I believe they confess, get absolved and go do it again...
Not all of them, I think it's a personal choice.
I had a friend who's priest seemed to be working on the "Don't Ask, Don't Tell" system!
So she simply never mentioned that not only was her husband not a catholic, but that her was her second husband, she having been divorced from the first.
She just went to a church some way from where she'd lived before, and never spoke about it.
To keep to the topic, tightening up on Ballerina's question about whether painting the cards changed her spiritual outlook, I wonder if the energies of the cards visited her daily life as some creators these days say they do?
Did she have whole weeks of Swords energy? Tower moments? Cup episodes? Or did being the painter of someone else's creation negate that?