Which response indicates that a client experiencing spiritual distress has made progress?

The response that indicates a client experiencing spiritual distress has made progress is when they accept that their illness is not a punishment from God. This acceptance reflects a significant shift in the client's understanding and coping mechanisms regarding their situation. It demonstrates that the client is beginning to reconcile their spiritual beliefs with their experience of illness, moving away from feelings of guilt, blame, or a punitive view of their condition.

This progress shows that the client is working through their spiritual distress, which often involves grappling with complex feelings about faith, suffering, and the meaning of life. By accepting that their illness is not a form of retribution, they are likely finding a more compassionate and forgiving view of themselves and their circumstances. This acceptance can be an important step towards healing and finding peace, which is crucial in the context of spiritual well-being.

The other options do not indicate progress in the same way. Expressing concern about life's meaning may suggest ongoing distress rather than progress. Remaining angry at God reflects unresolved feelings and continued spiritual turmoil. Refusing to participate in rituals may indicate withdrawal from community and spiritual practices, which often exacerbates feelings of isolation and despair.