The biggest weakness of the book is that the authors seem to feel that they are teaching psychotherapy rather than presenting guidelines and exercises as a background to learning psychotherapy or counseling. The authors are three men—a Ph.D. and two social workers. Patients are referred to as "clients" and sometimes as "her." The strength of the book is the exercises that begin in chapter 4. The reader starts by identifying feelings from patients' statements. The next chapter deals with empathy but does not distinguish social from professional situations when assigning homework practice. Another chapter deals with respect and acceptance of patients who may be offensive or different. Principles such as acceptance, authenticity, and paying attention to the process are described, as are issues related to confrontation, skirting uncomfortable topics, false reassurance, and excessive friendliness. The application of psychotherapeutic principles is an art and can be learned only with a patient. For example, "inept confrontation" can be described in a book but can be learned only with a patient.