"If you want a patient to be using a treatment that works, what's most likely to get them there is the relationship you build with them," said Bonnie Spring, a professor of psychiatry at Northwestern's Feinberg School of Medicine.

“如果你希望患者采用有效的治疗方法，与他们建立起感情联系很可能令你事半功倍，”西北大学(Northwestern)费恩柏格医学院的精神病学教授邦尼·斯普林(Bonnie Spring)表示。

But some experts believe this is a false choice. "No one believes it's a good idea to have a bad relationship with your client," said Dr. Chambless. "The argument is really more, ‘Is a good relationship all we need to help a patient?' "

但其他的一些专家则认为，这是一个错误的选择。“诚然谁也不会以为跟客户交恶会是个好主意，”钱布利斯博士说，“争论的真正焦点在于：‘仅仅靠跟患者搞好关系就足以帮助他们了吗？'”

Besides, evidence-based treatments like C.B.T. still require expertise, clinical judgment and skill from practitioners, noted Terry Wilson, a professor of psychology at Rutgers University. "A stereotype of manualized treatment is: you go buy a book and it's a rigid, lock step thing," he said. "But when done competently, it's anything but."

罗格斯大学(Rutgers University)的心理学教授特里·威尔逊(Terry Wilson)指出，此外，认知行为疗法等循证治疗还需要从业者拥有专业知识、临床判断和技能。“程式化治疗往往给人一种刻板印象，让人误以为这是一种单纯照章办事的因循僵化的过程，”他说，“但如果你能恰如其分地进行这项治疗，你会发现它完全不是这么一回事。”

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