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Church growth in metropolitan communities motivated a short study concerning the pastoral care and counseling of immigrants, specifically Black Caribbean congregants in large/mega congregations. Culture, denomination history, and interpretations of scripture enter into the dynamics of defining not only the pastoral office of leaders but their perception of "care." The phenomenological "cycle" of care is said to exist as an exchange happens between caregivers and care receivers. Such an exploration of three congregations opened up rare concepts of the psycho-social, and spiritual nature that guide interpersonal relationships of family systems across cultures. Large/mega congregations desire women's as well as men's style of nurturing and of fellowship that form the characteristics of a sharing, caring congregation. The study implicated a need for more comprehensive interdisciplinary teaching methods to train church leaders and clergy. It signals for an approach in practical theology to develop curricula for spiritual health of cultural plurality in congregations and community.