An Integrative Approach: Relational Cultural Theory and Cognitive Behavior Therapy in College Counseling

Abstract

This article presents an integrative framework for using cognitive behavior therapy through the lens of relational cultural theory. The authors provide an overview of cognitive behavior therapy and relational cultural theory, followed by suggestions on how to facilitate cognitive behavior therapy using the principles of relational cultural theory in college counseling. A case illustration is used to demonstrate the integration of cognitive behavior therapy and relational cultural theory.

In My Own Words: Exploring Definitions of Mental Health in the Rural Southeastern United States

“…CBT fits this model well; however, scholars have also found ways to integrate other theories to provide an even more comprehensive and culturally responsive theoretical framework for clients. For example, one of the suggested interventions in Crumb and Haskins' (2017) integration of CBT and relational cultural theory is to "apply cognitive restructuring through relational resilience" (p. 268). This technique could be especially beneficial to rural communities, as it honors the focus of cognitions while also considering how these thoughts and messages may be related to a broader systemic and environmental influence (Crumb & Haskins, 2017).…”

“…CBT has been applied to diverse populations and found to be effective with various presenting concerns (A. T. Beck, 1970;J. S. Beck, 2011;Crumb & Haskins, 2017).…”

“…Therefore, it is vital that counselors and other mental health providers consider how clients' thoughts, beliefs, experiences, and other contextual factors contribute to their understanding of mental illness. Intentional acknowledgment of the factors that influence clients' perceptions, attitudes, and behavior may enhance treatment efficacy for rural residents (Crumb & Haskins, 2017). Along with exploring negative thoughts related to mental health, researchers also have considered MHL, or one's understanding of mental health, as it impacts behaviors.…”

Relational Cultural Theory: A Guiding Framework for Study Abroad Experiences

“…As such, the theory serves as a guiding framework for several counseling and counselor education contexts, including teaching pedagogy, student advising, supervision, and clinical practice (Purgason, Avent, Cashwell, Jordan, & Reese, 2016). More specifically, scholars have applied RCT to their work with underrepresented and historically marginalized populations (e.g., Crumb & Haskins, 2017;Kress, Haiyasoso, Zoldan, Headley, & Trepal, 2018;Singh & Moss, 2016) as a means to understand and empower these groups.…”

“…For example, they frequently discussed the fear of failure, disinterested students, perceptions of being incompetent by colleagues and students, and the risks of sacrificing time otherwise spent on research and teaching duties. The faculty directors also discussed varying relational images (i.e., past relationships that guide an individual's relational expectations; Crumb & Haskins, 2017;Jordan, 2018) and how they influenced their personal self-efficacy. The faculty directors identified and consulted with senior counselor educators within and outside their university, including the second author, about planning and implementing a study-abroad program.…”