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4 INTRODUCTION guidelines on disorders ranging from schizophrenia and anorexia to nicotine dependence. All of the efforts to promulgate evidencebased psychotherapies have been noble in intent and timely in distribution. They are praiseworthy efforts to distill scientific research into clinical applications and to guide practice and training. They wisely demonstrate that, in a climate of accountability, psychotherapy stands up to empirical scrutiny with the best of health-care interventions. Within psychology, these efforts have attempted to proactively counterbalance those documents that accord primacy to biomedical treatments for mental disorders and largely ignore the outcome data for psychological therapies (such as the Depression Guideline Panel, 1993). On many accounts, then, the extant efforts have addressed the realpolitik of the socioeconomic situation (Messer, 2001; Nathan, 1998).