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I've had a class with Lorna for a semester now, and at least one more to go. I'd give this book five stars, because I think her therapeutic approach is truly a gift, but the IRT book is really just the beginning. You can't simply read the book & magically become a competent IRT therapist; I suspect I'll be working on that one for a few decades. You can, however, read the book for an excellent and seasoned approach to case conceptualization when people present with complicated, entrenched, and emotionally demanding issues.