Social Work Examination Services (SWES) Human Behavior Practice Test

What diagnosis is most likely for someone with poor adaptive skills and a history of emotional rejection from parents?

1. Antisocial personality disorder

2. Borderline personality disorder

3. Obsessive-compulsive disorder

4. Generalized anxiety disorder

The correct answer is: Borderline personality disorder

The diagnosis of borderline personality disorder is most appropriate for an individual exhibiting poor adaptive skills alongside a history of emotional rejection from parents. This disorder is characterized by emotional instability, difficulties in relationships, and an intense fear of abandonment, often stemming from early experiences, such as parental rejection or neglect. Individuals with borderline personality disorder frequently struggle with identity issues and emotional regulation, which could result in poor adaptive skills as they may have difficulty navigating social situations or coping with stressors effectively. The impact of emotional rejection can contribute significantly to the development of symptoms associated with this disorder, such as interpersonal difficulties and impulsivity. In contrast, the other diagnoses listed do not align as closely with the combined factors of poor adaptive skills and a background of emotional rejection. Antisocial personality disorder generally involves a disregard for others' rights and often lacks emotional connection, while obsessive-compulsive disorder is centered around compulsive behaviors and intrusive thoughts, rather than emotional regulation tied to relational issues. Generalized anxiety disorder focuses on excessive worry and anxiety but does not specifically account for the relational and adaptive challenges highlighted in the question.