“…This is consistent with the results of Althausen (1993), Amir et al (1999), Bol (1989), Brodsky (1988), Flaherty et al (1986), Lev-Ran (1981), Levav et al (1989), Ritsner et al (1999), Roytman (1985, and observations by Althausen (1996), Feigin (1996), Goldstein (1979), Hulewat (1981), Romirownsky (1991), and Ruben (1982). Furthermore, accumulated results of this qualitative study allowed for a detailed search for themes and patterns across participants and provided insight into the dynamics of the Russian-speaking client's ambivalence because the participants talked about changes in their perceptions as a result of participating in treatment.…”