Although few guidelines exist, many therapists use prayer as part of psychotherapy. The immense variance inherent in prayer behaviors and the paucity of literature on its use beckons the profession to develop a model for its use in therapy, examine the ethical implications for such use, and prepare guidelines for practice. A tripartite model for the conceptualization and localization of prayer in therapy is presented, ethical issues of therapist bias and competence and clients’ right to autonomous decision making are considered, and guidelines for employing prayer in psychotherapy are developed.
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