Relational-cultural therapy

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Relational-cultural theory, and by extension, relational-cultural therapy (RCT) stems from the work of Jean Baker Miller, M.D. Often, relational-cultural theory is aligned with the feminist and or multicultural movements in psychology. In fact, RCT embraces many social justice aspects from these movements.

RCT was developed in Wellesley, Massachusetts in the 1970s through the work of psychiatrist, Jean Baker Miller (Toward a New Psychology of Women), psychologists, Judith V. Jordan, Janet Surrey, and Irene Stiver at the Stone Center at Wellesley College in reaction to psychodynamic theory. The Stone Center at Wellesley College and the Jean Baker Miller Training Institute are the hubs of RCT research and training and are perhaps best known for their Working Papers series, collective works that are continuously considered for review and reconsideration. As RCT was founded in strong feminist principles, and was started at Wellesley College, the movement's traditional focus was on women and their relational experiences. [1]

Many mental health professionals employ RCT in their practice. A nonexhaustive list of these include: counselors, social workers, psychologists, and psychiatrists. Some current major relational-cultural theorists, writers, and practitioners include: Judith V. Jordan, Ph D, Amy Banks, MD, Maureen Walker, Ph D, Linda Hartling, Ph D, Sarah Sydelle Price, PCC, Rosjke Hasseldine and Thelma Duffey, Ph D [2] The consistent, primary focus of RCT is the primacy of relationships. That is, relationships are both the indicators for, and the healing mechanism in psychotherapy toward, mental health and wellness.

One of the core tenets of RCT is the Central Relational Paradox (CRP). The CRP assumes that we all have a natural drive toward relationships, and in these relationships we long for acceptance. However, we come to believe that there are things about us that are unacceptable or unlovable. Thus, we choose to hide these things; we keep them out of our relationships. [3] In the end, the connections we make with others are not as fulfilling and validating as they otherwise might have been.

A primary goal of RCT is to create and maintain Mutually-Growth-Fostering Relationships, relationships in which both parties feel that they matter. In these healthy relationships, all of the involved parties experience what is known as the Five Good Things. These include: 1) a desire to move into more relationships, because of how a good relational experience feels; 2) a sense of zest, or energy; 3) increased knowledge of oneself and the other person in the relationship; 4) a desire to take action both in the growth-fostering relationship and outside of it; 5) an overall increased sense of worth. [4]

RCT involves working with clients to identify, and strive in, relationships that present opportunities for them to experience Mutually-Growth-Fostering Relationships. In fact, a strong, connected therapeutic relationship should be a model for these kinds of relationships. While there a number of specific challenges presented in the therapeutic relationship, RCT practitioners believe that their relationships with their clients can have a reasonably high degree of mutuality. Clinical experiences of mutuality include: the client's movement toward the awareness that they matter to the therapist, the therapist that they, too, matter to the client, an integrative awareness both have of what it means to feel like one matters, and the worth involved in offering this to another person through the process of connection.

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Humanistic psychology is a psychological perspective that arose in the mid-20th century in answer to two theories: Sigmund Freud's psychoanalytic theory and B. F. Skinner's behaviorism. Thus, Abraham Maslow established the need for a "third force" in psychology. The school of thought of humanistic psychology gained traction due to Maslow in the 1950s.

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Unconditional positive regard, a concept initially developed by Stanley Standal in 1954, later expanded and popularized by the humanistic psychologist Carl Rogers in 1956, is the basic acceptance and support of a person regardless of what the person says or does, especially in the context of client-centred therapy. Rogers wrote:

For me it expresses the primary theme of my whole professional life, as that theme has been clarified through experience, interaction with others, and research. This theme has been utilized and found effective in many different areas until the broad label 'a person-centred approach' seems the most descriptive. The central hypothesis of this approach can be briefly stated. It is that the individual has within him or her self vast resources for self-understanding, for altering her or his self-concept, attitudes, and self-directed behaviour—and that these resources can be tapped if only a definable climate of facilitative psychological attitudes can be provided.

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Feminist psychology is a form of psychology centered on social structures and gender. Feminist psychology critiques historical psychological research as done from a male perspective with the view that males are the norm. Feminist psychology is oriented on the values and principles of feminism.

Judith V. Jordan is the co-director and a founding scholar of the Jean Baker Miller Institute and co-director of the institute's Working Connections Project. She is an attending psychologist at McLean Hospital and assistant professor of psychology at the Harvard Medical School. She works as a psychotherapist, supervisor, teacher and consultant. Jordan's development of relational-cultural therapy has served as a foundation for other scholars who have used this theory to explore the workplace, education. leadership and entrepreneurship.

Family therapy is a branch of psychotherapy focused on families and couples in intimate relationships to nurture change and development. It tends to view change in terms of the systems of interaction between family members.

Jean Baker Miller (1927–2006) was a psychiatrist, psychoanalyst, social activist, feminist, and author. She wrote Toward a New Psychology of Women, which brings psychological thought together with relational-cultural theory.

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References

  1. Jordan, J., Kaplan, A., Miller, J.B., Stiver, I., & Surrey, J. (1991). Women's Growth in Connection: Writings from the Stone Center. Harvard, MA: Harvard University Press.
  2. Counseling and psychotherapy: theories and interventions Dave Capuzzi-Douglas Gross - John Wiley & Sons - 2014
  3. Miller, J. B., Jordan, J., Stiver, I., Walker, M., Surrey, J., & Eldrige, N. (2004). Therapist’s Authenticity. In Jordan, J., Walker, M., & Hartling, L. (Eds.), The complexity of connection (pp. 64-89). New York: The Guilford Press.
  4. Robb, C. (2006). This Changes Everything: The Relational Revolution in Psychology. New York: Picador.