ssrs pdf 417

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ssrs pdf 417

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of performance is signi cantly higher than what one would expect based on the current estimate of Moses s intellectual potential Further, no signi cant evidence of perseveration (repeated incorrect responding) or failure to maintain mental set (off-task behavior) was noted Moses scored in the average/high-average range on this task, indicating welldeveloped problem-solving skills Assessment of linguistic functioning was conducted in order to evaluate receptive and expressive language development Analysis of his performance indicates that Moses s receptive language is variable Speci cally, his understanding of vocabulary words is low average and his repetition of sentences is average; however, Moses struggled on a task requiring understanding of complex multipart directions, scoring in the borderline range Analysis of Moses s expressive language development indicates that these skills are also variable In particular, his skills at de ning words are average, and his linguistic planning (formulating sentences) is low average.

In early life, they sought to model themselves after authority figures, foregoing their independence and following the rules with utmost precision As a consequence of their rigid conformity, they lack spontaneity and initiative, are unable to form deep and genuine relationships, and are indecisive and fearful of the unknown For various reasons, differing from case to case, the security these paranoids sought to achieve through submission and propriety was not attained Lacking guidance and support from others, intolerant of suspense, and dreading punishment lest repressed anger erupt, they drew into themselves, turned away from their dependent conformity, and sought solace, if they could, in their own thoughts Although renouncing their dependency, obdurate paranoids cannot relinquish their lifelong habits Thus, feelings of guilt and fear become acute as they begin to assert themselves.

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However, he exhibited a word nding/retrieval de cit, as he scored in the borderline range on measures of picture naming and verbal uency (quickly naming words beginning with a certain letter) tasks In sum, Moses s language skills range from borderline to average, with poor word retrieval and complex comprehension skills, but these abilities are generally consistent with his verbal intellectual ability In order to assess visual spatial perception/discrimination ability without a motor component, Moses was administered the Judgment of Line Orientation Test (JLO) Analysis of his performance indicates that his visual perceptual functioning is in the low-average range Constructional praxis, as measured by the Developmental Test of Visual-Motor Integration (DTVMI-V), the Rey Complex Figure (RCF) copying task, and a Clock Face Drawing with the requested time of 10:20 is found to be variable, ranging from borderline to average.

Anticipating punishment for their nonconforming behaviors and feeling that such actions deserve condemnation, they project these self-judgments on others and now view them to be hostile and persecutory Although they assert their newfound independence with prideful self-assurance, querulous paranoids remain irritable, dissatisfied, and troubled by discontent and ambivalence They cannot forget their resentments and their feeling of having been mistreated and exploited They often perceive the achievements of others as unfair advantages, preferential treatments that are undeserved and have been denied to them Disgruntlement and complaints mount Fantasies expand and weave into irrational envy Their grumbling comments turn to overt anger and hostility Each of these may feed into a theme of unjust misfortune If unchecked, they are whipped, bit by bit, into a psychotic delusion of resentful jealousy In similar fashion, erotic delusions may evolve among these patients.

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Notably, Moses s drawings were marked by motor planning dif culties, which lowered his scores on several tasks These results, taken together with Moses s lowaverage to average performance on the Block Design subtest of the WISC-IV, indicate.

Although they consciously repudiate their need for others, these paranoids still seek affection from them Rather than admit these desires, however, they will defensively project them, interpreting the casual remarks and actions of others as subtle signs of amorous intent However, they are unable to tolerate these attentions because they dread further betrayal and exploitation As a consequence, querulous paranoids insist that they must be protected against erotic seduction by others Innocent victims may be accused of committing indignities, of making lewd suggestions, or of molesting them The insular paranoids are the most likely of the paranoid personalities to be precipitated into a frank psychotic disorder when confronted with painful humiliation and derogation from others Although they have sought by active withdrawal and isolation to minimize their social contacts, this coping defense is not impenetrable.

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Struggling feverishly to control their surging anger, they may turn their feelings inward and impose on themselves harsh judgments and punitive actions These efforts may not succeed, however Accusations of their own unworthiness are but mild rebukes for the suspicion and fury they feel Self-mutilation and suicide, symbolic acts of selfdesertion, or brutal attacks against others, a direct expression of their rage, may become the only punishments that fit the crime..

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