I read with great interest your assessment of Kathy's "discovery" of the guilt that so influenced her life. The fact that significant change occured over time is interesting. Not only does current research focus on brief solution oriented therapy but many graduate courses also place great emphasis on it. For example in my current course work the "brief, solution oriented, solution focused, therapy " is viewed as the most current and up to date approach to psychological problems. In commenting about therapy our professor stated that when a person goes to a medical doctor with a broken arm, the doctor does not in turn want to examine his leg. I believe this is an inadequate description of what occurs during long term therapy. Although I do believe short term therapy is possible for some types of issues, others are so deeply ingrained (as in Kathy's case) that short term work might be a bandaid approach. I am curious about your thoughts on long term versus short term therapy. Your research seems to point out that time was necessary for Kathy to "discover" and deal with the isssues surrounding her brother's death. Others might contend that a brief solution oriented approach would have facilitated this change in a shorter time span. What are your thoughts on this? Also are there other studies comparing the clients level of change after therapy? Kathy maintained lasting changes in her cognition, affect management, and behavior as a result of longer more extensive therapy. What about those with similiar issues in brief therapy? I suppose I am a little off the topic of "Kathy" herself but perhaps you might address my questions via her particular case?