The phrase "under therapy" further suggests that all Americans, knowingly or unknowingly, are being made dependent on, or are obsessed with, some form of therapy. The authors' term for this dominating phenomenon is "therapism." Never mind that this is not a recognized term but, rather, one that was crafted by the authors; they make liberal use of it throughout the book. Although it is never explicitly defined in its own right, therapism is used as code for everything the authors believe is misguided and overbearing about therapy as a helping process. Therapism, according to the authors, is a doctrine that, among other things, assumes that Americans are "a diffident, anguished, and emotionally apprehensive public [that] requires a vast array of self-esteem educators, grief counselors, workshoppers, healers, and traumatologists to lead it through the trials of everyday life."