http://www.davidsmail.freeuk.com/talk03.htm Angela Kennedy mentioned "magical voluntarism" (and David Smail) elsewhere so, as I was not familiar with the term, I googled it and came across this article. I thought it was interesting. I have heard the odd person make this criticism before (e.g. Orla) - that psychotherapy can tend to put all the blame and responsibility on the individual (if they don't get better) when there can be external factors involved. One could of course extend "external factors" to not just a poor social security system, unsupportive family, etc but also a virus or other infection (for exampe) so expecting a patient to conquer an illness using nonpharmacological approaches would be unfair.