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In her response to Silverman's critique, the author explicates the Mount Zion Group's theory of how trauma is transformed into an unconscious pathogenic belief. She concedes that unconscious guilt may not be a universal pathogenic element; but she notes that some unconscious pathogenic belief always figures in the etiology of a mental disorder. She feels that unconscious guilt is linked to most pathogenic beliefs, but she also maintains that there may not be a direct link between an unconscious wish and a symptom. She therefore seems to reject Silverman's reformulation of her case. The Mount Zion Group holds that patients exercise control over their own unconscious mental life and that they are motivated in treatment to master their problems. This leads to "testing" behavior in the psychotherapeutic situation. Weatherford describes how these theoretical notions are tested in their psychotherapy research. She shows how one may integrate Silverman's findings with this work. There is a detailed illustration of the application of the notion of unconscious adaptation-enhancing beliefs to explain how a therapist's appropriate response to "testing" may be curative.