“Family systems theory offers therapists an invaluable way of understanding their clients’ strengths and problems—clarifying the familial rules, roles, myths, communication patterns, and boundary issues that defined their clients’ development.”

“A way to do this is to "hand back" the projection to the client. For example, if the client says, "You're making me feel really jumpy today," the therapist could say, "Are you feeling jumpy today?" If the client says, "You must be feeling really tired after doing so many massages," the therapist can ask the client, "How are you feeling? Are you feeling tired?" If the client seems to be anticipating the future, the therapist can ask, "Is this what you are expecting will happen?" These responses must be made in a casual and nonchallenging manner. Asking in a manner that is too penetrating makes the client feel self-conscious and possibly judged. Handing back a projection is a good strategy because projections are a way a person puts, displaces, gets rid of, or abandons something of him- or herself into the environment and away. By handing it back, the therapist gives the client an opportunity to become more aware of it as belonging to him- or herself.”

“The kind of caring that the client-centered therapist desires to achieve is a gullible caring, in which clients are accepted as they say they are, not with a lurking suspicion in the therapist's mind that they may, in fact, be otherwise. This attitude is not stupidity on the therapist's part; it is the kind of attitude that is most likely to lead to trust...”

“In closing, new therapists are encouraged to be themselves with clients rather than trying to fulfill the role of a therapist. Perhaps Kahn says it best: When all is said and done, nothing in our work may be more important than our willingness to bring as much of ourselves as possible to the therapeutic session.... One of the great satisfactions of this work comes at the moment students realize that when they enter the consulting room, they don’t need to don a therapist mask, a therapist voice, a therapist posture, and a therapist vocabulary. They can discard those accouterments because they have much, much more than that to give their clients.”

“Following Strupp (1980), clients change when they live through emotionally painful and long-ingrained relational experiences with the therapist, and the therapeutic relationship gives rise to new and better outcomes that are different from those anticipated and feared. That is, when the client re-experiences important aspects of her primary problem with the therapist, and the therapist’s response does not fit the old schemas or expectations, the client has the real-life experience that relationships can be another way. When clients experience this new or reparative response, a response that differs from previous relationships and that does not fit the client’s negative expectations or cognitive schemas, it is a powerful type of experiential re-learning that readily can be generalized to other relationships (Bandura, 1997).”

“In fact, the same intervention or response may even have the opposite effect on two different clients with contrasting developmental histories and cultural contexts. For example, if a client’s parent was distant or aloof, the therapist’s judicious self-disclosure may be helpful for the client. In contrast, the same type of self-disclosure is likely to be anxiety-arousing for a client who grew up serving as the confidant or emotional caregiver of a depressed parent. Greater sharing with the therapist may help the first client learn that, contrary to her deeply held beliefs, she does matter and can be of interest to other people. In contrast, for the second client, the same type of self-disclosure may inadvertently impose the unwanted needs of others and set this client back in treatment as, in her mind, she experiences herself back in her old caretaking role again—this time with the therapist. This unwanted reenactment occurs because the therapeutic relationship is now paralleling the same problematic relational theme that this client struggled with while growing up.”