Change is inevitable but it can go in a positive direction toward growth or in a negative direction. Extending Patricia Hill Collins' concept of controlling images (2000), we can see how these ../../Images interact with relational images and strategies of disconnection to obstruct growth on both the societal and the personal level. In therapy, change is defined as movement-in-relationship toward better connection; and increased connection leads to growth. Several aspects of therapy that lead to deeper and wider connection are explored, especially increasing the patient's power. Prior versions of parts of this paper were presented at the Jean Baker Miller Summer Training Institutes in 2001 and 2002 and at the Jean Baker Miller Training Center-Harvard Medical School/Cambridge Hospital Learning from Women conference, 2002.

About the Author: Jean Baker Miller, M.D. is director of the Jean Baker Miller Training Institute at the Stone Center and Clinical Professor of Psychiatry at Boston University Medical School. She is the author of Toward a New Psychology of Women, co-author of Women¯s Growth in Connection and The Healing Connection, editor of Psychoanalysis and Women and author of many papers.