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Question
Mark is an 11 year old boy who has exhibited extreme stubbornness and defiance since he was a little boy. His behavior has been evident primarily at home and does not involve significant mood instability or anger; although he has been reported as occasionally being vindictive and spiteful. Mark's behavior has negatively affected his relationships with his sibling. More recently, his behavior has started to affect his friendships. Mark's parents have become increasingly frustrated with his behavior over the years and have become what could be described as unreceptive and detached.
What is the most likely diagnosis for Mark and how did you come to this determination?
Students are expected to provide rational for their choice using our text and any outside material necessary. Citations and referencing must be used.
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