Revised Draft; published as: Praglin, L.J. (2004). Spirituality, religion, and social work: An
effort toward interdisciplinary conversation. Social Thought: Journal of Religion and
Spirituality in Social Work 23,4, 67-84
(see http://www.tandfonline.com/action/doSearch?AllField=praglin)
Spirituality, Religion, and Social Work:
An Effort toward Interdisciplinary Conversation
Introduction
Despite social work’s religious roots, in-depth inquiry regarding the relationship of religion
and/or spirituality to social work has been, until recently, disregarded in light of social work’s
ongoing quest for professionalization and scientific respectability (Marty, 1980; Trattner, 1989;
Hugen, 1994; Cnaan, 1999; Marty, 2001; Canda, 2002). Less easily investigated than empirically-
based data in the social sciences, issues regarding spirituality and religion have now reemerged as
legitimate area of inquiry in social work theory and practice (Canda & Furman, 1999; Van Hook,
2001). Some of this renewed interest has resulted from heightened awareness that culturally
competent practice embraces ethnic, class, gender, and age differences, but also spiritual diversity
(Derezotes, 1995; Bullis, 1996; Gilbert, 2000). Such recognition has proven especially significant in
understanding clients from various ethnic and racial minority groups (Lum, 1995; Canda and Furman,
1999; Cascio, 1999; Van Hook, Hugen and Aguilar, 2001; Sheridan 2002). Increasing recognition of
the critical influence of religious or spiritual factors in clients’ lives is reflected in the curriculum
policy statements of the Council on Social Work Education (1994), as well as by the Diagnostic and
Statistical Manual of Mental Disorders (DSM-IV) of the American Psychiatric Association (2000).
For the first time, the DSM-IV (V62.89) allows for the possibility of the V-code diagnosis of
"religious or spiritual problem.” This is used when the presenting issue includes “distressing
experiences that involve loss or questioning of faith, problems associated with conversion to a new
Spirituality, religion, and social work
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faith, or questioning of other spiritual values which may not necessarily be related to an organized
church or religious institution.” While such a designation may never be widely employed among
mental health professionals, the significance of its inclusion as a non-pathological variable by the
APA cannot be overstated. In addition, this decade has witnessed the emergence of the Society for
Spirituality and Social Work, as well as a symposia section on Spirituality within the Council for
Social Work Education’s annual meeting.
In the United States, and increasingly so internationally, social work mirrors a multitude of
helping professions which in the past decade have actively sought to integrate spiritual perspectives
into their knowledge base. These disciplines include medicine, nursing, pastoral counseling,
psychiatry, and psychology (Canda, 2002).
Religion and Spirituality in Historical Context
Some social work professionals applaud the newfound legitimacy of spiritual content within
their discipline. Norman Linzer, for instance, finds the spiritual and religious dimensions of human
life “vital areas of human functioning and service to clients is incomplete when they are overlooked”
(Linzer, 1999). Likewise, Sermabeikian (1994) asserts that, spirituality, as an overarching human
need, “is too important to be misunderstood; avoided; or viewed as regressive, neurotic, or
pathological in nature. Yet other social work professionals remain suspicious of such spiritual
inclusion. Unlike pastoral counselors, whose social location assumes familiarity with at least one
religious tradition in addition to counseling techniques, many social workers question not only
whether spirituality and social work mix well, but indeed whether they should do such stirring
(Sanzenbach, 1989; Clark, 1994). For some social work professionals, “religion” is equated narrowly
with rigidly dogmatic religious traditions or underlying coercive religio-political agendas which run
counter to social work goals and values, such as respect for personal autonomy and self-
Spirituality, religion, and social work
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determination, non-judgmental attitudes, inclusivity, and equality (NASW Code of Ethics, 1996).
Thus they legitimately fear pathological consequences of religious expression, such as passivity,
excessive guilt, or gender inequality (Joseph, 1988, Cascio, 1998, Loewenberg, 1988; Morrell, 1996).
Others wonder whether spirituality or religion are "private matters” more appropriately the domain of
the clergy. Some agency practitioners who rely heavily upon government funding, moreover, fear
that attention to religious issues may violate the separation of church and state, and thus the potential
for federal, state, or local support (Cnaan, 1999).
Like religious studies, the field of social work is by nature interdisciplinary. Social work,
however, grapples still with the highly divergent ideals of its founders. This hundred-year old legacy,
as Sharon Freedberg notes, consists equally of “religious stewardship, scientific professionalism, and
political idealism” (Freedberg, 1986). Such conflicting ideals have resulted, moreover, in a history of
struggles “within, between, and among the Judaeo-Christian value base from which the profession
evolved; on the scientific value of the ‘medical model’ and of Freudian theory; and on the political
social context of ideology and mission.” Such divergent motivations also help explain the current
heated debates over how, or whether, social work should engage spirituality and religion.
Tracing the development of spiritually sensitive social work in the United States, Canda
(2002) contends that professional social work grew slowly estranged from its overt religious
connections during the 1920’s through the 1970s. As social work became increasingly
professionalized, and also became heavily involved in public social welfare, it became more sensitive
to “the dangers of religious proselytization, moralistic judgmentalism, threats to separation of church
and state, and theological explanations of human behavior and social problems.” Although occasional
papers in the social work literature in the post-World War II era through the 1970’s concerned
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existential and humanistic spiritual perspectives and/or the influence of Eastern religions, these
perspectives remained still more the exception than the rule. Starting in the 1980’s, however, the
profession witnessed increasing interest in and need for diverse approaches to incorporating spiritual
and religious concerns, both in social work publications and at professional conferences,
corresponding to the wider trend among both clients and practitioners in exploring their religious
roots and spiritual identities.
Separating Religion from Spirituality
In addition to the above-mentioned recognition of the necessity of recognizing spirituality as
an element of cultural diversity, the resurgence of interest in dialogue between religion and social
work, I propose, is also the result of a particular sociocultural phenomenon within our current period
of history. We now widely question the positivistic stance of the social sciences, while also finding
ourselves searching for both psychological and spiritual meaning apart from religious institutions
(Berger, 1965; Luckmann, 1967; Roof, 1993; Wuthnow, 1998). Urbanization, modernization, and
technological advances have led not only to increasing anomie, as Emile Durkheim and his
successors have shown, but to the rise of greater psychological introspection (Homans, 1989). We
now seek quests for psychological as well as spiritual cure apart from those institutions which once
imparted for many a shared sense of meaning (Praglin, 1998). Although the inevitability of
secularization thesis has been seriously questioned, especially regarding the gradual removal of
"religious dimension" from public sphere (Ebaugh, 2001), we continue to witness the institutional
loss of authority by the clergy, as well as the rise of noninstitutionalized quests for meaning by a
generation which moves “across religious boundaries. . . combin[ing] elements from various
traditions to create their own personal, tailor-made meaning systems” (Bellah, 1985; Roof, 1993).
Spirituality, religion, and social work
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This current cultural trend has led Robert Fuller to speak of “unchurched religion,” or of
being “spiritual but not religious” (Fuller, 2001). Forty percent of Americans call themselves
“unchurched,” while twenty percent of Americans claim to be concerned with spirituality, but are not
religious in terms of espousing one particular system of belief or doctrine. Many social workers and
their clients, moreover, figure very much into this trend toward a non-institutionalized spirituality,
tending more than pastoral counselors to work with clients questioning their faith or seeking answers
outside of established religious traditions. The emerging social work literature which celebrates
spirituality generally refers to this kind of nontraditional religiousness, often reflected in frequent
references to alternative religious practices or beliefs, mysticism, or new age trends (Cascio, 1998).
Such claims of being “spiritual but not religious” are witnessed widely today, despite the reservations
of some religious studies scholars wary of this generic sense of spirituality, unconnected to particular
texts, traditions, or communities. "So many people," Martin Marty comments, "now speak in terms
of, 'I'm not religious, but I'm spiritual.' . . . Those of us who study religion say that this is just one
more of the religions that are out there" (Marty, 2001). To Marty, many professionals speak of such
spirituality as a safer and easier way to dodge the inconveniences of institutional demands, and keep
controversies over church and state at bay. Yet, as Franz Metcalf has commented, such distinctions
have become widespread and meaningful for many: “People really use these terms, as you know.
Shall we attempt to retrain them? Who are we to do so? What is it they are expressing?” (F. Metcalf,
personal communication, 2002)
Despite the embrace of noninstitutionalized spiritual currents by some social work scholars
and practitioners, it is significant that social workers also claim full-scale adherence to the social
justice legacy and claims of the profession, as delineated in the Code of Ethics of the National
Association of Social Workers (1996; revised 1999; online at http://www. socialworkers.org). The
Spirituality, religion, and social work
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strong emphasis here upon the societal obligations of the social worker is significant and unique
among the helping professions, reflecting the inherited political idealism of the profession. In
contrast, the Code of Ethics of Pastoral Counselors does not tie directly such social awareness and
activism against poverty, discrimination, and oppression to its Code of Ethics (retrieved 11/06/02
from http://www.aapc.org/ethics.htm), although individual practitioners may very well espouse
values similar to those espoused by the social work Code of Ethics.
The NASW Code has attempted to define social work’s mission, key values, and ethical
principles through the following six primary values: service; social justice; dignity and worth of the
person; the importance of human relationships; integrity; and competence. Adherence to such values
further develops human well-being within both individual and social contexts, assists in meeting
fundamental human needs, and empowers those who are poor, weak, and oppressed.
Social workers accept dual responsibility to clients and the wider society. They therefore advocate
“socially responsible self-determination” in their clients, whether individuals, families, or groups,
through respectful recognition of differences and strengths in all `individuals and cultures. Social
workers, moreover, strive to ameliorate oppression, poverty, discrimination and other types of social
injustice by understanding the nature of both diversity and oppression related to race, ethnicity,
national origin, gender, sexual orientation, age, religion, or disability. Such work may take the form
of direct practice, or it may involve social administration, community organization, policy making, or
education and research.
Spirituality and Social Work: Four Responses
Social work scholars and practitioners have, I suggest, approached the question of whether, or
how, to integrate religion and/or spirituality in one of four typical ways: 1) resistance or avoidance; 2)
Spirituality, religion, and social work
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an overly-generalized syncretism; 3) a radical separation of the terms spirituality and religion for
ideological reasons; or 4) a genuinely interdisciplinary engagement of the two disciplines, based upon
solid knowledge of the history and conflictual legacies of the profession.
The first response, resistance or avoidance of the dialogue altogether, is typical of those social
work professionals who equate “religion” with a narrow, rigid religious traditions, personal
pathology, or an underlying coercive religio-political agenda. Such incorporation would, therefore, be
antithetical to social work goals and values, such as respect for personal autonomy and self-
determination, non-judgmental attitudes, and equality. They legitimately fear what they foresee to be
the damaging consequences of religious expression, such as passivity, excessive guilt, or gender
inequality (Siporin, 1985; Joseph, 1988, Cascio, 1998, Loewenberg, 1988; Morrell, 1996). Others
wonder whether spirituality and religion are matters more appropriately the domain of the clergy.
Some agency practitioners also legitimately fear that attention to religious issues may violate the
separation of church and state, and thus the potential for federal, state, or local support (Cnaan, 1999).
A second response tends to be completely the opposite of the first. Here, there is an overly easy
embrace of the spiritual dimension as completely complementary to social work without considering
potential difficulties and dangers. Social workers who venture into the spiritual realm do tend to
stress the holistic nature of their discipline, and the importance of addressing needs of the total
person, rather than simply symptoms of individual problems. Yet some adapt such insights into an
overly indiscriminate syncretism. A similar sort of consensual, “no conflict” model is evocative of
the post-World War II embrace of psychiatry by U.S. religious leaders who became wholehearted
“avatars of psychiatry” (Abbott, 1980; Praglin, 1998). Have social workers now similarly become
“avatars of spirituality” without acknowledging it? Seemingly unaware of long-standing scholarship
about religion and spirituality in other fields, many social work professionals writing about
Spirituality, religion, and social work
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spirituality, moreover, publish their findings largely in social work journals, often citing only one
another, without extending their boundaries to incorporate a broader conceptualization of the topic.
To their credit, however, some social work scholars are aware of such dilemmas. William Powell’s
review of Edward Canda’s Spirituality in Social Work (1998), for instance, conveys his concerns over
the book’s contents, which he finds “a bit disturbing” due to their lack of focus. The chapters include
topics as diverse as “intuition in social work practice and education, Taoism and the strengths
perspective, psychospiritual crisis and death, the relation between church and state, and commentary
by the editor on needed connections between spirituality and social work . . . This points to the fact
that social work’s body of knowledge and literature on this topic, is limited, and must look beyond its
narrow confines”:
There's perhaps a bit too much narrow intellectual inbreeding here and a sign that the profession
should reach outside of its boundaries to incorporate a broader conceptualization of spiritual
subjects and issues. It seems unwise to examine one's own professional literature too exclusively
for a "conceptualization" of spirituality while largely ignoring the extremely rich body of
literature in a multitude of other fields and from a variety of minds (Powell, 2000).
A third recent response to social work and spirituality issue among social workers has involved a
highly complex terminological argument disguised in one-dimensional terms. This third response
proposes an almost complete separation of the terms “religion” and “spirituality.” While religious
studies scholars tend to define religion broadly as a culturally shared system of values, beliefs and
rituals which include spiritual concerns, social work scholars propose that “religion” be considered
much more narrowly in terms of specific worship practices, formal denominational affiliation, or
explicit participation in a faith organization: the external expression of a compilation of beliefs.
Spirituality, on the other hand, is viewed as interiorized religiosity (Cascio, 1998), the internal
expression of the basic human quest “for purpose, meaning and connection between oneself, other
people, the universe, and the ultimate reality, which can be experienced within either a religious or a
Spirituality, religion, and social work
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nonreligious framework” (Sheridan & Amato-von Hemert, 1999; see similar definitions by Joseph,
1988; Sanzenbach, 1989; Derezotes, 1995; Canda, 1997b; Canda & Furman, 1999).
This terminological line of reasoning is well received among those in the social work field
responsive to the non-institutionalized, nontraditional quests for meaning and purpose described by
Roof, Bellah, Fuller, Wuthnow, and others, cited above. Notably, both Jewish and Christian social
work scholars accept such language (Joseph, 1988; Linzer, 1999). Yet, such a contention, albeit often
fueled by ideological reactions to rigid and narrow sectarian interests, is largely conducted in a
manner not accountable to the historical and cultural legacy of those terms. It is, moreover, largely
alien to the academic fields of religious studies and to the humanities and social sciences generally.
Significantly, for instance, we find no entry for “spirituality” in the Encyclopedia of Religion (1987)
but can learn much about this concept by turning to articles about spirituality within particular
religions traditions (King, 1989).
Responding to the current spirituality trend in social work education (Miller, 2001), Marty
(2001) helps by contextualizing some of the resurgent conflicts arising between liberals and
conservatives. He reminds us that many of social work’s roots were religious, before most
professionals felt a need to distance themselves from religion.” Referring to an earlier article (Marty,
1980), Marty cites the counter-reaction of religionists, such as followers of the evangelist Billy
Sunday: “the clients of social workers would not stand where the ‘god-less’ wanted to place them.
Those clients often asked religious questions, and not to respond to their situations often meant
failing them. Social workers could not permanently shun these issues” (Marty, 2001).
Addressing the work of Canda, Marty finds that he and his advocates “talk about many of the
same things clergy and religionists in general talk about: ‘a sense of meaning, purpose, and
connectedness’”:
Spirituality, religion, and social work
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Try doing that without intersecting with the concerns of faith and religion. . . . To Canda's credit,
he is aware of all these difficulties, and he does not promote easy paths to acceptance of his
efforts. Perhaps more than he is aware, as chaplains are also finding out, code-naming something
‘spiritual’ . . . is not a way of avoiding the controversies that go with ‘religion.’ To anyone
concerned about religion, spirituality, or faith in the public sphere, here is one more alert: it is not
credible to address profound human needs without touching upon ‘meaning, purpose, and
connectedness.’ And it is very difficult to refer to and use those concepts appropriately (Marty,
2001).
A fourth response to the spirituality and social work conversation has also emerged. This fourth
approach insists upon a serious interdisciplinary engagement of spirituality and religion within social
work theory and practice. It recognizes conceptual and ideological differences between the two
disciplines, however, and is wary of easy answers. Such an approach also identifies the contending
ideological motivations of social work’s founders; acknowledges those forces that have disengaged
religion from social work; and recognizes our broader intellectual traditions which do not easily
separate the concept of religion from that of spirituality. Such awareness and common grounding
allow for genuine engagement in substantive, cross-disciplinary research and discussion. Without
these, the academic disciplines of religious studies and the social work will continue to remain
disparate and isolated.
Assuming a basic grounding of the conversation in terms such as those proposed above,
participants may then explore freely and creatively a variety of topics from a multiplicity of
viewpoints, thus enriching both fields. Canda, moreover, envisions such interdisciplinary encounters
to be increasingly global, embrac[ing] all people and all beings” (Canda, 2002). His approach to
spirituality remains highly generalized and thematic; one notes that his Spiritual Diversity in Social
Work Practice (Canda & Furman, 1999) includes only 35 pages, and one chapter out of nine, on
specific religious traditions and practices. To Canda, however, devoting more attention to separate
religions runs the risk of sectarianism and exclusivity, and encourages “a narrow definition of
Spirituality, religion, and social work
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spirituality that limits it to formal religious beliefs and institutions,” which runs directly counter to
social work values of empathy, unconditional positive regard, social justice, and realization of human
potential (Canda and Furman, 1999, 67).
In contrast to Canda’s volume, Van Hook, Hugen and Aguilar’s Spirituality within religious
traditions in social work practice (2002) acknowledges that while spirituality many be considered
apart from religion, they choose to anchor their text “in the context of particular religious traditions
and in terms of the sense of meaning and connection that religion can provide” (Van Hook, Hugen &
Aguilar, ix). This text is divided into fourteen chapters, twelve of which focus upon specific religious
traditions, each with a brief history, an outline of beliefs, rituals and practices, and a discussion of
implications for social work practice. The benefits of this approach include its acknowledgment of
the broad intellectual and historical context of various spiritualities, from which one may then more
readily discuss degrees of variation, acculturation, and alienation within each tradition. Nevertheless,
this text unfortunately displays great variability in the quality of its various contributed chapters. One
hopes that future editions will contain additional scholarship which more uniformly reflects a serious
engagement between social work and the historical and spiritual dimensions of each religious
tradition.
Educational Implications
Surveys of social work professionals over the past decade show that the majority of social
workers lack of knowledge of religious subject matter, and thus find themselves inadequately trained
to undertake spiritually competent social work practice with clients (Sheridan, Wilmer & Atcheson,
1994; Canda and Furman, 1999). Yet such educational preparation, once sorely lacking in the
curriculum, is slowly emerging in many programs of social work at both the baccalaureate and
master’s levels (Dudley & Helfgott, 1990; Netting, Thibault & Ellor, 1990; Amato-von Hemert,
Spirituality, religion, and social work
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1994; Canda, 1997a; Russel, 1998; Miller 2001). We now witness educational attempts to introduce
social workers to spiritual concepts and practice applications, although the content and quality of
such courses vary widely.
Social work departments within religiously-affiliated universities, not surprisingly, tend to
have the least difficulty incorporating this interdisciplinary undertaking. The Jesuit Saint Louis
School of Social Service, for instance, offers a course on spirituality and social work, in which the
spiritual dimension is justified as integral to the practice of social work:
The dignity we assign to human life is intrinsically related to a person or a society's values,
beliefs, and understanding of the existential meaning of life. Such archetypal experiences as
birth and death, joy and suffering, alienation and belonging, dishonesty and justice are core
issues in the lives of individuals and communities. Thus, social workers need to be prepared
to respond ethically, responsibly, and effectively to the spiritual meanings undergirding
peoples' human experiences and religious beliefs (retrieved 11/15/02 at
http://www.ihpnet.org/ss0.htm).
Similarly, the Catholic University of America’s course in “the spiritual/religious dimensions of social
work practice,” taught by M. Vincentia Joseph, finds an exploration of such dimensions to be
“consistent with the profession’s historical view of the nature of the person, a holistic conception,
more recently elaborated as the bio-psycho-social-spiritual perspective” (retrieved 12/22/02 at
http://ncsss.cua.edu//Outlines/sss661.pdf).
Roberts Wesleyan, the sole member of the Coalition of Christian Colleges and Universities
with an accredited graduate social work program, similarly finds that the spiritual dimension of
human life “unifies and gives purpose to human encounters within the layers and textures of the
environment and social interactions with other humans.” The spiritual perspective is seen as part of
an essential, synergistic dimension of the ecological model of social work practice. While finding that
“spirituality can be found in religious observance and worldviews that involve structure and
organization,” the course also acknowledges that for some individuals, “spirituality is individual and
Spirituality, religion, and social work
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private, but equally important in guiding behavior” (retrieved 10/14/02 from
http://www.roberts.edu/_/?path=/Social%20Work%20and%20Social%20
Sciences/Master%20of%20Social%20Work/Academic%20Information/&bookmark=90Church
%20Social%20Work.htm#).
Other institutions, either public or less overtly sectarian, tend in their spirituality courses to
stress the importance of understanding diverse religio-cultural viewpoints, as well as practitioner self-
awareness. The spirituality and social work course at the University of Pennsylvania, for example
“considers how spiritual and religious systems are related to diversity, including gender, social class,
ethnicity and culture, and sexual orientation.” The course, moreover, “strives to seek a balance in
exploring the universalistic as well as the pluralistic in relationship to spirituality. Some pluralistic
religious and/or spiritual traditions are studied as they exemplify commitments of spirituality and as
they intersect with a more universalistic spirituality” (retrieved 10/14/02 from
www.ssw.upenn.edu/home/programs/msw-courses.html)
Similarly, the University of Chicago offers a course in spirituality and social work practice
that employs both theological and current psychological texts to consider “the meanings and
assumptions practitioners and clients bring to the psychotherapy experience”:
Students are encouraged to examine their own religious beliefs and the ways these elements
inform and influence their practice. Clients’ belief systems are highlighted because attitudes
and experiences regarding spirituality and religion are a significant element of self-
understanding and development. (retrieved 10/14/02 from
www.ssa.uchicago.edu/programs/approvedhumdiv.shtml ).
Practice Implications and Guidelines
A recent survey by M.C. Gilbert has found that most social work practitioners consider
recognition of spiritual issues essential to a holistic clinical approach (Gilbert, 2000). Likewise,
Spirituality, religion, and social work
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Canda & Furman (1999), who compiled the results of several national surveys on the topic, found
most social workers to be members of religious or spiritual groups, and already utilize a broad range
of spiritually-oriented practices in their work. Less than ten percent of those surveyed, moreover,
found that addressing religion and spirituality in social work practice conflicted with social work’s
mission or the NASW Code of Ethics:
Nearly 80% of the respondents believe church/state separation does not prevent them from
dealing with religion in practice and 91% believe it does not prevent them from dealing with
non-sectarian spirituality in practice. These findings confirm that most social workers are
already likely to feel that dealing with spirituality and religion in practice is consistent with
professional values (Canda & Furman, 1999).
The question for most practitioners, then, is not whether, but how, to incorporate spiritual
perspectives into social work practice. Guidance has come from several writers, suggesting essential
competencies, values, skills and practical strategies for spiritually sensitive and ethically-based
intervention. Gilbert’s survey has indicated that the vast majority believe such practitioners must
possess in-depth information about spiritual development and assessment; be able to advocate for
spiritual diversity in groups; and be well-informed about community religious resources for purposes
of consultation, referral and support (Gilbert, 2000). Above all, however, these surveys convey the
widespread admonition that social workers dealing with religious and spiritual issues be able to
recognize clients’ rights to self-determination in their varied quests for spiritual transformation. To
avoid both judgmentalism and the imposition of one’s own values, this means that workers must first
possess solid spiritual grounding and self-awareness, and recognize the influence of inevitable
personal biases or unresolved spiritual issues (Sheridan et al., 1992; Anderson & Worthen, 1997;
Cascio, 1998; Gilbert, 2000). Kilpatrick and Holland (1990) observe, moreover, that one is less
inclined to be judgmental with clients, or to experience damaging countertransferential reactions, if
one has seriously examined his or her own spirituality.
Spirituality, religion, and social work
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In social work, practitioners tend to follow a stage or task-based approach with clients--
whether individuals, families, or groups--which includes the following steps: defining issues;
assessing needs; collecting and assessing data; planning and contracting; selecting and implementing
appropriate courses of action; monitoring and evaluating outcomes; and termination. These tasks are
carried out with a view toward empowering the client and building on his or her strengths, which may
very well include religious or spiritual resources (Cascio, 1998; Bullis, 1996). The social worker in
the assessment stage may employ techniques such as genograms and spiritual histories to garner
spiritually-related information in the assessment process (McGoldrick & Gerson, 1985). The
genogram may illumine influences and tendencies through the generations, while the spiritual history
may help identify the client's spiritual development, practices, beliefs, and influences of the family of
origin (Sheridan et al., 1992; Bullis, 1996). This spiritual history may also help the social worker
ascertain current conflicts, as well as potential sources of strength for the client, and thus help in
formulating reasonable therapeutic objectives (Bullis, 1996).
In the intervention stage of practice, the social worker and client may work to introduce or further
incorporate spiritual practices meaningful to the client, such as meditation, prayer, or various rituals
(Canda, 1990; Derezotes, 1995). Whether or not a social worker should pray with the client remains
controversial, however; in such cases, it may be beneficial to consult with a clergy member or a
pastoral counselor (Canda, 1990). Cascio (1998) reminds practitioners to use caution generally in
employing prayer, meditation, or ritual, and to be fully aware of possible boundary implications. She
suggests that social service agencies provide training and clear guidelines to workers in regard to
such practices. Barach (1997) similarly underscores the necessity of in-depth knowledge of religious
ritual, and possible collaboration with clergy, to ensure that clients’ religious and spiritual needs are
addressed appropriately. At the same time, therapists need to consult the ethical standards of their
Spirituality, religion, and social work
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professions to avoid imposing their values upon those with whom they work. Clients with
dissociative disorders, for instance, may present significant struggles around issues of “moral
responsibility, the meaning of their pain, the duality of good and evil, the need for justice, and basic
trust in the benevolence of the universe.” Depending upon the religious background, culture, and
spiritual practices of the client, such questions may also lead to a consideration of exorcism rituals to
rid the self of demonic, “not-self” personalities. Such rituals may actually allow certain clients “to
rearrange images of their personality systems in a culturally syntonic manner,” observes Barach. Yet
therapists should exercise extreme caution before even considering such an approach. Such rituals,
she stresses, “have not been shown to be an effective treatment for DID [Dissociative Identity
Disorder], have not been shown to be effective for ‘removing’ alternate personalities, and have been
found to have deleterious effects in two samples of DID patients that experienced exorcisms outside
of psychotherapy” (Barach, 1977, retrieved 2/22/03 from http://www.issd.orgindexpage/isdguide.
htm#diag).
Social workers also find that spiritual dimensions of practice often manifest themselves when
clients grapple with questions of “why me?” often in relation to chronic or life-threatening illnesses
(Millison, 1998). In fact, Cascio argues, failing to acknowledge a spiritual component at these times
may mean that the social worker is not handling these situations optimally (Cascio, 1998). Drug and
alcohol recovery programs as well often involve getting in touch with a spiritual dimension and
learning to depend on this “higher power” for guidance and strength. Yet, among progressives in the
addictions field, C. Morrell notes, there has been a longstanding avoidance of spirituality. This
avoidance has stemmed largely from associations to organized, conservative religion, which Morrell
and others have perceived as potentially abusive and exclusive, or overly “otherworldly,”
discouraging necessary political or social action. “These are real concerns, but they are not factors
Spirituality, religion, and social work
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inherent in recognizing a spiritual dimension in life,” Morrell concludes, pointing out that many
recovery programs avoid indoctrination and proselytizing, and instead encourage a broader concept
of spirituality as a form of liberation. In-depth knowledge of the roots of Christian spirituality, as well
as observation about the functional nature of the divine within a particular clinical situation, allows
Morrell to envision a recovery program which employs spirituality in the service of empowerment.
He views the incorporation of spirituality within substance abuse programs to “inspire and sustain
people to move beyond external and internalized oppression. . . . Beliefs and experiences that connect
them to others and challenge discouragement can be thought of as spiritual; they invigorate and
empower people. (Morrell, 1996, 309).
Conclusion
As mentioned above, a fourth response to the spirituality and social work conversation
involves a serious interdisciplinary engagement of spirituality and religion within social work theory
and practice. This approach, however, distinguishes conceptual and ideological differences between
the two disciplines, and is wary of easy answers. It realizes that neither social work nor spirituality
can be easily identified with one tradition or ideology; identifies those forces that have disengaged
religion from social work; and recognizes that many of our broader intellectual traditions do not
easily detach the concept of religion from that of spirituality. Such awareness and common grounding
allow for genuine engagement in substantive, cross-disciplinary research and conversation. Without
these, religious studies and the social work will continue to persist as separate disciplines,
inaccessible to each other.
To be sure, social work will continue to struggle with how to practically integrate incorporate
a spiritual perspective into social work's mission. That is where religious studies and related other
Spirituality, religion, and social work
Page 18
disciplines may be step in to provide perspective and their own “war stories.” Fields such as religious
studies may help social work in clarifying the concept of spirituality by situating the search for
meaning historically and sociologically. It may suggest methods of incorporating spirituality in
practice and in the social work curriculum. It may help social workers discern potential ramifications
of particular religio-political agendas, especially critical in these times which have eagerly embraced
the idea of faith-based organizations. Finally, it may help identify the ethical difficulties in using
spiritual practices in programs receiving federal funds. Although the above represents a complex
enterprise, such difficulty in itself should not justify abandoning the undertaking.
By further engaging interdisciplinary, intellectual traditions of the wider academy, social
work will strengthen itself as an academic field. By acknowledging its own conflicting foundational
history, social work practitioners will be empowered to fully consider the ramifications of the
sectarian agendas often surrounding the public embrace of spirituality. In return, social work may
contribute mightily by reminding us of its inherited legacy of social justice and client empowerment.
In bringing the disciplines of religious studies and social work into a mutually enriching,
interdisciplinary conversation, we may choose to adopt the social work approach of combining a
solid knowledge and skills base, alongside the cardinal maxim of client self-determination. As this
conversation continues to grow and evolve, the meaning of spirituality will “likely overflow the walls
the profession tries to erect around it,” as Edward Canda notes. Therefore, he concludes, “perhaps we
should start where the client is and define it as broadly and inclusively as it is visited in the minds and
lives of our diverse clients” (Canda & Furman, 1999).
Spirituality, religion, and social work
Page 19
REFERENCES
Abbott, A. (1980). Religion, psychiatry and problems of everyday life. Sociological Analysis 41(2),
164-71.
Amato-von Hemert, K. (1994). Should social work education address religious issues? Yes! Journal
of Social Work Education, 30, 7-11.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th
ed.). Washington, DC: author.
Anderson, D. A. & Worthen, D. (1997). Exploring a fourth dimension: Spirituality as a resource
for the couple therapist. Journal of Marital and Family Therapy, 23, 3-12.
Barach, P.M. (1997). Guidelines for Treating Dissociative Identity Disorder (Multiple Personality
Disorder) in Adults. International Society for the Study of Dissociation. Retrieved 2/22/03 from
http://www.issd.org/indexpage/isdguide.htm#diag .
Bellah, R.N., Madsen, R., Sullivan, W.M., Swidler, A., & Tipton, S.M. (1995). Habits of the
heart. Berkeley: University of California Press.
Berger, P. (1965). Towards a sociological understanding of psychoanalysis. Social Research 32, 26-
41.
Bullis, R. (1996). Spirituality in social work practice. Washington, DC: Taylor and Francis.
Canda, E. R. (2002). A world wide view on spirituality and social work: Reflections from the USA
experience and suggestions for internationalization. Currents: New scholarship in the human
services, 1(1). Retrieved 11/15/02 from http://fsw.ucalgary.ca/currents/canda1/canda.htm
Canda, E.R. & Furman, L.D. (1999). Spiritual diversity in social work practice: The heart of helping.
New York: The Free Press.
Canda, E.R. (1997a). Does religion and spirituality have a significant place in the core HBSE
curriculum? Yes. In M. Bloom and W.C. Klein (Eds.), Controversial issues in human behavior in the
social environment. Boston: Allyn & Bacon.
Canda, E. R. (1997b). Spirituality. Encyclopedia of Social Work. 19th ed. National Association of
Social Workers (1997). Alexandria, VA: NASW Press.
Cascio, T. (1998) Incorporating spirituality into social work practice: a review of what to do.
Families in Society: The Journal of Contemporary Human Services, 523-531.
Cascio, T. (1999). Religion and spirituality: Diversity issues for the future. Journal of Multicultural
Social Work 7(3/4), 129-45.
Clark, J. (1994) (1994). Should social work education address religious issues? No! Journal of Social
Work Education, 30, 12-15.
Cnaan, R. (1999). The newer deal: social work and religion in partnership. New York: Columbia
University Press.
Council on Social Work Education. (1994). Curriculum policy statements for master’s and
baccalaureate social work degree programs. Alexandria, VA: Author.
Spirituality, religion, and social work
Page 20
Council on Social Work Education. (1994). Handbook of accreditation standards and procedures.
Alexandria, VA: Author.
Danylchuk, L.S. (1992). The pastoral counselor as mental health professional: A comparison of the
training of AAPC fellow pastoral counselors and licensed clinical social workers. Journal of Pastoral
Care, 46(4), 382-391.
Derezotes, D.S. (1995). Spirituality and religiosity: Neglected factors in social work practice. Arete,
20(1), 1-15.
Dudley, J.R., & Helfgott, C. (1990). Exploring a place for spirituality in the social work curriculum.
Journal of Social Work Education, 26(3), 287-294.
Ebaugh, H.R. (2002). Presidential address 2001, Return of the sacred: Reintegrating religion in the
social sciences. Journal of the social scientific study of religion 41:3, 385-395.
Freedberg, S. (1986). Religion, profession, and politics: Bertha Capen Reynolds' challenge to social
work. Smith College Studies in Social Work, 56/2: 95-110.
Fuller, R. (2001). Spiritual, but not religious: Understanding unchurched America. Oxford
University Press.
Gilbert, M.C. (2000) Spirituality in social work groups: Practitioners speak out. Social Work with
Groups, 22 (4), 67.
Homans, P. (1989). The ability to mourn: Disillusionment and the social origins of psychoanalysis.
Chicago: University of Chicago Press.
Hugen, B. (1994). The secularization of social work. Social Work and Christianity. 21(4): 83-101.
Joseph, M.V. (1988). Religion and social work practice. Social casework: The Journal of
Contemporary Social Work 69, 443-452.
Joseph, M.V. (1987). The religious and spiritual aspects of clinical practice: A neglected dimension
of social work. Social Thought 13(1), 12-23.
Joseph, M.V. Syllabus for course entitled, Spiritual/religious dimensions of social work practice.
Catholic University of America. Retrieved 12/22/02 at http://ncsss.cua.edu//Outlines/ sss661.pdf).
King, W. (1987). Religion. Encyclopedia of Religion, ed. M. Eliade. New York: Macmillan, 282-293.
Kilpatrick, A.C. & Holland, T.P. (1990). Spiritual dimensions of practice. The clinical supervisor, 8,
125-40.
Linzer, N. (1999). Resolving ethical dilemmas in social work practice. Boston: Allyn and Bacon.
Loewenberg. F. (1988). Religion and social work practice in contemporary American society.
N.Y.:Columbia University Press.
Luckmann, T. (1967). The invisible religion: The problem of religion in modern society. New York:
Macmillan.
Lum, D. (1995). Culturally competent practice: a framework for understanding diverse groups and
justice issues, 4th ed. Pacific Grove, CA: Brooks/Cole.
Spirituality, religion, and social work
Page 21
McGoldrick, M., & Gerson, R. (1985). Genograms in family assessment. New York: W. W. Norton
& Co.
Marty, M. E. (1980). Social service: godly and godless. Social Service Review, 54 (4), 4463-4481.
Marty, M.E. (2001) Sightings: Religion and social work 7/2/01. Retrieved 7/4/01 from
http://divinity.uchicago. edu/sightings/archive_2001/sightings-070201.html Martin Marty Center,
University of Chicago Divinity School.
Miller, D.W. (2001). Programs in social work embrace the teaching of spirituality. Chronicle of
Higher Education, May 18, 2001. Retrieved 5/31/01 from http://chronicl.com/free/v47/i36/
36a01201.htm
Millison, M.B. (1988). Spirituality and the caregiver: Developing an underutilized facet of care.
American Journal of Hospice Care (5) 2, 37-44.
Morrell, C. (1996). Radicalizing recovery: Addiction, spirituality, and politics. Social Work, 41, 306-
312.
National Association of Social Workers (1996). Code of ethics of the National Association of Social
Workers. Silver Spring, MD: author.
Netting, F.E., Thibault, J.M., & Ellor, J.W. (1990). Integrating content on organized religion into
macropractice courses. Journal of Social Work Education, 26, 15-24.
Powell, W.E. (2000). Review of E.R. Canda’s Spirituality in social work: New directions (1998).
Families in Society: The Journal of Contemporary Human Services 81 (1), 105-106.
Praglin, L.J. (1998). The rabbinate after Freud: American rabbinical responses to psychological
thought and practice, 1912-1980. Ann Arbor, MI: UMI Dissertation Services.
Roof, W.C. (1993). A generation of seekers: Spiritual journeys of the baby boom generation. San
Francisco: Harper Collins.
Russel, R. (1998). Spirituality and religion in graduate social work education. Social Thought, 18(2),
15-29.
Sanzenbach, P. (1989). Religion and social work: It's not that simple! Social Casework: The Journal
of Contemporary Social Work, 70, 571-574.
Sermabeikian, P. (1994). Our clients, ourselves: The spiritual perspective and social work practice.
Social Work, 39/2, 178-183.
Sheridan, M.J. (2002). Spiritual and religious issues in practice. In A. Roberts and G. Greene (eds.)
Social Workers’ Desk Reference, New York: Oxford Univ. Press, 567-571.
Sheridan, M.J., Wilmer, C.M., & Atcheson, L. (1994). Inclusion of content on religion and
spirituality in the social work curriculum: A study of faculty views. Journal of Social Work
Education, 30(3), 363-376.
Sheridan, M.J., Bullis, R.K., Adcock, C.R., Berlin, S.D., & Miller, P.C. (1992). Practitioners’
personal and professional attitudes and behaviors toward religion and spirituality: Issues for
education and practice. Journal of Social Work Education 28(2), 190-203.
Siporin, M. (1985). Current social work perspectives on clinical practice. Clinical Social Work
Journal, 13, 198-217.
Spirituality, religion, and social work
Page 22
Trattner, W.I. From poor law to welfare state: a history of social welfare in America. 4th ed. New
York: Free Press, 1989.
van Hook, M., Hugen, B., and Aguilar, M. (eds.) (2001). Spirituality within religious traditions in
social work practice. Pacific Grove, CA: Brooks/Cole.
Wuthnow, R. (1998). After heaven: Spirituality in America since the 1950’s. Berkeley: Univ. of
California Press.
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