ABSTRACT
Don't make the mistake of dismissing mandated client reports of pretreatment change. As the authors of Escape from Babel observe,
. . . it seems that once people decide to enter treatment they suddenly become less than they were before. They cease knowing their own mind, are disconnected from their feelings, certainly have "something" wrong with them that requires fixing, and, of course, will do their devilish best to resist the therapists' efforts to help them.
. . . Nevertheless, the research literature makes it clear that the client is actually the single, most potent contributor to outcome in psychotheraphy. . . . Clients, the research makes abundantly clear, are the true masters of change in psychotherapy.
(italics in original, Miller, Hubble, and Duncan. 1997, p. 24)