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Pathways to Lasting Self-Esteem is based on the author's experience as a psychotherapist with his low self-esteem clients. Dr. Gross recognizes the tenacity of low self-esteem, yet he affirms that much can be done to raise it. In Pathways to Lasting Self-Esteem he distinguishes his unique approach to raising self-esteem from the many superficial manipulations commonly ineffective in making a durable impact. The book follows a stepwise method that provides practical guidance in a skill-oriented route for the journey. Pathways to Self-Esteem recognizes four levels for the development of self-esteem each featuring distinct dilemmas, goals, tasks, and skills. Readers will find the challenge to change buffered by hope to counter despair and safe options to offset fear.