My opinion is Patrick's attack is unwarranted. It gives the impression of some kind of "attention seeking" & his dismissal of psychotherapy and assertion The Four Noble Truths are a 'cure-all' seems rather naive. The Buddhist scriptures do not show the Buddha instructing the Four Noble Truths to every person he instructed. In fact, the scriptures show, with some exceptions, the Buddha almost exclusively taught the Four Noble Truths to bhikkhus
. How can the Four Noble Truths suit the needs of each human being where the very beginning of the 1st Sermon describes the 'Middle Way' as that which shuns sensuality and the household life?
Personally, I am struggling to actually comprehend what Patrick is attemting to say because his intellectualism is difficult to follow. But Patrick seems so far from the Dhamma, when he says: "But the path is not concerned with specific types of suffering, or specific types of experience, but simply with the fact that all suffering".
The Buddha gave 84,000 teachings. The Buddha gave teachings about how to manage money, how to manage all manner of relationships, etc. Of course there are kinds of dukkha (lit: difficulties) or problems that cannot be solved by the Four Noble Truths and, most specifically by the vipassana
Patrick seems to be asserting as a "cure-all".
For some reason, I sense Bhikkhu Sujato is spreading his intellectual inclinations to his friends such as Patrick. The dogmatism, at least on my behalf, is dukkha
(lit: difficult to bear, hard to endure).