a difference in level of prestige—one on a higher altitude carries conviction to one on a lower altitude merely because of altitude. The auditor may find himself unable to gain sufficient altitude with some patients to work them smoothly and he may have so much altitude with others that they believe everything he says. When he has too little altitude, he is not believed; when h e has too much, he is believed too well. —DMSMH Glossary (app. 14.7.90)