How paradoxical is 'paradoxical' outcome? Different pathways and implications.

I offer some ideas on what common features the therapy processes in the cases within the same category might have presented, based on some notions from qualitative process psychotherapy research. However, when entering the new therapy, she had told that she has her own ideas about the underlying causes of her illness and expressed that previous therapies have not given her answers to fundamental questions of who she is and why she got sick. For J.J., her therapist entering a training program in Pluralistic therapy introduced in some way a new start of her therapy with this therapist. When "good outcome" does not correspond to "good therapy": Reflections on discrepancies between outcome scores and patients' therapy satisfaction. [Extracted from the article]