Despite their diversity, the articles in this special issue generally
bear on three key problems facing constructivist theorists and therapi
sts: (I) the relation between knowledge and reality, (2) the construct
ion of self in social relationships, and (3) the facilitation of chang
e in the clinical context. In this article I critically evaluate the r
ecommendations and challenges of the contributors regarding these prob
lems and clarify the implications for the practice of constructivist p
sychotherapy.