The present paper is both (a) a commentary on the three preceding papers and (b) a separate consideration of the concepts of maintenance and generalization of behavior change. Promising ideas are selected and examined, and consistencies across papers are identified. Discussion includes the notion of cure (change that is generalized and maintained) and the view that therapeutic interventions do not cure but rather provide skills for the management of psychological maladjustments. Rational therapist expectations and a reaction “range of response” model for therapeutic gain are also considered.