has created his[/her] own distress".Then the therapist must "find ways to communicate this insight to the patient".

The problem that Yalom seeks to address is that of seemingly passive patients, with therapists shouldering the entire burden of the therapy because they think that that is what they must do. A "sluggish" patient can be "galvaniz[ed] into action" by asking the simple question: "Why do you come?". Other techniques including scenarios where other people assume responsibility, and drawing a parallel between those scenarios and