This work provides an analysis of postmodern/narrative theory, with its underlying antirealist/constructivist philosophy that the subject makes rather than discovers reality. The author sees the ascent of this theory as a misguided attempt to solve a recalcitrant problem within psychotherapy: how to achieve a theory that attends to the uniqueness of each client and yet preserves a systematic, replicable enterprise. As an alternative she introduces readers to the integrative/eclectic therapy movement and proposes a modest realism.