I think all people know how to do is hurt you.

Sometimes I think people are just incompatible and I don't mean romantically. No amount of communication can fix what feels like distinct and ultimately different personalities.
The only time it's worth considering if it's on purpose or not is when it becomes a pattern, intention really doesn't matter because the impact has been felt and that's all that matters if they were truly to recognise where they went wrong.

That's how it feels sometimes for me.

Thats how it is in my experience. But if anyone hurts you they have to answer to me!

I've consulted the best medical minds the world has known and it has been determined that....

Who was it? Let me at em

Are you alright?

Kevin is here for you

I've seen more intentional, through a conscious decision or series of them, than "accidental" examples ..

Clueless and insensitive about 40%.
About 25-33% are deliberate I think.