One of the major challenges to the therapeutic alliance arises when the client fails to follow the therapistâ€™s advice.
Many therapists set explicit goals and use treatment contracts with their clients. Goal setting provides a focus for therapy: contracts indicate that both parties have agreed to the terms of the therapy (or should: the contract you use does bind the therapist as well as the client, doesnâ€™t it?)
â€œManipulativeâ€ clients may be reacting to overly controlling therapists. Before using such a destructive label, it is worth asking why someone would need to manipulate their therapist if they have agreed common goals.