The medical and social model of disability is discussed and debated among researchers, scholars, activists, and people in general. It is common to hold a mixed view, and believe that some disabled people suffer more from social obstacles and others from medical problems inherent in their bodies or minds. Rachel Cooper discusses possible 'test environments', making explicit an idea which likely plays an implicit part in many disability discussions. We place or imagine placing the disabled person in a range of different environments; if there is a relevant test environment in which they do fine, their problem was societal/external, if there is not, it was medical/internal. Cooper admits that deciding on the appropriate range of test environments is an ethical and political question. In this chapter, I argue that we often ought to widen our scope when discussing psychiatric disabilities.