Pg 113. Bureaucratic Psychotherapy is more insidious than the coercive model because the face of the enemy is not clear. The therapist works for a non-residential agency such as a clinic or a school, and the patient may or may not be a freely participating adult. The therapist is a double-agent whose contract and loyalties belong as much to his commitment to his agency and to the community as to the patient. The best and worst of social welfare attitudes are at play as the therapist decides on the goals, so that the patient may stay out of trouble and accomplish some "worthwhile" social objectives. While the bureaucratic psychotherapist is not a jailer the social conditions under which they often the underprivileged patient is offered the favor of welfare-therapy clearly imply the superiority of the expert. In this ambiguous setting, the confidentiality and the privacy of the patient are not seen (by the agency staff) as crucial to his well-being. Consequently, the protection of the patient's rights is often incomplete and capricious.
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