The only two minds that buck this trend are Bob and "Truman", but both minds have reasonable explanations for this - for Bob, his plants request Raz's help in curing their gardener in the same way a group of friends might stage an intervention for someone that's suffering from addiction, and it's implied that subconsciously, Bob is the one controlling the plants and secretly desires help through them. Additionally, almost every mind you enter in the second game is done so either at the patient's explicit consent, a superior's consent, or to prevent a crisis from occurring, which prevents any questionable implications from arising. So in this game, Hollis' levels are dedicated to showing just how badly recklessly trying to affect people's minds without their consent can go, and Sasha explicitly points out to Raz that because of the immense power they hold over a person's mind, the Psychonauts have to respect the boundaries of their patients and be careful not to overstep them. After that, he flees with the other patients, never to be seen again, and we never know whether or not he changed for the better. This is driven home especially in the "Milkman Conspiracy" level, where Boyd Cooper, thanks to Raz, changes from a paranoid gatekeeper to his old arsonist self, as he destroys the building near the end of the story. While the original game treats the patients with enough respect to make this a non-issue, Raz performing mental psychiatry for people who physically can't say no has implications that are questionable at best. While Edgar and Fred had expressed a desire to be helped, Gloria and Boyd couldn't ask for it due to their impairments.
As the years passed between the first Psychonauts' release, there was growing pushback against the game's casual use of the word "gypsy", which is considered a slur towards the Romani people.
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