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Chapter 5 - Child and Adolescent Psychiatry

Published online by Cambridge University Press:  07 October 2022

Christopher C. H. Cook
Institute for Medical Humanities, Durham University
Andrew Powell
Formerly Warneford Hospital and University of Oxford
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Spirituality/religion – and even the lack thereof – are integral elements of the human condition. Clinicians trained in child and adolescent mental health are in a unique position to understand religious and spiritual aspects of developmental, biological, psychological, sociological and family processes that inform psychopathology, multiple treatment modalities, coping and resiliency. Evidence-based studies of specific methods for integrating spirituality/religion into child and adolescent treatment are less robust than for adult patients, but spiritually sensitive therapy offers hope and healing for children, as it does for adults. Family therapy is also becoming a preferred treatment modality to address religious and spiritual concerns in multifaith, or conservative, families of diverse faith traditions, religious minorities, and with religious and spiritual issues arising with LGBT+ youth. All clinicians working with children and adolescents can benefit from understanding the role of spirituality in their lives and those of their families.

Publisher: Cambridge University Press
Print publication year: 2022

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Adriaanse, M., van Domburgh, L., Hoek, H. W. et al. (2015) Prevalence, impact and cultural context of psychotic experiences among ethnic minority youth. Psychological Medicine, 45, 637646.Google Scholar
Akhtar, S. and Barlow, J. (2016) Forgiveness therapy for the promotion of mental well-being: a systematic review and meta-analysis. Trauma, Violence, & Abuse, 19, 107122.Google Scholar
American Academy of Child and Adolescent Psychiatry (2018) Conversion therapy. Available at (accessed 1 October 2021).Google Scholar
American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Arlington, VA: American Psychiatric Association.Google Scholar
American Psychiatric Association (2018) Position Statement on Conversion Therapy and LGBTQ Patients. Available at (accessed 8 April 2022).Google Scholar
Ault, M. J., Collins, B. C. and Carter, E. W. (2013) Congregational participation and supports for children and adults with disabilities: parent perceptions. Intellectual and Developmental Disabilities, 51, 48-61.CrossRefGoogle ScholarPubMed
Bandura, A. (2003) On the psychosocial impact and mechanisms of spiritual modeling: comment. International Journal for the Psychology of Religion, 13, 167173.CrossRefGoogle Scholar
Baxter, A. J., Brugha, T. S., Erskine, H. E. et al. (2015) The epidemiology and global burden of autism spectrum disorders. Psychological Medicine, 45, 601613.Google Scholar
Bell, R. M. (1985) Holy Anorexia. Chicago, IL: University of Chicago Press.CrossRefGoogle Scholar
Bemporad, J. R. (1996) Self-starvation through the ages: reflections on the pre-history of anorexia nervosa. International Journal of Eating Disorders, 19, 217237.Google Scholar
Bertelli, M. O., Del Furia, C., Bonadiman, M. et al. (2020) The relationship between spiritual life and quality of life in people with intellectual disability and/or low-functioning autism spectrum disorders. Journal of Religion and Health, 59, 19962018.Google Scholar
Blosnich, J. R., De Luca, S., Lytle, M. C. et al. (2020) Questions of faith: religious affiliations and suicidal ideation among sexual minority young adults. Suicide & Life-Threatening Behavior, 50, 11581166.CrossRefGoogle ScholarPubMed
Blythe, D. A. and Leffert, N. (1995) Communities as contexts for adolescent development: an empirical analysis. Journal of Adolescent Research, 10, 6487.Google Scholar
Bogdan, R., Elks, M. and Knoll, J. (2012) Picturing Disability: Beggar, Freak, Citizen and Other Photographic Rhetoric. Syracuse, NY: Syracuse University Press.Google Scholar
Borden, A. and Cook-Cottone, C. (2020) Yoga and eating disorder prevention and treatment: a comprehensive review and meta-analysis. Eating Disorders, 28, 400437.CrossRefGoogle ScholarPubMed
Bornstein, M. H., Putnick, D. L., Lansford, J. E. et al. (2017) ‘Mixed blessings’: parental religiousness, parenting, and child adjustment in global perspective. Journal of Child Psychology and Psychiatry, 58, 880892.CrossRefGoogle ScholarPubMed
Boynton, H. M. and Mellan, C. (2021) Co-creating authentic sacred therapeutic space: a spiritually sensitive framework for counselling children. Religions, 12, 114.CrossRefGoogle Scholar
Boynton, H. M. and Vis, J.-A. (2011) Meaning making, spirituality, and creative expressive therapies: pathways to posttraumatic growth in grief and loss for children. Counselling and Spirituality, 30, 137159.Google Scholar
Braam, A. W., Hein, E., Dorly, J. H. D. et al. (2004) Religious involvement and 6-year course of depressive symptoms in older Dutch citizens: results from the Longitudinal Aging Study Amsterdam. Journal of Aging and Health, 16, 467489.CrossRefGoogle ScholarPubMed
Brumberg, J. J. (2000) Fasting Girls: The History of Anorexia Nervosa. New York: Vintage Press.Google Scholar
Buchholz, J. L., Abramowitz, J. S., Riemann, B. C. et al. (2019) Scrupulosity, religious affiliation and symptom presentation in obsessive compulsive disorder. Behavioural and Cognitive Psychotherapy, 47, 478492.Google Scholar
Capps, D. (1992) Religion and child abuse: perfect together. Journal for the Scientific Study of Religion, 31, 114.Google Scholar
Centers for Disease Control and Prevention (2021) Data and Statistics on Children’s Mental Health. Available at (accessed 1 August 2021).Google Scholar
Chochinov, H. M., Hack, T., Hassard, T. et al. (2005) Dignity therapy: a novel psychotherapeutic intervention for patients near the end of life. Journal of Clinical Oncology, 23, 55205525.Google Scholar
Choi, H. (2002) Understanding adolescent depression in ethnocultural context. Advances in Nursing Science, 25, 7185.CrossRefGoogle ScholarPubMed
Clarke, A., Pote, I., and Sorgenfrei, M. (2020) Adolescent Mental Health Evidence Brief 1: Prevalence of Disorders. London: Early Intervention Foundation. Available at (accessed 2 October 2021).Google Scholar
Conron, K. J. (2020) LGBT Youth Population in the United States. Available at (accessed 17 September 2021).Google Scholar
Cook, C. C. H. (2015) Religious psychopathology: the prevalence of religious content of delusions and hallucinations in mental disorder. International Journal of Social Psychiatry, 61, 404425.Google Scholar
Cotton, S., Larkin, E., Hoopes, A. et al. (2005) The impact of adolescent spirituality on depressive symptoms and health risk behaviors. Journal of Adolescent Health, 36, 529.Google Scholar
Dell, M. L. (2004) Religious professionals and institutions: untapped resources for clinical care. Child and Adolescent Psychiatric Clinics of North America, 13, 85110.Google Scholar
Dell, M. L. (2021) Cultural and religious issues. In Dulcan, M. K., ed., Dulcan’s Textbook of Child and Adolescent Psychiatry, 3rd ed. Washington, DC: American Psychiatric Association Publishing, pp. 539550.Google Scholar
Dell, M. L. and Shepherd, J. J. (2021) Religion and spirituality in child and adolescent cultural psychiatry. In Parekh, R., Al-Mateen, C. S., Lisotto, M. J. and Carter, R. D., eds., Cultural Psychiatry with Children, Adolescents, and Families. Washington, DC: American Psychiatric Association Publishing, pp. 129150.Google Scholar
Dew, R. E., Daniel, S. S., Goldston, D. B. et al. (2008) Religion, spirituality, and depression in adolescent psychiatric outpatients. Journal of Nervous and Mental Disease, 196, 247251.CrossRefGoogle ScholarPubMed
Dew, R. E., Daniel, S. S., Goldston, D. B. et al. (2010) A prospective study of religion/spirituality and depressive symptoms among adolescent psychiatric patients. Journal of Affective Disorders, 120, 149157.Google Scholar
Donahue, M. J. and Benson, P. L. (1995) Religion and the well-being of adolescents. Journal of Social Issues, 51, 145160.Google Scholar
Dunning, D. L., Griffiths, K., Kuyken, W. et al. (2019) Research review: the effects of mindfulness-based interventions on cognition and mental health in children and adolescents – a meta-analysis of randomized controlled trials. Journal of Child Psychology and Psychiatry, 60, 244258.Google Scholar
Ekas, N. V., Tidman, L. and Timmons, L. (2019) Religiosity/spirituality and mental health outcomes in mothers of children with autism spectrum disorder: the mediating role of positive thinking. Journal of Autism and Developmental Disorders, 49, 45474558.CrossRefGoogle ScholarPubMed
Ellison, C. G. (1991) Religious involvement and subjective well-being. Journal of Health and Social Behavior, 32, 8099.Google Scholar
Emmons, R. A. and Stern, R, (2013) Gratitude as a psychotherapeutic intervention. Journal of Clinical Psychology, 69, 846855.CrossRefGoogle ScholarPubMed
European Large Families Confederation (ELFAC) (2019) Only 13% (8.5 million) of the households with children in Europe had three children or more. Available at (accessed 8 April 2022).Google Scholar
Evans, T. D., Cullen, F. T., Burton, V. S. et al. (1996) Religion, social bonds, and delinquency. Deviant Behavior, 17, 4370.Google Scholar
Family Acceptance Project (2021) Welcome to the Family Acceptance Project. San Francisco, CA: Family Acceptance Project, San Francisco State University. Available at (accessed 4 October 2021).Google Scholar
Feinson, M. C. and Meir, A. (2015) Exploring mental health consequences of childhood abuse and the relevance of religiosity. Journal of Interpersonal Violence, 30, 499521.Google Scholar
Fitchett, G., Emanuel, L., Handzo, G. et al. (2015) Care of the human spirit and the role of dignity therapy: a systematic review of dignity therapy research. BMC Palliative Care, 14. Doi 10.1186/s12904–015-0007-1.Google Scholar
Foa, E. B. and Kozak, M. J. (1995) DSM-IV field trial: obsessive-compulsive disorder. American Journal of Psychiatry, 152, 90–96.Google Scholar
Ford, J. A. and Hill, T. D. (2012) Religiosity and adolescent substance use: evidence from the national survey on drug use and health. Substance Use & Misuse, 47, 787798.CrossRefGoogle ScholarPubMed
Fowler, J. W. (1981) Stages of Faith. New York: HarperCollins.Google Scholar
Fowler, J. W. and Dell, M. L. (2004) Stages of faith and identity: birth to teens. Child and Adolescent Psychiatric Clinics of North America, 13, 1733.Google Scholar
Fruehwirth, J. C., Iyer, S. and Zhang, A. (2019) Religion and depression in adolescence. Journal of Political Economy, 127, 11781209.Google Scholar
Gaventa, W. and Dell, M. L. (2018) Spirituality, ethics, and people with intellectual disabilities. In Peteet, J. R., Dell, M. L. and Fung, W. L. A., eds., Ethical Considerations at the Intersection of Psychiatry and Religion. New York: Oxford University Press, pp. 179198.Google Scholar
Giangreco, M. F. (2004) “The stairs didn’t go anywhere!”: a self-advocate’s reflections on specialized services and their impact on people with disabilities. In Nind, M., Rix, J., Sheehy, K. and Simmons, K., eds., Inclusive Education: Diverse Perspectives. London: David Fulton Publishers in association with the Open University, pp. 3242.Google Scholar
Gibbs, J. J. (2015) Religious conflict, sexual identity, and suicidal behaviors among LGBT young adults. Archives of Suicide Research, 19, 472488.Google Scholar
Goeke-Morey, M. C. and Cummings, E. M. (2017) Religiosity and parenting: recent directions in process-oriented research. Current Opinion in Psychology, 15, 712.Google Scholar
Goncalves, J. P. B., Luccheti, G., Menezea, P. R. et al. (2015) Religious and spiritual interventions in mental health care: a systematic review and meta-analysis of randomized controlled clinical trials. Psychological Medicine, 45, 29372949.Google Scholar
Goulet, C., Henrie, J. and Szymanski, L. (2017) An exploration of the associations among multiple aspects of religiousness, body image, eating pathology, and appearance investment. Journal of Religion and Health, 56, 493506.Google Scholar
Green, A. E., Price-Feeney, M., Dorison, S. H. and Pick, C. J. (2020) Self-reported conversion efforts and suicidality among US LGBTQ youths and young adults, 2018. American Journal of Public Health, 110, 12211227.Google Scholar
Greenberg, D. and Huppert, J. D. (2010) Scrupulosity: a unique subtype of obsessive-compulsive disorder. Current Psychiatry Reports, 12, 282289.Google Scholar
Greven, P. J. (1977) The Protestant Temperament: Patterns of Child-Rearing, Religious Experiences, and the Self in Early America. Chicago, IL: University of Chicago Press.Google Scholar
Greven, P. J. (1992) Spare the Child: The Religious Roots of Punishment and the Psychological Impact of Physical Abuse. New York: Vintage Books.Google Scholar
Grimwade, L. and Cook, C. (2019) The clinician’s view of spirituality in health care. In Fletcher, J., ed., Chaplaincy and Spiritual Care in Mental Health Settings. London: Jessica Kingsley Publishers, pp. 3143.Google Scholar
Group for the Advancement of Psychiatry: Psychiatry and Religion Committee and LGBT Committee (2020) Faith Communities and the Well-Being of LGBT Youth. Available at (accessed 1 September 2021).Google Scholar
Gur, M., Miller, L., Warner, V. et al. (2005) Maternal depression and the intergenerational transmission of religion. Journal of Nervous and Mental Disease, 193, 338345.Google Scholar
Hafeez, H., Zeshan, M., Tahir, M. A. et al. (2017) Health care disparities among lesbian, gay, bisexual, and transgender youth: a literature review. Cureus, 9, e1184.Google Scholar
Hagen, I., and Nayar, U. S. (2014) Yoga for children and young people’s mental health and well-being: research review and reflections on the mental health potentials of yoga. Frontiers in Psychiatry, 5, 35.Google Scholar
Hall, T. W. and Fujikawa, A. M. (2013) God image and the sacred. In: Pargament, K. I., ed., APA Handbook of Psychology, Religion, and Spirituality: Vol. 1. Context, Theory, and Research. Washington, DC: American Psychological Association, pp. 277292.Google Scholar
Harvey, R. G. and Fish, L. S. (2015) Queer youth in family therapy. Family Process, 54, 396417.Google Scholar
Hay, D., Reich, K. H. and Utsch, M. (2006) Spiritual development: intersections and divergence with religious development. In Roehlkepartain, E. C., King, P. E. and Wagener, L., eds., Handbook of Spiritual Development in Childhood and Adolescence. Thousand Oaks, CA: Sage, pp. 4659.Google Scholar
Hirschi, T. and Stark, R. (1969) Hellfire and delinquency. Social Problems, 17, 202213.Google Scholar
Holmes, C. and Kim-Spoon, J. (2016) Why are religiousness and spirituality associated with externalizing psychopathology? A literature review. Clinical Child and Family Psychology Review, 19, 120.Google Scholar
Holmes, C., Brieant, A., King-Casas, B. et al. (2019) How is religiousness associated with adolescent risk-taking? The roles of emotion regulation and executive function. Journal of Research on Adolescence, 29, 334344.Google Scholar
Hook, J. N., Worthington, E. L. Jr., Davis, D. E. et al. (2010) Empirically supported religious and spiritual therapies. Journal of Clinical Psychology, 66, 4672.Google Scholar
Horowitz, J. L. and Garber, J. (2003) Relation of intelligence and religiosity to depressive disorders in offspring of depressed and nondepressed mothers. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 578586.Google Scholar
Hrynowski, Z. (2019) How many Americans believe in God? Available at (accessed 30 May 2021).Google Scholar
Huguelet, P., Mohr, S., Rieben, I. et al. (2015) Attachment and coping in psychosis in relation to spiritual figures. BMC Psychiatry, 15, 237.Google Scholar
Huppert, J. D. and Siev, J. (2010) Treating scrupulosity in religious individuals using cognitive-behavioral therapy. Cognitive and Behavioral Practice, 17, 382392.Google Scholar
Jacobs, M., Miller, L., Wickramaratne, P. et al. (2012) Family religion and psychopathology in children of depressed mothers: ten-year follow-up. Journal of Affective Disorders, 136, 320327.Google Scholar
Jang, S. J. (2018) Religiosity, crime, and drug use among juvenile offenders: a test of reciprocal relationships over time. International Journal of Offender Therapy and Comparative Criminology, 62, 44454464.Google Scholar
Jones, J. M. (2021) LGBT identification rises to 5.6% in latest U.S. estimate. Available at (accessed 3 October 2021).Google Scholar
Josephson, A. M. and Dell, M. L. (2004) Religion and spirituality in child and adolescent psychiatry: a new frontier. Child and Adolescent Psychiatric Clinics of North America, 13, 115.Google Scholar
Ketterlinus, R. D., Lamb, M. E., Nitz, K. et al. (1992) Adolescent nonsexual and sex-related problem behaviors. Journal of Adolescent Research, 7, 431456.Google Scholar
King, P. E. and Mueller, R. A. (2004) Parental influence on adolescent religiousness: exploring the roles of spiritual modeling and spiritual capital. Marriage and Family: A Christian Journal, 6, 413425.Google Scholar
Kirkpatrick, L. A. (1992) An attachment-theory approach to the psychology of religion. International Journal for the Psychology of Religion, 2, 328.Google Scholar
Koenig, H. G., George, L. K. and Peterson, B. L. (1998) Religiosity and remission from depression in medically ill older patients. American Journal of Psychiatry, 155, 536542.Google Scholar
Liu, E. X, Carter, E. W., Boehm, T. L. et al. (2014) In their own words: the place of faith in the lives of young people with autism and intellectual disability. Intellectual and Developmental Disabilities, 52, 388404.Google Scholar
Mabe, P. A., Dell, M. L. and Josephson, A. M. (2010) Spiritual and religious perspectives on child and adolescent psychopathology. In Peteet, J. R., Lu, F. G. and Narrow, W. E., eds., Religious and Spiritual Issues in Psychiatric Diagnosis: A Research Agenda for DSM-V. Washington, DC: American Psychiatric Association, pp. 123142.Google Scholar
McCann, E., Donohue, G. and Timmins, F. (2020) An exploration of the relationship between spirituality, religion and mental health among youth who identify as LGBT+: a systematic literature review. Journal of Religion and Health, 59, 828844.Google Scholar
McClintock, C. H., Anderson, M., Svob, C. et al. (2019) Multidimensional understanding of religiosity/spirituality: relationship to major depression and familial risk. Psychological Medicine, 49, 23792388.Google Scholar
McCullough, M. E. and Willoughby, B. L. (2009) Religion, self-regulation, and self-control: associations, explanations, and implications. Psychological Bulletin, 135, 6993.Google Scholar
Maenner, M. J., Shaw, K. A., Baio, J. et al. (2020) Prevalence of autism spectrum disorder among children aged 8 years – Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2016. Morbidity and Mortality Weekly Report: Surveillance Summaries, 69, 1-12.Google Scholar
Mahoney, A., Pargament, K. I., Tarakeshwar, N. et al. (2001) Religion in the home in the 1980s and 1990s: a meta-analytic review and conceptual analysis of links between religion, marriage, and parenting. Journal of Family Psychology, 15, 559596.Google Scholar
Malinakova, K., Trnka, R., Bartuskova, L. et al. (2019) Are adolescent religious attendance/spirituality associated with family characteristics? International Journal of Environmental Research and Public Health, 16, 2947.Google Scholar
Maulik, P. K., Mascarenhas, M. N., Mathers, C. D. et al. (2011) Prevalence of intellectual disability: a meta-analysis of population-based studies. Research in Developmental Disabilities, 32, 419436.Google Scholar
Miller, A. (1981) Thou Shalt Not Be Aware. New York: Farrar, Straus, and Giroux.Google Scholar
Miller, A. (1983) For Your Own Good. New York: Farrar, Straus, and Giroux.Google Scholar
Miller, A. (1988) Banished Knowledge. New York: Anchor Books.Google Scholar
Miller, A. (1997) The Drama of the Gifted Child. New York: Basic Books.Google Scholar
Miller, A. (2009) Breaking Down the Wall of Silence. New York: Basic Books.Google Scholar
Miller, L. and Gur, M. (2002) Religiosity, depression, and physical maturation in adolescent girls. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 206214.Google Scholar
Moder, A. (2019) Women, personhood, and the male God: a feminist critique of patriarchal concepts of God in view of domestic abuse. Feminist Theology, 28, 85103.Google Scholar
Moore, Q., Tennant, P. S. and Fortuna, L. R. (2020) Improving research quality to achieve mental health equity. Psychiatric Clinics of North America, 43, 569582.Google Scholar
Murphy, P. E., Ciarrocchi, J. W., Piedmont, R. L. et al. (2000) The relation of religious belief and practices, depression, and hopelessness in persons with clinical depression. Journal of Consulting and Clinical Psychology, 68, 11021106.Google Scholar
Neeleman, J., Wessely, S. and Lewis, G. (1998) Suicide acceptability in African- and white Americans: the role of religion. Journal of Nervous and Mental Disease, 186, 1216.Google Scholar
Office for National Statistics (2019) Suicides in the UK: 2018 Registrations. Available at (accessed 1 October 2021).Google Scholar
Oman, D. and Thoresen, C. E. (2003) Spiritual modeling: a key to spiritual and religious growth? International Journal for the Psychology of Religion, 13, 149165.Google Scholar
Ostermann, T., Vogel, H., Boehm, K. et al. (2019) Effects of yoga on eating disorders – a systematic review. Complementary Therapies in Medicine, 46, 7380.Google Scholar
Patock-Peckham, J. A., Hutchinson, G. T., Cheong, J. et al. (1998) Effect of religion and religiosity on alcohol use in a college student sample. Drug and Alcohol Dependence, 49, 8188.Google Scholar
Patrick, M. E., Shaw, K. A., Dietz, P. M. et al. (2021) Prevalence of intellectual disability among eight-year-old children from selected communities in the United States, 2014. Disability and Health Journal, 14, 101023.Google Scholar
Peteet, J. R. (2018) A fourth wave of psychotherapies: moving beyond recovery toward well-being. Harvard Review of Psychiatry, 26, 9095.Google Scholar
Petro, M. R., Rich, E. G., Erasmus, C. et al. (2017) The effect of religion on parenting in order to guide parents in the way they parent: a systematic review. Journal of Spirituality in Mental Health, 20, 114139.Google Scholar
Pew Research Center (2015) America’s Changing Religious Landscape. Available at (accessed 1 September 2021).Google Scholar
Pew Research Center (2016) Pew-Templeton Global Religious Futures Project: Europe. Available at (accessed 20 May 2021).Google Scholar
Pew Research Center (2017) The Changing Global Religious Landscape. Available at (accessed 1 September 2021).Google Scholar
Pew Research Center (2018) 10 Key Findings About Religion in Western Europe. Available at (accessed 23 May 2021).Google Scholar
Price-Feeney, M., Green, A. E. and Dorison, S. H. (2021) Suicidality among youth who are questioning, unsure of, or exploring their sexual identity. Journal of Sex Research, 58, 581588.Google Scholar
Proctor, M., Miner, M., McLean, L. et al. (2009) Exploring Christians’ explicit attachment to God representations: the development of a template for assessing attachment to God experiences. Journal of Psychology and Theology, 37, 245264.Google Scholar
Rizzuto, A.-M. (1979) The Birth of the Living God. Chicago, IL: The University of Chicago Press.Google Scholar
Salas-Wright, C. P., Vaughn, M. G., Hodge, D. R. et al. (2012) Religiosity profiles of American youth in relation to substance use, violence, and delinquency. Journal of Youth and Adolescence, 41, 15601575.Google Scholar
Severaid, K. B., Osborne, K. J. and Mittal, V. A. (2019) Implications of religious and spiritual practices for youth at clinical high risk for psychosis. Schizophrenia Research, 208, 481482.Google Scholar
Shafranske, E. P. (2009) Spiritually oriented psychodynamic psychotherapy. Journal of Clinical Psychology, 65, 98109.Google Scholar
Shearer, A., Russon, J., Herres, J. et al. (2018) Religion, sexual orientation, and suicide attempts among a sample of suicidal adolescents. Suicide and Life-Threatening Behavior, 48, 431437.Google Scholar
Shepperd, J. A., Pogge, G., Lipsey, N. P. et al. (2019) Belief in a loving versus punitive God and behavior. Journal of Research on Adolescence, 29, 390401.Google Scholar
Sherbersky, H. (2016) Family therapy and fundamentalism: one family therapist’s exploration of ethics and collaboration with religious fundamentalist families. Clinical Child Psychology and Psychiatry, 21, 381396.Google Scholar
Sheveland, J. N. (2011) Is yoga religious? Spiritual roots of a physical practice. Christian Century. Available at (accessed 1 August 2021.)Google Scholar
Shooter, M. (2009) Child and adolescent psychiatry. In: Cook, C., Powell, A. and Sims, A., eds., Spirituality and Psychiatry. London: RCPsych Publications, pp. 81100.Google Scholar
Siev, J., Baer, L. and Minichiello, W. E. (2011) Obsessive-compulsive disorder with predominantly scrupulous symptoms: clinical and religious characteristics. Journal of Clinical Psychology, 67, 11881196.Google Scholar
Sperry, L. (2001) Spirituality in Clinical Practice: Incorporating the Spiritual Dimension in Psychotherapy and Counseling. New York: Brunner-Routledge.Google Scholar
Sperry, L. (2010) Psychotherapy sensitive to spiritual issues: a postmaterialist psychology perspective and developmental approach. Psychology of Religion and Spirituality, 2, 4656.Google Scholar
Statista (2021) Average number of people per family in the United States from 1960 to 2021. Available at (accessed 28 May 2021).Google Scholar
Steenhuis, L. D., Bartels-Velthuis, A. A., Jenner, J. A. et al. (2016) Religiosity in young adolescents with auditory vocal hallucinations. Psychiatry Research, 236, 158164.Google Scholar
Steinhausen, H.-C., Villumsen, M. D., Horder, K. et al. (2021) Comorbid mental disorders during long-term course in a nationwide cohort of patients with anorexia nervosa. International Journal of Eating Disorders, 2021, 16081618.Google Scholar
Stevens, J. R., Prince, J. B., Prager, L. M. et al. (2014) Psychotic disorders in children and adolescents: a primer on contemporary evaluation and management. Primary Care Companion for CNS Disorders, 16, PCC.13f01514.Google Scholar
Streib, H. (2001) Faith development theory revisited: the religious styles perspective. International Journal for the Psychology of Religion, 11, 143158.Google Scholar
Streib, H. (2005) Faith development research revisited: accounting for diversity in structure, content, and narrativity of faith. International Journal for the Psychology of Religion, 15, 99121.Google Scholar
Tamminen, K. (1994) Religious experiences in childhood and adolescence: a viewpoint of religious development between the ages of 7 and 20. International Journal for the Psychology of Religion, 4, 6185.Google Scholar
Walker, D. F. and Aten, J. D. (2012) Future directions for the study and application of religion, spirituality, and trauma research. Journal of Psychology and Theology, 40, 349353.Google Scholar
Walsh, F. (2010) Spiritual diversity: multifaith perspectives in family therapy. Family Process, 49, 330348.Google Scholar
Walsh, F. (2013) Religion and spirituality: a family systems perspective in clinical practice. In Pargament, K. I., ed., APA Handbook of Psychology, Religion, and Spirituality: Vol. 2. An Applied Psychology of Religion and Spirituality. Washington, DC: American Psychological Association, pp. 189205.Google Scholar
Weatherhead, S. and Daiches, A. (2015) Key issues to consider in therapy with Muslim families. Journal of Religion and Health, 54, 23982411.Google Scholar
World Health Organization (2021) One in 100 deaths is by suicide: WHO guidance to help the world reach the target of reducing suicide rate by 1/3 by 2030. Available at (accessed 29 September 2021).Google Scholar
World Psychiatric Association (2017) WPA Position Statement on Spirituality and Religion in Psychiatry. Available at https://3ba346de-fde6– (accessed 21 May 2021).Google Scholar
Worthington, E. L. Jr., Hook, J. N., Davis, D. E. et al. (2011) Religion and spirituality. In Norcross, J. D., ed., Psychotherapy Relationships That Work. New York: Oxford University Press, pp. 402420.Google Scholar
Wu, M. S., Rozenman, M., Peris, T. S. et al. (2018) Comparing OCD-affected youth with and without religious symptoms: clinical profiles and treatment response. Comprehensive Psychiatry, 86, 4753.Google Scholar
Yard, E., Radhakrishnan, L., Ballesteros, M. F. et al. (2021) Emergency department visits for suspected suicide attempts among persons aged 12–25 years before and during the COVID-19 pandemic – United States, January 2019–May 2021. Morbidity and Mortality Weekly Report, 70, 888894.Google Scholar

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