First of all, thanks for engaging. It's nice to think this through with the help of others.
That being said, I have an issue with this being called 'therapy'. It may as well be, if we just think about the person receiving the benefit. However, it's a bit predatory through the lense of the other person.
But it's like you said. It's not binary. Yes, it bothers me a little. Nonetheless, as with everything, it may have its uses.
Again, thanks for your comments.