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.