This cartoon has two panels stacked vertically. The top panel shows a man a woman talking to each other and the woman hold a phallic shaped object in her hand. The man asks, "What is that thing?" The woman replies, "This is a battery operated vibrator. I use it in therapy to provide sensory stimulation." In the second panel with the same images the man says, "I didn't know sex therapy was a related service." The woman replies, "It's not. I'm talking about occupational therapy." The tag line under the cartoon reads, "Fred continually struggles to understand the relevance of some therapeutic methods."