I want to leave my case studies of ADHD at this point and ask this question of the society in which such cases occur. What has gone wrong when in the richest nation on earth, the richest nation in human history, a famous paediatrician says of a baby, that breast feeding might teach him to expect more than he is going to get out of life. The physical nutritional qualities of breast-feeding are not what interest me here. It is the breast as a metaphor for what we may expect in relation to nurturing, emotional support, the acceptance of dependency, of human vulnerability or frailty, and the deep irreducible human need for intimacy. What the child must not be taught to expect in the world of the new capitalism where both parents must work.