Traditionally, psychotherapy research used quantitative measures to compare the effectiveness of differing schools of psychotherapy. Recently, research has begun to focus on qualitative measures based on the assumptions of naturalistic inquiry. However, the research has been conducted post hoc therapy, and the information obtained was used for subsequent clients. The research presented here utilized ethnographic interviewers to gain information from families about their therapy experiences during therapy. This information was then used by the therapist in order to create an isomorphic relationship between the therapist and family. In essence, the therapist searched for information that is useful to create change while the ethnographer re-searched for information that facilitated a more cooperative relationship between the therapist and his/her clients. The findings suggest that clients have certain beliefs and expectations about the therapy process, and if these beliefs and expectations are not met, the clients may feel they are not receiving competent therapy. Based on the results of this research, it was concluded that therapists need to discover what the clients beliefs and expectations are regarding therapy. Ethnographic interviewers can be used to gain the necessary information.