I belive its Grandular disorder theory
ENVIRONMENT
There are many theories discussing how genetics and upbringing shape a person’s personality throughout his life. Ryan’s interaction with his environment and the experiences he had throughout his life shapes his personality. Openness, conscientiousness, extraversion, agreeableness and neuroticism are the five traits that influence how he participates with his surroundings.
Theorists believed that early life experiences have the maximum impact in a person’s personality. However, they also argued that new life experiences, temperament, the kind of social roles or simply growing older can change an individual’s personality over time.
Foreign doctors have all kinds of different forms of training. But many are united by one common factor that seems to be operative especially in the Commonwealth countries — a great emphasis on the bedside exam and on clinical skills. In part, [this approach] was driven by the lack of ready access to all the kinds of sophisticated testing that we have now. But I think that kind of clinical training still serves me very well.
Textbooks are always a good way to go
1st blank is integrity because dependability means you can be relied on while responsibility is owning up to your actions.
2nd blank is leadership because communication skills is how to talk to people regularly, not give out directions while optimism is incorrect.