The coming of creative confluence in therapeutic practice

In recent decades we have witnessed a broad convergence among therapeutic s chools toward a common concern with human meaning. This concern first cente red on individual subjectivity, but more recently shifted to meaning within relationship. At the same time, this latter move, often identified as soci al constructionist, questions the possibility of rational or empirical foun dations for practice. With this shift in emphasis toward pluralism and coll aboration, the door opened to a broader array of therapeutic possibilities. In a first wave are therapies expanded to include political, spiritual, an d bodily concerns. However, the ultimate direction is toward creative confl uence, in which therapists draw from multiple domains of cultural life to c reate unique combinations of treatment activity. While holding enormous pro mise, such a condition may also be perilous to the profession.