I believe she is real. I define 'real' as her motivation to help and her expressions of care as being authentic. I am in no way naive enough to think I have unrestricted access to the whole of her own inner world, just like I don't with anyone in any aspect of my life. There are filters there to make the communication appropriate. Like healed84 described, her T would not share his experience of feeling tired after a poor night's sleep, etc. I find that perfectly appropriate. It doesn't take away from his authenticity as a therapist.

Honesty is very important to me, but I also do think there is a place for white lies. Away from the therapeutic context, the best example I can think of is with children. I work with kids, and really want to be a mother one day - I won't have any qualms about telling them little lies such as yes, your singing is wonderful, darling. Or yes, your princess dress looks wonderful with your riding boots. And did you hear Santa's sleigh bells jingling?! Etc. I know this kind of thing makes some people roll their eyes but my point is sometimes little fibs protect the innocence of people you love.