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Updated: Feb 4, 2026

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Processes of Change: Integrating Relationality with Cognitive-Behavioral and Acceptance Constructs
Morgan E Browning1, Nathaniel P Van Kirk2, Elizabeth E Lloyd-Richardson3
1Department of Clinical Psychology, Antioch University New England, 40 Avon Street, Keene, NH 03431, USA.
Journal of Contemporary Psychotherapy
|February 2, 2026
Summary
Clinical psychology
Area of Science:
- Clinical Psychology
- Psychotherapy Research
Background:
- The field of clinical psychology has increasingly focused on standardized, evidence-based treatment manuals.
- While effective for symptom reduction, this approach may overlook crucial relational and social contexts.
Purpose of the Study:
- To advocate for the integration of social and relational contexts within clinical psychology.
- To propose a framework for incorporating environmental factors, the whole self, and relationships into treatment.
Main Methods:
- Literature review and theoretical synthesis.
- Proposal of a roadmap for integrated therapeutic models.
Main Results:
- Standardized treatments, while beneficial, necessitate a complementary focus on relational dynamics.
- Process-based therapy offers a viable model for integrating contextual factors.
Conclusions:
- Prioritizing relationships and the broader human context is essential for the progression of clinical psychology.
- A holistic approach considering environmental context, the whole self, and relational connections can enhance treatment outcomes.
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