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This article responds to two commentaries to the author’s original article; both commentaries relate to the issue of theater improvisation as a distinct paradigm in psychotherapy. The commentaries represent what can viewed metaphorically as the positions of “Yes, But” and “Yes, And.” The article describes these two positions, then addresses the issue of psychotherapy as art and/or science, and subsequently wrestles with how to train clinicians in improvisational skills. Considered as well, are the possible systematic changes the theater improvisation paradigm can have on the psychotherapeutic field.