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The interviews focused on gaining data with three research questions: How does a Christian worldview shape a counselor’s understanding of marriage attachment? How does a Christian worldview shape a counselor’s process of counseling (including goals, interventions, assignments, and self of the therapist)? How does a counselor with a Christian worldview utilize the Bible in counseling (including specific passages and biblical themes)? The literature review focused on three key areas: Adult attachment and marriage counseling; biblical framework for marriage and attachment; and integrating Christian worldview and attachment-based marriage counseling. This study concluded that there are diverse and dynamic ways the Christian worldview shapes a counselor’s approach to attachment-based marriage counseling. They use a range of biblical themes and passages. They find the work deeply personal, but feel resources are limited. Christian counselors as well as pastors have an opportunity to deepen their reflection on the biblical framework for marriage attachment, related themes, and specific biblical passages. 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