Understanding and diagnosis
What we choose to examine with our patient (and how we do so) in the rst hour is itself an act of therapy. It communicates implicitly our theories about what change is, how we experience our patient, how he will be involved in the process of change, and who we will be for him during that process. As Frank and Frank (1991) have pointed out, most healing aspects of therapy lie outside mechanics and speci c techniques. Who we are and the competence, hope, and humanity we convey register as strongly, if not more strongly, than the particular modality we eventually select.