This therapeutic approach assumes that for successful outcome, changes in clients' interpersonal patterns are necessary. This client, “Helen,” presented with symptoms of anxiety and depression. After 45 sessions, she had made clinically significant improvement in these symptoms. Based on our case formulation, specific interpersonal characteristics were identified as targets for change (i.e., to move from being hostile and distant as her predominant interpersonalpatternto beingmore affiliative and assertive). Onthe basis of scores on three different interpersonal circumplex instruments taken over the course of the 45 sessions, the changes were consistently in line with the targeted interpersonal characteristics. The therapist was able to respond to Helen's hostile, distant pattern with non-controlling friendly acceptance and with a focus on her internal experiences, which promoted a strong therapeutic bond. Contributions to the outcome of this specific approach in conjunction with common factors are discussed.
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