Central to many psychotherapeutic services is the dual process of documenting client lives and relationships through naming and writing practices. How and what we identify and document is organized through set institutional, political and economic structures (Foucault 1965; Madigan 1996). Therapy – at least in theory – attempts to offer symptom relief and to bring forth ‘positive’ change. However, therapy and the structures that support these practices can sometimes weaken a person’s ability to change and undermine any hope that change is possible (Gremillion 2003; Madigan 2003).