Tratando aspectos espirituales y religiosos en la consejería
1. TratandoAspectosEspirituales y Religiosos en la Consejería Mariana T. Hernández University of Phoenix CNSL 592- Práctica de la Consejería Rosalyn Ortiz, PsyD 8 de agosto de 2009
9. Guíasparamanejaraspectosreligiosos/espirituales en la terapiapsicodinámica El terapeutadebeestarconscientesobre la relación y tensiónhistóricaqueexiste entre el psicoanálisis y la religión El terapeutadebetener un alcance mayor que la conceptualizaciónestrecha de Freud El terapeutadebeconsiderarexplorarlasrepresentaciones de Dios desdeunaperspectivapsicodinámica Las narrativasreligiosas y espirituales de los clientesdeben ser exploradas en la terapia El terapeutadebeestarconscientequelasasociaciones y experienciasreligiosas o espiritualesqueocurrenespontáneamente en la psicoterapia son únicas al ambienteterapéutico. Shafranske, 2009
10. Referencias Koenig, H.G. (2009) Research on Religion, Spirituality, and Mental Health: A Review. The Canadian Journal of Psychiatry,(54)5. p. 283-291 Reeves, R.R. & Reynolds, M.D. (2009) What Is the Role of Spirituality in Mental Health Treatment? Journal of Psychosocial Nursing, (47)3. p. 8-9 Shafranske, E.P. (2009) Spiritually Oriented Psychodynamic Psychotherapy. Journal of Clinical Psychology. (65)2. p. 147-157
Notas del editor
For example, standard measures of spirituality today contain questions asking about meaning and purpose in life, connections with others, peacefulness, existential well-being, and comfort and joy.
Clients are not challenged as to whether their ideas are infact based in reality or are illusions. Consistent with this perspective, cliniciansshould not enter into discussion of whether truth claims expressed in religiousbeliefs are true. They should not engage in theological discourse or question theveracity of religious and spiritual beliefs. To enter into such discussion wouldcollapse the transitional way of relating in which ideas are placed in categoriesneither of reality nor of illusion. Therapists who introduce nontherapeuticdiscourse (e.g., an intellectual discussion of faith claims) breach the therapeuticframework. The consequence would be the suspension of free association andwould foreclose further exploration and interpretation of the psychologicalmeanings expressed within these associations. Therapists must be careful to notengage in discussion of spirituality or to influence a client’s religiosity that isdisconnected from the goals of treatment. To do so would involve a boundarycrossing or violation, which may strain the therapeutic alliance and constitute alapse in ethical conduct.
Clinical Issues and SummaryReligion and spirituality are important features of diversity and for many clients aresalient to their mental health (Pargament, 2007; Sperry & Shafranske, 2005). Theprovision of spiritually attuned or spiritually oriented forms of psychotherapy isconsistent with the obligation to be clinically responsive to client values. Spirituallyoriented psychodynamic therapy places particular emphasis of religious and spiritualaspects, which, as William James (1902/1982) noted, are on the hither side ofconsciousness. Particular attention is placed on unconscious God representationsand on the impacts of religious objects, belief, narrative, and experience onpsychodynamics. Spiritually oriented psychodynamic psychotherapy is also mindfulto not reduce religious and spiritual experience to psychological categories, butrather to appreciate the role that spirituality may play in a person’s life and tofacilitate a process of discovery in which the client will come to relate ever more fullywithin existence, however conceived.