Perhaps the therapist, and the woman herself, know more about the situation than an outsider does. I think when such a bare-bones summary is given (as here and as in the stories from Sweden), each woman hearing it may project her own imagination of what in her own experience might have fitted a similar bare summary. (Like a script that gives only words: different actors may play it differently.)

In my experience as a woman, it seems a reasonable progression. The man asking ... then when things get hotter, forgetting to ask, and relying on the woman to say No if she still isn't interested.

I'm from an 'indirect speech' culture, so I'd express a No non-verbally; but it's still my responsibility to communicate it clearly.