Furthermore, reality therapy, like other therapies, has neglected the need for social change and for reducing sexism in women's environment.
Although the feminist therapy point of view is critical of reality therapy for not focusing on external events, there are areas of agreement between feminist therapy and reality therapy.
Both emphasize the therapeutic relationship and the importance of accepting, but not agreeing with, the client's value system.
Ballou's article was examined 22 years later by Linnenberg(2006), who believes that many of her comments are still applicable, but some progress has been made.
He feels that the emphasis on multiculturalism in recent years has helped reality therapy, although reality therapy has not directly addressed multiculturalism.
Ballou(2006) concurs with Linnenberg analysis and emphasizes the importance of critical self-reflection.