Would you elaborate more on how a policy like that is part of therapy and how it is fair not being able to skip a session, whether it is due to emergency/sickness or just wanting a break? I can't come up with an explanation, no matter how I try to think about it, other than inappropriate reasons for the T to demand a "salary" from a client, like stopdog said. I understand the value of learning/improving discipline very well, but this is a very inappropriate way of doing that , IMO, way too far and unrealistic. I can't think of any decent occupation, engagement, school, job, whatever, that would demand this on an ongoing, long-term manner, unless it is some destructive system, dictatorship or other abuse of power. How can that be therapeutic? People can exercise and talk about discipline and responsibility without being forced into dictatorship and submission.