Abstract
There is a tendency in some quarters to assume that clinicians are responsible in all cases for reassuring and assisting patients to somehow feel OK about themselves. Such an understanding of the therapist's role may preclude recognition of the fact that for some patients, this sense of unconditional OKness may lead to further acting out. This article cautions clinicians to recognize that the patient's sense of OKness may have an inverse relationship to his or her positive behavior and state of health.