An institutionalized individual behaving abnormally says, "The doctor claims I'm schizophrenic! How else would you expect me to act?" The individual's comments reflect:

A) misdiagnosis.
B) presence of a comorbidity.
C) a misunderstanding of multiaxial diagnosis.
D) self-fulfilling prophecy.

Self-fulfilling Prophecy

A prediction that directly or indirectly causes itself to become true due to positive feedback between belief and behavior.

Multiaxial Diagnosis

A classification scheme used in the Diagnostic and Statistical Manual of Mental Disorders (DSM) that assesses different aspects of an individual's health or disorder across multiple axes or domains.