A more likely explanation is the way that paternalistic administration of care is anathema to the current way of thinking. That is to say that one should never presuppose how to solve someone else’s problems, but rather one should listen to their lived experiences and give them what they say they need to solve their own problems. This is a good principle to follow in most situations, but like all prescriptive outlooks it fails when exposed to certain edge cases. In this case, the edge case is people who lack the executive function to know how to better their situation, or even to take advantage of situations that will when they’re presented.