There are bad situations in life that we can be born into or happen to find ourself in. People try and escape such conditions or at least evade the consequences, often getting into worse bad situations. The basic idea is that in bad situations and conflict situations people find ways to adapt or escape, using whatever they can and whatever they have available. People in bad situations can try as many solutions as they can, but this depends on their history and what is available in their context, which can change. With the large populations in modern Western societies, and increasing replacement of family social relationships with stranger or contractual social relationships, the way society as a whole is structured and how this structuring is enforced through strangers now produces many new bad situations for people. Psychiatrists and clinical psychologists are not trained in using ‘sociological imagination’ to see societal effects acting on their individual clients and shaping their behaviours.