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Every technique is illustrated with a vignette. Representing hundreds of therapeutic impasses taken from actual sessions, the vignettes show therapists what to say so they can assess and respond to patients' needs moment by moment, help patients develop and keep an effective focus that leads to change, help regulate patients' anxiety, deactivate misperceptions of the therapist and therapy, help patients see and let go of defenses that cause their symptoms, help them overcome their fears and face their feelings, and help them let go of insecure attachment strategies to form a healing relat.