5. The tendency for clinicians to accommodate to client interpersonal expectations in treatment has been demonstrated in several investigations (see Daniel, 2006, for a review). In an outcome study by Hardy and colleagues (Hardy, Stiles, Barkham, & Startup, 1998) on the treatment of depression, the authors examined therapist use of varying levels of cognitive-behavioral and affective-relational interventions as a function of client pretreatment interpersonal style. They found that clients classified as “underinvolved” (comparable to avoidant attachment) tended to pull for more of the cognitive-behavioral and fewer of the affective-relational interventions. Similarly, clients classified as “overinvolved” (comparable to preoccupied attachment) pulled for the opposite (less-cognitive, more affective responses). Results demonstrated the notable effects of client interpersonal expectations on clinician responses in treatment.