I find the part below a bit disturbing. The language is quite paternalistic. Clients are described collectively like impulsive and nasty children.

I'm sure it's not easy to interact, in this context, with people who have history of severe abuse or trauma. But I get the sense that many clinicians do not see that they are driving these behavioral extremes. I get the sense that they are so accustomed to the therapy dynamic that they can't discern its impact anymore. They truly believe that the client is acting out in largely in a vacuum or something.

Example: he says "they've formed" dependence, rather than saying dependence arose naturally from the structure of the therapy relationship, and due to innate attachment needs.

I wonder is there really strong evidence that subjecting people to this experience leads to benefit more often than not?