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Perspectives on Social Work, Religion, and Spirituality

By Roland Meinert, Ph.D.

An increased emphasis on religious and spiritual diversity is a recent development in both education and practice as measured by curricula in schools of social work and by articles in social work journals. Even though specific courses in religion and spirituality are not required in the curricula of social work education programs, they are appearing more frequently as electives. Religion and spirituality conceptually fall within the broader category of cultural diversity, and all social work education programs must include content about them in the curriculum as an accreditation requirement.

Books and articles in professional journals on these topics have increased significantly in the past few decades. Christian social workers in particular have institutionalized the movement by creating both the North American Association of Christians in Social Work and a professional journal. Since 1990 there has been a Society for Spirituality and Social Work emphasizing the non-religious aspects of the topic. The Council on Social Work Education (CSWE), the national accrediting body for social work education, recently published a comprehensive bibliography with over seven hundred entries on the topics of religion, spirituality, and cultural diversity (Canda, et al., 2003). While it is true that professional social work as it took shape in the beginning of the twentieth century traced its philosophical foundation to Judeo-Christian principles, this influence was not strong and certainly by mid-century it began to shed them in favor of a secular humanist orientation. In a somewhat conceptually unbounded fashion, this article discusses several perspectives related to social work, religion, and spirituality.

Religion and Social Welfare in the Past

In the first quarter of the seventeenth century as the colonists established permanent settlements in the United States, their energy and effort was directed toward survival and adaptation to the wilderness more than it was toward the role of religion in their lives. Concern about the welfare of others was low on the list of individual and community priorities. It is true that the colonists had incredible opportunities, but they lacked an organizational and institutional infrastructure to deal with social and health problems. The population was sparse, and natural resources were abundant, with opportunities to acquire land as Native Americans were displaced. As communities and towns formed and some degree of social stability emerged, persons with serious needs began to appear. There were health problems, orphans, poverty, the aged, vagrants, criminals, and the "distracted" (mentally ill). In response to these needs the colonists turned to "models" from their countries of origin, with the major influence coming from England. These influences were a blend of both compassion and punitiveness. People in distress were first expected to help themselves, then to turn to family, and as a last resort to seek community resources.

It was not until after the time of the American Revolution that the country began to define a social welfare institutional structure different from that in the Old World. However, the achievement of sovereignty and the adoption of a constitution did not bring about revolutionary changes in the approaches to social welfare. Alexander Hamilton wanted the new constitution to be interpreted loosely and broadly, which might include a role for the federal government in the area of social welfare. On the other hand, Thomas Jefferson argued for a strict interpretation and a limited role for government. The Jeffersonian view prevailed and local towns and counties, and not the federal government, assumed the major role in social welfare. County poorhouses, orphanages, and correctional institutions were established at the local level and administered by political appointees with little conception of what they were expected to accomplish.

In the post-revolutionary period the population considered to be poor, disenfranchised, and in need of assistance were primarily viewed as possessing moral defects. There had been a dramatic increase in the number of immigrants, many of whom were Catholics from Ireland and Germany who settled in Eastern cities and lived in neighborhoods with poor housing and unsanitary conditions. The dominant Protestant majority believed they were being overrun by ragged, uncouth, different, un-Christian, and seemingly immoral newcomers. Thus the underlying philosophy for social welfare during the post-revolutionary period included both a moralistic and punitive orientation. Social welfare agencies, both public and private, were infused with mainline Protestant principles, and religion and social welfare commingled. Evangelical Protestants believed in "moral treatment" for those who had fallen into a "sinful" life characterized by crime and alcoholism. At the dawn of the Civil War the concept of "moral treatment" prevailed throughout social welfare. Illustrative of this approach were institutions for delinquents which emphasized education for employment and religious training to instill improved moral character. As a carryover from colonial times, persons in need were categorized as either "worthy" or "unworthy" to receive help and services, a cultural dichotomy that remains to this day.

Toward the last quarter of the nineteenth century, the Charity Organization Society (COS) movement began to appear in major cities. This was one of several developments that eventually led to the establishment of the profession of social work. These societies functioned to provide both relief and the coordination of effort between other organizations. The staff was comprised of volunteers and mainly affluent, white, Protestant women called "friendly visitors." Although not as pronounced as in earlier times, there remained the belief among the cadre of friendly visitors that people found themselves in need because of moral defects and not necessarily because of social conditions or poor economic times. In another development the settlement house movement recognized the effect of environmental conditions that led to human misery and complimented the focus on the alleged individual defects.

Although not strongly embedded in the political culture, the Hamiltonian view for an increased role for the federal government in the lives of citizens was gaining favor. By the end of the nineteenth century the two tracks of private and public social services were well established. The early years of the twentieth century ushered in a progressive era in social welfare and the advancement of social work as a profession. Also during this period organizations under the auspices of several religions began to provide social and health services on a broad scale. This has continued to the present time. Catholic, Protestant, and Jewish agencies as well as the Salvation Army operate social and health service institutions numbering in the thousands across the country. In recent decades as ethnic populations have increased, particularly Muslims, ethnic groups have established agencies and organizations to provide support for members who find themselves in need.

Both long-established as well as newer agencies expecting to function in a non-controversial political and cultural environment now find that they face new challenges because of contemporary social, political, and economic changes. A central problem for agencies under religious auspices is raised by social work's recent adoption of a postmodern epistemology (Hutchison, 1998). Hutchinson points out that religions include sets of shared beliefs or practices and interpretations of reality that exist over time within the tradition of the institution itself. This is in contrast to postmodernism, in which reality is solely interpreted by the individual within the immediate experiential context without reference to external systems of belief. In the postmodern perspective an adherence by the individual to a traditional belief system should be ignored because it blocks the path to authentic self-actualization. The two perspectives could not be in greater conflict. In the religious, the highest level of spiritual attainment comes through organizing one's behavior and living within a set of institutionalized beliefs or practices, while in the postmodern these beliefs must be deconstructed in order to achieve the same goal.

Social Work Rediscovers Religion and Spirituality

Approximately in the mid-1980s information about religion and spirituality began to appear in a more pronounced fashion in social work education and practice. However, it did not appear without a struggle and this was more apparent in the field of education than in that of practice. Prior to the 1980s a small but very vocal contingent of social work educators and some practitioners advocated for the inclusion of information about religion and spirituality in social work education programs. They presented a two-pronged rationale for their position. First, because social work was unambiguously committed to the preparation of culturally sensitive and competent practitioners, content about religion and spirituality should be included in social work education programs. They argued that to ignore this content would deprive practitioners of the ability to understand the cultural context of the clients they served. The second rationale argued from the position of findings in the social and psychological sciences. Earlier social workers had believed that a holistic view of personhood only included the dimensions of physical, psychological, and social. Evidence became available that a truly holistic perspective of the person must also include the spiritual. Therefore, schools of social work were required to teach about personhood along the dimensions of a bio-psycho-social-spiritual frame of reference. Spirituality thus became one component of the holistic conceptualization of personhood. Those who were writing about social work and spirituality also began to explore perspectives that were closely related to it such as transpersonal psychology, deep ecology, and cosmic consciousness (Besthorn, 2001).

Religion and Spirituality in the Social Work Literature

Books about the topic of religion and spirituality in social work began to be published mainly in 1988 and thereafter. A search revealed one book in the 1930s (Niebuhr, 1932) and another in the 1950s (Johnson, 1956). Then, beginning in 1988 they became more frequent. There is no distinct focus in the books on either religion or spirituality and many of them address both religious and spiritual issues. Of the book titles reviewed, most focused on spirituality and not religion. If there is any general pattern among the books, it is that information about religious and spiritual issues is necessary if the clients of social workers are to be understood holistically and within the clients' unique cultural backgrounds and contexts. Along with this theme, many believe that in order to be competent in practice the social worker must explore with clients the religious and spiritual aspects of their lives. Religion and spirituality oftentimes are an integral part of the constellation of problems being presented for help.

Reviews of the social work journal literature reveal that there are about 700 articles that fall within the domain of religion, morality, ethics, spirituality, and cultural diversity that have appeared since the mid-1950s (Canda, et al., 2002). When reviewing the titles of the articles from 1921 through 2000, a total of 120 were identified as pertaining specifically to religion and/or spirituality. Table 1 shows the number of articles in each decade in this category since 1921. Clearly the social work literature confirms that the last two decades of the twentieth century contain the corpus of writings on this subject.

TABLE 1.
Religious/Spiritual Social Work Journal Articles 1921-2000

Decade No. of articles % of articles
1921-1930 3 2.5%
1931-1940 0 0
1941-1950 0 0
1951-1960 5 4.2%
1961-1970 4 3.3%
1971-1980 3 2.5%
1981-1990 40 33.3%
1991-2000 65 54.2%
TOTAL 120 100%

Three reasons explain why nearly 90% of the articles have appeared during the past two decades.

First, after the mid 1970s there was a dramatic increase in the number of social work journals, particularly after commercial publishers such as Haworth Press and Sage entered the field. Since that time the number of social work journals has doubled. Also since that time several journals began publication under the auspices of schools of social work and social service organizations. With the increase in the number of social work journals there was a concomitant rise in the number of articles about religion and spirituality.

Second, as noted earlier, in the 1980s there was a concerted and sustained effort on the part of some social work educators to introduce religion and spirituality into the educational process. These were mainly educators from Christian and Jewish traditions who argued that social work had limited the holistic understanding of personhood by only including bio-psycho-social dimensions. After much organizational infighting the spiritual dimension was added. The foundation philosophy of early social work was based on a set of Judeo-Christian principles which became anathema in the late 1960s and early 1970s when secular humanism began to replace it. At that time religious influences were submerged — or actually denigrated — until the fear that practitioners might proselytize clients was overcome. The realization also emerged that spirituality was much broader than adherence to a religious tradition.

The third reason was the commitment of social work to the goal of educating students who would be culturally informed, sensitive, and competent in their practice. This could not be accomplished unless students were exposed to content about a variety of cultures, ethnic and racial groups, and religious traditions. Students would also need to learn how to remain open and sensitive to the individualistic ways in which their clients sought to enrich their lives in a spiritual fashion.

To a large degree the journal literature about religion and spirituality tends to dichotomize the two foci. As indicated in Table 2, the 120 articles in social work journals were examined to determine whether they focused solely on religion, solely on spirituality, or on a combination of the two. An examination of the articles' titles showed that 55% were related to social work practice issues, 13.3% to educational issues, and 31.7% to generalized issues.

TABLE 2.
Religious, Spiritual, or Combined Focus

Number Percent
Religion Only 58 48.3%
Spirituality Only 45 37.5%
Both Religion and Spirituality 17 14.2%
TOTAL 120 100%

Defining Religion and Spirituality

The relationship between religion and spirituality can be viewed in two different ways. On the one hand they can be seen as overlapping in that the person seeks a higher level of meaning about life through participation in a shared religious activity that supports and provides pathways for an intensely individualistic spiritual quest. The other view is that religion and spirituality are distinctly different. A comment frequently heard in everyday conversation is, "I'm spiritual but not religious." Indeed, agnostics, atheists, and non-religious persons can and do lead rich spiritual lives. There also appears to be more definitional consensus about the essence and meaning of religion than there is about spirituality.

Some of the defining characteristics of religion that are not possessed by spirituality include: activities within an institutional structure or community; an integrated system of beliefs; systematic practices and rituals of worship; a roadmap for right or holy living and dieing; identification with persons who share the same set of beliefs and practices; and explanations of the universe and ultimate reality, among others. Many religions include belief in God or a higher reality that is responsible for the universe.

Spirituality, in contrast, does not possess the tangible characteristics of religion. Spirituality can be considered an intensely individualistic and ephemeral search by an individual to make sense of and to find meaning along the pathway of life. There is no tangible structure for spirituality because there is a transcendental fluidity about it. Because it is individualistic rather than social or institutional, it defies any one definition. Nor does spirituality contain a shared paradigm of what constitutes morality because this is left up to individual interpretation. In an analysis of 100 articles on leadership and spirituality in the workplace (Hicks, 2002) there were 40 words that were identified as elements of spirituality that ranged from attributes of the person to social connectedness to transcendental characteristics such as life force, harmony, holism, and integration. In the main, the words associated with spirituality were of an abstract nature. Spirituality moves outside the domain of psychology and the ego because it is transpersonal, transegoic, and at a level involving the universe at large.

Much of the literature about religion and spirituality has a binary focus (Henery, 2003). Whereas religion is communal, grounded, and dogmatic, spirituality is individualistic, transcendent, and fluid. In some instances, religion is a product of a specific culture, whereas spirituality is not. Many writers in the field of spirituality seek to provide a more concrete understanding and definition of spirituality through the use of diagrams, models and illustrations. Four of these are depicted in Figure 1.

Figure 1.
Bio-Psycho-Social-Spiritual Depictions

Depiction A represents the position held by the official social work education establishment. Students are taught to visualize and relate to clients in a holistic fashion that includes bio-psycho-social-spiritual dimensions across the lifespan. The spiritual dimension may or may not be based on adherence to a set of religious beliefs and practices or a dogma. Typically, content from the biological, social, and psychological sciences is included in the curriculum toward developing a holistic view of the person. Programs are free to present content about how religions foster spirituality, but it is not required that specific religions be covered. It is assumed that because spirituality is highly individualistic, less is said about it, while material about the biological, social, and psychological sciences is covered thoroughly. As far as the author can determine there has been no study of curricula in social work education programs that measures the extent to which educational content about the four dimensions is presented to students. It is assumed that more is presented about the social and psychological dimensions, some about the biological, and little about the spiritual.

Depiction B illustrates four levels of awareness and consciousness of increasingly higher order (Vaughan, 1995). Moving from the innermost circle, representing biological needs, and outward through psychological, social and then the spiritual requires a degree of comfort and adaptation at each level. There is some amount of independence between the levels, but the holistically healthy person will have a sense of well-being at each of them. This conception resembles the formulation by Maslow of the hierarchy of needs. In the depiction the spiritual dimension at the highest level is maximized if the dimensions at lower levels are healthy and fulfilled.

Depiction C places spirituality on a higher order than in depiction A, and similar to depiction B, it elevates spirituality to the top of the hierarchy compared to the other three dimensions of self (Ferran, et al., 1989). It possesses a unifying function in that spirituality embraces and integrates the other three dimensions. The outer circle of spirituality is also in touch with the outer world and the universe at large. This is consistent with the general belief that spirituality has a transcendent quality. It is assumed that the concept illustrated in depiction C represents the understanding of spirituality held by most persons who consider themselves as spiritual persons.

Depiction D (Canda & Furman, 1999) reflects the presence of spirituality at three positions within the person's life space. Spirituality in the inner circle represents the core essence or basic groundedness of the person, known only by the person, and which influences the other dimensions of selfhood. Spirituality in the middle circle represents the modes of spirituality that complement the biological, psychological, and social dimensions. Spirituality in the outer circle represents the person's wholeness in relation to all reality, both inner and outer. It is spirituality in its transpersonal form in which the search for the ultimate purpose and meaning in life is sought. In religious persons it is that aspect of spirituality that relates to God, one's place in the universe, and the sacred rather than the secular.

Social Work Education and Practice

The profession of social work has moved through several eras in which it has turned to a specific philosophy or theoretical formulation to provide the foundation to understand the concerns brought to practitioners by clients. The profession has never developed a systematic and integrated framework to organize the approaches and interventions for practice. Lacking such a framework the profession has jumped around from framework to framework as it was influenced by fads, special interest groups, and theories utilized by other disciplines and professions. To some extent social work has been a profession in search of a theory. Throughout these theoretical vacillations four periods stand out in particular that are similar to those in psychology.

The first period was that of Freudian psychoanalysis. It was in the mid-twentieth century and immediately thereafter that psychoanalytic theory served as a template to guide social work practice. With its emphasis on the inner psychological dynamics of the person, including unconscious motivations, it drew social workers to focus on emotional issues and how they affected social relationships. This emphasis turned the profession away from a social justice mission and fostered generations of caseworkers, many of whom had the ultimate career goal of entering private practice as psychotherapists. The popular literature described this period as a social work profession "chasing its tail" (Sanders, 1957). In an attempt to escape the designation of being considered as a semi- or quasi-profession, social work aspired to a level of professional status occupied by psychiatry, though it was at the bottom rung of the medical status hierarchy. During the period of Freudian influence, religion was not viewed in a positive manner and to some extent was considered as a manifestation of pathology. Persons who sought spiritual insights in some cases were considered as delusional. Thus during this period, with some exceptions, religion and spirituality were ignored by leaders and spokespersons in both social work education and practice.

After the bloom faded from the psychoanalytic perspective the next major period was the behavioral one. After it became apparent that psychoanalysis was subjective in the extreme, a more scientific perspective was sought. Whereas psychoanalysis had focused on the inner psychological dynamics of the person, behaviorists treated this area as a black box to be ignored. The central focus of behavioral-oriented social workers was on changing observable and measurable behaviors by manipulating the stimuli that caused them or the resultant consequences. Psychological dynamics, including the spiritual dimensions of the person, were considered as irrelevant. By definition, only behavior that could be observed fell within the scope of interventions, and spirituality fell outside that category. Religious practices and rituals might be manipulated and changed, but the essence and non-observable beliefs were relegated to the black box. Whereas Freudian psychoanalysis treated religion as a problem to be overcome, behaviorism ignored it altogether.

Humanistic psychology emerged as the third perspective to influence social work. If psychoanalysis viewed the human psyche as deterministic and neurotic and behaviorism ignored the internal self, the humanistic approach tended to celebrate it. To some extent, humanistic psychology was compatible with the counterculture movement of the 1960s and the glorification of individualism and the self. It also paralleled the emergence of groups which were proclaiming their unique identities such as feminists, gays and lesbians, persons with disabilities, and others. The approach brought back into consideration the importance of the scope and expansiveness of human consciousness, even though it did not lead to a wide range of testable hypotheses. Movements such as existentialism, postmodernism, situational ethics, and the individual construction of reality could fit into the humanistic approach. A rejection of authoritarianism and belief in the supernatural prevailed, along with a commitment to reason and rationality as a basis for ethics and morality.

In the fourth and current era social work has continued the practice of borrowing theories, conceptual formulations, and practice frameworks from other disciplines and professions. Doctoral programs in social work have increased significantly over the past quarter century with a concomitant rise in social work research. However, this has not resulted in the development of a coherent body of theory that is generally accepted by the profession at large. Social work remains a profession in search of a general theory or an agreement about a set of theories. One of the perspectives that has gained favor among a group of practitioners and educators is called transpersonal, and it is a logical extension of the previous era of humanism (Leight, 2001).

Among the four models of spirituality described above, the transpersonal perspective is best represented by depiction D. Transpersonalism focuses on the innermost core and essential identity of the person, the function of spirituality to integrate the bio-psycho-social dimensions of the person, and the search for meaning and wholeness with others and the universe at large. As the name implies it transcends the physical, psychological, and social self in the search for ultimate reality and meaning.

Religion and Spirituality: Selected Issues and Concerns

Over the span of the last two decades, the profession of social work has officially embraced religion and spirituality as important features in the lives of the clients receiving service. Social work students are trained to be sensitive to these dimensions, and practitioners are expected to explore them when clients seek service with problems in living. There is some question, however, about the extent to which content about religion and spirituality is systematically included in the curricula of educational programs. A goal of social work education is to prepare social workers to practice without discrimination, with respect, and with knowledge and skills related to fourteen diversity areas. These are age, class, color, culture, disability, ethnicity, family structure, gender, marital status, national origin, race, religion, sex, and sexual orientation. Given that social workers are also expected to practice with all levels of human systems, including with individuals, groups, families, organizations, and communities, it is questionable that substantive content in both these areas can be adequately covered. Further complexity is added as students must learn about a variety of populations at risk, many forms of social problems and welfare policies, and several different practice methods. All this must be accomplished in four semesters at both the undergraduate and graduate levels.

Programs are free to deal with the diversity issues and system levels in their own fashion. Some infuse content about the diversity topics throughout the curriculum while others provide an array of required or elective courses that focus on a topic. Some have a diversity-specific workshop. It is likely that students become informed about several diversity areas, but it is unlikely that they change their attitudes or behavior or engage in efforts to change the larger environment to respect and appreciate diversity.

Within the context of this subject, a review of social work courses indicates that most combine "religion" and "spirituality" in the title and that most focus on practice within these perspectives. All are electives within the social work practice sequence, and they tend to be offered at the graduate level. It is assumed that instructors have no particular education, expertise, or experience in the area of religion, because the main requirement for practice instructors is an MSW degree and at least two years of practice experience.

Hodge (2002) argues persuasively that bias against evangelical Christians exists within the profession and specifically within social work education. Academic educators belong to a class that wields influence over the "production of culture" far in excess of their numbers in the population. He says they also reject traditional moral values and exhibit overt hostility and intolerance toward evangelical Christians. If this argument can be firmly substantiated, then the ability of social work education to understand, respect, and affirm religious diversity can be questioned.

The profession of social work remains ambivalent about the "Charitable Choice" section of the 1996 welfare reform act. This section of the act provided federal funding for faith-based social service organizations (Meyer, 2003). Opponents take the position that it is a violation of the principle of separation of Church and State (not specifically mentioned in the Constitution) and will lead to evangelizing and proselytizing clients. Proponents claim that sufficient protections have been built into the funding guidelines to prevent this from happening. Opponents tend to minimize the role that religious organizations and agencies serve as mediating functions. They serve as a liaison and connection between the person and other societal sectors. Many service consumers feel more comfortable with an agency under religious auspices than under a public one. These agencies span the country under many religious banners and, combined, have budgets well into the billions of dollars. Agencies under the auspices of mainline religious groups seem to attract social workers with a higher level of professional training than do public social services, which are woefully unprofessional. It has never been documented that explicitly religious faith-based programs exhibit a higher level of "compassion", as frequently touted by supporters.

In social work education perhaps one of the most contentious religious issues centers on the conflict between the nondiscrimination accreditation standard and the values espoused by programs in sectarian institutions. This conflict reaches its apex in the areas of sexual orientation, same-sex marriage, and reproductive rights. Homosexuality, same-sex marriages, and abortion clearly pertain to the social work value about human diversity and freedom of choice and clash with the beliefs of several religions. A major objective in social work education programs is for students to learn to understand, respect and affirm human diversity. Some programs under religious auspices ban the hiring of faculty and will not admit students who engage in lesbian, gay, bisexual, and transgender relationships (LGBT). A large contingent of social work educators and administrators maintain that this violates the nondiscrimination standard and these programs should not be accredited and that those who have been should have accreditation withdrawn. The religiously affiliated institutions hold that the standard is in conflict with beliefs central to their identity and mission and violates the free-exercise feature of the First Amendment. In addition, they believe the standard calls into question social work's alleged commitment to religious diversity and actually trivializes it. The programs in question do appear to provide content for students to enable them to understand and respect the LGBT lifestyle but do not affirm or celebrate it. Programs with this position have continued to be accredited by CSWE although the two opposing sides continue to disagree.


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