The impact of current demographic changes on clinicians work is manifold. The effects of migration range from the need to deal with transcultural issues to religion and spirituality experiencing somewhat of a revival. According to various studies, new cultural settings make certain ethnic minorities more susceptible to mental disorders and psychiatric conditions. Since they are faced with cross-cultural power relations, postcolonial structures and a hegemonic health model, often, they do not receive appropriate psychological or psychotherapeutical treatment. Culture plays a crucial role in the way a disease or disorder is perceived, categorized, symptomized, accepted, described, or expressed. In addition, the new environment may enhance religious and spiritual awareness leading to migrants being more attached to spirituality. Some
groups are reported to be more religious due to their cultural background, others start living their religious and spiritual beliefs and values more intensely abroad in order to reinforce their cultural identity in the alien surrounding. In general, mainstream psychology and mainstream psychotherapy seem to be rather reluctant to tackle spiritual, plurireligious and transcultural issues. This paper examines the pitfalls originating from the western ethnocentric perception of the two culture-bound concepts health and religion and discusses the chances offered by integrating spirituality in transcultural health settings. It focuses on the critical aspects of mainstream approaches and aims at raising awareness for the possible contribution of spirituality to the psychological well-being of the other.