Joseph Meyers, Ph.D., is one of the newer generation of clinicians who has been trained clinically in the post therapy wars era and came of age professionally when CBT was a therapy, not a gleam in Al Ellis and Aaron Beck's eye, or an evolutionary transitional offspring, derivative, and transitional object of ancient Greek philosophy, German idealism, Neo-Freudian feminism, and Self Psychology, experimental psychopathology, to name a few ways of thinking about it's psycho-historical character. Dr. Meyer's reflections are both a view from more recent academic bastions and the tough love mental hygiene of managed care. It is a quick and thoughtful exercise of the applicability of construct valid psychological concepts with general applicability and openness to philosophy as a pragmatic tool in a time of cholera and unstoppable change.