Theodore Dalrymple, a psychiatrist and writer known for his insightful observations on society and the welfare state, discusses the social pathologies caused by a culture of dependency facilitated by the welfare state and argues for personal responsibility and a strong sense of community. He analyzes various aspects of these social issues, such as violence, crime, drug addiction, and family breakdown, with examples from America's white underclass and Britain's black underclass, often referencing Eminem's music to highlight the issues. Dalrymple emphasizes the importance of recognizing individual agency and accountability in addressing and preventing these social problems.