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As seen in the B. family, there must be an attempt to help the client develop conscious awareness of the problem, especially in the absence of a formal request for assistance.

The lack of awareness usually springs from deep but disguised anxiety, often assuming the superficial guise of `` not knowing '' or `` not caring ''.

The unhealthy use of denial in the initial reaction to a stress must be handled through the medium of a positive controlled transference.

In general, the approach is more active than passive, more out-reaching than reflective.

While some regression is inevitable, it is discouraged rather than encouraged so that the transference does not follow the stages of planned regression associated with certain casework adaptations of the psychoanalytic model for insight therapy.