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A 45-year-old banker presents for a consultation regarding her "large nose." Physical examination reveals an overprojected and large nasal tip. She is married, has three children, and takes no psychiatric medications. Her husband and her children tell her that they like her nose. She has thought about having the nose surgery for the past 5 years. Which of the following most likely describes her motivational factor?

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Adult Lab Normals
Pediatric Lab Normals