They create a miracle scale ranging from 0 to 10, where 10 is the miracle. In fact, in the very first session they often ask their patients where they’d score themselves. Patients often report back that they’re at 2 or 3, which prompts an enthusiastic response from the therapists. Wow! You’re already 20 percent of the way there! Sound familiar? The therapists are putting two stamps on their patients’ car-wash cards.