I have to say that if "I" do not see my body image or self esteem as an issue, than a therapist pointing it out as an issue is not too helpful. I do believe that I am often ambivalant (fighting both sides of the argument) about an issue but I don't always see myself as fighting this issue. It definitely helps me for my therapist to highlight this issue, make me aware of my ambivalance. It does not help me for my therapist to take one side of the issue because that forces me into taking the OTHER side. A strong, confident and well trained therapist will talk about the issue as two sided and help a client to articulate how those two sides affect her; what she truly thinks about the issue from both sides. Just my take on the issue.