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The diverse experiences and viewpoints of an American humanistic therapist and a British psychodynamic therapist are brought together to explore the essential conditions needed for therapy to succeed. Extensive use of first-hand examples and thorough academic support combine to create vivid text, a sound theoretical base and practical therapeutic applications. The opening chapters draw on substantial research evidence which suggests that all theoretical approaches are equally effective in the hands of good therapists. It proposes that an important factor contributing to this effectiveness is the environment in which therapy is practised. Three central chapters give in-depth explorations of the unique ways in which the broad theoretical orientations of Psychodynamic, Existential-Humanistic, and Cognitive-Behavioural deal with the philosophy, labelling, function, perspective and implementation of a facilitative environment. A concluding chapter synthesizes information from these diverse orientations to identify core commonalities and critical differences between how therapists from different theoretical persuasions develop common understandings, maintain working client relationships and regulate their personal involvement in therapy.