Behavioral symptoms are those that diminish the quality of life for either the individual with the symptoms or for that individual's care provider. These symptoms may be very obvious, as in hitting oneself and others, or less obvious, as in emotions that appear to be fear or anguish. Behavioral symptoms need to be understood in a cultural and ethical context that examines terms and approaches from multiple perspectives. For example: To whom is behavior disruptive? Is there any positive value in disruption?