The relationship is a bridge. Communication is a movement through that bridge. If you do not have that bridge (relationship), the movement (communication) is impossible. You can try to shout from one bank to another and hope that somebody will hear you (sometimes it happens), but a more critical and stable activity is building the bridge and moving from one bank to another when needed. It takes time, resources, and efforts to build a bridge, but effective communication is effortless when you have a bridge. Alfred Kadushin was an American Distinguished Professor of Social Work.