This is a very interesting qualitative study showing an aspect which is frequently underreported in the literature: what patients think.
There is so much focus on the effect of interventions and the underlying physiological mechanisms that we often forget to even consider what the person we are treating (which is after all the most important) thinks about all this.
While the value placed on a biomedical perspective may not be entirely surprising, the blame should not be entirely directed to patients. Those beliefs have been promoted by many generations of clinicians and are unlikely to be shifted from one day to the next.
Nevertheless, we should be actively promoting this shift so that it happens as soon as possible. This should be done by listening to what patients have to say and by turning our attention to what patients can (and should) do rather than to what they can’t.