This book investigates the prevalence and underlying motivations behind deception within the therapeutic relationship, examining both client and therapist perspectives. Authors Jeffrey Kottler and Jon D. Carlson, both experienced practitioners, utilize a qualitative approach to analyze the dynamics of dishonesty in clinical settings. By synthesizing interviews with dozens of peers across various modalities, they construct a framework for understanding why trust is compromised and how these breaches impact the therapeutic process.

Experts recognize this work as a significant contribution to the literature on clinical ethics and the complexities of the therapeutic alliance. Readers frequently note the candid nature of the case studies, which provide a rare look into the often-hidden realities of professional practice.