Because mentally ill people aren't people and can be used however we want to use them? In other circumstances it's seemed like Adelle put a lot of emphasis on the fact that the actives give consent -- even if the consent is very dubious at times. (Topher, truly, probably doesn't care). I'm just trying to figure out why Adelle's behavior is different here, and whether that's deliberate or an oversight on the part of the show.