The players are healers who incarnate themselves in the Patient's Intracos, the world as he imagines it. If, for example, he believes the earth is flat, it's flat. If he believes his next-door neighbor is a serial killer, he is a serial killer.
The aim of the "healers" is to cure the Patient of his phobia in reality. To do this, they will "normalize" his Mental Universe, for example by showing him that the earth is round, or that his next-door neighbor isn't such a bad guy after all. Often, as in Mission Impossible (the series), it's a matter of finding the Patient (who necessarily exists in his world, but doesn't know that we're trying to treat him) and showing him, through clever staging, fabricated testimonials, a few tricks of the trade and a lot of bluffing, that what's real in his world is no longer real...
For example, the Patient is afraid of red cars in real life. In his Intracos, there's a red car that runs over people. Classic role-player response: bazooka kaboom red car. And the Patient is cured. But one day, in real life, a (red) fire engine honks just behind him to clear the way. The "carers" have taught him to destroy the red cars that scare him: he tries to smash the fire engine. So not only do you have to treat him, but you have to do it in such a way as to leave him as little damage as possible.
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