A 12-year-old boy takes great pride in the science project he completed for the regional fair. Even though he didn't win, he feels that he did a great job. Which of Erikson's psychosocial stages has this child mastered?
Initiative vs. Guilt
Autonomy vs. Shame and Doubt
Industry vs. Inferiority
Identity vs. Role Confusion
The Correct Answer is C
Choice A reason: Initiative vs. Guilt occurs in early childhood (3–5 years) and involves the development of purpose through goal-directed activities. At age 12, the child has passed this stage.
Choice B reason: Autonomy vs. Shame and Doubt occurs in toddlerhood (1–3 years) and focuses on developing independence and self-control. This stage is no longer relevant for a 12-year-old.
Choice C reason: Industry vs. Inferiority (ages 6–12) is characterized by children developing competence, pride in accomplishments, and perseverance in tasks. The child’s pride in his science project demonstrates mastery of this stage.
Choice D reason: Identity vs. Role Confusion occurs during adolescence (12–18 years) and involves forming personal identity and sense of self. While the child is entering this stage, his behavior reflects mastery of the prior stage.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Homosexuality was removed as a psychiatric disorder in the DSM-3 and is not a relevant change between DSM-4 and DSM-5.
Choice B reason: The DSM-5 continues to consider psychosocial and environmental factors through the use of diagnostic codes and specifiers; it does not eliminate these considerations.
Choice C reason: DSM-5 eliminated the multiaxial system of DSM-4; it does not use two axes, but instead provides a single-axis approach with descriptive specifiers and dimensional assessments.
Choice D reason: The DSM-4 included a five-axis system (clinical disorders, personality disorders, medical conditions, psychosocial and environmental problems, and global assessment of functioning), which was a defining feature of its multiaxial assessment. This represents the key change when transitioning to DSM-5.
Correct Answer is D
Explanation
Choice A reason: Conduct disorder involves more severe violations of societal rules and the rights of others, such as aggression toward people or animals, destruction of property, deceitfulness, or theft, which are not described here.
Choice B reason: Antisocial personality disorder is diagnosed only in individuals aged 18 and older; therefore, it cannot be applied to a 7-year-old child.
Choice C reason: Intermittent explosive disorder is characterized by discrete episodes of severe aggression or rage that are disproportionate to the situation, rather than ongoing patterns of defiance and blame.
Choice D reason: This is correct. ODD is characterized by a pattern of angry/irritable mood, argumentative/defiant behavior, and vindictiveness toward authority figures, which matches the behaviors described in this child.
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