Virtually all therapist-patient relationships are proposed as falling under four paradigms. Coupled with the assumptions common to these four paradigms are problems which are unresolvable as long as these assumptions are retained. These problems are identified and discussed. From the existential- humanistic body of thought, and also from scatterings within the field of psychotherapeutic practice, the roots of a new, fifth paradigm are presented. This new paradigm is held as free of the old assumptions, free of the unresolvable problems coupled to the old assumptions, and pregnant with therapeutiepossibilities. A few of these therapeutic possibilities are described.