dictate the course of therapy

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Senior Member
If he is to change, he must dictate the course of therapy, and make the conscious choice to improve himself.

I looked it up in the dictionary, it means to command or to say out loud.

But neither makes sense to me, any clarifications?

source:SAT OG作文满分范文一_留学啦
  • Retired-teacher

    Senior Member
    British English
    It means that he must decide how therapy is to progress rather than leave it to someone else. It need not be spoken, but a personal decision he must make.
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