''Patients need to be reminded over and over that when therapy is working, there will be times they don't feel it is helping them at all,'' says Luborsky. ''It is those times that can be very fruitful, if you talk them over with your therapist. What may seem like the low point in therapy may actually turn out to be the most productive.''

I love this logic. The most negative is the most positive, and the person most affected is the least qualified to assess it.