Hi Laura,
Sorry for the delay in response. The TA's and I discussed. We are not sure we are understanding your questions correctly and encourage you to come to office hours. Francois has also made an example which I've asked him to post.
In the interim, here's another way to explain, in case it helps.
In the real world, we only ever can observe an outcome (binary or continuous, doesn't matter) in a single person under ONE treatment (or exposure) condition. The counterfactual framework helps us imagine that in another world, you can observe different outcomes under different treatment or exposure conditions. If one could do that, then you could compare outcomes, in the same person, under different treatment conditions.
(BTW - in case this helps - to me, this makes me think about that scene in Marvel Infinity Wars 1, where Dr. Strange says he's viewed 14 million+ different scenarios on how the war with Thanos could turn out, and in only one does the human race survive... in case that helps... I think the "multiverse concept" is a good layman's way to think about the counterfactual framework)
If your outcome is SBP (continuous), and you are interested in giving a drug A or not giving drug A, then in the counterfactual framework, you would be able to observe each individual's SBP if they had A, or if they didn't. So, maybe for person 1, if A=0 her SBP is 105; and if A=1, then her SBP is 100. In the counterfactual world, you would be able to observe these 2 blood pressures for EACH person, under those two conditions, treated vs. not, then could compare the average SBP, under the two treatment groups (in the counterfactual world).
Does that help? if not, please try to come to office hours. I may also try to be in class today closer to 1, in case we have time to chat then.
best,
JMC