Attribution work having implications for psychotherapy practice and theory is reviewed. The review focuses on: (1) the relatively extensive literature on misattribution research; (2) misattribution-like approaches; (3) attribution and behavior change; (4) the quickly expanding literature on depression and learned helplessness from an attributional perspective, including attribution retraining; and (5) attribution and relationship therapy. It is concluded that attributional ideas, broadly-construed, are pervasive in contemporary clinical practice and theory. This status of attribution work in clinical psychology today reflects the broadly-gauged influential conception of attributional processes first articulated by Heider. It is also concluded that work done to date is quite incomplete in specifying the particular role of attributional processes in such domains as misattribution therapy, the understanding of depression, and relationship therapy.