“…The critical constructivist grants an external reality but recognizes that we cannot know it directly (Mahoney, 1991). These different positions, presumably, shape a theorist's conceptions and therapeutic interactions, although the subtleties of these positions as advocated, for example, by Stern (1992) versus Fourcher (1992), Bollas (1987), and probably Hoffman (1983Hoffman ( , 1992a are not clearly indicated from their clinical examples. 2 There is a lack of clarity and consistency in the use of terminology.…”