Superficially and over the short term, this may sometimes appear to be the case. However, if the motivation for change is only external, and recovery success is attributed to the external motivator rather than owned by the client, then what happens when the external motivator (in this case, the knowledgeable, experienced practitioner) is no longer there? Experience has shown that many times, these type of gains are not sustainable in the absence of a sufficient level of self-efficacy on the part of the client.