldviews of Healing Traditions in the East and West: Implications for Psychology of Religion

This article will compare the worldviews of psychotherapy traditions in Eastern and Western culture, particularly the therapeutic factors and principles indigenous to the Chinese culture. The author will first define the meaning of culture and psychotherapy from a postmodern anthropological approach. By referring to history and literature in the study of cultural psychology, a comparison will be made between the value systems lying behind therapeutic methods used in the East and West. This includes the worldviews on the body and mind, the self, mental health, relationship, community, healing, and spirituality. Lastly, a famous Chinese legend will be used as an example to illustrate how worldview differences between the East and West determine the goals and process of psychotherapy. It is hoped that psychology of religion would be sensitive to the underlying worldviews across different cultures, without imposing its definition of “mental health” and method of “healing,” as different religions embody different cultural traditions as well. It is argued that whether spirituality or religion is helpful to the wellbeing of local people, it should be defined by the local persons and expressed in their mother tongue. Hence a psychology of religion for Chinese people should respect its customs of healing and particular set of worldviews.     

Trends in Publication of Spirituality/Religiosity Articles in Critical Care Populations

Research on spirituality and religion (S/R) is receiving more attention as healthcare staff recognize the importance of treating the whole person. This is especially pertinent in critical care, where patients and families deal with a multitude of issues. As not all research comes exclusively from theologically educated authors, this study explored publication trends of S/R articles in critical care. Findings indicated medically credentialed professionals, not chaplains and/or pastoral care staff, constituted the majority of authors in S/R articles.     

Have We Found the Holy Grail? Theory of Mind as a Unifying Construct

Theory of Mind (ToM) refers to a person’s ability to understand that another person has his or her own unique way of thinking and feeling. ToM is a well-known and rapidly expanding field of research in the neurosciences, cognitive, social sciences, evolution, and brain imaging. This review article expands ToM into areas where there has not yet been research. We propose that ToM could illuminate the relationship between religion/spirituality and health, and could provide the lingua franca for the hundreds of schools of psychotherapy. We discern two different kinds of spirituality: personal versus impersonal. Empathy is central to ToM research and is also central to mental health training and practice. ToM illuminates familiar topics in a new light. For example ToM reveals a close link between psychology and spirituality in self-efficacy and locus of control research.     

Creating a Space for Spiritual Practice: Pastoral Possibilities with Sexual Minorities

Is a religious gay person an oxymoron? It appears possible, given that the research on religion and spirituality among sexual minority individuals is so limited. While books written on the intersection of religion and psychotherapy may include a chapter addressing the religious and spiritual lives of lesbian, gay, and bisexual (LGB) individuals, there are no critical texts focusing solely on this issue. In this paper, we review some of the most recent research on homosexuality, religion, and spirituality, and discuss how LGB individuals may integrate these two identities. A case presentation is offered and implications for pastoral counselors and methods of supporting the integration of the spiritual/religious identity in tandem with a LGB identity are also discussed.     

Religious Identity Status as a Model to Understand,Assess, and Interact With Client Spirituality

Spirituality and religion are important concerns for many people; consequently, counselors must possess the knowledge and skills required for assisting clients with these issues. This article offers a conceptual framework, based on E. H. Erikson's (1980) notion of identity formation, for understanding, assessing, and discussing spirituality and religion. Religion can play a significant role in the structure of identity and can be categorized into four statuses: Diffusion, Foreclosure, Moratorium, and Achievement. Religious identity status can provide direction and guidance for counselors who wish to integrate spirituality and religion into counseling.     

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.     

An Integral Psychology Response to Helminiak's (2001) “Treating Spiritual Issues in Secular Psychotherapy”

This article is a response to D. A. Helminiak's (2001) “Treating Spiritual Issues in Secular Psychotherapy” from the perspective of K. Wilber's integral psychology. The article consists of 3 sections: (a) a selective summary of integral psychology, including the perennial philosophy, 10 levels of development, lines of development, temporary states, types of orientations, the self, and the 4 quadrants; (b) various conceptual issues; and (c) usefulness to mental health practitioners (MHPs). Although D. A. Helminiak's endeavor to formulate a clear and functional definition of spirituality is commended, his claim of novelty is shown to be unwarranted. It is argued that K. Wilber's integral model is more comprehensive, clear, coherent, and helpful to MHPs.