Refractory migraine in a "just world".
The "just world hypothesis" is the belief that a poor outcome to treatment always implies patient noncompliance. However, all disease states have a spectrum of severity, with the most severe end representing treatment failures despite compliant patients and excellent care. Some refractory headache patients represent this group of compliant patients, who had excellent care but who have bad disease.
Pacific Rim Headache Center, Anacortes, WA, USA.
J Michael
JM
Jones
D005260:Female; D006801:Humans; D008875:Middle Aged; D008881:Migraine Disorders / Q000139:chemically induced* / Q000188:drug therapy / Q000523:psychology*; D017211:Treatment Failure
blame; intractable; just world theory; medication overuse headache; refractory; victim