Spirituality, Religion, and Ethics in Mental Health Therapy



Presented and developed by Brenda Butterfield, EdD, MSW, LMHC


The Portland workshop has been rescheduled for March 10th.

Join us for a day of exploring what has been, until recently, a neglected and even shunned domain of client inquiry in clinical practice.  You’re invited to help bring our field into alignment with professional codes of ethics imploring us to provide culturally sensitive services.  Together we’ll learn about, discuss and experience ethical practices to assess and integrate clients' religious and spiritual beliefs and traditions into their mental health therapy.   

Many professional care providers, including mental health therapists, intentionally avoid topics of religion and spirituality in clinical practice. Attitudes of secular clinicians often range somewhere between what Garzon (2011) describes as a “don’t ask, don’t tell” attitude to one of outright disdain for the area of inquiry. Some therapists, however, converse openly with clients about their spiritual and/or religious beliefs.  They embrace this aspect of human identity as a cornerstone of the foundation for the work they do with clients.  Most would agree these therapists are few and far between, practicing behind closed doors.    Where do you fall on this continuum of attitude regarding spirituality and religion in mental health care? 

The field’s historical aversion to exploring this intimate domain of human identity is often explained by the antagonistic precedent set by many early leaders in psychology.  Freud viewed religious beliefs as “illusions, fulfillments of the oldest, strongest and most urgent wishes of mankind” referring to clients’ beliefs as “obsessional neurosis” (Freud, Future of an Illusion, 1927/1961, p.30 and 43 respectively).  Other leading behaviorists like Skinner, Watson and Ellis also found little value in the study or practice of religion and spirituality. They marginalized clients with such views by describing them as less evolved, psychologically unstable and even delusional (e.g., Ellis, 1971; Freud, 1927/1961 as cited by Plante, 2007). 

Moreover, 20th century behaviorist psychology prided itself on being a “serious science” shying away from topics like religion and spirituality to “emphasize the rigorous scientific approach to both research and clinical practice” (Plante, 2007).

But times have changed. Psychology now recognizes religion and spirituality as important aspects of human diversity and this new awareness has influenced revisions to professional codes of ethics. According to Garzon, “the ethics codes of all professional mental-health organizations now include religion and spirituality as important components of culturally sensitive treatment” (2011). So why the gap in practice?  

If increasingly recognized as an important aspects of one’s culture, similar to gender identity and sexual orientation, and if ethically obligated to provide culturally sensitive services, why is it we still routinely avoid assessing this aspect of human identity into our clinical practice?  How can we work together to affect positive, ethical change in our field? One way is by allowing ourselves to explore and learn more about this dimension of being human. 

“Dip your toe and ripple these still waters by joining us as we explore a variety of topics at the nexus of ethics, religion, spirituality and mental health therapy. Sound exciting? Stimulating? Even provocative? It’s sure to be all that and more as we construct knowledge together, boldly going where few secular clinicians ventured.  Together, we’ll learn about, discuss and experience ethical practices designed to respectfully access and integrate clients’ religious and spiritual beliefs and traditions into mental health therapy. According to Dr. Pargament, leading expert in the psychology of religion and spirituality, “There is, in short, good scientifically based reason to be more sensitive to religion and spirituality in clinical practice” (APA website, 2013).   

Learning Objectives 

  • Increase understanding of ethical implications for integrating/avoiding spirituality and religion in therapy
  • Increase self-awareness of personal beliefs and values regarding religion and spirituality
  • Learn about current trends in religious and spiritual practices in the US and worldwide 
  • Develop knowledge and understanding of research-based benefits for including religious and spiritual identity issues into mental health therapy
  • Explore, develop and increase knowledge of concepts including ethics, religion, spirituality, agnostic, atheist, humanist, etc. and the five major world religious practices
  • Learn about the role of religion and spirituality in mental and physical health as suggested by scientific research
  • Explore language and enhance vocabulary for discussing topics of religion and spirituality with clients
  • Develop knowledge and understanding about tools and the process for integrating religious and spiritual beliefs into assessment, treatment planning and service delivery



Continuing Education (CE) Information


6 CEs

6 Law and Ethics CEs.

Cascadia Training is a NBCC Approved Continuing Education Provider (Provider #: 6575.)  This workshop is also approved by the Washington State Office of Public Instruction as a "Washington State Approved Clock Hour Offering Workshop."




Brenda S. Butterfield, EdD, MSW, LMHC


Brenda Butterfield, EdD, MSW, LMHC is a strengths based social worker, metaphysical therapist and innovative teacher.  Her unique educational background mirrors her wide array of clinical experience in child welfare, mental health, substance abuse and education both domestic and abroad.

Dr. Butterfield received her Bachelor of Arts in Psychology from the University of Minnesota-Duluth in 1989.  She earned a Masters in Social Work from the University of Washington School of Social Work in 1998.  Recently she completed a Doctorate Degree in Education from the University of Minnesota in 2014, specializing in the Psychology of Teaching and Learning.

Prior to starting her private practice, Meta Counseling and Consulting, Dr. Butterfield was an award-winning faculty member of the Psychology Department at the University of Minnesota- Duluth.  During her tenure Dr. Butterfield received multiple awards from students, colleagues, and community organizations for teaching excellence and leadership.  She has presented at national and international conferences and was invited to serve as a Guest Lecturer teaching psychology courses at the University of Birmingham in England.  She has worked and throughout Africa, England, Europe and the Middle East.

In addition to teaching, Dr. Butterfield has over fifteen years of clinical practice working with children, youth, families, communities, and organizations.  Recently Dr. Butterfield returned to the Pacific Northwest and transitioned out of teaching in higher education to develop her private practice.  Serving youth, families, women, and organizations by emphasizing empowerment through self-reflection and psycho-education are her areas of expertise.

Dr. Butterfield's work reflects the nexus of education, psychology, and social work.  Her services are best described as holistic, strengths based, and goal oriented.  She uses a metaphysical approach, and when requested a spiritual approach, to support the development of full human potential.  In addition to individual, family, and group therapy, Dr. Butterfield presents workshops and provides consulting services to organizations, mental health practitioners, and parents of children struggling to succeed in school.




Upcoming Dates and Registration


Date: Friday, March 10th, 2017
Time: 9:00am - 4:30pm

Cost: $159.00 USD

Campus: Providence Willamette Falls Community Center, Oregon City, OR
Room:     Room A/B
Map:       Directions to our campus location.
Date: Friday, March 17th, 2017
Time: 9:00am - 4:30pm

Cost: $159.00 USD

Campus: Shoreline Center , Shoreline, WA
Room:     Ballinger room
Map:       Directions to our campus location.
Date: Friday, March 31st, 2017
Time: 9:00am - 4:30pm

Cost: $159.00 USD

Campus: Ramada Spokane Airport, Spokane, WA
Map:       Directions to our campus location.
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