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An 18-year-old college student is seen in the emergency room, claiming she was raped by a 29-year-old janitor in her dorm four hours ago. He threatened her with a knife and she did not resist. She appears calm and has a flattened affect when the history is taken. Currently, she is sexually active with a fellow student and is taking birth control pills. The alleged attacker used a condom, which she helped him put on. The student is 5 feet 2 inches tall and weighs 110 pounds. She is a cheerleader for the college football team. Examination reveals no bruising and gynecologic examination reveals no apparent injuries. Which of the following statements is the most likely explanation for this patient's presentation? A. The attack was not emotionally traumatic B. The student is in shock C. The attack never happened D. The student cooperated with the attacker E. The student suffers from chronic depression - B. Women who are raped are often in denial or shock. A woman may shower after an attack, destroying evidence in an attempt to deny what happened or to "clean herself." She may blame herself for the attack and feel she should have resisted more. A 10-year-old girl has been drawing sexually explicit pictures during art class. Her behavior in class has ranged from being shy to being aggressive with her fellow students. She won't go to the bathroom unless someone goes with her. Physical examination shows a normally developed girl. Breast budding is occurring and she has wisps of axillary and pubic hair. She will not let you "look at her bottom." Which of the following is the most likely cause of this condition? A. Normal adolescent development B. Asperger's syndrome C. Precocious puberty D. Child abuse E. Childhood depression