The psychologist Oliver James has described ‘affluenza’ as ‘placing a high value on money, possessions, appearances (physical and social) and fame’.27 The condition, which is prevalent in rich countries, places people at increased risk of mental disorders including anxiety, depression, and drug abuse. It is worsened by social inequality, which highlights differences in status, and is exploited by advertisers who drum up envy to drive sales. It is the shadow side of the American Dream.