“I attempted to be clear and straightforward in my approach to Dr Tate, deferring to his medical expertise and stating my desire merely to be helpful. Renee and Joan Frances, in turn, were clear and straightforward about their needs in a way that was new for them. Yet we were seen as manipulative multiple and puppet therapist. Renee had probably never been less manipulative in her life than when she was trying to reason with Dr. Tate.”