I find help / care imposed upon me that I do not want to be a burden at best and a horrible suffocating trap at worst. Better no help/care than the wrong kind, for me.
I will control it and am willing to take the exchange of remaining where I am, receiving no help or care /pain/death as being worth it to me to avoid submitting to it.

And many many people do try to impose their brand of help upon people who don't want it and then get hostile at the rejection and do try to violently impose it.