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For decades, I've been asking versions of this question to my patients and have used it as a philosophical question in most of my seminars. When clinicians are tasked as the expert, patients tend to allow the expert to do what is "necessary", including force pressures on someone that they may not normally feel safe. This happened to me each time I received laryngeal manipulation from an expert in that field. I was never asked if the pressures were wrong; I was just treated like that clinician did for others, the way they were taught. I'm proposing negotiation of pressures, allowing my patient an equal voice in decision-making. Must it hurt to help? I don't believe so...but you might! Learn more about the work I teach to speech pathologists, PTs, OTs, MTs, orofacial myofunctional-trained clinicians, voice coaches, and others at www.WaltFritz.com.