(CLO 6) A 45-year-old patient with rheumatoid arthritis cons…

(CLO 6) A 45-year-old patient with rheumatoid arthritis consistently refuses to participate in therapy sessions, stating “What’s the point? I’ll never be the same person I was before.” The patient exhibits withdrawal from family and shows little motivation during treatment. Which psychosocial factor is most likely influencing this patient’s rehabilitation outcomes?