Policy makers use the language of higher power, authority, and the passive voice to mandate needed services, needed treatments. The very language makes it sound as if the result desired by the intervener is based in a natural order, on natural law as compelling cause. Using the language of imperative distances the policy maker from involvement with particular people and specific situations. Using a word like need as a basis for justifying action hides that this is a personal judgment. Need ignores that there is an object, a value, a goal that is the professional's goal (unstated) or society's goal (unstated), but perhaps not the stated goal of the individual.

"The language of need is the language of paternalism. It makes room for beneficence and its cost is passivity and dependency. Instead, policy could use language that develops agency and personal power that enables and emancipates, language that minimizes medical and legal paternalism. Policy could look from the point of view of the individual's own life plan and purpose to provide a multiplicity of means for user productivity and user community participation."