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It is most likely true that the use of pay-for-performance systems is:
Fixated
A state in which a person becomes obsessively focused on an object or issue, potentially due to unresolved developmental conflicts.
Freud
Sigmund Freud, an Austrian neurologist and the founder of psychoanalysis, a clinical method for treating psychopathology through dialogue between a patient and a psychoanalyst.
Anal Stage
The second stage in Freud's psychosexual development theory, focusing on toilet training and the child's control over bowel movements, which can influence personality.
Oral
Pertaining to the mouth or spoken communication, as opposed to written.
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