What are the relative positions of the substituents in the following structure? 
Definitions:
Leo Kanner
An Austrian-American psychiatrist known for his work in child psychiatry, notably for being the first to describe autism as a distinct neurodevelopmental disorder in 1943.
Anna Freud
A pioneering child psychoanalyst and the daughter of Sigmund Freud, known for her theoretical and clinical contributions to the field of psychoanalysis.
Internalizing Problem
Psychological issues that are manifested inwardly, such as anxiety, depression, and withdrawal, as opposed to externalizing problems that involve outward behaviors towards others.
Externalizing Problem
Behaviors directed outwardly, typically involving conflicts with other individuals or society, such as aggression or defiance.
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