In his review of Hillbilly Elegy, Dreher includes the following passage, in which Vance describes the community in which he grew up:

Our homes are a chaotic mess. We scream and yell at each other like we’re spectators at a football game. At least one member of the family uses drugs — sometimes the father, sometimes both. At especially stressful times, we’ll hit and punch each other, all in front of the rest of the family, including young children; much of the time, the neighbors hear what’s happening. A bad day is when the neighbors call the police to stop the drama. Our kids go to foster care but never stay for long. We apologize to our kids. The kids believe we’re really sorry, and we are. But then we act just as mean a few days later.

In this passage, Vance suggests that larger economic changes such as globalization and automation are not the only contributors to white working-class distress in the Rust Belt.  According to Vance, self-destructive behavior, family dysfunction, and a culture of poverty are also responsible.  What do you think of this suggestion?