When the psychiatrist approves of a person's actions, he judges that person to have acted with "free choice"; when he disapproves,he judges him to have acted without "free choice." It is small wonder that people find "free choice" a confusing idea: "free choice" appears to refer to what the person being judged (often called the "patient") does, whereas it is actually what the person making the judgment (often a psychiatrist or other mental health worker) thinks.