Facilitating the client's experience of relational depth in counselling and psychotherapy: A thematic review

Aim

There is increasing interest in relational depth and its relevance and benefits for clients receiving therapy in a number of different therapeutic orientations. This research set out to draw together the available evidence from a wide range of therapies about clients' experiences of relational depth. The aim was to identify approaches that create the conditions where relational depth is more likely to be facilitated. The research focused on clients' views, given the increasing emphasis on their experiences in therapy.

Methodology

A systematic search of papers published in English between January 1996 and September 2022 was conducted using EBSCO Host, Google Scholar and citation chaining. Twenty-seven papers met the inclusion criteria, and a thematic analysis was conducted on these papers.

Findings

Six themes were identified: (1) establishing dialogue with the client's inner world, (2) working with attachment in therapy, (3) responding sensitively to the client's beliefs and values, (4) deepening the client's understanding of the therapist, (5) addressing ruptures in therapy and (6) the client's role in meeting at relational depth.

Conclusion

Facilitating the client's experience of relational depth can support and enhance many aspects of therapeutic practice and in itself may contribute to healing. Therapists who offer warmth and genuine engagement are more able to build confidence and trust, as long as these conditions are received by their clients. It is the clients who ultimately decide whether or not to share their deepest feelings.     

Emerging adult romantic relationship narratives during COVID-19: Understanding relational challenges and opportunities

This cross-sectional study sought to understand how emerging adult college students currently in relationships experienced and dealt with COVID-19 stress during a key time for romantic relationship development. Using a relational turbulence theory (RTT) framework, we examined romantic relationship narratives in three different groups of students for indicators of uncertainty (break-up anxiety [BUA]), interference (conflict and negative emotion), facilitation (support), and coping strategies. Of particular interest was whether these indicators would vary as a function of when the stress of the pandemic was assumed to be more compared to less disruptive to relationships (Group 1 Fall 2020 and Group 2 Spring 2021, off campus/unvaccinated; Group 3 Fall 2021, on campus/vaccinated). As expected, students interviewed during periods when pandemic stress was assumed to be higher showed more break-up anxiety, increased conflict, and angry word use to describe conflict events. However, contrary to expectations, sad emotions and support did not vary as a function of when students were interviewed. Regardless of when students were interviewed, there were several strategies they used to cope with the stresses of COVID-19. The most frequent strategies students described were using technology/media to stay connected and taking steps to keep themselves and their families healthy.     

Social relationships: the nature and function of relational schemas

This paper reviews developments in the field of close relationships from an interdependence theory perspective. It concludes that focusing on the relational, dyadic aspects of relationships has led to a much better understanding of social cognition and of interpersonal processes. In this vein, the nature and function of relational schemas seems a particularly promising new direction for research. It encompasses recent work on self‐in‐relation‐to‐other schema structure, the organization of schemas in cognitive networks, motivated construal in service of a need for felt security, and the dynamics of attachment and dependency regulation. Despite some impressive advances in research on close relationships, however, a more social psychological emphasis on the causal influence of features of social situations on cognition and behavior is important for the future health of the field. Copyright © 2000 John Wiley & Sons, Ltd.     

Relational discrepancies and emotion: The moderating roles of relationship type and relational discrepancy valence

Relational discrepancy theory proposes that discrepancies in the extents to which relational partners meet relational standards are associated with emotions and that perceiving relationships in specified ways moderates associations. In a range of relationships, ideal relational discrepancies were associated with dejection and ought relational discrepancies with agitation (Study 1), associations moderated by relationship type. Discrepancy valence also moderated ideal discrepancy associations. Similar associations were found in friendships, moderated by relationship type (Study 2). Finally, relationship type and valence moderated associations in relationships with supervisors but not with colleagues (Study 3). These results support relational discrepancy theory propositions.     

Derived relational responding: a comparison of match-to-sample and the relational completion procedure

Previous research suggests that the Relational Completion Procedure may be an effective alternative procedure for studying derived relational responding. However, the parameters that make it effective, relative to traditional match-to-sample, remain to be determined. The present experiment compared the Relational Completion Procedure and match-to-sample protocols for training and testing Same and Opposite derived stimulus relations. Trials to criterion and overall pass rate (i.e., yield) in both procedures were compared across three variables: presence versus absence of a confirmatory response requirement, three versus five comparison stimuli, and top-to-bottom versus left-to-right presentation format. Findings demonstrated a facilitative effect of the confirmatory response requirement in both procedures. Training trials to criterion were nominally but not significantly lower during the nonarbitrary training phase in the Relational Completion Procedure compared to match-to-sample, and the overall yield on the arbitrary relational test was greater in the former procedure compared to the latter. The present findings support the further development of the Relational Completion Procedure as an efficient alternative procedure for establishing Same and Opposite relations with adult humans, and with potential applicability to other types of derived relations.     

Perverse relationships: The perspective of the perpetrator

The author examines the theme of perverse relationships within the couple, focusing on the question of men's maltreatment of their female partners, particularly in the psychological sense. Various aspects of the perpetrator's personality and relational style are described. The author takes as her starting point and discusses in depth the concepts of narcissistic perversion (Racamier, 1992) and relational perversion (Pandol, 1999), considered useful for understanding and identifying this type of pathology. She postulates that maltreating behaviour, in fact, originates from the encounter of particularly non–empathic relational styles which are typical of certain personalities (mainly, but not exclusively, of the narcissistic disorder) with perversity, that is, perversion, understood as a character trait. The author makes a distinction between relational perversion and sado–masochistic relationship, and presents a clinical picture deriving from the analysis of a man who maltreats his companion, in order to shed light on the above–mentioned aspects, touching on some problems arising in the analysis of such patients. In conclusion, she considers some aspects of the experience of victims of maltreatment.     

Pandemic precarity: A multi-level study of neoliberal precarity and COVID-Related outcomes in the United States

Neoliberalism is the political-economic system that has characterized the United States for the past half century. Structurally, neoliberalism has involved privatization, deregulation, and government divestment from public health systems. Cultural psychologists have begun to outline the ways that neoliberalism is reflected in attitudes, ways of being, and ideologies, such as in the form of heightened individualism, justification of inequality, depoliticization, and precarity. We argue that neoliberal structures and psychologies may contribute to deleterious outcomes in the context of the COVID-19 pandemic. We demonstrate that neoliberalism at the US state level (n = 51) is associated with higher COVID mortality and case fatality rates, as well as lower vaccination rates (Study 1). We also demonstrate that individual-level (n = 8280) neoliberal ideology predicts less adaptive beliefs and attitudes such as the belief that the federal response to the pandemic was too fast and belief in COVID-related misinformation (Study 2). We demonstrate using multilevel modeling that state-level neoliberalism predicts individual-level COVID-related attitudes, which is explained in part by heightened neoliberal ideology in more neoliberal states (Study 2). This study contributes to an understanding of the structural and cultural psychological factors that have contributed to the severity of the COVID-19 pandemic in the US.     

Media depictions of physical and relational aggression: connections with aggression in young adults' romantic relationships

Various studies have found that viewing physical or relational aggression in the media can impact subsequent engagement in aggressive behavior. However, this has rarely been examined in the context of relationships. Accordingly, the aim of this study was to examine the connection between viewing various types of aggression in the media and perpetration of aggression against a romantic partner. A total of 369 young adults completed a variety of questionnaires asking for their perpetration of various forms of relationship aggression. Participants' exposure to both physical and relational aggression in the media was also assessed. As a whole, we found a relationship between viewing aggression in the media and perpetration of aggression; however, this depended on the sex of the participant and the type of aggression measured. Specifically, exposure to physical violence in the media was related to engagement in physical aggression against their partner only for men. However, exposure to relational aggression in the media was related to romantic relational aggression for both men and women.     

Exploring dynamics of abusive lesbian relationships: preliminary analysis of a multisite,qualitative study

This paper presents preliminary results from a multisite, qualitative study on violence in lesbian relationships. A framework for conducting community-based, empowerment research that draws on theories of community psychology, feminism, and postmodernism is presented. The study was designed to understand the dynamics of abusive lesbian relationships and social service providers' responses to the abuse. Results from 80 in-depth interviews with lesbians who have experienced relationship violence are examined with a particular focus on a pattern of first relationships being abusive and a theme of shifting power dynamics. Analysis of focus group discussions with 45 feminist service providers (e.g., counselors, shelter workers, social workers, healthcare providers) reveals the difficulties in assessing the power dynamics of abusive same-sex relationships and in developing appropriate responses when relying on heterosexually gendered models developed to address men's violence against women. The preliminary results present implications both for how we theorize and research this form of violence, and for improving the practices and policies of social services that work with lesbian, gay, bisexual, and transgendered communities.     

Navigating relational turbulence in the wake of weight loss transitions: A support marshaling analysis

The current study sought to investigate how individuals optimize their partner's support during a weight transition to accomplish their weight loss goals. A theoretical model was tested to determine the role of support marshaling in managing the relational turbulence associated with weight transitions. Path modeling broadly identified that support marshaling is a useful framework from which to consider how relational turbulence associated with weight transitions influences health behaviors. The results identify that partner facilitation and interference are both directly related to health behaviors and indirectly related to health behaviors through support marshaling. Theoretical implications for relational turbulence and support marshaling are discussed with regard to their ability to account for weight‐related behavior changes.     

Testing the bidirectional relationship between belief in COVID-19 conspiracy theories and psychological distress: A five-wave longitudinal study

Previous studies have primarily focused on understanding why people believe conspiracy theories, especially during societal crises (e.g., the COVID-19 pandemic). The investigation of how such conspiracy beliefs would influence people's mental well-being has just begun recently. The present research aims to address this crucial question by testing the relationships between psychological distress and COVID-19 conspiracy beliefs with a five-wave longitudinal study. On the one hand, COVID-19 conspiracy beliefs could be more appealing to people with heightened distress, as these theories apparently help people to make sense of the uncertainty and life-threatening disease outbreak. On the other hand, conspiracy theories could be a source of existential threat and thus, would induce rather than reduce psychological distress. We tested these possibilities empirically by a series of cross-lagged model analyses. Using the random intercept cross-lagged panel model analysis, we only found a between-person association but not a cross-lagged within-person relationship between the two. COVID-19 conspiracy beliefs was predicted by being more politically conservative. These findings were further corroborated by the supplementary latent growth curve analyses. Overall, our findings suggest that conspiracy beliefs may not induce or reduce psychological distress in the context of COVID-19.     

The association between social isolation,loneliness and psychological problems in young adults: A study during the acute phase of COVID-19 in Italy

During the COVID-19 pandemic, governments had to impose social isolation measures to safeguard the citizens' health. However, this could have affected psychological problems. The aim of the present study was to investigate the psychological effects associated with social and emotional isolation during the acute phase of the COVID-19 in Italy. To this purpose, the degree of social isolation and loneliness and the presence of psychological problems (externalising and internalising) were investigated online in a sample of 395 young adults (18–30 years; 57% women). Results confirmed the relevant association between social isolation, loneliness and psychological problems, in both internalising and externalising dimensions. Particularly, loneliness showed the strongest association. Moreover, consistently with surveys conducted during the COVID-19-era, data highlighted that men were more vulnerable to social isolation and loneliness than women. These results underline the need for adequate interpersonal support during moments of isolation to prevent negative effects on psychological problems.     

Moderators of the association between relational aggression and perceived popularity

This study, which involved two waves of measurement over a period of 12 months, examined first whether the positive association between relational aggression and two types of high status was moderated by social self-efficacy, leadership, cooperation, and peer sociability. It was expected that relational aggressors are most likely to gain high peer group status when they are also self-efficacious or prosocial. Second, this study examined the reciprocal association between relational aggression and high peer status. It was anticipated that relational aggression would contribute to higher perceived popularity and vice versa. Third, we also examined and hypothesized reciprocal effects between social self-efficacy, leadership, cooperation, and peer sociability and perceived popularity. Youth were 540 13-15 year olds participating in Grade 7 (Time 1) and again 1 year later in Grade 8 (Time 2). Data were collected from peers, teachers, and the adolescents themselves. Consistent with expectations, relationally aggressive adolescents high in social self-efficacy, leadership, cooperation, and peer sociability were higher in status than relationally aggressive individuals with low levels of these characteristics. In addition, relational aggression and perceived popularity reciprocally influenced each other. Finally, social self-efficacy, leadership, cooperation, and peer sociability reciprocally influenced and were influenced by perceived popularity.