For me personally not at all. I don't buy stuff I don't need, I do have a credit card but never payed interest for it and don't think I do anything in my life to impress others. Thinking about all my purchases last year I don't think there was a single item where I had anybody but myself in mind.

So no, I don't think any of the 3 applies. I also think there are lots of people out there in the western world where this doesn't apply.

Maybe unhinged consumerism just has more attention than there actually is, that's only my guess at least.