Obsession. Thank you.
I'm not trained in psychiatry, so I hesitate to critique without that training. However, my observation as someone external to it is that hope and a dedication to the recovery of patients are frequently part of the psychiatric self-concept. Yes, I think it's important to believe that all is possible, but there are people who have been through an awful lot of treatment and who continue to suffer intolerably. So, this concept of the refractory intractable condition is out there, and after a certain amount of time, from what I've heard, it becomes more reasonable to predict that it might continue.