Yes, and there has been traditionally a very patrician mentality on the part of medics with the patients viewed as subservient.ie. 'doctor knows best'. I think this can generate a very smug attitude. I'm reminded of a slide i saw of Simon Wesselys which concluded with 'why is this [CBT etc] approach the best?' Answer: 'Because it's right'. which is akin to the parent saying to the child 'Because i say so'. Hopefully that's changing. Slowly.