Dr. McGraw is much more effective on Ophrah. This is because you can see him apply his advice in detail-one one one-where he excels. This audio-tape is good, but not great. His speaking quality is excellent and some of his stories are hilarious, but I have a problem with the depth of advice offered here. For example, the basic premise is that you must recognize your problems and situations are your own fault and only you can change them (you're "life lazy"). Ok, I did accept that and I want to change. Now what? I'm sorry, but I need more specific advice on how to fix my problems. For example, what if I'm a social phobic, or an alcoholic? Nothing in this tape will help you overcome those problems and there are no references here that will help point you in the right direction. Yet there ARE specific methodolgies available. Granted, he does give specific advice on goal setting. Perhaps his workbook might be useful to get more out of this audio tape, but once you accept the basic premise of this audio tape, you're left hanging. If "life rewards action", I need to know what actions to take.