There is a highly significant twist in Sybil Exposed, however. In the other revelations of claims of fiction masquerading as fact, the manipulator of the truth is a single individual. What Nathan exposes is that Sybil was a result of the collusion of a self-serving, manipulative troika of patient, psychiatrist, and author: Shirley Ardell Mason, Cornelia B. Wilbur, and Flora Rheta Schreiber, respectively. The director of the troika is Dr. Wilbur; the individual who fares by far the worse is Mason. The surprise in Sybil Exposed is not that an author would bend truths on the one hand and ignore facts on the other to achieve a best-seller. Nor is it that a highly dependent patient could be seduced, orally bludgeoned, and drugged into all manner of bogus self-reports, especially after her attempts at coming clean were rebuffed as further evidence of her psychopathology. The real surprise is just how evil a self-aggrandizing psychiatrist can be at the expense of not only her patient but also her other patients, her colleagues, and her profession. The real problem for psychiatry is that many outside the field will proclaim it is simply naive to be surprised by this; there are coalitions of ex-patients, for example, who shout out in leonine eruptions that all psychiatrists are malevolent.