This chapter stresses the importance of incorporating not only the broader sociological considerations discussed earlier, but also deeper spiritual ones. A major theme will be the various ways in which a dehumanizing approach to mental health problems undermines identity and other aspects of mental and spiritual well-being. Spirituality is often contrasted with materialism. This is because an overemphasis on material possessions and wealth can easily distract us from more important concerns in life. Identity is also part of spirituality, in the sense that maintaining a coherent sense of self in a constantly changing and evolving set of circumstances is a question of establishing clarity about who we are and how we fit into the world. Our contribution to spiritual transformation can therefore include trying to prevent negative transformations and to foster and support positive ones.