“…The relationship between patient and therapist, variously referred to as the therapeutic relationship (Alexander & Coffey, 1997), helping relationship (Goering & Stylianos, 1988), working alliance (Gehrs & Goering, 1994), helping alliance (Luborsky et al, 1983;Priebe & Gruyters, 1993;Klinkenberg et al, 1998) or therapeutic alliance (Clarkin et al, 1987) has been extensively studied in psychotherapy ever since the special relationship that exists between the patient and therapist was highlighted by Freud (1913). This relationship is also central to the practice of psychiatry being used as a means to engage patients -who may not agree that they need treatment -and to deliver complex treatment programmes.…”