As to the question of power imbalance, consider the following (quotes and paraphrases of things I've read recently or my own observations). Not saying one should become paranoid, and I think once you become aware of how things are, you are less likely to get into trouble...

- A core assumption is that "the therapist, by virtue of his knowledge, training, and special insight has access to truths above and beyond the capacity of his patients. The therapist interprets the patient's truths and tells him what they really mean."

- "The therapist can question the patient on any topic, but the patient cannot question the therapist."

- The therapist (or the profession) decides the duration of the session, the place of meeting, the cost, the basic rules and code of conduct.

- The therapist often sits in silence while the client speaks. Even when the client becomes emotional the therapist might remain in silent observance. Silence can make one feel "frightened and helpless, the very feelings that which undermine our self confidence".

- Sometimes the therapist will sit in a specially positioned chair, with the client on a couch which is at a lower height. There is a feeling of appearing before a judge in court.

- "In any area of disagreement, it is assumed the therapist is more likely to be right."