The book is organized around genres of spiritual expression that the authors have found most relevant in therapy—metaphor, narrative, conversation, rituals and practices, and community, among others. In each chapter, they examine a particular genre, present case studies illustrating its potential importance in therapy, and discuss change processes related to that mode of spiritual expression. Especially valuable are pragmatic sets of questions the authors pose. Some invite the therapist to think more clearly about the place or function of spirituality in a client's life; others invite the client to do the same. The conceptual material about the various genres is in many places less focused and compelling than the clinical conversations, and it is sometimes difficult to make connections between the many theoretical constructs and their therapeutic expressions. Yet the authors' carefully probing voices are clear throughout, emphasizing the primacy of shared understanding in therapy relationships.