Radical Relationality

The psychotherapist’s “in the moment” relationship with the otherness of their client is the most central aspect of the therapeutic encounter. The purpose of remembering the past becomes attuned to its re-imagination in the living present.

The real problems are the present problems, and so the therapist must seek contact with the client in the present. Addressing relational experiences of the past or future can only be understood in the encounter what with phenomenologists call the living present. Historical patterns appear in the real relationship of therapy, where they may be met with compassion.

The radically relational therapist understands depression, for example, as an uncoupling from the living present, and not the reverse, where a person’s past is the cause of difficulties in the present. What is at stake then when we think about menopause, depression, dementia, or trauma in this way, is the peculiar human capacity for eliding between timeless embodiment and a detached perspective on ourselves. 

It is the co-created therapeutic living present that becomes the place for learning and change. As relational patterns appear in the “extended now,” the therapist engages with the client in examining, challenging, and articulating new pictures, more apt metaphors for making sense of the givenness of the world. It is in the living present that awareness of what sectors of a client’s world need be recovered for healthy living come to the fore.

Presenter bio:

Dr James Costello is Senior Lecturer in Psychotherapy at the University of the West of England, and also Senior Accredited Supervisor and Member of the British Association for Counselling and Psychotherapy. His experience as a therapist and clinical supervisor comes from over twenty years practice across the private, third and public sectors including more recently consultant to major Government Inquiries (Child Sexual Abuse, COVID-19). He is author of “Workplace Wellbeing – A Relational Approach” (2020), and “Philosophical Foundations of Psychotherapy: Radical Relationality” (2024).