That's the thing. in medicine you're used to saying there's a problem within the person and saying there's a problem within the culture that's not a medical answer. Medicine has to look in one direction so there's only one type of answer that they can find.
It's odd the things that people remember. Parents will arrange a birthday party certain it will stick in your mind forever. You'll have a nice time then two years later you'll be like 'There was a pony there? Really? And a clown with one leg?'