Harry is 45-year old. He has been married for 16 years, but his marriage has been very troubled. He and his wife are often resentful of each other, they rarely communicate on an intimate level, and they have few moments of real pleasure.

Other aspects of Harry’s life have been equally unsatisfying. He doesn’t enjoy his work, primarily because he doesn’t get along with his co-workers. He is often intimidated by his boss and other people at the office. He has a few friends outside of work, but none that he considers close.

During the past year Harry’s mood became