Adelle isn't interested in the least in what Sierra wants; indeed, if she realized the degree to which Sierra can experience want she'd send the doll to the Attic. Neither does she care about the desires of the imprinted personalities, for that matter (except that being in distress seems to endanger the dolls in some way). (Nobody consulted Melly about giving Madeleine her body back.) The only people whose consent Adelle is interested in procuring are the personalities who match up with the "soul" of the body, so to speak.
I do think there'd be some question as to whether, if Topher imprinted a truly mentally ill Priya with a manufactured version of herself sans that illness, whether that personality would count as an ensouled person are just be equivalent to another imprint. That'd be on top of the question of how meaningful consent could be when gotten out of an imprint that was, in part, manufactured by Topher in the first place.
It's possible, but not likely, that Adelle could see Priya's illness as a diminishment of her soulfullness.
But again, I think the main reason why asking cured!Priya for consent never occurs to Adelle and Topher is because they firmly see curing her and her becoming a doll as a single act. So the question becomes, is insane!Priya able to consent to her cure (with her becoming a doll a necessary result of being cured). If not, then she's condemned to being insane forever, as far as Adelle and Topher know. So they might see that, in that backwards morality sort of way of theirs, as a humanitarian imperative to loosen the rules somewhat.
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I do think there'd be some question as to whether, if Topher imprinted a truly mentally ill Priya with a manufactured version of herself sans that illness, whether that personality would count as an ensouled person are just be equivalent to another imprint. That'd be on top of the question of how meaningful consent could be when gotten out of an imprint that was, in part, manufactured by Topher in the first place.
It's possible, but not likely, that Adelle could see Priya's illness as a diminishment of her soulfullness.
But again, I think the main reason why asking cured!Priya for consent never occurs to Adelle and Topher is because they firmly see curing her and her becoming a doll as a single act. So the question becomes, is insane!Priya able to consent to her cure (with her becoming a doll a necessary result of being cured). If not, then she's condemned to being insane forever, as far as Adelle and Topher know. So they might see that, in that backwards morality sort of way of theirs, as a humanitarian imperative to loosen the rules somewhat.