Credited with creating a more intimate confessional form of media communication, she is thought to have popularized and revolutionized the tabloid talk show genre pioneered by Phil Donahue, which a Yale study claimed broke 20th century taboos and allowed gays, transsexuals, and transgender people to enter the mainstream. By the mid 1990s she had reinvented her show with a focus on literature, self-improvement, and spirituality. Though criticized for unleashing confession culture and promoting controversial self-help fads, she is generally admired for overcoming adversity to become a benefactor to others.