The various procedures I have described in this chapter are primarily used when the patient does not interact with me, is not (over a long period) saying, expressing or acting-out anything meaningful. When, through any of these channels, he is communicating meaningfully, then my response is the one long associated with client-centered therapy—the effort accurately to sense the client’s felt meaning at that moment and to communicate to him my understanding of that meaning as clearly as possible. (69 pp.)