I, too, have been exposed to a broad based training, first in an analytic training program and then in a cognitive and behavioral model. One's orientation is a powerful organizer of our listening and reasoning processes, and this case presentation not only fails to discuss goals of treatment, but quickly bypasses diagnosis as well. I know some people consider this to be unimportant. Did I miss the criteria used to come up with this diagnosis?? Did 'therapy' start or are we listening to the gathering of a history. What if one decides that this person suffers more from obessive-compulsive type symptoms as treatment proceeds? Would that change the direction of treatment. What is the impact of being so special and focused upon as to be "videotaped" and "studied"(e.g. watched). Robert Langs would have much to say about this! But these issues aside- the manner of case presentation so far is quite similar to a psychoanalytic case study, even with an interpretation thrown in at the end. It would improve my listening process a whole lot for the therapist to give us a clue about how she is "organizing" all this and share a treatment plan. Or- am I just misunderstanding something and need guidance??