The Origins Of Unhappiness by David Smail

A New Understanding of Personal Distress

Argues that much psychological distress stems from social and material circumstances—powerlessness, oppressive relationships, poverty and inequality—rather than inner pathology or intrapsychic conflict; critiques mainstream psychotherapy for individualizing problems, overemphasizing technique and blaming patients, and urges clinicians to acknowledge the role of social context, adopt therapeutic modesty, and consider political and structural change alongside clinical care.

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