This book presents a history of the CPE movement from precursors in educational reform to its development into the Association for Clinical Pastoral Education (CPE) until 1990. Readers will understand issues, choices, and dynamics of how CPE evolved, and appreciate how CPE has lived its mantra, trust the process. The book also engages the reader to reflect upon his or her own understanding of theological education. Built upon a foundation of educational reform, CPE has provided supervised clinical experience as a means to enhance understanding, skills, and personal and interpersonal growth. CPE moved from a simple value of care toward a value of professional competence while seeking to institutionally guarantee consistent quality education. Early leaders of the unified ACPE focused upon internal development and professional excellence. The next generation invested in interorganizational cooperation and reclaiming concern for public issues.