一般资料：求助者，男性，27岁，北方某大学在读硕士研究生。 案例介绍：求助者将要硕士毕业，为继续考博士还是找工作而犹豫。现在高学历人才越来越多，硕士毕业不一定能找到一份如意的工作，所以想继续攻读博士学位。但如果再读三年博士，拿到学位就三十多岁了，于是也想毕业后先去工作、结婚。另外，女友毕业后回了南方的家乡，多次提出让他毕业后也到那里去。他很不适应南方的生活，为到底在哪里找工作发愁。相恋四年的女友向他提出最后通牒，如果他硕士毕业不去她的家乡工作就分手。一个多月来，难以入睡，觉得头晕头昏，食欲下降，人变得消瘦，内心非常焦虑，学习的效率也有所下降。 心理咨询师观察了解到的情况：求助者敏感内向，追求完美，学习努力，人际交往良好。
本案例诊断时可先考虑排除的是（）。
A.躯体器质性病变
B.一般心理问题
C.神经症性心理问题
D.精神病性问题
参考答案：B, D
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| My middle school's student rules are very strict, 1 I think they are very good. Observing the rules is everyone's 2 . Rules keep students from 3 fights, skipping classes, smoking, and destroying public property. A number of students' 4 are very bad. They like to destroy public property, for 5 ,they break the water pipes in the men's room. None of the men's rooms in this school have intact windows 6 some people like to break them! These are bad boys, doing evil things! But, the majority of students can observe the rules. The rules are enforced 7 punishment. For instance, the 8 time you get into a fight at school, they'll let your parents come and bring you home. The second time, they kick you out of the school and you have to transfer to 9 school! I like the student rules at my middle school, because the rules 10 the school more peaceful and quiet. It makes the school a better environment for studying. | |||
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