The message I am hearing is that the quality of the therapeutic relationship is the key issue in determining the helpfulness of the therapy. This view is very consistent with my own view of the therapy process. I certainly believe content and procedures contribute to therapeutic outcome, but I have never been able to grasp how these factors could be very effective at producing change in the absence of a relationship like that Ernie Wolf has described. However, I believe there are some theoretical persuasions which take a very different view of this, and practitioners of these approaches place much more emphasis on intellectual content and specific procedures. I would be very interested in hearing from others on these matters.