Recently I read a couple of reviews of Boston Asian Dolls escorts where the client takes over the session and the girl is clearly confused and disoriented (NPI). Is this the way to treat a geisha-type provider who is trained in a specific routine? I'd expect a few such sessions to burn out these young eager-to-please girls? It's almost like prostitution

the debasement of some object or practice, then yes, I would agree.

When you see someone trained in a specific genre, you are supposed to accept their terms.

It's like asking a Chinese restaurant to make you a pizza.

Think of taking a scallion pancake, make them ten inches in size.  Spread a little lobster sauce or sweet and sour sauce, top it with some boneless spare ribs, maybe a little pineapple? Or maybe some sesame chicken on a scallion pancake, drizzled with some soy ginger sauce?

You can actually get something like that at Foumami in the financial district. They are actually sandwiches, not pizza, with scallion pancake instead of bread, and fillings like pork loin or chicken Katsu. Very tasty!