It is evident from the literature in speech-language pathology that the way clinicians interact with their clients is, in large part, predetermined (Kovarsky, Kimbarow, & Kastner, 1999; Simmons-Mackie & Damico, 1999a). It is also apparent from the literature and from direct observation, that the clinician controls interactions. This means that the clinician’s construal of responsibilities, goals, and competences is more likely to influence the interaction than that of the client. So, when extracting factors that determine the nature and course of clinical interactions, it is perhaps fruitful to look first at the clinician perspective.