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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

Chapter:
(p.402) Chapter 20 Religion and Spirituality
Source:
Psychotherapy Relationships That Work
Author(s):

Everett L. Worthington

Joshua N. Hook

Don E. Davis

Michael A. McDaniel

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199737208.003.0020

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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