Formal operational reasoning — MRCPsych Paper A MCQ
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Correct answer: A — Formal operational thinking
The correct answer is A, formal operational thinking. In Piaget's model, formal operations emerge during adolescence and permit abstract, systematic and hypothetical reasoning rather than thought limited to directly observable situations. The adolescent's ability to compare possible outcomes using abstract principles is therefore the key discriminator. Failure of conservation and preoperational egocentrism are associated with earlier cognitive development, particularly the preoperational stage. Sensorimotor circular reactions describe repeated action patterns during infancy. Attachment disorganisation concerns the organisation of attachment behaviour in relation to a caregiver and does not explain abstract reasoning. Although moral dilemmas may also be used to assess Kohlberg's moral-development stages, the revised stem specifically asks for the Piagetian cognitive process.
Reference: Yoos L. Adolescent cognitive and contraceptive behaviors. Pediatr Nurs. 1987;13(4):247-250. https://elearninghub.rcpsych.ac.uk/catalog?pagename=Paper_A_mapping