[Solved] Hugo is cunning, charismatic and sadistic. He never accepts responsibility for his actions and blames his illegal activities on watching violent porn as a child. He most likely _____. A) is a sociopath B) has a oppositional personality C) has suffered some traumatic brain injury D) exists in a fugue state Contributory Factor: An element or circumstance that plays a partial role in causing an event or situation. Medical Necessity Guidelines: Standards set by healthcare entities to determine the medical necessity and appropriateness of specific healthcare services and procedures. Progress Note: A document in the medical record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care. Narrative Diagnostic: A method of diagnosing by telling and interpreting the story of a patient's condition or symptoms.