But it is still supportive, indirectly, and not directive. The changed behaviour is still with a view to people coping with their problem better, not fixing their underlying problem. So it is definitely a purported shift on her part.
When the behaviour Crawley is trying to change can make the patient worse, such as reducing the patient's sleep and/or changing sleep patterns, and advising a patient they can increase activity once a baseline has been set but with no acknowledgement of the underlying energy dysfunction and that patients have a ceiling which they can not go above without the disease getting worse/crashing, I do not view that as supportive. I view it as advice that could be harmful physically, and emotionally as the person's experience of their illness is denied.