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Abnormal Psych exam 2

front 1

What are the three categories of clinical assessment tools?

back 1

clinical interviews, clinical tests, clinical observations

front 2

What is the main focus of clinical tests?

back 2

To gather idiographic info about clients ( individual characteristics)

front 3

What are the 7 types of tests?

back 3

Projective, Personality, Response, Intelligence, Neuropsychological, Neurological, and Psychophysiological

front 4

What do assessment tools need to be effective?

back 4

must be standardized, reliable, and valid

front 5

Types of clinical interviews

back 5

Psychodynamic, Cognitive-Behavioral, Humanistic, Biological, Sociocultural

front 6

An open-ended clinical interview is said to be:

back 6

Unstructured

front 7

A specific clinical interview is said to be:

back 7

Structured

front 8

What are some limitations of clinical interviews?

back 8

- Lack of validity or accuracy

- Lack of reliability

-Bias, mistakes in judgment

front 9

Types of projective tests ( these are psychodynamic)

back 9

Rorschach test, TAT, sentence-completion, drawings

front 10

What do personality inventories focus on?

back 10

Behaviors, beliefs, and feelings

(self-reported)

front 11

What are the characteristics of response inventories?

back 11

- self reported

- focus on one area of functioning

front 12

What do psychophysiological tests measure?

back 12

Use physiological responses as an indicator of psychological problems.

front 13

Strengths of Intelligence tests?

back 13

- High reliability and validity

front 14

Limitations of naturalistic and analog observations

back 14

-observer drift and cross-situational validity

front 15

What is the general criterion for generalized anxiety disorder?

back 15

-For 6 months or more, the person experiences disproportionate, uncontrollable, and ongoing anxiety

- causes significant distress or impairment

front 16

What does the socio-cultural perspective say about GAD?

back 16

The condition is most likely to develop in individuals facing threatening social conditions.

front 17

What does Freud believe in (in terms of anxiety)?

back 17

All children experience some degree of anxiety and use ego mechanisms to control it.

front 18

What does the humanistic perspective say about GAD?

back 18

That it arises when people stop looking at themselves honestly and acceptingly.

front 19

What does the Cognitive-behavioral perspective say about GAD?

back 19

Acquired behaviors and maladaptive thinking often cause psychological disorders.

front 20

What are never cognitive-behavior explanations?

back 20

Metacognitive theory

Avoidance theory

front 21

How do benzos provide anxiety relief?

back 21

enhances the effects of GABA

front 22

What are the types of drug therapies over the years?

back 22

Early 1950s: Barbs

Late 1950s: Benzos

Recently: SSRIs, SNRIs and schizophrenia

front 23

What are some specifiers for anxiety disorders?

back 23

Animal, natural environment, blood-injection-injury, situational, other

front 24

What are some treatments for specific phobias?

back 24

- Any form of exposure treatment

front 25

What does the cognitive-behavioral perspective say about social anxiety disorder?

back 25

-Avoidance and safety behaviors are performed to reduce
or prevent these disasters

front 26

Important symptoms of panic disorders

back 26

sweating, chest pains, faintness

front 27

What biological factors contribute to panic disorder?

back 27

- hyperactive panic circuit

- issues in the amygdala, hippocampus, locus ceruleaus

front 28

What is the cognitive behavioral perspective of panic disorders?

back 28

Bodily sensations are misinterpreted as signs
of medical catastrophe and controlled by
avoidance and safety behaviors.
▪ __Increased__ sensitivity may exist.

front 29

What are some basic themes for obsessions?

back 29

Dirt/contamination, Violence/aggression, orderliness, religion, sexuality

front 30

What are some features of compulsions?

back 30

- feel that they MUST do/ little choice

front 31

What are some themes of compulsions?

back 31

Cleaning, checking, balance, touching-verbal-counting

front 32

What does the biological perspective say about OCD?

back 32

- result of abnormal brain activity, and abnormal brain structure & neurotransmitters

Cortico-striato-thalamo-cortical
circuit, is hyperactive making it
difficult for them to turn off or
dismiss their various impulses,
needs, and related thoughts

-

front 33

Mya is bothered by many different concerns. She worries about her job, her friendships, her safety, and her future. This worrying is causing her significant distress and interfering with her daily life. Mya’s most likely diagnosis
would be:

back 33

Generalized anxiety disorder

front 34

Which of the following is true about the
prevalence of generalized anxiety disorder
(GAD)?

back 34

Rates of GAD are higher among low SES populations compared to high SES groups

front 35

Which perspective has a focus on changing maladaptive assumptions in treating generalized anxiety disorders?

back 35

the cognitive-behavioral perspective

front 36

Heather is deathly afraid of being eaten by crocodiles, won’t watch movies or TV shows with crocodiles in them, never visits the zoo, and is very happy to be living in North Dakota, far from any crocodiles. Would this qualify Heather as
having a phobia?

back 36

no

front 37

Which of these is NOT a type of exposure treatment?

back 37

social skills training

(Systematic desensitization, flooding, and modeling are types of exposure treatment)

front 38

As part of his treatment for social anxiety, Amir constructs a list of situations that range from not that scary to very scary. Amir’s therapist will help him learn to stay relaxed in these different situations, an approach known as:

back 38

systematic desensitization

front 39

Approximately ___ percent of the U.S. population will be impacted by panic
disorder at some point in their lives.

back 39

5%

front 40

Which neurotransmitter has been implicated in playing a role in panic
disorder?

back 40

norepinephrine

front 41

________ is a disorder in which people pull out hair from their body (e.g., scalp,
eyebrows, and eyelashes).

back 41

Trichotillomania

front 42

Yesterday while waiting for the bus, Jay was overwhelmed with a sense of dread. His heart was racing, he had difficulty breathing, and he felt like he was going to die. This has been happening more frequently, and you suspect
Jay has:

back 42

panic disorder

front 43

Which of the following disorders occurs equally among men and women?

back 43

OCD

front 44

What are the two pathways by which ANS and the endocrine system produce arousal and fear reactions?

back 44

Sympathetic nervous system pathway, Hypothalamic-pituitary-adrenal pathway

front 45

What are the symptoms of acute stress disorders and PTSD?

back 45

Increased arousal, anxiety, guilt

Reexperiencing the event

Avoidance ( of trauma-linked stimuli)

front 46

Who is more likely to develop PTSD or acute stress disorder?

back 46

Women and people with poor financial status or discrimination experiences.

front 47

What are some triggers of stress disorders?

back 47

Combat, disasters, medical illnesses, epidemics, sexual assault, abuse, torture, terrorism

front 48

What is an important biological factor for stress disorders?

back 48

Inherited predisposition

front 49

What are some childhood experiences that increase risk for later PTSD?

back 49

poverty, catastrophe, chronic neglect or abuse.

front 50

Which of the following is responsible for returning the heartbeat back to normal
after a stressful event?

back 50

parasympathetic nervous system

front 51

Which of the following is a stress hormone released by the adrenal gland?

back 51

cortisol

front 52

The DSM-5 specifies four symptom clusters that define PTSD. Which of the following is NOT one of those clusters?

back 52

All of these are characteristics of PTSD

front 53

Which of these is characteristic of PTSD but NOT of acute stress disorder?

back 53

symptoms persisting longer than a month

front 54

Sexual assault is one of the most common causes of PTSD. Current data indicate that 1 in ___ women are raped at some point in their lives.

back 54

5

front 55

Data indicate that in approximately _____ percent of rape cases, the perpetrator of the assault is either an acquaintance, a family member, or an intimate partner.

back 55

75%

front 56

Which of the following structures has NOT been implicated in the brain’s stress circuit, which plays a role in the development of PTSD?

back 56

basal ganglia

front 57

Which of the following treatment interventions have NOT been found to be
effective and may actually increase symptoms of PTSD?

back 57

psychological debriefing

front 58

What are the main symptoms of depressive disorders?

back 58

Anhedonia (little pleasure), Avolition (lack of purpose)

front 59

What are the types of depressive disorders?

back 59

MDD, Persistent depressive disorder, PMD, Postpartum depressive disorder, seasonal depression, w/psychotic features

front 60

What are the major depressive disorder specifiers?

back 60

mild, moderate, severe, with psychotic features

front 61

What does the biological model say about depression?

back 61

That is mainly genetic, found through pedigree studies and twin studies.

front 62

What are the biochemical and hormonal reasons for depression?

back 62

Low serotonin and norepinephrine

Excess cortisol

front 63

What are the biological treatments for unipolar depression?

back 63

Antidepressants (MAOI, Tricyclics, 2nd gen anti-depressants)

front 64

What is the function of SSRIs?

back 64

They increase serotonin activity without affecting other neurotransmitters. (NRIs and SNRIs work the same way)

front 65

What are some biological treatments that directly or indirectly stimulate certain areas of the brain?

back 65

ECT, vagus nerve stimulation, TMS, deep brain stimulation

front 66

What are psychodynamic treatments for unipolar depression?

back 66

Free Association, Interpretations

front 67

What does the cognitive behavioral model say about unipolar depression?

back 67

That it results from problematic behaviors and dysfunctional thinking. (behavioral realm, negative thinking)

front 68

The behavioral dimension of depression emphasises -

back 68

number of life rewards and social rewards

front 69

Beck says that depression is produced by-

back 69

a combination of maladaptive attitudes, cognitive triad, errors in thinking, and automatic thoughts. (Cognitive triad: negative view of experiences, oneself, and future)

front 70

How does CBT help with depression?

back 70

Behavioral activation

- reintroduce pleasurable activities

- reward non-depressive behaviors

-improve social skills

front 71

What are the perspectives in the sociocultural model of unipolar depression?

back 71

Family-social. multicultural

front 72

What are some gender and depression explanations in the multicultural perspective?

back 72

artifact theory, hormone explanation, life stress, body dissatisfaction, lack of control, rumination

front 73

What are the biological perspectives of bipolar?

back 73

Neurotransmitter activity, Ion activity

(Mania high norepinephrine, low serotonin) (improper transport of ions back and forth)

front 74

What does the brain structure and circuitry look like in people with bipolar disorder?

back 74

abnormal brain structures in people with bipolar disorder, the hippocampus, the basal ganglia, and the cerebellum.

front 75

Current research indicates that
approximately _____ percent of U.S. adults
will experience an episode of severe
unipolar depression at some point in their
lives.

back 75

20%

front 76

The typical age of onset for unipolar
depression is:

back 76

late adolescence

front 77

The majority of individuals with unipolar
depression (about 85 percent) will recover
within ___ months.

back 77

6 months

front 78

A depressive disorder that is characterized
by a lack of responsiveness to reward and a pervasive loss of pleasure is categorized as:

back 78

melancholic

front 79

Which neurotransmitter has NOT been
implicated as playing a role in unipolar
depression?

back 79

acetylcholine

front 80

The artifact theory states that:

back 80

men and women are equally prone to depression

front 81

A therapy for depression in which the therapist systematically increases the number of constructive and pleasurable activities in a client’s
life is known as:

back 81

Behavioral activation

front 82

Which recreational drug has recently gotten
attention for providing immediate relief in
cases of treatment-resistant depression?

back 82

Ketamine

front 83

Which type of therapy is most effective in
the long term in reducing most people’s
depression?

back 83

CBT

front 84

What percentage of adults diagnosed with
depression who receive cognitive-behavioral therapy show significant improvement in their symptoms?

back 84

50-60%

front 85

Which drug works by blocking a vigorous
neurotransmitter reuptake process and
allowing serotonin and norepinephrine to
stay in the synapses longer?

back 85

tricyclics

front 86

Treatment in which a pacemaker powers
electrodes in the subgenual cingulate to
stimulate the brain is known as:

back 86

deep brain stim

front 87

What is the primary difference between
bipolar I disorder and bipolar II disorder?

back 87

People with bipolar I have full manic and depressive episodes

front 88

In what way is bipolar disorder different
from unipolar depression?

back 88

There is no gender difference in bipolar disorder, while unipolar depression is more common in women.

front 89

Which of the following has been found to be
effective in treating bipolar disorder?

back 89

Lithium

front 90

What are the key features of Schizophrenia?

back 90

- Various psychotic symptoms, such as delusions, hallucinations, disorganized
speech, restricted or inappropriate affect, and catatonia.

- 6 months or more

front 91

What are the key features of brief psychotic disorder?

back 91

Various psychotic symptoms, such as delusions, hallucinations, disorganized
speech, restricted or inappropriate affect, and catatonia

- less than 1 month

front 92

What are the key features of Schizophreniform disorder

back 92

Various psychotic symptoms, such as delusions, hallucinations, disorganized
speech, restricted or inappropriate affect, and catatonia

- 1 to 6 months

front 93

What are the key features of Schizoaffective disorder?

back 93

Marked symptoms of both schizophrenia and a major depressive episode or a manic
episode

- 6 months or more

front 94

What are the key features of Delusional disorder?

back 94

Persistent delusions that are not bizarre and not due to schizophrenia; persecutory,
jealous, grandiose, and somatic delusions
are common

- 1 month or more

front 95

What is more commonly found in lower SES groups?

back 95

Downward drift theory.

front 96

What are the positive symptoms of Schizophrenia?

back 96

Delusions, disorganized thinking and speech, hallucinations, inappropriate affect

front 97

Types of Delusions:

back 97

persecution, reference, grandeur, control

front 98

Types of disorganized thinking and speech

back 98

loose association or derailment, neologisms, perseveration, clang

front 99

What are the negative symptoms of schizophrenia?

back 99

Pathological deficits,(poverty of speech) alogia, convey little meaning, blunted affect, immobile, avolition, catatonic

front 100

What is the prodromal phase?

back 100

beginning of deterioration, mild symptoms

front 101

What is the active phase?

back 101

symptoms become increasingly apparent

front 102

What is the residual phase?

back 102

a return to prodromal levels

front 103

What is Type I schizophrenia vs Type II?

back 103

Type I has more positive symptoms and can be treated with anti-psychotics. Type II has more negative symptoms that can not be treated typically.

front 104

A fuller recovery from the disorder is more likely in people who:

back 104

good premorbid functioning, disorder was triggered by stress, abrupt onset, later onset, recieve early treatment.

front 105

A strange false belief firmly held despite
evidence to the contrary is known as:

back 105

delusion

front 106

Which of these is an example of a negative
symptom of schizophrenia?

back 106

flat affect

front 107

The lifetime prevalence rate of
schizophrenia is approximately _____
percent.

back 107

1%

front 108

Which of the following is true about gender and schizophrenia?

back 108

While there are no differences in rates of the disorder, men develop the disorder earlier than women

front 109

Pierre has schizophrenia and firmly believes that he is the son of God. Pierre most likely has delusions of

back 109

grandeur

front 110

Which of these is an example of a positive
symptom of schizophrenia?

back 110

loose associations

front 111

Feeling drained of energy and lacking
interest in anything is known as:

back 111

avolition

front 112

Type I schizophrenia is to _____ as Type II
schizophrenia is to _____.

back 112

positive symptoms; negative symptoms

front 113

For most people diagnosed with schizophrenia, the course of schizophrenia typically passes through three distinct stages, which are the _____,
_____, and _____ phases.

back 113

prodromal, active, residual

front 114

Marked symptoms of both schizophrenia and a major depressive/manic episode, with a duration of 6 months or more, are MOST likely to be
diagnosed as:

back 114

schizoaffective disorder

front 115

Family pedigree studies of schizophrenia find that the identical twin of an individual with schizophrenia has a _____ percent likelihood of
having the disorder themselves.

back 115

48%

front 116

Which neurotransmitter has received the
most attention as having a role in the
development of schizophrenia?

back 116

dopamine

front 117

Studies indicate that rates of schizophrenia
are elevated among individuals who are
born during the _____ months.

back 117

winter

front 118

Marc has been hospitalized with schizophrenia. Marc earns
poker chips whenever he makes his bed, gets dressed, or
makes eye contact with staff during conversations. Marc
can then exchange these chips for snacks and other items.
This is an example of:

back 118

a token economy

front 119

Sian has been taking an antipsychotic medication
for over a year. Sian recently has developed side
effects that involve involuntary facial grimaces,
lip smacking, and tongue protrusions known as:

back 119

tardive dyskinesia

front 120

Which of these is NOT a potential side effect
of first-generation antipsychotic drugs?

back 120

agranulocytosis

front 121

The majority of individuals with
schizophrenia:

back 121

live unsupervised