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Clinical research is heavily regulated and involves coordination of numerous pharmaceutical-related disciplines. Each individual trial involves contractual, regulatory, and ethics approval at each site and in each country. Clinical trials have become so complex and government requirements so stringent that researchers often approach trials too cautiously, convinced that the process is bound to be insurmountably complicated and riddled with roadblocks. A step back is needed, an objective examination of the drug development process as a whole, and recommendations made for streamlining the...

Seeking to mediate between the "classical" view of countertransference as a neurotic impediment to the treatment process and the more recent "totalist" perspective, which assumes that the therapist's emotional response necessarily reveals something about the patient, Tansey and Burke stake out a thoughtful middle ground. They submit that the therapist's utilization of adequately processed countertransference reactions is in fact integral to treatment success, while arguing against the totalist assumption that the therapist's emotional to the patient must be revelatory in a direct and...