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A 38-year-old man on remand is referred to the prison health service for "anger management". He is charming and articulate. He was expelled from school at 13, has convictions for assault and three for fraud, and describes the man he defrauded as "greedy - he deserved it". He sleeps and eats well and denies low mood. He tells you plainly that the only reason he has come is that a report might help him at sentencing. Which one of the following is the greatest obstacle to treating his personality disorder?
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Keep going — a set of ten like this one, one at a time.

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