As Upton Sinclair said: “It is difficult to get a man to understand something, when his salary depends upon his not understanding it.”
I think this was applicable to Freud wrt. child sex abuse in upper-crust Vienna. If he'd admitted that his patients were giving factual accounts of abuse rather than fantasies, he'd have ended up in jail because the customers paying his bills were their rich and powerful guardians (and most likely rapists).
Think Trump/Epstein today.