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Psychotherapy Relationships That WorkEvidence-Based Responsiveness$
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John C. Norcross

Print publication date: 2011

Print ISBN-13: 9780199737208

Published to Oxford Scholarship Online: May 2011

DOI: 10.1093/acprof:oso/9780199737208.001.0001

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Religion and Spirituality

Religion and Spirituality

(p.402) Chapter 20 Religion and Spirituality
Psychotherapy Relationships That Work

Everett L. Worthington

Joshua N. Hook

Don E. Davis

Michael A. McDaniel

Oxford University Press

Many clients highly value religious and spiritual (R/S) commitments, and many psychotherapists have accommodated secular treatments to R/S perspectives. We meta-analyzed fifty-one samples from forty-six studies (N = 3,290) that examined the outcomes of religious accommodative therapies and nonreligious spirituality therapies. Comparisons on psychological and spiritual outcomes were made to a control condition, an alternate treatment, or a subset of those studies that used a dismantling design (similar in theory and duration of treatment, but including religious contents). Patients in R/S psychotherapies showed greater improvement than those in alternate secular psychotherapies on both psychological (d = .26) and spiritual (d = .41) outcomes. Religiously accommodated treatments outperformed dismantling-design alternative treatments on spiritual (d = .33) but not on psychological outcomes. Clinical examples are provided and therapeutic practices are recommended.

Keywords:   psychotherapy, religion, spirituality, therapy relationship, meta-analysis

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