"The reason this happens to people all the time is because they leave their lives cluttered messes, and they don't take the chaos that they know is there and go through the work to turn it into something pristine and functional. And it does them in!
We don't see any recognition of this sort of thing in any of our psychotherapeutic models of causality. I think it's because we're not willing to take the ethical bull by the horns and understand that human health is a matter of moral action, perhaps more than it is a matter of anything else. And I think the reason we don't want to admit to that, or even to discuss it generally is because I don't think people want to think of their own lives in that manner, because it would burden them with too much responsibility.
And so all the coverage, the pseudo-scientific objective clap trap that goes along with most of our diagnostic strategizing is a form of sin of omission designed to shield us from what we're doing that actually makes people sick."