Abstract Pastoral counseling, chaplaincy, and spiritually integrated psychotherapy increasingly emphasize culturally responsive approaches to meaning-making that attend to clients’ spiritual traditions without imposing theological authority. For some Jewish clients, spiritual and cultural meaning-making is shaped by interpretive practices that are dialogical, multivocal, and often text-centered and that may not always be recognized or engaged within common clinical approaches to spirituality and culture. This article introduces midrash therapy as a Jewish culturally attuned narrative practice situated at the intersection of narrative therapy, philosophical hermeneutics, and Jewish interpretive traditions. Midrash therapy is presented as a conceptual and theoretical clinical model that engages Jewish sacred texts as dialogical partners in the co-construction of meaning, identity, and healing. Drawing on narrative therapy’s decentered stance and hermeneutical commitments to reflexivity and interpretive openness, the model resists prescriptive or doctrinal uses of text and instead emphasizes relational authority, multiplicity of meaning, and ethical restraint. This article outlines the theoretical foundations of midrash therapy, articulates its core clinical features, and explores its application in pastoral counseling, chaplaincy, and spiritually integrated psychotherapy. Particular attention is given to ethical considerations, including power dynamics, spiritual harm, scope of practice, practitioner competence, and institutional constraints. Although informed by prior hermeneutical inquiry, this article is conceptual and does not report new empirical findings. Instead, it presents midrash therapy as a theoretically grounded, ethically bounded contribution to pastoral psychology that advances conversations about culturally responsive and spiritually integrated care while honoring Jewish narrative traditions without collapsing therapy into religious instruction.
Robert Jury (2026) studied this question.