It also can be due to depression. people ends up having a hard time and they just don't know what else to do. they end up taking the wrong path and try to hide this pain
Communicate , Get It In Writing , Stay Up To Date On Current Standards , Always Obtain Informed Consent , Be Sure To Follow Up & Keep An Open Mind
The first step is to acknowledge that there is a problem
The answer is neglect (maybe?? It kinda sounds like it)