Relational Frame Theory: An Overview of the Controversy

Although Skinner''s Verbal Behavior (1957) was published over 50 years ago, behavior-analytic research on human language and cognition has been slow to develop. In recent years, a new behavioral approach to language known as relational frame theory (RFT) has generated considerable attention, research, and debate. The controversy surrounding RFT can be difficult to fully appreciate, partly because of the complexity of the theory itself and partly because the debate has spanned several years and several journals. The current paper aims to provide a concise overview of RFT and a summary of key points of debate and controversy.     

Attachment Perspective on Marital Dissolution and Relational Family Therapy

Divorce or dissolution of a long-term intimate relationship is an event on the continuum of an individual’s experience of attachment injury that is reawakened and played out again in this process. An attachment injury means the experience of rejection and betrayal of trust at a critical time of distress when one is in need of support. By means of the case study method, the article presents a case of a female client dealing with divorce. The history of traumatic relations through a lens of attachment theory is presented, along with divorce as the reawakening of an attachment injury and its processing in a relational family therapy model.     

The Use of Self from a Relational Perspective

This article explores the implications of a contemporary relational perspective on the use of self in social work practice. The author is responding to an article by Andrea Reupert, who interviewed social workers and reported they tended to see their concept of self as individualistic, autonomous, and only partially defined by others, even though social work practice focuses on person-in-environment. In this article, the author expands the concept of self and argues that a contemporary view of the therapist’s self is one that is dialogic, contextualized, decentered, and multiple. Additionally, the author suggests that this relational perspective has implications for teaching and supervision. Several clinical vignettes are provided to illustrate the concepts under discussion.     

In the Shadow of Death: Relational Paradigms in Clinical Supervision

The process of clinical supervision is a complex undertaking that is influenced by multiple factors, including the personalities and characteristics of the supervisory dyad, developmental considerations, social attitudes, ecological factors and the parallel process. The supervisory interchange becomes even more difficult and complex when it occurs in the context of HIV and AIDS related practice, which introduces the reality of untimely death accompanied by grief and loss. In this paper, I will review the literature in regards to developmental aspects of the supervisory relationship, transference and countertransference paradigms and the parallel process. These particular issues will be framed within a relational perspective and the ways it shapes the supervisory process. The focus of this paper will be clinical work with clients diagnosed with HIV and AIDS and the impact of death and dying on the supervisory paradigm. The literature review will be elaborated on through a clinical vignette followed by an extended discussion.     

Language Generativity,Response Generalization,and Derived Relational Responding

Language generativity can be described as the ability to produce sentences neverbefore said, and to understand sentences never before heard. One process oftencited as underlying language generativity is response generalization. However,though the latter seems to promise a technical understanding of the former at aprocess level, an investigation of definitions and approaches to the term“response generalization” that appear in the literature suggeststhat it does not do so. We argue that a more promising candidate for the role ofkey process underlying language generativity is derived relational responding.We introduce the latter concept and describe empirical research showing itsconnection with language. We subsequently present a relational frame theory(RFT) conceptualization of derived relations as contextually controlledgeneralized relational responding. We then review a series of recent studies onderived manding in developmentally delayed children and adults that arguablydemonstrate the applied utility of a derived relations-based approach withrespect to the phenomenon of generative language.     

Addressing Concerns with Lesbian Couples Experiencing Fertility Treatment: Using Relational Cultural Theory

Legal changes and increasing research surrounding the positive influence of lesbian parenting have spurred a resulting increase in lesbian couples pursuing parenting through various fertility measures. Increasing counselors' multicultural competence regarding the experiences unique to the lesbian population with fertility will strengthen the counseling process when working with lesbian couples interested in adding children to their family. Through the lens of relational cultural theory, this article uses the constructs of mutuality, empathy, and reciprocity to provide counseling implications for work with lesbian couples during the decision making and stressful process of fertility treatment, while focusing on strengthening the relationship.     

The Metaphor Goddess in Three Quarter Time: A Relational Use of Story And Metaphor

This paper explores co-creating, and integrating metaphor and story within the relational space of patient and analyst where new meanings can be co-authored into a more adaptive autobiography—a tale based on the impressions of life. Through this joint construction of intersecting stories, a person has an opportunity to rewrite a story which allows an individual to function more productively and creatively— a goal of psychotherapy.     

In and Out of Enactments: A Relational Perspective on the Short- and Long-term Treatment of Substance Abuse

This paper examines the contribution of a psychodynamic relational perspective to the treatment of substance abuse. Two cases of different lengths are presented to illustrate the therapeutic factors that contributed to successful recovery and long-term abstinence. Follow-up information on the successful outcome of both cases was available 7 years after the initiation of treatment. We discuss the critical role that the experience and processing of enactments played in both cases. Carol Ganzer, PhD, MSW, LCSW is on the faculty of the Institute for Clinical Social Work. She is a past president of the Chicago Association for Psychoanalytic Psychology and serves on the editorial boards of Clinical Social Work Journal and Beyond the Couch. She maintains an independent practice of psychotherapy and consultation in Chicago. Eric D. Ornstein, MA, LCSW, is a Clinical Associate Professor at Jane Addams College of Social Work, University of Illinois at Chicago. He is a field liaison in the College’s Field Division and currently teaches crisis intervention and field instruction workshops. He is on the Board of the Illinois Society for Clinical Social Work and Chair of their Education Committee.     

The Ethics of Relational Leading: Gender Matters

This article is concerned with the ethical implications of conceptualizing and enacting leadership as a relational practice, rather than as a heroic‐individualistic performance. Using a small empirical study, it explores the possibilities and challenges of becoming an ethical subject against the pressures on leaders to instrumentalize and masculinize their relational work. Ethics is understood as a critical reflexive practice through which leaders come to understand the effects of their conduct and are able to transform or restyle themselves. This fashioning of an ethical subject is discussed in relation to the construction of masculinized certainty and feminized self‐doubt. The article concludes with some tentative thoughts about the capacity of embodied subjects to transgress dominant modes of being and acting.     

A Sea of Trouble: A Relational Approach to the Culturally Sensitive Treatment of a Severely Disturbed Client

In this article we will show how a relational approach provides a conceptual framework that shapes and informs culturally sensitive practice with a severely disturbed client. We argue that a relational approach facilitates therapeutic action through the intense focus on countertransference, the close attention to enactments, and the therapist's authenticity and self-disclosure. Additionally, we emphasize that a therapeutic matrix that includes the cultural, racial, socioeconomic, and institutional factors, increases the likelihood clinicians will attend to what Perez-Foster calls their dissociated and disavowed personal values. We present a case that had a less than satisfactory outcome where the therapist found herself in a sea of trouble. The case illustrates how a relational approach enhanced the therapist's understanding of the case and allowed her to continue to work with a difficult and challenging client. We conclude by suggesting that our conceptual understanding of this case exemplifies a necessary and appropriate focus for future social work research and practice.     

The Baby as Subject: The Hospitalised Infant and the Family Therapist

This article is concerned with the experience of infants who endure long hospitalisations. It explores the concept of the baby as subject; that is, infants as active, psychic participants in their earliest relationships. It explores therapeutic possibilities with hospitalised infants from an infant mental health perspective. It advocates for family therapists to equip themselves for infant—parent therapeutic work.     

Mother Bear: A Relational Approach to Child Therapy

This paper explores the role and importance of the relationship in the treatment of a young foster child. Because of parental neglect and loss, the child related in an inauthentic manner in order to engage her parents. Her manner of relating arose from old patterns, which were defensive adaptations to traumatic situations. The authors employ a relational theory of the self to conceptualize the processes from an intrapsychic and interpersonal perspective. The paper emphasizes that all the interactions between child and therapist, both in and out of the traditional therapy office, converged into a multidimensional authentic relationship. The authors define this relationship experience as the life space and believe that the establishment of the life space contributed to progress in the therapy.     

Gender and Disability in Male‐Dominated Occupations: A Social Relational Model

Evidence from male‐dominated sectors points to high levels of disability and the disabling nature of working environments. However, research of this nature assumes a medical model of disability that does not account for the social construction of disability or the lived experiences of disabled employees. Using data from seven focus groups (n = 44) and semi‐structured interviews with professional transport employees with life‐long hidden ‘impairments’, including dyslexia, dyscalculia, dyspraxia, ADD/ADHD and Asperger syndrome (n = 22), this paper explores the lived experiences of men and women working in a sector traditionally dominated by men, the transport industry. Key themes include homosociality, public–private divide and the impact of changing work practices. Further, the data revealed how those with hidden ‘impairments’ in part construct their identities in relation to both non‐disabled colleagues and those considered stereotypically representing disability (wheelchair users). This study furthers understandings of the relationality of gender and disability in the workplace, and the lived experiences of disabled employees.     

Cancer as a Life Transition: A Relational Approach to Cancer Wellness in Women

Receiving a diagnosis of cancer is a traumatic event and changes one's life forever. The period of initial diagnosis and treatment is indeed a life transition, regardless of the prognosis. It precipitates a change in self-perception, physically, emotionally, and interpersonally. It changes how a woman sees herself, her family, and her world. Simultaneously the woman is confronted with many decisions to make regarding treatment options and the management of personal, familial, and work related responsibilities. People have the opportunity to reflect on old decisions and to make new decisions. Inevitably one is confronted by mortality. The management of this illness is done in the context of a complex network of relationships with family, friends, coworkers, doctors, other medical personnel, and clergy. Often it is the clinical social worker who is in the position of facilitating access to and participation in resources for care. Many women join healing communities or wellness centers to find a model of care and achieve a state of well-being that utilizes and encourages the support of these relationships. Understanding the importance and impact of these relationships can help clinical social workers facilitate cancer wellness in their clients and advocate better on their behalf. The intent of this paper is to understand the concept of cancer wellness as a relational approach and to promote its place in integrative clinical social work practice.     

Face and the Dynamics of Its Construction: A Relational and Multilayered Perspective

This article proposes a new understanding of the concept of face as coconstructed and characterized by various and not always polarized dynamics, such as gain/loss. In elaborating on this conceptual frame, I revisit Goffman's work on social appraisal and argue it is marked by a shift from an expositional to a relational approach. Using this reading of Goffman, together with characteristics of the Chinese concept of face, I analyze interview data about users' interpretations, motivations, and intentions behind public exchanges of information on Facebook. The data illustrate both interactive processes of gradual acquisition/erosion of mien‐tzu and loss of lien.     

The Symmetry and Asymmetry of Cultures: A Point of Departure for Bicultural Psychotherapy

The we-self and I-self relationships of the Asian and Western cultures, respectively, are examined from the perspectives of two creation myths, asymmetrical and symmetrical modes of thought, and an example of bicultural therapy.     

The Role of Heritage Camps in Identity Development Among Korean Transnational Adoptees: A Relational Dialectics Approach

This study contributes to the literature on transracial adoptions in two important ways: (1) it compares how parents and transnational adoptees negotiate racial and family identities through the use of heritage camps and (2) it informs that comparison with insights garnered from the theory of relational dialectics. The results, which are based on interviews with Korean-born children and Caucasian-American parents (matched parent-child pairs), suggest that parents utilized camps to both downplay their children's racial differences and give credence to their children's “unique” lives. Adoptees, in contrast, were not concerned with downplaying race; instead, they reported that although camps were fun, they did not impact their sense of identity significantly because they did not do enough to address the racial challenges they faced. These results suggest a potential disjuncture between parental purposes for utilizing heritage camps and the actual experiences of adoptees while at these camps. Moreover, they suggest that additional empirical attention should be paid to adoption policies and practices that explicitly address the racial and ethnic needs of transnational adoptees.     

Work of Full‐Time Mothers: Putting Voice to the Relational Theory of Working

The purpose of this qualitative research was to explore the work experience of middle‐class, Korean full‐time mothers in their 50s. Interviews, observations, and photographs were collected from 11 Korean full‐time mothers to understand their work and career experiences. The data were analyzed by a case study qualitative method of inquiry. The themes that emerged from the data were paths to becoming full‐time mothers, multiple working roles from relationships, dialectical characteristics of work, meaning of full‐time mothering, and regrets and internalized biases for full‐time motherhood. The findings illustrate how full‐time mothers experience a sense of meaning and mattering from their work; how relationships and work are intertwined in their lives; and how gender, social class, and culture influence the work and relationships of full‐time mothers. Implications for counselors and researchers are discussed.     

The Nonprofit Sector and the Informal Sector: A Theoretical Perspective

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - How do and why might different nations demarcate socioeconomic activity into distinct societal sectors? In this review and...