Clinical exchange: The architectural failure

The Clinical Exchange invites eminent clinicians of diverse persuasions to share, in ordinary language, their clinical formulations and treatment plan s of the same psychotherapy patient-one not selected or nominated by those therapists-and then to discuss points of convergence and contention in thei r recommendations, This Exchange concerns a Mr. L, a 47-year-old, married m an presenting for outpatient individual psychotherapy with chief complaints of depression, anxiety, and a lengthy history of vocational underachieveme nt. Drs, Herbert Fensterheim, Leslie Greenberg, and Leigh McCullough, who a nchor their practices in the cognitive-behavioral, experiential, and psycho dynamic orientations, respectively, are the featured commentators. Finally, Dr. Jerold Gold, the case contributor and Mr. L's psychotherapist, provide s a few closing comments.