The Impact of an Integrated Humanistic Counselling Program Based on Spiritual Self-Schema and Satir Model Counselling program on Promoting Religious and  Spiritual  Congruence among Drug Users and their Families at an Addict Rehabilitation Center

Rand Basheer Arabiyat; Siham Darwish Abueita

doi:10.35516/Hum.2026.9098

Authors

Rand Basheer Arabiyat Department of Psychological and Educational Counseling, College of Educational and Psychological Sciences, Amman Arab University, Amman, Jordan. https://orcid.org/0000-0002-9290-1329
Siham Darwish Abueita Department of Psychological and Educational Counseling, College of Educational and Psychological Sciences, Amman Arab University, Amman, Jordan. https://orcid.org/0000-0002-0235-5628

DOI:

https://doi.org/10.35516/Hum.2026.9098

Keywords:

Spiritual self-schema, Satir model, counselling program, religious and spiritual congruence, drug users

Abstract

Objectives: This study aimed to evaluate the impact of an integrative humanistic counseling program based on the Spiritual Self-Schema and Satir Model on enhancing religious-spiritual congruence among drug users and their families. The study also aimed to focus on individuals experiencing a decline in religious and spiritual congruence.

Methods: The study developed religious, spiritual, and congruence scales, which were validated for reliability, internal consistency, and content accuracy. The scales were administered as a pre-test to participants, who included ten drug users at the Arjan Rehabilitation Center in Amman, Jordan, along with family members. A nine-week counseling program was designed followed by six phases of the Satir Model and incorporating the religious-spiritual pathway. Family members participated in four sessions. Statistical analysis was applied to the e data collected.

Results: The study results showed a significant change in drug users’ self-perception, with an increased proclivity for a "spiritual self," viewing spiritual practices as part of the “Self,” and addictive traits as constituents of the “Other.” The results also showed that participants reported daily spiritual practices, enhanced spiritual experiences, and an improvement in congruence (intrapsychic, interpersonal, and universal–spiritual) among both drug users and their families.

Conclusions: The study recommends the continuation of support to drug users to strengthen their religious and spiritual congruence. The study also underscores the effectiveness of integrating spirituality and the Satir Model into counseling programs at rehabilitation centers to promote holistic recovery among drug users.

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References

Al-Sawafi, A., Lovell, K., Renwick, L., & Husain, N. (2020). Psychosocial family interventions for relatives of people living with psychotic disorders in the Arab world: Systematic review. BMC Psychiatry, 20(1), 413. https://doi.org/10.1186/s12888-020-02816-5

Arnaud, S., & O, K. (2021, Fall). Entheogen-assisted self-transcendence & psychospiritual development: A study of positive psychedelic drug use. ERA. https://doi.org/10.7939/r3-w11y-q412

Arnold, R., Avants, S. K., Margolin, A., & Marcotte, D. (2002a). Patient attitudes concerning the inclusion of spirituality into addiction treatment. Journal of Substance Abuse Treatment, 23(4), 319–326.

Arnold, R., Avants, S. K., Margolin, A., & Marcotte, D. (2002b). Patient attitudes concerning the inclusion of spirituality into addiction treatment. Journal of Substance Abuse Treatment, 23(4), Article 4.

Avants, S. K., Beitel, M., & Margolin, A. (2005). Making the shift from ‘addict self’ to ‘spiritual self’: Results from a Stage I study of Spiritual Self-Schema (3-S) therapy for the treatment of addiction and HIV risk behavior. Mental Health, Religion & Culture, 8(3), Article 3.

Avants, S. K., & Margolin, A. (2004). Development of Spiritual Self-Schema (3-S) Therapy for the treatment of addictive and HIV risk behavior: A convergence of cognitive and Buddhist psychology. Journal of Psychotherapy Integration, 14(3), Article 3.

Avants, S. K., Margolin, A., DePhilippis, D., & Kosten, T. R. (1998). A comprehensive pharmacologic-psychosocial treatment program for HIV-seropositive cocaine- and opioid-dependent patients: Preliminary findings. Journal of Substance Abuse Treatment, 15(3), Article 3.

Avants, S. K., Warburton, L. A., & Margolin, A. (2001). Spiritual and religious support in recovery from addiction among HIV-positive injection drug users. Journal of Psychoactive Drugs, 33(1), Article 1.

Banmen, J. (2009). Satir model developmental phases. Satir Journal, 3(1), Article 1.

Banmen, J., & Maki-Banmen, K. (2014). What has become of Virginia Satir’s therapy model since she left us in 1988? Journal of Family Psychotherapy, 25(2), Article 2.

Bentheim, S. S. (2005). Couple congruence and spirituality: Expanding Satir’s model through seven couple narratives.

Bentzley, B. S., Han, S. S., Neuner, S., Humphreys, K., Kampman, K. M., & Halpern, C. H. (2021). Comparison of treatments for cocaine use disorder among adults: A systematic review and meta-analysis. JAMA Network Open, 4(5), Article 5. https://doi.org/10.1001/jamanetworkopen.2021.8049

Boostani Kashani, A. A., Khodabakhshi-Koolaee, A., Davoodi, H., & Heidari, H. (2020). Effects of marriage preparation per Satir’s communication model and narrative therapy on empathy and emotional expression in single young adults. Journal of Client-Centered Nursing Care, 6(3), 145–156.

Cook, E. P., & Kelly, V. A. (1998). Spirituality and counseling. Counseling and Human Development, 30(6), 1–16.

Dardas, L. A., & Simmons, L. A. (2015). The stigma of mental illness in Arab families: A concept analysis. Journal of Psychiatric and Mental Health Nursing, 22(9), 668–679. https://doi.org/10.1111/jpm.12237

Daum, T. L., & Wiebe, G. (2003). Locus of control, personal meaning, and self-concept before and after an academic critical incident. Trinity Western University.

Domenico, L. H., Strobbe, S., Stein, K. F., Giordani, B. J., Hagerty, B. M., & Pressler, S. J. (2017). Identifying the structure and effect of drinking-related self-schemas. Western Journal of Nursing Research, 39(7), Article 7. https://doi.org/10.1177/0193945916658613

Dwairy, M. (1997). Addressing the repressed needs of the Arabic client. Cultural Diversity & Mental Health, 3(1), 1–12. https://doi.org/10.1037//1099-9809.3.1.1

Fetzer, J. E. (1999). Multidimensional measurement of religiousness/spirituality for use in health research. Kalamazoo, USA: John E. Fetzer Institute.

Foster, R. (2012). Celebration of discipline. Hachette UK.

Freeman, M. L. (2000). Incorporating gender issues in practice with the Satir Growth Model. Families in Society: The Journal of Contemporary Social Services, 81(3), 256–268. https://doi.org/10.1606/1044-3894.1017

Gearing, R. E., Schwalbe, C. S., MacKenzie, M. J., Brewer, K. B., Ibrahim, R. W., Olimat, H. S., Al-Makhamreh, S. S., Mian, I., & Al-Krenawi, A. (2013). Adaptation and translation of mental health interventions in Middle Eastern Arab countries: A systematic review of barriers to and strategies for effective treatment implementation. International Journal of Social Psychiatry, 59(7), 671–681. https://doi.org/10.1177/0020764012452349

Ghazalli, F. S. M., Ghani, N. A., Abdullah, B., Chik, W. M. Y. W., & Mohd, Z. (2016). Family support from the perspective of drug addicts. International Conference on Ethics in Governance (ICONEG 2016), 59–63. https://www.atlantis-press.com/proceedings/iconeg-16/25874211

Goldstein, A. P., Reagles, K. W., & Amann, L. L. (1990). Refusal skills: Preventing drug use in adolescents. Research Press.

Gorsuch, R. L., & Miller, W. R. (1999). Assessing spirituality.

Griffith, B. A., & Rotter, J. C. (1999). Families and spirituality: Therapists as facilitators. The Family Journal, 7(2), Article 2.

Gruber, K. J., & Taylor, M. F. (2006). A family perspective for substance abuse: Implications from the literature. Journal of Social Work Practice in the Addictions, 6(1–2), Article 1–2.

Guenther, M. (1992). Holy listening: The art of spiritual direction. Cowley Publications.

Hamza, E. G. A., Gladding, S., & Moustafa, A. A. (2022). The impact of adolescent substance abuse on family quality of life, marital satisfaction, and mental health in Qatar. The Family Journal, 30(1), 85–90. https://doi.org/10.1177/10664807211000720

Higgins, E. T. (1987). Self-discrepancy: A theory relating self and affect. Psychological Review, 94(3), 319.

Higgins, E. T., Klein, R., & Strauman, T. (1985). Self-concept discrepancy theory: A psychological model for distinguishing among different aspects of depression and anxiety. Social Cognition, 3(1), 51–76.

Hogg, J. A., & Frank, M. L. (1992). Toward an interpersonal model of codependence and contradependence. Journal of Counseling & Development, 70(3), Article 3.

Jafari, A. (2017). Developing a psycho-educational package based on Satir's model for conflicting couples and its effectiveness on reducing inefficient coping strategies and divorce probability. Faṣlnāmah-i Farhang Mushavirah va Ravān/Darmānī, 8(30), 107–130. https://doi.org/10.22054/QCCPC.2017.23163.1564

Koca, D. A. (2017). Spirituality-based analysis of Satir family therapy. Spiritual Psychology and Counseling, 2(2), Article 2.

Koestler, A. (1967). The ghost in the machine. London: Arkana.

Lee, B. K. (2001). The religious significance of the Satir model: Philosophical, ritual, and empirical perspectives. University of Ottawa (Canada).

Lee, B. K. (2002). Development of a congruence scale based on the Satir model. Contemporary Family Therapy, 24(1), Article 1.

Lee, B. K. (2009). Congruence couple therapy for pathological gambling. International Journal of Mental Health and Addiction, 7(1), Article 1.

Leung, P. P.-Y., Lau, W. K.-W., & Chung, C. L.-P. (2019). Development and validation of the perceived self-transformation scale for the Satir model. Contemporary Family Therapy, 41(1), Article 1.

Lewis, J. A., Dana, R. Q., & Blevins, G. A. (1988). Substance abuse counseling: An individualized approach. Thomson Brooks/Cole Publishing Co.

Lum, W., Smith, J., & Ferris, J. (2002). Youth suicide intervention using the Satir model. Contemporary Family Therapy, 24(1), Article 1.

Maabreh, S. M., & Al-kousheh, F. D. M. (2020). The effectiveness of a counseling program based on the model of Virginia Satir in improving quality of life and reducing negative communication patterns among a sample of wives in Irbid Governorate. Research on Humanities and Social Sciences, 10(12), 84–96.

Madden‐Derdich, D. A., Estrada, A. U., Updegraff, K. A., & Leonard, S. A. (2002). The boundary violations scale: An empirical measure of intergenerational boundary violations in families. Journal of Marital and Family Therapy, 28(2), Article 2.

Margolin, A., Schuman-Olivier, Z., Beitel, M., Arnold, R. M., Fulwiler, C. E., & Avants, S. K. (2007). A preliminary study of spiritual self-schema (3-S+) therapy for reducing impulsivity in HIV-positive drug users. Journal of Clinical Psychology, 63(10), Article 10.

Marlatt, G. A., & Witkiewitz, K. (2002). Harm reduction approaches to alcohol use: Health promotion, prevention, and treatment. Addictive Behaviors, 27(6), Article 6.

Merton, T. (1960). Spiritual direction and meditation. Liturgical Press.

Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change. Guilford Press. https://books.google.com/books?hl=en&lr=&id=o1-ZpM7QqVQC&oi=fnd&pg=PP1&dq=2.+Miller,+W.+R.,+%26+Rollnick,+S.+(2013).+*Motivational+Interviewing:+Helping+People+Change*+(3rd+ed.).+New+York:+Guilford+Press.&ots=c2DeeSgiO-&sig=JXvjPQBjZLUoDtiSg_dalkJtWsA

Minuchin, P. (1985). Families and individual development: Provocations from the field of family therapy. Child Development, 289–302.

Minuchin, S. (2018). Families and family therapy. Routledge.

Minuchin, S., & Fishman, H. C. (1981). Family therapy techniques. Harvard University Press.

Momani, F. A., & Al-Freihat, A. A. (2020). Effectiveness of counseling program based on Satir theory to reduce psychological stress among married Syrian refugee women. Journal of Educational and Psychological Studies, 14(3), 437–463. https://doi.org/10.24200/JEPS.VOL14ISS3PP437-463

Muangkaew, K., Sakunpong, N., & Langka, W. (2022). Development of humanistic counseling competencies for social justice, congruence of psychology students as a mediator variable. Cogent Psychology, 9(1), Article 1.

Satir, V. (1988). New people-making. Science and Behavior Books.

Satir, V., & Baldwin, M. (1983). Satir step by step: A guide to creating change in families. Science & Behavior Books.

Satir, V., Banmen, J., Gerber, J., & Gomori, M. (1991). The Satir model: Family therapy and beyond. Science and Behavior Books.

Satir, V., Banmen, J., Gomori, M., & Gerber, J. (1991). The Satir model: Family therapy and beyond. Science and Behavior Books.

Schaefer, S. A., & Lauder, G. V. (1986). Historical transformation of functional design: Evolutionary morphology of feeding mechanisms in loricarioid catfishes. Systematic Zoology, 35(4), Article St Arnaud, K. O. (2021). Entheogen-assisted self-transcendence & psychospiritual development: A study of positive psychedelic drug use.

Tam, E. P. C. (2006). Satir model of family therapy and spiritual direction. Pastoral Psychology, 54(3), Article 3. https://doi.org/10.1007/s11089-006-6327-6

Wretman, C. J. (2015). Saving Satir: Contemporary perspectives on the change process model. Social Work, 61(1), Article 1.

Wretman, C. J. (2016). Saving Satir: Contemporary perspectives on the change process model. Social Work, 61(1), Article 1. https://doi.org/10.1093/sw/swv056

Yang, P. (2000). From caterpillar to butterfly: An action research of educational program based on the Satir model for women in Taiwan. The University of Tennessee.

Yu, B. Y. (2023). All we need is love? Irreconcilable political incongruence in families after the 2019 social unrest in Hong Kong. Political Psychology. https://doi.org/10.1111/pops.12941