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Struggling to parse 19 dn -
Fifty minutes lying on a couch
- or sitting.
Is 50 minutes the duration of a psychiatrist appointment perhaps?

Yes - and a Session is also a 'sitting' of a court.

Thanks for that malone. I got the session bit but how would you know the 50 minute reference unless you'd been in analysis? That's specialist knowledge of a very special kind.
One umsatisfactory clue among several.