In this paper we address the thesis that affective responses of the therapi
st in the therapist-patient interaction are common and have potential to in
fluence decision points in psychotherapy interventions. We discuss the impo
rtance of directly addressing these emotional responses, especially in the
training of new cognitive behavioral therapists. We suggest a framework for
conceptualizing emotional responses from a social learning theory perspect
ive. This conceptualization highlights interactions between therapist, pati
ent, and the psychotherapy context. We also propose a terminology for discu
ssing therapist emotional reactions as nonpathological constructs and Propo
se relevant guidelines for the supervision of therapists in training.