Wednesday, January 21, 2015

Christian spirituality and the stages of change model



Christian spirituality and the stages of change model
By Jake Kohl

     In a world where intense conflict within the Christian community over godless psychology and whether it should be embraced will always be up for debate; especially when we live in a “culture that promotes freedom of religion, yet separation of church and state” (Cohen & Inaba, 2011, p. 9.28). Christians who study psychology is immediately confronted with truth claims that conflict with the Bible and which are opposed to Christian theology and doctrines. Thoughtful and honest Christians must determine how to resolve the conflicts in order to integrate psychology and Christianity. Christian spirituality and the stages of change model is an excellent topic on how each can be integrated and go hand in hand with each other. 

     Christian counselors can meet the client at each stage of change; for example, in the precontemplation stage, “individual therapy allows the therapist to explore reasons why a person has come into treatment” (Connors et al, 2013, p. 122). While this exploration takes place, the Christian counselor can integrate a biblical perspective with the client, especially when identifying the need and reasons for change. Counselors use question/answer based approaches to get the client to see through a lens that allows their minds to open up to a clearer picture of the need to change their behavior, particularly to the behavior of substance abuse. This is true through every step of the change model and is further built upon even after the maintenance stage. The therapist incorporates the God factor, or a biblical sin, love, forgiveness and healing perspective to the client in a way that the client can see his/her behavior as destructive and not aligning with the will of God.
The differing views between secular and Christian counseling, especially within the treatment arena, emerges simply from ones worldview. The downside to this is that "we can become so intent on avoiding a 'secular' worldview that we end up rejecting all that psychology and counseling theory have to offer" (McMinn, 1996, p. 21) including the stages of change. 

     There is evidence that the philosophical assumptions used by the various views of psychology are somehow mutually-compatible, even though they appear contradictory. There is great evidence that the 12-step programs or biblically based treatment programs are highly effective and work well.  Cohen & Inaba, (2011) state that, “a large number of empirical studies demonstrate a 60% to 80% correlation of better addiction treatment outcome to participation in 12-step or other spiritual practices” (p. 9.11). However, failure to understand the stages of therapy can hamper the process of recovery (p. 9.31).

     While there may be conflict over the various worldviews in the approach to treatment and conflicting views on a Christian approach verses a secular approach, the model of change is excellent in implementing change in the behavior(s) of an individual – it allows goal posts to be set and change be seen in a real world sense. While worldviews may differ; evidence points to a greater success using a Christian approach, but only when the Christian approach is incorporated with the science of proven research of successful treatment used in modern psychology.    



References

Connors, G.J., DiClemente, C.C., Velasquez, M.M., & Donovan, D.M. (2013). Substance Abuse
            Treatment and the Stages of Change (Second Edition). New York, NY: Guilford Press.

Inaba, D.S., & Cohen, W.E. (2011). Uppers, downers, all arounders: Physical and mental effects of psychoactive drugs (7th ed.). Medford, OR: CNS Productions. ISBN: 9780926544307

McMinn, Mark R. (1996). Psychology, theology, and spirituality in Christian counseling. Wheaton, IL: Tyndale House.

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