ABSTRACT
Many therapists in training are eager to help patients turn their lives and their intrapsychic structures around in a dramatic and all-encompassing way. This enthusiasm must often be redirected in treatment, however, because of factors simply beyond a patient's capacity to change and grow, or a therapist's ability to promote change and growth. Practical matters such as time, money, institutional constraints, or the lack of patient motivation may become determining factors in setting treatment goals.
