Apparent differences among newer manualized therapies may lie mostly in terminology and the ways of conceptualizing psychological constructs and processes that are actually quite similar. As we pointed out, the content of the cognitive behavior therapist’s focus (dysfunctional attitudes and irrational beliefs) is often quite different from the content of the interpersonal therapist’s focus (e.g., disruptions in personal relationships). However, when we shift our attention from content to process (i.e., the interaction between the therapist and patient), the similarities are compelling. In both treatments, the therapist assumed an active, authoritative role, coached compliant patients to think or conduct themselves differently, and encouraged them to test these new ways of thinking and behaving in everyday life. Most brief therapies probably promote change through similar processes, and specific techniques are likely less important. That is why—Dr. Markowitz’s claims notwithstanding—it has been so difficult to demonstrate any large or consistent differences in outcome across types of brief therapies (5).