22b I think you should also keep in mind that posters talking about what they have been told are reporting conversations in direct relationship to their own child. Professionals will often speak in general terms "patterns like this can mean..." But they are there to talk to this set of parents about this particular child and they presumably saw something themselves or were asked (or told) something by the parent that lead them down that conversational path. I am sure their are a few less good psychologists around somewhere making diagnosis on profile analysis with no prompting from child or parent - but I would expect parents in that scenario generally end up on forums asking if something is REALLY wrong with their kid that's having no problems, not feeling trusting and like maybe someone finally understood their kid....