Of course, but a lot of therapy in North America nowadays becomes needed not because the patient can change fundamentals variables in their life (job, family si

Of course, but a lot of therapy in North America nowadays becomes needed not because the patient can change fundamentals variables in their life (job, family situation), but as a coping mechanism for these variables being out of wack with no discernible path to change. Its far from ideal and indeed borderline dystopian, but to borrow your metaphor, it's the difference between a fracture, and a fracture with some painkillers available.