“…Psychotherapy research should inform practice when applicable but it is also important to acknowledge that not all individuals seeking psychotherapy services do so because of specific DSM symptoms. Evidence indicates the importance of life history, dispositional variables, and contextual factors in bringing about lasting change, variables that are ignored in most EBT studies (Doesschate, Bockting, Koeter, Schene et al, 2010;Hafner, 1984;Keltner, 1987;Ottenbacher & Ottenbacher, 1981;Shea, Elkin, Imber, Sotsky, Watkins, et al, 1992;Wachtel, 2010;Wampold, 2005Wampold, , 2007Westen & Morrison, 2001;Westen, Novotny, & Thompson-Brenner, 2004). …”