Agreed, but a patient has absolutely got to do their part and that is to come ready and willing to the table, and to do the work involved as an active participant. CBT is a case in point. I realise this isn't so for every case but is seems often when I hear about failures in this form of therapy the client has not taken it seriously and not done the homework. When I read posts on the subject I find myself asking, but what has the individual done to make this work? I get the feeling at times too that there is an attitude that it is the therapist's job to fix the client. What I am trying to say and what I believe the article has in part pointed to is that there is a responsibility on the part of the patient to make a commitment to the process. Remember, the theme of the article was having "Half the patient in therapy."