Models of Sexual and Relational Orientation: A Critical Review and Synthesis

Many frameworks exist to explain and describe the phenomenon of same‐sex sexuality as it applies to human development. This conceptual article provides a critical overview and synthesis of previous models to serve as a theoretical bridge for the suggested multiple continua model of sexual and relational orientations. Recommendations for how counselors can adapt the multiple continua model to improve their work with same‐sex sexual clients are presented, and future directions for research are discussed.     

Relational Psychoanalysis: A Review

Relational psychoanalysis, a relatively new and evolving school of psychoanalytic thought, is considered by its founders to represent a “paradigm shift” in psychoanalysis. The relational approach, initiated by the publication of Jay Greenberg and Stephen Mitchell's book, Object Relations in Psychoanalytic Theory in 1983, has developed into a movement with its own substantially separate literature. This paper reviews both the history and theoretical origins of the relational movement, as well as important theoretical premises and viewpoints now associated with the relational school.     

Vitalizing Enactment: A Relational Exploration

Drawing from her extensive work with deeply disturbed children Alvarez (2012) theorized a form of intervention termed “vitalization” in which the analyst actively reaches out to contact and “reclaim” her most inaccessible patients, engaging them in the world of emotions and relationships. In this paper I consider Alvarez’s ideas through the lens of Relational thought, reconceptualizing vitalization as a unique form of enactment that can draw the analytic dyad from deadened impasse into enlivened contact. In vitalizing enactment embryonic affects, hopes, and longings find expression and are potentiated for patient and analyst alike. This is a view of enactment as a progressive and creative lived experience, rather than an unconscious collision to be survived and symbolized. I contextualize vitalizing enactment in relation to Alvarez’s original formulations as well as relevant contemporary theories and present a clinical vignette to illustrate this paper’s themes.     

Relational Diagnosis: A Retrospective Synopsis

This article highlights and summarizes efforts that have been made primarily during the past 20 years to bring the significance of relational diagnosis to the attention of the entire mental health community, and either (1) to have dysfunctional relational interactive patterns classified and codified and accepted for inclusion in the Diagnostic and Statistical Manual of Mental Disorders, or (2) if this is not feasible, to have a nosology of relational diagnoses, which have been clearly defined with accompanying risks specified for mental illnesses that might develop, and criteria sets delineated and adequately field tested to warrant and lead to publication of a separate but equal Diagnostic Manual of Relational Disorders and Dysfunctional Interactional Patterns.     

Mindfulness: Towards A Critical Relational Perspective

Significant attention has been given to mindfulness and mindfulness meditation in Western culture – often allied with a concern to enhance ‘subjective wellbeing’ through interventions aiming to ameliorate stress, depression and anxiety. While much professional and scientific research has been conducted which studies the nature and effectiveness of mindfulness‐based interventions, few critical accounts exist. I seek to produce a social critique of current understandings of mindfulness in relation to contemporary psychology. I illustrate how mindfulness has become individualised as an object of contemporary psychological investigation. I then propose a relational approach which instead sees mindfulness as socially contingent and as a potential resource for individuals and communities to cultivate a critically distant stance towards society. This involves revisioning our basic understanding of mindfulness as not only an inner state of mind, but also as a public social practice.     

Twenty-First Century Science as a Relational Process: From Eureka! To Team Science and a Place for Community Psychology

In this paper we maintain that twenty-first century science is, fundamentally, a relational process in which knowledge is produced (or co-produced) through transactions among researchers or among researchers and public stakeholders. We offer an expanded perspective on the practice of twenty-first century science, the production of scientific knowledge, and what community psychology can contribute to these developments. We argue that: (1) trends in science show that research is increasingly being conducted in teams; (2) scientific teams, such as transdisciplinary teams of researchers or of researchers collaborating with various public stakeholders, are better able to address complex challenges; (3) transdisciplinary scientific teams are part of the larger, twenty-first century transformation in science; (4) the concept of heterarchy is a heuristic for team science aligned with this transformation; (5) a contemporary philosophy of science known as perspectivism provides an essential foundation to advance twenty-first century science; and (6) community psychology, through its core principles and practice competencies, offers theoretical and practical expertise for advancing team science and the transformation in science currently underway. We discuss the implications of these points and illustrate them briefly with two examples of transdisciplinary team science from our own work. We conclude that a new narrative is emerging for science in the twenty-first century that draws on interpersonal transactions in teams, and active engagement by researchers with the public to address critical accountabilities. Because of its core organizing principles and unique blend of expertise on the intersection of research and practice, community psychologists are well-prepared to help advance these developments, and thus have much to offer twenty-first century science.     

Going Too Far: Relational Heroines and Relational Excess

I consider the evolution of our relational ideal—its implications for our therapeutic goals, our patients, and for ourselves. Who do we aim to be in the consulting room? How do we view our patient—her potential and her limitations? What are the clinical goals of a relational analysis? What might those goals occlude? In this context I address the historical excesses of our ideal and the ways we may have gone too far.     

Parent-Centered Work: A Relational Shift in Child Treatment

In recent decades, the influence of attachment theory, relational theories, and infant research has shifted therapeutic focus from a one-person to a two-person psychology. Dyadic relational patterns and the intersubjective nature of experience have assumed prominence in the ways in which analysts conceptualize disturbance and intervention. This paradigm shift has altered the focus of child treatment to emphasize consultative work with parents. Using a relational understanding of behavior, I propose therapeutic intervention with the parent alone, in which parents are helped to establish a more effective role through greater self-awareness and a greater understanding of their child's internal experience. Parent work strives to reconfigure relational patterns through an alteration of projections and introjections, which in turn, alters the self-experience of the child. Clinical material illustrates the shift from individual work with the child to parent-centered work.     

Relational Theory and Intergenerational Connectedness: A Qualitative Study

Relational theory encourages women to be connected in relationships. The authors used qualitative methodology to explore the interactions of a nonfamilial intergenerational group of 7 female adolescents (13–15 years) and 5 older women (62–80 years) in a structured retreat. Findings indicated that the participants experienced increased connectivity and feminine identity.     

The Relational Co-Construction of Selves: A Postmodern Perspective

Viewed in postmodern perspective, psychotherapy functions less as a context for self-analysis or self-actualization than as a dialogic sphere for the co-construction of a new sense of identity within and beyond the therapeutic relationship. This article considers some of the implications of this shift for postmodern practice, focusing especially on the place of narrative and performance in consolidating a preferred sense of self.     

A Relational Psychoanalytic Model for Case Management: A Literature Review

Abstract

Relationship building is critical in case management with the seriously mentally ill. A theoretical framework, such as relational psychoanalytic theory, with a strong integrative emphasis provides a structure for the complex interplay of internal and external factors/forces in case management. The purpose of this paper is to provide a literature review in the area of case management: relational psychoanalytic theory, relationship building and psychodynamic theory. The review concludes outlining the appropriateness of this theoretical framework for case management.     

A Relational Encounter with Race

Race remains one of the most highly charged subjects of discourse in our society. At a cultural level, white racial identity has become dissociatively split off from the rest of identity formation. A racialized subjectivity is usually carried by those with darker skin colors, whereas whiteness is experienced as an unmarked and invisible state. The author argues that whites have dissociated the historical position of the oppressor from collective consciousness, due to our inability to tolerate an identification with the aggressor. Our disavowal of race as constitutive of subjectivity ensures that race becomes a site for enactments.

This paper follows the transference-countertransference dynamics between an African American patient mandated to treatment and the author, a white analyst born in South Africa. The haunting presence of racial trauma infused the analysis. Focus is placed on the rich, often unmetabolizable experiences of race, including the ways in which the structure of the treatment recreated the racial dynamics of slavery.     

The Symbiotic Survival Pattern: A Relational Theory of Schizophrenia

A theoretical formulation regarding schizophrenia and family functioning is presented that attempts to integrate individual and systems approaches. Despite these approaches dealing with phenomena at different levels, they interact, modify, and determine each other. A review of the literature in both psychoanalytic and family theory served as background and foundation. The symbiotic survival pattern found in families with a schizophrenic member is a mutually controlling system of interaction in which each individual feels responsible for the self-esteem and survival of the other. This involves at least three people, two of whom are expected to act out introjected images for the third. A paradigm of intrapsychic introjects, as well as an illustrative method of describing their use in family transactions, is developed.     

The Experience of the Holy: A Relational Psychoanalytic Analysis

The title of this paper, The Experience of the Holy is a direct reference to Rudolf Otto's book Das Heilige. The paper begins with Otto because he lays out many of the important issues involved in a psychological investigation of the experience of the holy, especially the question of whether the sacred is a unique object of experience, or a characteristic of our experience of ordinary objects. The paper then discusses three contemporary relational psychoanalysts (D.W. Winnicott, Hans Loewald, and Christopher Bollas), and the ways in which their theorizing illuminates the psychology of the sacred.     

Gender and Infertility: A Relational Approach to Counseling Women

Much of the research on infertility reinforces differing effects for women and men, with women reporting more serious repercussions medically, psychologically, and socially. However, the unique counseling needs of infertile women have not been addressed through traditional counseling theory. The Relational Model (J. V. Jordan, 1995) of women's development is a theory that explains women's development in a context of relationships, specifically relationships that promote growth for self and others. This model is applied to counseling women who are experiencing infertility, and a case presentation is provided to illustrate the approach.     

Redemptive Experience in Relational Family Therapy: A Christian Perspective

We all long for relationships with others, because only in connecting with others can we develop our intrapsychic structure and become functional adults. We are psychologically predisposed to have a constant connection with others and are driven toward relationships with others. Our deepest yearnings are therefore devoted to building solid dialogue as the means of becoming fully human. We, therefore, consciously or unconsciously, long for a relationship where we can experience happiness, satisfaction and, above all, redemption or salvation from our dreads, miseries and unhappiness. In this article we presuppose that a therapeutic relationship, demonstrated in a psychoanalytic setting, namely in relational family therapy, can contain redemptive dimensions in which the inextinguishable longing for salvation is always present.

The Relational Health Indices: A Study of Women's Relationships

A new measure of women's relationships, the Relational Health Indices (RHI), comprises three scales that assess growth-fostering connections with peers, mentors, and communities. The RHI was developed using the Relational Model (Jordan, Kaplan, Miller, Stiver, Surrey, 1991; Miller & Stiver, 1997), a theory of women's psychological development. The 37-item measure assesses three conceptual dimensions of growth-fostering relationships: engagement, authenticity, and empowerment/zest. This study examined the psychometric properties of the RHI with a group of 450 students at a women's liberal arts college, providing evidence for the reliability, validity, and utility of the new measure. The factor analyses confirmed a three-subscale structure: engagement, authenticity, empowerment/zest. The RHI's components generally demonstrate good overall internal consistency. Furthermore, associations between RHI scales and convergent validation scales were significant and in the direction hypothesized. Correlations with adjustment scales varied across the RHI components. The RHI has potential for enriching our understanding of important, subtle qualities and complex dynamics of both dyadic and group relationships, especially among women. The instrument is available for use by researchers interested in continuing the scale and theory development.     

A Relational Theory of the Visible

Axiomathes - On the basis of previous studies in relational biology and the phenomenological calculus, in my contribution I outline the mathematical foundations of biological perception generally,...