The answer is B mutualism
As the tissue heals, new scar tissue is created inside of the damaged heart tissue, thus it doesn't pump as well as healthy heart tissue
There are four symptoms of addiction namely:
Obsession
Negative consequences
Lack of control
Denial
In this patient, he denies that his behavior is self-destructive; even with the concrete evidence that he is being self-destructive (i.e. plays all day even with work to do). There are two descriptions of denial wherein; (1) he denies that what he does cannot be controlled and (2) he denies that what he does leaves a negative impact in his life. This patient falls to the latter description of denial.