Consent in one-sided attachment

The genuinely unsolved one. A relationship with no other party is not obviously covered by any consent framework, and the absence of a framework is where the harm goes. The elder-care analogy is the one that makes people uncomfortable and it is the one that fits.

Consideration. The part where somebody stops and thinks. The research, the diagnosis, the ethics, the lawsuits, the regulators. Roughly fifty years of arguing with itself about whether this is a relationship.