A. they have to change courses
B. they dont complete their courses
C. their family puts too much pressure on them
解析:题目要求找出在哪种情况下学生的自尊心会受到伤害,选项AB与课程有关,不同的是A选项指换课,B选项指完不成课程。原文中有听到C选项的内容,但没有跟自尊心联系起来。原文中提到:if you fail a subject or drop out of a course because its too difficult then your self-esteem can suffer,then前后的内容表达了事情条件和结果。因此答案为B。
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