The authors have no conflicts of interest to report.
A New Theoretical Foundation for Relationship-centered Care
Complex Responsive Processes of Relating
Version of Record online: 10 JAN 2006
Journal of General Internal Medicine
Volume 21, Issue S1, pages S40–S44, January 2006
How to Cite
Suchman, A. L. (2006), A New Theoretical Foundation for Relationship-centered Care. Journal of General Internal Medicine, 21: S40–S44. doi: 10.1111/j.1525-1497.2006.00308.x
This work is presented at the Regenstrief Symposium on Health Services Research, September 29, 2004.
- Issue online: 10 JAN 2006
- Version of Record online: 10 JAN 2006
- Accepted for publication September 13, 2005
- patient-centered care;
- communication research
Relationship-centered care (RCC) is a clinical philosophy that stresses partnership, careful attention to relational process, shared decision-making, and self-awareness. A new complexity-inspired theory of human interaction called complex responsive processes of relating (CRPR) offers strong theoretical confirmation for the principles and practices of RCC, and thus may be of interest to communications researchers and reflective practitioners. It points out the nonlinear nature of human interaction and accounts for the emergence of self-organizing patterns of meaning (e.g., themes or ideas) and patterns of relating (e.g., power relations). CRPR offers fresh new perspectives on the mind, self, communication, and organizations. For observers of interaction, it focuses attention on the nature of moment-to-moment relational process, the value of difference and diversity, and the importance of authentic and responsive participation, thus closely corresponding to and providing theoretical support for RCC.