There are several reasons why the phenomenon mentioned above continues to remain problematic in the professional healthcare setting. I do believe that one of the greatest reason is that the perpetrator can be incognizant of their behavior. Physiological triggers such as aggressive behavior can often stem from accumulated stress levels from workload and patient interactions or fatigue from working long hours or personal reasons that is channeled through their interactions with other people. Moreover, there is also a possibility that they were not educated through their upbringing on the social norms to act civil when interacting with others. All the becomes factors of the perpetrators unawareness of causing distress to others. If the perpetrator
