The idea that the evidence from the text supports is:
Psychiatrists knew their secrets were being exposed and were trying to do “damage control” to repair their image.
This is supported by the mention of the psychiatrists offering "profuse apologies" after being exposed, indicating that they were aware of the negative implications of their actions and sought to mitigate the damage to their reputations as a result of the exposure. The other options do not align as well with the context provided in the excerpt.