James M. Sedgwick captures the ongoing importance of what happens around us and the distinctive kinds of psychological distress that arise from persistent and pervasive environmental disadvantage. Beginning with a view of people as always situated and socialised, the book highlights the many ways that the world always and everywhere constrains or enables thought and action.

Ranging through ideas about the kinds of contextual conditions which might make psychological distress more likely and illuminating the complex relationship between socialisation and autonomy, the book suggests what the implications of these conclusions might be for clinical understanding and practice. Sedgwick’s insightful and compassionate work revises the theoretical framework, fills a current gap in the clinical literature and points the way to greater practitioner efficacy.