Each article probes the issue of what can be learned from cases that refuse to go according to plan. Mary Pipher describes what she calls, "my most spectacular failure." Frank Pittman shares the ordeal of treating a suicidal client. David Treadway explores the boundary between being a professional helper and a savior. Martha Straus describes a long-term work with a very difficult child client. Lascelles Black ponders the distinction between friendship and therapeutic responsibility. Cloe Madanes shows the clinical value of being more obstinate than your client.
Course Readings
My Most Spectacular Failure: Voluntary Simplicity Meets Shop till You Drop by Mary Pipher
How Involved Is Too Involved?” Twenty-two Years and Still Wondering by David Treadway
A Matter of Life and Death: When the Therapist Becomes the Survivor by Frank Pittman
Small Winnings: Learning from a Therapist's Nightmare by Martha Straus
The Godfather Strategy: Finding the Offer a Client Can't Refuse by Cloe Madanes
Therapist, Colleague, or Friend: Stretching the Boundaries of the Therapeutic Relationship by Lascelles Black
Learning Objectives
1. Explain possible negative impact of differing values in therapist and client
2. Discuss ways to overcome difficulties due to differing values
3. Discuss measure therapists can take when they get stuck with clients
4. List warning signs of being overinvolved with clients




By Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people!
By Rich Simon A thousand years ago, during the palmy days of generous insurance reimbursement, therapists could maintain the illusion that, since therapy was paid for by an unseen hidden hand, clinical practice was somehow untouched by the tacky subject of money. Even the style of therapy reflected this disjunction: 

