He just doesn't understand

I think he fears it for both of these reasons. I'm not sure which is more prevalent but he is just so harsh. Yesterday, for instance, he asked me if I had seen some paperwork. I said no and then he said "even in your delirious state?" He was dead serious.

I explained that was hurtful and just a few minutes later he told me that he was sorry and that I have to consider that he has no idea how to handle things like this. He doesn't know how to handle things but that doesn't mean he doesn't try.