"The manager treats ends as given, as outside his scope; his concern is with technique, with effectiveness … The therapist also treats ends as given, as outside his scope; his concern also is with technique, with effectiveness …Neither manager nor therapist, in their roles as manager and therapist, do or are able to engage in moral debate. They … purport to restrict themselves to the realms in which rational agreement in possible—that is, … to the realm of fact, the realm of means, the realm of measurable effectiveness."