Explore your reactions to the readings and to what you have learned about Relational-Cultural Therapy (RCT). Discuss in what ways the readings have changed your ide
– Explore your reactions to the readings and to what you have learned about Relational-Cultural Therapy (RCT). Discuss in what ways the readings have changed your ideas about the therapeutic relationship. Explain how RCT can be applied to your own life.
* (This is a relational-type therapy and the goal is to have growth fostering relationships. It's about the connections that we make. It embraces social justice and aligns with the feminist movement.)*
– Write one independent paragraph, explaining how Relational-Cultural Therapy (RCT) can be used by a psychiatric nurse practitioner to help patients.
Responses will be checked by Turnitin for originality. It should be a minimum of 350 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). *Information about the therapy is attached.
Journal of Counseling & Development ■ Summer 2008 ■ Volume 86 279 © 2008 by the American Counseling Association. All rights reserved.
Relational-cultural theory (RCT) was conceived after the publication of Jean Baker Miller’s (1976) Toward a New Psychology of Women, a groundbreaking book that has been translated into more than 20 languages. The ideas in Miller’s book emerged from her clinical practice with women in which she noted that the centrality of relationships in her clients’ lives was inconsistent with the traditional theories of counseling and human development she had been taught in medical school. According to Miller and other feminist theorists of the time, these traditional theoretical models emphasize individuation, separation, and autonomy as markers of emotional maturity and psychological health.
Miller (1976), like other multicultural and feminist theo- rists, suggested that a lack of understanding of the contextual and relational experiences of women, people of color, and marginalized men led many mental health professionals to pathologize these individuals by misunderstanding and devalu- ing how these important factors contribute to the psychologi- cal well-being of all people (Robb, 2006). Consequently, RCT complements the multicultural/social justice movement by (a) identifying how contextual and sociocultural challenges impede individuals’ ability to create, sustain, and participate in growth-fostering relationships in therapy and life and (b) illuminating the complexities of human development by offer- ing an expansive examination of the development of relational competencies over the life span. Challenges to developing such relational competencies in today’s socially stratified and oppressive culture are highlighted throughout this article.
Over the past 3.5 decades, Miller (1976) and other multi- cultural, feminist, and social justice advocates and theorists (Daniels, 2007; Ivey, D’Andrea, Ivey, & Simek-Morgan, 2007) have noted how traditional theories of counseling and develop- ment are built on the ideology of Western individualism that includes “hyper-competitiveness and deterministic control”
(Walker, 2003, p. 1). Such an ideology is based, in part, on the myths of “mastery,” “self-sufficiency,” and the idea “that people assume their places in the existing societal hierarchy by virtue of merit” (Jordan, 1999, p. 3).
RCT further complements the multicultural/social justice movement by serving as an alternative theoretical framework from which mental health professionals can explore how issues related to sex role socialization, power, dominance, marginalization, and subordination affect the mental health and relational development of all people. The goal of this article is to demonstrate how RCT complements the process of multicultural/social justice counseling competency devel- opment by providing an additional theoretical framework that supports the fourth force in counseling and psychology.
Core Tenets and Assumptions of RCT RCT is a comprehensive theory of counseling and develop- ment that emerged from the notion that traditional models of human development and psychotherapy do not accurately address the relational experiences of women and persons in other devalued cultural groups. To fill this gap, RCT provides an alternative and inclusive model of relational development across the life span. The RCT approach to helping and heal- ing is grounded in the idea that healing takes place in the context of mutually empathic, growth-fostering relationships. In an effort to create such relationships, the RCT approach to counseling involves identifying and deconstructing obstacles to mutuality that individuals encounter in diverse relational contexts and networks (Comstock, 2005; Comstock, Daniels, & D’Andrea, 2006).
Core RCT tenets that explicate the process of psychological growth and relational development, as summarized by Jordan (2000), include the following notions:
Dana L. Comstock, Tonya R. Hammer, Julie Strentzsch, Kristi Cannon, Jacqueline Parsons, and Gustavo Salazar II, Depart- ment of Counseling and Human Services, St. Mary’s University. Correspondence concerning this article should be addressed to Dana L. Comstock, St. Mary’s University, Department of Counseling and Human Services, One Camino Santa Maria, San Antonio, TX 78228-8527 (e-mail: [email protected]).
Relational-Cultural Theory: A Framework for Bridging Relational, Multicultural, and Social Justice Competencies Dana L. Comstock, Tonya R. Hammer, Julie Strentzsch, Kristi Cannon, Jacqueline Parsons, and Gustavo Salazar II
Relational-cultural theory (RCT) theorists advocate expanding the multicultural/social justice counseling competencies beyond the domains of self-awareness, cultural knowledge, and culturally responsive helping skills. This article pro- vides an overview of RCT and discusses how creating and participating in growth-fostering relationships are essential dimensions of human development and psychological well-being. Implications of this theoretical model for counseling practice are also addressed.
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Comstock et al.
1. People grow through and toward relationship through- out the life span.
2. Movement toward mutuality rather than separation characterizes mature functioning.
3. The ability to participate in increasingly complex and diversified relational networks characterizes psycho- logical growth.
4. Mutual empathy and mutual empowerment are at the core of growth-fostering relationships.
5. Authenticity is necessary for real engagement in growth-fostering relationships.
6. When people contribute to the development of growth- fostering relationships, they grow as a result of their participation in such relationships.
7. The goal of development is the realization of increased relational competence over the life span.
Consistent with feminist and multicultural/social justice theorists, RCT scholar Walker (2002) made the point that move- ment toward connection over the course of individuals’ lives is made in relational contexts that have been “raced, engendered, sexualized, and situated along dimensions of class, physical ability, religion or whatever constructions carry ontological significance in the culture” (p. 2). Walker also pointed out that the way individuals respond to “disconnections in relationship is in large measure a function of the multiple social identities operating in that particular relationship and in the relational sur- round at any given moment” (p. 2). In other words, the context of relational development across the life span is inextricably linked to individuals’ racial/cultural/social identities. As such, examining culture-based relational disconnections is one way to promote counselors’ relational, multicultural, and social justice counseling competencies. These competencies are grounded in an awareness and knowledge of the ways in which cultural op- pression, marginalization, and various forms of social injustice lead to feelings of isolation, shame, and humiliation among persons from devalued groups.
RCT is based on the assumption that the experiences of isolation, shame, humiliation, oppression, marginalization, and microaggressions are relational violations and traumas that are at the core of human suffering and threaten the survival of humankind (Birrell & Freyd, 2006; Gilligan, 2001; Hartling, Rosen, Walker, & Jordan, 2000; Miller & Stiver, 1997). Cultural oppression, social exclusion, and other forms of social injustices underlie the pain and trauma that individuals in marginalized and devalued groups routinely experience in their lives (Birrell & Freyd, 2006). It is important to point out that this theoretical assumption has been supported by numerous empirically based neurobiological studies that examine the antecedents and nega- tive psychological and physical outcomes of such experiences (Eisenberger, Lieberman, & Williams, 2003; Genero, Miller, & Surrey, 1992; Hartling & Ly, 2000; Liang et al., 1998; Schore, 2003; Spencer, 2000; Taylor, 2002).
RCT supports the multicultural/social justice movement by asserting that (a) “although oppression is often institutional-
ized at societal levels, it is necessarily enacted in the context of interpersonal relationships” (Birrell & Freyd, 2006, p. 52), and (b) “the fragmentation caused by the violation of human bonds can only be healed by new and healing human bonds” (p. 57). In essence, counseling relationships that are not guided by relational, multicultural, or social justice ideology purport- edly have the potential to further perpetuate the silencing and oppression that marginalized individuals experience in the larger culture (Day-Vines et al., 2007; Walker, 2003).
Many persons in the fields of counseling and psychology have resisted mainstreaming RCT in professional training programs and clinical practices. This resistance is similar to that encountered by the multicultural/social justice counseling advocates. Birrell and Freyd (2006) discussed the underpin- nings of such resistance by stating,
It is unfashionable, in this age of managed care and risk man- agement, to advocate for a treatment that not only takes time, but also involves the possibility, on the part of the therapist, of coming to new understandings of that forgotten realm of what Buber (1975) calls the “interhuman.” A treatment that does not address this level of experiencing risks objectifying the already wounded and creating a superficial adjustment to society which involves the risk of further abuse. (p. 54)
RCT’s further support of the multicultural/social justice movement is reflected in the manner in which it encourages counselors to think beyond symptom reduction and remedial helping interventions (Birrell & Freyd, 2006). RCT theorists emphasize that a more contextual approach to the helping process aimed at ameliorating the adverse impact of various forms of cultural oppression, marginalization, and social in- justice has many positive implications for individual clients and “the wider context of community and the social world” (Birrell & Freyd, 2006, p. 50). These positive implications are tied to the important role RCT counselors place on helping clients examine new ways to develop and maintain growth- producing connections in their lives.
RCT Complements Contemporary and Traditional Approaches to Counseling and Development
The notion of “connectedness,” an essential consideration in RCT, is embedded in traditional and contemporary counsel- ing scholarship (Coy & Kovacs-Long, 2005; Townsend & McWhirter, 2005). Historically speaking, the importance of connectedness in fostering psychological development and emotional well-being is reflected in the writings of Alfred Adler and other individual psychology theorists. These theo- rists described the need for mental health professionals to foster a sense of community and belonging to social groups in their work with clients. Adler took particular time to illuminate the importance of love and belonging as central to a person’s mental health (Ivey et al., 2007).
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Relational-Cultural Theory: A Framework
Erik Erikson is another widely respected theorist who discussed a related concept referred to as “homonomy” (Coy & Kovacs-Long, 2005, p. 139). According to Erikson, the term homonomy refers to children’s ability to rearrange and expand their relational circles based on their individual and developmental needs. This Eriksonian construct represents another indicator of the ways that traditional theorists acknowledged the importance of relational factors in fostering people’s sense of psychological well-being.
RCT provides a theoretical basis from which mental health professionals can reconsider the importance of the aforemen- tioned relational concepts for the practice of counseling. Over time, such concepts have consistently been muted by many other counseling theorists who overemphasized therapeutic and developmental goals that are culturally and gender biased. This includes efforts to promote clients’ “autonomy,” “self-realization,” “self-actualization,” and “personal mastery” in counseling (Coy & Kovacs-Long, 2005; Ivey et al., 2007). Despite this trend, Coy and Kovacs-Long advocated for the use of RCT concepts by recognizing that mental health professionals should include the ability to affiliate and connect with others in mutually empathic and empowering ways as an indicator of emotional maturity and psychological well-being.
Expanding the Rogerian Notion of Empathy
Carl Rogers is another prominent counseling theorist whose advocacy for relational concepts received sharp criticism by his psychoanalytic peers. Similar to criticisms that were directed at Adler and others, the criticism Rogers received was for focusing on the client–therapist relationship as a primary source of heal- ing in counseling. Such criticism targeted the emphasis Rogers consistently placed on the counselor’s ability to communicate a genuine sense of empathy with clients as a key component in promoting positive counseling outcomes (Comstock et al., 2006; Ivey et al., 2007). Although Rogers’s theoretical contri- butions extended counselors’ thinking about the important role empathy plays in the healing process, RCT expands Rogerian theory even further by
1. extending the one-way concept of empathy espoused in Rogers’s counseling theory to a two-way process referred to as mutual empathy;
2. describing relational movement that occurs in all relationships, including the counseling relationship, which involves inevitable periods of connection and disconnection;
3. resisting and eradicating sociopolitical factors that operate as the source of relational disconnections among many individuals in diverse and marginal- ized racial/cultural groups who are discouraged from naming their own reality and authentically expressing many of their thoughts and feelings;
4. serving as a theoretical framework from which to pro- mote the concept of mutual empathy as key to healing
and relational transformation in therapy, as well as in other relational/professional contexts, including the work counselors do as multicultural/social justice advocates, consultants, and organizational development agents.
Unlike Rogers’s one-way notion of empathy (e.g., empathy communicated by the counselor to the client), the RCT concept of mutual empathy is cocreated in counseling relationships and is viewed as an important source of healing and transfor- mation in the counseling process (Jordan, 2001). This occurs not only when the counselor effectively expresses her or his connection with clients’ expressed thoughts and feelings, but also when clients acknowledge being affected by the impact they have had in generating this sort of empathic response in the counselor.
In a mutually empathic encounter, everyone’s experience is broadened and deepened because people are “empathically at- tuned, emotionally responsive, authentically present, and open to change” (Miller, Jordan, Kaplan, Stiver, & Surrey, 1991, p. 11). It is important to point out that this sort of empathy requires a degree of vulnerability on the part of counselors that results from an ability to be authentically present with the client during times of connections and disconnections.
Mutually empathic encounters provide opportunities for counselors to become more culturally competent. This is possible because counselors engaged in mutually empathic exchanges with their clients can learn about their own and their clients’ worldviews and beliefs in new and different ways. This can be accomplished by exploring the relational confluence of the similarities and differences between their respective life experiences. Such self and cultural learnings enable counselors and clients to more freely and respectfully come to a mutual agreement about the intervention strategies that are likely to promote the sort of counseling outcomes that are consonant with culturally different clients’ worldviews, beliefs, and values (Day-Vines et al., 2007; Ivey et al., 2007). Developing mutual empathy in multicultural counseling situa- tions also results in a deepened understanding of and compas- sion for all people, which the Dalai Lama hasȀ
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