On the good end of the spectrum, the belief in
“just world hypothesis” can have some benefit by
helping patients create an internal locus of control.
However, on the severe end of the disease, when the
patient has used heroic levels of control yet remains
the innocent victim, the fallacy becomes counterproductive.
It is time that the headache specialist stops
the blame game for this unfortunate minority of
refractory-compliant patients and gives them the
compassion and care that they deserve.