Martin Buber and evidence-based practice: Can the lion really lie down with the lamb?

While reserch on treatment for people diagnosed with ‘schizophrenia’ has yielded a plethora of evidence-based practices (EBP) reliably linked with positive outcomes, there is concern that core processes that promote recovery are being neglected. Beyond the description of instrumental tasks, work is needed to think about the kinds of therapeutic relationships that provide a foundation for EBPs. In particular, a theoretical model for a therapeutic relationship most supportive of recovery has not been well established. One candidate model for this therapeutic relationship is provided by the work of philosopher Martin Buber. This paper applies Buber’s work to develop a model of the reflective processes in psychotherapy that lead to meaningful and sustainable change. Specifically three constructs are discussed: (1) I–Thou vs. I–It relationships, (2) the Between, and (3) Confirmation. For each construct a definition and clinical illustration is offered. Directions for future research and model of intervention which allow for the humanities and science to lie down like the lion and the lamb are discussed.