MRNWildhood, You are correct in noting that there is an enormous contradiction between psychiatry’s insistence that crime is a mental illness, and their failure to promote this as, for instance, a criminal defense. In reality, they use “conduct disorder”, “antisocial personality disorder”, and other “diagnoses” that consist essentially of criminal acts, as gateway diagnoses, to bring in business, but they systematically ignore the ramifications of this, presumably because they realize that such efforts would shatter what little credibility they have. You point out that “trauma revises its sufferers’ physiology”, and of course this is true. All human experience revises our physiology to a greater or lesser degree. But I’ve certainly never advocated throwing anybody to what you describe as the “shape-up, change-your-behavior dogs”. I think we should all try to help one another, both individually and through our social, political, and economic institutions. And the best way to help people who are depressed, for instance, is to help them identify the sources of the depression and help the individual resolve these matters. As obvious as such an approach is, it is almost never adopted by psychiatrists, who instead push dangerous drugs to numb the distress, while leaving the source(s) of the problem intact. Similar observations can be made about the other problems that psychiatry has spuriously medicalized.