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The role of the reality circumstances (the total, evolving life situation) of the patient as a critical set of codeterminants of therapeutic possibility, course, and outcome has been stated in a number of contexts as one of the guiding assumptions shaping the design and the data-gathering activities of PRP. This view of reality circumstances has been specified within the conceptualization of the Situational Variables as one of the interacting set of determinants (along with the Patient Variables and the Treatment Variables) of change in therapy (see Sargent et al., 1958, especially pp. 151-155). I have discussed the importance of the Situational Variables a number of times (see pp. 15-18, 79-83), most recently in connection with the issue of disengagement from an unfavorable life situation (see pp. 466-468).
In the present discussion, I focus more narrowly on the issue of the available