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Data suggests that some physicians are less likely to describe difficult patient encounters when they have "lower job satisfaction, less experience, [and] poorer psychosocial attitudes".
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Physicians may have a hard time adjusting their practice to accommodate patients who seem overly dependent or physicians who feel helpless or annoyed when the patient's ailments are improved by social factors (family conflict, poverty, addiction, etc.).
It can be particularly frustrating or infuriating when patients appear ungrateful or even resentful for the care they receive. Recognize this source of frustration and remember that you are unlikely a vital part of the patient's support system even if the patient appears ungrateful or aggressive.
Highly frustrated physicians by difficult patients tended to be older, more likely to practice subspecialty internal medicine, and to experience higher stress.
It needs to be remembered that beneficence is actively doing good, whereas nonmaleficence means active prevention of harm.
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