Having now spent some time in a proper city, I'm pretty well in agreement with this. Though I often find it's more of a shocking display less often than it's actually violent. It's a tough thing to pinpoint in people though. Is this person going to be violent or are they just dealing with a voice in their head? More often than not, when I've spoken with these people it's been an amicable interaction and they're just dealing with their situation. This would likely be different if I weren't trying to treat them as an equal—which they are—and instead attempting to give them "advice" or confronting them.

For those who think otherwise, try putting yourself in someone else's place. What would it be like if heroin was the only thing silencing the voice in your head telling you to kill yourself or others? What if the system that aids you alternative ways of dealing with that condition was non-existent? What if all those things are true, but also your family is dead or has abandoned you?