Relational-cultural therapy
Encyclopedia
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
Social justice
Social justice generally refers to the idea of creating a society or institution that is based on the principles of equality and solidarity, that understands and values human rights, and that recognizes the dignity of every human being. The term and modern concept of "social justice" was coined by...

 aspects from these movements.

RCT was developed in Boston
Boston
Boston is the capital of and largest city in Massachusetts, and is one of the oldest cities in the United States. The largest city in New England, Boston is regarded as the unofficial "Capital of New England" for its economic and cultural impact on the entire New England region. The city proper had...

, Massachusetts in the 1970s through the work of Jean Baker Miller (Toward a New Psychology of Women) and Carol Gilligan
Carol Gilligan
Carol Gilligan is an American feminist, ethicist, and psychologist best known for her work with and against Lawrence Kohlberg on ethical community and ethical relationships, and certain subject-object problems in ethics. She is currently a Professor at New York University and a Visiting Professor...

 (In A Different Voice). The Stone Center at Wellesley College is a hub for RCT research and training and is 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.

Many mental health professional
Mental health professional
A mental health professional is a health care practitioner who offers services for the purpose of improving an individual's mental health or to treat mental illness. This broad category includes psychiatrists, clinical psychologists, clinical social workers, psychiatric nurses, mental health...

s employ RCT in their practice. A nonexhaustive list of these include: counselors, social work
Social work
Social Work is a professional and academic discipline that seeks to improve the quality of life and wellbeing of an individual, group, or community by intervening through research, policy, community organizing, direct practice, and teaching on behalf of those afflicted with poverty or any real or...

ers, psychologist
Psychologist
Psychologist is a professional or academic title used by individuals who are either:* Clinical professionals who work with patients in a variety of therapeutic contexts .* Scientists conducting psychological research or teaching psychology in a college...

s, and psychiatrist
Psychiatrist
A psychiatrist is a physician who specializes in the diagnosis and treatment of mental disorders. All psychiatrists are trained in diagnostic evaluation and in psychotherapy...

s. Some current major relational-cultural theorists, writers, and practitioners include: Judith V. Jordan
Judith V. Jordan
Judith V. Jordan, Ph.D. 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...

, Ph D, Amy Banks, MD , Maureen Walker, Ph D, Linda Hartling, Ph D, Thelma Duffey, Ph D, and Dana Comstock, Ph D.

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
Mental health
Mental health describes either a level of cognitive or emotional well-being or an absence of a mental disorder. From perspectives of the discipline of positive psychology or holism mental health may include an individual's ability to enjoy life and procure a balance between life activities and...

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. 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.

RCT involves working with clients to identify, and strive in, relationships that present opportuntities for her/him 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 she/he matters to the therapist, the therapist that she/he, too, matters 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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