Psychotherapy and spirituality: Techniques, interventions and inner attitudes

The purpose of this research was two-fold: to describe ways that therapists are consciously incorporating a spiritual dimension into their practice, and to identify the connection between the developmental level of the therapists and techniques, interventions, rituals, and inner attitudes (TIRIA) used in their incorporation of the spiritual into psychotherapy. The methodology had three phases. In Phase One, 215 questionnaires were mailed, of which 140 were returned. The responses indicated a variety of educational experience, professional trainings, religious backgrounds, spiritual experiences, and clientele. Thirty-five respondents were selected for a Phase Two phone call, which had two purposes: to select the sample for Phase Three interviewing, and to gather a description of TIRIA by asking for vignettes. Sixteen calls were half-hour interviews, while appointments were made with 12 others for a Phase Three two-hour interview. The interviews were divided into two parts, one to administer the Fowler Faith Development Interview (Fowler, 1982), and one to ask for vignettes. After administering the interviews, the analyses revealed that ten face-to-face interviewees scored at Stage Five or above. Fowler was sent two interviews, but he could not corroborate these scores, because of inadequate probing. Sixty-five techniques were classified as humanistic, bodywork, transpersonal, psychic, or unique. Eight interventions and twenty-one rituals emerged. Inner attitudes proved to be the key to the transpersonal psychotherapist. Each of them had a spiritual awakening, which shifted how they perceive themselves and their clients. All practice spiritual disciplines, meditation in particular. Six interviewees were profiled to show their personal and professional evolution. The conclusions are that spirituality can be incorporated into psychotherapy through a variety of TIRIA. Therapists can learn new transpersonal TIRIA and can learn to adapt traditional techniques to include the spiritual component. Such therapists are enthusiastic about their practice, indicating an absence of evidence of burnout. More significantly, it appears that a prerequisite for any incorporation of spirituality is the choice of a spiritual path, the practice of meditation and/or work with a spiritual director. Eventually the therapist\u27s inner spiritual Self becomes more important than any TIRIA