The purpose of this chapter is to help counseling psychologists increase their awareness, knowledge, and skills in working with religious and spiritual (R/S) clients. Counseling psychology-with its historic focus on cultural competence and promoting strengths in individual clients and communitiesoffers a unique fit with R/S beliefs, values, and communities. Many clients come to counseling with R/S beliefs and values, and they expect that counseling will involve respect of, if not accommodation to, their R/S beliefs and values. Some estimates suggest that more than half of all clients consider themselves religious (Gallup, 1995), and about 16% consider themselves highly religious (Gallup, 1995). Other clients may consider themselves to be spiritual but not religious. Because of the large number of clients who are R/S, it is important for counselors to build competency in this multicultural area. This includes (a) awareness of their own beliefs about R/S issues and clients; (b) knowledge about R/S clients, issues, and treatments; and (c) skills for working with R/S clients and issues. It is important to build knowledge and skills for addressing R/S issues in systemic settings, including respecting and involving religious professional counselors, clergy, health care professionals, chaplains, and others who work with R/S clients.In this chapter, we first define basic terms, including religion, spirituality, and R/S accommodation. Second, we discuss the importance of developing an awareness of one's own beliefs about R/S issues and clients. Third, we describe the integration of R/S into counseling and briefly review the extant research. Fourth, we give guidelines for integrating R/S into counseling. Fifth, we give guidelines for working with R/S leaders in a systemic perspective. Finally, we consider issues for training, supervision, and continuing education for counselors.
DEFINITIONSReligion can be defined as adherence to a belief system and practices associated with a tradition and community in which there is general agreement about what is believed and practiced regarding the sacred (Hill et al., 2000). Spirituality, in contrast, can be defined as a more general feeling of closeness and connectedness to the sacred. What one views as sacred is often a socially influenced perception of either (a) a divine being or object or (b) a sense of ultimate reality or truth (Hill et al., 2000). Many people experience their spirituality in the context of religion (i.e., religious spirituality), but not all do. Religious spirituality involves a sense of closeness and connection to the sacred, as described by a specific religion (e.g., Christianity, Islam, Buddhism). This type of spirituality fosters a sense of closeness to a particular god, higher power, or religious system. Three other types of spirituality have been hypothesized on the basis of different types of scared objects (Davis, Hook, & Worthington, 2008;Worthington & Aten, 2009). First, humanistic spirituality involves a sense of closeness and connection to humankind....