I think social class issues are important, too. The US has always been far more punitive towards the poor (and therefore the disabled) than many other affluent, developed nations. Now, the middle class has been shredded. The psychiatrists are “haves” who essentially work for the “have everythings.” The bulk of the patients, meanwhile, are “have nots,” and are therefore treated with increasing levels of contempt and cruelty. Especially in the US, psychiatry -is- a human rights abuse (Szasz).