The International Council on Pastoral Care and Counselling (ICPCC) met in October 2015 in San Francisco for its 10th International Congress. Recent results from worldwide projects underlined the importance of an exchange within the globalized network. Interreligious encounters in Spiritual Care and Counselling led to new insights, aspects of social justice brought along new challenges. Technology and Internet Communication opened a space for new reflections in the realm of spiritual experience. This volume presents documents from a joint meeting of ICPCC with American organizations for Pastoral Care and Counselling. It shows the enduring process of formation of a worldwide community of spiritual counsellors.