"When no one is paying you, the patient will listen to you, because he will feel obligated. To help Bob, I have to be more controlling than he is. So I will talk to him for free, on the condition that he follow my directives, until he's able to leave L.A. I know how difficult it is for him to pay his bills. My generosity will shock him. Is this out of compassion and empathy? No. I love the intellectual challenge of banishing a stubborn symptom, in spite of the patient's efforts to hang on to it."