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• The decline of the American psyche is associated with cultural changes after World War II. • The therapeutic culture has contributed to the development of fragile narcissism and self-doubt. • An epidemic of mental pain and a mental health crisis began in the 2010s. • Social networks have become a place for seeking attention and self-affirmation. • Safety promotion and elephantiasis due to injury have become popular concepts. • Trauma has become a source of identity for many people. • The culture war divided society into "nannies" and "coalition against fragility." • Maturity requires understanding and respect for other people, not just yourself.