On the psychotherapy front, he wonders if we can truly free associate, and if we could, why would we do that with a stranger? In the end we have conflict between society and our impulses. The therapist can be anti-society, or he can buy into "symptoms" and "mental illness". The way to get over mental illness is to accept your feelings, and when you screw up, you are not accepting them. It's hard not to get past a game of one-up-manship.
The discussion of games, made me think about Games People Play, a book that is 60+ years old, and that I read as a teenager, and found it quite bewildering. I hadn't really been that aware of social activity, but on some level the games seemed authoritative the way the writer wrote about them. I think today we would perhaps not put women into such a negative light, for some of the games, it feels dated in my memory, me reading the book 30+ years ago.
A therapist employing strategic therapy must:
Identify solvable problems.
Design interventions to achieve those goals.
Examine the responses.
Examine the outcome of the therapy.