I completely agree both relationship and content are important contributors to therapy outcome. I did not mean to imply that content is of minimal importance. However, I do believe a relationship based on trust where the client is able to perceive the therapist's concern for his/her welfare is an important foundation for making a difference. Without a therapeutic alliance the client is unlikely to persist long enough to even hear what else the therapist might have to offer. Probably each one of us differs at least slightly as to how we weigh the relative importance of relationship and content. I am interested in hearing other perspectives and really appreciate the opportunity to take part in this forum.