ABSTRACT

The reasons why PD patients elicit negative reactions from those who care for them are now apparent. The bare facts of the survey have been provided with some context. The generally hopeless, pessimistic, angry attitudes of carers can be seen to originate in the difficult behaviours of PD patients. They bully, con, capitalize, divide, condition, and corrupt those around them. They make complaints over inconsequential or non-existent issues in order to manipulate the staff. They can be seriously violent over unpredictable and objectively trivial events, or may harm and disfigure themselves in ways that have an intense emotional impact on staff. If this were not enough, they also behave in the same way towards each other, provoking serious problems that the staff have to manage and contain. On top of this, the staff have to come to terms with the committed offences that have brought patients into hospital-offences that can be so grievous as to elicit feelings of disgust and abhorrence.