Around the turn of the century, there was a story on NPR about counseling, and
insurance coverage for psychiatric services.
As is common, they started with a specific case and a specific person, because
they felt that this would provide a reference point for the listeners.
In this case, it was a high power executive who was spending 15-20 days a
month away from home, and hated it, and so needed counseling to deal with
this.
I remember shouting at the radio (I shout a lot while driving, I inherited
that trait from my Dad), "You don't need counseling, you need a different
job!"
This is not what is typically done in the United States. I am not sure
if this is a conceit of the profession, that is that they see themselves as
being able to work everything out, or because the economic incentives make the
practitioners disinclined to provide a permanent, or at least durable,
solution which requires no additional treatment.
You choose.
In any case, Dan Nelson has
made a similar observation, though it is focused at general issues with societies more than the specific example above:
Human behavior is shaped by a complex
interplay of life’s events, conditions, and circumstances. To truly understand
a person’s actions and behaviors, one must ask: What was this person exposed to? What did they experience? These questions point to a profound truth: behavior cannot be separated
from the environment in which it develops. From the safety of one’s
surroundings to access to proper nutrition, sleep, and social stability, the
circumstances of life have a lasting biochemical effect on the brain. These
experiences are not merely coincidental with development, they actively shape
it.
………
Yet, it seems natural to us today, in a society shaped over a mere
few hundred years, to assume we know better than nature itself. When we
make aspects of nature illegal, we may be damaging humanity in ways we
cannot fully grasp. Likewise, when we sever people from the natural
rhythms and connections to their natural environment, we risk causing
problems that remain beyond our understanding.
Yet, modern psychiatry operates as though behavior can be neatly
categorized, diagnosed, and treated without this deeper understanding
and consideration of the biological, social, environmental,
circumstantial evidence and events that need to be understood unless
they want to sell snake oil remedies. Psychiatric diagnoses, rooted in
observable patterns of behavior, are often presented as authoritative
conclusions.
His conclusion, that treating mental illness without recognizing the effects of an ill society, is a valid point.
It's a good read. So read it.