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Red Orc's Rage (1991) is a recursive science fiction novel by American writer Philip José Farmer, part of his "World of Tiers" series. The plot of the book was inspired by the work of American psychiatrist A.James Giannini, M.D, who used earlier books in Farmer's series as role-playing tools and aids to self-analysis. This technique was developed at Yale University and further expanded by Dr. Giannini at Ohio State University. The technique is properly called "projective psychotherapy". It involves immersing the patients in a fictional world which is accessible to the psychiatrist. It is subject to alternative interpretation but not to change. By utilizing a structured fantasy world the subconscious can be directly accessed without confronting resistances of the conscious mind.