This rejoinder to the three reactions papers by Blustein (2012), Byars-Winston (2012), and Lent (2012) focuses first on the issue of what is old and what is new about the counseling for work and relationship perspective. This includes the issue of holism, the influence of contextualism, and the designation of new categories and a new discourse for the major contexts of lives. I also elaborate on the meaning of care work and how the boundaries of this perspective might be extended to more fully respond to social justice concerns.