I think the term irrationality needs a bit of a look at. For example: I will refer to vietnam veterans [ here in Australia ] Is it an irrational notion that a forcably conscripted soldier returning from a badly premised war, having witnessed and participated in teh slaughter of women and children [ even if they are the enemy and acting as the enemy] should find himself unable to function properly upon return to his home city or country? Is it irrational for a person who has had tragic childhood experineces [ re: PHP's story] and other extraordinary expereinces to be unable to fuction properly in a scoiety that wishes to ignore the validity and profudity of those expereinces? I would like to suggest that it is irrational to expect people to be towers of strength when they have not the support to be so. It is the irrationality of society that I feel is more of a problem than the individuals. So how does a doctor deal with these issues? Simply put: he can't. Most doctors know damn well that if you stick a knife in to a persons mental tapestry you can not honestly expect no injury or scaring. The doctors in the main are just as helplessly entrapped in these irrational expectations as the patientis. [ no funding, no real support, no empathy but cold economic rationalism.] We send soldiers off to war and expect no consequences? So I would suggest that a broader perspective on the issue of irrationality be adopted. A bit more understanding would go a long way. Do you see the general thrust of what I am attempting to put forward?