“…This response to the case study expresses a clinical attitude formed within three related contexts with which some readers may be unfamiliar-pastoral psychotherapy (Grant, 2001;Pangerl, 2008;Cooper-White, 2007;Schlauch, 1985Schlauch, , 1987Schlauch, , 1995; the supervision of psychoanalytically-oriented psychotherapy (Berman, 2000;Eckstein & Wallerstein, 1958;Fleming & Benedek, 1983;Frawley-O'Dea & Sarnat, 2001;Gill, 2001;Jacobs, David, & Meyer, 1995); and pastoral theology (Ashby, 2003;Gill-Austern & Miller-McLemore, 1999;Purves, 2004;Woodward & Pattison, 2000). Pastoral psychotherapy is a relationship of care that is structured in clinical sessions of set duration (usually fifty minutes) at a set time every week, in a process that may last several years.…”