This book is directly aimed at sufferers of mental distress. The book's
aim is to remove from sufferers the burden of 'fault' for their pain and
to demystify some of the practices that surround the 'treatment' of
mental illness. It is not exactly a self-help book because it is a false
claim of any 'treatment' of mental illness that 'cure' can be brought
about by exercise of will. Much of what causes mental distress is lack
of power and resource, outside the control of the sufferer. Surviving
without psychotherapy involves the appreciation of several things.
First, the limited nature of therapeutic assistance - whilst
clarification and support may help the sufferer understand his/her
predicament and encourage the use of what resources the sufferer has,
therapy cannot change the distal root causes of distress. Second, that
only socio-political solutions can address some of the most powerful
causes of distress, e.g., redundancy, housing and poverty. In sounding a
cautionary note about psychoanalysis, Smail observes that mental
distress is far more about money than sex.