"pushing bums around"

A client in the acute service was playing cards with me and a few other clients. He started externalising his thought processes regarding his dealings with women. When challenged about respecting women he replied: " I respect you - you come in here and sit with us, you're not like a doctor lady who pushes her bum around and makes me angry" Of course his anger and difficulty to control his feelings for women will need psychological intervention, however his statement draws the distinction between inforcing treatment authoritively and allowing opportunities for patients to express their needs in a therapeutic environment.
In a therapeutic environment the therapist does not simply illict/ observe behaviours for diagnostic purposes, he/she works with dialogue of the clients to make opportunities for in-action learning. For example answers to questions regarding insight are not simply recorded but insight training is done in all situations with the client.