Psychotherapist: The troubles from which a patient seeks relief through psychotherapy do not have purely internal causes; rather, those troubles result in part from the patient's relationships with other people.
Conclusion (Hence)
To help a patient heal, the psychotherapist must focus on the need for positive change in the patient's relationships with other people.
Evidence
The trouble from which a patient seeks to heal do not have purely internal causes. They result in part form the patient's relationships with other people.
Evaluate
The logic of this argument seems to be that,
So the author is assuming,
We could potentially argue that merely helping a patient work on the internal causes (increase their self-esteem / decrease their anxiety) could do enough good that they heal somewhat, even though we never forced them to work on their relationships.
Goal
Whenever a conclusion takes the form of, , we are assuming two things: - Y in fact would help with X - nothing else would otherwise help with X
So let's look for an answer saying or