Which statement accurately reflects the nature of Axis II disorders?

Axis II disorders, which encompass personality disorders and intellectual disabilities, are characterized by enduring patterns of behavior that significantly deviate from cultural expectations. These patterns emerge early in life and can affect various facets of an individual's functioning, including interpersonal relationships.

The correct option highlights that these patterns can lead to difficulties in multiple relationships, as individuals may not only struggle with their own internal experiences but also with how they relate and interact with others. The pervasive nature of these disorders means that the challenges faced in relationships are a central concern, often manifesting as difficulty in establishing and maintaining healthy connections.

In contrast, while some symptoms may fluctuate over time, it is often the case that the underlying traits or patterns remain stable. Dangerous behaviors can occur in some cases, but they are not defining characteristics of all Axis II disorders. Moreover, while environment can influence certain aspects of behavior, the core patterns associated with Axis II disorders are typically consistent across different settings.