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In seeking to outline what happens in reconstructive as contrasted to palliative psychotherapy, three major points are made. First, purely empirical study of psychotherapy leads to a Hall of Mirrors—that is, to endless lists of variables and their interactions. Research and clinical practice must be organized by testable theory. Second, a viable, generic theory would hold that most therapies involve learning about interpersonal, affective and cognitive patterns, where they came from and what they are for. If the patient decides to change the underlying agendas that have organized the problem patterns, he or she becomes open to learning new patterns. The problem of will needs intensive study. And third, therapy learning occurs in stages, and outcome measures should be able to recognize progression through stages.
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