Nouthetic counseling has been criticized for being narrowly conceived, with a confrontational focus upon sin and behavior, which fails to deal adequately with emotion, grief, and suffering, and which lacks understanding of complex human motivations.
Clinton and Ohlschlager describe what they call the historic debate between nouthetic counselors and integrationists. Nouthetic counselors, they say, argue that truth can only be known as revealed in the Scriptures. According to an article published by the Spring Christian Counseling Center, secular counseling and psychology are primarily pseudo-sciences which only can be transformed into true sciences within the framework of faith based Christian dialog. Integrationists argue that God reveals his truth universally. This includes general revelation, or what they define as truth known by scientific investigation, as well as truth known by special revelation in Christ. Clinton and Ohlschlager express their belief that "shrill criticism and