“…In reviewing what are considered to be mechanisms of change within the psychotherapy literature there is general agreement that aspects of the therapeutic relationship, elements of self-expression, increased levels of consciousness and memory, dialectical tensions, destabilization, ruptures and resolutions, reconfigured and re-storied self-narratives, and self-reflection act as interactive agents of change ( Ogden, 1992 ; Knill, 2005 ; Hayes et al, 2007 ; Israelstam, 2007 ; Zittoun, 2011 ; Caddy et al, 2012 ; Forster et al, 2014 ; Van Lith, 2015 ; Haas-Cohen and Clyde Findlay, 2015 ; Lane et al, 2015 ; Czamanski-Cohen and Weihs, 2016 ). Additionally, there are numerous theories that identify multiple neurological, psychological, cultural, social, temporal, and intersubjective factors that moderate and mediate the transformation of thought, perception, emotion, and behavior in psychotherapy within and between these identified mechanisms ( Bollas, 2002 ; Hayes et al, 2007 ; Israelstam, 2007 ; Harris-Williams, 2010 ; Brown, 2011 ; Zittoun, 2011 ; Forster et al, 2014 ; Haas-Cohen and Clyde Findlay, 2015 ; Czamanski-Cohen and Weihs, 2016 ).…”