In my experience and observation, the physical world of the subject has been far too discounted. And, I'll add, there are manifold variances in personal experi

In my experience and observation, the physical world of the subject has been far too discounted. And, I'll add, there are manifold variances in personal experiences and circumstances. Why? Well, among other things, and in a simple reduction: Because the physical world is a "hard" problem. And one that does not involve just the subject him-/her-self. Actually, also, in my observation, often the "hard" part isn't a determination of what should or needs to be done. It's finding the resources to accomplish this. For example, remove people from their circumstances and sources of -- often extreme -- stress! (Or, enable them to do this, once they elect to. And/or effectively deal with the sources, themselves -- as an individual, a community, a society, or whatever effective agency.) Yeah, but... So, you come up with, as a profession, professionally blessed compensation mechanisms and assignment of responsibility to the subject -- perhaps, the victim -- instead. I'm not saying everyone does this. Nor that all cases reduce to it. But, it is well worth considering, as a part of the continuing problem of mental illness and its treatment.