I don't see how CE gets from the therapist holding him in discomfort to purposely hurting him. But if he is making that connection, it certainly makes these threads clearer. He is attributing intentionality to her inaction. When she said, "okay, do what you want", he didn't want to take responsibility for his action. He wanted to be told what to do, so he could rebel against it. I know the feeling well!! I can see my longtime t saying the same thing. She wasn't the best t for me. Current t is, I think. He is a much softer place to land.