What clinical experience teaches in fact is not that psychological distress and emotional suffering are the result of individual faults, flaws or medical disorders, but arise from the social organizations in which all of us are located. Furthermore, damage to people, once done, is not easily cured, but may more easily (and that not easily at all!) be prevented by attending to and caring for the structures of the world in which we live. These are questions neither of medicine nor of ‘therapy’. If anything, they may be seen more as questions of morality and, by extension, politics
— David Smail