Ramifications contains a series of four essays presented at the International Conference for the Advancement of Private Practice in Social Work (ICAPP) from 2005 to 2008. The essays provide a uniquely social work frame for the practice of psychotherapy. The first essay illustrates the integrative power of a social work perspective applied to psychoanalytic concepts such as transference and counter transference. The therapeutic relationship as a provider of conditions of hope is the focus of the second essay. In the third essay, an in-depth consideration of the centrality of difference and dependence in the therapeutic process is examined. The last essay considers some of the dilemmas and puzzles embedded in the current discussions of evidence-based practice. All four essays examine the richness of a social work perspective on therapeutic space.