Dr. Fabiola de Framboise is performing an intake with a new patient. The patient has never been in a psychologist's office before. He had difficulty recalling Dr. de Framboise's name, finding the bathroom, finding his way back to the exam room after his
bathroom break, and recalling what medicines he is on. Dr. de Framboise's assistant, Alice, is completely sure the patient has memory problems. As an conscientious and methodologically rigorous clinician, Dr. Framboise is slow to agree. She wants to know if he has these problems in other settings like his home, his work, his church, etc. Why does she care?
a. If the patient's behaviors don't generalize outside of the clinic, then these observations may not validly represent his functioning.
b. Based on even this scant evidence, the patient is obviously exaggerating the severity of his symptoms.
c. Dr. de Framboise thinks this information is useless. Psychologists are very unlikely to diagnose any form of memory impairment without bloodwork and an MRI.
d. Dr. de Framboise is very stubborn.
Answer: a.
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