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Surveys show that religion and spirituality play a central role in the lives of most of the population in human experience. Gallup (2004) found that 59% of adults nationwide say religion is a very important part of their lives. An additional 26% of Americans say religion is fairly important to them. Just 15% of respondents say religion is not very important. About two-thirds of Americans, 64%, belong to a church or synagogue. The religious and spiritual dimensions of culture were found to be among the most important factors that structure human experience, beliefs, values, behavior, and illness (Browning et al., 1990 James, 1961 Krippner and Welch, 1992).

Researchers however, report that some individuals seem to get fanatical about thier religion and develop maladaptive behaviors. Members of the American Psychological Association reported that at least one in six of their clients presented issues that involve religion or spirituality (Shafranske and Maloney, 1990). In another study, 29% of psychologists agreed that religious issues are important in the treatment of all or many of their clients (Bergin and Jensen, 1990, p. 3). Psychotherapy can sometimes be effective in treating religious problems. Robinson (1986) noted, "Some patients have troublesome conflicts about religion that could probably be resolved through the process of psychotherapy" (p.22).