The sociological aspect of mental health is little noted in psychiatry

It's really one of the big areas of the biopsychosocial model of cause
that's often missed in psychiatric theory. As part of their training
they do bioilogical stuff but they nver learn about society, it's impact
and the relevance of history and the social sciences has to what they do
as psychiatrists.

The Great Confinement where enmasse the severely mentally ill (the mad)
were housed in the asylum system was an act which removed them from
society's view. No longer seen nor the responsibility of wider society,
the mad became removed and discharged to the care of the new profession
of psychiatry. They survived longer because of it because society truly
did some awful things to the mad before the inception of psychiatry and
the biomedical model explanation.

But this is one of the causes of the illness. It's the cause of the
worsened prognosis. I think it's another factor in why people do better
in developing world countries. They didn't have the confinement. Many
still don't. Madness happens in the community. As the asylum system
slowly shrunk after the discovery of medication for these unwanted
behaviours the mad came out of the physical asylums but they were still
confined by the medication. The medication still disguised madness. It
attempted to make us like robots, the think that psychiatry perceives as
normal.