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You write "The thread so far seems confusing. There are two distinct arguments that seem to me to be mutually exclusive. a) the therapist should be clinically competent, by whatever definition of skill you use, and b) they should be capable communicators" Not mutually exclusive at all. While one may be clinically skillful, they could not be considered "competent" unless also artful in interpersonal skills and as a communicator. For without these skills as well, clinical skills will not be as successfully translated/transferred to the recipient client, and thus the best results obtained. Clinical expertise, in a vacumn, leaves alot lacking. It's not about being nice as much as it is about being capable of relating to others on an interpersonal level. David Perry, PT Perry Therapeutics %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%