>Treatment "progress" is predicated on -- if not synonymous with -- submission.

This was my experience as well. When I was in holding, a sympathetic nurse told me that to get out of there as soon as possible, I needed to smile, go to all meetings, and do exactly as I'm told. There was a Bible study that I wasn't interested in going to, and another nurse heavily suggested that I attend, which I ended up doing. I felt very powerless throughout it.