Several changes and developments have occurred in the theory and practice of psychotherapy recently. Similar changes have occurred, and will continue to occur, in spiritually oriented psychotherapy. A review of these developments in conventional psychotherapy is useful in appreciating changes and the current status of spiritually oriented psychotherapy. This chapter begins with a description of developments in the practice of psychotherapy, and then describes similar developments occurring in the practice of spiritually oriented psychotherapy. This discussion serves as an introduction and overview of Chapters 6 through 10.